Dialogue; Medical History. -Daily, throughout the day.
Ugalde Alegra Gerardo. -Something that decreases your
4to. 5
-Hi! Good morning, Im doctor
Ugalde, can you tell me your name?
-Maria Cruz.
-Ok Mrs. Cruz, how old are you?
-Im forty eight years old.
-When were you born Mrs. Cruz?
-I was born Ajacuba, Hidalgo.
-Where do you live?
-I live in Pachuca.
-Can you tell me your address?
-Articulo Street 82.
-Whats your religion?
-Im catholic.
-What is your last degree?
-Secondary school.
-Do you work?
-Yeah, I work for a maquiladora.
-Do you have a partner?
-Yes, Im married since 1990.
-Ok, now please tell me, what
happen you?
-I have been having a bad cough
that increased lately.
-Good, tell me this cough is with
phlegm or dry?
-It is dry.
-How often does cough occur?
cough?
-I thing no, perhaps heat, hot drinks
or climate.
-Have you taken something to
alleviate the problem?
-Yeah Doctor, I have drunk teas,
only.
-Have you had any other problems
related to de pain?
-yes, there are times I can hardly
breath work.
- How often occur?
-When I make some effort, when I
climb stairs, when I do the
housework.
-Something that decreases this
problem?
-Yeah, rest.
-Someone in your family, siblings,
parents or grandparents have had a
serious respiratory disease?
-No doctor, no that I know.
-Ok, I will ask you some questions
about your lifestyle and house.
-Ok.
-First, you told me that your house is
located in the city, isnt it?
-Yeah, but the street has much land,
is unpaved.
-And do you work for a
maquiladora?
-Yeah.
-Do you smoke?
-No doctor, I do not smoke.
-does anyone in your family smoke?
-yes, my husband.
-are you exposed to cigarette
smoke?
-yes, ever that he smoke.
-since when your husband smoke?
-since we got married.
-Ok, look, for you refer symptoms,
cough, difficulty breathing and risk
factors such as dust, factory and
cigarette smoke, I think you may
have a respiratory disease called
COPD, chronic obstructive
pulmonary disease, what makes this
disease is obstructing the routes
through which the air. Ill send you
to make a medical study called
spirometry and for now should no
longer be in contact with cigarette
smoke and when you do housework
use a face mask, just get out there
when done, with that will reduce
cough and breathlessness.
-but doctor, this disease, is COPD
severe?
-As it could lead to a total inability
to breathe if no corrected, the
trouble with this disease is that
there is no specific drug to treat it,
but if you being in contact with risk
factors you have, or at least
decreases it does not aggravate.
-then all is to stop breathing smoke,
dust, smog?
-yes, maybe if the problem worsens
be recommended to a drug, but this
would only serve to calm the severe
symptoms not to cure disease, but
for now the problem you are not
serious and only change their habits
and take more care can be
controlled.
-Ok, good doctor, thank you and
then I will go to me as spirometry
and I have the results Ill back.
-thanks to you, see you letter.