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2 To the Doctor I don t understand Japanese medical terms. I d like to use this book to help explain my symptoms. MEDICAL HAND BOOK

3 CONTENTS I. AT THE HOSPITAL RECEPTION04-05 II. HOSPITAL DEPARTMENT (1) General indications for each department according to symptoms (2) List of Hospital Departments III. MEDICAL INTERVIEW IV. CURRENT SYMPTOMS (1) Time of onset (2) Physical condition 11 (3) Symptoms by body part HEAD EYES 12 EARS 12 NOSE MOUTH 13 THROAT 13 NECK 13 CHEST LOWER BACK 14 STOMACH / DIGESTIVE SYSTEM URINARY SYSTEM 15 ANAL ORIFICE BRAIN / NERVE / MUSCLE 16 MENTAL HEALTH 16 SKIN WOMEN'S SYMPTOMS 17 CHILDREN'S SYMPTOMS INJURY 18 V. VACCINATION 19 VI. HUMAN BODY PARTS (1) Parts of the Body (2) Internal Organs 22 VII. CONVERSATION DURING MEDICAL CHECK 23 VIII. NAME OF CONDITION Respiratory Organ Ailments 24 Digestive Organ Ailments 24 Circulatory Organ Ailments 24 Liver / Gallbladder / Spleen Ailments Endocrine Ailments 25 Urologic Ailments 25 Common Women's Ailments 25 Common Children's Ailments Eye, Ear and Nose Ailments 26 Other Ailments IX. SPECIAL INSTRUCTIONS DURING MEDICAL TREATMENT (1) Medical Treatment 27 (2) Special instructions 28 X. MEDICATION (1) Type of medication (2) When and how to take medication (3) Precautions 30 2 CONTENTS / CONTENTS / 3

4 I. AT THE HOSPITAL RECEPTION Is there anyone who speaks English? Purpose of hospital visit Medical consultation/treatment Check-up To retrieve medication Vaccination Further testing after my health check Visit a patient This is my first visit. [I have / I don't have] a letter of introduction. / [I have / I don't have] heath insurance. / My insurance is National Health Insurance Social Insurance Overseas Travel Accident Insurance Do you have a(n)? Insurance certificate Patient registration card Maternal and child health handbook City/Town/Village medical card [Yes / No / I forgot to bring it] / / I want to visit the Department Refer to II HOSPITAL DEPARTMENT (P.5-7) Please take your temperature. Please wait here until your name is called. II. HOSPITAL DEPARTMENT (1) General indications for each department according to symptoms Headache: Internal Medicine, Neurosurgery Chest pain: Cardiovascular Medicine (Cardiology), Respiratory Medicine Stomach pain: Gastroenterology, Obstetrics & Gynecology Fever: Internal Medicine Nausea and vomiting: Internal Medicine, Gastroenterology, Urology Diarrhea: Internal Medicine, Gastroenterology Vomiting /discharge /coughing blood: Gastroenterology, Respiratory Medicine Injury / cut: Surgery, Plastic Surgery Broken bone /arthritis: Orthopedics Convulsions/seizures: Internal Medicine, Neurology Burns: Dermatology, Plastic Surgery, Surgery 4 I. AT THE HOSPITAL RECEPTION / II. HOSPITAL DEPARTMENT / 5

5 Dizziness: Otorhinolaryngology-Ear, Nose and Throat, Neurology Pregnancy: Obstetrics & Gynecology Children's sickness: Pediatrics (2) List of Hospital Departments Internal Medicine General Diagnosis and Treatment Department Respiratory Medicine Cardiovascular Medicine (Cardiology) Gastroenterology Nephrology (and Diabetes) Neurology Diabetes and Metabolism Hematology Allergy Rheumatology Infectious Diseases Psychosomatic Medicine Dermatology Pediatrics Psychiatry Emergency Department Surgery Thoracic Surgery (Respiratory Surgery) Mammary Gland Surgery (Breast Surgery) Surgical Tracheoesophageal (Bronchoesophagology Surgery) Gastrointestinal Surgery, Proctology Cardiovascular Surgery Neurosurgery Pediatric Surgery Urology Plastic Surgery (Cosmetic Surgery) Orthopedics Physical Medicine and Rehabilitation Pain Treatment Clinic Ophthalmology Otorhinolaryngology-Ear, Nose and Throat Obstetrics & Gynecology Obstetrics Gynecology Dentistry Pediatric Dentistry Oral and Maxillofacial Surgery Orthodontic Dentistry III. MEDICAL INTERVIEW My name is In romanized letters. In hiragana (katakana). Gender [Male, / Female]. / Date of birth (month/ day/ year). I am years old. 6 II. HOSPITAL DEPARTMENT / III. MEDICAL INTERVIEW / 7

