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.