Learn English with The Pitt

• ☐ ☐ ☐ a marathon [n] - a very long running race (about 42 km)
• ☐ ☐ ☐ a triathlon [n] - a race with swimming, biking, and running
• ☐ ☐ ☐ be short of breath [exp] - feel difficult to breathe
• ☐ ☐ ☐ allergies [n] - body reactions to things like dust or food
• ☐ ☐ ☐ labs [n] - blood or urine tests done at a lab
• ☐ ☐ ☐ an EKG [n] - a heart test that shows its rhythm
• ☐ ☐ ☐ draw [v] - take (blood for a test)
• ☐ ☐ ☐ a red top [exp] - a blood test tube with a red cap
• ☐ ☐ ☐ a purple top [exp] - a blood test tube with a purple cap
• ☐ ☐ ☐ 98.2 degrees [exp] - normal body temperature in °F
• ☐ ☐ ☐ a pin prick [exp] - a small needle poke
• ☐ ☐ ☐ a lightweight [n] - someone who is weak
• ☐ ☐ ☐ a pulse [n] - the heartbeat you can feel in the wrist or the neck
• ☐ ☐ ☐ a crash cart [n] - a hospital cart with emergency tools and medicine
• ☐ ☐ ☐ rhythm [n] - the pattern of a heartbeat
• ☐ ☐ ☐ saline pads [n] - pads with salt water used to clean or connect for shocks
• ☐ ☐ ☐ paddles [n] - the handheld parts of a defibrillator that give an electric shock
• ☐ ☐ ☐ V-tach [exp] - very fast, dangerous heart rhythm (ventricular tachycardia)
• ☐ ☐ ☐ charging [v] - getting a defibrillator ready to deliver a shock
• ☐ ☐ ☐ normal sinus [exp] - a healthy, regular heartbeat
• ☐ ☐ ☐ a gurney [n] - a hospital bed with wheels

[n] - noun,  [v] - verb, [phv] - phrasal verb,  [adj] - adjective,  [exp] - expression

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Otis	Dr. McKay	Nurse Diaz

• This is an emergency room in a hospital in Pittsburgh.
• Otis has just been admitted.

1. Otis recently ran the Rochester Marathon.
   True
   False
   
   
2. Otis has run in many triathlons in his life.
   True
   False
   
   
3. Otis saw his doctor two weeks ago.
   True
   False
   
   
4. He stopped running this morning because his legs were sore.
   True
   False
   
   
5. The doctor orders blood work.
   True
   False
   
   
6. Otis's body temperature is normal.
   True
   False
   
   
7. The doctor thinks Otis fainted because of an allergic reaction.
   True
   False
   
   
8. After the shock, Otis's heart rhythm is still abnormal.
   True
   False
   
   

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Directions: Practice reading the script. Then Hide parts of the conversation and try to repeat the script from memory.

Instrucciones: Practica leyendo el guion. Luego haz clic en Hide para ocultar algunas de las expresiones y trata de repetir la conversación de memoria.

Instruções:: Pratique lendo o roteiro. Em seguida, clique em Ocultar para esconder algumas das expressões e tente repetir a conversa de memória.

지시 사항 : 스크립트를 읽는 연습을 하세요. 그런 다음 Hide 를 클릭하여 일부 표현을 숨기고 대화를 기억해서 반복해 보세요.

• Show All Hide All
  
• Patient:
  I was fine until about two weeks ago, after the Rochester Marathon.
  s h
• Doctor:
  Okay. Any falls or injuries?
  s h
• Patient:
  Just tired, sore muscles.
  s h
• Doctor:
  Yeah, I'd be in bed for a month. Is this your first triathlon?
  s h
• Patient:
  God, no. No. I do one every few months.
  s h
• Doctor:
  Have you seen a doctor yet?
  s h
• Patient:
  No. I went for a run this morning, had to quit after a minute, pretty short of breath.
  s h
• Nurse:
  This goes under your tongue. No current meds? No allergies?
  s h
• Doctor:
  We're going to check a few labs and an EKG. Draw a red and purple top.
  s h
• Nurse:
  Yep. Temp 98.2.
• Doctor:
  Take a deep breath for me, Otis.
  s h
• Nurse:
  A little pin prick now, okay?
  s h
• Doctor:
  Otis? Otis? I didn't take him for a lightweight, huh?
  s h
  
  
• Show All Hide All

Directions: What expressions from the video have the same meaning as the highlighted expressions in the sentences below?