6 Blood type [A /B /O / AB / don't know]. Nationality Address in Japan Home telephone number Cell phone / PHS number Currently receiving treatment for Refer to VIII.NAME OF CONDITION (p.24-27) [I am / I am not] currently taking medication. / Patient s History Brain disorders Heart disease Respiratory organ ailments Liver disease Kidney disease Gastric duodenal ulcer Tuberculosis Lumbago/Arthralgia High blood pressure Asthma Epilepsy Diabetes Mental disorders HIV Other infections Other ailments Nothing in particular Allergies Medicinal Food Bees (insects) Hives Asthma Rash Anaphylaxis Other Surgical history Refer to VI. HUMAN BODY PARTS (p.20-22) / VIII.NAME OF CONDITION (p.24-27) Brain Chest Stomach Extremities (Hand, arm, leg) Other None Recent overseas travel Country name Traveled in (month) Vaccination history Refer to V. VACCINATIONS (p.19) Family History Cancer Stroke High blood pressure Heart disease Diabetes 8 III. MEDICAL INTERVIEW / III. MEDICAL INTERVIEW / 9

7 A family member currently has [Influenza / Tuberculosis / other infection]. / / I might have food poisoning. I might be pregnant. I am weeks pregnant. My last menstruation was (date) [I accept / I do not accept] blood transfusions. / IV. CURRENT SYMPTOMS (1) Time of onset When did symptoms first appear? hour(s) ago day(s) ago week(s) ago month(s) ago The symptoms occurred for the first time have occurred before occurred suddenly sometimes occur [I have / I don't have] a specific hospital/clinic to go to. / The name of the specific hospital/clinic is are getting worse are getting better (2) Physical condition I have a fever. I have had a slight fever. I have the chills. I feel dizzy. I feel sluggish. I have cold sweats. I do not feel good. I have no appetite. My body weight suddenly [decreased / increased]. / My blood pressure is [high / low]. / My whole body hurts. (3) Symptoms by body part Please point to where it hurts. HEAD I have a headache. [severe / slight] / One side of my head hurts. My head feels heavy. I feel dizzy. My head is groggy. I feel lightheaded. 10 IV. CURRENT SYMPTOMS / IV. CURRENT SYMPTOMS / 11

8 I lost consciousness. (Date) EYES I cannot see things clearly. I am seeing double. My vision is blurry. I am seeing black spots. My eye hurts. My eyes are highly sensitive to light. My eyes are teary. My eyes are itchy. I have something in my eye. I have a sty. My eyes are bloodshot. I use contact lenses. EARS My ears hurt. There has been fluid coming out of my ears. My ears are ringing. I cannot hear well. I have something in my ear. I feel like my ear(s) is(are) clogged. NOSE I have a runny nose. I have a nosebleed. My nose is stuffed up. I can't stop sneezing. I can't smell very well. I'm having a hard time because of snoring. MOUTH The inside of my mouth hurts. The inside of my mouth is dry. My sense of taste has changed. My tongue hurts. I have a canker sore in my mouth. My teeth hurt. My gums are bleeding and are exuding pus. THROAT My throat hurts. It hurts when I swallow. Something is stuck in my throat. I lost my voice. My voice is hoarse. My throat is dry. I am coughing up phlegm. My tonsils are swollen. NECK My neck hurts. My neck is swollen. I can't turn my neck. CHEST (Heart symptoms) My chest hurts. I feel pressure in my chest. 12 IV. CURRENT SYMPTOMS / IV. CURRENT SYMPTOMS / 13

