Manual - de - INGLES-DE-ENFERMERIA - LIBRO 1 PDF
Manual - de - INGLES-DE-ENFERMERIA - LIBRO 1 PDF
ANTOLOGÍA
INGLÉS DE ENFERMERÍA 1
1
I. Presentación:
La globalización ha influido de manera decisiva en los procesos formadores y de prestación de servicios, permitiendo un
incremento del pensamiento estratégico relacionado con la formación y el desarrollo de recursos humanos competentes, con
habilidades para las relaciones interpersonales, la comunicación, capacidad para enfrentar los nuevos retos de la profesión, la
1
innovación y las complejas tecnologías, lo que repercute en la calidad de los servicios que se le brindan a la población.
El inglés del CAADI es una unidad de aprendizaje orientada al inglés especializado en ciencias de salud y designado para
alumnos de nivel intermedio que quieren usar su conocimiento para la comunicación internacional en la rama de enfermería.
II. Propósito(s):
La Unidad de Aprendizaje tiene como propósito fortalecer el conocimiento del estudiante con las habilidades del lenguaje
y experiencias que ellos necesitan desarrollar para sus metas
m etas profesionales y académicas. Los estudiantes son expuestos a
situaciones de la vida real que permiten el uso del lenguaje en diferentes formas significativas. Y la integración del
desarrollo de todas las habilidades que permite el éxito y seguridad en sí mismo en la interacción social y profesional en la
comunidad global del habla inglesa.
1
Punto 8 de los Propósitos del Trabajo Institucional de la Visión 2020 de la UANL.
2
CONTENTS
UNIT TOPIC FUNCTIONS GRAMMAR VOCABULARY
1 Hospital Identify Personal Verb be Hospital
Staff Staff in a hospital Present tense Satff
The indefinite article
– a, an
BOOK’S SYMBOLS
The Book’s symbols were designed for doing easier to indentify each section in manual.
3
1 Hospital Staff
VOCABULARY
a)Cardiologist
b) Lab
Technician
c) Pediatrician
d) Pharmacist
e) Nutriologist /
Dietician
f) Surgeon
g) Radiologist
h) Nurse
i) Midwife
j) Dentist
k) Obstetrician
l) Psychiatrist
m) Gerontologist
n) Dermatologist
o) Gynecologist
SPEAKING
Exercise 2. Select a partner and practice the next role play about Hospital Staff
4
GRAMMAR
Look the next chart and answer the corresponding exercise.
E xerci s e 3. A ccor
ccording
ding th
the
epprevious
revious informa
information
tion ans we
werr the next exercis e.
POSITIVE NEGATIVE
5
TRACK 1.
LISTENING
Exercise 4. Listen the information George Takei (Teh-Kay) and answer the next
questions using the Verb to Be.
1. Is he an actor?
___________________________________________
_________________________________________ __
2. Is he a Star Wars character?
___________________________________________
________________________________ ___________
3. What are his recommendations?
_______________________________________________________________
_________________________________________ ______________________
_______________________________________________________________
_________________________________________ ______________________
5. Is he gay?
_______________________________________________________________
_______________________________ ________________________________
________________________________________________________________
_________________________________________ _______________________
7. Is he a Japanese-American residence?
_______________________________________________________________
_______________________________ ________________________________
SPEAKING
Exercise 5. According the previous listening answer the next questions and
share the answers with your classmates.
6
GRAMMAR
Look the next chart and answer the corresponding exercise.
Notes: In the simple present, most regular verbs use the root form, except in the third-
person singular (which ends in -s). Examples: Sing= sings , eat= eats, have= has
The spelling for the verb in the third person differs depending on the ending of that verb:
For verbs that end in -O, -CH, -SH, -SS, -X, or -Z we add -ES in the third person. Example:
Do= does, go= goes,
7
READING.
Exercise 7. Read the next information and then answer the questions using the
s i mple pres ent. And then discuss with a partner.
