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Icebreaker Games!
p. 24 New Case for Robert: Susan
We will listen to Robert talk to a patient named
                     Susan.
    Take notes on their conversation in 5A
Answers to 5A
                    Symptoms:
     • Loss of appetite 2 days ago, with fever
• Headache, severe, frontal bilateral (bad headache
               at front on both sides)
  • Photosensitivity (sensitive to light, light hurts
                    patient’s eyes)
             • Stiff neck for 12 hours

              Let’s think of a possible
                      diagnosis?
What are some other questions we’d
       like to ask Susan? (2B)

• Spend 5 minutes thinking. Come up with at
  least one question.
My ideas for questions we could ask:
   • Are you taking any medications at the
                   moment?
      • Did you hit your head recently?
• Have you ever had anything like this before?
   • Have any friends or family had similar
              problems recently?
Quickly! Brainstorm Review
         ‘Needles’
5C p. 24
• Sometimes the language doctors use is too
                 technical.

• There are also some words that can make
   patients scared- “needles” or “cut out!”

Choose the most appropriate word for each
sentence and check with a partner (5 min).
Answers for 5C
               1.   C
               2.   C
               3.   C
               4.   B

      As an initial treatment:
Would you recommend that Susan try
acupuncture? Why or why not. (5 min)
5D (p. 25)
Avoid technical language!   1. Check that you
                            understand all the
  Technical: Concussion     vocabulary.
 Non-Technical: Knocked     2. Circle the best
           out              expression to be used
                            with patients.
                            3. Compare your answers
Technical: Cardiac Arrest   with a partner. Discuss
  Non-Technical: Heart      why you chose that
         Attack             answer.
5D Answers
•   1. c              • Let’s think about why these
•   2. a                are the best answers.
•   3. c
•   4. c              • What images actions or
•   5. b                images do the words
                        remind you of?
•   6. a
•   7. b
•   8. c
•   9. c
•   10. b
•   11. a or c
•   12. a
5E (p. 25)
• Rewrite the sentences   Original sentence:
  so they are “less
  threatening.”           We’ll have to perform
                          surgery to cut out the
• Personalize with        tumor.
  changing pronouns
We  You
                          Less threatening version:
• Look for synonyms in
  your dictionaries:      You’ll need a small
                          operation to remove the
Surgery  Operation       swelling.
Tumor  Swelling
(5E) Answer Examples
2. We would like to make sure there is nothing
serious
3. I’m just going to put in a urine tub to save you
from going to the bathroom.
4. To make this easier for you, I’m going to take
away a little of the tooth’s support.
5. We’re going to make a small hole to get some
fluid.
6. I just need to give you a small shot in your arm.
5 Minute Break
5F
 Think of a situation where you needed to use a
careful choice of words. It can be a conversation
       that you had in the Thai language.

-Maybe had to be more polite than usual.
-Had to use different words to change emotions
-Had to say less in order to change meaning.
-Had to say more in order to change meaning.
5F: My Experience
• When I’ve had to tell parents about teaching their
                       children.
  • Especially when they are not good students or
                  not good at sport.

 I have had to say less, and I focus on the positive
   aspects (energetic, youthful, individualistic) of
                    their character.
       Little on the negatives points (they are
  rude, unintelligent, selfish). No parent wants to
 hear their child is not good enough at something.
5F: Another Experience
• Breaking up with girlfriends

     Positive about them. (You’re so nice!)
  Words which make them feel like they have
              done nothing wrong.
   (“Boring”  We have different interests)
       Say less to reduce bad emotions.
5F p.25
• Think of your situation. Write it down and
  share it with a partner.
• Afterwards, we will share our experiences
  with the rest of the class.
Find Someone Who…..Conversation
             Version

           • Fill out the worksheet

      Example on how to share answers:
 “Bambina (Name) has had to say less during a
conversation with her teacher because she was
                 in trouble.”
Game: Balloon Volleyball
• Every time you hit the
 balloon you have to come
 up with a new word from
    the assigned ‘topic.’

