VISITING A DOCTOR

Health is not valued until sickness comes. ~Thomas Fuller

Health is a state of complete harmony of the body, mind and spirit.  When one is free from physical disabilities and mental distractions, the gates of the soul open.  ~B.K.S. Iyengar

 

Activity 1. Match a picture with a word corresponding to a certain medical speciality.

 

A)

B)

C)

D)

E)

F)

G)

H)

 

 

 

I)

J)

 

 

1 – Ophthalmologist (optician, eye doctor, eye specialist)

2 – Cardiologist

3 – Pediatrician

4 – Dentist

5 – General Practitioner (GP, therapeutist, therapist, physician, primary care physician)

6 – Surgeon

7 – Obstetrician

8 – Otolaryngologist (ENT doctor, ENT specialist)

9 – Traumatologist

10 –Psychotherapist

 

Activity 2. Who do you go to see if you:

 

 

a) have a toothache?

b) need an operation?

c) are extremely unhappy?

d) have bad eyesight?

e) are confused with a sick baby?

f) have heart pain?

g) have balance problems?

h) have a sprain?

i) have a bad cold?

 

 

Activity 3. Study the vocabulary to be used while describing health problems.

 

General aches and pains

"I feel a bit under the weather."

"I'm not feeling very well." / "I don't feel very well."

"I'm not feeling a hundred percent."

"I think I'm going down with a cold. I've got a sore throat."
"I've got a slight headache."

Other parts of your body which you can combine with "ache": toothache, stomach ache and backache. For all other parts of your body, say "I've got a pain in…"

"I'm not sleeping very well at the moment."

"I feel a little faint."

"I feel a bit dizzy." (when your head is spinning)

"I've got a nagging pain in my shoulder." (nagging = a pain that won't go away)

"I've got a splitting headache – I hope it's not a migraine."

You can use the verb "feel" in both the present simple and the present continuous to talk about your current health. The present continuous suggests a more temporary feeling, but there's not much difference between the two forms in meaning.

"I don't feel very well" = "I'm not feeling very well."

Mild illness

"I have a bit of a stomach bug."

"I think I've got a bit of a temperature."

"I have a touch of (the) flu." (Flu = influenza)

"I've got a nasty cough." (pronounced "coff")

With most mild illnesses, we use "a" as an article: a cold, a cough, a stomach bug.
However, we say "flu" or "the flu": "He's got flu" / "He's got the flu".

With serious illnesses, we generally don't use an article at all.
"She's got cancer"
, "He picked up Hepatitis", "Thousands of people used to die from cholera / typhoid".

Sympathetic responses

"I'm sorry to hear that."

"Actually, you don't look very well."

"You look a little pale."

"Maybe you're going down with something. There's a bug going around."

"Maybe you should go home and get some rest."

"Why don't you go home and have a lie-down."

"Is there anything I can do?"

"Shall I get you an aspirin?"

Activity 4. Match the following symptoms given in the left column with their definitions.

1) Boil 

2) Lump

3) Rash

4) Spot

5) Scab 

6) Swelling

7) Bruise

8) Bump

9) Gash

10) Cut 

11) Graze 

12)Itch 

13) Scratch

14) Sprain 

 

 

 

a) incision, or wound in with a sharp-edged tool or object

 

b) an uncomfortable sensation on the skin that causes a desire to scratch

 

c)allergic reaction which makes the skin go red

 

d) an irritation or infection that makes the skin rise

 

e) an injury which appears as a purple mark on the body, although the skin is not broken

 

f) a minor injury or swelling that you get if you strike on something or if something hits you.

 

g) twist the ligaments of (an ankle, wrist, or other joint) violently so as to cause pain and swelling but not dislocation

 

h) red mark on the skin

 

i) a slight injury where the skin is scraped

 

j) a dry, rough protective crust that forms over a cut or wound during healing

 

k) infected swelling with liquid inside it

 

l)a long, deep cut or wound

 

m) a slight or insignificant wound or injury

 

n)a small, hard swelling that has been caused by an injury or an illness.

 

Activity 5. Complete the sentences with the words from the previous task.

1."When she used the soap her skin came out in a ___________."

2. "He was picking berries and got a couple of ­­­­­­­­­­­­­­___________ from the thorns."

3. "You'll need to go to the doctor to have that _______ lanced." (to lance = to puncture and clean)

4. "Don't pick at your ____________ – you might make it bleed."

5. "When he was a teenager he had a lot of ___________ on his face."

 6. "After the wasp stung her, she had a ___________ on her leg for days."

7. "That's a nasty ________. You might need stitches."

8. "She fell against our coffee table and got a large _________ on her forehead”.

9. "I've got a terrible_________ where the mosquito bit me."

10."He has a _________ just under his eye."

11. "I got a small ________ on my hand when I fell onto some gravel."

12. "Fortunately, nobody was seriously injured in the accident. There were only a few ________ and bruises."

 13. "I have a strange ­________ on my arm. I wonder what caused it."

14. I slipped on the ice. My ankle looks swollen, but it's only a minor __________."

 

Activity 6. Choose the correct word.

1. He's always __ his head on the low ceilings in our house.

a) bumping b) spraining

2. If you eat lots of unhealthy food you might get __ on your face.

a) grazes b) spots

3. I don't like that new washing powder. It's given me a __

a) rash b) scab

4. He's always got __ on his knees as he often falls off his bicycle.

a) scabs b) sprains

5. He dropped a heavy box onto his foot and now he's got a huge __

a) bruise b) gash

6. She accidentally __ herself while she was opening a tin of tuna.

a) cut b) grazed

7. He got some sort of __ while he was on holiday.

a) condition b) infection

8. Scientists are always researching new __ against infectious diseases.

a) injections b) vaccines

9. You'll need a __ to buy certain medications.

a) prescription b) referral

10. The doctor isn't sure what's wrong with him, so he's sending him for __

a) blood tests b) lab tests

 

 

Activity 7. Making a doctor’s appointment. Read the dialogue, then recite it with your partner.