Watch Hospital Staffers Dance the Nae Nae for 12-Year-Old Cancer Patient
8
2 Hos ital De artment
VOCABULARY
GRAMMAR
Look the next chart and answer the corresponding exercise.
WH-QUESTIONS
We use question words to ask
a sk certain types of questions. We often refer to these words
as WH words because they include the letters WH (for example Why, How). For requiring
extra information.
QUESTION TYPE EXAMPLE
What Thing What is your name?
When Time When is the surgery?
Who Person Who is your nurse?
Where Place Where is the hospital?
Why Reason Why do you like pizza?
How Directions How do you spell your name?
9
Exercise 2. Make questions using the underlined part.
TRACK 2
LISTENING
Exercise 3. Listen the information The Ebola and answer the next questions.
__________________________________________
_________________________________ _________
10
READING.
Exercise 4. Read the next information and then answer the questions using
the s impl
imple
e present. And then discuss with a partner.
Charlie Gard was diagnosed with an extremely rare form of a disease called
mitochondrial DNA depletion syndrome, believed to affect just over a dozen children
worldwide. The syndrome prevents cells from producing the energy needed to
sustain organs. The baby was brought
br ought to the London hospital on Oct. 11, when his
parents, Connie
growing and Yates
could and
not lift Chris
his Gard,
head. bothbeen
He has in their 30s,
there noticed
since, he waswith
breathing not the help
of a ventilator and fed through a tube. He is deaf and suffers from persistent
seizures, and appears to have suffered brain damage. Researchers at Columbia
University have provided an experimental treatment to a child in Baltimore, Art
Estopinan Jr., suffering from a similar but less severe form of the syndrome. The
child’s father, Art Estopinan, said that he was contacted by Ms. Yates and Mr. Gard,
and in turn asked the researchers at Columbia University if they could help Charlie
Gard, as well. Art Jr. was 18 months old in 2012 when doctors diagnosed a form of
mitochondrial DNA depletion syndrome, and said he had less than two months to
live. “Everyone told me the same thing: There is no medication, there is no cure,”
Mr. Estopinan said.
The treatment, called nucleoside therapy, is not approved by the F.D.A., but can be
requested under exceptions for compassionate use. Mr. Estopinan said with
11
treatment, his son has slowly but steadily become stronger. Now 6, Art Jr. can’t
walk, but he can move his hands and feet. He breathes with the help of a ventilator,
is fed through a tube and needs round-the-clock care. Mr. Estopinan said he was
speaking out because “my wife and I believe that little Charlie Gard should be given
a chance, because we believe there is hope.” Ms. Yates and Mr. Gard have raised
about $1.7 million to pay for the experimental treatment and to travel to the United
States for care.
SPEAKING
12
3 Rooms and equipment
VOCABULARY
SPEAKING
Exercise 2. According the previous vocabulary, work with a classmate and
mention the usage of some devices used in a hospital.
E x ampl
mple.
e. Latex
Latex G lo
loves
ves are disposable gloves used during medical
examinations and procedures that help prevent cross-contamination
between caregivers and patients.
13
GRAMMAR
Look the next grammar information and answer the corresponding
exercise.
BETWEEN
BEHIND IN FRONT
OF
BELOW
____________________________
____________________________
_______________________ _____
____________________________
____________________________
_______________________ _____
____________________________
____________________________
_______________________ _____
________________________________________________________________
_________________________________________ _________________________
__
14
READING.
Exercise 4. Read the next information and then answer the questions using the
s i mple pres ent. And then discuss with a partner.
Science has never moved at such a rapid rate as it is now and as each discovery
brings with it countless more developments, it stands to reason that our scientific
understanding has ‘snowballed’ with time. So great are many of these
developments in fact, and so much have they impacted our daily lifestyles, that it’s
sometimes almost impossible to imagine a world before many of these
breakthroughs. This is particularly true of medical discoveries, and while we might
complain of long hospital waiting lists or the poor bedside manner of some of the
nurses, we shouldn’t forget that only a few generations ago the same condition that
is now an ‘irritation’ could have led to the loss of a limb... without anaesthetic.
