Asthma Attack Emergency

1. Doctor · turn 1

   Hello, Lin. Your mother was just telling me about what happened earlier today. Do you remember what happened? How are you feeling now?

   你好，林。你媽媽剛才告訴了我今天早些時候發生的事情。你還記得發生了甚麼嗎？現在感覺怎麼樣？

2. Patient · turn 2

   我還有點印象。一開始我自己也慌了神，我害怕是不是自己要死了。不過現在我感覺好多了，謝謝關心。

   I remember some of it. At first, I panicked and was afraid that I might be dying. But I feel much better now. Thank you for asking.

3. Doctor · turn 3

   I'm glad to hear that. I'm sure your mother doesn't want to see you collapsing on the hockey field again and gasping for air. Did you use your preventer inhaler or take any preventative medication before exercising?

   很高興聽到你這樣說。我相信你媽媽不想再看到你倒在曲棍球場上喘不過氣來。你運動前有使用預防性吸入器或服用任何預防藥物嗎？

4. Patient · turn 4

   我很久沒有吃支氣管擴張劑了。我以前一直都有吃，因為我小時候哮喘比較嚴重。不過這幾年我一直堅持鍛鍊身體，哮喘一次也沒有發作過。

   I haven’t taken bronchodilator medication for a long time. I used to take it regularly because my asthma was quite severe when I was young. However, I’ve exercised consistently over the past few years and haven’t had a single asthma attack.

5. Doctor · turn 5

   But you should have been better prepared. A severe asthma attack like that doesn't just happen out of the blue, especially since you weren't doing anything particularly strenuous. Have you had a chest infection recently, or perhaps a bout of the flu?

   但是你本來應該準備得更充分。這樣嚴重的哮喘發作不會毫無原因地突然出現，尤其是當時你並沒有進行特別劇烈的活動。你最近有胸部感染，或者患過流感嗎？

6. Patient · turn 6

   被你說中了。最近我感冒了，一直咳嗽。我本來以為只是普通感冒，用不著去看醫生，所以就一直沒有理會。結果今天在球場上跑步時，突然就喘不過氣來，然後整個人倒在地上。

   You’re right. I recently caught a cold and have been coughing continuously. I thought it was only a common cold and that I didn’t need to see a doctor, so I ignored it. Then, while I was running on the field today, I suddenly couldn’t breathe and collapsed.

7. Doctor · turn 7

   That explains a lot. Respiratory infections often trigger asthma attacks. Did you have any fever, chills or coloured phlegm?

   這就解釋了很多問題。呼吸道感染經常會引發哮喘。你有發燒、發冷或有顏色的痰嗎？

8. Patient · turn 8

   前幾天有一點低燒，也有黃色的痰，不過我以為休息幾天就會好，所以沒有告訴爸媽。

   I had a slight fever and yellow phlegm a few days ago, but I thought I would recover after resting for a few days, so I didn’t tell my parents.

9. Doctor · turn 9

   I see. Hopefully you've learnt your lesson. Exercise, chest infections and influenza can all trigger asthma attacks. I'll prescribe a course of medication for you, including a preventer inhaler and a reliever inhaler. I'm afraid you'll need to stay away from sporting activities for a while.

   明白。希望你已經吸取了教訓。運動、胸部感染和流感都可能引發哮喘。我會為你處方一個療程的藥物，包括預防性吸入器和緩解性吸入器。恐怕你需要暫停體育活動一段時間。

10. Patient · turn 10

    這次是我太大意了，真對不起。我以為自己已經完全好了，沒想到會發生這樣的事情。不過，我真的不能參加後天的曲棍球比賽嗎？

    I was too careless this time, and I’m very sorry. I thought I had completely recovered and didn’t expect this to happen. But can I really not take part in the hockey match the day after tomorrow?

11. Doctor · turn 11

    I'm afraid you won't be able to play in that match. I know you've put a lot of effort into preparing for it, but we can't risk having you collapse on the field again.

    恐怕你不能參加那場比賽。我知道你為比賽付出了很多努力，但我們不能冒險讓你再次倒在球場上。

12. Patient · turn 12

    這我知道，但我是隊長。如果我不參賽，整支隊伍的表現一定會受到影響。而且下個月就要打準決賽了，這場比賽對我真的很重要。

    I understand, but I’m the captain. If I don’t play, the entire team’s performance will definitely be affected. Also, the semi-final is next month, so this match is really important to me.

13. Doctor · turn 13

    I understand how you feel, but I have to insist. There'll be plenty of opportunities to play once you've recovered. Even after you recover, you'll need to remember to use your preventer inhaler before exercising. Have you ever been given an Asthma Action Plan?

    我明白你的感受，但我必須堅持這個決定。等你康復後，還會有很多參賽機會。即使康復後，你也需要記得在運動前使用預防性吸入器。你以前有獲發哮喘行動計劃嗎？

14. Patient · turn 14

    好像有，不過那是很多年前的事情了。我早就不知道放到哪裡去了，也不知道現在還適不適用。

    I think so, but that was many years ago. I no longer know where I put it, and I don’t know whether it would still be suitable now.

15. Doctor · turn 15

    That's alright. We'll prepare a new Asthma Action Plan for you before you leave today. It explains what medication to take every day, what to do if your symptoms get worse, and when you should call an ambulance. I'd also like you to book a follow-up appointment with your GP within the next week.

    沒關係。我們會在你今天離開前為你準備一份新的哮喘行動計劃。計劃會說明每天應該服用甚麼藥物、症狀惡化時應該怎麼辦，以及甚麼時候應該召喚救護車。我也希望你預約在未來一星期內向家庭醫生覆診。

16. Patient · turn 16

    好的。我會照你的吩咐做。我是不是也要通知學校和我的教練？

    All right. I’ll follow your instructions. Should I also inform my school and my coach?

17. Doctor · turn 17

    Yes, definitely. Your school and hockey coach should know that you've recently had a severe asthma attack. They also need to know where you keep your reliever inhaler in case of another emergency. Until your GP clears you to return to sport, please avoid strenuous exercise.

    是的，一定要通知。你的學校和曲棍球教練應該知道你最近曾經嚴重哮喘發作。他們也需要知道你的緩解性吸入器放在哪裡，以備再次發生緊急情況。在家庭醫生批准你恢復運動之前，請避免劇烈運動。

18. Patient · turn 18

    我明白了。我會先專心把身體養好，再慢慢恢復訓練。謝謝醫生。

    I understand. I’ll focus on recovering first and then gradually return to training. Thank you, doctor.

19. Doctor · turn 19

    You're welcome. Most people with asthma can continue playing sport once their condition is well controlled. The important thing is to manage your asthma properly and never ignore warning signs like persistent coughing, wheezing or chest tightness. Take care, and I'll see you at your follow-up appointment.

    不客氣。大多數哮喘患者在病情得到良好控制後都可以繼續參加體育活動。重要的是妥善管理哮喘，絕對不要忽視持續咳嗽、喘鳴或胸悶等警告徵兆。請多保重，覆診時再見。

20. Patient · turn 20

    謝謝，我以後一定會更加小心，也會按時用藥，不會再拿自己的身體冒險了。

    Thank you. I’ll definitely be more careful from now on, take my medication on time and never risk my health again.

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