- •1. Look at the pictures. Which could be connected to the following aims? Discuss in pairs.
- •2. A. What do you think the most important factors in keeping healthy are?
- •3. Paraphrase the following quotations. Which do you agree with? Why? Discuss.
- •1. A. You will read a text about four great medical discoveries. Before you read, discuss the following with a partner.
- •Throughout history, key discoveries have changed the course of medical science. We look at four historic medical breakthroughs.
- •Penicillin
- •Vocabulary Practice
- •1. Explain the highlighted words in the passage.
- •2. Match the beginnings with the endings.
- •3. Match the English word combinations with their Ukrainian equivalents.
- •4. Discussion
- •Vocabulary and Speaking
- •1. Label the numbered parts of the body, using the words in the box. The numbers in black boxes are inside the body.
- •3. What part of your body do you use to do these things?
- •4. A. Say where each of the following body parts is located. Use a dictionary if necessary.
- •If you’re fit, you don’t need to exercise. If you aren’t fit, exercise is dangerous.
- •If your total score is:
- •Say No to Death
- •1. Define the statements as true or false.
- •2. Answer the questions.
- •3. Match the beginnings with the endings.
- •Vocabulary Practice
- •4. Мatch the English word combinations with their Ukrainian equivalents.
- •5. Paraphrase the sentences using the word combinations from the previous exercise.
- •6. Translate into Ukrainian.
- •7. Translate into English.
- •1. Study the ‘case history’ below. Then write ten headlines for the President’s ten-day illness, from President taken ill to The nation holds its breath.
- •2. After all that, do you feel well enough to read on? Note the ways that illnesses can be spoken of and reported in the text below. Examination Fever
- •4. Without looking back at the previous two texts (Ex. 1,2), try to supply the missing word that completes these expressions. Translate them into Ukrainian:
- •5. This is a section on symptoms, possible diagnosis and remedies. These six exchanges between doctor and patient have been mixed up. Decide which response should follow which question.
- •6. Rearrange these six paragraphs in the same way.
- •Vocabulary Practise
- •1. What are your symptoms? Study the material that follows to enlarge your vocabulary.
- •2. What does the doctor prescribe?
- •3. Match the diseases with their symptoms.
- •4. Fill in the missing words in these sentences. Use words from the box.
- •5. Make collocations by matching words from two columns.
- •Health: illness and disease
- •Aches and pains
- •6. Fill in the gaps with a suitable word.
- •7. Translate the following phrasal verbs and verb-preposition collocations for health and illness.
- •8. Read the text below and find words in the text which mean the following.
- •9. Translate into English.
- •10. Learn the following vocabulary.
- •11. Sort these everyday phrasal verbs and expressions connected with health and illness into two groups, depending on whether they have positive or negative meanings with regard to health.
- •12. Translate the sentences with minor ailments and ways of talking about minor problems.
- •13. Rewrite the underlined parts of these sentences using the active vocabulary.
- •1. What do you know about alternative medicine? Learn the new words and use them in the sentences of your own.
- •2. What do we call the type of alternative medicine which...
- •3. Read the text. Make sure you study the language of the text to be competent in further exercises and discussions.
- •4. Match the words with their definitions.
- •5. Match the two columns to form meaningful word combinations.
- •6. Translate into English.
- •7. Translate these sentences into English.
- •8. Complete the sentences using the material of the text about acupuncture (ex.3)
- •9. Translate into English.
- •1. Look at the pictures. What is the text about?
- •2. Do you take any exercise? Why/Why not?
- •1. Qigong is perfect for those who
- •3. Fill in the correct word(s) from the list below. Use the words only once.
- •4. Which of the treatments and procedures below, relate to conventional and which to alternative medicine?
- •5. Match the medical people with what they might say...
- •6. Find the odd word out.
- •7. Fill in the correct word derived from the words in bold, then cover the text and talk about the two types of medicine.
- •8. Fill in the missing words related to medicine and health. The first letter is given to help you.
- •9. Underline the correct item.
- •A Visit to a Doctor
- •10. Read the text and describe your last visit to the dentist. At the dentist’s
- •11. Answer the questions.
- •12. Explain the meanings of the following words and word combinations in English and use them in situations of your own.
- •13. Translate into English.
