WOMAN, AGED 29
女性，29岁
Doctor： I see from your notes you were in hospital ten years ago with thyroid trouble.
医生：我从你的病历中得知，你10年前曾因甲状腺功能混乱住过院。
Patient： Yes, that's right. And now I've got stomach trouble and my doctor sent me here.
病人：对，是这样的。现在我有犯了胃病，我的医生介绍我到您这里来看病。
Doctor： What has actually been happening since the thyroid trouble?
医生：自从得了甲状腺疾病以来，有过那些症状?
Patient： All sorts of things. I've been feeling very depressed for a year.
病人：症状可多呢。一年来，我精神非常不好。
Doctor： Did you go to your doctor?
医生：看过医生吧?
Patient： Yes, when it got bad. He gave me some Valium tablets to slow me down but they slowed me to a halt. I didn't do anything but sleep.
病人：难受时看过。他让我服用安定药片，使我镇静。我整天昏昏欲睡，除了睡觉外，我什么事也干不了。
Doctor： Did they affect you in any other way?
医生：还有其他症状吗?
Patient： Yes. I got indigestion.
病人：有，我最近消化不良。
Doctor： Did he give you anything for that?
医生：医生给你吃过什么药吗?
Patient： Yes. He gave me some medicine and then it was all right.
病人：给了，他给我开点药，我吃了就好了。
Doctor： How does the indigestion affect you?
医生：消化系统怎么不好受?
Patient： All the food stays up here (indicating chest.)
病人：吃进的东西都停在这里(指胸部)。
Doctor： When do you get it?
医生：什么时候觉得难受
Patient： Two to three hours after food.
病人：饭后两三个小时。
Doctor： What is it like? A pain?
医生：怎么不好?疼痛吗?
Patient： Yes, a pain.
病人：是的，很痛。
Doctor： What kind? Burning, stabbing?
医生：怎么个痛法?烧痛还是刺痛?
Patient： It feels like some wind there and I want to get rid of it.
病人：肠胃里胀气，我想把气排掉。
Doctor： Do you belch?
医生：打嗝吗?
Patient： Not much.
病人不常打嗝。
Doctor： Does it bother you at night?
医生：夜间犯病吗?
Patient： No.
病人不。
Doctor： It comes on when you are hungry?
医生饥饿时发作吗?
Patient： Yes, I have a terrible pain in my stomach and I feel I'll collapse if I don't eat straight away.
病人：对，饥饿时胃部特别疼痛，如果不马上吃些东西，我就支持不住。
Doctor： How is your appetite?
医生胃口怎么样?
Patient： Very poor.
病人：很差。
Doctor： Did you always have a bad one?
医生：胃口一向不好吗?
Patient： No, it started to deteriorate ten years ago.
病人：不，10年前才开始疼的。
Doctor： Has it changed much in the last few months?
医生：近几个月变化大吗?
Patient： I think the medicine must push the food down and then I fell hungry?
病人：服药后，食物能够往下走了，我也感觉到饿了?
Doctor： What about your weight?
医生：你体重怎么样?
Patient： I'm losing weight.
病人：体重在下降。
Doctor： How much do you weight now?
医生：现在体重是多少?
Patient： 8st1lb.
病人：113磅 (1st = 14lb lb=磅)
Doctor： And how much did you weigh a year ago?
医生：一年前体重是多少?
Patient： 9st
病人：126磅
Doctor： What about your bowels?
医生：大便情况如何?
Patient Terrible.
病人：很不好。
Doctor： In what way?
医生：怎么不好?
Patient： I'm constipated.
病人常常便秘。
Doctor：： How often do you have them opened?
医生：几天大便一次?
Patient： Only when I take medicine.
病人：只有吃了药才能大便。
Doctor： Every day?
医生：每天都解大便吗?
Patient： No, every other day.
病人：不，隔一天一次。
Doctor： Does warm weather affect you?
医生：天气暖和时，你难受吗?
Patient： No. I prefer warm weather. I sweat less.
病人：不，我喜欢温暖气候， 我出汗不多。
Doctor： Do you always sweat?
医生：你经常出汗吗?
Patient： Yes, but more recently.
病人：是的，最近出汗更多了。
Doctor： All over your body?
医生：是全身出汗吗?
Patient： Yes, all over.
病人：是的
Doctor： Do you feel depressed, nervous, edgy, and irritable?
医生：你觉得抑郁、不安、急躁和爱激动吗?
Patient： I was worse before I got my job.
病人：是的，找到工作以前，我的病情更重。
Doctor： When did you start that?
医生：这样多久了?
Patient： A month ago.
病人：1个月前。
Doctor： Have you been fidgety, have your hands been shaky?
医生：你一直坐立不安、双手颤抖吗?
Patient： When I was coming here.
病人：我到这里时就是这样。
Doctor： At times of stress?
医生：是在精神紧张的时候发作吗?
Patient： Yes. And when something riles me.
病人：对，或者惹我生气时。
Doctor： Any trouble with your eyes?
医生：眼睛有什么毛病吗?
Patient： No
病人：没有。
Doctor： Periods regular?
医生：月经规律吗?
Patient： Every month since I had my baby.
病人：有了孩子后，每月都有。
Doctor： When was that?
医生：那是什么时候?
Patient： Five years ago.
病人：5年以前。
Doctor： Do you feel restless?
医生：你感到躁动不安吗?
Patient： I couldn't concentrate till I got my job but now I have to,
病人：未找到工作以前，我精力一直集中不起来，如今不得不专心工作
Doctor： Is there anything else you've noticed?
医生：你还有别的感觉吗?
Patient： No
病人没有
Doctor： Has anyone in your family had thyroid trouble?
医生：家中还有别人有过甲状腺疾病吗?
Patient： No. I have one sister and two brothers.
病人：没有。我有一个姐姐和两个兄弟。
Doctor： Are they well?
医生：他们都好吗?
Patient： Yes.
病人是的。