9) HIV – HIV was discovered in the 1980s by Robert Gallo and Luc Montagnier and
following an influx of patients around the time. This discovery of course led to a
greater awareness of the dangers of unprotected sex as well as to the various
treatments that exist today to make the condition manageable.
8) The Circulatory System – The concept of the circulatory system was first
described in 1242 by the physician Ibn al-Nafis, and first brought to prominence in
1628 by William Harvey. This led to a far better understanding of the human body in
general and to many of the treatments and techniques we now take for granted.
7) X-Ray – Before x-rays repairing broken bones and identifying the cause of many
other problems would have been hugely more difficult and has played a role in
colouring our understanding of the human body even further. When Conrad
Rontgen first discovered the technique in 1895 he used it to create an image of his
wife’s hand.
15
6) DNA – DNA was discovered by the Swiss physician Friedrich Miescher and was
at first known as ‘nuclein’ (what was wrong with that name?).
name?) . This has led to a much
better understanding of a range of diseases and illnesses, but is likely to lead to
many more discoveries in the future as gene therapy becomes more widely used.
Of course the discovery of DNA has also lead to many important discussions on the
nature of humanity and our role in our own evolution.
3) Germ Theory – While we’ll get to penicillin soon enough, it wouldn’t have been
possible with Louis Pasteur’s initial ‘germ theory’ which shed light on the causes of
diseases and lead to many of the hygiene practices we now take for granted.
____________________________________________________________________
___________________________________________ _________________________
____________________________________________________________________
___________________________________________ _________________________
____________________________________________________________________
___________________________________________ _________________________
16
4. The body
VOCABULARY
Exercise 1. According with the picture relates the part of body and writes in
the chart the correct vocabulary and the diseases related with them.
SPEAKING
Exercise 2. According the previous vocabulary, answer the next questions and
share with your classmates.
17
Note: You can use ‘than’ to do a
GRAMMAR comparison or ‘as…as’
TWO or MORE
syllables beautiful more beautiful The most beautiful
Common good better The best
Exceptions bad worse The worst
1._____________________________________________________________
2._____________________________________________________________
3._____________________________________________________________
18
Exercise 5. Read the sentences and complete using comparative or
superlative form.
_________________________________________
_________________________________________
__________________________________ _______
_________________________________________ _________________________
__________________________________________________________________
________________________________________________________________
_________________________________________ _________________________
__
__________________________________________________________________
_________________________________________ _________________________
__________________________________________________________________
_________________________________________ _________________________
19
READING.
Exercise 8. Read the next information and then answer the questions. And then
discuss with a partner.
__________________________________ _______________________________
_________________________________________________________________
_____________________________________________________________
________________________________________ _____________________
________________________________________ _________________________
_________________________________________________________________
_____________________________________________________________
__________________________________ ___________________________
20
5. The Blood
VOCABULARY
Exercise 1. According with the picture relates the blood vocabulary and
relate with the correct pictures.
GRAMMAR
Look the next chart and answer the corresponding exercise.
21
READING.
Exercise 3. Read the next information and then answer the questions. And then
discuss with a partner.
The average person has about one to one and a half gallons
of a liquid inside its body called blood. Blood is the most
essential and important part of the body's circulatory system.
The circulatory system is responsible for the movement of
blood throughout the body through blood vessels. The
heart is the pump that makes it all happen.
Blood has several ingredients found inside the body that are
mixed together. Bone marrow, located inside the bones of
the body, makes most of these ingredients that come together to produce blood. They include
red blood cells, white blood cells, and platelets. In addition, a fourth ingredient called plasma,
which is mostly water, is another important component of blood. Each of these components
have a special function for the body.
Red blood cells carry oxygen throughout the body. It is the most abundant of the different
cells inside the blood. A chemical called hemoglobin is carried by the red blood cells and
gives blood its red color, and carries the oxygen too all parts of the body. The hemoglobin
receives the oxygen each time a person breathes.
