Table Of ContentMedical English 
Volume 10 
 
 
RESPIRATORY 
CONDITIONS 
 
 
A Unique and Practical Course 
 
 
 
 
 
Listening, speaking, reading, writing, and role-plays using every-
day language in medical situations 
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Students’ comments:  
 
I heard about Ms. Vichert’s medical English courses 
back in 2013 when I was looking for a comprehensive 
summer program in which I could not only expand 
my medical vocabulary but also practice the jargon 
used among health care professionals.  
 
Ms. Vichert’s three-month intensive program helped 
me better understand medical terminology in general 
and to master doctor/patient & doctor/doctor 
communications through extensive role plays, clinical 
simulations, listening activities etc. Starting from 
greeting a patient in the office to taking his/her 
history, from explaining his medical condition to 
ordering lab work, from making a diagnosis to 
breaking bad news, her unique program covered it all!  
 
Moreover, written texts were supported by life-like 
audio recordings that helped me get the hang of 
authentic conversations that take place between 
patients and health care providers in an English-
speaking country. I had found more than I was 
looking for!  
 
Being an English language teacher myself, I got back 
to my country with lots of self-confidence and 
innovative ideas. Ms. Vichert’s uniquely designed 
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program inspired me and helped me set up a 
professional English for medical purposes program at 
university level.  
 
It took me a full three months in Vancouver, Canada 
to learn it all from the ground up. Now Ms. Vichert is 
offering a similar opportunity to everyone around the 
world in the comfort of their home via her books. 
Don’t miss the chance! 
Erdogan Erturkoglu 
Assistant Director 
Foreign Languages Department 
The English For Medical Purposes Program 
Bezmialem Vakif University, Istanbul, Turkey 
 
Much attention and care was given to every aspect of 
learning: vocabulary, grammar, pronunciation, 
comprehension, formal/colloquial approach, 
idiomatic expressions. Pikku is a lovely and 
amazingly energetic lady who well knows the world 
and its creatures! 
 
I believe every student should try this enriching 
experience, to improve spoken and written English 
and, most of all, to achieve a broader view and 
understanding of different cultures. This is especially 
true for science and medicine, where English is the 
common language and a basic requirement which 
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opens many doors". 
Elena Lora- Physiotherapist, Bologna 
 
My experience with Medical English by Pikku 
Vichert was extraordinary! We role played like in a 
doctor’s office, we did clinical histories, we learned 
technical language. I definitely improved my Medical 
English skills and it really helps me now in my 
Medical practice. So, I absolutely recommend the 
course and the learning material! 
Monica Almanza - Ophthalmologist, Mexico City 
 
I was troubled that I couldn’t think in English the 
same way as I could in my first language. With 
VMEI, I spoke a lot of English in natural situations 
and also read and listened. That allowed me to solve 
my problem. I think Pikku is a treasure in my life. 
Ikumi Yamamoto - Physiotherapist 
 
The program is suitable for those looking to learn in 
different ways in addition to the standard normal 
ones. It changes the idea of old boring classes." 
Ahmad M. Thuaimer - Intervential Radiology, 
Dammam, Saudi Arabia 
 
...Student’s comments continued at end of book 
   
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These books are intended for adults 
in the medical professions, doctors, 
nurses, medical students, 
pharmacists, medical technicians 
and other professions where 
medical terminology and usage is 
needed. They are meant for students 
who already know some English, 
and who really want to learn. 
 
Using the methods and unique curriculum developed 
by Pikku Vichert, these books concentrate on the use 
of English in a medical context. They teach both the 
language and culturally appropriate communication 
skills for practicing medical careers in an English-
speaking environment. 
 
Pikku is a highly respected professional with a degree 
in medicine and over 20 years of ESL experience. She 
has researched all the standard methods of instruction 
and adapted them to her own philosophy of learning. 
She believes that students learn best if they are 
thoroughly engaged and actively enjoying the 
process.  
 
email her at [email protected]   
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HOW TO USE THIS BOOK 
 
The best way to use these books is to have a 
partner(s) or someone you can work with. You can do 
it alone, but you will need some self-discipline to be 
successful. 
 
