Situation
Tanaka-san hasn't felt well since yesterday and books an appointment at a neighborhood clinic. Dr. Yamada is on duty. The scene unfolds in the examination room—Tanaka describes his symptoms, gets a diagnosis, and leaves knowing exactly how to take his medicine.
Dialogue
田中: すみません、10時に予約をした田中と申します。
Tanaka: Sumimasen, jū-ji ni yoyaku o shita Tanaka to mōshimasu.
Tanaka: Excuse me, I'm Tanaka. I have a 10 o'clock appointment.
山田先生: 田中さんですね。どうぞ、お入りください。今日はどうされましたか。
Yamada-sensei: Tanaka-san desu ne. Dōzo, o-hairi kudasai. Kyō wa dō saremashita ka.
Dr. Yamada: Tanaka-san, yes. Come on in. What brings you in today?
田中: 昨日から熱があって、のどがとても痛いんです。
Tanaka: Kinō kara netsu ga atte, nodo ga totemo itai n desu.
Tanaka: I've had a fever since yesterday, and my throat is really sore.
山田先生: そうですか。他に何か症状はありますか。
Yamada-sensei: Sō desu ka. Hoka ni nanika shōjō wa arimasu ka.
Dr. Yamada: I see. Any other symptoms?
田中: 頭痛もします。それから、食欲がないです。
Tanaka: Zutsū mo shimasu. Sorekara, shokuyoku ga nai desu.
Tanaka: I have a headache too. And I have no appetite at all.
山田先生: わかりました。では、体温を測ってみましょう。…38度5分ありますね。少し診察させてください。
Yamada-sensei: Wakarimashita. Dewa, taion o hakatte mimashō. ...Sanjūhachi-do go-bu arimasu ne. Sukoshi shinsatsu sasete kudasai.
Dr. Yamada: Understood. Let's check your temperature. ...38.5 degrees. Let me have a look at you.
田中: はい、お願いします。どんな病気でしょうか。
Tanaka: Hai, onegai shimasu. Donna byōki deshō ka.
Tanaka: Of course. What do you think it might be?
山田先生: のどが赤くなっています。風邪のようですね。心配しないでください。
Yamada-sensei: Nodo ga akaku natte imasu. Kaze no yō desu ne. Shinpai shinaide kudasai.
Dr. Yamada: Your throat is quite red. Looks like a cold. Nothing to worry about.
田中: よかったです。薬をもらえますか。
Tanaka: Yokatta desu. Kusuri o moraemasu ka.
Tanaka: That's a relief. Can I get some medicine?
山田先生: はい、3日分の薬を出します。1日3回、食後に飲んでください。
Yamada-sensei: Hai, mikka-bun no kusuri o dashimasu. Ichinichi san-kai, shokugo ni nonde kudasai.
Dr. Yamada: Yes, I'll prescribe three days' worth. Take it three times a day, after meals.
田中: わかりました。他に何か気をつけることはありますか。
Tanaka: Wakarimashita. Hoka ni nanika ki o tsukeru koto wa arimasu ka.
Tanaka: Got it. Anything else I should watch out for?
山田先生: なるべく安静にして、水分をたくさん取ってください。それから、しっかり休んでください。
Yamada-sensei: Narubeku ansei ni shite, suibun o takusan totte kudasai. Sorekara, shikkari yasunde kudasai.
Dr. Yamada: Try to rest as much as you can and drink plenty of fluids. And make sure you get proper sleep.
田中: ありがとうございます。もし良くならなかったら、また来てもいいですか。
Tanaka: Arigatō gozaimasu. Moshi yoku naranakattara, mata kite mo ii desu ka.
Tanaka: Thank you. If I'm not getting better, is it okay to come back?
山田先生: もちろんです。3日後に良くなっていなければ、また診察しましょう。お大事に。
Yamada-sensei: Mochiron desu. Mikka-go ni yoku natte inakereba, mata shinsatsu shimashō. O-daiji ni.
Dr. Yamada: Of course. If you haven't improved in three days, come back and we'll take another look. Take care.
