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Estimates range from ten thousand cases
to as many as five million
The real number is somewhere in between – about 1 per cent of the population, or 2,4 million people. Most of them are in their twenties and thirties. And there are twice as many women as men.
Why are young woman more prone?
It isn’t cleat yet. it may be simply that women are more likely to go to doctors, so they’re diagnosed more frequently. But it could be hormonal, though doctors can’t explain why.
Why is CFS so hard to diagnose?
Because at first glance CFS looks like something – or everything – else. CFS has similar symptoms other diseases. It also resembles a variety of psychiatric illnesses – depression, panic disorder. There’s no test that can say, yes, you have CFS, or no, you don’t. So the diagnosis becomes a process of ruling out all these other diseases.
What are the symptoms of CFS?
Persistent flulike aches and fatigue – you’re really exhausted, to the point that you can’t get out of bed for at least four to six months. That sounds like a long time, but anything less than that could just be a prolonged virus, and CFS is more than a prolonged virus.
The symptoms are: mild fever; sore throat; lymph node swelling and/ or tenderness; muscle weakness; muscle aches; prolonged fatigue; headaches; joint pait; neuropsychologic complaints – depression, forgetfulness, inability to concentrate, and sleep disturbances. For a doctor to officially diagnose CFS, a patient must have eight symptoms for a period of at least six months.
How does the illness usually start?
Patients might initially feel tired and achy, then feel worse over a period of three to six months, become increasingly exhausted from even minimal activity, and have more sore throats and muscle and joint aches. Sometimes they’re very restless all the time and can’t get to sleep. Some patients complain of extreme vertigo.
Is CFS contagious?
No one knows – we’re not sure how it’s transmitted. I think it probably is contagious and that certain people, perhaps because of a faulty immune system, are more susceptible than others. Nevertheless, some patients have families, boyfriends, and friends who are perfectly fine.
Ex. 2. Read the words correctly.
Psychiatric, hypochondria, sclerosis, symptom, chronic, to diagnose, experience, fatigue, depression, physical, virus, lymph, neuropsychologic, patient, syndrome, muscle, immune system.
Ex. 3. Choose the suitable word to complete the sentence and translate it.
1. Some patients complain of extreme головокружение.
a) pain b) fatigue c) disturbance d) vertigo
2. Doctors think CFS is probably заразна.
a) definitive b) prolonged c) contagious d) harmful
3. CFS is hard to diagnose because it находит/имеет сходство Lyme disease, mild sclerosis, depression, panic disorder, hypochondria.
a) looks like b) goes c) makes d) resembles
4. CFS is more than a длительный virus.
a) contagious b) prolonged c) exhausted d) cognitive
5. Боли в горле are among other symptoms of CFS.
a) headaches b) joint pain c) lymph node swelling d) sore throat
6. No one knows how CFS is передается:
a) transmitted b) exhausted c) heard d) caused.
Ex. 4. Add suffix –ness and make the nouns from the adjectives.
Happy, weak, tired, tender, ill, forgetful.
Ex.5. From the list of symptoms choose the most important.
| High BP Vertigo Asthma Muscle aches Extreme activity | Food allergies Lymph node swelling Stomach aches Prolonged generalised fatigue Falty immune system |
Add some more symptoms.
Ex. 6. Answer the following questions.
1. How common is CFS among people?
2. Why are people from 20 to 30 more prone to fatigue? Why are women more prone to the disease?
3. Why isn’t it simple to diagnose CFS?
4. What are the symptoms of the chronic fatigue?
5. How does it usually start?
6. Do you think that this disease exists in Belarus? Are there many people suffering from it? Why?
Ex. 7. Complete the brief-summary.
Tired All the Time: CFS
Doctors are only now beginning 1. _____________ chronic fatigue syndrome because there are lots of symptoms that 2. ____________ them. About 1 per cent of the population is suffering from it. Most of them are in their twenties and thirties. This group is more 3. __________ to fatigue because of the 4. __________ of life and stressful factors. There are 5. __________ as many women as men. Women just go to doctors and there’s diagnosed more often.
CFS is hard to diagnose. Sometimes it looks like anything else, for example Lyme disease, depression, hypochondria.
The symptoms of CFS are: 6.___________ aches and fatigue, sore throat, lymph node swelling, muscle aches and weakness, forgetfulness, inability to concentrate and joint pains for 4 to 6 months.
Patients become exhausted from even minimal 7. ____________. Sometimes they’re 8. ___________, they can’t get to sleep and feel extreme vertigo. It probably is contagious perhaps because of a 9. ___________ immune system.
Activity, complexity, twice, to study, baffled, flulike, faulty, restless, prone.
Ex. 8. Reproduce the brief-summary on the memory.
Conversation practice
I
Mr. Clark: Good morning! I’d like to make an appointment with Doctor Green, please.
The receptionist: Certainly, sir. Is Friday 11 o’clock convenient for you?
Mr. Clark: Yes, that will be very nice.
