A consultation at an orthopaedic outpatient clinic: a specialist discusses soft-tissue injury recovery, physiotherapy options, and payment plans with a patient.
- Orthopaedic Specialist · turn 1
Good morning, Mr Tian. How are your legs feeling today? Last time I told you about some methods for reducing the swelling and pain. Have you been practising them? I’ve examined your X-rays. The good news is that there’s no obvious damage to the bone in your right leg. However, the swelling still seems pretty bad, so you’ll have to be careful.
早安,田先生。您今天腿部感覺如何?上次我跟您提過一些消腫止痛的方法,您有照著做嗎?我已經看過您的X光片了。好消息是,您右腿的骨骼沒有明顯損傷。不過,腫脹看起來依然相當嚴重,所以您還是要多加小心。
- 田先生 · turn 2
那我就放心一點了。我還以為我摔斷了腿呢,因為實在是疼痛難忍。而且,我的腿已經腫了有十天了,可把我嚇壞了。我試了用冷水加浴鹽泡腳,還有把腳抬高,確實能夠緩解一些疼痛。
That puts my mind at ease a bit. I thought I had broken my leg because the pain was really unbearable. What's more, my leg has been swollen for ten days now, which scared me quite a bit. I tried soaking my foot in cold water with bath salts and elevating it, and that indeed relieved some of the pain.
- Orthopaedic Specialist · turn 3
As an orthopaedic specialist, I can tell you that the swelling is due to soft-tissue damage. It’s probably the result of you rolling your ankle when you had that bad fall while playing soccer the other day. As for treatment, physiotherapy sessions would greatly benefit your recovery.
作為骨科專科醫生,我可以告訴您,腫脹是由軟組織損傷引起的。這很可能是您前幾天踢足球時重重摔倒、扭傷腳踝所致。至於治療方面,進行物理治療將對您的康復大有裨益。
- 田先生 · turn 4
物理治療?具體是指哪些療法呢?我聽說物理治療很貴,而且一定要找專業人士來做。我腳傷了,現在沒法開車,經常去做理療也不方便。您能不能就給我開點藥呢?
Physiotherapy? What specific treatments does that involve? I've heard that physiotherapy is very expensive and must be done by a professional. With my foot injured, I can't drive right now, so having to go for physiotherapy frequently isn't very convenient either. Could you just prescribe me some medication instead?
- Orthopaedic Specialist · turn 5
Common physiotherapy treatments include massage, hydrotherapy, therapeutic exercises and so on. Depending on how you progress, the physiotherapist may also give you exercises to do at home to improve your range of motion and gradually strengthen the muscles around your ankle. The cost can be an issue, as some of the related expenses may not be covered by Medicare. However, Mr Tian, in your case, physiotherapy would be much more beneficial and effective than simply relying on medication or considering surgery.
常見的物理治療包括按摩、水療、康復運動等。根據您的進展情況,物理治療師可能還會指導您在家進行鍛鍊,以改善關節活動度並逐步強化腳踝周圍的肌肉。費用確實可能是個考量,因為某些相關費用可能無法由國民保健(Medicare)報銷。但是,田先生,就您的情況而言,進行物理治療會遠比單純依賴藥物或考慮手術更有益且更有效。
- 田先生 · turn 6
確實如此,可是我還是需要先跟我的家人商量一下,才能給您一個確切的答覆,因為到時候我會需要他們送我去做理療。我這兩天跟他們商量過之後,再告訴您。
That's true, but I still need to discuss it with my family first before giving you a definite answer, because I'll need them to drive me to the physiotherapy sessions. I'll let you know after I've talked it over with them over the next couple of days.
- Orthopaedic Specialist · turn 7
That’s fine. But you know, the sooner you start treatment, the higher your chances are of making a full recovery. I do hope your family can support you in receiving treatment as soon as possible. In the meantime, avoid putting too much weight on the injured leg, and don’t try to push through the pain. Also, are you facing any financial difficulties? Do you mind giving me a little more detail about your circumstances?
沒問題。但您知道的,越早開始治療,完全康復的機會就越高。我確實希望您的家人能支持您盡快接受治療。在此期間,避免讓受傷的腿承受過多重量,也不要強忍疼痛硬撐。此外,您是否面臨任何經濟困難?您介意向我透露一些您目前情況的細節嗎?
- 田先生 · turn 8
我財務方面確實有問題。我之前貸款蓋了房子,可是房貸還沒有付完,每個月都要還一大筆錢。我也沒有多少存款。現在又不能正常工作,收入也受到了影響。唉,這麼長期的治療,我怎麼負擔得起呢?
I do indeed have financial problems. I took out a loan to build a house previously, but the mortgage isn't paid off yet, and I have to repay a large sum every month. I don't have much savings either. Now that I can't work normally, my income has taken a hit too. Sigh, with such long-term treatment, how can I afford it?
