#310 The British Attitude Towards Healthcare
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Hello, English learners. Welcome back to the Level Up English podcast, the best place to come to practice the English language, learn about the British accent and culture, with me, your host, Michael Lavers. Today, I want to talk all about medicine, hospital visits, getting sick, you know, not the happiest of topics, but this was a suggestion from one of you lovely listeners, and I had a few ideas on...

things I could talk about in this episode, but also lots and lots, actually, of very useful words, vocabulary, phrases. There are so many words related to medicine and going to the hospital or the doctors that we would use in everyday English.

And I think the person who was asking for this episode may have been looking for something a little bit more technical. And I find it difficult. I want to try my best to make these episodes useful for everyone. So I'm not going to be sharing super specific, like medical student vocabulary. I'm going to try to keep it useful for everyone, but also kind of general. So it's not too specific.

So I don't want anyone clicking off right now or tapping away. So stay with me. This will be interesting, I promise. So I'm going to start by sharing my own experiences in hospitals in both England and Thailand, telling you about how it is, sharing some words while I do that. So first of all, I will say...

In the UK, it's a very strange, very kind of challenging situation at the moment. So you may know that in the UK, we have something called national healthcare. Your country may have something similar. It's the opposite of private healthcare. So private healthcare system is when you have to pay for any problems you have. And this is how they have it in the USA, for example, where if you have...

an illness or something goes wrong or an accident, you may have to pay and cover the cost yourself. It's very expensive. However, in the UK, it's basically provided by the government. And the reason that is allowed or the reason that is possible, I should say, is because of our taxes. We pay taxes and in return, we get a free, free healthcare system.

So there are many differences. And of course, there are pros and cons to each system. I did say that in private health care, you would pay. But I think probably what is more common is that you would have insurance because if you did have to pay, you would probably go bankrupt, which means you lose all your money every time you need to see a doctor. So I think most people would have insurance in places like the US, but I don't know too well about all of that.

In the UK, we have what's known as the NHS, the National Health Service. It's a national health service in the UK. Maybe you've heard that acronym before. And there's a lot that could be said about this. There are many problems which I'm not really qualified to talk about, but many problems at the moment with the healthcare system in the UK.

One of them I've heard is staff are quite badly underpaid. You've got people who are working really, really hard. They're working like a dog, we could say, which means working very hard and not receiving enough compensation for their work, which is a real shame because, of course, the people who work in hospitals, I would say they should be paid the highest. They're some of the most valuable members in society. So, yeah.

That doesn't really make much sense to me. Another problem is, I think in many other ways, they're cutting costs. I can just tell you my experience. I went to the hospital, I think in my whole life, I've only been a handful of times, which means one or two times. But the most recent time I went in the UK was when I had a really bad throat infection where my throat was actually swelling up.

So here's maybe the first word we can learn today, which is to swell. S-W-E-L-L. That means to get bigger. And it's really commonly used for injuries. Like another example is when I broke my wrist. I'll tell you that story later. My wrist swelled up. It got bigger. It was quite puffy. And here's the adjective now, swollen. So add E-N on the end. If

If some part of your body swells, you can describe it as being swollen. So yeah, of course it was quite dangerous. My throat was swelling up and I was worried that I wouldn't be able to breathe if it got worse. In fact, I couldn't eat or drink, so that was already a big problem.

So I had to go to the emergency room. In the UK, we call it A&E, which stands for accident and emergency. So if you have an accident or emergency, you can go to A&E, which is like an open part of the hospital, and wait down and get an appointment without booking in advance. The only downside of this is you might have to wait a long, long time.

I don't remember exactly how long I waited, but it was several hours. And I was, you know, my throat was swelling up. I was getting quite scared. And I was waiting there, surrounded by people who had, you know, broken arms and blood coming out of, it's a crazy place to be if you go at the wrong time.

Everyone has different levels of severity. That means different levels of how big the problem is, how severe the problem is, waiting in A&E. But yeah, my experience in England is I did eventually get seen. And the deeper I got into the hospital system, the better my experience was. And I think that kind of makes sense because they might need to weed out the...

people who are not so, they're not so in need. So you might have someone who says, oh, my arm feels funny. My arm feels a bit strange, right? And then they go to the hospital and it's just nothing. Maybe they hit their arm on a door and it's not a serious problem. I'm sure the hospital gets lots of these kinds of people. They don't want to ignore them, but they want to weed them out, which means they want to kind of remove them from the system and

so that they can focus on people with more serious problems. Of course, that is the logical thing to do when you don't have enough staff.