 

- I'd like to make an appointment to see Dr. Lang.

- Is it an emergency?

- Yes, I have an infected wound.

- In that case, how about this afternoon at three?

- Fine. My name is Shirley Baker.

- Have you been here before?

- No.

- Who referred you to us?

- My neighbor, Vera Dong.

 

Activity 8. Restore the dialogues between a patient and a secretary.

1) –Good afternoon.  I’d like to make an appointment with Dr. Bauzon for tomorrow at 2:30 if possible. 

….

– Well, I saw him last week…I was…went to have a check on back.  I hurt it. 

– No, no, no..at work.  I hurt it at work.  I wasn’t doing anything else. 

– OK 2:30 tomorrow? 

– Perfect.  Thank you.  Bye bye.

 

 

2) – Hi my name is Lynn Fiore.  I’d like to make an appointment with the doctor. 

– No, I have not seen the doctor before.  When can the doctor see me? 

– Um, that is a little longer than I’d like to wait.  Could we make it a little sooner? 

– Um, I can’t make that time.  Um, I could make 2:30. 

– Um, not on Thursday, on Tuesday.  Ok.  And what is the doctor’s fee for initial visit? 

– Um, I have Medicare insurance.  Does the doctor accept Medicare? 

– Fine.  So then, I will see you on March 2nd at 2:30 p.m.

 

3) –Hi.  This is Bob Hattem

– Yes, I’d like to make an appointment to see the doctor if possible. 

– One day next week would be fine. 

– Preferably in the morning if you have anything open at that time. 

– Yea, 9:00 in the morning.  That sounds good. 

– Just basically for a general check-up, no major complaints. 

– Ok, thank you very much.  I’ll see you then.

 

 

4) –Hi, is this Dr. Camisso’s office? 

– Yes, I would like to make an appointment to see a neurologist. 

– Ok what time could I come in?  Would Thursday be good? 

– Can I come in at 10? 

– Ok, thank you very much.

 

5) - Hello?  Hi, yes.  I’m a new patient for Dr. Scambody

– Yes I would like to make a new patient appointment for this week if possible. 

– I usually work until 4:30 so evening is best. 

– No, Thursday won’t work for me because I have class after school. 

– Yep, Saturday is great.  9.a.m.? 

– Ok, I’ll be there.  Thanks.

 

Activity 9. Going to the doctor. Read the text and fill in the gaps using the word(s) given below.

The first time you visit a new doctor, you should talk about your  1– the illnesses you have had, any operations you have had and so on.

Your doctor might want to give you a 2 …. A check-up will include 3 …, as high blood pressure is serious and can lead to 4 …. Your doctor will probably also 5 … to check that your 6 … is normal.

A doctor uses a 7 … to listen to your breathing – particularly if you have a 8 …, or a condition such as 9 ….

Of course, you can also visit the doctor for a huge range of other reasons. Children need to have their 10 …  and if you are going abroad on holiday, you might also need to have injections against 11…. In winter, you can also get a flu12…  so that you won't get 13… .

If you need medication, a doctor will write you a 14 ….

For more serious medical conditions, you can get 15 … or a hospital. You might need 16… done, or you might need an 17 …, or you might need to .

 

a) life-threatening conditions

b) medical history 

c) injections

d) check-up

e) heart rate 

f) the flu

g) vaccine

h) heart or chest infection

i) infectious diseases

j) take your pulse 

k) monitoring your blood pressure

l) stethoscope

m) asthma

n) see a specialist

o) prescription

p) blood tests

q) a referral to a clinic 

r) X-ray

 

 

Activity 10. Have you ever been to see a doctor? You probably have, and so you know how important it is to effectively describe your symptoms and how you feel. This can be very difficult when you need to do it in a different language. Study the following:

Common Questions Your Doctor Might Ask You

What seems to be the problem?

How can I help you today?

What can I do for you?

How long have you been experiencing these symptoms?

Are you in pain?

Can you describe the pain?

Does the pain get worse when you do something?

Are you taking any medication for the pain?

What prescription drugs are you taking?

Do you have any allergies?

Are you pregnant? (if you are a woman)

Is that uncomfortable?

Does that hurt?

Common Directions or Instructions During an Examination

Lay down on the examination table/bed.

Squeeze my hands.

Relax your leg/arm.

Tell me when it hurts.

Stand and face the mirror.

Breath in (inhale), breath out (exhale).

Take off your pants/shirt/sweater etc.

These are just some of the many questions or directions that your doctor might ask or say to you during a consultation. They will vary depending on why you are visiting. (Back pain, heart problems or stomach pains...)

 

Activity 11. ROLE PLAY. Student A – Patient: You are a patient at your local doctor’s surgery. Choose one of the illnesses from the chart and tell the doctor the answers to these questions:

• How, when and where did it start?

• What symptoms have you got?

• Have you taken any medicine or done anything else to help?

Target language

It started… (a week ago).

I feel… (tired, hot, etc.).

I had an accident when…

It hurts here.

I’ve got… (a sore throat, a swollen ankle).

I can’t… walk / sleep Is it serious? What should I do?

 

Look at the table below. It describes seven common reasons for going to the doctor. Complete the table using the information from the boxes.

 

 

Symptoms diarrhoea red eyes a sore throat

can’t move my hand can’t sleep (insomnia)

a swollen ankle

 

 

 

 

Advice prescription medicine take vitamin C

go to hospital use crutches don’t eat anything

take paracetamol

 

 

 

 

 

 

 

Illness/Complaint

Cause

Symptoms

Advice

a cold

a virus, usually caught through contact or sneezing

a runny nose,

a) ____________________________ ,

a cough

keep warm, get some rest, b) ___________________________

theflu

a virus, usually caught through contact or sneezing

as for a cold, also a high temperature, aching bones and head

go to bed, c) ______________________________ for the temperature and the aches

food poisoning

eating food that isn’t fresh

stomach ache, vomiting, d) __________________________

e) ______________________________ for 24 hours, get some rest, drink water

stress

too many problems, especially at work

f) ____________________________ , worrying too much, loss of appetite

take sleeping pills, take a long holiday, change your job!

a broken arm

a serious fall, (e.g. off a ladder)

a very strong pain in my arm, g) ___________________________

h) ____________________________ , set arm in plaster

a sprained ankle

an unexpected fall, (e.g. when playing football)

i) ____________________________ , can’t walk

bandage the ankle j) ____________________________ , get plenty of rest

hay fever

an allergy to flowers and plants in summer

a runny nose, k) _____________________________

l) ____________________________ , stay away from parks and garden

 

• Do you agree with all this advice?

