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December5,2008

PlainLanguageAlternatives forPatientInformationandConsentMaterials

Anotetothereadersandusersofthislist
Thislistofplainlanguagealternatives(atthe4thor5thgradereadinglevel)formedical andotherhighleveldifficulttermsisintendedfortheuseofallthosecommunicating withpeoplewhohaveweakliteracyskills.Thelistisnotyetcomprehensive,althoughI hopeitwillbesomeday.Idefinetermsastheyariseinthecourseofmyeditingpatient informationandconsentmaterials,sothislistisaverymuchaworkingdocument.That meansthatIamaddingtoandeditingthelistalmostdaily.Asaconsequence,youmay findsomeofthedefinitionsarestillprettyrough:someareawaitingapprovalbythe authors;somearespecifictocontextofaparticularworkandhavenotyetbeen generalized;somemayevenneededitingtocleanupmyerrors.(Pleasefeelfreeto pointouttheseerrors.Editorsneededitorstoo!) Iwelcomeyoursuggestionsandcommentsaboutanyofthetermsonthislist.Mygoal istomakesurethattheinformationmaterialswegiveparentsandpatientsis understoodbythewidestpossibleaudience. Ifyouwouldliketosharemyplainlanguagelistwithothers,youmaydosoaslongas youcreditmeasthesource,assetoutinthecopyrightnoticebelow.Ifyouchooseto modifythislistinanywayforyourownpurposes,pleasecontactmeforpermissionto useit. Thankyouforyourinterest. Sharon Nancekivell Freelanceeditor,writer,plainlanguageconsultant AssistantProfessor,BiomedicalCommunications,FacultyofMedicine,Universityof Toronto Email:sharon.nancekivell@sympatico.ca Telephone/Fax:5198369713
Copyright20022007,bySharonNancekivell.Allrightsreserved.Electronicorprintredistributionof thisworkfornonprofitpurposesispermitted,providedthisnoticeisattachedinitsentirety.All unauthorized,forprofitredistributionisprohibited.Forfurtherinformationaboutreprintingthiswork, pleasecallSharonNancekivell.

page 2

Theplainlanguagelist

Insteadof A
[abbreviationsofanykind]

Use

writeoutinfull;includetheabbreviation onlyifpatientswillhearitconstantlyor ifitismeaningful bloodproductsusedtotreatproblems withbleeding abloodproductusedtopreventbleeding ortreatbleedinginpeoplewhohavethe blooddiseasecalledhaemophilia stomach areaaroundthestomach havingalotoffataroundthewaist afreeprogramontheInternetthatlets childrenandadultswithdisabilities writeletterstootherpeoplewithsimilar interests swollenareafilledwithathickyellowor greenliquidcalledpus seizuresthatcauseonlyabrieflossof awareness[?] breakdown breakdowneasilyinthestomach

[clotting]factorconcentrates[seealso factorVIII]

abdomen

abdominalobesity AbilityONLINE

abscess

absenceseizures[alsopetitmalseizures]

absorb[also,digest]

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page 3

Insteadof

Use
emptyfromthestomach

accompany accredited ACEinhibitor

gowith officiallyrecognized amedicinethatopensupyourblood vesselstohelpyourheartpumpblood moreeasily[?] acetaminophen,suchasTempraorTylenol [NB:Alwaysusethegenericnamefirst, followedbythebrandnameifthebrand namewillhelpthereaderidentifythe medicine.]

acetaminophen

Achillestendon

acidosis

acids[stomach] acne acne alphaglucosidaseinhibitors

actionplan[asthma]

theheelcord,whichisthethickestand strongesttendoninyour[childs]body. Itconnectsthecalfmuscleinyour [childs]lowerlegtotheboneoftheheel. toomuchacidinthebloodandbody causedwhenthekidneysdonotwork properly harshjuices redpimples pimples drugs,suchasacarbose,thatbreakdown starchandsugarsinfoodssothatthe bodycanusethem awrittenplanthatyouandyourchild

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page 4

Insteadof

Use
makewithyourchildsdoctor.Ittells youandyourchildwhattodotocontrol theasthma.Thisplanalsoexplainswhat todowhenyourchildsasthmamakes yourchildstarttofeelsick.

activity,depressedpituitaryor hypothalamic

acupuncturist

acutecarehospital

adenoids

problemscausedwhenthepartofthe brainthatcontrolsthebodys temperatureandgrowthdoesnotwork well[?] apersonwhoputsneedlesintospecific partsofthebodytotreatproblems Anacutecarehospitaltreatspatientswho haveproblemsandillnessesthatarevery seriousordifficulttotreat.Usually speciallytraineddoctorstreatthese patients. lumpsoftissueatthebackofthenose arelikeatonsil,butareoutofsightup behindthenose problemscausedwhenthesmallorgans calledglandsmakefewerhormones,the chemicalsinthebloodthathelpmake otherorgansworkproperly[?] [Seesuggestionsforpreviousentry.] askfor support

adrenalactivity,decreased

adrenocorticalsuppression advocate

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page 5

Insteadof
aerobicexercise

Use
rhythmic,repeated,andcontinuous movementsofthesamelargemuscles thatlastforatleast10minutesatatime spray makeworse pushy actingangrytowardsothers feelinganxiousandrestless nowhitebloodcells,thepartoftheblood thatfightsinfection airway breathingtube airtube abloodproductthatmakestheamountof liquidinbloodvesselslarger lowamountsoftheproteinintheblood thatmaycausethebodytoswell. (Proteinisthematterthatmakesupmost livingthings.) specialalcoholcalledisopropanol70% somethingthatdoesnotbelonginthe body,aforeignsubstance[?] somethingthatcausesallergicreactions[?]

aerosol aggravate aggressive

agitation agranulocytosis

airway

albumin

albumin,decreased

alcohol allergen

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page 6

Insteadof
allogeneicbonemarrowtransplant

Use
abonemarrowtransplantfromeithera brotherorsisteroranotherpersonwhose bonemarrowmatchesyourbone marrow thetransplantofanorganfromoneperson toanother lossofhair choice(s) nomonthlyperiodofbleeding(ingirls andwomen) lossofmemory lossofmemory toomuchproteininthebody.(Proteinis thematterthatmakesupmostliving things.) anillnessthatcausesyoutomaketoofew redbloodcellsbecauseofproblemswith yourbonemarrow notenoughredbloodcellsintheblood specialsleepmedicine medicinethatkeepsyou[yourchild]still andmakessureyou[heorshe]feel[s]no painduringanoperation aspecialdoctorwhogivessleepmedicine anallergicreactionthatcouldcauseyouto

allograft

alopecia alternative(s) amenorrhea/amenorrhoea

amnesia amnesia amyloidosis

aplasticanaemia

anaemia anaesthetic[seealsolocalanaesthetic]

anaesthetist anaphylaxis

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page 7

Insteadof

Use
die

anemia,hemolytic/anaemia,haemolytic

anemia/anaemia

aneurysm,arterial

angina angiogram

thebreakdownofredbloodcells,thepart ofthebloodthatcarriesoxygentothe restofthebody notenoughredbloodcellsintheblood. (Redbloodcellsarethepartoftheblood thatcarriesoxygentotherestofthe body.) aweaknessinthewallofthebloodvessel calledanarterythatcausesthewallto swelloutlikeaballoon paininthechest atestthatletsthedoctorslookattheblood vessels.Specialpicturescalledxraysare usedtolookatthebloodvessels.Dyeis putintothebloodvesselstohelpthe doctorsseethem. amedicinethatopensupyourblood vesselstohelpyourheartpumpblood moreeasily[?] lossofappetite alackofoxygenthatcandamagethebrain stomachmedicine thespacebetweenthecorneaandtheiris oftheeye specialcreamthatkillsgerms

angiotensinreceptorblocker

anorexia anoxia antacid anteriorchamber[oftheeye]

antibioticointment

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page 8

Insteadof
antibiotics

Use
medicinesthatkillgerms medicinesthatfightinfections Antibioticsareusedtotreatorprevent certaintypesofinfectionscausedby germscalledbacteria.[Pharmacy templatestatement] Antibodiesfightinfections. protectionagainstgermscalledviruses aproteinmadebythebodytogetridof foreignthings,suchasbacteriaand viruses,whicharegerms medicinethatstopsthebloodfromclotting medicinestocontrolseizures,orfits medicine[apill?]putintotheopeningin thebumtostopyourchildthrowingup [?] medicinethatrelievesthesignsofallergies anxious[4thgradeword] alargebloodvesselthatbringsbloodwith lotsofoxygentotherestofthebody fromtheheart nointerestinanythingandnofeelings aboutanything notabletospeak

antibodies

anticoagulant anticonvulsants antiemeticsuppository

antihistamine anxious aorta

apathy

aphasia

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page 9

Insteadof

Use
right proper swellinginthebrainandspinalcord causingastifforpainfulneckandback, headaches,upsetstomach,andthrowing up breathinginthesmellofoilsthatcome fromplantsorrubbingtheseoilsonthe skin aheartbeatthatisnotregular asmalltubeplacedinthebloodvessels calledarteriestochecktheblood pressure asmalltubeplacedinanartery alargebloodvesselthatcarriesbloodwith oxygentoallpartsofthebody bloodvesselthattakesbloodfromthe hearttothebody bloodvesselthatbringsbloodtothebody paininthejoints swellingandpaininthejoints liquidcollectingintheareaaroundthe stomach

appropriate

arachnoiditis

aromatherapy

arrhythmia arterialcatheter[seealsocatheter]

arterialline,ARTline artery

arthralgia arthritis ascites

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page 10

Insteadof

Use
breathingfoodorliquidintothelungs gettingfoodorliquidintothelungs foodorliquidbreathedintotheairway insteadofswallowed aspirin,alsocalledacetylsalicylicacidor ASA pushy lossofstrengthandenergy aconditionthatcausesproblemsgetting airinandoutofthelungs wheezingandproblemsbreathing thepersonwhoteachesyouaboutasthma unsteadywalk the2upperpartsoftheheart,called chambers,thatcollectbloodfromthe bodyandlungs reducedsizeoftheballs,ortesticles [NOTE:ArecentstudybyanHSCauthor foundthatballsisthepreferred, understoodtermamongchildrenand theircaregivers.] fasten connect

aspiration

aspirin

assertive asthenia asthma

asthmaeducator ataxia atria

atrophy,testicular

attach

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page 11

Insteadof
audiologist

Use
apersontrainedtotestyour[childs] hearing adiseaseinwhichpartsofthebodyreacts toanddamagesitself aconditioncausedwhensomethinginthe childs[apersons]ownbodykillsred bloodcells[?] bloodthatistakenfromapatientsothat,if needed,itcanbegivenbacktohimor herduringorafteranoperation adetailedlookat,orexaminationof,the bodyaftersomeonehasdied.An autopsyisdonetofindoutthecauseof deathorlearnmoreaboutadiseaseor condition adetailedlookat,orexaminationof,the bodytofindoutthecauseofdeathor learnmoreaboutthediseaseor condition. knowabout nosperm,whichistheliquidfromaman thatjoinswiththeeggfromawomanto makeababy[?] toomuchproteinintheblood.(Proteinis thematterthatmakesupmostliving things.)

autoimmunedisease

autoimmunehaemolyticanaemia

autologousblood

autopsyorpostmortemexamination

awareof azoospermia

azotemia/azotaemia

B
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page 12

Insteadof
B&Osuppository

Use
medicinethatrelaxesthebladderand reducespain agermthatmaycauseinfections alivingthing(s)thatmaycauseinfections behaveintherightwayindifferent situations

bacterium/bacteria

behaveappropriately

amedicinethathelpstheleftsideofyour heartpumpbloodmoreeasilytotherest ofthebody[?] bilirubin theorangeyellowpartofhaemoglobin (Haemoglobinisthepartoftheblood thatcarriesoxygentothebody.) bilirubinemia/bilirubinaemia toomuchbilirubinintheblood,which maycausejaundice.(Bilirubinisthe orangeandyellowpartof hemoglobin/haemoglobin,thepartofthe bloodthatcarriesoxygentothebody. Jaundicecausestheskinandeyesto becomeyellow.) biofeedback amethodusedtoteachyouwaystofeel andcontrolthewayyourbodyresponds tosituations biopsy[seealsoheartbiopsy,cardiacbiopsy] takingasmallpieceoftissuefortesting bioptome atoolusedtotakeaverytinysampleof hearttissuethatistestedforsignsof rejectionofyourchildsnewheart winkingtoomuchwithoutcontrol[?]