So basically there were different stages. There's the waiting stage in A&E. There's another stage where you go in for a checkup, basically. A checkup is like a medical examination to see how you're doing and they will diagnose you. So diagnose is a verb. Diagnosis is the noun. And this is when they identify or name the specific condition or illness that you have. So

So they might understand what is going wrong and they might kind of try to find a name to diagnose you.

So there's the diagnosis stage I found. And then, of course, there's the treatment stage. And the further down you go up this kind of ladder, we could say the better treatment I got. So the early stages was quite scary. It was very uncertain. People were grumpy. I found that a lot of the nurses and doctors were quite grumpy with me, not so happy. And, you know, maybe who can blame them? They've got a lot of

people who are not very happy to see them. But then when I got to the treatment levels further down that - further up the ladder, whatever metaphor you want to use, people were so friendly. The nurses there were looking after me, they were feeding me, they were making sure I was comfortable, they were having small talk and chatting with me. And even though I was in quite a bad state, which means I wasn't super healthy,

my memories of the hospital were actually quite pleasurable. Just like relaxing in bed, chatting with the nurses. I actually had quite a good time, which is, which is really weird, but I suppose it's because the pain is easily forgotten, but the memories stay with me. I guess that's why. So that's, that's that experience. Um,

Another thing I'll say about the healthcare system in the UK is the waiting times can be incredibly long. If I want to see the dentist, I might have to wait many months, eight months, even a year to see the dentist. Depends on where you live in the country. If you're in London, it's really, really difficult to find a dentist if you haven't already got one.

So I do sometimes see the dentist in the UK and I always am very disappointed. You know, I have to wait a year to get an appointment and they might cancel several times because all the dentists are quitting because they're not paid enough. And when I finally get my appointment, it's like five, 10 minutes. They quickly check and it's yet no problems and nothing else. That's it.

So it's a little bit disappointing in many ways. I think it's such a shame. I think national healthcare is such a special thing. It's really nice that we can have that in a country, but there are definitely rooms. There's definitely room for improvement there. And I should also say one more thing that, of course, you can also pay for private healthcare in the UK. There have been a few times where I've done that, where I've needed something right now and I've

I just don't want to wait, right? If it's not too expensive, maybe it's worth getting private healthcare or for stuff like maybe non-essential stuff like blood tests and other stuff like that, just to see if you're healthy, get that checkup examination. It might be better to go for a private doctor if you can afford it, right? Because

unless it's like a serious problem, you're not really going to get an appointment in the National Healthcare Service in the UK, which is such a shame, but that's kind of how it is there. So as a result of that, I do think it leaves people in the UK with a strange attitude, which I wasn't aware of until I started going to other countries and comparing to other places.

And I feel like people in the UK generally, they don't take medical stuff seriously until it gets bad. Right. So I feel like this is more common in the US where they have a preventative outlook, a preventative attitude. So this is an adjective now, preventative. This comes from the verb to prevent something. Right.

And to prevent something, you might notice there's pre, which means before. Prevent something is stop something from happening before it happens. So if you have a preventative view on illness, you want to be as healthy as you can to avoid future possible illnesses, which is my current view as well.

But I feel like in the UK, because of the healthcare system, it doesn't really work that way. People have a different view, which is more reactive. Reactive means you're reacting to illnesses when they happen and not preventing them before. I've found this myself, that if I go to the doctors in the UK with a minor concern, I will get the feeling that they're not taking me seriously, that they don't really care because I'm not dying. It's not a really big deal.

And yeah, because of that, people just don't have that preventative attitude there, which is real shame, I think, because it's so important to try to be as healthy as you can to avoid future problems and not just fix them when they come up. Because so many problems, maybe most problems, most health problems in life can be solved or at least delayed if you're healthy before. Right. So, yeah, it's real shame, I think.