• Do you have any other advice for these complaints?

• Which of these complaints have you had over the last year?

• Did you go to the doctor?

 

Student B – Doctor You are the doctor. Listen to student A, who will describe her/his symptoms.

Ask questions using the Target language expressions. Tell the patient what you think the illness is.

Give the patient some advice. Try to remember without looking at the chart.

 

Target language

What seems to be the problem?

Does it hurt here?

Is the pain getting worse?

Do you have (a cough, a temperature, a swollen ankle)?

Can you… (move your hand, go near parks and flowers)?

Are you allergic to anything?

I think you have… You should / shouldn’t…

Try (not) to…(verb)

 

Activity 12. Read the dialogue and retell it in the Past Indefinite Tense on behalf of a) Mary and b) her doctor:

Mary is going to consult a doctor because she doesn't feel well. Dr. Mathews, a well-known lung specialist, has his consulting room in Harley Street. Mary has an appointment with him today at 4 p.m.

 

Dr. Mathews (D): Come in, please, and tell me what your trouble is.

Mary (M): I haven't been feeling well for some time, lost my appetite and

cough badly.

D: When were you last X-rayed?

M: It was about two years ago.

D: All right, let me see your tongue and your throat. Have you taken your

temperature?

M: It's normal.

D: Will you let me listen to your heart and chest? That's all right. Well, it looks like bronchitis. You must have caught a bad cold. You'd better have another X-ray. Drink plenty of milk, eat lots of fresh fruit, dress warmly, get plenty of sleep and take good care of yourself. I'll prescribe a bottle of medicine and a box of pills to take three times a day after meals. If you don't feel better after taking the medicines, come again and let me have a look at you.

M: All right, doctor. Thank you very much.

 

Activity 13. A) Read and translate the dialogue paying attention to the word combinations in bold type. Work in pairs.

 

Doctor: What's the trouble?

Patient: Well, I don't know what the matter with me is, but I've been sleeping

very badly lately and I've lost three kilos during this week.

D.: Have you been working very hard?

P.: I had some urgent work to do and I had to keep late hours as I was short of time.

D.: Well, strip to the waist, please. I'll sound you. (Sounds his chest).

Your heart is very good. Let me feel your pulse. It's quite normal. I think you

must have a good rest. Do you smoke, by the way? 

P.: Sorry to say, but I do. About twenty cigarettes a day.

D.: You must cut it down by half at least. Then take a leave and get to some

quiet place. I'm sure that fresh air, a change of surroundings will do you

a lot of good. 

P.: Will you prescribe me some medicine?

D.: I'll give you some sleeping pills. Take them for a week. But I've already said that the best remedy for you will be a good rest somewhere in the country.

P.: Thank you, doctor. I'm sure to follow your advice. Good-bye.

 

B) Make up similar dialogues. Use one of the situations below:

•  imagine you have a terrible headache and that's why you are worried about your health, doctor gives your some useful advice;

•  imagine you are a doctor and you have to persuade your patient to undergo a regular medical examination;

•  imagine you are a doctor and your patient is against taking any medicine, what can you advise him.

 

Activity 14. Prepare the following topics on your own:

a) My visit to a doctor.

b) Polyclinical aid in our country.

c) Imagine you're a district doctor. Speak about your work. 

 

Activity 15. Centuries-old diseases coming back. Read the text and answer comprehension questions afterwards.

Many diseases that doctors thought had almost disappeared are now making a comeback. Britain's National Health Service (NHS) has reported a serious rise in the number of people with diseases such as tuberculosis (TB), cholera, measles and whooping cough. An NHS spokesperson said that TB is now more common in England than it is in less developed countries such as Rwanda, Iraq, and Guatemala. Tuberculosis is also increasing across the globe. In 2013, it killed 1.5 million people worldwide, and that number is rising. Tuberculosis largely affects very poor people. It is an infectious disease that affects the lungs. Its symptoms include bad coughs, fever, weight loss and sweating.

Researchers say that many of the diseases that are making a comeback are both preventable and treatable. One big problem in England is that TB is affecting old people who have malnutrition – they do not have enough to eat. The number of elderly who have to go without food has doubled in the past three years. This is putting these old people in greater danger of getting TB. A UK doctor said she did not understand why society wasn't doing more to fight TB. She said: "Malnutrition is preventable. It is totally unacceptable that…there are at least one million older people malnourished or at risk of malnourishment." She said there needed to be a bigger focus on better nutrition and proper medicine.

COMPREHENSION QUESTIONS

1.Who thought many diseases had disappeared?

2.Which country's health service reported a rise in TB?

3.Where is TB more common than Rwanda, Iraq and Guatemala?

4.How many people did TB kill in 2013?

5.What organ in the body does TB affect?

6.Who is TB affecting in England?

7.What are a lot of old people in England having to go without?

8.What did a UK doctor say was preventable?

9.How many older people are malnourished in England?

10.What did a doctor say there needed to be a bigger focus on?

 

Step 1. In pairs / groups, talk about these topics or words from the article. What will the article say about them? What can you say about these words and your life?

diseases / comeback / spokesperson / common / developed / worldwide / infectious / preventable / malnutrition / elderly / danger / society / unacceptable / medicine

Step 2. Students A strongly believe there will be cures for all diseases in the future; Students B strongly believe there won't. Change partners again and talk about your conversations.