- •14. Choose the right form.
- •15. Fill in the blanks with the words below. You may need to change the form оf the words. Each word can be used only once.
- •General Dental Practice
- •16. Give English equivalents for the following words and phrases.
- •Parts of the body
- •3. Choose the correct answer
- •4. Body. Match the Ukrainian names of the parts of the body with their English counterparts.
- •5. Body. Match the following parts of the body with the jumbled definitions on the right.
- •7. Body. Choose one of the four possibilities that best completes the sentence.
- •8. Body. Complete the sentences.
- •The Science of Life
- •A symbol of medicine, a triumph of simplicity
- •5. Read the article and answer the questions (1-7).
- •3. Match words from columns a and b to make collocations, then make sentences.
- •4. Match the sets of adjectives to the nouns to form collocations. Choose any 3 sets and make sentences.
- •5. Select two suitable words which can complete each sentence.
- •6. Study the pairs of words/phrases below and make sentences in order to show their difference in meaning.
- •1. Study the difference.
- •3. Give English equivalents for the following words.
- •4. Here is a list of injuries. Look them up in your dictionary to check the meaning and the pronunciation, and fill in the chart. Use your imagination to think of a cause for the injuries.
- •Diseases
- •5. Give the Ukrainian names of the following diseases.
- •6. Diseases. Choose the correct answer.
- •7. Read the article. Work in pairs and discuss the health problems people might have in the 21st century.
- •8. Find the appropriate word for the definitions.
- •9. Translate the following text into English. Україна – перша у Східній Європі за кількістю віл-інфікованих.
- •Doctors and specialists
- •1. Give Ukrainian equivalents for the following phrases.
- •2. Give the name of the people defined below.
- •3. Translate the article about the the world-famous Ukrainian surgeon, scientist and philosopher Mykola Amosov.
- •4. Put the verbs in brackets into the appropriate forms of the Verbals. Define their functions. What do you think of the new ailment? help me, doctor, I'm too wealthy
- •Are you ontop of the world?
- •6. Discuss the answers to the questions below.
- •7. Translate the following into English.
- •8. Match the words to form the meaningful word combinations.
- •9. Translate into English.
- •10. Choose the correct answer.
- •1. Read the article.
- •3. Explain the meaning of the words and word combinations in English and use them in the situations of your own.
- •4. Translate into English.
- •5. Transcribe the words.
- •6. Match the words to form the meaningful word combinations.
- •7. Read the text and discuss it using the active vocabulary.
- •8. Think ahead. Look at the title of the article and guess what the article runs about. Read the article through once to see if you have guessed correctly.
- •9. Answer the questions.
- •10. Find words or phrases in the text which have these meanings.
- •11. Match the words into collocations.
- •12. Choose a word from the box to match one of the definitions below.
- •13. Complete the sentences with the words from the previous exercise. Change the word forms if necessary.
- •14. Give the Ukrainian equivalents.
- •15. Give the English equivalents.
- •16. Explain the meaning of the following words and word combinations in English and make up your sentences with them.
- •17. Discuss the following.
- •18. Read the text. Make sure you study the language of the text to be competent in further exercises and discussions.
- •18. Answer the questions.
- •19. The text contains quite a few words whose pronunciation could pose difficulty. Transcribe the following words to avoid possible mispronunciation and miscommunication in future.
- •20. Match the words into collocations.
- •21. Explain the meaning of the following word combinations in English and make up your own sentences with them.
- •22. Find the words in the text which correspond to the given definitions.
- •23. Fill in the blanks with an appropriate word from the topical vocabulary, making any necessary changes.
- •24. Find synonyms or near synonyms for the following words, and make up your own sentences to explore their associations.
- •25. Explain the contextual meaning of the words in bold and translate the following sentences into Ukrainian.
- •26. Translate the text into English.
- •The Subjective – with – the Participle Construction
- •The Nominative Absolute Participial Construction
A symbol of medicine, a triumph of simplicity
I rolled a quire of paper into a sort of cylinder and applied one end of it to the region of the heart and the other to my ear, and was surprised and pleased to find that I could thereby perceive the action of the heart in a manner much more clear and distinct than I had ever been able to do by the immediate application of the ear..."
