Black Out

Image source:  WorldArtsMe


Allison just moved to a big city for a new job. She is still adjusting to its hustle and bustle. She isn’t specifically used to the daily traffic jam. Running on only four hours of sleep and skipping breakfast she went to work and blacked out.


Nurse:              Hi Allison! You suddenly blacked out at work today and was brought to the clinic.

Allison:            Yeah. The last thing I can remember was talking to my co-worker and I suddenly lost consciousness.

Nurse:              Did you skip breakfast this morning?

Allison:            Yup. I was in a rush because I want to avoid getting stuck in a traffic jam.

Nurse:              You just had hypoglycemia or low blood sugar earlier that caused you to pass out.

Allison:             It was my first time to suddenly black out.

Nurse:              I suggest that you carry hard candies with you all the time just in case you’ll have another hypoglycemic episode.

Allison:             I’ll take note of that! Thanks!

Nurse:              You’re welcome.


Black out To lose consciousness, faint, collapse or pass out

She got so nervous that she blacked out.

Hustle and bustle Used to describe a noisy surrounding, usually common in a city

She likes to hear the hustle and bustle of the city- the honking of cars and the busy pedestrian.

Traffic jam The standstill of vehicles due to heavy congestion, road construction or accident

It is quite hard to avoid traffic jam in a big city.

Running on (something) The use of something to function or work

Doctors and nurses can run on just a few hours of sleep.

Hypoglycemia Low blood sugar level

She hasn’t eaten anything since this morning that she is already having hypoglycemia.




1.Why was Allison brought to the clinic?

a. She was lost.       c.She was hungry.

b. She blacked out. d. She fell asleep.

2.To black out means the following, EXCEPT:

a. Collapse                 c. Faint

b. Pass out                 d. Collide

3. In which of the following places would the phrase “hustle and bustle” most likely be experienced?

a. Countryside         c. Suburb

b. Province               d. Metropolis

4. Why do you think Allison blacked out?

a. Low blood sugar   c. Hyperglycemia

b. Hypoxia                  d. Hypovolemia

5. What did the nurse suggest Allison to always bring with her?

6. List all the possible causes of a traffic jam.

7. What do you usually do to avoid getting stuck in a traffic jam?




Die a Natural Death

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Marie works in a home care facility as a nurse. She helps take care of geriatric people by assisting them in their ADLs or activities of daily living.  Nurse Marie displays an exemplary performance. She takes care of her patients like her own family and she is commended for it.  One of the patients under her care today is Mrs. Campbell, an eighty-one-year-old retired college literature professor.


Nurse Marie:                 Good morning, Mrs. Campbell! How’s your day going?

Mrs. Campbell:              Not much, Marie. I’m just reading a Jane Austen novel to pass the time.

Nurse Marie:                 Oh, what’s the title of that novel?

Mrs. Campbell:              It’s the one called, Emma.

Nurse Marie:                 It sounds interesting. I have only read Pride and Prejudice though.

Mrs. Campbell:              It is! I can lend you this book.

Nurse Marie:                 That is so sweet and nice of you, Mrs. Campbell.

Mrs. Campbell:              Oh, no biggie! You can actually keep the book. I’m old enough and might die a natural death soon.

Nurse Marie:                 Nah. Let’s rather not talk about that and celebrate life!

Mrs. Campbell:              I’m just kidding. (Laughs)



  • Die a natural death
  • Home care (facility)
  • Geriatric
  • Activities of daily living
  • Exemplary
  • Commend
  • Pass the time
  • Lend
  • No biggie


Die a natural death Death caused by the natural aging process or  due to old age, not by an accident or illness

Her grandpa was ninety years old when he died a natural death.

Home care facility A home care facility is a boarding or residential facility usually for older adults who are recovering from an illness or those who need assistance in doing activities of daily living.

The residents of the home care facility are preparing for their upcoming Thanksgiving party.

Geriatric Refers to older people, especially those who need special care

The residents of the home care facility are usually geriatric people.

Activities of Daily Living Refers to the everyday activities that people normally do without any help. These include bathing, eating, walking, defecating/pooping, etc

Grandma Campbell needs some assistance in doing activities of daily living.

Exemplary Showing an excellent quality or performance

Elena did an exemplary performance in school.

Commend To praise, give good feedback or opinion

Macy was commended for her unique artwork.

Pass the time To keep oneself busy doing something to make the time pass

She was reading a book to pass the time.