Step 3.DISEASES: Rank these with your partner. Put the most important diseases to cure at the top. Change partners often and share your rankings.

 

influenza

malaria

diabetes

epilepsy

obesity

asthma

tuberculosis

cancer

 

 

 

Step 4. TRUE / FALSE: Read the headline. Guess if  a-h  below are true (T) or false (F).

a.

America's health service reported on a rise in the number of TB cases.

T / F

b.

TB killed over 15 million people in 2013.

T / F

c.

TB is an infectious disease that affects the lungs.

T / F

d.

One of the symptoms of tuberculosis is weight loss.

T / F

e.

Many old people in England suffer from malnutrition.

T / F

f.

The number of old people with little food in England doubled in 3 years.

T / F

g.

A doctor said that malnutrition could not be treated.

T / F

h.

The doctor said there was enough of a focus on good medicine.

T / F



Step 5. SYNONYM MATCH: Match the following synonyms from the article.

1.

disappeared

a.

figure

2

rise

b.

more

3.

common

c.

signs

4.

number

d.

increase

5.

symptoms

e.

aged

6.

problem

f.

real

7.

elderly

g.

vanished

8.

greater

h.

completely

9.

totally

i.

usual

10.

proper

j.

difficulty


Step 6. PHRASE MATCH: (Sometimes more than one choice is possible.)

1.

diseases that doctors thought had

a.

nutrition

2

a serious rise

b.

countries

3.

less developed

c.

loss

4.

an infectious

d.

doing more

5.

weight

e.

almost disappeared

6.

preventable

f.

medicine

7.

doubled in the past

g.

in the number

8.

understand why society wasn't

h.

three years

9.

a bigger focus on better

i.

disease

10.

proper

j.

and treatable


Step 7. MULTIPLE CHOICE – QUIZ

1.

Who thought many diseases had disappeared?

6.

Who is TB affecting in England?

 

a) sufferers
b) the WHO

c) doctors

d) patients

 

a) everyone
b) old people

c) doctors

d) children

2.

Which country's health service reported a rise in TB?

7.

What are a lot of old people in England having to go without?

 

a) Britain's
b) America's

c) China's

d) Brazil's

 

a) a doctor
b) medical care

c) medicine

d) food

3.

Where is TB more common than Rwanda, Iraq and Guatemala?

8.

What did a UK doctor say was preventable?

 

a) Fiji
b) Vietnam

c) Nigeria

d) England

 

a) death
b) malnutrition

c) disease

d) the health service

4.

How many people did TB kill in 2013?

9.

How many older people are malnourished in England?

 

a) 150,000
b) 1.5 million

c) 15,000,000

d) 155,000

 

a) at least one million
b) just less than a million

c) exactly a million

d) millions

5.

What organ in the body does TB affect?

10.

What did a doctor say there needed to be a bigger focus on?

 

a) the liver
b) the heart

c) the lungs

d) the skin

 

a) healthy food
b) older people

c) life

d) better nutrition

 

Step 8. ROLE PLAY

Role  A – Influenza

You think influenza is the most important disease to cure. Tell the others three reasons why. Tell them what people should do to help find a cure for this disease. Also, tell the others which is the most difficult of these to cure (and why): diabetes, obesity or cancer.

Role  B – Diabetes

You think diabetes is the most important disease to cure. Tell the others three reasons why. Tell them what people should do to help find a cure for this disease. Also, tell the others which is the most difficult of these to cure (and why): influenza, obesity or cancer.

Role  C – Obesity

You think obesity is the most important disease to cure. Tell the others three reasons why. Tell them what people should do to help find a cure for this disease. Also, tell the others which is the most difficult of these to cure (and why): diabetes, influenza or cancer.

Role  D – Cancer

You think cancer is the most important disease to cure. Tell the others three reasons why. Tell them what people should do to help find a cure for this disease. Also, tell the others which is the most difficult of these to cure (and why):  diabetes, obesity or influenza.



Step 9. DISEASES SURVEY. Write five GOOD questions about diseases in the table. Do this in pairs. Each student must write the questions on his / her own paper. When you have finished, interview other students. Write down their answers.

 

STUDENT 1

_____________

STUDENT 2

_____________

STUDENT 3

_____________

Q.1.

 

 

 

 

Q.2.

 

 

 

 

Q.3.

 

 

 

 

Q.4.

 

 

 

 

Q.5.

 

 

 

 

Now return to your original partner and share and talk about what you found out. Change partners often.

Make mini-presentations to other groups on your findings.


Step 10. DISEASES DISCUSSION

STUDENT A’s QUESTIONS (Do not show these to student B)

1)

What did you think when you read the headline?

2)

What springs to mind when you hear the word 'disease'?

3)

What do you think about what you read?

4)

Why are diseases from hundreds of years ago coming back?

5)

What can we do to keep disease away?

6)

Why doesn't the world spend more on helping poor people with diseases?

7)

What do you do when you get a cough or fever?

8)

Will doctors make all diseases go away in the future?

9)

How healthy are you?

10)

What advice do you have for people to stay healthy?

-----------------------------------------------------------------------------

STUDENT B’s QUESTIONS (Do not show these to student A)

11)

Did you like reading this article? Why/not?

12)

How often are you ill?

13)

Which disease would you like doctors to end for good?

14)

Why do old people in a rich country like England not have enough to eat?

15)

What should your government do to make people healthier?

16)

How much should a country spend on healthcare?

17)

What do you think healthcare will be like in the future?

18)

Will there be more or fewer diseases in the future?

19)

How often do you take medicine?

20)

What questions would you like to ask a doctor?


Step 11. PUT THE TEXT BACK TOGETHER

Number these lines in the correct order.

(    )

malnourishment." She said there needed to be a bigger focus on better nutrition and proper medicine.