betaadrenergicblocker

blepharospasm

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page 13

Insteadof

Use
holdingwater holdingairorgas clumpofblood thenumberofbloodcellsintheblood bloodpressureis2numbersthattellhow stronglyandhowoftentheheartpushes bloodaroundthebody measurementofhowstronglyandhow oftentheheartpushesbloodaroundthe body productsmadefromthebloodofpeople whogivetheirblood.Theblooddonated byadonoriscalledwholeblood.Whole bloodismadeupofredbloodcells, whitebloodcells,andplatelets,which arecellsthataremixedwithapale yellowliquidcalledplasma. apartofthebloodthatmakesotherblood cells apartofthebloodthatmakesbone marrow bloodgivenbyonepersontoanother abloodproductgiventosupplythepart orpartsofbloodthatapersondoesnot have[fromtheBloodBank]

bloating

bloodclot bloodcount bloodpressure

bloodproducts

bloodstemcells

bloodtransfusion

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page 14

Insteadof
bodymechanics

Use
movingthebodywitheachpart linedupsothatthemusclesand jointscanmovefreelyand naturally[?] aballofsoftfoodthatismixedwithwaterto makealiquid[?] thesoftfattymaterialinthemiddleofbones thatmakesbloodcells [seeallogeneicbonemarrowtransplant] swelling,redness,andpainintheintestines pooh,poop [NOTE:OxfordConciseEnglishDictionary (HSCstandardforptedmaterials) spelling] deadtissuesthatmakeupthebowel,or intestine aslowheartbeat theorganinsidetheskullthatdirectsall activityinthebody.Thebrainismadeup ofthecerebrum,thecerebellum,andthe brainstem. thepartofthebrainthatconnectsthespinal cordtotherestofthebrain.Thebrainstem controlstheheartbeat,breathing,and wakefulness,andmessagestoandfromthe braintootherpartsofthebody.

bolus

bonemarrow

bonemarrowtransplant boweldisease,inflammatory bowelmovement

bowelnecrosis

bradycardia brain

brainstem

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page 15

Insteadof
bronchi bronchitis

Use
breathingtubestothelungs[?] swelling,redness,andpaininthebreathing tubesthatmaycausewheezingor coughing tighteningofthemusclesaroundtheairway cramping,ortightening,ofthemuscles aroundthebreathingtubes tighteningofthemusclesaroundtheairway cramping,ortightening,ofthemuscles aroundthebreathingtubes thatyou[yourchild]canswallow

bronchoconstriction[alsobronchospasm]

bronchospasm

bymouth

C
cachexia lookingveryillandthinbecauseoflosing weightandeatingpoorly liquidleakingintothelungsbecauseof problemsbreathing longpillsthatholdtinypills[?] thestarchandsugarinfoods starchesandsugarsfoundinfoodssuchas bread,pasta,andsweets Cardiacarrestmeansthattheheartstops beating.

capillaryleaksyndrome

capsules carbohydrate

cardiacarrest

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page 16

Insteadof

Use
atestdonetocheckforsignsthatthebodyis rejectingthenewheart.Tinysamplesof tissuearetakenfromtheheartandchecked underamicroscopeforsignsofrejection

cardiacbiopsy[forhearttransplants;seealso heartbiopsy]

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page 17

Insteadof
cardiaccatheterization

Use

atestdonebyadoctorwhoputsanarrow tubethroughanarteryintoyourheartto takepicturesofhowyourheartisworking oneoftheteststhatgivesyourchildsheart doctor,orcardiologist,informationabout howyourchildsheartisworking [Shortversion]oneoftheteststhatgives yourchildsheartdoctor,orcardiologist, informationabouthowyourchildsheartis working.Thecardiologistputsalongthin tubeintoyourchildsheartthroughavein oranarteryinthetopoftheleg.Heorshe putsacolouredliquid,calledadye, throughthetubeintoyourchildsheart. Thecardiologistthentakespictures,called xrays,thatshowhowwellyourchilds heartisworking. [LongversionfromHSCbooklet]The cardiologistcarefullyputsalongthintube calledacatheterintoyourchildsheart throughanarteryorvein,usuallyfromthe groin.(Thegroinistheareabetweenthe stomachandthetopoftheleg.) ThecardiologistusesxraysonaTVscreen towatchthecatheterasitenterstheheart. Yourchildsheartwillkeepworking normallyduringthistest. Tolearnaboutthestructureofyourchilds heart,thedoctorputsaliquidcalledadye intothechambersoftheheartthroughthe catheter.Heorshethentakesxray picturesoftheflowofthedyethrough yourchildsheart.Yourchildwillgetridof CopyrightSharonNancekivell20022007.Allrightsreserved.Electronicorprintredistributionofthisworkfor thisdyeinhisorherurine,orpee,afew nonprofitpurposesispermitted,providedthisnoticeisattachedinitsentirety.Allunauthorized,forprofit hoursafterthetest. redistributionisprohibited. Afterthetestisfinished,thecardiologist takesthecathetersout.Heorshecoversthe

page 18

Insteadof
cardiacrehabilitation

Use
anexerciseprogramthathelpsmakethe heartandlungsstronger heartdoctor heartspecialist havingaheartthatislargerthannormal aweakeningoftheheartmusclethatcana childcanbebornwith,orgetfromgerms calledvirusesorfromunknowncauses. weaknessoftheheartmuscle amachinethatcarriesbloodawayfromthe heartandlungsduringaheartoperation. Thismachinecoolsthebodytemperature toreducethebodysneedsforenergy duringtheoperation. CPRisawayofstartingyourchildbreathing andtheheartbeatingagainifthelungsand hearthavestoppedworking damagetotheheart peoplewhohavethegeneforadiseaseor condition,butdonothavethedisease[?] ahealthcareworkerwhoistrainedto manageallpartsofyourcare[?] makesthecleardiskintheeyecalledthelens gowhiteorcloudy[?]

cardiologist

cardiomegaly cardiomyopathy

cardiopulmonarybypassmachine

cardiopulmonaryresuscitation,orCPR

cardiotoxicity carrier[i.e.,ofgenes]

casemanager

cataract

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page 19

Insteadof
catheter[seealsoarterialcatheter]

Use
asmalltubeplacedinsidethebodytogive liquidsandmedicines asmalltubeplacedinsidethebodytoaddor removeliquids dullachingpainoftheperineum(the openingaroundthebladder),withlossof feelingandcontrolofthebladderand bowels.Thesesymptomsarecausedby pressureonthenervescomingfromthe spine.[?] swelling,redness,andpainintheskin thebrainandspinalcord,whicharepartof thenervoussystem asoft,bendabletubethatisplacedinalarge veinintheupperchesttogiveliquidsand medicines asoft,bendabletubethatisplacedinalarge veinintheupperchesttoaddorremove liquids movingunsteadily unsteadywalk thepartofthebrainthatisbelowandbehind thecerebrum.Thecerebellumcontrols automaticbodymovementsandbalance. brainswelling

caudaequinesyndrome

cellulitis centralnervoussystem[seealsonervous system] centralvenousline,orCVL

cerebellarataxiaordysfunction

cerebellum

cerebral(o)edema

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page 20

Insteadof
cerebralpalsy

Use
problemswithmovementcausedbybrain damage aclearliquidthatflowsthroughandaround thebrainandspinalcordtocushionthem thewateraroundthebrainandspinalcord themainpartofthebrain.Theothertwo partsarethebrainstemandcerebellum. Apersontrainedto givespiritualandemotionalcareto patientsandfamilies. careforpatientsandtheirfamiliesinthe hospital. counselandsupportyouandyour family,offerprayers,andgivethe sacraments. swollen,sorelips treatmentwithmedicinesgiventokillcancer cells thetreatmentofadisease,suchascancer, withmedicines atubeputintothechesttogetridofairor extraliquid apictureofyourheartandlungs aninfectionthatcausesarashandblisters

cerebrospinalfluid,orCSF

cerebrum

chaplain

cheilitis chemotherapy

chesttube

chestxray chickenpox

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page 21

Insteadof
childlifetherapist/childlifespecialist

Use
Apersonwho workswithchildrenandtheirfamiliesto lowersomeofthestressandanxietythat theymayhavebecauseofstayinginthe hospital. helpsachildgetbetterbyusingplay. apersonwhoisspeciallytrained toworkwithchildrenandtheirfamilies tolowersomeofthestressandanxiety thattheymayhavebecauseofstayingin thehospital. toprovidechancesforchildrentotalk abouttheirfeelingsduringplay. tohelpchildrenunderstandthehospital andmedicaltreatments. bottlesthatyourchildcannotopen aspecialtesttoseeifabonemarrow transplantisworking.[?] apersonspeciallytrainedtoworkwithhisor herhandsandequipmenttotreatproblems withmusclesandbones,usuallythespine swelling,redness,andpaininthe gallbladder,whichholdsbile,theliquid thatthelivermakestohelpthebodyuse fat atypeoffatthatcanblockbloodvessels awaxy,fattysubstanceintheblood higheramountsofatypeoffatintheblood

childproofcontainers chimerismstudy

chiropractor

cholecystitis

cholesterol

cholesterol,increased

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page 22

Insteadof
circulation[blood] cirrhosis claustrophobia clearliquids/clearliquiddiet

Use
bloodflow lastingdamagetotheliver fearofbeingclosedinsmallspaces foodsthatyoucanseethroughandthatare liquidatroomtemperature anursewho istrainedspeciallyinthecareofchildren helpsmakeaplanofcareforachildand overseesthedetailsofhisorhercare helpsoverseesomeofthehealthcare workerswhocareforchildren helpsachildandhisorherfamilydeal withthestayinthehospitalbygiving supportandteachingthemaboutthe childsproblem bloodproductsusedtotreatproblemswith bleeding lackofoxygentothebrain aboutactivitiesofthemindsuchasthinking, reasoning,remembering,imagining,or learningwords[?] thegrowthofthemindsabilitytodomore difficultthinking,imagining,andlearning activities[?] soresthatareoftenfoundonthelipsand aroundthemouth(Coldsoresarecaused bythevirus,orgerm,herpessimplex.)