White blood cells help the body fight infections and are larger than red blood cells. They are
not as abundant as red blood cells especially when a person is healthy. However, they
increase in number when a person gets sick in order to fight off the illness. There are three
kinds of white blood cells.
Granulocytes
enter the body.help heal woundsinclude
Lymphocytes after anBinjury, prevent
cells and infections,
T cells. B cellsand killsproduce
help germs before they
antibodies
which gets rid of germs when a person like bacteria or viruses. These cells also help prevent a
person from getting the same germ in the future. T cells also battle germs by producing
special chemicals to fight infections. Monocytes surround and destroy bacteria and viruses
which can cause infections.
Platelets are cells that help stop the body from bleeding if it gets cut. When a person's skin is
broken blood vessels are also cut. The platelets send out a chemical signal for the cut to
eventually clot and stop bleeding by sticking together. The blood vessels heal during the
process of clotting. Without platelets the bleeding would never stop.
Plasma is a yellowish liquid that carries hormones, nutrients, and proteins throughout the
body. It is mostly made of water but the nutrients come from the chemicals in digested food.
The chemicals give the body energy and other things the cells of the body need to keep it
working and healthy. The hormones carried by the plasma carry messages throughout the
22
body that gets muscles and bones to grow. The proteins in the body work with the platelets to
help with clotting. Plasma also carries away cell waste.
Finally, even though everybody's blood is red, it is not all the same. There are eight
different blood types which are described using the letters A, B, and O. The letters
represent specific proteins found on the red blood cells, and not everyone has the
same proteins. A person's blood type is also either positive or negative, which tells
whether the body has a special protein called 'Rh'.
In summary, blood is important for the body, which contains four major components,
red and white blood cells, platelets, and plasma. The blood inside the body helps keep
a person well, which is why it is important to eat healthy so a person can get the
vitamins and minerals it needs.
1) Which of the following systems of the body is responsible for the movement
of blood?
A: Digestive B: Respiratory C: Circulatory D: Excretory
4) Which of the following components of blood helps stop a cut from bleeding?
A: White blood cells B: Red blood cells C: Platelets D: Plasma
6) Which of the following is carried by plasma to help the body with growth?
A: B cells B: Hormones C: Monocytes D: Lymphocytes
Blood:___________________________________________
_________________________________________________________
______________
Red blood cells:_________________________________________________
White blood cells:________________________________________________
Platelets:_______________________________________________________
Monocytes:_____________________________________________________
23
6. The Circulator S s t em
VOCABULARY
a) aorta
b)right atria
c)left ventricle
d)right ventricle
f)mitral valve
g)tricuspid valve
TRACK 4
LISTENING
_______________________________________________________
_________________________________________ ______________
24
GRAMMAR
Look the next chart and answer the corresponding exercise.
Note: In English we have two kind of verbs, irregular (change their form) and
regular verbs (normally add – –ed
ed to the end of the verb), there is no rule to
identify if is regular o not so you have to learn them.
Examples: Regular Verbs / Irregular verbs
Call ---- called Go --- did
The nurse is doing a ward round. ---- The nurse did a ward round.
25
GRAMMAR
Look the next chart and answer the corresponding exercise.
Note: Contraction (short form): was not = wasn’t / were not = weren’t
Exercise 5.Change the medical verbs in past and then choose some of them
to create complete past sentences.
1. + SENTENCE: _________________________________________
________________________________________________
_______
2. - SENTENCE: ______________________________________
________________________________________________
__________
3. ? QUESTION:________________________________________________
4. + SENTENCE: _________________________________________
________________________________________________
_______
5. - SENTENCE: _______________________________________________
_________________________________________________
26
READING.
Exercise 6. Read the next information and then answer the questions using the
s i mple pas
pastt. And then discuss with a partner.
27
The research, published in the Lancet, looked at the hospital records of all
135,950 deaths in England due to heart attacks over the four-year period.
The records showed whether the person had been admitted to hospital in the
previous four weeks and whether signs of a heart attack were recorded as the
primary reason for the hospital admission, a secondary reason or not recorded
at all.