 • Score a point, when
   someone hits the ball
   without saying a new
           word.
• Score a point if the ball
   drops on the ground.
5 Minute Break
Spine
Cerebral Spinal Fluid (CSF)
              • CSF acts as a
                cushion, protecting the
                brain and spine from
                injury.

              • Maintains
                immunological
                protection

              • Maintains cerebral
                blood flow
Lumbar Puncture
• Puncture




                     P
• Pressure
                     • Purpose of a lumbar
                       puncture is to take CSF so it
                       can be tested for infection.
                     • Its like a blood test
Lumbar Puncture Video
• 6A (p. 26) Read the steps and try to organize
  them (5 minutes)
• Watch the video of a Lumbar Puncture (8 min)
• Go back and try and reorganize the steps 6A
  (10 min)

     Check the vocabulary that you do not
                 understand.
Answers 6A
•   5
•   7
•   8
•   3
•   2
•   4
•   6
•   1
p. 26 Susan’s Data:
 What the Lumbar Puncture Evaluates
     Bacterial Meningitis                   Viral Meningitis
• Bacterial infection which          • Less Serious
  causes inflammation and
  swelling of the brain and spinal   • Often appears to be like the
  chord.                               flu
• Very serious condition             • Can be resolved without
• Bacteria is normally behind          treatment.
  the nose and through
• Flu symptoms, stiff neck, skin
  rash
Videos
1. Meningitis Health Byte:
           What are the symptoms?
        How can you get the disease?

2. Man Survives Bacterial Meningitis:
    How does the man describe the disease?
6B (p. 26)
• Look at Susan’s lab results
  + the information in the
  tables.

• Does Susan have Bacterial
  or Viral Meningitis. Or is
  she normal?(10 minutes)

• Write down details why
  for a group discussion.
Summary
• “Less Threatening
  Language”
• Situations which require
  careful language
• Balloon Volleyball Game
• Lumbar Punctures
• Bacterial Meningitis vs.
  Viral Meningitis
Feedback Reply: City vs. Town
             City                          Town
• Large Population             • Smaller Population
• Metropolitan = Urban, lots   • Not an urban area, more
  of buildings close             space between buildings
  together, tall                 (residential areas)
           New York                      Amherst

