Artsun Akopyan - SPEAK! American English Conversation. 6,000+ Vocabulary Words and Phrases in Dialogues

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This book lets you learn almost 4,000 most important English words and more than 2,000 common phrases by using them in conversations. New words and phrases are highlighted in bold and are listed below each conversation. The tutorial can be used by learners of English as a second language when preparing for TOEFL or IELTS. It might also be useful for teachers of English as a foreign language. All conversations are original and written by the author, and edited by David Christian in the USA.

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terminally ill

hope for

nothing but

the only hope

improvements in

drug therapy

Is it true that…

caused by

the main difficulty

without symptoms

find out

too late

55. My eighty-year-old grandma has a fever

My eighty-year-old grandmahas a fever. How do we identify itscauses?

A fever is a commonsymptom of the fluvirus.

So, she caughtthe flu from my ninety-year-old grandpa.

Do they have equally hightemperature?

He had a fever last week. His temperature decreasedto normalrecently.

Did he take tabletsfor fever?

Yes, but she does not want to take them. Her temperature remainshigh for now.

She musttake the medicineto get better. Tell her they are vitamins!

* * *

Words

better, caught ( base form: catch), common, decrease, eighty-year-old, equally, fever, flu, grandma, grandpa, high, identify, its, medicine, must, ninety-year-old, normal, remain, tablet, vitamin, week

* * *

Phrases

has a fever

a common symptom of

the flu virus

caught the flu from

equally high

last week

take tablets for

for now

to get better

56. Are patients put to sleep during surgical operations?

Are patientsput to sleep during surgical operations?

In some cases, they must be unconscious. In other cases, conscious.

When must a patientbe awake? Can you give a fairlycommon example?

Lasereye surgery. It’s a complexoperation to improvevision.

Is it crucialfor patients to stay motionless?

No, the complex surgical equipment controls every motionof their eyes.

Is there risk that the vision becomes worseas a result?

The risk is minimal. In most cases, the vision recoversquickly after the operation.

* * *

Words

awake, become, complex, conscious, control, crucial, during, equipment, every, example, fairly, improve, laser, minimal, motion, motionless, operation, patient, recover, result, surgical, unconscious, vision, worse

* * *

Phrases

put to sleep

in some cases

in other cases

be awake

a common example

eye surgery

a complex operation

to improve vision

Is there risk that…

becomes worse

as a result

in most cases

57. My fingers and toes are aching

My fingers and toesare aching. Besides, I have kneepain. What doctor should I see?

An orthopedist.

I also feelpain in the lungsand other internal organs.

Visitan internist. I know a good one, but she is pregnantand on maternity leave now.

In addition, I have nightmares. I dreamthat a hospital nurse drops poisonon my tongueby mistake. This causes throat spasm!

That is likely a mentalproblem. Does anyone get on your nervesin reality?

Yeah, poisonous snakesdo. They are hard of hearingbut see well up close. Their venomcan cause shock!

There are no venomoussnakes in ourarea. Start with consultinga psychiatrist!

* * *

Words

ache, aching, also, besides, close, consult, consulting, dream, drop, feel, hearing, internal, internist, knee, leave, lung, maternity, mental, mistake, nerve, nightmare, nurse, organ, orthopedist, our, poison, poisonous, pregnant, psychiatrist, reality, shock, snake, spasm, throat, toe, tongue, venom, venomous, visit

* * *

Phrases

knee pain

feel pain in

internal organs

visit an internist

on maternity leave

have nightmares

dream that

by mistake

throat spasm

a mental problem

get on your nerves

in reality

poisonous snakes

hard of hearing

see well

up close

start with

Going on Foot

58. Excuse me, how do we get to the city center?

Excuseme, how do we get to the city center?

It’s on the oppositeside of the river. You need to go across the river.

Is there a bridgenearby?

Yes, walk along the riverbank untilyou see it.

Is that far from here?

Yes, it’s a long walk. It takes about an hour to get there.

Is there a shorter path?

No, unlessyou take a boat.

* * *

Words

boat, bridge, center, excuse, foot, opposite, path, riverbank, shorter ( base form: short), unless, until

* * *

Phrases

Excuse me…

how do we get to

city center

on the opposite side of

walk along

a long walk

It takes…

to get there

a shorter path

take a boat

59. Excuse me, where is the nearest supermarket?

Excuse me, where is the nearest supermarket?

Walk straightthree blocks.

Is that far away?

It’s a fifteen minutewalk.

Is it open now?

It must be.

Thank you!

My pleasure.

* * *

Words

fifteen, minute, nearest ( base form: near), open, pleasure, straight, supermarket

* * *

Phrases

the nearest supermarket

walk straight

a fifteen minute walk

my pleasure

60. Excuse me, where is the restroom here?

Excuse me, where is the restroomhere?

Followthe wide corridorto the end.

We were at the end of it but didn’t find the door.

Turn right intoa narrow passage.

Okay, right. Where to next?

Go down the passage. The bathroom should be on the left.

Thank you very much!

You are welcome.

* * *

Words

corridor, follow, into, narrow, passage, restroom, wide

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