A Chinese-speaking doctor at a Beijing hospital meets with an English-speaking patient during a consultation about an acute illness.
- Doctor · turn 1
史密斯先生,您好。請坐。可以請您簡單描述一下您的病情嗎?
Hello, Mr Smith. Please take a seat. Could you briefly describe your condition?
- Patient · turn 2
Well, the weather was really nice today, so I decided to go for a walk in the park. At first everything seemed fine, but about an hour later I started to feel dizzy and completely lacked the energy to do anything. I also felt a bit nauseous on the way here.
嗯,今天天氣很好,所以我決定去公園散步。起初一切正常,但大約一小時後,我開始感到頭暈,完全沒有力氣做任何事情。來這裡的路上,我也覺得有點噁心。
- Doctor · turn 3
我先給您量一下體溫和血壓,好嗎?……嗯,體溫是36.8度,很正常。血壓是120/80,也很正常。您最近休息得怎麼樣?睡眠充足嗎?
Let me take your temperature and blood pressure first, all right? ... Your temperature is 36.8 degrees, which is normal. Your blood pressure is 120 over 80, which is also normal. How well have you been resting recently? Are you getting enough sleep?
- Patient · turn 4
Yes. I usually go to bed before ten every night and I normally sleep for around eight hours. I don't have insomnia or sleep apnoea, and I've never had any sleep disorders before.
有。我通常每晚十點前睡覺,一般會睡大約八小時。我沒有失眠或睡眠窒息症,以前也從未患過任何睡眠障礙。
- Doctor · turn 5
嗯,很好。那最近工作壓力大嗎?有沒有經常加班?
Good. Have you been under much pressure at work recently? Have you been working overtime frequently?
- Patient · turn 6
It's been a little more hectic than usual. I was recently promoted to Deputy Director, and yesterday my colleagues threw a party to celebrate. We've also been working towards a major project deadline, so it's been quite stressful.
最近比平常忙碌一些。我剛晉升為副主任,昨天同事們舉辦了一場聚會慶祝。我們也一直在趕一個重大項目的截止日期,所以壓力相當大。
- Doctor · turn 7
恭喜您升職!昨天聚餐都吃了些什麼?
Congratulations on your promotion! What did you eat at yesterday’s gathering?
- Patient · turn 8
Thank you. I was most taken with the spicy chicken dish and the stir-fried tofu. I also tried some mushrooms and raw fish, which I'd never eaten before. In fact, my coworkers kept encouraging me to try them, and eventually I gave in. They tasted absolutely delicious.
謝謝。我最喜歡的是辣子雞和炒豆腐。我也嘗了一些以前從未吃過的蘑菇和生魚片。其實,同事們一直鼓勵我品嚐,最後我就答應了。味道真的非常美味。
- Doctor · turn 9
除了頭暈和疲倦之外,您還有沒有其他症狀?例如噁心、嘔吐、腹痛、腹瀉、發燒,或者視力模糊?
Apart from dizziness and fatigue, do you have any other symptoms, such as nausea, vomiting, abdominal pain, diarrhoea, fever or blurred vision?
- Patient · turn 10
Actually, yes. About two hours after the meal, I started having stomach cramps, then I vomited twice and had diarrhoea several times overnight. I haven't noticed any blurred vision, but I do feel quite dehydrated and a little light-headed whenever I stand up.
其實有。用餐後大約兩小時,我開始胃部抽痛,之後嘔吐了兩次,晚上又腹瀉了幾次。我沒有發現視力模糊,但確實感到相當缺水,而且每次站起來時都有點頭暈。
- Doctor · turn 11
您今天有喝多少水?小便正常嗎?最近有服用任何藥物,或者對任何藥物過敏嗎?
How much water have you drunk today? Have you been urinating normally? Have you taken any medication recently, or are you allergic to any medications?
- Patient · turn 12
I've only managed to drink about two glasses of water today because I felt too sick. I don't think I've been urinating as much as usual. I'm not taking any regular medication, and I don't have any known drug allergies.
