Learn English with The Pitt

• ☐ ☐ ☐ lethargic [adj] - very tired, not active
• ☐ ☐ ☐ PMH [n] - past medical history
• ☐ ☐ ☐ an antecedent illness [n] - an illness that happened before
• ☐ ☐ ☐ a fever [n] - a high body temperature
• ☐ ☐ ☐ vomiting [n] - throwing up food or liquid
• ☐ ☐ ☐ barely [adv] - almost not, almost none
• ☐ ☐ ☐ flinch [v] - move suddenly from fear or pain
• ☐ ☐ ☐ pass out [phv] - faint, lose consciousness
• ☐ ☐ ☐ pass out [phv] - fall asleep quickly due to tiredness
• ☐ ☐ ☐ ingest [v] - eat, swallow
• ☐ ☐ ☐ prescriptions [n] - medicines ordered by a doctor
• ☐ ☐ ☐ be left around [phv] - not be put away safely
• ☐ ☐ ☐ a medicine cabinet [n] - a small cupboard for medicine in the bathroom [image]
• ☐ ☐ ☐ childproof [adj] - made safe for children
• ☐ ☐ ☐ an injury [n] - damage to the body
• ☐ ☐ ☐ bump [v] - hit lightly
• ☐ ☐ ☐ roughhousing [n] - playing in a wild or physical way
• ☐ ☐ ☐ a pulse [n] - the beat of the heart
• ☐ ☐ ☐ an infection [n] - illness caused by germs or bacteria
• ☐ ☐ ☐ urine [n] - pee, liquid waste from the body
• ☐ ☐ ☐ metabolic [adj] - related to body processes that use energy
• ☐ ☐ ☐ an abnormality [n] - something not normal or usual

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

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Dr. King	Dr. Langdon	Tyler

• This is an emergency room in a hospital in Pittsburgh.
• Tyler, the boy, has just been admitted by his parents.

1. Tyler is four years old.
   True
   False
   
   
2. Tyler’s parents couldn’t wake him up this morning.
   True
   False
   
   
3. Tyler has a history of chronic illness.
   True
   False
   
   
4. Tyler’s parents say he is normally very energetic.
   True
   False
   
   
5. Tyler had a fever when his parents found him.
   True
   False
   
   
6. The parents keep all pills and prescriptions locked in a cabinet.
   True
   False
   
   
7. The family has several pets at home.
   True
   False
   
   
8. Tyler recently hit his head.
   True
   False
   
   
9. Tyler’s oxygen level, pulse, and blood pressure are all normal.
   True
   False
   
   
10. The doctors decided to start with blood and urine tests.
    True
    False
    
    

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

Instrucciones: ¿Qué expresiones del video tienen el mismo significado que las expresiones destacadas en las oraciones siguientes?

Instruções: Quais expressões do vídeo têm o mesmo significado que as expressões destacadas nas frases abaixo?

지시 사항: 아래 문장에서 강조된 표현과 같은 의미를 가진 표현을 영상에서 찾아보세요.

1. I have a [ inactive, sluggish ] four-year-old.

   [ lethargic ]

   Show Hide
   
   
2. And he barely [ moved, jerked ] for the blood test.

   [ flinched ]

   Show Hide
   
   
3. He wakes up at 90 m hour and doesn't stop till he [ falls asleep ] at night.

   [ passes out ]

   Show Hide
   
   
4. Any chance he could have [ swallowed ] something?

   [ ingested ]

   Show Hide
   
   
5. What about alcohol? Was there anything that was [ not put away ]?

   [ left out ]

   Show Hide
   
   
6. Not that I am aware of, but he does love [ play-fighting ] with Drew.

   [ roughhousing ]

   Show Hide
   
   
7. We're going to start with blood and urine tests so that we can check for any metabolic [ irregularities ].

   [ abnormalities ]

   Show Hide
   
   

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
  
• Doctor:
  Can you wake up for me, Tyler? He’s not usually this sleepy?
  s h
• Parent:
  No. And he barely flinched for the blood test. He wakes up at 90 miles an hour and doesn't stop till he passes out at night.
  s h
• Doctor:
  He passes out?
• Parent:
  No. I just mean that he goes all day.
  s h
• Doctor:
  Any chance he could’ve ingested something? Maybe pills, vitamins, any prescriptions that may have been left around?
  s h
• Parent:
  No, that's all kept locked in the medicine cabinet. The whole house is childproof.
  s h
• Doctor:
  What about alcohol? Anything left out?
• Parent:
  No.
• Doctor:
  What about pets?
• Parent:
  No.
• Doctor:
  You said he’s usually quite active?
  s h
• Parent:
  Very.
• Doctor:
  Any injuries lately?
• Parent:
  No.
• Doctor:
  Bumped his head recently?
  s h
• Parent:
  Not that I am aware of, but he does love roughhousing. But he never gets hurt.
  s h
• Doctor:
  Oxygen level is normal. Good pulse and blood pressure. No signs of infection. We're going to start with blood and urine tests — check for any metabolic abnormalities.
  s h
• Show All Hide All

Directions: An ellipsis is one or more words removed from a sentence because they are understood from the context. Doctors use them often to speak quickly and efficiently.

Put the missing words back into these sentences.

• (His) Parents just couldn’t wake him up this morning.
• (Is there) Any chance he could have ingested something?
• What about alcohol? (Was) Anything left out?
• (Has he had) Any injuries lately?
• (Has he) Bumped his head recently?
• (He has a) Good pulse and blood pressure.
• (There are) No signs of infection.

---

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

I have a lethargic four-year-old.

Show Hide

Clip 2

No PMH, no antecedent illness, no fever or vomiting. Parents just couldn’t wake him up this morning.

Show Hide

Clip 3

No. And he barely flinched for the blood test.

Show Hide

Clip 4

He wakes up at 90 miles an hour and doesn't stop till he passes out at night.

Show Hide

Clip 5

Any chance he could’ve ingested something?

Show Hide

Clip 6

Any prescriptions that may have been left around?

Show Hide

Clip 7

What about alcohol? Anything left out?

Show Hide

Clip 8

Any injuries lately? Bumped his head recently?

Show Hide

Clip 9

Not that I am aware of, but he does love roughhousing with Drew.

Show Hide

Clip 10

Oxygen level is normal. Good pulse and blood pressure.

Show Hide

Clip 11

No signs of infection. We're going to start with blood and urine tests — check for any metabolic abnormalities.

Show Hide

1. How did you feel about the doctors' bedside manner? Did they seem friendly? Professional? Competent? Would you feel safe being treated in this hospital?
2. The father says, “He wakes up at 90 miles an hour.” What does he mean?
3. Were you similar when you were a child? How about any of your siblings or friends? If so, can you describe your/their behavior?
4. Father: He wakes up at 90 miles an hour and doesn't stop till he passes out at night.
   Dr. King: He passes out?
   Mother: No. He just means he goes all day.
   
   What does the father mean when he says pass out? What does the doctor mean?
5. The mother says the house is “childproof.” What does this mean?
6. How would/do/did you childproof your home?
7. What do you think is wrong with Tyler? What do you think will happen next?
   
   For medical professionals:
8. How would you evaluate this scene as a doctor? Does it seem realistic or unrealistic? In what ways?
9. How would you evaluate this medical team's performance? What did they do well? What could they improve?
10. Why do the doctors keep asking about things like pills, alcohol, and pets? What are they trying to rule out?
11. What metabolic abnormalities could explain acute lethargy in a child with normal vital signs?
12. What other lab tests beyond blood and urine would you consider in this case, and why?