The receptionist: And your name, please, sir?
Mr. Clark: My name is Clark.
II
Dr. Green: Good morning, Mr. Clark. What’s wrong with you?
Mr. Clark: I have an awful headache, that I can’t get rid of, Doctor. And my throat seems sore.
Dr. Green: Let me have a look at the throat first, Have you taken your temperature?
Mr. Clark: No, I’m afraid I have not.
Dr. Green: Put this thermometer under your tongue then. /Later/. Yes, you have a slight fever. I’m afraid you are catching the flu.
III
Dr. Green: You must go straight home to bed, and keep warm. Have plenty of hot milk.
Mr. Clark: And no medicine, Doctor?
Dr. Green: Well, I’ll make you a prescription for some medicine that will help to bring your temperature down.
Mr. Clark: And what about my headache?
Dr. Green: If the headache gets too bad you can take two aspirins.
Mr. Clark: Thank you, Doctor. I’ll do as you say. Good buy.
IV
Patient: Doctor, I have a bad headache and I have no appetite.
Doctor: Show me your tongue, please. Yes, you have a very nasty tongue. Have you pain in the stomach?
Patient: Yes, doctor, sometimes; especially after meals. I have a temperature after meals too.
Doctor: I must examine your stomach… Does it hurt here?
Patient: No, not there.
Doctor: Here?
Patient: Oh, yes, it does there.
V
Visitor: I have a very bad toothache. I can’t eat and I can’t sleep at night.
Dentist: Sit down in the chair here and open your mouth. Which tooth is it that hurts you?
Visitor: It, s a big tooth at the back on the left. Ugh! [uh] That hurts very badly.
Dentist: I shall put a filling in this one, but there is another on which is too bad to be filled. I shall have to extract it.
Visitor: Oh, doctor…
Dentist: Don’t be afraid. I shall give you an injection before I extract it.
Complete the dialogues:
I
Doctor: …………..? ………………...
Patient: I’m quite unwell. I feel giddy [`gidi] and I can hardly stand on my legs.
Doctor: …………….? ………………..
Patient: Yes, I’ve a sore thout and a cough.
Doctor: ……………? ……………….
Patient: I’ve been running a high temperature since yesterday. Today it is 33.5.
Doctor: Please strip to the waist and l have taken pills for the flu and yesterday I was cupped. But I don’t feel any better.
Doctor: …………?
Patient: I thought I could cure myself. What is the matter with me?
Doctor: ………….
II
Doctor: Good morning, Mrs. Long. What’s the trouble?
Mrs. Long: ………….
Doctor: Any pain?
Mrs. Long: …………...
Doctor: Please, strip to he waist. I shall examine you.
Mrs. Long: ………….
Doctor: I’m afraid it’s pneumonia and you must have penicillin injections.
Mrs. Long: ………...
Doctor: Certainly, for a week or ten days. Here’s a prescription. Be sure to follow my instruction.
Mrs. Long: ………..
Translate into English
I
Врач: На что Вы жалуетесь?
Больной: Я плохо себя чувствую. Наверное, у меня ангина.
Врач: Откройте рот. Я посмотрю ваше горло. Да, у вас ангина. Вы мерили температуру?
Больной: Нет, я пришел к Вам прямо с занятия.
Врач: Тогда возьмите этот градусник измерьте.
II
Врач: У Вас высокая температура. Идите домой и лежите.
Больной: А какие лекарства Вы мне посоветуете?
Врач: Не прохолождайтесь. Пейте теплое молоко. И вот рецепт. Попросите своих друзей сходить в аптеку.
Больной: Спасибо, доктор. Когда мне придти к Вам?
Врач: Через 3 дня. Если Вам будет хуже, то вызовите меня.
III
А: Это кабинет доктора Вилсана?
В: Да. Чем я могу Вам помочь.
А: Сможет ли доктор принять меня?
В: Конечно. Как Ваша фамилия?
А: Никольсон.
В: Мистер Никольсон, удобно ли Вам будет придти в среду в 5 часов?
А: Да, это мне удобно. Спасибо.
IV
Аня: Катя, ты где была? И что с тобой? Та какая-то очень красная.
Катя: Я была у врача. У меня высокая температура.
Аня: И что сказал доктор? Каков его диагноз?
Катя: Грипп. Он сказал, что мне нужно полежать в кровати.
a) Remember the following proverbs. Think of their Russian equivalents.
- Health is better tham wealth.
- Early to bed, early to rise makes people healthy, wealthy and wise.
- A merry heart is a good medicine.
- Preventing is better than cure.
b) Illustrate them in the dialogues of your own.
c) Act put your last visit to the doctor’s surgery.
Writing
Write some paragraphs to comment the following:
1. Health has become big business.
2. The average person in the developing world lives a very unhealthy life.
3. The best doctors in the world are Doctor Diet, Doctor Quiet and Doctor Merryman.
THE REPUBLIC OF BELARUS
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