The data showed 21,677 of the patients had no mention of heart attack
symptoms in their hospital records.
Lead author Dr Perviz Asaria said: "Doctors are very good at treating heart
attacks when they are the main cause of admission, but we don't do very well
treating secondary heart attacks or at picking up subtle signs which might point
to a heart attack death in the near future."
_______________________________________________________________
_________________________________________ ______________________
_______________________________________________________________
_________________________________________ ______________________
2. Could it be avoided?
_______________________________________________________________
_________________________________________ ______________________
_______________________________________________________________
_____________________________ __________________________________
_______________________________________________________________
_________________________________________ ______________________
_______________________________________________________________
_________________________________________ ______________________
_______________________________________________________________
_________________________________________ ______________________
_______________________________________________________________
_________________________________________ ______________________
_______________________________________________________________
_________________________________________ ______________________
_______________________________________________________________
_________________________________________ ______________________
28
7. Respiratory System
VOCABULARY
Exercise 1. According with the picture relates the correct vocabulary in the
chart about Respiratory System.
a) Pharynx
b) Left lung
c) Right lung
d) Larynx
e) Nasal cavity
f) Trachea
g) Diaphragm
h) Epiglottis
i) Nostril
j) Primary bronchus
k) Pleural cavity
TRACK 5
LISTENING
_______________________________________________________
_________________________________________ ______________
29
GRAMMAR
Look the next chart and answer the corresponding exercise.
PAST CONTINUOUS
The past continuous (progressive) puts emphasis on the course of an action in the past
and is formed from the past tense of be with the -ing form of the verb*:
30
READING.
Exercise 4. Read the next information and then answer the questions using the
pastt co
pas contin
ntinuous
uous . And then discuss with a partner.
31
8. Digestive System
VOCABULARY
a) stomach j) tongue
b) gallbladder k) rectum
c) colon l) anus
h) pancreas q) appendiz
VOCABULARY
Pharynx Liver
Esophagus Gallbladder
Stomach Pancreas
Small intestines Large intestines
32
GRAMMAR
PAST CONTINUOUS
We normally use WILL to speak about the future. You u
use
se future to talk about: predictions,
spontaneous decisions/opinions or assumptions regarding the future,
f uture, promises or threats
and actions in the future cannot be influenced.
POSITIVE Subject + Will + Infinitive
Infiniti ve Complement
without
“to” +
I / you /we will go to the hospital
/they
He / she / it will go to the hospital
QUESTION
Aux + Subject + Verb + Completement + ?
Exercise 3. Complete the sentences with the words below using will, will
not/ won’t, or question.
2020. (Negative)
2. The new Cardiology Unit ________________________in 2020.(Negative)
6. _____ the porter __________ the patient to the radiology department? (Question)
33
WRITING
34
READING.
That's the idea behind the Colossal Colon, which is currently traveling around the
nation on a 20-city tour . I caught up with the colon in South Beach, a part of Miami
Beach known for sophistication and glamour. You can barely swing your arms there
without striking an international supermodel, or a Rolling Stone, or, at the bare
minimum, a Baldwin brother. I felt that the Colossal Colon fit right in.
The colon was set up inside an air-conditioned tent, along with displays of helpful
information,
were: "DON'T including
stop foralong
list of "DOs"ofand
periods "DON'Ts"
time inside offor
thevisitors.
Colossal Among the
Colon" DON'Ts
and "DON'T
horseplay inside of the Colossal Colon." I thought the wisest advice was: "DON'T leave
your children unattended."
If you're a parent, there are few experiences more embarrassing than when you report
a missing child to the police, and the officer asks you where you last saw little Tiffany,
and you have to answer: "She was entering a giant colon."