Key Vocabulary
予約
yoyaku
— appointment / reservation
熱
netsu
— fever
のど
nodo
— throat
症状
shōjō
— symptoms
頭痛
zutsū
— headache
食欲
shokuyoku
— appetite
体温
taion
— body temperature
診察
shinsatsu
— medical examination
風邪
kaze
— cold (illness)
薬
kusuri
— medicine
食後
shokugo
— after meals
安静
ansei
— rest / repose
水分
suibun
— fluids / moisture
病気
byōki
— illness / disease
Grammar Notes
- 〜んです (n desu): Signals that you are explaining your situation, not just stating a fact. のどが痛いんです doesn't just mean "my throat hurts"—it frames the statement as context the listener needs to understand. You'll hear it constantly when patients describe symptoms or when someone is justifying their actions.
- 〜てみましょう (te mimashō): "Let's try doing ~". Attach みましょう to the て-form to suggest trying something together. 体温を測ってみましょう — "Let's try taking your temperature." The みる element softens the suggestion, making it sound less like a command.
- 〜ようです (yō desu): "It seems ~" or "It appears ~". Based on something the speaker has directly observed. 風邪のようですね — "Looks like a cold." The doctor says this after examining Tanaka, not as a guess but as a conclusion from evidence.
- 〜ないでください (naide kudasai): A polite negative request — "please don't ~". 心配しないでください — "Please don't worry." Contrast with 〜てください (please do ~); just swap the て-form for the ない-form before ください.
- 〜てもいいですか (te mo ii desu ka): Asks for permission politely — "May I ~?" また来てもいいですか — "Is it okay if I come again?" The て-form of the verb + もいいですか covers a wide range of everyday requests.
- 〜なければ (nakereba): The negative conditional — "if not ~" or "unless ~". 良くなっていなければ — "If you haven't recovered." Often followed by a suggestion: 〜なければ、また診察しましょう — "If you're not better, let's take another look."
Cultural Notes
For non-emergency illnesses—colds, fevers, minor injuries—most people in Japan head to a neighborhood clinic (クリニック or 診療所) rather than a hospital. Clinics generally prefer bookings (予約) in advance, though smaller ones sometimes take walk-ins. Japan's universal health insurance system (健康保険) means patients usually cover just 30% of the cost. Bring your health insurance card (保険証) every visit. Forget it once and you may be billed the full amount on the spot, then spend time claiming reimbursement later.
Medical settings in Japan call for careful, formal language from both sides. Doctors speak precisely; patients respond with respect. The farewell phrase お大事に (o-daiji ni)—roughly "take good care of yourself"—is the standard send-off from doctors, nurses, and pharmacists alike. A small bow entering and leaving the examination room, and a thank-you to reception staff on the way out, are the kind of small gestures that signal you know the unspoken rules.
Related Articles
- Travel Planning (Conversation N4)
- Renting an Apartment (Conversation N4)
- Job Interview (Conversation N4)
- At the Post Office (Conversation N4)
- At the Bank (Conversation N4)
- At the Hospital: N5 Conversation Practice (Conversation N5)
Practice
After reading through the dialogue once, try these drills:
- Role-play with a study partner—one person as 田中, the other as 山田先生. Switch after one run-through so you get practice on both sides.
- Substitution drill 1 — Symptoms: Swap out 熱があって、のどが痛い for other complaints: せきが出る (seki ga deru — I have a cough), はなが出る (hana ga deru — runny nose), or おなかが痛い (onaka ga itai — stomach ache).
- Substitution drill 2 — Medicine instructions: Replace 1日3回、食後に with variations like 1日2回、食前に (ichinichi ni-kai, shokuzen ni — twice a day, before meals) or 1日1回、寝る前に (ichinichi ikkai, neru mae ni — once a day, before bed).
- Substitution drill 3 — Diagnosis: Try swapping 風邪のようですね for インフルエンザのようです (influenza no yō desu) or アレルギーのようです (arerugī no yō desu) to rehearse different scenarios.
- Variation challenge: Write a new dialogue where the patient has a stomach ache (おなかが痛い) and nausea (気持ち悪い). Which lines from this dialogue carry over unchanged? Which grammar patterns stay the same but need new vocabulary?