clinicalnursespecialist

clottingfactorconcentrates[seealso factorVII] CNSischemic/ischaemicattacks cognitive

cognitivedevelopment

coldsores

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page 23

Insteadof
colic collapse

Use
severepainsinthestomach fall cavedin whenthebodyshutsalmostcompletely down[?] partofthelungthathasfallenin[?] notbeingawake,orbeingunconscious,for morethanashorttime(Whenapersonis inacoma,heorsheseemstobeinadeep sleep.Thepersoncannotbewakenedor doesnotrespond.) sportssuchashockey,football,andsoccerin whichateamworkstogetherforacommon goal verysevereproblems paycarefulattentionto thinkcarefully beingsureofyourself private

collapsedlung coma

competitivecontactsports

complications concentrate

confident confidential

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page 24

Insteadof
congestiveheartfailure, orheartfailure

Use
aheartproblemthatcausesshortnessof breathandthebodytoswell,orholdwater adiseasethathappenswhenyourheart cannotpumpbloodtotherestofyour bodyproperly.Heartfailureisnotthe sameasaheartattack.Heartfailuredoes notmeanthatyourheartstopsbeating. liningoftheeyelidsandthewhitepartof theeye asoreorredeye awareness[?] troublehavingabowelmovement pooh,orbowelmovements,thataredifficult andhappenlessoftenthanusual poo/pooh,orbowelmovements,thatare difficultandlessoftenthanusual [NOTE:AnHSCstudyfoundthatpoo/pooh wasthewordbestunderstoodbychildren.] spreading catching adiseasethatspreadseasilyfromoneperson toanother

conjunctiva

conjunctivitis consciousness constipation

constipation

contagious

contagiousdisease

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page 25

Insteadof
contain

Use
have have...init aliquid[food,medicine]thatisgivenallthe timeforalongperiodoftime[?] birthcontrol acolouredliquidthatletsthedoctortake picturesoftheinsideofthebody afit,orseizure jerkymovementsofthebodyduringafit,or seizure organize,order,plan balance organization workingtogether[?] abilitytomovemusclestogethertodo something[?] theclearpartofthefrontoftheeye theclearpartthatcoversthefrontoftheeye. Itletslightintotheeyesothatwhatyou seeisclear. bloodvesselsthatbringbloodandoxygento theheartmuscle

continuousinfusion[feeding,medicine]

contraceptive contrastmedium

convulsion

coordinate coordination

cornea

coronaryarteries

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page 26

Insteadof
cortexorcerebralcortex

Use
thetoplayerofthecerebrumwherethe thinking,orconscious,tasksofthebrain takeplace medicinesthatgetridoftheswellinginthe airways Thesemedicinesarenotthesametypeof steroidsthatathletesusetomakethem betterattheirsports.Thesemedicinesdo notcausethesametypesofsideeffectsas thesteroidsthatathletesuse. [NOTE:Inclusionofthesecondparagraph wasrecommendedbythepharmaciststo clearupconfusionwiththevernacularuse ofsteroids.] CPRisawayofstartingyourchildbreathing andstartinghisorherheartbeatingifthe lungsandhearthavestoppedworking[?] resultsofabloodtestfordamagetotheheart orothermuscles.(Ahighnumbermay meanthattheheartorothermusclesare damaged.) longlasting anillnessthatlastsalongtime insulingivenallthetime[continuously] undertheskinwithapump[?] advise,guide

corticosteroids[forasthma]

CPR[cardiopulmonaryresuscitation]

creatinephosphokinasebloodmyoglobin levels

chronic[disease]

continuoussubcutaneousinsulininfusion

counsel[CWWB:Grade5]

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page 27

Insteadof
crumblyfoods CTscan

Use
foodsthatbreakintosmallpieces aspecialkindofpicture,orxray atypeofxraytakenwithamachinethat usesacomputertomakedetailedpictures oftheinsideofthebody atypeofxraytakenwithamachinethat usesacomputertomakedetailedpictures oftheskull,brain,orneck[braininjury] thewayyourpeopledothings anillnessthatcausesyou[aperson]togain weightandhaveweakmuscles blueskincausedbytoolittleoxygeninthe blood swellingandrednessinthebladderthat causespainwhenyoupee[NOTE:AnHSC studyfoundthatpeewasbestunderstood bychildren.] bleedingandswellinginthebladderthat causesyoutohavebloodinthepeeand painwhenyoupee

culture Cushingsdisease

cyanosis

cystitis

cystitishemorrhagic/cystitis,haemorrhagic

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page 28

Insteadof
cytomegalovirus,orCMV

Use
avirusthatcausessomepeopletogetsick. Althoughhalfthegeneralpopulationhas CMV,itdoesnotcausediseaseinhealthy persons.ButCMVmaymakesome childrensickorcausedeath. aninfectioncausedbythegermcalleda virus.Cytomegaloviruscanaffectthelungs andotherorgans.Itisalsoamemberofthe familyofherpesviruses.

D
daysurgery anoperationthatyoudonothavetostay overnightinthehospitalfor anoperationthattakesplaceonthesame daythatyougohome medicinethathelpsrelievestuffynoses theresultofhavingaheartthatdoesnot workproperly lessabletofightinfection morelikelytogetill[aninfection] problem[?] somethingthatisnotperfect[?] dry lossofwater

decongestant decreasedLVejectionfraction

decreasedresistancetoinfection

defect

dehydrated dehydration

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page 29

Insteadof
dehydration

Use
lossofwaterfromthebody dryness thelackofconnectionofthenervesfromthe braintothedonorheart apersonspeciallytrainedtocleanteethand giveadviceaboutkeepingyourteethand mouthclean nooxygen withoutoxygen feelingsofhopelessnessandsadness swelling,redness,andpainoftheskin roundovallumpthatgrowsbetweenthe3rd and5thweekofpregnancy skinpeeling findout grow gothroughthenormalstagesofgrowth gothroughdifferentstages[tobecome...] problemsdoingthethingsheorsheshould beabletodoforhisorherage notgoingthroughthenormalstagesof growthforhisorherage

denervation[hearttransplant]

dentalhygienist

deoxygenated

depression dermatitis dermoidcystordermoidtumour

desquamation determine develop

developmentaldelays

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page 30

Insteadof
diabetes

Use
adiseasethatoccurswhenyourbodycannot properlystoreorprocesssugar adiseasethathappenswhenyourbodydoes notproperlystoreorusethesugarthat yourbodyneedstoworkwell adiseasethatcausesyoutohavehigh amountsofsugarintheblood[andmakes youpeeoftenandalot] highamountsofsugarinthebloodcaused byhavingtoolittleofthechemicalcalled insulinintheblood.Diabetesmakesyou peeoftenandalot. diseaseofthekidneycausedbydiabetes diseaseoftheeyecausedbydiabetes identify findout beingattachedtoamachinethatdoesthe workofthekidneysforafewhours sweatingalot waterybowelmovements waterypooh,orbowelmovements

diabeticnephropathy diabeticretinopathy diagnose

dialysis

diaphoresis diarrhea

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page 31

Insteadof
dietitian

Use
apersonwhoknowseverythingaboutfood andistrainedtogiveadviceaboutmaking healthychoicesaboutwhattoeat apersonwho decideswhatkindoffoodyourchild needs advisesyouabouttherightliquidsand foodsforyourchild checkstheamountyourchildiseating andhisorherweighttomakesureyour childisgettingthebestfoodthatwill helphimorherheal breakdownanduse[food] emptyfromthestomach harshjuicesofthestomach amedicinethathelpstheheart contractproperlyandbeatregularly weaken[byaddingliquid] waterdown aninfectionthatcausesproblemsbreathing andswallowing seeingdouble blurredsight lackofabilitytodoeverydayactivities becauseofphysicalormentalillness

digest[orabsorb]

digestivejuices digitalis

dilute

diphtheria

diplopia

disability

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page 32

Insteadof
discard discharge

Use
throwaway...[specifywhere] leavingthehospital goinghomefromthehospital apersonwho makesaplanwiththehelpofyourfamily andmembersofthehealthcareteamto makesurethatyourchildsneedsaremet whenyourchildleavesthehospital givesinformationaboutandrefersyouto servicesinyourcommunitythatyour childneeds givesinformationabouthowtogethelp withmoneymatters thewritteninformationandinstructionsthe doctorgivesyouwhenyourchildgoes homefromthehospital talkabout adiseasethatcausesadonorstissueto attackthetissuesofthepersonwhogets thetissue.(Thedonoristhepersonwho givesthetissue.) illnesscausedwhenpartoftheliverblocked blockedbloodvessels,calledveins,inthe liver cleaningoutallthepooh[wastematter]that hascollectedinthebowel

dischargeplanner

dischargesummary

discuss disease,graftversushost

disease,venoocclusive

disimpaction

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page 33

Insteadof
disorder,thromboembolic

Use
illnesscausedwhenbloodvesselsare blocked confusion notknowingwhereyouareorwhatdayitis (Disorientationoftenhappenswhena personcomesoutofacoma.) canbethrownaway useonceandthrowaway stitchesthatdisappearormeltawayby themselves theareaaroundthestomachislargerthan normal taketheattentionawayfrom attentiongoesfromthingtoanother severeproblemsbreathing

disorientation disorientation[afterbraininjury]

disposable

dissolvingsutures

distention,abdominal

distract

distress,respiratory

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page 34

Insteadof
disulfiramreaction

Use
problemwithdrinkingalcoholthatcauses youtohavetheseproblems: aredface afastheartbeat,orpulse apoundingheart panting abadtasteinthemouth smellingsomethingbad anupsetstomach throwingup lowbloodpressure,whichisthe measurementofhowstronglyandhow oftentheheartpushesbloodaroundthe body pillsthatreducetheamountofwaterinthe body pillsthatgetridofextrawaterfromthebody byincreasingtheamountofpee[urine,or pee] waterpills amedicinethathelpsthebodygetridof extrawater[?] makingnewcells liquidormatterdraining likeabottleinthemiddleofthe[infusion] tubing.Thischambercollectsliquidfrom the[feeding]bagandslowsdownthe liquidasitgoesthroughtheinfusion tubinginto...[?]

diuretics

dividing[cells] drainage dripchamber[gravitydripchamber?]

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page 35

Insteadof
drowsiness drowsy dysgeusia dyspepsia dysphagia dysphonia dysplasia(ordisease),bronchopulmonary dyspnea

Use
sleepiness sleepy notabletotastenormally upsetstomach problemsswallowing problemsspeaking damagedlungtissue problemsbreathing breathless,orshortofbreath painandproblemspeeing

dysuria

E
e.g., forexample suchas [NOTE:dontuselike;itsmisconstruedas meaningsimilarinsteadofexactlythesame] feelingdrunk bruising

ebriety ecchymosis

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page 36

Insteadof
echocardiogram

Use
arecordingofthepositionandmovementof thewallsoftheheartorthepartsinsidethe heart,suchasthevalves atestthatusessoundwavestocheckhow wellthepartsofyourheartmoveand pumpblood Eczemacausesred,itchy,crustyareasonthe skinthatleakliquids. swelling aswellingofthebodytissuescausedbythe bodyholdingsaltandwater liquidcollectinginthechest heartnotworkingproperly anoperationforaproblemorconditionthat isnotlifethreatening anoperationforaproblemorconditionthat isnotanemergency arecordingoftheelectricalactivityofthe heart smallmetalcircleusedtosendelectrical signals,ormessages.[Electrodesconnecta pacemakertotheheartmuscle.]

eczema

edema/oedema

effusion,pleural EKG/ECHOchanges electivesurgery

electrocardiogram,orECG

electrode

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page 37

Insteadof
electroencephalogram,orEEG

Use
atestthatshowstheelectricalactivityinthe brain atestthatreadsyour[childs]brainwaves lowamountsofspecialsalts,suchassodium andpotassium,inthebody saltsintheblood saltsinthebody balanceofliquidsinthebody ablockedbloodvesselcalledanartery acreamwithamedicinecalledan anaestheticthattakesawaypain.Thiscream isputontheskintotakeawaythepainof gettinganeedle,forexample. problemswiththewayapersonshowsand dealswithfeelings feelings damagetothebrain diseaseofthebrain aproblemwiththeliverthatcausesthebrain nottoworkproperly swollen,red,orpainfultissuesintheheart

electrolyteimbalance[lowlevelsof electrolytes] electrolytes

embolism EMLAcream

emotionalproblems

emotions encephalopathy

encephalopathy,hepatic

endocarditis

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page 38

Insteadof
endotrachealtube

Use
abreathingtube atubeplacedthroughthenoseormouthinto theairway[windpipe] abreathingtubethatgivesyou[yourchild] oxygenduringandrightafteranoperation. Thistubeisputintotheairwaythroughthe noseormouth. aliquidorgasputintotherectum,orbum, toemptythebowels aliquidorgasputintotheopeningofthe boweltoemptythebowels overlyfullorswollen[breast] awayofgivingfoodandliquidsdirectlyinto yourchildsstomachorintestines swelling,redness,andpainintheintestines, orbowels swelling,redness,orpainandbleedingin thesmallandlargeintestines,orbowels anoperationtoremovetheeye substancethatcauseschemicalchangesin food[orinthebody]sothatitcanbe brokendownandused,ordigested[?] substancethatcauseschemicalchangesin thebody[?]

