Medical OET · Test 04
Test 04 - Part A - Extract 2
Hillary Johnson? Hi, do come in and take a seat.
Level: B2 · 71 sentences
Transcript
- Hillary Johnson?
- Hi, do come in and take a seat.
- I'm Dr. Smith, and I'm a senior obstetrician here.
- So, Hilary, you've been referred to us by your midwife.
- I have her notes with me here, but could you tell me in your own words why you've been referred?
- Oh, yeah, no problem.
- I think I've been referred to you because the midwife said she found some glucose in my urine sample and was worried about diabetes.
- If I understand correctly, I could have diabetes during my pregnancy,
- but if I do, it's not likely to continue after giving birth.
- Uhm... I've noticed that I'm craving sweets and cakes all the time at the moment,
- and I've just been letting myself eat whatever.
- So I've put on a bit of weight, and I don't think it's all just baby weight either.
- I've never had a problem with diabetes before, and I'm hoping it'll turn out to be something else.
- My aunt actually has type 2 diabetes, but she's always eaten a lot of sugar,
- so I think that might be a factor.
- She just controls hers with diet now and doesn't have to take any medication.
- Oh, okay, thanks for letting me know.
- I see from your notes that you're 24 weeks pregnant now.
- How has your pregnancy been up to now?
- I have been so lucky.
- I got the usual sickness early on.
- Well, you know, stomach pain, but not actually being sick.
- I think that's pretty common, and it's settled after the first trimester.
- Uhm... I've been taking some medication because I also had pretty horrible heartburn.
- And it seems to take care of the problem.
- And also, I've started to get a bit of back pain in the last week or so.
- I'd say it's like a throbbing feeling.
- But other than that, I've been pretty fortunate.
- I suppose I've been gradually getting more and more tired since the start of my pregnancy.
- I've just put it down to the extra energy my baby needs.
- But it could also be because I haven't been sleeping very well.
- Uhm... also, sometimes the nausea stops me from making something healthy for dinner,
- which is annoying because I know I need to eat healthily.
- I take a prenatal, though, to make sure I'm getting the right nutrition.
- Well, it seems like you're managing to deal with most of your symptoms well.
- Yeah, this is my first pregnancy.
- And to be honest, I didn't have a clue what to expect.
- But so far, so good.
- It's only this glucose thing that's got me worried.
- I imagine it's just a one-off, but I guess it's best to get it seen to.
- Certainly... and I'm pleased you're here so we can get things sorted, so...
- we'll need to book another appointment to carry out some tests.
- So when will I have to have this?
- Because I'm a bit busy at work at the minute.
- Well, ideally as soon as possible.
- Can I ask what you do for a living?
- I'm a high school teacher,
- and it's just getting to that time of year when the kids are gearing up for their examinations.
- So I can't afford to be taking too much time off during the day.
- I'm actually a little bit stressed at the moment as well.
- I've had to do a lot more work over the past few weeks.
- I think it's just that time of year.
- I've been a teacher for four years now, so I'm starting to develop ways of coping with the madness.
- With that in mind, if our next appointment could be at five-ish or later, then that would be perfect.
- No problem.
- Just make sure to let the receptionist know your preferences.
- When we find sugar in preliminary tests, we offer an oral glucose tolerance test,
- which is what we'll do when you come in next.
- Do you know what that involves?
- Well, I asked a few of my friends about their pregnancies,
- and my friend Beth said that she had the same thing and told me about that test.
- She said that she had to come into the hospital and drink a sugary drink and then have a blood test to tell if she had diabetes.
- Is that right?
- Yeah, that's pretty much it.
- Here's the leaflet that explains the test so that you can have a read about it when you get home.
- Do you have any other questions for me?
- No, I don't think so.
- I'll go away and read this and wait and see what the test says.
- Well, thank you for your help today.
- You're welcome.
- I'll see you once we have the results and we can take it from there.