- Orthopaedic Specialist · turn 9
Are you covered by any private health insurance? You might be able to find a level of cover that suits your situation. For example, some policies provide benefits towards services such as physiotherapy or remedial massage. You would need to check the waiting periods, annual limits and out-of-pocket costs before taking out a policy, though. Even though the situation is difficult, I hope you can focus on your recovery. After all, you’re still a young man and you have a bright future ahead of you.
您是否有購買任何私人醫療保險?您或許能找到適合您情況的保險級別。例如,某些保單會為物理治療或康復按摩等服務提供補助。不過,在投保之前,您需要核實等待期、年度限額以及自付費用。儘管處境艱難,我仍希望您能專注於康復。畢竟您還年輕,未來大有可為。
- 田先生 · turn 10
我目前沒有私人醫療保險,而且我實在沒有多餘的錢去買私人保險。您能不能幫我問一下,看看治療費方面能不能有一些優惠或者減免?或者,我可不可以分期付款?如果一次要我付一大筆錢,我真的拿不出來。
I don't have private health insurance at present, and I really don't have any spare money to buy it. Could you help me ask if there are any discounts or concessions available on the treatment fees? Or could I pay in instalments? If I have to pay a large amount at once, I really can't produce the money.
- Orthopaedic Specialist · turn 11
That’s fine. Don’t get too stressed about it. I’ll speak to the director of the finance department about the issue. In my opinion, they may well take your financial circumstances into consideration and offer you a discount or arrange a payment plan. I can’t promise anything at this stage, but I’ll certainly ask what assistance may be available.
沒問題。不要為此感到壓力太大。我會向財務處主管反映這個問題。依我看,他們很可能會考慮您的財務狀況,為您提供折扣或安排分期還款計劃。現階段我無法做出任何保證,但我一定會為您詢問可以獲得哪些援助。
- 田先生 · turn 12
如果能分期付款,那就幫了我大忙了。其實我並不是不想接受治療,只是現在房貸、日常開支,再加上治療費,實在讓我有點喘不過氣來。如果費用方面能解決,我當然希望盡快開始治療。
If paying in instalments is possible, that would be a huge help. It's not that I don't want treatment; it's just that between the mortgage, daily living expenses, and now the treatment fees, it really feels a bit suffocating. If the costs can be sorted out, of course I'd want to start treatment as soon as possible.
- Orthopaedic Specialist · turn 13
I understand. We certainly don’t want financial concerns to stand in the way of your recovery. I’ll make an enquiry today and ask the finance department to let us know what options are available. In the meantime, continue keeping your leg elevated when you can, and avoid strenuous exercise. If the swelling suddenly gets worse, you develop numbness, or the pain becomes significantly more severe, please seek medical attention promptly.
我明白。我們當然不希望經濟顧慮阻礙您的康復。我今天就會去查詢,讓財務處告知我們有哪些可行方案。在此期間,只要條件允許,請繼續將腿墊高,並避免劇烈運動。如果腫脹突然惡化、出現麻木感,或者疼痛明顯加劇,請及時就醫。
- 田先生 · turn 14
好的,我明白了。我這幾天會盡量少走路,也會繼續把腿墊高。等您問清楚費用和分期付款的事情之後,我再跟家人商量一下。如果沒問題的話,我就盡快開始做物理治療。
Alright, I understand. I'll try to walk as little as possible over the next few days and will keep my leg elevated. Once you find out about the fees and instalments, I'll discuss it with my family again. If all is good, I will start physiotherapy as soon as possible.
- Orthopaedic Specialist · turn 15
That sounds like a sensible plan. Once you’ve spoken to your family, give the clinic a call and we can arrange the next step. Remember, the sooner we get you started on an appropriate rehabilitation program, the better your chances of getting back on your feet and returning to your normal activities.
這聽起來是個明智的計劃。與家人商量後,請給診所打個電話,我們好安排下一步。請記住,我們越早為您啟動合適的康復方案,您重新站起來並重返正常生活的機會就越好。
- 田先生 · turn 16
太謝謝您了,非常感激。這段時間我一直擔心這條腿恢復不了,現在聽您這麼說,我心裡踏實多了。我回去就跟家人好好商量一下。
Thank you so much, I'm truly grateful. During this time I've been constantly worried that this leg wouldn't recover; hearing you say this puts my mind much more at ease. I'll have a good talk with my family as soon as I get home.
- Orthopaedic Specialist · turn 17
You’re very welcome, Mr Tian. Take care of that leg, and hopefully we’ll see you back on your feet before too long.
非常不客氣,田先生。好好保養那條腿,希望不久之後就能看到您重新行動自如。
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