enema

engorged[breast] enteralfeeding

enteritis

enterocolitis,hemorrhagic/enterocolitis, haemorrhagic enucleation[theeye] enzyme

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page 39

Insteadof
epiduralinfusion

Use
awayofgivingmedicinetocontrolpain throughthelowerbackintothespace aroundthespinalcord thespacearoundthespinalcord aspacethatgoesaroundthespinalcord fromthebottomoftheskulltothetipof thetailbone aconditionthatcausesfits,orseizures. Epilepsyiscausedbyelectricalactivityin thebrainthatisnotnormal. eatinglargeamountsoffoodquicklyina shorttime nosebleed likealayerofskin rednessoftheskin greaterchanceofsunburn swelling,redness,andpaininthetube betweenthethroatandstomach thetubebetweenthethroatandthestomach agreatfeelingofbeingwell measurementofhoweasilyyourchildtires whenheorsheplaysorexercises atestduringwhichyourdoctorcheckshow muchoxygenyouhaveinyourbloodwhen youexercise[?]

epiduralspace

epilepsy

episodicbingeeating

epistaxis epithelium erythema erythrodysthesia esophagitis/oesphagitis

esophagus euphoria exercisecapacity

exercisetest

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page 40

Insteadof

Use
breatheout outofdate duedate milkthatyoutakefromthebreastbyhand orwithabreastpump anextraheartbeat bloodleakingoutsideofabloodvessel,such asaveinorartery

exhale expirydate

expressedbreastmilk

extrasystole extravasation

F
factorVIII abloodproductusedtotreatproblemswith bleeding abloodproductusedtopreventbleedingor treatbleedinginpeoplewhohavethe blooddiseasecalledhaemophiliaA Thehospitalwantsyoutobeabletotake partinyourchildscareinanywaythat youcan.Thisispartofwhatwecallfamily centredcare. adiseasecausedwhenthekidneysdonot workwell.Itcausesthelossofsome importantsaltsandminerals,suchas sodium,potassium,andbicarbonate.And thebonesdonotgrownormally. amountofinsulininthebloodafterfasting

familycentredcare

Fanconisrenalsyndrome

fastinginsulinlevels

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page 41

Insteadof

Use
(noteatingforalongperiodoftime)[?] saturatedfats:fatsthatareusuallysolidat roomtemperature.Saturatedfatisfoundin foodssuchasbeef,lamb,chicken,butter, milk,andcheese. polyunsaturatedfats:fatsthatareliquidat roomtemperature.Safflower,sunflower, cornandsoybeanoilsarepolyunsaturated. (Polyunsaturatedoilsareliquidatall temperatures.) monounsaturatedfats:fatsthatareliquidat roomtemperature,suchascanolaandolive oils. Transunsaturatedfattyacidsarefoundin foodsfromsomeanimalsandinoils. (Foodsthathavethewordshydrogenated, partiallyhydrogenated,andshorteningonthe labelhavetransunsaturatedpattyacidsin them.) feelingtired aliquidorpowderthatyouaddtoyour babysusualfeedingofbreastmilkor formula adoctorwhoistakingmoretrainingina specialtypeofmedicine,suchcancer problemsthebabyhaswhileheorsheis beingborn anunbornbaby fevercausedbythebodysreactiontoadrug

fats[saturated,polyunsaturated,and monounsaturatedfat,transunsaturated fattyacids]

fatigue feedingsupplement[forbabies]

fellow

fetaldistress

fetus fever,drug

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page 42

Insteadof
fibrillation,atrial fibromyositis fibrosis,endocardial

Use
arapidheartbeat[anunevenheartbeat?] swelling,redness,andpaininthemuscles damagetotheliningoftheheartorscarson it damagetotheliverorscarsonit foodsthatyou[yourbaby]caneatwiththe fingers largeamountsofgasintheintestines,or bowels liquid amineralintoothpastethathelpskeepthe teethclean skinturningredandwarm suddenrednessofthefaceandneck aminorseizurelimitedtospecificareasof thebodysuchasanarmoraleg aBvitaminneededforthepropergrowthof ababysspine,skull,andbrainbeforebirth [?] aBvitaminneededsothatcellsgrow properlyandmakemorecells.Mothers needfolatewhiletheyarepregnantto makesuretheirbabysspine,skull,and braingrowproperlybeforebirth[?]

fibrosis,periportal fingerfoods

flatulence

fluid fluoride[intoothpaste]

flushing

focalseizure

folicacid[alsocalledfolateorfolacin]

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page 43

Insteadof
fontanelle

Use
thesoftspotonthetopoftheheadsof childrenlessthan18monthsold theskinthatcoversthetopofthepenis[?] often thefrontpartofthecerebrumthatcontrols problemsolving,judgement,reasoning. Thefrontallobealsoplaysapartin initiative(gettingthingsstarted)and personality. anyfoodthatisliquidatroomtemperature

foreskin frequently frontallobe

fullfluids/fullfluiddiet

G
galliumscan apictureoftheinsideofthebodytakenafter aliquidcalledgalliumisputintoavein withaneedle.Thegalliumcollectsinthe bodyandhelpsdoctorsfindareasof infection abloodproductthatfightsinfections move[swish]liquidaroundinthebackof thethroat swelling,redness,andpaininthestomach atubeputintothestomachtogiveaperson food afeedingtubethatgoesdirectlyintothe stomach

gammaglobulin gargle

gastritis gastrointestinaltube,orGtube

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page 44

Insteadof
gene

Use
therecipethattellsyourcellswhattodoto maketissueandorgans specialsleepcausedbyamedicinethatkeeps youstillduringanoperationanddoesnot letyoufeelpain allowsyou[yourchild]tosleepduringthe operationsothatyou[heorshe]feel[feels] nopainandhave[has]nomemoryofthe operation medicinethatkeepsyoustillduringan operationanddoesnotletyoufeelpain medicinethatkeepsyourchildasleepduring theoperationsothatheorshefeelsnopain adoctorwhooperatesonorganssuchasthe lungs,stomach,bowel,andliver aseizurethatcauseslossofconsciousness andstiffeningofthewholebody,followed bygeneraljerkingofthebody.A generalizedseizureisalsocalledagrand malseizure. changesordamagetothegenesthatparents givetheirchildren.(Genesaretherecipe thattellsthecellswhattodotomaketissue andorgans.)

generalanaesthesia

generalanaesthetic

generalsurgeon

generalizedseizure

geneticchanges

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page 45

Insteadof
geneticstudies

Use
Geneticstudiestestgenestotrytofindthe causesofandtreatmentsfordiseasesthat areinthegenesthatparentsgivetotheir children.(Genesaretherecipethattells yourcellswhattodotomaketissueand organs.) privateparts [NOTE:dependsonthecultureofthe audience] havinghighamountsofsugarintheblood onlywhileyouarepregnant[?] swollengums swelling,redness,andpaininthegums anincreaseinthepressureoftheliquidin theeye increasedpressureoftheliquidintheeye thataffectsthewayyousee increasedpressureoftheliquidintheeye thataffectsthewayyousee Definitionsof<Medical>Words DefinitionsofUnfamiliarWordsUsedin... DefinitionsofWordsYouWillHearWhile YourChildIsatSickKids liquidsugar[?]

genitals

gestationaldiabetes

gingivalhyperplasia gingivitis glaucoma

glaucoma

glossary

glucagon

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page 46

Insteadof

Use
sugar atypeofsugarthatyourbodyneedstowork properly sugarpillsorliquid sugarwater controllingtheamountofsugarintheblood alistofcommonfoodswithanumberfrom0 to100thatshowshowquicklythefood breaksdownintosugar(foodswithlower numbersbreakdownintosugarsmore slowly)[?] atypeoffatcalledcholesterolthatmay protectyoufromaheartattackbytaking extracholesterolfromyourarteries[?] slowly adiseasethatcausesdonorstissuetoattack thetissuesofthepersonwhogetsthetissue (thedonoristhepersonwhogivesthe tissue) extratissuegrowingontheskin[?]

glucose

glucoseorsucrosetabletsorsolution glucosewater glycemiccontrol glycemicindex

goodcholesterol,orHDL

gradually graftversushostdisease

granulationtissue

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page 47

Insteadof
groin

Use
thecreasebetweenthestomachareaandthe topoftheleg theareaatthetopoftheleg theareabetweenthestomachandthetopof theleg measurementofhowwellapersondoesa basicgroupofactivitiesthatneedgood musclestrengthandflexible,orbendable, joints.Examplesoftheseactivitiesare movinginbed,movingfromthebedtoa chair,kneeling,sitting,standing,and walking. toomuchgrowthofthebreastsinboysor men

grossmotorfunction

gynecomastia

H
haematoma haemoglobin amassofblood thepartofthebloodthatcarriesoxygen thepartthatgrowshair seeingthingsthatarenotreallythere seeing,hearing,orfeelingthingsthatarenot there hallucination seeingorhearingthingsthatarenotthere

hairfollicles hallucination

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page 48

Insteadof
healthcareprofessional heartdisease

Use
healthcareworker

anyproblemthataffectsyourhearts abilitytoworknormally.Themost commoncauseofheartdiseaseis narrowingorblockingthebloodvessels calledarteriesthatbringbloodtothebody [?] heartbiopsy[forhearttransplants;seealso atestdonetocheckforsignsthatthebodyis cardiacbiopsy] rejectingthenewheart.Tinysamplesof tissuearetakenfromtheheartandchecked underamicroscopeforsignsofrejection heartblock heartburn heartfailure, orcongestiveheartfailure heartnotworkingnormally aburningfeelinginthechest adiseasethathappenswhenyourheart cannotpumpbloodtotherestofyourbody properly.Butheartfailureisnotthesameas aheartattack.Andyourheartdoesnotstop beating.[?] anoperationtoreplaceyourheartwitha heartfromanotherperson[?] throwingupblood bloodinthepee thelackofabilitytomove1sideofthebody whenyouwantto bloodinthespit

hearttransplant

hematemesis/haematemesis hematuria/haematuria hemiplegia

hemoptysis/haemoptysis

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page 49

Insteadof
hemorrhage/haemorrhage hepatitis

Use
severebleeding aninfectionoftheliver swelling,redness,andpainintheliver havingaliverthatislargerthannormal damagetotheliver anyherbthatisusedasatreatment,for examplecapsaicincream,boswellia, echinacea aconditionordiseasethatisinthegenesthat parentsgivetheirchildren.(Genesarethe recipethattellsyourcellswhattodoto maketissueandorgans.) measurementofhowwellapersondoesa groupofactivitiesthatneedbalanceand coordination.Examplesoftheseactivities arehopping,jumping,andwalkingina straightline. morehaironthebodythanusual aninfectionthatcausesAIDS raisedred,itchyareasontheskin apersonwhotreatspatientswithmedicines madefromnaturalthings

hepatomegaly hepatotoxicity herbalremedies

hereditary[inheriteddisease,condition]

highergrossmotorfunction

hirsutism HIV hives homeopath

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page 50

Insteadof
hormone,inappropriateantidiuretic

Use
problemwiththechemicalscalledhormones thataffecttheamountofsaltintheblood andpee tellyourcellsortissuestodosomething[?] chemicalsmadeinsmallorgans,called glands,thatgothroughthebloodto anotherorgantohelpmakeitwork properly asuddenfeelingofbeinghot but agermcalledavirusthatcausessometypes ofcancer makemoist,orwet amedicinethatopensupyourblood vesselstohelpyourheartpumpblood moreeasily[?] toomuchliquidcollectinginthehead aspecialfizzywater toomuchofthesaltortheliquidcalled ammoniaintheblood toomuchofthesaltcalledcalciuminthe blood toomuchofthegascalledcarbondioxidein theblood

hormones

hotflash however HTLVIorhumanTcelllymphotropicvirus type1 humidify hydralazine

hydrocephalus hydrogenperoxide hyperammonemia/ hyperammonaemia hypercalcemia/hypercalcaemia

hypercapnia

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page 51

Insteadof
hypercholesterolemia/ hypercholesterolaemia hyperesthesia/hyperaesthesia