9 My chest feels heavy. The pain moves around. I have been having heart palpitations. My pulse is [slow / fast / disturbed (irregular heartbeat)]. / / (Bronchial / lung symptoms) Refer to THROAT (P.13) I have difficulty breathing. I have a cough. When I breathe, there is a whistling sound. There is a rough sound when I breathe. I am always short of breath. I am coughing up blood. LOWER BACK I have pain in my lower back. [I have / I don't have] numbness in my legs. / STOMACH / DIGESTIVE SYSTEM My stomach (upper abdomen) hurts. I have pain in my [side / lower abdomen / the whole stomach area]. / / My stomach always feels full. I have stomach cramps. I feel nauseous. I vomited [something black / something yellow]. / I vomited blood. I have heartburn. I have diarrhea. I am constipated. My excrement is [white / black]. / I have blood in my stool. I have frequent cases of gas. URINARY SYSTEM It is difficult to urinate. I frequently have to urinate. I do not urinate often. There is blood in my urine. It hurts when I urinate. After urinating, I still feel like I need to urinate. I cannot control my bladder. The color of my urine is darker than usual. Something was discharged with my urine. ANAL ORIFICE I have pain in my anal orifice. I have a bloody stool. I have pain [when I defecate / after I defecate]. / I have a hard time due to hemorrhoids. 14 IV. CURRENT SYMPTOMS / IV. CURRENT SYMPTOMS / 15

10 I had a discharge of pus. BRAIN / NERVE / MUSCLE I am having trouble remembering things. I am having difficulty speaking. I feel groggy. I have had convulsions. I am weak in some of my extremities (arm, leg, hand, foot). It is difficult to walk. My [hand / leg] is swollen. / I have numbness in some part of my extremities (arm, leg, hand, foot). My senses feel dulled. My face is numb. My joints hurts. MENTAL HEALTH I cannot sleep. I am irritable. I am lethargic. I can't concentrate. I am hallucinating (seeing and hearing things that do not exist). SKIN Something irritated my skin. I have a rash. I have an uncontrollable itch. I have hives. I have severe [sunburn / frostbite]. / I have [athlete's foot / warts / foot corn]. / / WOMEN'S SYMPTOMS I missed my menstruation. My menstruation period is irregular. My menstruation pain is severe. My menstruation is profuse. I have abnormal vaginal bleeding. I have excessive vaginal discharge. I have [pain / a lump] in my breast. / My genitals are [itchy / swollen / sore]. / / Please check if I am pregnant. [I am pregnant / I am not pregnant] / I have bad morning sickness. CHILDREN'S SYMPTOMS He/she does not eat. He/she does not nurse (drink baby formula). He/she is not energetic, is exhausted. He/she is in a bad mood. He/she has been crying all the time. 16 IV. CURRENT SYMPTOMS / IV. CURRENT SYMPTOMS / 17

11 He/she mistakenly [drank / ate] something. / INJURY The cause of the injury is a traffic accident something dropped I was hit by something I tripped I fell I was cut I was stabbed I sprained my. I have internal bleeding. My scar hurts. I tore my nail. I have a burn. I was bitten by [a dog / a snake]. I was stung by [bees / an insect]. / / V. VACCINATION I want a vaccination for BCG (tuberculosis) Diphtheria pertussis tetanus vaccine (DPT) Measles-rubella vaccine Japanese encephalitis PoliomyelitisPolio Mumps Chicken pox FluHibbacterial meningitis Hepatitis B Pneumococcus Influenza HPVcervical cancer This is my th time. My most recent vaccine was (date). 18 IV. CURRENT SYMPTOMS / V. VACCINATION / 19

12 VI. HUMAN BODY PARTS (1) Parts of the Body Forehead Eye Brow Ear Eye Shoulder Chin Neck Nose Mouth Back Nape Upper Arm Elbow Forearm Chest Solar Plexus Abdomen Waist Wrist Hand Upper Thigh Rump Knee Calf Shin Foot Ankle 20 VI. HUMAN BODY PARTS / VI. HUMAN BODY PARTS / 21

13 VI. HUMAN BODY PARTS (2) Internal Organs Liver Gallbladder Duodenum Small intestine Appendix Throat Colon Lung Heart Stomach Spleen Pancreas Kidney Large intestine VII. CONVERSATION DURING MEDICAL CHECK Let me examine you. Please open your mouth. Please turn around. Please roll up your sleeve. Please [take off / put on] your clothes. / Please lay on your [back / stomach]. / Please [inhale / hold your breath / exhale]. / / I will examine you by inserting my finger into your anal orifice. (digital rectal palpation) I will take your [body temperature / blood pressure]. / I will test your [blood / urine / stool / sputum]. / / / I will perform an [ultrasound / endoscope] exam. / I will take a X-ray angiogram of your digestive tract CT MRI electrocardiogram brainwave 22 VI. HUMAN BODY PARTS / VII. CONVERSATION DURING MEDICAL CHECK / 23