(    )

measles and whooping cough. An NHS spokesperson said that TB is now more common in England than it is in less

(    )

to eat. The number of elderly who have to go without food has doubled in the past three years. This is putting

(    )

developed countries such as Rwanda, Iraq, and Guatemala. Tuberculosis is also increasing across the

(    )

Researchers say that many of the diseases that are making a comeback are both preventable and

(    )

society wasn't doing more to fight TB. She said: "Malnutrition is preventable. It is totally

(    )

affects very poor people. It is an infectious disease that affects the lungs. Its

1  )

Many diseases that doctors thought had almost disappeared are now making a comeback. Britain's National Health Service

(    )

these old people in greater danger of getting TB. A UK doctor said she did not understand why

(    )

treatable. One big problem in England is that TB is affecting old people who have malnutrition – they do not have enough

(    )

unacceptable that…there are at least one million older people malnourished or at risk of

(    )

globe. In 2013, it killed 1.5 million people worldwide, and that number is rising. Tuberculosis largely

(    )

symptoms include bad coughs, fever, weight loss and sweating.

(    )

(NHS) has reported a serious rise in the number of people with diseases such as tuberculosis (TB), cholera,

Step 12. PUT THE WORDS IN THE RIGHT ORDER

1.

had   diseases   almost   that   disappeared   doctors   thought  Many   .  

2.

serious   the   people   A   in   of   diseases   rise   number   with   .  

3.

in   countries   common   than   developed   More   England   less   in   .  

4.

worldwide   people   million   1.5   killed   it   ,   2013   In   .  

5.

disease   the   It   infectious   affects   an   that   lungs   is   .  

6.

that   a   Many   diseases   making   the   are   comeback   of   .  

7.

go   The   elderly   to   food   of   have   without   number   who   .  

8.

these   in   putting   people   danger   is   old   greater   This   .  

9.

not   society   more   did   why   doing   She   understand   wasn't   .  

10.

to   be   a   bigger   focus   on   better   nutrition   There   needed   .  



Step 13. PUT A SLASH ( / ) WHERE THE SPACES ARE

Manydiseasesthatdoctorsthoughthadalmostdisappearedarenowmakingacomeback.Britain'sNationalHealthService(NHS)hasreportedaseriousriseinthenumberofpeoplewithdiseasessuchastuberculosis(TB),cholera,measlesandwhoopingcough.AnNHSspokespersonsaidthatTBisnowmorecommoninEnglandthanitisinlessdevelopedcountriessuchasRwanda,Iraq,andGuatemala.Tuberculosisisalsoincreasingacrosstheglobe.In2013,itkilled1.5millionpeopleworldwide,andthatnumberisrising.Tuberculosislargelyaffectsverypoorpeople.Itisaninfectiousdiseasethataffectsthelungs.Itssymptomsincludebadcoughs,fever,weightlossandsweating.Researcherssaythatmanyofthediseasesthataremakingacomebackarebothpreventableandtreatable.OnebigprobleminEnglandisthatTBisaffectingoldpeoplewhohavemalnutrition–theydonothaveenoughtoeat.Thenumberofelderlywhohavetogowithoutfoodhasdoubledinthepastthreeyears.ThisisputtingtheseoldpeopleingreaterdangerofgettingTB.AUKdoctorsaidshedidnotunderstandwhysocietywasn'tdoingmoretofightTB.Shesaid:"Malnutritionispreventable.Itistotallyunacceptablethat…thereareatleastonemillionolderpeoplemalnourishedoratriskofmalnourishment."Shesaidthereneededtobeabiggerfocusonbetternutritionandpropermedicine.

Step 14. ACADEMIC WRITING

Governments should spend more on cures for diseases than on anything else. Discuss.

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HOMEWORK

1. VOCABULARY EXTENSION: Choose several of the words from the text. Use a dictionary or Google’s search field (or another search engine) to build up more associations / collocations of each word.

2. INTERNET: Search the Internet and find out more about the diseases. mentioned in the article. Share what you discover with your partner(s) in the next lesson.

3. INFECTIOUS DISEASES: Make a poster about diseases. Show your work to your classmates in the next lesson. Did you all have similar things?

4. TUBERCULOSIS: Write a magazine article about tuberculosis. Include imaginary interviews with doctors who are trying to fight it.

Read what you wrote to your classmates in the next lesson. Write down any new words and expressions you hear from your partner(s).

5. WHAT HAPPENED NEXT? Write a newspaper article about the next stage in this news story. Read what you wrote to your classmates in the next lesson. Give each other feedback on your articles.

6. LETTER: Write a letter to an expert on diseases. Ask him/her three questions about TB. Give him/her three of your ideas on how to keep people healthy. Read your letter to your partner(s) in your next lesson. Your partner(s) will answer your questions.

Activity 16. Read the sayings about health. Express your opinion (agreement or disagreement). Choose one to write your reasoning.

During sickness, you recognize the value of good health.

Early to bed and early to rise, makes a man healthy, wealthy and wise.

One who eats plain food is healthy.

A good diet cures more than doctors.

It is better to skip one meal than to consult a hundred doctors.

When the heart is at ease, the body is healthy.

In a healthy body, a healthy spirit.

Health and cheerfulness make beauty; finery and cosmetics cost money and lie.

Limit your desires and you will improve your health.

The best doctors are Dr. Diet, Dr, Quiet, and Dr. Merryman.

While the doctors consult, the patient dies.

Learned doctors are stars on earth.

Mother Nature, time and patience are the three best doctors.

In the nineteenth century men lost their fear of God and acquired a fear of microbes.

No man is a good doctor who has never been sick himself.

When a lot of remedies are suggested for a disease, that means it cannot be cured.

He's the best physician that knows the worthlessness of the most medicines.

To save a man's life against his will is the same as killing him.

Cancer is a word, not a sentence.

The human spirit is stronger than anything that can happen to it.

The greatest mistake in the treatment of diseases is that there are physicians for the body and physicians for the soul, although the two cannot be separated.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Going to the Dentist

Be true to your teeth and they won't be false to you.

