An English-speaking GP meets with a Chinese-speaking patient during an initial consultation about recent symptoms and an existing medical condition.
- Doctor · turn 1
Good morning, Mr Wang. I believe this is the first time you've come to see me. Please have a seat. What seems to be the problem today?
早安，王先生。我相信這是您第一次來看我。請坐。今天有甚麼不舒服？
- Patient · turn 2
早上好，醫生。我是剛搬到這附近的，所以第一次來看您。我最近一直覺得很不舒服。我頭痛，還經常頭暈，有時候還覺得喘不上氣來。
Good morning, doctor. I’ve just moved to this area, so this is my first appointment with you. I’ve been feeling quite unwell recently. I have headaches, frequently feel dizzy and sometimes feel short of breath.
- Doctor · turn 3
I see. How long have you been experiencing these symptoms? Do you know if you have hypertension or any other chronic medical conditions? Have you seen another doctor about this before?
明白。您有這些症狀多久了？您知道自己有沒有高血壓或其他慢性疾病嗎？以前有就此看過其他醫生嗎？
- Patient · turn 4
大概四、五天了。我一開始沒太在意，以為只是搬家太累了，所以一直沒有來看醫生。不過我的頭痛越來越嚴重，大約一年前，我以前的家庭醫生告訴我，我有高血壓。
For about four or five days. At first, I didn’t pay much attention because I thought I was merely tired from moving house, so I didn’t see a doctor. However, my headaches have become increasingly severe. About a year ago, my previous GP told me that I had high blood pressure.
- Doctor · turn 5
Thank you for letting me know. Have you been monitoring your blood pressure regularly? Were you prescribed any medication at the time?
謝謝您告訴我。您有定期量度血壓嗎？當時醫生有處方任何藥物嗎？
- Patient · turn 6
有，醫生給我開了降血壓藥。我吃藥之後血壓確實降下來了，所以後來就沒有那麼擔心了。不過只要我一生氣或者壓力比較大，血壓就又會升高。
Yes, the doctor prescribed blood-pressure medication. My blood pressure did decrease after taking it, so I became less concerned. However, whenever I become angry or experience significant stress, my blood pressure rises again.
- Doctor · turn 7
Have you been taking the medication every day as prescribed, or have you stopped taking it recently?
您有按照處方每天服藥，還是最近已經停藥了？
- Patient · turn 8
老實說，最近搬家比較忙，有時候會忘記吃藥，有時候甚至兩三天都沒有吃。
To be honest, I’ve been busy moving house recently. Sometimes I forget to take the medication, and occasionally I go two or three days without taking it.
- Doctor · turn 9
I understand. It's very important that you take your antihypertensive medication regularly. Let me ask you a few more questions. Does anyone else in your family have hypertension, heart disease, diabetes or kidney disease?
我明白。定期服用降壓藥非常重要。讓我再問您幾個問題。您的家人有沒有患高血壓、心臟病、糖尿病或腎病？
- Patient · turn 10
我祖父患高血壓已經很多年了，大概有八年吧。我爸爸也有高血壓，還有高膽固醇。我媽媽有糖尿病。
My grandfather has had high blood pressure for many years—approximately eight years, I think. My father also has high blood pressure and high cholesterol. My mother has diabetes.
- Doctor · turn 11
That suggests you may have a genetic predisposition to hypertension and other cardiovascular diseases. Although hypertension can be hereditary, lifestyle factors also play an important role. Do you usually eat salty or strongly flavoured food?
這表示您可能有高血壓和其他心血管疾病的遺傳傾向。雖然高血壓可能具有遺傳性，但生活方式因素也扮演重要角色。您平常會吃鹹味或口味濃重的食物嗎？
- Patient · turn 12
是的，我們家一直都吃得比較重口味，很喜歡吃醃製食品和鹹菜。我以前不知道原來高血壓跟飲食有這麼大的關係。
Yes. My family has always preferred strongly flavoured food and enjoys preserved foods and salted vegetables. I didn’t previously realise that diet had such a strong connection with high blood pressure.
- Doctor · turn 13
A high-salt diet can significantly increase your blood pressure. Reducing your salt intake, eating more fruit and vegetables, maintaining a healthy weight and doing regular, moderate exercise can all go a long way towards controlling your blood pressure.