And now we can briefly compare that to my Thailand experience, which has been mostly much better, right? There's a few interesting things here. I found generally going to the dentist and stuff, they're a lot less gentle. I often end up leaving the dentist feeling in much more pain than when I went there. I don't know if that's good or bad, but

They're quite rough, but I do get the sense that they care. They actually care about my teeth. Honestly, I don't know a whole lot about the healthcare system in Thailand, but I do know that Thailand is quite well known for having a decent, pretty good healthcare system. In fact, a lot of people will travel here for what's known as medical tourism, which means that they're travelling for the main purpose. It's for medical reasons because

It might be, especially for Americans, it might be cheaper to travel to Thailand and pay for something here rather than getting it done in their home country, which is a crazy thing to think about. But in many cases, that's true. But yeah, luckily, I have insurance here in Thailand and I have to say I've been making full use of that insurance. I think I've been to the hospital 16 times in the past year.

Many of them were related to my wrist. So here we can learn some new words now related to bones. So I've told the story before. I fell off my skateboard in October 2023 and I landed here on my hand and fractured my wrist.

fracture is kind of like a crack we use it for bones but we can also use it in terms of like fracturing the ground or in some uh maybe there's a fracture in a relationship perhaps just some kind of crack like it's not like fully broken but it's beginning to break like our relationship is fractured it needs to be repaired kind of like that there's a few ways we can use it but

If you imagine in my wrist, in my bone, there was a crack that you could see on the x-ray. So it wasn't totally snapped, which is much more serious. It was fractured. And that was the first time I've ever broken or fractured a bone. And it was quite, I kind of felt like somewhat proud, like, oh, I finally have this experience that other people have had. It was kind of a funny realisation. Oh, silly me. I fractured my bone.

But then over the next few months, I slowly realised how annoying this is going to be. And even today, it's still causing some problems. It's quite difficult for me to do push-ups, for example, and put too much weight on my wrist.

So yeah, I do really, really regret that silly mistake. I was trying to be cool and do some tricks on my skateboard and I might have problems for the rest of my life because of that. I don't know, maybe. But yeah, be careful. Be careful out there. You know, you don't know when one accident can change your life. And obviously this is quite a minor one, quite a small one, but still.

But yeah, anyway, in Thailand, I have had a few experiences. Seeing the doctor about my wrist was quite nice, I suppose. They were very attentive. I also noticed the waiting times were incredibly short. In fact, the booking times are short. This is what's crazy. I've also been to the dentist a few times for some procedures to fix my terrible teeth and

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Some of that may be because it's private, private health care here. Maybe that is sometimes done in the UK as well. I don't know. But yeah, it's crazy. You can just send a message. Can I have an appointment? No problem. See you then. It's that simple. And the thing that surprised me was how quick it was. I was asking like, you know, when is your next availability? I want to book a checkup for my teeth. I want to get my teeth checked.

And I'm kind of expecting maybe in a couple of weeks, they're going to have some free time. And they said, well, you can come in today if you want to come in right now. It's fine. We've got some time. And I was so, that was a really big culture shock to me. Like what? You've got time? You mean I don't have to wait one year for an appointment? That was crazy. Yeah.

So that's one thing is booking time is very short. Waiting time in the hospital, I found, is also very short. I've never waited more than 30 minutes, which is unheard of in the UK. If something is unheard of, that means it never happens, basically.

I also just get the feeling that the doctors in the hospital I go to in Bangkok, they actually really do care. They want to know what the problem is and they want to see you again to see if you're getting better. If you're very cynical, cynical is when you have a negative view of the world. If you're cynical, you might say that they only care because they get money when they see you. You could make that argument, but

I feel like when people just want to make money, you can usually feel it in the way that they're treating you. But I don't get that sense from the doctors. I get the sense that they actually do care and they want to see you better, which has been really nice. And they're smiling, they're calm with me.

So yeah, mostly positive experiences here in Thailand, which is nice. And you know, one more thing, we can use that word checkup again. Again, checkup could be a verb, phrasal verb, or it could be a noun that I'm going to get a health checkup. And this is something that I realised when I came to Asia is that

Here and maybe other places in the world, it's quite common just to get an annual health checkup. You go to the doctor or dentist or whatever, and they just check to see if you're okay. Blood tests, other stuff like that. Cancer screening as well. Another word here, to screen. It's like to test, a cancer test.