Lend To let someone use or borrow something

Josh lends Chris money.

No biggie Informal way of saying “no big deal”

Driving for hours was no big deal for him just to see her.








Green around the Gills

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Steven looked green around the gills when he came home from school. His mom also noticed the he didn’t have appetite for breakfast that day.


Mom:                Hey honey! How are you feeling right now? You look kind of green around the gills.

Steven:             I feel like I’m going to be sick, mom. My jaw hurts and I find it painful to chew or swallow.

Mom:                Come here. Let me check your temperature.

Steven:             Mom, can I just go upstairs and climb into bed after you check my temperature?

Mom:                Sure sweetie. I’ll cook something for you in the kitchen while you nap. What do you want?

Steven:             I’m not really hungry, mom.

Mom:                Okay. I’ll just make an egg drop soup to warm your tummy. I need you to eat so you will be in the best of health again.


  • Green around the gills
  • Upstairs
  • Climb into bed
  • Best of health
Green around the gills To look sick

The flu made her look green around the gills.

Upstairs The upper or higher floor of a house or a building

His bedroom is located upstairs.

Climb into bed To get or hop into bed

She climbed into bed late after having a movie marathon.

In the best of health In a healthy condition

She was still in the best of health last year, but she suddenly fell ill this year.



Bitter Pill to Swallow

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Grandma Katherine has a poorly healing wound on her left foot. She also started developing fever and chills. She is a known diabetic and experiencing blood sugar spikes every now and then.


Physician:                     Good morning, Mrs. Katherine. How are you doing now?

Grandma Katherine:       Good morning to you as well, doctor! I’m still feeling kind of stressed because of my hospital confinement.

Physician:                     Rest assured that our healthcare team will take care of your needs during your hospital stay.

Grandma Katherine:       Thank you, doc.

Physician:                     You’re welcome. By the way, I have a few things to ask you regarding your condition.

Grandma Katherine:       Go ahead.

Physician:                     Can you still remember as to when your foot ulcer started to develop?

Grandma Katherine:       Hmm…I’m not exactly sure, but as far as my rusty memory can remember it started some 2 months ago. It only started as a small sore, now it’s already the size of my palm.

Physician:                     We need to perform a debridement to clean your wound and I need you to sign a consent.

Grandma Katherine:       What’s the prognosis of my condition?

Physician:                     We will observe the healing of your wound after debridement. If there is extensive tissue damage and life-threatening infection, it may be a bitter pill to swallow but amputation is our last resort.


  • Spike
  • Every now and then
  • (Foot) Ulcer
  • Rusty
  • Debridement
  • Prognosis
  • Bitter pill to swallow
  • Amputation
Spike To suddenly increase

Her blood sugar suddenly spikes after eating dinner.

Every now and then From time to time

She visits her parents in Tennessee every now and then.

Ulcer A cut or break on the surface of the skin

He was bedridden for months and pressure ulcers already developed on his back.

Rusty Impaired skill or ability because of lack of practice or disuse

My piano skill has become rusty.

Debridement (di-brid-ment) Removal of dead tissues to clean a wound

Grandma Katherine will undergo debridement of her diabetic foot.

Prognosis The chance of recovery from a disease

The doctor said her condition has a good prognosis.

Bitter pill to swallow Unfavorable situation that a person must face and accept

Losing his dog was a bitter pill to swallow.

Amputation To cut or remove a body part, especially a limb, through surgery

The car accident led to the amputation of his leg.



Bundle of Nerves



Mrs. Clark was brought to the hospital due to heartburn. She had her work-up done. She also underwent an endoscopy and she was a bundle of nerves while waiting for the physician to tell her the findings.


Physician:         Good day, Mrs. Clark! Do you feel much better now?

Mrs. Clark:        Hello, doctor! I feel a whole lot better, but I’m a bundle of nerves right now to find out the results of my work-up.

Physician:         Oh, I understand how you feel, Mrs. Clark, but you need to hold your nerve.

Mrs. Clark:        So, can you please reveal the results to me now, doctor?

Physician:         Your endoscopy finding reveals gastroesophageal reflux disease (GERD).

Mrs. Clark:        Oh, I’m relieved to know it’s nothing serious. Is it?

Physician:         As of now, we cannot really tell the gravity of your condition so we might have to run further tests to identify the root cause of your acid reflux. We have also already sent tissue samples for biopsy.  Just stay calm, there’s no reason to fret.

