SPEAKERS
DOCTOR (60%), INTERLOCUTOR (40%)
IG INTERLOCUTOR GRANDMASTER 0:00 Yes, Dr. Mohammed Azharuddin, you can start.DM DOCTOR MOHAMMED AZHARUDDIN 0:06 Hello, I'm Dr. Mohammed, one of the doctors from this hospital. May I know your name, please?IG INTERLOCUTOR GRANDMASTER 0:12 Hello, doctor. My name is Abraham Lincoln and you can call me Lincoln.DM DOCTOR MOHAMMED AZHARUDDIN 0:18 Nice to meet you, Mr. Lincoln. Before we begin, Mr. Lincoln, would you please mind? Would you mind telling me your age?IG INTERLOCUTOR GRANDMASTER 0:27 62 years old.DM DOCTOR MOHAMMED AZHARUDDIN 0:32 Okay, so Mr. Lincoln, you're 62 years. Can I know the reason for you to come to the hospital today?IG INTERLOCUTOR GRANDMASTER 0:40 Doctor, you know, I recently hospitalised and regarding this acute episode of pain in the lower abdomen, left abdomen and rectal bleeding. You had this problem? diverticula I don't know what exactly it is. SoDM DOCTOR MOHAMMED AZHARUDDIN 1:00 I spit diverticulitis?IG INTERLOCUTOR GRANDMASTER 1:02 Yes, doctor.DM DOCTOR MOHAMMED AZHARUDDIN 1:05 Okay, so, at the moment, how are you feeling? Mr. Lincoln?IG INTERLOCUTOR GRANDMASTER 1:09 I don't know what exactly this is what problem disease and you know, I'm worried about I want to know what your hospital has found a doctor?DM DOCTOR MOHAMMED AZHARUDDIN 1:23 Yes, Mr. Lincoln, I have gone through all your reports, what you have in your file and because I know that you haven't diverticulitis. Do you have any idea first of all about this disease?IG INTERLOCUTOR GRANDMASTER 1:35 I don't know anything. Doctor, can you please explain me?DM DOCTOR MOHAMMED AZHARUDDIN 1:40 Yeah, definitely I'll do that. diverticulum is the thing usually, Stein has got there is an outpouching from the spine, usually it is not very common, but it is seen in especially the elderly people, there is an outpouching from the underside, it could be related to many calls, like it could be constipation, it could be deficiency of your dietary fibres or it could be infections, leading to an outpouring of an entire string, which is called as diverticula Okay, and whenever there is an infection to this pouch outpouching whenever there is an infection causing inflammation, this outpouching It is called diverticulitis. Are you getting names? Mr.IG INTERLOCUTOR GRANDMASTER 2:20 Lincoln? Yes, doctor.DM DOCTOR MOHAMMED AZHARUDDIN 2:24 So this during this infection problem, the patient may report to the symptoms of having an abdominal pain as in your case, and sometimes it is also reported to have some blood in the stool as well. So firstly, I would like to say that you need not worry about this condition because it's it's not something very serious. It is quite manageable. And it doesn't lead to some serious diseases like malignancy or something. So you just need to be calm and relax.IG INTERLOCUTOR GRANDMASTER 2:57 Okay, does that okay? Okay, doctor, I am I want to know if I am likely to have another episode.DM DOCTOR MOHAMMED AZHARUDDIN 3:08 You may have an episode, especially, you know, whenever you have any infections with your colon, you may have an episode of bleeding, you have an episode of abdominal pain practice, you need to keep an eye on especially with this you have a blood in your stool, you need to report back to the hospital immediately so that we can plan a workup so that we can go for a further workup further evaluation to find out the causes as well.IG INTERLOCUTOR GRANDMASTER 3:37 I'm extremely worried about this condition. Dr. And I have heard of people dying from perforations in such cases.DM DOCTOR MOHAMMED AZHARUDDIN 3:47 Yes, but in your case, it's different. Here, there is no perforation, what I found from the results from your investigation that you don't have any kind of cooperation and diverting, it's just an inflammation of diverticulum in your case. So first of all, you have to be very much relaxed and calm. Because it's nothing to worry about. It's a manageable thing. You just need to keep an eye on your symptoms. Whenever you feel that your symptoms are increasing or you feel there is a blood in the stool you need to remove reporters. And what I would suggest to my advice would be like following the prescription following the antibiotics you need to continue with the antibiotics to reduce the infection at the moment because there isn't evidence of having an infection in your colon. So you need to continue with the antibiotics and you need to avoid with some