Activity 1. Look at this picture. Where is this woman? What is happening? Discuss with your partner.

Activity 2. Read the text paying attention to the words in bold. Discuss the meaning of the new words with a partner.

Dentists recommend that you go for a check-up at least twice a year. At the same time as you see the dentist, you can also make an appointment with the dental hygienist who will clean and polish your teeth for you.

The dentist checks that your teeth are in good condition. If you have a hole, or a cavity, you may need a filling, which is a small amount of porcelain that the dentist uses to fill the hole. Many adults have one or more fillings – often in their back teeth or molars.

You may have more serious problems with your teeth and occasionally the dentist will need to take an X-ray to see the damage to your teeth more clearly. For example, a tooth may be so rotten that the dentist recommends an extraction (where the tooth is removed) or you may need root canal work, where the dentist repairs damage to the roots of a tooth. In both of these occasions, you will need an anaesthetic so that you cannot feel the pain. (Unfortunately, you will still be able to hear the sound of the dentist's drill, the metal instrument used to open up the tooth.)

Some adults also experience problems with their wisdom teeth. There are four of these teeth: two top teeth, and two bottom teeth at the extreme left and right of the mouth. If they don't come down properly, they can become painful and need to be removed.

If you fall over and knock out one of your front teeth, the dentist may be able to fit a false tooth. The dentist can also repair teeth which have disintegrated, by putting a cap on the tooth, to stop it disintegrating further.

Specialist dentists (called orthodontists) can straighten teeth which are crooked. They put braces (wires) on the teeth to do this. Many children need to have this work done.

Finally, "prevention is better than cure". Dentists recommend that you brush your teeth twice a day, and floss your teeth to remove any food between your teeth. An antibacterial mouthwash will help to avoid the build-up of plaque.

 

Activity 3. Look at the pictures and discuss with your partner the importance of dental care.

 

 

 

Activity 4. Study the useful vocabulary.

At the reception

Can I make an appointment to see the …?

Dentist

Hygienist

I'd like a check-up

Please, take a seat

Would you like to come through?

Having your teeth examined

 

When did you last visit the dentist?

Have you had any problems?

I've got toothache

One of my fillings has come out

I've chipped a tooth

I'd like a clean and polish, please

Can you open your mouth, please?

I'm going to give you an x-ray

You've got a bit of decay in this one

You've got an abscess

 

 

Dental treatment

You need two fillings

I'm going to have to take this tooth out

Do you want to have a crown fitted?

I'm going to give you an injection

Let me know if you feel any pain

Would you like to rinse your mouth out?

You should make an appointment with the hygienist

How much will it cost?

 

Activity 5. Fill in the blanks with the vocabulary from the box below.

1. A small hole in the tooth …

2. He / she cleans your teeth before the dentist sees you …

3. Large tooth in the back of your mouth…

4. Material put in a cavity…

5. The wearing down of teeth that comes with time…

6. A drug used to numb the mouth before a procedure…

7. String used to clean in between teeth…

8. These are used to straighten the teeth…

9. To close your jaw tight with your teeth together is to …

10. A damaged tooth with a piece missing is a tooth …

 

 

grind your teeth

tooth decay

cavity

chipped

dental floss

novacaine

braces

filling

dental hygienist

molar

 

 

Activity 6. Fill in the blanks with the correct word.

 

 

root canal

braces

cavity

dental hygienist

getting a tooth pulled

dental floss

tooth decay

molar teeth

filling

novocaine

 

Next week I have to go to the dentist's office. I am always nervous to go because I usually have a . The dentist has to put a in it to fix the tooth. I don't like it one bit.

Actually, I don't even like seeing the  who cleans my teeth. It hurts when she scrubs away at my teeth. Last year, when I was at the dentist, I asked for some  before they cleaned my teeth. I was informed that this drug was only given for really painful procedures like . I wasn't happy about that at all. The dentist told me that I should use  to clean my teeth if I didn't want to get so many cavities. One tooth was so bad that I needed a . This is not a fun experience. Besides having a lot of , I also have some crooked teeth. I should probably get , but I don't think I will. They cost a lot of money. I figure that as long as I have my I can still chew my food. That is all I am worried about for now.

One day I will start taking better care of my teeth. I'm sick of painful trips to the dentist's!

Activity 7. Listen to the English conversation and answer the multiple choice questions below.

Dentist: Hello Mr. Smithers. It is good to have you back. We haven’t seen you in a while. How are the teeth? Do you have any concerns?

Patient: No. I am just here for a cleaning with your dental hygienist. I guess you will check out my mouth after that.

Dentist: That’s right sir. I will take a quick glance at your teeth once she is done. This visit should go a lot better for you than last year’s visit. I believe we had to pull one of your molars and put in a few fillings. Hopefully you have been taking better care of your teeth this year.

Patient: Yes, I am. Last year’s visit was painful, even with the Novocain you gave me. It isn’t fun getting a tooth pulled. The sound of the tooth coming out still gives me nightmares.

Dentist: Well, at least that ordeal inspired you to take better care of your teeth. Have you been using the dental floss that my receptionist gave you.

Patient: Yes. I floss every night before going to bed. I do have one problem that I forgot to mention. When I wake up in the morning my teeth and jaw hurt. Do you know what that could be?

Dentist: Sounds to me like you are grinding your teeth at night. You will have to buy a night guard to protect your teeth.

Patient: Let me guess. You sell them here. How convenient… I noticed your new BMW in the parking lot. With all of the money I paid you last year I guess you can afford it.

Dentist: Very funny. Tooth decay is normal for people your age. It is worth it to spend the money and get your teeth cleaned and looked at.

Patient: OK doctor. Just don’t tell me my teeth are crooked and that I will need braces. I won’t fall for that one.

Dentist: No. I won’t try that on you. I am a nice dentist!