高鹽飲食可能令血壓大幅上升。減少鹽分攝取、多吃水果和蔬菜、保持健康體重，以及定期進行適度運動，都能在控制血壓方面發揮很大作用。
- Patient · turn 14
我明白了。我以後會盡量少吃鹽，多吃蔬菜和水果。不過我最近身體不舒服，暫時沒辦法運動。
I understand. From now on, I’ll try to eat less salt and more fruit and vegetables. However, I’ve been feeling unwell recently and can’t exercise for the time being.
- Doctor · turn 15
That's understandable. We can discuss an exercise plan once your condition has stabilised. First, I'd like to check your blood pressure.
這可以理解。等您的情況穩定後，我們可以討論運動計劃。首先，我想量一下您的血壓。
- Patient · turn 16
好的，麻煩您了。
All right. Thank you.
- Doctor · turn 17
Your blood pressure today is **160 over 95**. A normal reading is around **120 over 80**, so yours is significantly elevated. If high blood pressure isn't well controlled, it can increase your risk of serious complications such as stroke, heart failure, chronic kidney disease and kidney failure.
您今天的血壓是**160/95**。正常讀數大約是**120/80**，因此您的血壓明顯偏高。如果高血壓沒有得到良好控制，可能增加中風、心臟衰竭、慢性腎病和腎衰竭等嚴重併發症的風險。
- Patient · turn 18
原來這麼嚴重。我一直以為高血壓只是血壓高一點，沒想到還會引起這麼多問題。
I didn’t realise it was so serious. I always thought high blood pressure simply meant that the reading was slightly elevated. I didn’t expect it could cause so many problems.
- Doctor · turn 19
Unfortunately, hypertension often doesn't cause obvious symptoms until complications develop, which is why it's sometimes called the "silent killer". It's important to keep your blood pressure under good control even if you feel well.
很可惜，高血壓在併發症出現前通常不會引起明顯症狀，因此有時被稱為「沉默殺手」。即使您感覺良好，也必須妥善控制血壓。
- Patient · turn 20
那是不是表示我以後都要一直吃藥？高血壓可以完全治好嗎？
Does that mean I’ll need to keep taking medication from now on? Can high blood pressure be completely cured?
- Doctor · turn 21
Most people need long-term treatment. Some patients can reduce their medication if they make significant lifestyle changes and their blood pressure remains well controlled, but you should never stop taking your medication without speaking to your doctor first.
大多數人都需要長期治療。有些患者在大幅改變生活方式並持續妥善控制血壓後，可以減少用藥，但在未先與醫生商討前，絕對不應自行停藥。
- Patient · turn 22
明白了。我以後一定會按時吃藥，也會注意飲食和控制自己的情緒。
I understand. From now on, I’ll definitely take my medication on time, pay attention to my diet and manage my emotions.
- Doctor · turn 23
That's a good plan. I'll prescribe another month's supply of your antihypertensive medication today. I'd also like you to monitor your blood pressure at home twice a day and keep a record of the readings. Please come back in two weeks for a follow-up appointment.
這是很好的計劃。今天我會再處方一個月份量的降壓藥。我也希望您每天在家量度血壓兩次，並記錄讀數。請在兩星期後回來覆診。
- Patient · turn 24
好的，沒有問題。不過我現在頭暈和氣喘好像越來越嚴重，只要一走動就覺得很不舒服，也沒辦法運動。需要做其他檢查嗎？
All right, no problem. However, my dizziness and shortness of breath seem to be getting worse. I feel very uncomfortable whenever I move around and am unable to exercise. Do I need any other tests?
- Doctor · turn 25
Given your symptoms, I'd like to arrange some blood tests, a urine test and an electrocardiogram to make sure there isn't another underlying cause. If you develop severe chest pain, sudden weakness on one side of your body, difficulty speaking or severe shortness of breath, you should call Triple Zero immediately or go straight to the nearest Emergency Department.
鑑於您的症狀，我想安排一些血液檢查、尿液檢查和心電圖，以確保沒有其他潛在原因。如果您出現嚴重胸痛、身體一側突然無力、說話困難或嚴重呼吸困難，應立即致電000或直接前往最近的急症室。
- Patient · turn 26
好的，我知道了。謝謝醫生，我會按照您的建議做，也會按時回來覆診。
All right, I understand. Thank you, doctor. I’ll follow your advice and return for my follow-up appointment as scheduled.
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