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Unit 2 lesson 6

  • 2. p. 24 New Case for Robert: Susan We will listen to Robert talk to a patient named Susan. Take notes on their conversation in 5A
  • 3. Answers to 5A Symptoms: • Loss of appetite 2 days ago, with fever • Headache, severe, frontal bilateral (bad headache at front on both sides) • Photosensitivity (sensitive to light, light hurts patient’s eyes) • Stiff neck for 12 hours Let’s think of a possible diagnosis?
  • 4. What are some other questions we’d like to ask Susan? (2B) • Spend 5 minutes thinking. Come up with at least one question.
  • 5. My ideas for questions we could ask: • Are you taking any medications at the moment? • Did you hit your head recently? • Have you ever had anything like this before? • Have any friends or family had similar problems recently?
  • 7. 5C p. 24 • Sometimes the language doctors use is too technical. • There are also some words that can make patients scared- “needles” or “cut out!” Choose the most appropriate word for each sentence and check with a partner (5 min).
  • 8. Answers for 5C 1. C 2. C 3. C 4. B As an initial treatment: Would you recommend that Susan try acupuncture? Why or why not. (5 min)
  • 9. 5D (p. 25) Avoid technical language! 1. Check that you understand all the Technical: Concussion vocabulary. Non-Technical: Knocked 2. Circle the best out expression to be used with patients. 3. Compare your answers Technical: Cardiac Arrest with a partner. Discuss Non-Technical: Heart why you chose that Attack answer.
  • 10. 5D Answers • 1. c • Let’s think about why these • 2. a are the best answers. • 3. c • 4. c • What images actions or • 5. b images do the words remind you of? • 6. a • 7. b • 8. c • 9. c • 10. b • 11. a or c • 12. a
  • 11. 5E (p. 25) • Rewrite the sentences Original sentence: so they are “less threatening.” We’ll have to perform surgery to cut out the • Personalize with tumor. changing pronouns We  You Less threatening version: • Look for synonyms in your dictionaries: You’ll need a small operation to remove the Surgery  Operation swelling. Tumor  Swelling
  • 12. (5E) Answer Examples 2. We would like to make sure there is nothing serious 3. I’m just going to put in a urine tub to save you from going to the bathroom. 4. To make this easier for you, I’m going to take away a little of the tooth’s support. 5. We’re going to make a small hole to get some fluid. 6. I just need to give you a small shot in your arm.
  • 14. 5F Think of a situation where you needed to use a careful choice of words. It can be a conversation that you had in the Thai language. -Maybe had to be more polite than usual. -Had to use different words to change emotions -Had to say less in order to change meaning. -Had to say more in order to change meaning.
  • 15. 5F: My Experience • When I’ve had to tell parents about teaching their children. • Especially when they are not good students or not good at sport. I have had to say less, and I focus on the positive aspects (energetic, youthful, individualistic) of their character. Little on the negatives points (they are rude, unintelligent, selfish). No parent wants to hear their child is not good enough at something.
  • 16. 5F: Another Experience • Breaking up with girlfriends Positive about them. (You’re so nice!) Words which make them feel like they have done nothing wrong. (“Boring”  We have different interests) Say less to reduce bad emotions.
  • 17. 5F p.25 • Think of your situation. Write it down and share it with a partner. • Afterwards, we will share our experiences with the rest of the class.
  • 18. Find Someone Who…..Conversation Version • Fill out the worksheet Example on how to share answers: “Bambina (Name) has had to say less during a conversation with her teacher because she was in trouble.”
  • 19.
  • 20. Game: Balloon Volleyball • Every time you hit the balloon you have to come up with a new word from the assigned ‘topic.’ • Score a point, when someone hits the ball without saying a new word. • Score a point if the ball drops on the ground.
  • 22. Spine
  • 23. Cerebral Spinal Fluid (CSF) • CSF acts as a cushion, protecting the brain and spine from injury. • Maintains immunological protection • Maintains cerebral blood flow
  • 24. Lumbar Puncture • Puncture P • Pressure • Purpose of a lumbar puncture is to take CSF so it can be tested for infection. • Its like a blood test
  • 25. Lumbar Puncture Video • 6A (p. 26) Read the steps and try to organize them (5 minutes) • Watch the video of a Lumbar Puncture (8 min) • Go back and try and reorganize the steps 6A (10 min) Check the vocabulary that you do not understand.
  • 26. Answers 6A • 5 • 7 • 8 • 3 • 2 • 4 • 6 • 1
  • 27. p. 26 Susan’s Data: What the Lumbar Puncture Evaluates Bacterial Meningitis Viral Meningitis • Bacterial infection which • Less Serious causes inflammation and swelling of the brain and spinal • Often appears to be like the chord. flu • Very serious condition • Can be resolved without • Bacteria is normally behind treatment. the nose and through • Flu symptoms, stiff neck, skin rash
  • 28. Videos 1. Meningitis Health Byte: What are the symptoms? How can you get the disease? 2. Man Survives Bacterial Meningitis: How does the man describe the disease?
  • 29. 6B (p. 26) • Look at Susan’s lab results + the information in the tables. • Does Susan have Bacterial or Viral Meningitis. Or is she normal?(10 minutes) • Write down details why for a group discussion.
  • 30. Summary • “Less Threatening Language” • Situations which require careful language • Balloon Volleyball Game • Lumbar Punctures • Bacterial Meningitis vs. Viral Meningitis
  • 31. Feedback Reply: City vs. Town City Town • Large Population • Smaller Population • Metropolitan = Urban, lots • Not an urban area, more of buildings close space between buildings together, tall (residential areas) New York Amherst