Mrs. Clark:        Thank you, doctor!


  • Heartburn
  • Bundle of nerves
  • Hold your nerve
  • Endoscopy
  • Gastroesophageal reflux disease
  • Gravity
  • Acid Reflux
  • Biopsy
  • Fret
Heartburn Burning sensation in the chest usually due to acid reflux

Anna experienced heartburn after eating dinner.

Bundle of nerves An extremely nervous or tense person

I am usually a bundle of nerves before a flight.

Hold your nerve To stay calm during difficult situations

She can’t hold her nerve during an exam.

Endoscopy A diagnostic procedure/examination that involves viewing of an internal organ, specifically the esophagus and the stomach by inserting a tiny tube with the aid of an illuminated instrument (an endoscope)

The endoscopy revealed an inflamed esophagus.

Gastroesophageal reflux disease


A digestive disease wherein the esophageal sphincter (the ring of muscles at the bottom of the esophagus) relaxes and fails to close allowing acids and other stomach contents to backflow into the esophagus

I always experience heartburn right after eating. I feel like I have gastroesophageal reflux disease.

Gravity The seriousness, severity of something such as a disease or a situation

The gravity of his heart disease was so severe.

Acid reflux The backflow of stomach acids usually to the esophagus which causes heartburn

I had a bad acid reflux this morning after having coffee.

Biopsy A medical procedure wherein a tissue is taken and sent to the laboratory to analyze the existence of a certain disease, its cause and extent

Andrew is so nervous to know the result of his liver biopsy.

Fret To worry or be anxious

I try not to fret during exams.




Clean Bill of Health



Maisie had to skip school because she was sick with the flu. The doctor advised her to stay home until she is given a clean bill of health.


Maisie:              Mom, I wonder when I can go back to school. I already missed so many quizzes.

Mom:                Nah. I don’t think it will be any time soon. You’ve only been away for two days.

Maisie:              So, when do you think I can resume school?

Mom:                Sweetheart, you are sick with the flu and it is considered highly contagious.

Maisie:              Ugh! I’m already getting bummed out here, mom.

Mom:                It’s alright. It’s not going to be much longer. We will visit your doctor this Friday for a follow up check.

Maisie:              And if I’m given a clean bill of health, can I already go to school next Monday?

Mom:                Pretty much.


  • Clean bill of health
  • Contagious
  • Bummed out
  • Pretty much
Clean bill of health Statement/news that the patient is in good health, usually said by a physician after examining the patient

Maria was given a clean bill of health after all her work-up results came out negative.

Contagious Power/capability of a certain disease to spread from one person to another

Influenza or flu is considered to be a contagious disease.

Bummed out Feeling sad or depressed

Timmy was bummed out during his first few months of living abroad.

Pretty much Almost, kind of, sort of, nearly

She was pretty much late for work because of the heavy traffic.

Thinking time.jpg

Life is likea cup of tea..jpg

As Fit as a Fiddle



Grandpa George is already 85-years-old but he is still as fit as a fiddle. He went to visit their family physician, Dr. Myers, for his monthly check-up.


Dr. Myers:                     Hello Mr. George! How are you doing today?

Grandpa George:          Very well, thanks!

Dr. Myers:                     That’s great to know then! I’ve got good news for you. All your work-up results are within the normal range.

Grandpa George:          Oh, that is really wonderful! I mean, I’m still as fit as a fiddle                                                             considering my age.

Dr. Myers:                     Indeed! Your age is actually past the average lifespan of people in the                                           US.

Grandpa George:           I agree. Most of my friends already breathe their last.

Dr. Myers:                     Congratulations on being in good health! Thanks for religiously                                                        visiting my clinic for your regular check-up. See you next month!

Grandpa George:           You’re welcome and thanks as well for helping restore my health.


  • As fit as a fiddle
  • Check-up
  • Work-up
  • Breathe (one’s) last
  • Religiously
As fit as a fiddle Physically fit, in good health

He may be old but he is still as fit as a fiddle.

Check-up The process during which a patient visits  a doctor for examination or consultation

Grandpa George never misses his monthly check-up.

Work-up A complete medical examination that typically includes the following: medical history-taking, physical assessment, laboratory tests, x-ray and other imaging tests.

His work up reveals normal results

Breathe (one’s) last To die

He managed to see his wife before she breathe her last.

Religiously Obeying or following rules, doing something regularly

He religiously goes to school.