dietary specially the red meat and you need to take more of fibres in your diet and that could help youIG INTERLOCUTOR GRANDMASTER 4:47 okay, do me advice doctor on controlling the condition and preventing recurrence?DM DOCTOR MOHAMMED AZHARUDDIN 4:55 Yes, definitely. As the condition can be prevented by following my advice. And I would advise you to take more dietary fibres and avoid taking red meat avoid taking more of proteins that may lead you to the constipation and avoid taking positives. Okay, this would help you definitely Okey doke. Sounds reasonable.IG INTERLOCUTOR GRANDMASTER 5:25 Yes, Doc care. But I want to ask you why the hospital gave me antibiotics. See,DM DOCTOR MOHAMMED AZHARUDDIN 5:34 causing diverticulitis infection is one of the cause to cause diverticulitis. And in your case, we suspect you to have an infection infected colon, and that is the reason we have prescribed an antibiotic. And continuing with the antibiotic will definitely improve your sense.IG INTERLOCUTOR GRANDMASTER 5:55 Okay, I'm not very much convinced but because you know, it was a very frightening experienced, okay, but I am ready to listen toDM DOCTOR MOHAMMED AZHARUDDIN 6:06 Yeah, I totally understand Mr. Lincoln, it could be very much frightening because you see blood in the stool. But after evaluating after doing a thorough workup, we came to the conclusion that it's nothing like perforation, it's nothing like malignancy, it's so you don't have to worry about because we have excluded all the serious causes. So it's just an benign condition, what we call it as it's nothing serious. So you don't have to worry aboutIG INTERLOCUTOR GRANDMASTER 6:35 Okay, Doctor, thank you very much.DM DOCTOR MOHAMMED AZHARUDDIN 6:39 Thank you, see you on the next visit.IG INTERLOCUTOR GRANDMASTER 6:41 Okay, doctor, okay. Now, let me give you some feedback, right.DM DOCTOR MOHAMMED AZHARUDDIN 6:48 First thing is you have good command on the subject, you explained everything very clearly, there was no panic on your part, the explanation was up to the mark. And the reassurance part was fine. And you explained about the reasons okay or causes, why the situation occurred, what I should do, what precautions I should take, what may be the possible outcomes, how to avoid those possible outcomes, how to rule out those possible outcomes and then suggesting some alternative options and precautions everything was fine, that's really awesome. And the subject wise it is fine pronunciation wise Okay, as far as possible, you have done justice for that okay, grammar,IG INTERLOCUTOR GRANDMASTER 7:42 punctuation, pauses and breaks wherever there is full stops commas you have to pause and break okay, if an important word is there, you have to stress there then apart from that vocabulary, try to use better vocabulary. Again, instead of improvement you can say enhancement is of good you can say excellent, outstanding, you can use better quality vocabulary and you can listen to the other audios also, which are putting in the group and then you can practice and putting in the telegram channel all these things doctors, okay, you can listen to them and you can listen to my suggestions also, how what you are, for example, what other mistakes are there and pointing out others mistakes. So, you also can be careful regarding those things and what good things are there and pointing it out. For example, I told you, your confidence level was excellent. So somebody else can tell what is that excellent y sub told Excellent. So you have to listen to that again. And you have to imbibe, you have to put in that quality yourself. And for example, the sentences you're using good quality vocabulary, and you are using conjunctions, then you can use conjunctions. Then if I say better vocabulary C one C two vocabulary. So what is C one C two vocabulary prepare, then use those sentences in your speaking sessions. So that is always better. It's not like flowery or vocabulary but English who that your English is excellent. quality wise. Don't speak Ordinary, ordinary sentences. There's the reason why people don't get people say you should not do that this, but you know quality is quality. We don't mind about other people. Okay, why people are getting 420 440 460. Why? Because they're putting in quality. So quality is what I expect from you. So we use that quality and everything is refined. Is that okay? Yes. Okay.
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