If they screen you for cancer, they're making sure you are cancer free. And I think that's just so, it's so good. I think every healthcare system should try to do that. But in the UK, we don't really have that. Unless you want to pay a lot of money, it's not really part of the culture. I don't know anyone in the UK, especially under the age of, you know, 40 or 50, who has gone for a health checkup if they don't have pre-existing conditions, right?

So that's interesting. And it seems like in Asia, generally, it's more common to get health checkups, which I think is very good. Very good. And now I want to use my own example for a moment and try my best to explain or share as many words as I can to help you on your next hospital visit.

If you ever have to go to the hospital in the UK or another country, these might be useful. So as I mentioned in last week's episode, I have been having some minor eye problems recently and I don't quite know the cause yet. It could be pollution. It could even be just using my screen too much or not sleeping well. Or dry eyes is a thing I'm considering. It could be dry eye, which is when

For various reasons, your eye is not getting enough moisture, which it could be that. You might notice my eyes look a little bit red recently, a little bit irritated. I wake up and they're feeling quite irritated. So we could say my eyes are inflamed, which sounds like a really cool word, doesn't it? Inflamed. So it doesn't literally mean my eyes are on fire. It just means there's some, here's the noun, inflammation.

So inflammation, inflamed. There's some irritation, right? There's some redness or soreness. Sore is like a little bit painful. If you get some light infection or something like that, you might have some inflammation which you need to deal with. So my eyes are a little bit inflamed. The

I have to think carefully when I go to the hospital here, because of course the doctors do speak English, which is great, but it's not totally fluent all the time. So I have to think carefully about how to describe my symptoms to them so they understand clearly what's going on with me. Symptom, by the way, is just a sign or an indication of what is going wrong with you, what your condition is.

So if I were to describe my symptoms, I would say, again, the feeling of redness, inflamed eyes, sometimes feel quite heavy. And one of the biggest symptoms that I felt which made me go to the hospital was slightly blurred vision.

So in my left eye, I had slightly blurred vision. Blurred means it's difficult to see. If you... I guess we could compare it to a camera, right? You know when your camera is not in focus, it will look blurry. In fact, just right now, if you're watching on YouTube, I will make the screen blurry to show you what I mean. So this is what it looked like when I had blurred vision in my left eye. The reason was is because I had a sty. A sty is kind of just like... I think it's a blocked...

gland or something like that. I don't know, but basically it's a lump around your eye, usually below your eye or on your eyelid like mine is. And it sometimes goes away on its own. I think it's often caused by some bacteria or something entering the eye.

and often it doesn't go away on its own. And in my case, it hasn't gone away. I've had this since the end of October. It's been so long now I've had this. And I've been using some eye drops, which is the eye medicine where you drop the liquid into your eye. And the eye drops have helped. They have stopped my blurry vision, which has been really nice. But I still think I might need to undergo some minor operation.

Undergo means to experience something or to have something done to you that's often maybe painful or difficult. So you might undergo. I think it is very common. If you remember that phrase, undergo surgery, undergo an operation, that's very common.

So if we can just keep it to that, that's all you need to know for now. But yeah, undergo you might see in other areas. Undergo some challenging experience. It is challenging experience. It's a little bit like to go through something. But yeah, I might need to undergo some operations, some minor operation where they will get a needle and inject some steroids into my eyelid, which is super scary, but...

If next episode I can still see properly, I've got my eye, then you know it went well. Let's see. Another thing that I have unfortunately gone through since coming to Thailand is one or two cases of the cold or the flu, maybe COVID, I don't actually know.

But yeah, it's a horrible feeling when you come down with a cold. This is a great phrase that you can use to come down with, which means to start to get sick. So we usually use it with the cold or the flu. I'm coming down with a cold. I'm coming down with the flu. Right. So that's a great way to explain what's happening to you.

And it doesn't happen too often. I think since I've been here, it's happened like three times, maybe twice since I've got sick. I feel quite lucky. Maybe I try to avoid people. One thing that I do to avoid getting sick is when I go on public transport, I always wear a mask.

which I don't want to change because everyone is always coughing everywhere. I hate it. And I don't know why they're always coughing. It's always the people who are not wearing a mask who are coughing. So I'm going to continue wearing my mask and trying not to get your germs in my mouth.