Patient: Whatever you say…

 

1. What does Mr. Smithers say the reason for his visit is?

a) a root canal

b) a cleaning

c) a cavity

d) to get teeth whitened

2. What did the patient have to have done to his teeth last year?

a) he got braces

b) he had gum surgery

c) he got a molar pulled

d) he had a root canal

3. What still gives the patient nightmares from his visit last year?

a) the dentist b) the root canal c) the sound of his tooth being pulled out

d) the Novocain

4. What hurts the patient when he wakes up in the morning?

a) his teeth and jaw

b) his tongue and gums

c) his teeth and cheeks

d) his head and teeth

5. What does the doctor suggest will help with the pain?

a) getting a molar pulled

b) a cavity

c) a root canal

d)a night guard

6. What does the patient complain about to the dentist?

a) the money he is paying him

b) the time of the appointment

c) the size of the mouth guard

d) the dentist's horrible music

7. What does the dentist say is normal for people who are the patient's age?

a) molars

b) tooth decay

c) grinding of the teeth

d) having a cavity

8. The patient will possibly buy a night guard, but what does he say he will not buy?

a) a tooth brush

b) floss

c) braces

d) dentures

 

Activity 8. Tips for Healthy Teeth. Read the following advice from dentists about keeping your teeth healthy.

1. Brush regularly and as soon after eating as possible - even after snacking. If possible, brush a full two minutes.

2. Choose a good toothpaste and keep it. You don’t need much and when the mouth fills with foam, many people will spit it out and consider themselves finished brushing. Try a paste with a good mixture of baking soda and flavoring.

3. Brush your tongue or use a tongue scraper. Why do a great job on your teeth only to have them come in immediate contact with the microbes living on the surface of your tongue? As an added benefit, your breath will be MUCH better!

4. Floss at least once a day. Flossing cleans and removes food where your toothbrush cannot reach.

5. See your dentist and dental hygienist regularly. There are good offices and bad ones and you need to find a good hygienist as well as a dentist. Make sure your hygienist is allowed a good 45 minutes to an hour - enough time to properly work on your teeth.

6. Nutrition is important. The body can take care of itself as long as conditions are right, and as everything else in the body requires good nutrition, the teeth and gums are no exception. Staying away from sugar helps, but don’t forget eating carbohydrates, such as cakes, breads, chips, etc. regularly can also cause problems.

Activity 9. Answer the following true / false questions based on the previous reading.

1. You should brush for only 1 minute. True False

2. You should use lots of toothpaste when you brush. T F

3. You should brush your tongue. T F

4. You should floss once a week. T F

5. You should go to see your dentist regularly. T F

6. You should eat carbohydrates regularly. T F

 

 

 

 

 

Some tortures are physical
And some are mental
,
But the one that is both

Is dental.

~
OgdenNash

For there was never yet philosopher
That could endure the toothache patiently.
~WilliamShakespeare

 

Activity 10. NEW THERAPY TO OVERCOME FEAR OF DENTIST

Step 1. In pairs / groups, talk about these topics or words from the article. What will the article say about them? What can you say about these words and your life?

hope / globe / terrified / dentist / counseling / therapy / injections / dentist's drill / anxiety / dental treatment / delay / suicide / primary goal / sedation / priorities

Have a chat about the topics you liked. Change topics and partners frequently.

Step 2. DENTAL SURGERIES: How can they be better? Complete this table with your partner(s). Change partners often and share what you wrote.

 

Improvements

Why?

Waiting room

 

 

Appointments

 

 

The dentist's chair

 

 

The dentist's room

 

 

The treatment

 

 

The staff

 

 

Step 3. THERAPY: Students A strongly believe therapy can overcome all phobias; Students B strongly believe the opposite.  Change partners again and talk about your conversations.

Step 4. PHOBIAS: Rank these with your partner. Put the worst phobias at the top. Change partners often and share your rankings.

  • fear of dentists

  • fear of the dark

  • fear of heights

  • fear of germs

  • fear of spiders

  • fear of flying

  • fear of blood

  • fear of babies


BEFORE READING

Step 5. TRUE / FALSE: Read the headline. Guess if  a-h  below are true (T) or false (F).

a.

The article says the number of people scared of dentists is increasing.

T / F

b.

The article says there is a new phobia of dentists' chairs.

T / F

c.

The fear of dentists is called dentophobia.

T / F

d.

We need up to 60 counseling sessions to overcome our fear of dentists.

T / F

e.

More than 10% of people suffer from extreme anxiety over dentists.

T / F

f.

3% of people contemplated suicide rather than go to a dentist.

T / F

g.

People need to be sedated when they have therapy.

T / F

h.

Therapists set goals with individual patients.

T / F

 

Step 6. SYNONYM MATCH: Match the following synonyms from the article.

1.

fresh

a.

sittings

2

terrified

b.

heal

3.

overcome

c.

put off

4.

sessions

d.

conquer

5.

cure

e.

main

6.

extreme

f.

new

7.

level

g.

aims

8.

delay

h.

extent

9.

primary

i.

scared stiff

10.

goals

j.

serious

Step 7. PHRASE MATCH: (Sometimes more than one choice is possible.)

1.

fresh

a.

counselling

2

terrified

b.

suicide

3.

a course of

c.

to their priorities

4.

pain-relieving

d.

anxiety

5.

stress-free

e.

of going to the dentist

6.

suffer from extreme

f.

goal

7.

dental

g.

injections

8.

committing

h.

hope

9.

primary

i.

treatment

10.

set goals according

j.

visits to a dental surgery



Step 8. GAP FILL

There is fresh hope for the many people around the (1) ____________ who are terrified of going to the dentist. New research (2) ____________ that a course of counseling can help to (3) ____________ the fear of sitting in the dentist's chair. The research was conducted by the King's College London Dental Institute Health Psychology Service. It focused on the (4) ____________ of cognitive behavioural therapy (CBT) in treating dental phobia, also called dentophobia. Researchers discovered that the biggest fears (5) ____________ patients were of pain-relieving (6) ____________ and the dentist's (7) ____________. Doctors believe that between six to ten sessions of CBT are enough for patients to be able to have stress-free visits to a dental surgery and (8) ____________ this phobia.