1. Just tired, [ painful ] muscles.

   [ sore ]

   Show Hide
   
   
2. I went for a run this morning, but I had to quit after a minute. I was pretty [ difficulty breathing ].

   [ short of breath ]

   Show Hide
   
   
3. No current [ medications ]?

   [ meds ]

   Show Hide
   
   
4. We're going to check a few labs and an EKG. [ Take ] a red and purple top.

   [ Draw ]

   Show Hide
   
   
5. You will feel a little [ sharp needle pain ] right now, okay?

   [ pin prick ]

   Show Hide
   
   
6. I didn't take him for [ a softie, a wimp ], huh?

   [ a lightweight ]

   Show Hide
   
   
7. All right, it's back to [ regular heart rhythm ].

   [ normal sinus ]

   Show Hide
   
   

Directions: Match these medical items to their pictures.

To drag the text, touch the text for one full second.

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Directions: Play the audio clip and try to repeat what you hear. Click "Show" to see the text.

Instrucciones: Reproduce el clip de audio e intenta repetir lo que escuchas. Haga clic en "Show" para ver el texto.

Instruções: Reproduzca el clip de audio e intente repetir lo que escucha. Haga clic en "Mostrar" para ver el texto.

지시 사항 : 오디오 클립을 재생하고 들리는 내용을 반복해 보십시오. 텍스트를 보려면 "Show" 를 클릭하십시오.

Clip 1

Okay. Any falls or injuries?

Show Hide

Clip 2

Is this your first triathlon?

Show Hide

Clip 3

Have you seen a doctor yet?

Show Hide

Clip 4

I went for a run this morning, had to quit after a minute, pretty short of breath.

Show Hide

Clip 5

No current meds? No allergies?

Show Hide

Clip 6

We're going to check a few labs and an EKG.

Show Hide

Clip 7

Take a deep breath for me, Otis.

Show Hide

Clip 8

A little pin prick now, okay?

Show Hide

Clip 9

I didn't take him for a lightweight, huh?

Show Hide

Clip 10

Shit! No pulse. Crash cart. Lay him flat.

Show Hide

Clip 11

It's back to normal sinus.

Show Hide

1. How did you feel about the doctor and nurse's bedside manner? Did they seem friendly? Professional? Competent? Would you feel safe in this hospital environment?
2. Have you ever felt unexpectedly weak or short of breath during exercise? What did you do?
3. What might have caused Otis’s dangerous heart rhythm?
4. If you were with someone who suddenly lost their pulse, what would you do first?
   
   For doctors:
5. How would you evaluate this scene as a doctor? Does it seem realistic or unrealistic? In what ways?
6. How would you evaluate this medical team's performance? What did they do right? What did they do wrong?
7. Why do doctors quickly check labs, EKG, and body temperature in cases like this? What symptoms are they looking for?
8. What cardiac conditions could explain Otis’s sudden onset of dyspnea (shortness of breath) after a recent endurance event?
9. What exam findings would help you distinguish between exercise-induced problems or an underlying cardiac disease or issue?
10. What is the meaning of red top and purple top blood test tubes?

    
    Red Top Tube
    Additive: Usually none
    Purpose: Chemistry panels, serology, drug levels
    
    Purple Top Tube
    Additive: EDTA anticoagulant (that stops the blood from clotting)
    Purpose: CBC, HbA1c, blood typing

    
    Show Hide