14 Hyperthyroidism Molluscum contagiosum

15 Mumps Roseola Whooping cough Hemolytic streptococcal infection Measles German measles Herpes stomatitis Fifth disease (Erythema infectiosum) Epilepsy Kawasaki disease Pediatric cancer Eye, Ear and Nose Ailments Near-sighted Far-sighted Astigmatism Squint Conjunctive inflammation Sty Allergic rhinitis Hay fever Sinusitis External otitis Tympanitis Other Ailments Bone fracture Sprain Sprained lower back Herniated disc Osteoporosis Mental disorder Influenza Other infection Collagen disease Sexually transmitted disease (gonorrhea/syphilis/hiv) Scabies IX. SPECIAL INSTRUCTIONS DURING MEDICAL TREATMENT (1) Medical Treatment Here is a prescription, please retrieve the medication from the pharmacy. I am going to give you an injection. I am going to give you an IV (it will take about hours). You need continuous treatment. Please continue daily treatment for [about day(s) / about week(s)]. / Please come back after[ days / weeks]. / Please come back before your medication runs out. Please come back immediately if your symptoms become worse. You need [to be re-tested / to be hospitalized / surgery]. / / I will introduce you to another hospital/medical clinic. You do not need treatment. This completes your medical exam. You do not need another medical exam. 26 VIII. NAME OF CONDITION / IX. SPECIAL INSTRUCTIONS DURING MEDICAL TREATMENT / 27

16 (2) Special instructions Please refrain from bathing smoking exercising drinking [Please do not go to work or school for days / It is ok to go to work or school] / A detailed explanation is needed. Please come to the medical exam with someone who can translate for you. X. MEDICATION (1) Type of medication I would like [leading medication / generic medication]. / This medication is to be taken [internally / externally / by injection]. / / The type of external medication is an adhesive patch an ointment eye drops nose drops an inhalant a suppository oral eardrops vaginal It has the following benefits reduces fever reduces pain relieves nausea improves intestinal activity encourages defecation improves sleep reduces inflammation relieves allergy symptoms opens the airway improves blood flow lowers blood pressure suppresses bacteria, viruses, parasites reduces coughing and phlegm reduces blood glucose levels normalizes cholesterol and neutral fat strengthens bones reduces dizziness provides mental stability (controls mood/feelings) prevents and cures ulcers (2) When and how to take medication Please [take / use] this medication times a day / during daytime hours morning afternoon night before going to bed before meals immediately before meals immediately after meals after meals between meals around o'clock when symptoms are severe 28 X. MEDICATION / X. MEDICATION / 29

17 Please take [ pill(s) / packet(s) / unit(s)] at each dosage. / / Please take at more than hour intervals. This should last days. Please take with 1 cup of cold or luke-warm water. Do not take with anything except water. Can take even without water. Take as is. Please inhale it. Please let it dissolve in your mouth. Please gargle it. Please [apply / stick] it it on your. / Please use these drops in your [eyes, / nose, / ears]. / / [right side / left side / both sides] / / Please spray it. Please give yourself an enema. Please insert this into your [vagina / anal orifice]. / Foreigner Consultation Center Interpretation by phone is available as listed below. Date: Monday-Friday 8:30-17:00 (closed on holidays) TEL/ Monday Portuguese Tuesday English and Japanese Spanish Korean Wednesday Thai Chinese Thursday Tagalog Portuguese Friday Thai Indonesian (3) Precautions Do not stop taking this medicine unless instructed by the doctor. [side effects / drowsiness] may occur. Chinese / Do not breastfeed while taking this medicine. Do not drink alcohol while taking this medicine. 30 X. MEDICATION / Foreigner Consultation Center / 31

18 Medical Interpretation Supporters MEMO We register medical interpretation supporters, and dispatch them in response to requests from the medical agencies. Please browse for details. This medical handbook can be downloaded This handbook can be downloaded from medical/index.html medical/index.html 32 Medical Interpretation Supporters / TEL FAX iia@ia-ibaraki.or.jp URL Published in 2012 Published by: Ibaraki Prefecture and Ibaraki International Association Kenmin Bunka Center Annex 2F 745 Ushirokawa, Senba-cho Mito City, Ibaraki TEL FAX iia@ia-ibaraki.or.jp URL

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