预防筛查 Prevention and Screening

By the end of this module you can…

• Talk through which screenings and vaccines are due, by age, sex and risk.
• Explain why to screen without symptoms: early detection, when treatment works best.
• Offer the choices for colon screening, and explain mammograms, Pap tests and lung CT.
• Answer requests for full-body checkups, tumor markers and endoscopy honestly.
• Explain why a symptom needs a workup now, not screening, and talk through shared decisions such as the PSA.

Key vocabulary

Fourteen words from this module. Tap the speaker to hear each one.

Screening

• 筛查shāi cháScreening
• 肠镜cháng jìngColonoscopy
• 大便检测dà biàn jiǎn cèStool test
• 钼靶mù bǎMammogram
• 宫颈涂片gōng jǐng tú piànPap test
• 骨密度gǔ mì dùBone density
• 低剂量CTdī jì liàng CTLow-dose CT scan
• 早发现zǎo fā xiànEarly detection

Vaccines and visits

• 疫苗yì miáoVaccine
• 带状疱疹dài zhuàng pào zhěnShingles
• 肺炎fèi yánPneumonia
• 破伤风pò shāng fēngTetanus
• 加强针jiā qiáng zhēnBooster shot
• 年度体检nián dù tǐ jiǎnAnnual checkup

Ten core phrases

The lines from this module’s take-home phrase sheet. In the course you can print them on one page for your pocket.

1. 今天是年度体检，我们看看有哪些检查该做了。Jīn tiān shì nián dù tǐ jiǎn, wǒ men kàn kan yǒu nǎ xiē jiǎn chá gāi zuò le.Today’s your annual visit: let’s see which checks are due.
2. 这个检查是为了早发现，那时候最好治。Zhè ge jiǎn chá shì wèi le zǎo fā xiàn, nà shí hou zuì hǎo zhì.This test finds things early, when they’re easiest to treat.
3. 没有症状也要做，因为早期一般没有感觉。Méi yǒu zhèng zhuàng yě yào zuò, yīn wèi zǎo qī yì bān méi yǒu gǎn jué.Do it even without symptoms; early on there usually aren’t any.
4. 可以做肠镜，也可以在家做大便检测。Kě yǐ zuò cháng jìng, yě kě yǐ zài jiā zuò dà biàn jiǎn cè.A colonoscopy, or a stool test at home.
5. 四十岁以后，可以开始做钼靶，一般两年做一次。Sì shí suì yǐ hòu, kě yǐ kāi shǐ zuò mù bǎ, yì bān liǎng nián zuò yí cì.From 40, you can start mammograms, usually every two years.
6. 宫颈癌筛查一般三到五年做一次，看做哪种检查。Gōng jǐng ái shāi chá yì bān sān dào wǔ nián zuò yí cì, kàn zuò nǎ zhǒng jiǎn chá.Cervical cancer screening is usually every three to five years, depending on the test.
7. 您今年打流感疫苗了吗？Nín jīn nián dǎ liú gǎn yì miáo le ma?Have you had a flu shot this year?
8. 五十岁以后，可以打带状疱疹疫苗。Wǔ shí suì yǐ hòu, kě yǐ dǎ dài zhuàng pào zhěn yì miáo.From 50, you can get the shingles vaccine.
9. 做不做，我们一起商量，看您怎么想。Zuò bu zuò, wǒ men yì qǐ shāng liang, kàn nín zěn me xiǎng.We’ll decide together, based on what matters to you.
10. 您有疫苗记录吗？在中国打过的也算。Nín yǒu yì miáo jì lù ma? Zài Zhōng guó dǎ guo de yě suàn.Do you have a vaccine record? Shots from China count too.

What’s in Module 8

1. Part 1 · Warm-UpWarm-Up: Checkups and Vaccines
2. Part 2 · The Words for PreventionReading the Pinyin · Hearing 体检, Offering 筛查 · Vocabulary · Flash Cards · What’s Due at This Age?
3. Part 3 · Recommending ScreeningThe Annual Visit Script · Why This Test, Why Now · Key Patterns · Colon Screening: Choosing a Test · Mammograms and Pap Tests · Vaccines for Adults
4. Part 4 · Choices and SafetyLung Screening for Smokers · Deciding Together: The PSA Test · When It’s Not Screening Anymore
5. Part 5 · Concerns & Checkups AbroadWhat Patients Say · “Can I Have a Full-Body Checkup?” · Three Words from Checkups in China
6. Part 6 · Role-PlayRound 1 · Guided Conversation · Round 2 · Controlled Practice · Rounds 3, 4 & 5 · Independent
7. Part 7 · Knowledge CheckModule 8 Knowledge Check
8. Part 8 · Wrap-UpModule 8 Homework · Take-Home Phrase Sheet · Module 8 Wrap-Up · 下次见