Use
toomuchofthefatcalledcholesterolinthe blood greaterfeelingofpaininthebodythan normalwhenyouare[apersonis]touched toomuchsugarintheblood toomuchofthesaltcalledpotassiuminthe blood increasedactivity toomuchgrowthorthickeningofthebones eatingtoomuch darkeningoftheskin reactingtoomuchtoamedicineordrug havingtheimmunesystemreacttoomuchto amedicineordrug.(Theimmunesystemis thesystemthatfightsinfections.) highbloodpressure highbloodpressure,whichisthe measurementofhowstronglyandhow oftentheheartpushesbloodaroundthe body

hyperglycemia/hyperglycaemia hyperkalemia/hyperkalaemia

hyperkinesia hyperostosis,skeletal hyperphagia hyperpigmentation hypersensitivityreaction

hypertension

hypertonia

toomuchtightnessinthemuscles,called muscletone

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page 52

Insteadof
hyperuricemia/hyperuricaemia

Use
toomuchofthechemicalcalleduricacidin theblood asleepthatletsyourespondtosomeone elsessuggestions toolittleofthemattercalledproteininthe blood.(Proteinisthematterthatmakesup mostlivingthings.) toolittleofthesaltcalledcalciuminthe blood lessfeelinginapartofthebodywhenitis touched toolittleoftheproteininthebloodthat fightsinfection.(Proteinisthematterthat makesupmostlivingthings.) toolittlesugarintheblood toolittleofthesaltcalledpotassiuminthe blood toolittleofthesaltcalledmagnesiuminthe blood toolittleofthesaltcalledsodiuminthe blood problemswiththegrowthofthebones becauseoftoolittleofthemineralcalled phosphorousintheblood

hypnosis

hypoalbuminemia/ hypoalbuminaemia

hypocalcemia/hypocalcaemia

hypoesthesia

hypogammaglobulinemia/ hypogammaglobulinaemia

hypoglycemia/hypoglycaemia hypokalemia/hypokalaemia

hypomagnesemia/hypomagnesaemia

hyponatremia/hyponatraemia

hypophosphatemic rickets/hypophosphataemicrickets

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page 53

Insteadof
hypotension

Use
lowbloodpressure lowbloodpressure,whichisthe measurementofhowstronglyandhow oftentheheartpushesbloodaroundthe body

hypoxemia/hypoxaemia hypoxia

notenoughoxygenintheblood toolittleoxygeninthetissues

I
i.e., ileus,paralytic thatis intestines,orbowels,workingmoreslowly becauseoftheyareblocked rightaway completelycover

immediately immerse

immunesystem[seesuppressedimmunesystem] asystemthatfightsinfection asystemthatkeepsyouhealthy asystemthatprotectsthebodyfromattack byforeignthings,suchasthegerms bacteriaandviruses,andcancercells immunosuppressed meansthattheabilitytofightinfectionis weak problemswiththebodybeingtooweakto fightinfectionanddisease

immunosuppression

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page 54

Insteadof
immunosuppressiveagents

Use
medicinesthatapersongetstopreventthe rejectionofatransplantedorgansuchasa heart highamountsofsugarintheblood restless problemshavingsex actwithoutthinking weaknessandlossofweight theplacewherethedoctorcutsthroughthe skintooperate theplacewherethedoctorcutsthroughthe skin whentheskinbetweentheribsandoverthe collarbonepullsintightlyandmakes hollowsintheneck baby physicalactivitythatkeepsyourbabyactive andinterestedinthings heartattack damagetotheheart

impairedglucosetolerance impatient impotence impulsive inanition incision

indrawing

infant infantstimulation[programs]

infarction,myocardial

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page 55

Insteadof
infection

Use
redness,swelling,andpain attackofalivingthing,orgerm,suchasa bacteria,virus,orfungi,thatcausesan illness aninfectioncausedbyagermcalledavirus catchingorspreading anillnessthatspreadseasilytoothers problemshavingchildren problemshavingchildrenwhenyourchildis oldenough swelling,redness,andoftenpaincausedby aninjuryorinfection awayofgivingliquids,oftenmedicines,into avein breathein bebornwith preventsthechemical,orenzyme,called monoamineoxidasefromworking.This enzymehelpsthenervesworkproperly,so youshouldnottake[thisdrug?medicine?] withalcoholandfoodssuchasbananas, cheese,yogurt,andchocolate [seedisulfiramreaction]

infection,herpes infectious[disease]

infertility

inflammation

infusion

inhale inherit[diseaseorcondition] inhibitsMAO

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page 56

Insteadof
innominateosteotomy

Use
anoperationthatfixesthehipbonesothatit fitsinthehipsocketproperly medicinetomaketheheartmusclecontract more[?] hastohave notabletosleep adevicewithasmallballthatchildrenuse afteranoperationtogetmoreairinsidethe lungs ahormone,orchemical,madebythe pancreasthatbreaksdownsugarssothatthe bodycanusethem problemsthinkingclearly aconditionthatcausesmaterialtocollectin thelungscalledinterstitialpulmonary infiltrate[?]

inotropicsupport

insist insomnia inspirex

insulin

intellectualimpairment interstitialpulmonaryinfiltrate

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page 57

Insteadof
intravenous[line],orIV[line]

Use
asmalltubeputinaveininanarmoraleg asmalltubeputinaveininanarmoraleg togiveliquidsormedicine aneedlefastenedtoatubethatisputintoa veininanarmorlegtogivemedicinesor liquids asmallplastictubethatgoesintothevein undertheskinofyourhand.Thesmall tubeisconnectedtoalongtube.TheIVis thewayyourbodygetsadrinkwhenyou cantdrinkenoughyourself.Sometimesthe doctorsandnursesuseittogiveyourbody medicine.[explanationforachild] Invasivetestingmeansthatthedoctorhasto putsomethingintoyourbodytodothe test.Thesetypesoftestsareusuallymore accurate.Buttheymaybelesscomfortable thanteststhatarenotinvasive apersonwholooksintotheeyestofind healthproblems thecolouredpartoftheeye aconditionthathappenswhenthebodygets toolittleironandcannotmakeenoughred bloodcellstokeepthebodyhealthy [formula,cereal]withiron treatwithrays

invasivetesting

iridologist

iris[eye] irondeficiencyanaemia

ironfortified[formula,cereal] irradiate

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page 58

Insteadof
irradiation irritable irritate irritation,mucosal

Use
atreatmentthatkillswhitebloodcells grumpy bother swellingandrednessinthemoistliningof themouthorotherliningsinsidethebody blockedbloodvesselcalledanarterybecause ofalossofoxygentotissues lossofoxygentosomeoftheheartmuscle stayinginaroomthatisawayfromother patients.Yourchildmaystayinisolation becauseofanillnessthatothersmayget easily,calledaninfectiousorcatching illness.Oryourchildmaystayinisolation topreventhimorhergettinganinfectious disease. has1bedandisawayfromotherpatients.If yourchildhasanillnessthatothersmay geteasily,calledaninfectiousorcatching illness,yourchildmayhavetostayinan isolationroom.Wecallthisbeingin isolation. aspecialalcoholcalledisopropanol70% amedicinethatopensupyourbloodvessels tohelpyourheartpumpbloodmoreeasily [?]

ischemia,arterial/ischaemia,arterial

ischemia,myocardial/ischaemia,myocardial isolation

isolationroom

isopropanol70% isosorbidedinitrate

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page 59

Insteadof
jaundice

Use
anillnesscausingtheskinandeyestobe yellow anillnesscausingtheskinandeyestobe yellowbecauseofproblemswiththeflow ofbile,theliquidmadebytheliver

jaundice,cholestatic

K
kidneytransplant anoperationthatremovesyourkidneyand replacesitwithakidneyfromanotherperson

L
lacrimation lasersurgery makingtears anoperationdonewithaverystrong, accuratebeamoflight fasten[ontothebreast] rubber medicinethathelpsthebodygetridofpooh [wastematter] medicinethatyourchildcanswallowthat emptiesthebowels thelowerleftpartoftheheartthatfillswith bloodandpumpsittotherestofthebody[?] feelingtired

latchon[breastfeeding] latexornaturalrubberlatex laxative

leftventricleoftheheart

lethargy

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page 60

Insteadof
leukaemia/leukemia leukocytosis/leucocytosis

Use
canceroftheblood morewhitebloodcellsintheblood.(White bloodcellsarethecellsinthebloodthat fightinfection.) damagetothebrain

leukoencephalopathy/ leucoencephalopathy leukopenia/leucopenia

leukorrhea/leucorrhoea libido,decreased lifesupport

lipids lobe[ofthebrain]

localanaesthetic

longtermmemory

Lyellssyndrome[ortoxicepidermal necrolysis]

lownumbersofwhitebloodcells,whichare thecellsinthebloodthatfightinfection thickwhiteliquidcomingfromthevagina lackofinterestinsex beingonabreathingmachinetokeepyour child[you]alive fatandfatproductsinyourblood[?] afairlywelldefinedpartofanorgansuchas thebrain.(Thebrainhas4lobes.Eachlobe hascertainjobs,orfunctions.) amedicinethatfreezestheskinandthe tissuesunderitsoyoufeelnopain memoryofeventsthathappenedbeforean injury lossofskinthatleavespatchesthatlooklike aburn[?]

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page 61

Insteadof
lymphaticsystem

Use
tissuesandorgansthatmakeandstorecells thatfightinfectionanddisease asmalllumpoftissue,calledanorganora gland,shapedlikeabeanthathelpsfight infection,orgerms,inthebody[?] havinglymphnodesthatarelargerthan normal.(Lymphnodesaresmalllumpsof tissuethathelpfightgermsinthebody.)[?] whitebloodcells cellsinthebodythatfightoffinfection[?] lownumbersofatypeofbloodcellcalleda lymphocyte diseasesofthelymphaticsystem,which fightsinfections

lymphnode

lymphadenopathy

lymphocytes

lymphopenia

lymphoproliferativedisorders,blood

M
malaise notfeelingwell generalfeelingofpainandtiredness apersonwhousesthehandstorubthebody exercisesdonebyaspecialistsuchasa physiotherapistthatmoveyourjoints throughtheirwholerangeofmotion[?]

manualhealer manualmanipulation

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page 62

Insteadof
meatalternatives

Use
foodsthattaketheplaceofmeatsuchas beansortofu[?] specialbraceletthatsayswhatyourchilds conditionisandwhatmedicinesheorshe maybeallergicto aspecialbraceletthatsayswhatyourchilds conditionis.Thisbracelethelpsadoctor knowwhatspecialtreatmentyourchild mayneedwhenthereisnoonetospeakfor himorher. medicine [NOTE:drugcanhavenegativeconnotations, soitisbestavoided] repeatingasound,word,phrase,orphysical activitytohelpyourelax problemswiththeredbloodcells,whichare thepartofthebloodthatcarriesoxygento therestofthebody increasedcolourintheskin dark,bloodypoo/pooh,orbowelmovement theprocessofunderstanding,organizing, storing,andgettingbackinformationata latertime,asneeded.Memoryisacomplex taskthatinvolvesmanypartsofthebrain workingtogether.

medicalertbracelet

medication

meditation

megaloblastosis

melanoderma melena memory[Seealsolongtermmemoryandshort termmemory.]

