Introduction

1. Good evening, I can see from your chart that It is Abebe Debela,
Ist it?
2. Ok, now, Mr debela…What would you prefer me to call you?
3. Tom, fine. Debele.
4. My name is Molla, I’m the treating doctor for today? and
5. Ok , Mr. Debela, Could you tell me in your own words what
brought you here today?
6. Could you tell me your problem in detail?
Empathy
Oh, I'm really sorry to hear that!
Oh, it must have been verry painful!
Oh, it must be stressful for you!
Oh, I appreciate your (concern, worries, condition and fears?
Description of symptoms?
1. Would you mind if I ask you a few further questions
regarding your symptom?
2. How long have you been suffering from this problem?
3. How often do you have this problem?
4. How long does it last when you have it?
5. Can you remember anything that brought it on?
6. It there anything you suspect that might cause this problem?
7. When you have this problem, what does it feel like?
8. Would you mind telling me how it feels/hurts?
9. Have you ever had anything like this before?
10. Have you encountered such kinds of pain before?
11. Does it affect your job/work?
12. Does it hurt when you go to work?
13. Is there anything that makes it better/worse?
14. Do you remember anything that makes your headache
sever?
15. At what time this problem is verry severe?
16. Have you had any other additional symptoms related
with 5this pain?
17. Any diarrhea?
18. What about your appetite? are you eating well?
19. Do you have appetite as usual when you suffer from
this pain?
20. Have you felt dizzy?
21. Do you feel dizziness? Moreover, to this, is there any
pain/ problem/suffering?
22. Have you experienced any difficulty in breathing?
23. Do you have any difficulty when you walk/ while you
are walking?
24. What about your breathing when you get the pain?
25. Do you have any difficulty in breathing?
26. Do you limit the kind of activities because of the SOB?
27. Are you on/taking any medication?
28. Have you taken any medication before?
29. Have you had any treatment before?
30. Have you had any medication for the headache?
31. Did you have any treatment/hospital admission before?
32. Is there any problem with the medication?
33. What were the different treatment you have had taken
before?
34. Have you had any symptom like this before?
35. How long does it last when you have the headache?
36. Does anyone else in your family suffer from this
problem?
37. Is there anybody in your family suffer from this
problem?
38. Is there anybody from your parents or partner suffer
from this problem?
39. What did he die of?
40. By what cause he died of?
41. What was the cause of his death?
42. Why he passed away?
43. What made him passed away?
44. What made him his life departed
45. Are your parents alive or dead?
46. Are your parents living?
47. Have you ever been admitted?
48. Are you living alone or with your family?
49. I would just like to_________/ would you
please______.
50. Would you mind taking off your jaket? I am going to
examine your chest?
51. Please once breath/inhale deeply?
52. Please back up your shirt once, I am going to measure
your B/P?
53. Thank you, I have finished the examination, please wait
outside for further laboratory tests?
54. Thank you, I have finished the examination, please wait
me outside, we will call you latter to have some
prescription?
55. Can you move your finger?
56. Can you touch your finger?
 57. Does it hurt when I touch your abdomen?
58. Right now, I have finished the examination, you can
leave or wait for laboratory tests?
59. How have you been getting on?
60. How is the medication working out?
61. Next, you are going to contact (keep in touch) a nurse
for further investigation?
62. How do you feel about using insulin injection?
63. When was the last time you have had vaccinated tenus.
64. Do you remember the last time vaccinated for tetanus?
65. When will you have had the appointment?

