Medical OET · Test 02
Test 02 - Part A - Extract 2
So, Mrs. Wilcox, you tell me you've had high blood pressure, so are you taking any medications for that?
Level: B2 · 93 sentences
Transcript
- So, Mrs. Wilcox, you tell me you've had high blood pressure,
- so are you taking any medications for that?
- Yes, erm... a blue one and a white one.
- And do you know the names of the tablets?
- Yes, so one's thiazide.
- and the other one's lisinopril.
- Perfect, thank you, that's very helpful.
- And have you had them this morning?
- Yes, that's what the nurse told me at the pre-assessment, yes.
- So is that all right, just with some water?
- I usually have them before breakfast but she said no food at all this morning.
- Excellent.
- And apart from the high blood pressure, do you have any other medical problems at all?
- Err... yes, I take some blood-thinning drugs
- because I had a small heart attack a bit ago, so I'm taking aspirin,
- and at the pre-assessment they said to keep on with them,
- so I had one this morning like I usually do.
- They told me to stop the other one...
- I can't remember the name...
- Ahh... Warfarin?
- No, it begins with c...
- err... clop... clopidogrel.
- They told me to stop it a week before the operation... 7 days.
- Fantastic.
- So I stopped last Tuesday.
- Now, tell me a bit more about this heart attack.
- How long ago was that?
- Err... two years ago; my GP picked up on it.
- Did that all go...
- Yes, err... pretty good.
- And why did you go to your GP, were you having chest pains?
- They weren't chest pains, they were...
- I was just getting a bit breathless and it was difficult for me to tell what was going on but...
- Dr Scott picked up on it when I went to see him
- and he sent me to the cardiology team.
- Right.
- Did they say you'd had a heart attack?
- Yes, they told me I'd had a small one
- and so I had some stents put in... a couple of them.
- And since they were done...
- Yes, I've been better.
- I don't feel so tired all the time.
- And what can you do in terms of exercising?
- Well I can do anything... anything really.
- Tell me what you can do.
- Well, we have stairs at home,
- and we don't have a loo on the ground floor, it's on the first floor,
- so I'm up and down a few times a day.
- And walking on the flat's fine?
- Yes, that's okay.
- Any problems with your ankles swelling?
- Well, this one... it swells up if I've been standing.
- I had my veins done, my varicose veins.
- But the other one's alright.
- I sprained it quite badly last year but it's fine now.
- Right.
- Can I just ask you a few other questions about your heart?
- Sure.
- Have you ever had any palpitations at all... when your heart goes boom boom boom?
- No.
- You've never experienced any of those?
- Well no... no, not really.
- I mean if I run my heart beats a bit faster
- but that's normal isn't it?
- Sure.
- Anything else... any digestive problems?
- No...
- Well... if I have a heavy meal late at night,
- if I have pastry or something,
- I sometimes wake up in the night feeling a bit... like heartburn,
- but if I take an antiacid it's fine.
- Right.
- So in general you sound to be in pretty good shape.
- Now, in a minute I'll tell you about exactly what type of anesthesia we'll be using.
- But, first of all is there anything you'd like to ask me...
- Do you have any concerns about anything?
- Erm, well, I suppose the main thing is after the operation...
- when I wake up...
- I mean, will I be in a lot of pain when I come round?
- No, you'll be given morphine during the procedure and that will still be working when you wake up,
- and then when that wears off you'll be given something else.
- There'll be someone keeping an eye on you.
- Okay.
- The other thing is... I've heard that if you have crowns in your mouth
- they can get damaged if they put in an air tube.
- Well, it's unlikely but we'll take special care.
- So which teeth are we talking about?
- Err... these two.
- Okay, the two central incisors.
- And do you have any other teeth with crowns or implants.
- No.
- Okay.
- So what we have planned for you...