RENE-THEOPHILE-HYACINTHE LAENNEC (1781-1826)
Despite the trend toward the use of hi-tech diagnostic equipment, the simple stethoscope remains the tool most closely identified with medical care. Even those doctors in specialties other an internal medicine who do not routinely examine patients’ hearts and lungs tend to keep a stethoscope close at hand. More than just a helpful device, it has become a fully-fledged symbol of medicine.
The 18th-century doctor attempting to diagnose diseases of the heart and lungs had to rely almost completely on the patient’s verbal inscription of symptoms – the ‘history’. Although the then novel practice of anatomical dissection was leading to revelations about the physical basis of many diseases, doctors had few means of gathering objective data that might point to a specific condition such as a leaky heart valve) before the patient reached the autopsy table.
In trying to hear the sounds coming from the thoracic organs, the doctor would press an ear directly against the patient’s chest – a manoeuvre known as "direct auscultation," from the Latin auscultare, to listen carefully. Apart from being unrewarding from a diagnostic standpoint, this technique was considered undignified and sometimes imprudent. Since it required close physical contact between doctor and patient, it inevitably increased the incidence of contagious diseases spreading. Such transmission may have contributed to the death of one proponent of this approach, the French doctor Robert Bayle, who died of tuberculosis.
Laënnec solved the problem by recalling an acoustic phenomenon he had experimented with as a child in Brittany. By scratching one end of a wooden plank, he could send coded messages to his friends at the other end. When he applied this principle to the problem at hand, Laënnec literally transformed the practice of medicine. Tightly rolling up the pages of his notebook, he placed one end of the makeshift cylinder on his patient’s chest and put the other to his ear: the heart sounds could be heard more distinctly.
Laënnec later replaced the rolled-up paper tube with a slim wooden one resembling a child’s horn. With this simple instrument he was able to hear and describe the sounds associated with diseases that were the scourges of his time. Continuing to study patients from hospital ward to autopsy table, the dedicated doctor tried to match the sounds he had heard in the clinic to the physical signs of disease found after death. For example, the large cavities noted in lungs ravaged by tuberculosis produced one type of sound, while the solidified lung tissues of pneumonia yielded another. The names he applied to these distinctive sounds – rales, bruits, and egophony – are still used.
The stethoscope did not remain a stiff unwieldy tube for long. To make it more compact, Laënnec divided the cylinder into sections that could be carried more easily in an inside pocket. Other European doctors later developed flexible versions, and in 1855 an American doctor named George Cammann devisee a binaural stethoscope that had two ivory-tipped earpieces connected to an ebony chest plate by cloth-covered, spiral-wire tubes. This version, which cost about £2, allowed doctors to listen to a patient's chest with both ears.
Since then, the stethoscope has changed only modestly. Today it is a precision-engineered instrument (often costing £80 or more), with two plastic earpieces attached by rubber tubes to a chest piece with interchangeable ‘heads’: a flat diaphragm, used to hear distinct, high-frequency sounds such as the clicks characteristic of mitral valve prolapse, and a domelike bell, which allows the listener to detect soft, low-frequency noises such as the rumbling murmur of blood flowing through a narrowed mitral valve. To hear these various heart sounds, doctors will often use the diaphragm to listen to several areas of the chest and then apply the bell to the same areas.
Beyond providing insights into heart and lung diseases, Laënnec’s invention encouraged doctors to pursue objective data investigating these and other conditions, instead of relying solely on a patient’s often misleading account of his or her complaints. Doctors not only attended more carefully to sounds emitted by the chest, but – in the interest of correlating their findings on physical examination with what they had learned at autopsy – they also began what has been referred to as "laying on of hands": probing more deeply, palpating the abdomen and other areas of the body, and using the sense of touch to detect abnormalities such as tumours.
Laënnec’s discovery reflected the impact of the French Revolution on the field of medicine. As the Old Regime was driven out, new ideas could be explored that emphasized observation rather than reason alone. These philosophical shifts helped make Paris the centre of medical science in the early 1800s. Whether Laënnec started a revolution or simply rode on the wave of change, the trend toward collecting information by more objective means and correlating physical findings with laboratory data continues today with the widespread use of x-rays, echocardiography, and other diagnostic tests. With his invention, medicine moved closer to becoming a science.