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page 63

Insteadof
meninges

Use
the3layersoftissuesbetweentheskulland brainthatcover,support,andprotectthe brainandthespinalcord stiffneck,andswellingandrednessinthe brainandthespinalcord aninfectionofthemeninges,thetissues coveringthebrainandthespinalcord aninfectionoftheliningthatcoversthe brainandthespinalcord toomuchbleedingduringthemonthly periodofbleeding(ingirlsandwomen) monthlyperiodsofbleeding[ingirlsand women] monthly,ormenstrual,periodsofbleeding [ingirlsandwomen] theenergyneedsofthebody.The metabolismoffoodmeetstheseneeds. Metabolismisthephysicalandchemical activityinthebodythatmakesenergy usefultothebody.Coolingthebody lowersthemetabolicdemandsofthebody. thephysicalandchemicalactivityinthe bodythatmakesenergyusefultothebody changesinfatintheliver

meningismus

meningitis

menorrhagia

menstrualperiods

metabolicdemands

metabolism

metamorphosis,fatty

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page 64

Insteadof
mobility

Use
themovementofthebodyfromoneposition toanother.Examplesofmobilityarerolling inbedandgettinguptositinachair. exercisesdonebyaspecialist,suchasa physiotherapist,thatgetyourmusclesand jointsmoving[?] aninfectioncausedbyakindofgrowth calledfungus[?] watch check amachinethatcountsyourchildsheartbeats andchecksyourchildsbreathing machinesoftenusedinintensivecareunits tokeepconstanttrackoftheheartbeat, breathing,bloodpressure,andpressurein thebrain howoftenacondition/anillness/adiseaseis foundinagroupofpeople astrongmedicinethatisgiventocontrol pain areasoftheparietallobeofthebrainthat controlthewaythebodymoves acar,truck,orvan carcrash

mobilization

moniliasis

monitor

monitor(s)

morbidity

morphine

motorareas[brain]

motorvehicle motorvehicleaccident

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page 65

Insteadof
MRI

Use
aspecialpicture,orxray,oftheinsideofthe body apainlesstestthatusespowerfulmagnets andradiowavestomakepicturesofthe insideofthebody picturesoftheinsideofthebodymadewith powerfulmagnetsandradiowaves adrymouth soresinthemouth soresinthemouth moistliningofthemouthorotherlinings insidethebody aclear,thickliquidmadebythe[mucous membranes]liningsofthemouthorother partsofthebody agroupofmanydifferentkindsofhealth careworkerswhoworktogethertocarefor yourchild[?] paininthemuscles weaknessofthemuscles

mucosa,dry mucosalulceration mucositis mucousmembrane

mucus

multidisciplinaryteam

myalgia myastheniagravis

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page 66

Insteadof
myelosuppression

Use

fewerredandwhitebloodcellsandplatelets madeinthebonemarrow.(Redbloodcells arethepartofthebloodthatcarriesoxygen totherestofthebody.Whitebloodcells arethecellsinthebloodthatfight infection.Plateletsarethepartoftheblood thathelpsstopbleeding.) Mylarballoon[NOTE:Mylarisabrandname, aballoonmadeofashinymaterialthatlooks hencethecap.] likefoil.Theballoonisfilledwithaspecial typeofairthatmakesitfloat.(Thisairis thegascalledhelium.) myocardialnecrosis deadmuscleintheheart myocardium themusclethatmakesupthemiddleand thickestlayeroftheheartwall myopathy adiseasethatcausesthemusclesnottowork normally

N
nasogastrictube asmallsofttubethatgoesinthroughthe noseanddownintothestomach apersonwhotreatsthewholebodytoteach patientstohealthemselves feelsicktothestomach lossofskinthatleavespatchesthatlooklike aburn[?] deadtissues

naturopath

nausea necrolysis,toxicepidermal[orLyells syndrome] necrosis

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page 67

Insteadof
necrosis,acute necrosis,hepatic nephritis,interstitial nephropathy nephrotoxicity nervoussystem[seealsocentral nervoussystem]

Use
deadtissuesinthekidney deadtissuesintheliver swelling,redness,andpaininthekidney diseaseofthekidneys damagetokidney Thesystemmadeupofnerves,thebrain, andthespinalcord.Thenervoussystemis thesystemoforgansthatworkswiththe endocrinesystemtocontrolthebodys responsetoconditionsinsideandoutside thebody. swellingandpaininanerve adoctorwhocaresforpeoplewhohave problemswiththebrain specialcellsthatarefoundinbraintissue. Neuronsgetsignalsfromthebody, understandwhattheymean,andsend signalsbacktothebody. changesinthenervesorproblemswiththe waynerveswork

neuritis neurologist

neurons

neuropathy

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page 68

Insteadof
neuropsychologist

Use
apersonwho isspeciallytrainedtolookattheeffectsof abraininjuryonyourchildsmemory, attention,problemsolving,abilityto makesenseofinformation,andabilityto behaveintherightwayindifferent situations suggestshowyourchild,you,andyour childsteacherscandealwiththeeffects ofyourchildsbraininjury measuresthereturnofnormalmemory, reasoningability,andbehaviourovera periodofmonthsoryears looksattheresultsoftestsofhowyour childsbrainworksandhowwellthe treatmentisworking adoctorwhooperatesonthebrainand spinalcord adoctorwhooperatesontheheadandspine damagetothenerves lownumbersofatypeofwhitebloodcells calledneutrophils.(Whitebloodcellsare thepartofthebloodthatfightsinfections.) peeingalotatnight notabletoreplaceownbonemarrowwith newbonemarrow. doesnotapply

neurosurgeon

neurotoxicity neutropenia

nocturia nonengraftment[bonemarrow transplantation] notapplicable

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page 69

Insteadof
nutrient

Use
foodvalue[?] thepartoffoodthatthebodyneedstogrow, toworkproperly,andtostayalive[?] food movingtheeyeswithoutcontrol

nutrition nystagmus

O
obese,obesity veryfat overweight severeconstipation,whichispoo/pooh,or bowelmovements,thataredifficultand happenlessoftenthanusual lessaware,almostasleep sometimes theareaatthebackofthebrainthatgetsand understandsinformationfromtheeyes howtheupperandlowerteethmeet[?]

obstipation

obtundation occasionally occipitallobe

occlusion[dental]

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page 70

Insteadof
occupationaltherapist

Use
apersonwhotestsyourchildtodecidewhat problemsyourchildmayhaveandhow theymayaffectyourchildsabilitytodo everydaytasks apersonwithspecialtrainingwhohelps peoplemanageproblemswitheveryday things,suchaseating,bathing,and dressing aspeciallytrainedpersonwhoarranges exercisesandtreatmentsthathelpwith everydayliving physicalactivityorfeedingexercisesthat helpyourbaby[aperson]dobetterafter beingsickoroperatedon aspecialcream lownumbersofsperm,whichistheliquid fromamanthatjoinswiththeeggfroma womantomakeababy smallamountsofpee when growthofawomansegg anoperationontheheart.Duringthis operationthesurgeonopensthechesttofix theheart.[?]

occupationaltherapy

ointment[seealsoantibioticointment] oligospermia

oliguria once oogenesis openheartsurgery

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page 71

Insteadof
ophthalmologist

Use
aneyedoctor adoctorwhofindsoutwhateyeproblems yourchildmayhaveandtreatsthem thepartoftheeyethatmakesthelightinto picturesandsendsthemtothebrain[?] thepartoftheeyethatsendsthepicturesthe eyeseestothebrain[?] amedicinethatisapillorliquidthata personcanswallow thatyoucanswallow adoctorwhoisspeciallytrainedtotreat problemswiththepositionoftheteethin theupperandlowerjaw adoctorwhooperatesonbones apersonspeciallytrainedtocareforbroken bonesandputondevicessuchascaststo treatbrokenbones[?] adoctorwhousesphysical,medical, andsurgicaltreatmentstotreatthe wholebody,especiallytocorrect problemswithbonestructuresand thewaythebodymoves[?] bonesthatweighlessthannormal

opticnerve

oralmedication

orally orthodontist

orthopaedicsurgeon orthopaedictechnologist

osteopath

osteopenia

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page 72

Insteadof
osteoporosis

Use
thinningofthebones weakbonesthatbreakeasily weakbonesthatarelikelytobreak weakeningorthinningofthebones becauseofdiseaseorthesideeffects,or problems,oftakingsomemedicines suchasprednisone damagetotheearthatcausesproblems withhearingandbalance apatientwhocomestothehospitalfor treatmentduringtheday anoperationdonethedaythatyourchild comestothehospital.Yourchildwill likelygohomethedayoftheoperation. anursewhotalkstothemainandother hospitalsaboutapatientscare.This nursemakessureeachhospitalknows allaboutthepatientsconditionand treatment. feelingtooexcitedbecausetoomuchis happeningrightnow afeelingthateverythingistoomuch thelayerofgasesabovetheearththat protectsusfromthesunsharmfulrays

ototoxicity

outpatient

outpatientoperation

outreachnurse

overstimulated

overwhelmed ozonelayer

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page 73

Insteadof

Use

P
pacemaker amachinethatkeepstheheartbeat normal asmallmachinethatcontrolsthespeedof theheartbeatandtherhythmofthe heart.Themachineisconnectedtowires orelectrodes,whicharesmallmetal circles.Thesewiresorelectrodesare connectedtotheheartmuscle.A pacemakermaybeplacedoutsidethe bodyforashorttimeorinsidethebody forlife. Apacemakerisasmalldevicethatis madeupofthese2parts: 1. thepulsegenerator,whichisametal boxthathasthebatteryandthepart thatmakesthepacemakerwork 2. theleadwireorwires,whichare wiresthatarefastenedtotheheart muscle[?] wiresthatconnectthepacemakertothe heart.Theycarryelectricalsignals,or messages,betweenthepacemakerand themyocardium.(Apacemakercontrols therateandrhythmoftheheart.The myocardiumispartofthewallofthe heart.)

pacingwires

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page 74

Insteadof
paediatricacademichealthsciencecentre

Use
Apaediatricacademichealthscience centrecaresforchildren,offersongoing educationtodoctorsandotherhealth careworkers,anddoesresearchstudies onchildrenshealth. doctorsandnurseswithspecialtrainingin caringforchildrenduringthecritical timeofanillnessorafteraninjury adoctorwhocaresforchildren adoctorwhoisspeciallytrainedinthe treatmentofchildrenwithcancer adoctorwhospecializesintreating childrenwithcancer paininbonesandmuscles heartnotbeatingregularly asmallorgancalledaglandthatcontrols theamountofsugarinthebloodand helpstheintestinesbreakdownfood asmallorgancalledaglandthatmakes thechemicalinsulinthathelpscontrol theamountofsugarintheblood swelling,redness,andpaininthe pancreas,whichcontrolstheamountof sugarinthebloodandhelpsthe intestinesbreakdownfood

paediatriccriticalcarestaff

paediatrician paediatriconcologist

pain,musculoskeletal palpitations pancreas

pancreatitis

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page 75

Insteadof
pancytopenia

Use
lownumbersofalltypesofcellsinthe blood swellingofthebackoftheeyecausedby highpressureinthebrain lossoftheabilitytomovemusclesand lossoftheabilitytofeelinthewhole bodyorpartofthebody problemswiththinkingthatcausea persontosuspectandnottrustothers andtobehaveviolently lossofabilitytomovethelowerhalfof thebody somelossofabilitytomoveamuscleor groupofmuscles somelossofabilitytomoveamuscleor groupofmusclesorweaknessina muscleorgroupofmuscles feelingofburningortingling theuppermiddlelobesoneachsideofthe brain.Theparietallobesgetand understandmessagesabouttouch,pain, andtaste.Theparietallobealsohelps touch,sight,andsoundworktogether. findingoutwhotherealfather,orbirth father,ofachildis somethingthatcancauseadisease

papilledema/papilloedema

paralysis

paranoia

paraplegia

paresis

paresthesia/paraesthesia parietallobe

paternity

pathogen

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page 76

Insteadof
patientrepresentative

Use
apersonwhocanhelpyoudealwith problemsthatyouhaveatthehospital. Thepatientrepresentativewilllookinto yourconcernsaboutanythingthatis partofyourchildscare. theringofbonethatsupportstheleg bones recognizingandunderstandingsignals thebraingets,especiallyfromthe sensingorgansliketheeyesandears aspecialmethodthataphysiotherapist usestohelpgetridofsecretions,orthick liquids,thathavecollectedinthelungs done swelling,redness,andpainofthe coveringoftheheart damagetothenervesinthelegs,feet, arms,andhands[?].Peripheral neuropathycausestinglingandpain,and thenlossoffeeling numbnessandtingling do[will]notgoaway coughingthatdoesnotgoaway character tinyspotsofbloodundertheskin

pelvicbone

perception

percussions[physiotherapy]

performed pericarditis

peripheralneuropathy

peripheralneuropathy persist persistentcoughing personality petechiae

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page 77

Insteadof
petitmalseizures[alsoabsenceseizures]