That's one thing I do to prevent getting sick. Again, we have that word prevent. It's my preventative measure. In other words, preventative action to avoid getting sick. I do think it's quite difficult to know when you're coming down with a cold or when you're just suffering from the effects of pollution.

At the moment, I'm still considering whether later today I want to go for a bike ride or maybe I should just stay inside because the pollution is somewhat high today. Unfortunately, I am one of those people who feels the effects of pollution quite easily. If I go for a walk and the pollution levels are a bit higher, I will feel slightly sore in my throat and my eyes will feel even more inflamed and red.

Some people, they seem to not be bothered so much. I don't know if that's a good thing or a bad thing. But for me, I do notice it affects me more. Same with people smoking cigarettes. If they're smoking near me, I will feel a sore throat the next day. So I think I've got quite sensitive to that kind of stuff around me.

So, you know, it's not the worst in the world. It's not the worst pollution in the world in Bangkok, but it can get quite bad, especially during the spring season. You have to be careful and check, especially if you're staying here for longer than a couple of weeks. So sometimes I try to stay positive. I might wake up with a sore throat and I might think, oh, no, I'm getting sick. When in reality, I've just had a bad day.

what can we say, a bad reaction to the polluted air. And after one or two days, I'll be back to normal again. But yeah, it is a horrible feeling, isn't it? When you notice you're coming down with a cold and you feel, oh no, it's coming. Oh, it's such a horrible feeling. And I don't know, sometimes I try to drink a lot of water and rest and I feel like it goes away, but usually it is not effective, right?

So some symptoms you might have when you come down with a cold. You might have a headache, of course. You might have pain in your head. You might have a congested nose. You might feel congested. Congested just kind of means busy. You could describe the road as being congested, which if you know anything about Bangkok, the roads are always congested. Traffic everywhere.

But also your nose is the same. It's blocked. It's congested where it's difficult to breathe through your nose. You might have a sore throat, which is one of the worst symptoms. I don't know. I feel like congested is worse. Having a blocked nose is much more annoying to me compared to a sore throat. But I mean, they're both kind of annoying, aren't they?

And of course, if it's something worse, like you might have the flu, we say the flu, then you might also have a fever as well. When you have a fever, I usually feel really, really tired. It starts in the evening. I feel super, super tired. The next day I wake up and I realise I'm sick.

So usually feeling weak and tired is my first symptom that I'm coming down with the flu. And on one hand, I hate it because I miss so much work. I love doing the podcast and I miss doing this. I can't see my friends. I can't do exercise. There's so many things I miss out on when I'm sick. On the other hand, I try to remain optimistic and I say, well, I'm

I may be sick, but at least I can play video games and not feel guilty about it. I don't know if any of you feel the same way, but maybe you have some hobby that you like to do. But because you're an adult, you might feel guilty, like you're wasting your time. If I spent two hours today playing video games, I might feel a little bit guilty that I should be doing something else. So if I'm sick, I kind of give myself permission to have fun and play games and

Yeah, I get a lot done. I get a lot done in my video games when I'm sick. Let's just put it that way. I think just before we end today, I'll share one more experience that just came to mind where I felt a little bit silly. This was one of my, I don't know if it was a bad experience or not, but I kind of felt a little bit silly. It's kind of how I felt in the UK as well when

They don't take you seriously. So basically, I had a mole on the side of my head. Mole is M-O-L-E. It's kind of like a lump that usually you have for your whole life. It's like a dark mark on your skin. Sometimes they're flat. Sometimes it sticks out like a bump.

I think everyone has moles. Most people have moles, so you probably have them on your face or body somewhere. And I had one on my head and I don't know if it's still there, but I heard that if you have a mole that turns into a scab, you should get it checked out as soon as you can.

Scab is a very disgusting word for me. I don't know if it sounds disgusting, but I think it sounds a bit gross and the meaning is a bit gross. Basically, a scab is when you have a cut or scrape on your body and you get blood coming out. When the blood dries, the blood clots, in other words, the blood dries, it forms a scab. The purpose of that is, of course, to stop blood coming out forever.

