The conversation is about a lady called Laura who has not been feeling well lately. Today she goes to see her doctor for a physical checkup.
Fist she talks to the clerk then the nurse before seeing the doctor.
A VISIT TO THE DOCTOR’S OFFICE
Laura: Good morning, I have an appointment with Doctor Clark at 8:30.
Clerk: Let me pull your record. In the meantime, please sign-in and have a seat.
Nurse: Laura Nicholson.
Nurse: Follow me to Room A please.
Nurse: Here we are. What are your reasons for seeing Doctor Clark today?
Laura: Well, lately I have been feeling tired, and occasionally I have had really bad headaches and an upset stomach.
I know what you mean. I can't tell you how many times I've ordered pizza this month just because I didn't have the time to make myself a real meal. What about your friends? I know it helps me out a lot, when I'm feeling lousy, to talk to my friends
. It really cheers me up.
On top of that, I have had this persistent cough for the last two weeks.
Nurse: When did you start having these symptoms?
Laura: I started feeling tired about two months ago; then, a little bit after that the headaches came.
Brian: No. I'm just really confused about what I need to know for class and I can't seem to get going. I can't stay focused. I'm really tired and sometimes I even fall asleep in class.
I got the upset stomach long before feeling tired.
Nurse: Are you taking any medications?
Laura: Only my vitamins.
Nurse: What vitamins are you taking?
Laura: I am taking a multi-vitamin tablet and extra Vitamin C every day.
Nurse: OK, let me take your vital signs.
Laura: How am I doing?
Nurse: Everything is good—normal blood pressure and no high temperature. Please wait here for a minute. Doctor Clark will be with you in a moment.
Laura: Thank you.
Doctor: Good morning, Laura.
Laura: Good morning, Doctor.
Doctor: I see here that you started feeling tired two months ago, and then you started having bad headaches. You also have had an upset stomach and a persistent cough. Did you run a fever too?
Laura: No, doctor.
Doctor: Let me do a quick physical check up.
Doctor: Please take a deep breath, hold your breath, and exhale. Do it again please.
Doctor: Were there any changes in your diet or your weight lately?
Laura: I ate the usual things, but I lost five pounds recently.
Brian: Wow, I didn't realize that all those things could be connected to how I feel.
Doctor: Did you suffer from insomnia?
Laura: Well, it is pretty hard for me to fall asleep when I go to bed. I also woke up many times during the night.
Doctor: Do you drink? Do you smoke?
Doctor: How are things at work?
Laura: There was a change of ownership three months ago, and I had to work a lot of overtime, even during the weekend.
Actually, you've already started. You see, what you just did is called an awareness check. You found out that you're not getting enough sleep and your eating habits need to change. You need more exercise to stop your body from tiring out, and you need to keep in touch with your friends who support
you and keep you in a positive frame of mind. You have something to work with there.
Doctor: It looks like you have pneumonia. Other than that, I do not see any problems. You are probably under stress from changes at work, and the stress causes headaches, upset stomach, and sleeplessness.
Brian: Not really. I have to work and study, so I probably only get about four or five hours if I'm lucky.
For now, try to relax and exercise. It may solve your problems. Come back to see me again if the symptoms persist, and I will do further tests. I am going to give you a prescription for your pneumonia. Are you allergic to any medications?
Laura: Not to my knowledge.
Doctor: OK, take this medication three times a day after you eat.
Brian: Well, I used to talk to my friends all the time, but ever since I got into this slump I've sort of lost touch with them. Sometimes someone will call and see if I want to go out.
Also, I want you to have some blood tests. Stop by the laboratory on your way out and have the nurse draw your blood.
Laura: I am anxious to know my cholesterol level. When will I get the results of the blood test?
Doctor: The results will be available in two weeks. Don’t stress yourself. I think everything will be OK.
Laura: Thank you, Doctor.