A GP meets with a Chinese-speaking patient during a consultation about persistent pain in her hands.
- Doctor · turn 1
Good morning, Mrs Wang. Please come in and have a seat. I understand you've been experiencing some pain in your hands. Could you tell me more about what's been happening?
早安，王太太。請進，坐吧。我知道您的雙手一直有些疼痛。您可以再詳細說說最近的情況嗎？
- Patient · turn 2
你好，醫生。最近我的手指關節一直持續疼痛，即使手指不動也會痛。有時候痛得很厲害，我只好用冰袋來止痛。
Hello, doctor. Recently, my finger joints have been hurting continuously, even when I’m not moving my fingers. Sometimes the pain is so severe that I have to use an ice pack to relieve it.
- Doctor · turn 3
I see. Does the pain affect both hands or only one? And when did you first notice the symptoms?
明白。疼痛是在雙手還是只有一隻手？您最初是甚麼時候注意到這些症狀的？
- Patient · turn 4
兩隻手都有，而且右手比較嚴重。大概三個月前開始的，最近越來越嚴重，早上起床時手指還特別僵硬。
Both hands are affected, but my right hand is worse. It started about three months ago and has recently become more severe. My fingers are also particularly stiff when I wake up in the morning.
- Doctor · turn 5
Do you have any swelling in the joints? Are you finding it difficult to grip or hold objects?
您的關節有腫脹嗎？抓握或拿住物件時有困難嗎？
- Patient · turn 6
有，我的手指關節有點腫，而且拿東西很容易掉，連開瓶蓋都有困難。
Yes, my finger joints are a little swollen, and I often drop things when I try to hold them. I even have difficulty opening bottle caps.
- Doctor · turn 7
Well, let me have a look at your hands. It seems to me that you've got arthritis, which means your joints are inflamed. It's a very common condition among people over the age of forty.
好，讓我看看您的雙手。 依我看來，您患有關節炎，也就是關節出現了炎症。這是四十歲以上人士很常見的疾病。
- Patient · turn 8
你說什麼？我得了關節炎？我丈夫一直說這沒什麼，不用理它，也不用去看醫生。他說年紀大了就會有這樣的問題。
What did you say? I have arthritis? My husband has always said it’s nothing to worry about, that I should ignore it and don’t need to see a doctor. He says this sort of problem happens as people get older.
- Doctor · turn 9
This disease is so widespread that one in six people and one in three families are affected by it. More than three million Australians of all ages are currently living with arthritis and related conditions.
這種疾病非常普遍，每六個人中就有一人、每三個家庭中就有一個家庭受到影響。目前有超過三百萬名不同年齡的澳洲人患有關節炎及相關疾病。
- Patient · turn 10
我女兒在悉尼大學學醫，她對我的症狀也有相同的看法。她認為這應該和骨關節炎有關。醫生，關節炎到底是由什麼引起的呢？
My daughter studies medicine at the University of Sydney, and she has the same opinion about my symptoms. She thinks they may be related to osteoarthritis. Doctor, what exactly causes arthritis?
- Doctor · turn 11
Well, it's not necessarily a geriatric disease. Arthritis can result from injuries, problems with the immune system, wear and tear on the joints, infections, or a genetic predisposition. There are many different types of arthritis, so we may need to arrange further tests before making a definite diagnosis.
其實，這不一定是老年疾病。 關節炎可能由受傷、免疫系統問題、關節磨損、感染或遺傳傾向所引起。 關節炎有許多不同類型，因此我們可能需要安排進一步檢查，才能作出明確診斷。
- Patient · turn 12
那是不是需要照 X 光或者抽血檢查？
Does that mean I’ll need X-rays or blood tests?
- Doctor · turn 13
Yes. I'd like to arrange some blood tests and X-rays of both hands. Depending on the results, I may also refer you to a rheumatologist.
是的。我想安排一些血液檢查和雙手X光檢查。視乎檢查結果，我也可能會轉介您去看風濕病專科醫生。
- Patient · turn 14
如果真的確診了，是不是就治不好了？
If the diagnosis is confirmed, does that mean it can’t be cured?
- Doctor · turn 15
Unfortunately, there's no cure for most forms of arthritis at present, but there are many effective treatments to help manage the symptoms and slow down the progression of the disease.
很可惜，目前大多數類型的關節炎都無法根治，但有許多有效的治療方法可以幫助控制症狀並減慢病情惡化。
- Patient · turn 16
我能在每次疼痛發作的時候自己服用止痛藥嗎？我需要您給我開處方嗎？止痛藥有什麼副作用嗎？
Can I take painkillers myself whenever the pain flares up? Do I need you to write me a prescription? What side effects do painkillers have?
- Doctor · turn 17
Yes, painkillers may help relieve your pain. As for the side effects, it depends on the type of medication you're prescribed. Some medications may cause stomach irritation, drowsiness or increase your risk of stomach ulcers if taken for a long period. At the moment, I'd say that getting plenty of rest is the best treatment for you.
