Lena 和 Miles 帶你走進診症室,拆解廣東話醫患溝通的文化細節與實戰對話。從描述胃痛到體格檢查,助你掌握精準的病史表達,讓醫生更快聽懂你的「唔舒服」。

醫學溝通唔單止係翻譯,更加係一種溝通嘅藝術;能夠準確表達自己嘅不適並及時尋求專業協助,係每個人都應該具備嘅生活技能。
Create a full simulated medical consultation between a doctor and a patient in intermediate level Cantonese Chinese including medical history and physical examination








這與廣東文化中的吉利避諱有關。在廣東話中,「舌」與「蝕」(虧損、賠錢)同音,聽起來不吉利。為了取個好兆頭,廣東人改用「利」(盈利、利潤)的同音字,將其稱為「脷」,反映了文化如何影響醫學溝通中的日常用語。
SOCRATES 是一套專業的問診原則,幫助醫生與病人詳細拆解痛楚的特性。它涵蓋了病發情況(Onset)、痛楚是否會傳到其他部位(Radiation)、痛楚的性質如刺痛或鈍痛(Quality)、以及嚴重程度評分(Severity)等。透過這些具體的描述,醫生能更準確地判斷病因,例如區分是骨科問題還是內科問題。
醫生在檢查時會發出簡短清晰的指令,例如「揦高件衫」(翻起衣服)以便聽診、「擘大口」(張開嘴巴)或「伸條脷出嚟」檢查口腔、以及「揸實拳頭,唔好喐」(握緊拳頭不要動)以便抽血。理解這些動詞如「揦」、「擘」、「喐」能幫助病人更好地配合檢查。
FIFE 代表感受(Feel)、想法(Idea)、功能(Function)與期望(Expectation)。這套原則強調醫護人員不應像機器人,而需了解疾病對病人生活的實際影響。例如,了解病人是否因病感到「力不從心」而無法進行日常活動,或病人是否對病情有特定的恐懼(如擔心癌症),這有助於建立醫患信任並制定更合適的治療方案。
醫生會調查病人的「歷史書」,包括是否曾住院或動過手術,以及是否有「三高」問題(高血壓、高膽固醇、糖尿病)。此外,過敏史(如藥物、食物或膠乳過敏)和家族遺傳病史也是重點。社交史方面則會詢問職業、婚姻狀況以及是否有抽菸、飲酒或使用娛樂性藥物的習慣。
Criado por ex-alunos da Universidade de Columbia em San Francisco
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Criado por ex-alunos da Universidade de Columbia em San Francisco