 

 

effects
globe

injections

overcome

drill

cure

suggests

among

Researchers say that over 10 per cent of people (9) ____________ from extreme (10) ____________ about seeing their dentist, which stops many people from getting dental treatment. This level of anxiety often results in more dental problems because people (11) ____________ going to the dentist until they have a toothache, by which (12) ____________ the treatment will be more painful. Three per cent of patients surveyed admitted having thoughts of committing (13) ____________ rather than seeing a dentist. Lead researcher, professor Tim Newton, said: "The primary (14) ____________ of our CBT service is to enable patients to receive dental treatment without the need for (15) ____________, by working with each individual patient to set goals according to their (16) ____________."

 

suicide
anxiety

time

suffer

sedation

priorities

delay

goal


Step 9. COMPREHENSION QUESTIONS

1.

What kind of hope is there for people who are afraid of dentists?

2.

What can help to overcome the fear of sitting in the dentist's chair?

3.

What is another name for dental phobia?

4.

What patient fear was mentioned besides pain-relieving injections?

5.

How many sessions of therapy are enough to treat patients?

6.

How many people suffer from extreme anxiety about dentists?

7.

What does a high level of anxiety lead to more of?

8.

What do 3% of people think about doing?

9.

Who is Tim Newton?

10.

What does therapy mean patients do not need?

 

Step 10. MULTIPLE CHOICE - QUIZ

1.

What kind of hope is there for people who are afraid of dentists?

6.

How many people suffer from extreme anxiety about dentists?

 

a) eternal
b) no

c) fresh

d) feint

 

a) slightly less than 10%
b) more than 10%

c) exactly 10%

d) around 10%

2.

What can help to overcome the fear of sitting in the dentist's chair?

7.

What does a high level of anxiety lead to more of?

 

a) counselling
b) a bed

c) medicine

d) hypnosis

 

a) pain
b) chocolate bars

c) decay

d) dental problems

3.

What is another name for dental phobia?

8.

What do 3% of people think about doing?

 

a) molarity
b)
dentophobia
c)
toothfear
d)
dentistrobation

 

a) becoming a dentist
b) committing suicide

c) having false teeth (dentures)

d) giving up sweets

4.

What patient fear was mentioned besides pain-relieving injections?

9.

Who is Tim Newton?

 

a) blood
b) braces

c) having a tooth extracted

d) the dentist's drill

 

a) inventor of the dentist's drill
b) a professor

c) a dentist

d) a dental patient

5.

How many sessions of therapy are enough to treat patients?

10.

What does therapy mean patients do not need?

 

a) 60-100
b) 10-16
c) 6-10
d) 610

 

a) sedation
b) sweets

c) teeth

d) mint toothpaste


Step 11. ROLE PLAY

Role  A – Spiders

You think a fear of spiders is the worst phobia to have. Tell the others three reasons why. Tell them how their phobias can be easily overcome. Also, tell the others which is the least worrying of these fears (and why): dentists, the dark or heights.

Role  B – Dentists

You think a fear of dentists is the worst phobia to have. Tell the others three reasons why. Tell them how their phobias can be easily overcome. Also, tell the others which is the least worrying of these fears (and why): spiders, the dark or heights.

Role  C – The dark

You think a fear of the dark is the worst phobia to have. Tell the others three reasons why. Tell them how their phobias can be easily overcome. Also, tell the others which is the least worrying of these fears (and why): dentists, spiders or heights.

Role  D – Heights

You think a fear of heights is the worst phobia to have. Tell the others three reasons why. Tell them how their phobias can be easily overcome. Also, tell the others which is the least worrying of these fears (and why):  dentists, the dark or spiders.



Step 12. DENTISTS DISCUSSION

STUDENT A’s QUESTIONS(Do not show these to student B)

1)

What did you think when you read the headline?

2)

What springs to mind when you hear the word 'dentist'?

3)

What are your feelings about visiting the dentist?

4)

Why are so many people afraid of the dentist?

5)

How do you think dentists feel about people fearing them?

6)

What do you think of this counselling?

7)

What phobias do you have?

8)

How can we overcome our fears, anxieties and phobias?

9)

What do you think of the dentist's drill?

10)

What advice do you have for people who are afraid of the dentist?

-----------------------------------------------------------------------------

STUDENT B’s QUESTIONS(Do not show these to student A)

11)

Did you like reading this article? Why/not?

12)

How often should we visit the dentist?

13)

What do you do to take care of your teeth?

14)

Is there anything else in life similar to a visit to the dentist?

15)

What can dentists do to reduce patients' anxiety?

16)

How do you think CBT works?

17)

Should CBT be given to school students to reduce their stress?

18)

What three adjectives best describe a visit to the dentist?

19)

What do you do in the dentist's waiting room?

20)

What questions would you like to ask a dentist?



HOMEWORK

1. VOCABULARY EXTENSION:Choose several of the words from the text. Use a dictionary or Google’s search field (or another search engine) to build up more associations / collocations of each word.

2. INTERNET:Search the Internet and find out more about dentists. Share what you discover with your partner(s) in the next lesson.

3. DENTISTS: Make a poster about dentists. Show your work to your classmates in the next lesson. Did you all have similar things?

4. THERAPY: Write a magazine article about giving therapy to all school students to help them reduce their anxiety and stress. Include imaginary interviews with people who are for and against this.

Read what you wrote to your classmates in the next lesson. Write down any new words and expressions you hear from your partner(s).

5. WHAT HAPPENED NEXT? Write a newspaper article about the next stage in this news story. Read what you wrote to your classmates in the next lesson. Give each other feedback on your articles.

6. LETTER: Write a letter to a dentist. Ask him/her three questions about dental phobia. Give him/her three ideas on how to help patients who suffer from it. Read your letter to your partner(s) in your next lesson. Your partner(s) will answer your questions.