The bulk of the material is based on clinical histories, 
where the interaction is between doctor/patient, 
doctor/nurse, doctor/doctor, nurse/patient, nurse/nurse 
and pharmacist/client. 
 
After going over the vocabulary, the first step is to 
read the dialogue out loud and understand as much as 
possible. If it is done with someone else, then each 
person reads a few sentences. 
 
Then try to role play the dialogue. Doing it outside a 
classroom, read it again, a few times out loud - if you 
have a partner, role play it with the partner, taking 
turns being different characters. If it is done in a class, 
then the teacher should note down all the mistakes 
and give the student a chance to correct them before 
giving the students feedback and any remaining 
corrections. If you are alone, you will have to find the 
meanings of unknown words, and the mistakes 
yourself. (thank goodness for the internet!) 
 
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The listening materials and the role play materials are 
done in the same way, each with its own emphasis. 
The listening material, for example, concentrates on 
pronunciation. 
 
Pikku can help students who do not have partners, by 
having regular video calls with them or by arranging 
a partner for them.  
 
email her at: [email protected] 
 
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Table of Contents 
 
DIALOGUES............................................................................................................... 9 
1. COPD ....................................................................................................................9 
2. ASTHMA ...............................................................................................................15 
4. PRODUCTIVE COUGH ...............................................................................................28 
5. WHAT TO DO ABOUT SNORING ..................................................................................34 
ANSWERS..................................................................................................................41 
ROLE PLAY .............................................................................................................. 49 
ASSESSING THE THORAX AND LUNGS ...............................................................................49 
NASAL CANNULA (NASAL PRONGS) .................................................................................52 
OXYGEN DELIVERY WITH A VENTURI MASK ......................................................................53 
PURSED LIP BREATHING ...............................................................................................57 
DIAPHRAGMATIC BREATHING ........................................................................................59 
PERFORMING TRACHEOSTOMY CARE ..............................................................................61 
LISTENING .............................................................................................................. 64 
1. ASTHMA ...............................................................................................................64 
2. CROUP ..................................................................................................................69 
3. CYSTIC FIBROSIS (CF) ..............................................................................................73 
4. EMPHYSEMA ..........................................................................................................75 
5. PNEUMONIA ..........................................................................................................79 
6. PNEUMOTHORAX ....................................................................................................83 
7. PULMONARY EMBOLISM ..........................................................................................87 
9. TUBERCULOSIS (TB) ................................................................................................93 
10. ACUTE BRONCHITIS ...............................................................................................96 
11. PNEUMONIA ........................................................................................................99 
ANSWERS............................................................................................................... 104 
 
 
 
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Dialogues 
 
1. COPD 
Vocabulary for Barbara’s COPD 
 
Damage – injury/harm 
Tube – a hollow vessel or organ 
Obstruction - blockage 
Former – previous/earlier 
Irritants – things causing something to be more 
sensitive 
Pollution – contamination/dirt of water, soil, and air 
Contribute – help to cause/is an important factor 
in/add 
Floppy – loose and 
flexible 
Elasticity – able to return 
to its original shape  
Destroy – to put an end 
to something 
Inflammation – redness, 
swelling, tenderness, heat 
and pain in a part of body  X-Ray with COPD 
Mucus – slippery secretion from mouth, nose, 
esophagus and/or other body cavities 
Tend (verb) – is likely to 
Clog - block 
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Blessing - a special favor 
Cure - remedy a way to make something healthy 
permanently 
Reverse – opposite in direction or position 
Progression – movement forward 
Prescribe – to order (by a doctor) 
Advanced age – old age 
Taken a toll – cause gradual damage over time 
At this late date – late 
Blessing in disguise – an unfortunate situation that 
results in something positive 
 
 
Practice your vocabulary – Barbara’s 
Mom’s COPD 
 
You may have to change the words below (in the 
word bank) to make the sentences grammatically 
correct 
Word Bank: destroy, inflammation, former, tend, 
damage, mucus, obstruction, contribute, reverse, 
pollution 
 
1.  Doctor Jackson’s _______ nurse made headlines 
in a newspaper, because she rescued a baby from 
a burning building. 
 
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