Page 71 - Binder - English for Doctors

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Video script

1. Doctor Now, Mr. Smith, we have the results of your gastroscopy. As we
suspected, there are some signs of erosion in your esophagus. So you will
need to continue the tablets I gave you last time. You’re also going to
need to make some changes in your lifestyle. First of all, do you drink
coffee or tea?
2. Patient I have a couple of cups of coffee first thing in the morning. And I usually
have a cup about mid-morning.
3. Doctor Well, caffeine makes the acid build up in your stomach and aggravates the
problem. You really should try to cut out all caffeine

4. Patient But, I usually…
5. Doctor I know it’s difficult. Can you cut out the mid-morning coffee? And try to
eliminate one of your two early-morning coffees?
6. Patient Well, the mid-morning coffee shouldn’t be a problem. But I don’t know
about the morning.
7. Doctor Try. The more you can cut down, the better. Then, do you smoke?

8. Patient Yeah, half a pack per day.

9. Doctor You know that smoking is dangerous for a number of reasons. …but
especially in your case. It also increases the acid in the stomach. You’ll
really have to try to quit. Have you ever tried?
10.Patient About three years ago, I stopped smoking for one year, but then I went
through a difficult time and started smoking again.

11.Doctor Well, there. You know you can do it. Why don’t you try again? If you
have any trouble, we can discuss using a patch or something like that, but
it’s better to do it on your own, if you can. Another thing you are going to
need to do is to sleep with your head elevated. That will keep the acid
from rising up in the esophagus. Can you raise the head of your bed? Or
use two or three pillows to sleep.

12. Patient No problem.