我今天只勉強喝了大約兩杯水,因為實在太不舒服。我覺得小便量比平常少。我沒有定期服用任何藥物,也沒有已知的藥物過敏。
- Doctor · turn 13
我覺得問題很可能就出在昨天吃的東西。首先,野生動物存在很大的健康風險;新鮮蘑菇一定要確認無毒,而且處理乾淨才能食用;另外,海鮮最好不要生吃,否則很容易引起食物中毒或感染寄生蟲。
I think the problem was most likely caused by something you ate yesterday. First, wild animals pose significant health risks. Fresh mushrooms must be confirmed as non-toxic and cleaned thoroughly before they are eaten. In addition, it is best not to eat seafood raw, as doing so can easily cause food poisoning or a parasitic infection.
- Patient · turn 14
Oh, I had no idea. During yesterday's celebration, I tried many dishes whose names I didn't even know. From now on, I'll definitely be much more careful about what I eat.
哦,我完全不知道。昨天的慶祝活動上,我吃了很多連名稱都不知道的菜。從現在起,我一定會更加小心選擇食物。
- Doctor · turn 15
您最近有出國旅行嗎?或者身邊有人也出現類似症狀?
Have you travelled overseas recently? Has anyone around you developed similar symptoms?
- Patient · turn 16
No, I haven't travelled recently. However, one of my colleagues said he had a mild stomach ache this morning, but his symptoms weren't nearly as bad as mine.
沒有,我最近沒有旅行。不過,其中一位同事說他今天早上有輕微胃痛,但他的症狀遠沒有我的嚴重。
- Doctor · turn 17
好的。根據您的症狀,我初步懷疑是急性食物中毒,也不排除腸胃炎。我會安排您驗血,並留一份糞便樣本化驗,以確認感染的原因。同時,因為您有些脫水,我建議您多補充水分和電解質。
All right. Based on your symptoms, my preliminary assessment is acute food poisoning, although gastroenteritis cannot be ruled out. I’ll arrange a blood test and ask you to provide a stool sample for analysis to identify the cause of the infection. As you are also somewhat dehydrated, I recommend increasing your intake of fluids and electrolytes.
- Patient · turn 18
Will I need to stay in hospital?
我需要住院嗎?
- Doctor · turn 19
目前看起來還不用住院。如果檢查結果沒有其他問題,您可以回家休息。不過,如果持續高燒、嚴重腹痛、一直嘔吐無法進食,或出現血便,就要立刻回醫院急診。
At present, it doesn’t appear that you need to stay in hospital. If the test results show no other problems, you may go home and rest. However, if you develop a persistent high fever, severe abdominal pain, continuous vomiting that prevents you from eating, or blood in your stool, you must return to the hospital’s emergency department immediately.
- Patient · turn 20
I understand. I'll keep an eye on those symptoms.
我明白。我會留意這些症狀。
- Doctor · turn 21
另外,我先給您開一個處方。請按時服藥,每天早、中、晚各一次,每次三片。另外還有口服補液鹽,可以幫助補充流失的水分和電解質。請記得完成整個療程,不要因為症狀改善就自行停藥。
I’ll also give you a prescription. Please take the medication as directed three times a day—morning, midday and evening—three tablets each time. I’ll also prescribe oral rehydration salts to help replace the fluids and electrolytes you have lost. Please remember to complete the full course and do not stop taking the medication simply because your symptoms improve.
- Patient · turn 22
All right. Should I avoid any particular foods while I'm recovering?
好的。康復期間,我應該避免吃某些食物嗎?
- Doctor · turn 23
是的。這幾天請先吃清淡、容易消化的食物,例如白粥、吐司、香蕉或白飯。避免辛辣、油炸、生冷食物,也不要喝酒。等症狀完全消失後,再慢慢恢復正常飲食。
Yes. For the next few days, eat bland, easily digestible foods such as plain congee, toast, bananas or white rice. Avoid spicy, fried, raw or cold foods, and do not drink alcohol. Once the symptoms have completely disappeared, gradually return to your normal diet.
- Patient · turn 24
Thank you very much, Doctor. I'll follow your instructions carefully.
非常感謝您,醫生。我會仔細遵從您的指示。
- Doctor · turn 25
不用客氣。吃一塹,長一智。好好休息,多喝水。如果三天內沒有改善,或者症狀惡化,請盡快回來複診。
You’re welcome. We learn from experience. Get plenty of rest and drink lots of water. If there is no improvement within three days or your symptoms worsen, please return for a follow-up consultation as soon as possible.
- Patient · turn 26
Thank you, Doctor.
謝謝您,醫生。
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