是的，止痛藥可能有助於緩解您的疼痛。 至於副作用，則取決於為您處方的藥物種類。 有些藥物可能引起胃部不適或嗜睡；如果長期服用，也可能增加患胃潰瘍的風險。 目前來說，我認為充分休息是最適合您的治療方法。
- Patient · turn 18
我在家裡和工作上都有很多事情要處理。下星期我要接手一個非常重要的項目，再下一個星期還要飛回中國出差，根本沒有時間休息。
I have many things to deal with both at home and at work. Next week, I’m taking over a very important project, and the week after that I have to fly back to China for a business trip. I simply don’t have time to rest.
- Doctor · turn 19
I understand that you have a lot of responsibilities both at home and at work. However, as you may know, arthritis can lead to serious complications if it isn't managed properly. Continuing to overwork yourself may make your symptoms worse and could cause permanent joint damage.
我明白您在家庭和工作方面都有很多責任。 不過，您可能也知道，如果關節炎沒有得到妥善處理，可能會引起嚴重的併發症。 如果繼續過度勞累，您的症狀可能會惡化，並可能造成永久性的關節損傷。
- Patient · turn 20
那倒也是，畢竟沒有什麼比身體健康更重要。除了多休息之外，飲食方面有沒有什麼需要注意的？例如，我是不是應該多吃一些含鈣的食物？
That’s true. After all, nothing is more important than good health. Apart from getting more rest, is there anything I should pay attention to in my diet? For example, should I eat more calcium-rich foods?
- Doctor · turn 21
A well-balanced diet will definitely help, but it doesn't necessarily mean you need to consume more calcium. Exercise is also very important. Regular physical activity can reduce joint pain and stiffness, improve flexibility, increase muscle strength and endurance, help with weight management, and contribute to an overall sense of well-being.
均衡飲食肯定會有幫助，但這不一定代表您需要攝取更多鈣質。 運動也非常重要。 定期進行體能活動可以減輕關節疼痛和僵硬、改善靈活性、增強肌肉力量和耐力、協助控制體重，並有助提升整體身心健康。
- Patient · turn 22
那我是不是應該完全停止運動？我怕越動關節會磨損得越厲害。
Should I stop exercising completely, then? I’m afraid that the more I move, the worse the wear and tear on my joints will become.
- Doctor · turn 23
Actually, the opposite is true. Low-impact exercises such as swimming, walking and cycling are highly recommended. Avoid high-impact activities if they make your pain worse, but staying active is one of the best ways to maintain healthy joints.
事實上，情況恰好相反。 游泳、步行和騎單車等低衝擊運動非常值得推薦。 如果高衝擊活動會加劇疼痛，就應該避免，但保持活躍是維持關節健康的最佳方法之一。
- Patient · turn 24
那我需要做物理治療嗎？
Will I need physiotherapy?
- Doctor · turn 25
Yes, I think physiotherapy would be beneficial. A physiotherapist can teach you exercises to strengthen the muscles around your joints, improve your mobility and reduce pain. An occupational therapist may also recommend assistive devices to make daily activities easier.
是的，我認為物理治療會對您有幫助。 物理治療師可以教您一些運動，以強化關節周圍的肌肉、改善活動能力並減輕疼痛。 職業治療師也可能會建議使用輔助器具，讓日常活動變得更容易。
- Patient · turn 26
如果病情一直惡化，是不是最後一定要做手術？
If my condition continues to get worse, will I definitely need surgery eventually?
- Doctor · turn 27
Not necessarily. Most patients can manage their symptoms with medication, exercise and physiotherapy. However, if your joints become severely damaged and conservative treatments are no longer effective, joint replacement surgery may be considered.
不一定。 大多數患者都可以透過藥物、運動和物理治療來控制症狀。 不過，如果您的關節受到嚴重損傷，而保守治療已不再有效，便可能需要考慮關節置換手術。
- Patient · turn 28
明白了。我還是希望盡量不要做到手術那一步。
I understand. I still hope to avoid reaching the point where surgery is necessary.
- Doctor · turn 29
That's understandable. For now, I'll arrange your blood tests, X-rays and a referral to a rheumatologist. In the meantime, take your medication as directed, get enough rest, maintain a healthy weight, and try to stay physically active within your limits. If your symptoms become significantly worse, or if you develop severe swelling, redness or fever, please seek medical attention immediately.
這是可以理解的。 目前，我會為您安排血液檢查、X光檢查，以及轉介您去看風濕病專科醫生。 在此期間，請按照指示服藥、充分休息、保持健康體重，並在能力範圍內盡量維持身體活動。 如果您的症狀明顯惡化，或出現嚴重腫脹、發紅或發燒，請立即求醫。
- Patient · turn 30
好的，謝謝醫生。我會按照您的建議去做。
All right. Thank you, doctor. I’ll follow your advice.
This is the read-only transcript view, for reviewing before or after a practice session.
Practice with AI Agents
Export this dialogue as an interactive prompt for ChatGPT, Claude, or Gemini Voice.