Dear Dr. Jones

Thank you to referring this pleasant 42-year-old salesman. These episodes of central chest pain which he describes with radiation to the L. arm and fingers sound very typical of angina. Physical examination was unrevealing.

I have checked various blood parameters including serum cholesterol and total glycerol. CXR (chest X-ray) was normal but exercise ECG showed ST depression.

Serum cholesterol was elevated at 7,2 mmol/l. I will be seeing him again next week to led him have these results. I shall arrange for him to be seen by the dietician and prescribe bezafibate 600mg daily. In view of the family history I am sure this will be worthwhile.

Yours sincerely,

Dr. Paul Scott.

Text 4

Study the process of investigation of lungs

«Mr. Yumpley», said Dr. Dicson “you’ll have to have some investigations done to find out exactly what’s causing your problem. Firstly we need to get your chest –rayed. Then for three mornings running, I’d like you to bring to the surgery (хирургическое отделение) a sample of the phlegm that you cough up in the morning. We’ll be sending that to the lab for testing to see if you have any particular germs present. Following that, it’ll be necessary for you to have a bronchoscopy done. This is an investigation which involves looking down into your lungs through a tube. We’ll have to admit you to hospital for the day to do it. It’s not a particularly pleasant investigation but you’ll be given an anaesthetic spray before the tube is passed down into your lungs. Usually it doesn’t take more than a few minutes, but it may last longer if they need to take samples of the tissue in your lungs – may be up to 20 minutes. You have to take this test with an empty stomach, so you won’t have any breakfast that day. You’ll able to get home again after the rest, but you’ll have to wait until the anesthetic has worn off before you eat anything.

Unit 4

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Інформаційна система Dow Jones

<== попередня сторінка	\|	наступна сторінка ==>
Exercise 4	\|	Hospitals in Great Britain

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