Listen to the dialogues. Dialogue A is in British English, dialogue B is in American English. Pay close attention to the differences in pronunciation and vocabulary.
D: How long have you had difficulty breathing?
P: Since last week, Doctor.
D: Is it very bad?
P: Yes, I feel as if / like / I can’t get enough air.
D: Which is more difficult / What’s harder /, breathing in or breathing out?
P: It’s harder to breathe in.
D: Are you short of breath when you are resting or only when you are doing something / physical /?
P: / A little / When I’m resting, but it’s worse when I try to do anything / physical /.
D: Can you lie flat in bed?
P: Oh, no.
D: How many pillows do you use?
D: Do you ever wake up at night feeling short of breath?
P: Yes, I do. It frightens / scares / me because I wake up feeling as if I can’t breathe.
D: What do you do when this happens? I mean, do you sit or stand up, does some movement help / you breathe easier /?
P: If I sit up, it helps a little.
D: Let me listen to your chest. … I can hear a few crackles and it sounds a bit wheezy.
D: How long have you had difficulty breathing? / How long have you been short of breath?
P: I've had difficulty breathing for about two weeks.
D: When is your breathing most difficult?
P: I wheeze int the early hours.
D: Which is more difficult, breathing in or beathing out?
P: Breathing out is harder.
D: Are you short of breath when you are resting or only when you are working?
P: I'm short of breath when I'm working.
D: Can you lie flat in bed? Can you sleep on your back?
P: Yes, I can sleep on my back.
D: Do you ever wake up at night because you are short of breath? / Is your sleep disturbed?
P: Yes. I wake up several times because I'm short of breath.
D: What do you do then?
P: I usually get up and walk around when it happens.