The Colossal Colon, shaped like huge "C ,” is made from plywood and polyurethane
foam. It has been sculpted and painted to look very realistic, so much so that I was
frankly reluctant to crawl inside. I was worried about
a bout how far they carried the realism.
rea lism. I
mean, what if you got deep inside there, and you suddenly were confronted, fun-
house-style, by some
character, such guy wearing
as Tommy a costume
Tapeworm, or, Goddepicting an educational
forbid, Fred Food? colon-dwelling
35
Fortunately, this did not happen. But the journey through the Colossal Colon is no walk
in the park. You start out at the end labeled "Healthy Colon, " and for a short while it's
a pleasant enough crawl. But pretty soon you start running into bad things: first
Crohn's disease, then diverticulitis, then polyps, then precancerous polyps, then colon
cancer, then advanced colon cancer,
can cer, and finally - just when you see the light at the
end of the tunnel, and start to think you're safe - you find yourself face to face (so to
speak) with one of mankind's worst nightmares: Hemorrhoids the size of regulation
NFL footballs.
Shaken? You bet I was shaken. It was with weak knees that I emerged from the end of
the colon (medical name: "The Geraldo"). There I was asked by a member of the
Colossal Colon's entourage (yes, it has an entourage) to sign a pledge promising to
consult with my doctor about my colon. I signed the pledge, although to be honest, I
did not consult with my doctor. I consulted instead with my friend and longtime medical
advisor Gene Weingarten, who is widely acknowledged to be the foremost
hypochondriac practicing in America today.
Gene told me that he'd been screened for colon cancer, and that the procedure was
not nearly as bad as I imagined. This is good, because I imagined that it involved a
large, cruel medical technician named "Horst" and 70,000 feet of chairlift cable. But
Gene assured me that it's nothing like that, and that they make you very comfortable
(by which I mean "give you drugs"). Gene says they make you so comfortable that
you'll be laughing and exchanging "high fives" with Horst (make sure he washes his
hands first).
So I'm going to get the screening, darn it. I hope you do, too, assuming you actually
get to see this column. I suspect some editors will decide not to print it, because it
contains explicit words that some readers may find distasteful, such as "Geraldo." If
you're one of those readers, I apologize if I offended you. But remember: I'm writing
this because maybe - just maybe - it will save your life. BY DAVE BARRY
_________________________________________________________________
________________________________________ _________________________
_________________________________________________________________
________________________________________ _________________________
2. Explain talking in future. How would these kinds of projects could change
the perspective of some difficult or common diseases?
_________________________________________________________________
________________________________________ _________________________
_________________________________________________________________
________________________________________ _________________________
________________________________________________________________
________________________________________ _________________________
_
36
9. Physical Assessment
VOCABULARY
b) Body build
c) Palpation
d) Otoscope
e) Auscultation
f) Affect
WRITING
Exercise 2. Look for the following definitions. And write their definitions.
Anosmia ______________________________________________________
_________________________ _____________________________
Edema________________________________________________________
Erythema______________________________________________________
Focal_________________________________________________________
Kyphosis______________________________________________________
Murmur_______________________________________________________
Naris_________________________________________________________
Nystagmus____________________________________________________
Patent________________________________________________________
Plantar________________________________________________________
Ptosis_________________________________________________________
Sclera________________________________________________________
37
GRAMMAR
Look the next chart and answer the corresponding exercise.
Ordinal 1s first
first 11 el
elev
event
enthh 21s twenty-first 31s thirty-first
n
Numbers 2 seseco
cond
nd 12 tw
twel
elft
fth
h 22n twenty- 40 for
orti
tiet
eth
h
second
3r thir
thirdd 13 thir
thirtee
teenth
nth 23r twenty
twenty-thi
-thirdrd 50 fif
fiftie
tieth
th
4 fou
ourtrth
h 14 fo
four
urttee
eent
nth
h 24 tw
twen
enty
ty-f
-fou
ourt rth
h 60 si
sixxtie
ieth
th
5 fift
fifth
h 15 fif
fifteen
teentth 25 twenenty
ty-f
-fiift
fth
h 70 sev
even
enttie
ieth
th
6 sixt
sixthh 16 six
sixtee
teent
nth
h 26 twenenty
ty-s
-sixixtth 80 ei
eigght
htie
ieth
th
7 seventh 17 27 twenentty- 90 ni
nine
nettie
ieth
th
seventeenth seventh
8 eighth
hth 18 ei
eigghtee
hteentnth
h 28 tw
twen
entty- 100 one
eighth hundredth
9 ni
ninth
nth 19 ni
nine
nettee
eent
nth
h 29 twenenty
ty-n
-nininth
th 1,
1,00
0000 o one
ne
thousandth
10 tent
tenth
h 20 twen
enti
tiet
eth
h 30 thi
hirt
rtie
ieth
th 1,
1,00
000,
0,0
000 onone
e
millionth
TRACK 6-9
LISTENING
Exercise 3. Listen the next telephone numbers . Write the numbers on the
lines and write with letters too.