Use
seizuresthatcauseonlyabrieflossof awareness[?] pharmacist(druggist) [NOTE:Thepharmacistsfeelstrongly abouttheirtitle,sotheyshouldbecalled pharmaciststhroughoutafterthis explanation.] aspeciallytrainedpersonwhoknows howmedicinesworkandwhat problems,orsideeffects,these medicinesmaycause. pharmacy,ordrugstore [NOTE:Usepharmacyafterfirstdefinition. Seenoteaboutpharmacist.] sorethroat swelling,redness,andpaininavein apersontrainedtotakebloodfromeither theveinorfromafinger unusualfearoflight problemswithsunlightandincreased chanceofsunburn acheckup

pharmacist

pharmacy

pharyngitis phlebitis phlebotomist photophobia photosensitivity

physicalexamination

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page 78

Insteadof
physiotherapist

Use
apersontrainedtotreatproblemswith movementcausedbynervesormuscle conditions apersontrainedtotreatdiseasesand conditionswithphysicalormechanical means,suchasmassage,exercise,water, light,heat,andelectricity apersontrainedtohelpyouwithphysical taskssuchaswalkingandsitting[brain injurycontext] apersontrainedtotreatpatientswith theirhands,suchasmanual manipulationandmobilizationtoget themusclesandjointsmoving,and exercise aspeciallytrainedpersonwhoarranges exercisesandtreatments thetreatmentofdiseasebyphysicaland mechanicalmeans,suchasmassage, exercise,water,light,heat,and electricity treatmentgivenbyphysicalmethods otherthanmedicineoranoperation(for example,exercises) specialexercisestohelp...getbetter colour

physiotherapy

pigmentation

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page 79

Insteadof
pituitaryadrenalaxissuppression

Use
problemswiththepartofthebrainthat controlstemperatureandgrowthnot workingproperly nomedicineortreatmentthatisgiventhe samewayastheregularmedicineor treatment somethingthatlookslikethereal medicine,buthasonlysugarorsaltor colourinit. theclearliquidpartoftheblood apartofacellthatfloatsintheplasma andhelpsstopbleeding.Plateletshelp thebloodtoclump,orclot,bysticking tobloodvesselsthathavebeencut. cellsthataremixedwithapaleyellow liquidcalledplasma[BloodBank] thepartofthebloodthathelpsstop bleeding higherthanusualnumberofcellsinthe spinalfluid,whichistheclearliquid thatgoesaroundthespinalcordto cushionit aninfectioninthelungs[?] swelling,redness,andpaininthelungs adiseasethatcausesalossoftheabilityto movemusclesforeverorforshorttime

placeboorplacebomedicine

plasma platelet

pleocytosis

pneumonia pneumonitis polio

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page 80

Insteadof
polyurethane polyuria positivefor[nameofgermorwhatever]

Use
plastic peeingalot hasthe[germ,etc.]butisnotinfectedbyit [?] anexaminationofsomeonewhohasdied alossofmemorythathappensafteran injurytothebrain teachingtheimportanceofholdingthe partsofthebodyintherightposition whensittingandstanding order awrittenorderformedicine adoctorsorder amedicinethathelpstopreventasthma attacksorproblems.Itstopstheliningin theairwaysfromswelling.Itisusually takeneverydayuntilthedoctorsaysit isOKtostop. subjectofastudy swellingandredness,andsometimes pain,inopeninginthebum,calledthe rectum,thatmaycausepainorbleeding duringapoo/pooh,orbowelmovement likelyoutcomeofadiseaseorcondition

postmortemexamination posttraumaticamnesia,orPTA

posturaleducation

prescribe prescription

preventermedicine[asthma]

proband proctitis

prognosis

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page 81

Insteadof
progressiveCNSdeterioration

Use
problemswiththewaythenervous systemworksthatgetworsewithtime. (Thenervoussystemismadeupof nerves,thebrain,andthespinalcord.) thewayyousaywords matterthatmakesupmostlivingthings toomuchproteininthepee.(Proteinis thematterthatmakesupmostliving things.) itching toomuchliquidinthebraincausing headaches,anupsetstomach,throwing up,andproblemswiththe eyes/problemsseeing amedicaldoctorwhoisspeciallytrained totreatproblemswithbehaviourand feelingscausedbyanillnessortreatment. Apsychiatristcounselschildrenand families,andcanorder,orprescribe, medicinestohelpwiththesigns,or symptoms,oftheseproblems. adoctorwhocanhelpapersonlivewitha majorinjurysuchasabraininjuryand withothermentalhealthproblems apersonwhospeciallytrainedtotreat problemswithbehaviourandemotions causedbyanillnessortreatment

pronunciation protein proteinuria

pruritus pseudotumorcerebri/pseudotumour cerebri

psychiatrist

psychologist

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page 82

Insteadof
psychosis psychotherapy

Use
mentalproblems helpdealingwithemotionalandmental healthproblems(Thisiscalled psychotherapy.) droopingeyelid thelargearterythattakesbloodfromthe rightsideoftheheart,calledthe ventricle,tothelungs.Themainpartof thepulmonaryarterydividesintothe2 arteriescalledtherightandleft pulmonaryarteries.Thesearteriesgoto therightandleftlungs. aclumpofbloodcalledabloodclotthat goesinthebloodtothelungwhereit blocksabloodvessel damagetothelungandscarsonit putaholein thedarkareainthecentreofthecoloured partoftheeye thickliquidfood[?] smallbruisesontheskin thickyellowishorgreenishliquidcoming fromtissueorawound heartbeatsthatarenotnormal

ptosis pulmonaryartery

pulmonaryembolus

pulmonaryfibrosis puncture pupil[eye]

puree purpura pus

PVCs,multifocal

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page 83

Insteadof
pyloromyotomy

Use
anoperationtowidentheopeningatthe pylorus. [seealsopylorus] themusclethatcontrolstheopening betweenthestomachandtheintestines andemptiesthecontentsofthestomach intotheintestines thevalvethatcontrolstheemptyingofthe contentsofthestomachintothe intestines

pylorus

Q
Qtip[cottontippedapplicators] quadriplegia cleancottonswabstick lossofabilitytomoveall4limbs

R
radiation radiologist treatmentwithraystokillcancercells[?] adoctorspeciallytrainedtoreadxrays andothertestswithxrays aspeciallytraineddoctorwhodoestests andtreatmentsusingspecialpictures calledxrays

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page 84

Insteadof
rangeofmotion

Use
amountofmovement[inthearmsand legs] howfaryoucanmoveyourarmsorlegs [?] theamountofmovementinajoint,such astheplacewheretheshoulderorhip jointhebody.Rangeofmotionis measuredindegrees. redspotsontheskin redskin redskin redbumpyskin toolittlebloodtothefingers,toes,ears, andnosethatcausespaleskin,pain,or tingling putintothebum bum comeback keepscomingback thepartofthebloodthatcarriesoxygento therestofthebody apersonwhoworksonspecificareasof thefoottohelpyourelax

rash

rash,maculopapular

Raynaudsphenomenon

rectally rectum recur recurrent redbloodcells

reflexologist

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page 85

Insteadof
reflux

Use
foodorliquidthatcomesbackupthe throatfromthestomach checkin control theprocessofhelpingapersongetback functionsthathavebeenlost,andlearn newfunctionsafteranillnessorinjury. Rehabilitationhelpsapersonleadas normalalifeasheorshecan. getridof thebodyswayofrespondingto somethingitthinksdoesnotbelongin thebody.Thebodymakesspecial fightingcellsthatcanharma transplantedorgan. thingsyoudotorelax,forexample, breathingexercises,art,ormusic therapy amedicinethatrelaxesthemusclethat goesaroundtheairway.Ithelpstreat thesignsofasthmasuchasacoughor wheeze. change[anappointment] awayofstarting[yourchild]breathingif thelungshavestoppedworking amedicaldoctorwhoistrainingto becomeaspecialist,suchasapaediatrician (adoctorwhospecializesinthecareof children).

register,registration regulate rehabilitation

reject rejection

relaxationtechniques

relievermedicine[asthma]

reschedule[anappointment] rescuebreathing

resident

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page 86

Insteadof

Use
activitythatusesthestrengthofyour musclestomoveaweightorworkagainst aweightthatdoesnotmove meaningthatantibioticsdonotwork againstthegerms amachinethathelpsyoubreathe meansthatthepersonhasstopped breathing amachinethathelpsyoubreathe breathingdevice aspeciallytrainedpersonwhosetsup andadjuststhespecialequipment neededtohelpapersonbreathe carethatgivesthecaregiverashortbreak fromlookingaftersomeonewhoisill Ifyouarefeelingstressedbecauseyou careforwithhealthproblems,youmay needtotakesometimeoff.Youmayneed toletsomeoneelselookafterforalittle while.Thisiscalledrespitecare. control limits theliningontheinsideofthebackofthe eye

resistanceexercise

resistant[i.e.,asinantibioticresistant]

respirator respiratoryarrest

respiratoryequipment

respiratorytherapist

respitecare

restrain restrictions retina

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page 87

Insteadof
retinoicacidsyndrome

Use
adiseasethatcausesapersontohavetoo manywhitebloodcells,whicharethe cellsthatfightinfection usemorethanonce useseveraltimes aproblemthatcausesmusclestobreak down arunny,stuffynose arunnynose chillswithshaking

reusable

rhabdomyolysis

rhinitis rhinorrhea/rhinorrhoea rigors

S
scalp scrotum sebaceousglands secondaryleukemia/secondaryleukaemia theskinunderthehair sac cellsthatmakeanoilyliquid anewleukemia/leukaemiathatiscaused bytreatmentforanotherproblem. (Leukemia/leukaemiaisacancerofthe blood.) anewcancerorleukemia/leukaemia causedbytreatmentforanother problem.(Leukemia/leukaemiaisa canceroftheblood.)

secondarymalignancy,orsecondary cancer

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page 88

Insteadof
secretions

Use
thickliquidsgivenoffbyvariouspartsof thebody[?] medicinegiventocalm fit aconditionthathappensbecauseof electricalactivityinthebrainthatisnot normal.Seizures,orfits,cancausealoss ofconsciousness,ortwitchingorjerking movementsinpartofthebodyorinthe wholebody. shy[?] uncomfortablyawareofyourself[?] feelgoodaboutyourself respectforyourself abilitytofeel infectionintheblood afever,raisedreditchyareasontheskin, paininthejoints,toomuchliquidin thetissues,andswollenlymphglands. (Lymphglandsareasmalllumpsof tissuethathelpfightgermsinthe body.) behaviourthatissexualinwaysthatare notnormalforachildsage

sedation seizure[seealsoabsenceseizureorpetitmal seizure]

selfconscious

selfesteem

sensation sepsis serumsickness

sexualizedbehaviour [ageinappropriate]