So when you have a cut, you have dry blood. The dry blood is called a scab. So I heard that when you have a mole that turns into a scab, it could be a sign of cancer and you should get it checked out as soon as you can. And I thought, well, I started worrying about that. And I also thought,

Well, since I've got insurance, there's no harm in getting it checked out. So I went to the hospital. I spent a whole morning to go there and get it checked out. And when I finally saw the doctor, she had a very quick look and she said, yeah, it's fine. No problem. And I kind of felt a bit like, well...

Are you sure you don't want to look again? Maybe have a closer look. Maybe it is cancer. You just haven't seen properly. Because, you know, she really saw it in just half a second. Like, no, no problem. It's fine. And it was kind of very awkward because I just sat down and she said, you're fine. No problem. And I kind of felt like if I just leave now, it would be a bit too abrupt. It would be too sudden. I feel like we need to we need to talk a little bit more.

So I explained to her why I was concerned and she said, no, don't worry. It's fine. Nothing to worry about. Um, and I'm kind of thinking to myself, any, do I need any prescription or any, anything like that? And you know, not nothing. Uh, by the way, prescription is a noun that is like some medicine that's given to you by a doctor. Uh, prescribe is the verb. Uh,

It can be used in other contexts as well, but kind of like to give. So to prescribe is to give something, usually medicine. So a doctor will prescribe you medicine. Usually it's something you can't buy on your own. You need to have a doctor's prescription in order to get hold of that medicine.

So I did not get any prescription for this problem. And I just kind of like stood up and left very suddenly, feeling a little bit stupid. Like, I don't know. I think it's good to get these things checked out. If you're worried, of course, get it checked because it's better. Here's a good phrase. It's better to be safe than sorry. It's better to be safe than sorry. It's better to worry and have no problems rather than not worrying and have more problems. Okay.

But yeah, I just felt a little bit stupid. And I kind of felt like she thought I was a, this is last word today, promise. She thought I was a hypochondriac. This word is more advanced. It's not an everyday word, but it is used to describe people who really worry about their health. So this is something that all doctors will experience, I'm sure.

hypochondriacs. It's a person. So I don't think I'm a hypochondriac, but I was worried that she would think I was because she wouldn't take me seriously.

So yeah, once again, a hypochondriac is someone who really worries about their health and anytime they feel a little bit bad, maybe they've got a pain in their leg, their first reaction is, is it cancer? Heart attack? I'm dying. I need to go to the hospital. It's a very, very extreme reaction to small symptoms. So I think many of us can have these

hypochondriac reactions sometimes, especially if you've just watched a documentary about cancer and hospitals. It's fresh in your mind and then you're thinking about it more and more. Usually, right, it's nothing. It's not a big deal. But yeah, I think if you are a hypochondriac and the doctor can see that, there's a chance they might not take you so seriously. So that's what I was worried about in that situation. But anyway, there we go.

I think I'll leave it there. This has been a very kind of casual, kind of talky episode, and I do hope you've enjoyed it. I hope you enjoyed hearing about my various experiences in hospitals and the medical system. I hope it's been interesting for you. And I also hope you've learned some new words along the way. I've tried to mention as many that come to mind, and I will list all of these on the show notes for you as well.

So wish me luck on my eye operation. Hope it goes well. And I think I'll just leave you now with a quote. I was planning to have a look at Spotify comments, but it's always very difficult to show. There's always some problem on the website that doesn't load the comments. I don't know why. So I may have to just respond to some of them in text. I will have a look at them later. So if you have left a comment on Spotify, thank you very much.

But this quote is from Joyce Meyer, or Meyer maybe. And Joyce says, "'Patience is not the ability to wait, but the ability to keep a good attitude while waiting.'" I like that. That's nice. So once more, "'Patience is not the ability to wait, but the ability to keep a good attitude while waiting.'"

If you are waiting for the doctors and you're sitting in maybe A&E for hours and hours, try to remember that what patience really means is waiting with a positive mindset. And that might even help your injury get better as well if you're thinking positively. Who knows? Okay, I'll end it here. Thank you so much for watching or listening. I will see you in the next one. Goodbye.

Thanks for listening.