Ordering investigation
 We will run some tests to see ……
 I think we can start by doing
 It is verry important that we do a few further investigation
including……….
 Its better/nice to have some tests.
 Its pretty good to have some tests for astma.
 Further information is required in order to rule out bowel cancer.
Diagnosis
 Well, based on your symptoms and examination findings, I believe
that you have what is called asthma. Let me explain it to you in
detail.
 You are suffering from a condition known as asthma. Have you
ever heard of that?
 Your x-ray indicates that you have asthma.
 Your test results indicate that you have asthma.
 The tests show that it is probably a condition known as asthma.
 1. Well, based on your symptoms and after examination, I believe that
you have / your child has what is called (asthma), let me explain
what does it mean/ it for you in detail/Have you ever heard of that?
2. Do you know anything about astmha?
3. You are suffering from a condition known as ________. Have you
ever heard of that?
4. Joe is suffering from a condition known as __________
5. The X-ray indicates that you have _____.
6. The X-Ray indicates that your child has ______.
7. The tests show that it is probably a condition known as ….. and let
me explain……
8. Blood tests results indicate that you have Hepatitis A. Do you know
anything about this condition? Okay I will explain it to you.
Explain
 It is a condition caused by?
 The symptoms include?
 The best treatment includes?
In middle
 Is that clear? Am I clear so far/ how does that sound?
 Do you understand so far?
 Do you have any question?

Management

 There are several treatment options available which will help you.
would you like to hear more about that?
 There are several treatment options available that will help you. Do
you like to hear more about that?
 There are some verry effective strategies to cope with asthma! Let
me explain them to you in details? Is that okay?
 First of all, you need to do exercise. It will help you to lose
weight.
 It is also necessary to drink water. It will help you to get hydrated.
 Do you think you can do it?
Reassurance:
 Let me reassure you that eczema is self-limited.
 It is verry important for you at this time not to worry.
 Do not worry it will go away by itself in a few days with some rest.
 I know it sounds difficult at first but with practice, I am sure you
will be able……….
 Don’t worry if you can follow my advice, you will get much better
soon.
 Don’t worry, everything will settle down in a few days. These
symptoms are verry normal for this virus.
 Try not to worry, I am sure he will feel better once we get his
temperature down.
 Try not to worry too much, your BP is normal and as long as you
stay on the medication, you will be fine.
 Honestly, I am sure you don’t have any more trouble.
 Honestly, I am sure you will feel better in a few days.
 There is really no need to worry.
 The more relaxation and rest you have, the better you will feel.
 The staff here are verry experienced and will take good care of
you!

Reluctant Patient
1. I am really appreciate your concern but let me …………?
2. I can understand your concern but let me …………..?
3. I know how you feel but let me…………………..?

Then

a. Let me assure you, if you follow my advice the risk of heart

After Agreement

 I am pleased to hear that.

 As I said before?
 As I told you earlier?
 I am concerned about your smoking habit; it is important to
quit smoking?
 It is verry beneficial for you …….
 That is a good question and let me explain to you
that,,,,,,,,,,,,,.
 Another thing I would like you to do is to be careful
about……..


Breaking bad news

1- June, we have the test results back and I am sorry to tell you that
the cause of your symptoms could be more serious than you think
and that is the risk that?
2- Fortunately, we caught it early, and there are some treatment
options such as chemotherapy.
3- We will keep a close on you and be sure you are in a verry good
hands.
4- It may be a good idea to talk to someone about this. Do you have
any relative or close friend who can help you and provide support?
5- Helo sir/madam, thank you for visiting the clinic once again. I
know that you have been waiting for the result of the test.
 However, before telling you what the test had revealed, I would
like to tell you that life sometimes puts us in serious situation, but
we have to be strong enough to face such difficulties. Sir, mam the
unfortunate truth what we have is that you are suffering from…….
6-
Suggestion
 How about trying cutting down on the number of cigarettes you are
smoking.
 Why don’t you get a little more rest each day?
 Why don’t you try some exercise each day?
 What about visiting you each day and check up on your progress?
 It might be a good idea to…
 How about joining a social club?

Ending
 A referral to a ______might be needed, he is a specialist in your
condition.
 Would you like me to arrange a drive for you to your home.
 Would you like to let one of my assistances drive you home?
 I would like to give you my card with my personal number, if you
would like to ask about anything latter, please don’t hesitate to
contact me at any time.
 Wish you a speedy recovery and a good luck.
 Do you have any more question?......Hope you feel better soon.
 I would like to see you in a week don’t hesitate to call me if you
have any concern?
Children
Good morning Patricia, you’ve brought your daughter along, I see. What
seems to be the problem?