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page 89

Insteadof
sexualoffender

Use
personintroublebecauseofhisorher sexualbehaviour aninfectionwiththegerm,orvirus,called herpeszoster.Shinglesusuallyaffectsa nerveandcausespaininonepartofthe body. causesblistersontheskin averybadreactiontoemotionalor physicalpainorinjury[?] rememberingsomethingthatwasjustsaid ordone theabilitytorememberdaytodayor recentevents.(Lossoftheshortterm memorymaybemanythingsfrom forgettingnamesonceinawhiletoa totallossofeventsafterevenafew minutes.) problemsthatmayhappenaftertaking medicine painacrossthecheekbones aninfectioninthespacesinthehead connectedtothenose[?] painandrednessinthesinuses,whichare thespacesintheheadconnectedtothe nose partsofbonesthatarelargerthanusual

shingles

shock

shorttermmemory

sideeffects

sinusheadache sinusinfection

sinusitis

skeletalhyperostosis

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page 90

Insteadof
slough socialworker

Use
deadskinortissuefallingoff apersontrainedto bealinkbetweenyourchildand familyandyourchildshealthcare team offeryourfamilyemotionalsupport, counselling,andhelpfindingservices inyourcommunity thepartofthebrainthatletsyoufeel thingswhenyoutouchthem sleepiness cramp anuncontrolledincreaseinthetightening ofmuscles apersonspeciallytrainedtotestspeech andtotreatproblemswithspeechsuch asunderstanding,expression,orthe feelingputintothewords,and pronunciation,orthewayyousay words theliquidfromamanthatjoinswiththe eggfromawomantomakeababy problemsmakingsperm,whichisthe liquidfromamanthatjoinswiththeegg fromawomantomakeababy

somatosensorycortex

somnolence spasm spastic

speechlanguagepathologist

sperm

spermatogenesis,defective

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page 91

Insteadof
spinalcord

Use
agroupoffibresinsidethebackbonethat goesfromthebraindowntheback.The spinalcordcarriessignalstoandfromthe braintothebody. anorganthathelpsmakeandgetridof bloodcellsandhelpsthebodyfight infections havingaspleenthatislargerthannormal. (Thespleenisanorganthathelpsmake andgetridofbloodcellsandhelpsthe bodyfightinfections.) therecoverythattakesplaceonitsownas thebrainheals.Thistypeofrecovery happenswithorwithoutrehabilitation, usuallyearlyintherecoveryprocess. theamountofacancerinthebody. Stagingusuallydependson howlargethegrowth,ortumour,is ifthelymphnodeshavecancer,and ifthecancerhasspreadfromthe originalplacetootherpartsofthe body aspecialbicyclethatdoesnotgo anywhere place problemwiththemusclesoftheeyethat causestheeyetolookofftotheside verycleanandfreeofgerms

spleen

splenomegaly

spontaneousrecovery[ofthebrain]

stage[ofcancer]

stationarybicycle

status[i.e.,onawaitinglist] strabismus

sterile

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page 92

Insteadof
sterility stoma[fortracheotomies]

Use
notabletohavechildren theholeinthethroatthatthetracheotomy tubegoesinto[?] theholethatthetracheotomytubegoes into[?] asoreontheliningofthestomach soresinthemouth pooh thickliquidfoodsmadefrompiecesof regular[vegetables,fruits,ormeats] stretchmarks aconditioncausedbybleedingoralackof bloodinthebrain.Astrokestopsblood fromcarryingoxygentothebraincells inanareaofthebrainforatime.A strokemaycausealossofspeechor otherabilities. changesintheelectrocardiogramthatare notnormal.(Anelectrocardiogramisa recordingoftheelectricalactivityofthe heart.) notalertanddifficulttogetupandget moving[?] asoreonaneyelid

stomachulcer stomatitis stool strained[vegetables,fruits,ormeats]

striae stroke

STTsegmentchanges

stupor

stye/sty

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page 93

Insteadof
substitutedecisionmaker

Use
apersonotherthanthepatientorparent whomaydecideforthepatient anotherpersonwhomaydecideforthe patient,calledthesubstitutedecision maker thenumberfoundonabottleofthattells youhowwellitwillprotectyour [childs]skinfromthesun.You[your child]shoulduseasunscreenwithan SPFofatleast30.Makesureyouput sunscreenon[yourchild]40to60 minutesbeforeyou[yourchild]goesout intothesun. acreamthatprotectstheskinfromthe sun pillsorliquidsthatsupplyextra... medicinethatisputintotheopeningin thebumtoemptythebowels medicinethatisputintotheopeningin thebum[bowel]to... medicinethatisputintotheopeningin thebum[bowel]torelaxthebladder andreducepain weakenedimmunesystem weakenedabilitytofightinfection sexorgansnotworkingwellornot workingatall

sunprotectionfactor,calledSPF

sunscreen

supplement suppository[seealsoaB&Osuppository, antiemeticsuppository]

suppressedimmunesystem[seealso immunesystem]

suppression,gonadal

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page 94

Insteadof
surgery sutures sweatglands sympatheticophthalmia

Use
operation stitches cellsthatmakesweat infection[redness,swelling,andpain]in theeyethatisnothurt[?] sign faint liquidleakingintothelungsandcausing severeproblemsbreathing lessproteinmadeinthebody.(Proteinis thematterthatmakesupmostliving things.) aninfectionofthegenitals,orprivate parts ahollowtubewithaplunger.Asyringeis oftenfastenedtoaneedle.Asyringe holdsliquidssuchasmedicine. ahollowtubethathasaplungerand holdsliquids

symptom syncope syndrome,capillary

synthesis,decreasedprotein

syphilis

syringe

T
24/7 anytime anytimeofthedayornight,anydayof theyear

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page 95

Insteadof
T4lymphocyte,prolongeddepressionof

Use
problemswiththebodybeinglessableto fightinfectionanddisease heartbeatingfasterthanusual breathingfasterthanusual redspotsontheskincausedbylarge bloodvessels aperiodofgreatangerwhensomeone doesnotgetwhatheorshewants quick,violentlossoftemper thelowerpartofeachsideofthebrain. Thetemporallobeshelpinremembering thingsandingettinginformationfrom theearandnose. problemswithanunbornbabysgrowth aninfectionthatcausesmusclestocramp andgettightandstiff foodthatfeelsdifferentinthemouth so lownumberofplateletsintheblood. (Plateletsarethepartofthebloodthat helpsstopbleeding.)

tachycardia tachypnea telangiectasia

tempertantrum

temporallobe

teratogenesis tetanus

texture[food] therefore thrombocytopenia

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page 96

Insteadof
thromboembolicphenomenon

Use
aclumpofbloodcalledabloodclotfrom anotherpartofthebodythatblocksa bloodvesselsuchasaveinorartery swelling,redness,andpainintheblood vesselcalledaveincausedbyaclumpof blood,orbloodclot,blockingthevein aclumpofbloodcalledabloodclot blockingabloodvesselsuchasaveinor artery aclumpofblood,orbloodclot,blocking thebloodvesselcalledanartery aclumpofblood,orbloodclot,blocking thebloodvesselcalledaveinintheliver anorganthataffectsgrowth soundofringingintheears theamountoftightness,ortension,ina musclewhenitisnotused.Muscles havelowtonewhentheyarelimpand floppy.Muscleshavehightonewhen theyaretightandhardtomove.Muscle tonethatisnotnormalhappensbecause ofdamagetonervesthatcontroltheway muscleswork. roundpiecesoftissueatthebackofthe mouthbesidethetongue

thrombophlebitis

thrombosis

thrombosis,arterial

thrombosis,hepatic

thyroid tinnitus tone[muscle]

tonsils

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page 97

Insteadof
totalparenteralnutrition

Use
aspecialtypeofliquidthatgoesdirectly intothebloodwhenachildisunableto eat damagetotheeye damagetokidneys lossofskinthatleavespatchesthatlook likeaburn[?] [seetotalparenteralnutrition] asmallopeningthatthedoctormakesin thewindpipeatthebaseoftheneck anoperationthatremovesanorgansuch asyourkidneyorpancreasandreplacesit withanorganfromsomeoneelse treatment[5thgradereadinglevel] shakiness shaking cause higheramountsofatypeoffatinthe blood swelling,redness,orpainintheintestine, orbowel,neartheappendix

toxicity,ocular toxicity,renal(nephrotoxicity) toxicepidermalnecrolysis[orLyells syndrome] TPN tracheotomy

transplant

treatment tremor

trigger triglycerides,increased

typhlitis

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page 98

Insteadof

Use

U
ulcer asore [seealsostomachulcer] soresinthetubebetweenthethroatand stomach aspecialpicturetakenwithatypeof soundwave aspecialtestthatusessoundwavesto takepicturesoftheinsidethebody apainlesstestthatusessoundtocreate picturesonascreentolookat... apainlesstestthatusessoundtocreate picturesoftheinsideofthebodyona screen sunlightmadeupofultravioletraysthat causesunburnsandchangethecolourof theskin stateinwhichapersonisnotawareof whatisaroundhimorheranddoesnot respondtoattemptstowakenhimor her milkthathasnotbeentreatedtogetridof germs tubethatdrainstheurine,orpee,fromthe bladder

ulceration,esophageal/ulceration, oesophageal ultrasound

ultravioletlight,orUVlight

unconscious

unpasteurizedmilk

urethra

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page 99

Insteadof
urinate

Use
pee emptythebladder raisedred,itchyareasontheskin,called hives

urticaria

V
vaccine ashotoramedicinethatyouswallowthat protectsyoufromgettingadisease thefoldsoftissuebetweenthechambers andbloodvesselsoftheheartthat preventthebloodfromflowing backwards medicinethatwillhelptoprotectyour childfromgettingchickenpox. swelling,redness,andpaininablood vessel blockedbloodvessels,calledveins,inthe liver illnesscausedwhenpartoftheliver blocked breathingmachine amachinethatbreathesforapersonwhen heorsheisnotbreathingonhisorher own.Itworksbypushingoxygeninto thelungsthroughthebreathingtube,or endotrachealtube.

valves

varicellazosterimmuneglobulin,orVZIG

vasculitis

venoocclusivedisease

ventilator

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page 100

Insteadof
ventricles

Use
the2lowerpartsorchambersoftheheart thatpumpbloodtothelungsandthe restofthebody adizzyfeelingasthoughyouortheroom isgoingaroundincircles amedicinethatcanblisterorburnthe skin amethodthatphysiotherapistsusetohelp expand,orstretch,apartofthelungthat hascollapsed,orfallenin partsofthebodyofagirlorwoman becominglikeaboysormans agirlorawomanbecomingphysically andmentallylikeaboyoraman agerm,oralivingthing,thatcauses infectionanddisease alivingthingthatcausesadisease[from theBloodBank] thepartofthebrainthatletsyousee things[?] measurementsofheartrate,blood pressure,andtemperature anoperationthatremovesthejellylike materialinthecentreoftheeyethatis filledwithbloodandreplacesitwitha waterysolution[?]

vertigo

vesicant

vibrations

virilism

virus

visualcortex

vitalsigns

vitrectomy

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page 101

Insteadof
void

Use
pee emptythebladder togivetheirtimefreelyto[tohelpothers] apersonwhogiveshisorhertimefreely throwup sicktothestomach

volunteer

vomit

W
Walkman wasting waterresistant watersolublelubricant apersonalradio losingweightandstrength doesnotgetweteasily ajellythatmixeswithwater,calleda watersolublelubricant slowlytakenoff cellsinthebloodthatfightinfection bloodthatismadeupofredbloodcells, whitebloodcells,andplatelets,which arecellsthataremixedwithapale yellowliquidcalledplasma

weaned[medicine,milk] whitebloodcells wholeblood

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page 102

Insteadof
xenograft

Use
anorgantakenfromonetypeofanimal giventoanothertypeofanimal aspecialpictureoftheinsideofthebody

xray

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