1. ____ ____ ____ ____ ____ ____ ____ ( _____________________________ )
38
OTHER NUMBERS
Decimal 5.5261 = five point five two six one
points 3.1416 = three point one four one six
SPEAKING
Hours in a day?
8. What time do you have actually?
9. When is your birthday? Did you have a birthday party last year?
11. It takes Julia 1/2 hour to wash, comb her hair and put on her clothes,
and 1/4 hour to have her breakfast. How much time does it take Julia to be
ready for school?
39
READING.
Exercise 5. Read the next information and then answer the questions using the
previous chart about Numbers.
But it turns out this widely held notion doesn’t stand up to scientific
scrutiny: New Danish research has found no evidence that routine
checkups increased longevity or reduced the risks
r isks of dying from
diseases like cancer or heart disease. While the findings are counterintuitive, “the study adds
to growing evidence that periodic exams in otherwise healthy adults are a waste of money and
may even lead to overdiagnosis and unnecessary treatments,” says medical researcher Lasse
Krogsboll of the Nordic Cochrane Centre in Copenhagen. To investigate this idea, Krogsboll’s
team pooled data from 14 previous studies involving nearly 183,000 people, comparing
participants who were offered regular checkups with those who saw their doctors only when
they had a complaint. In looking at both groups, researchers found no difference in the number
of overall deaths, or even deaths due to cancer or heart disease. The checkups apparently
made no difference.
A handful of studies also suggested that general health checks had no impact on reducing
hospital admissions, disability, time off from work, or the anxieties
a nxieties of worried but healthy
people. In fact, patients who got annual
a nnual physicals were more likely to be misdiagnosed with
high blood pressure or high cholesterol, making them more likely to be prescribed
unnecessary drugs to treat these ailments. A few trials even indicated that large n numbers
umbers of
people learned they had harmless, but nevertheless alarming, medical abnormalities.
Experts suspect the reason for this unexpected result is that people who genuinely need to
see a doctor regularly—the elderly, sufferers of chronic medical conditions, and people with a
family history of diseases like diabetes or cancer —already do. Calling for yearly physicals for
otherwise healthy people tends to draw in the “worried well,” who don’t seem to derive any
added benefit from the extra attention.
“More is not always better,” says Domhnall MacAuley, a physician and editor at the British
Medical Journal who wrote an editorial accompanying the study. “Calling for systematic
assembly-line health checks consumes precious medical resources —in doctors’ time and
unnecessary treatments and tests—that could be better used elsewhere.” But this shouldn’t
be used as an excuse to skip dreaded physician’s visits, cautions Michael LeFevre, a family
physician at the University of Missouri medical school and co-vice chair of the U.S.
Preventive Services Task Force, a group of independent experts that evaluates the benefits
of preventive measures.
40
WRITING
________________________________
________________________________
________________________________
_________________________________
_________________________________________________________________
_________________________________________ ________________________
_________________________________________________________________
______________________________ ___________________________________
__________________________________________________________________
_________________________________________ _________________________
__________________________________________________________________
_________________________________________ _________________________
__________________________________________________________________
_________________________________________ _________________________
_________________________________________________________________
_________________________________________ _________________________
_
41