Speak and Write Language Series
A1–A2 Volume I Chapter 13 Unit III New Grammar
Юнит III — Де́йствуем в о́бществе | Unit III — Acting in Society
13

Здоро́вье и самочу́вствие

Health and well-being · Speak and Write Russian: Foundations of Practical Communication

Chapter Objectives

By the end of this chapter, you will be able to:

  1. Name common body parts, symptoms, and expressions of well-being.
  2. Use the dative experiencer pattern to say how someone feels, physically and emotionally.
  3. Use мне нужно, мне можно, and мне нельзя to express need, permission, and prohibition.
  4. Use the dative case to say who receives an action, a call, a piece of advice, or a gift.
  5. Offer softened advice using patterns such as вам лучше and вам стоит.
  6. Describe a simple visit to a pharmacy or a doctor's appointment.
  7. Connect a plan from Chapter 12 to a change caused by how someone feels.

This chapter continues Unit III and introduces new grammar. It also continues to recycle leisure, weather, and planning vocabulary from Chapter 12, along with earlier material on daily routine and preferences.

Communication Scenario

Anna and Sergéy had a plan to meet in the park, but Sergéy wakes up on Saturday feeling unwell. He needs to explain how he feels, decide whether he can still meet Anna, and figure out what he needs to do about it, perhaps a trip to the pharmacy, perhaps a call to a doctor.

  1. You will learn the language needed to talk about how someone feels, physically and emotionally.
  2. You will practice saying what someone needs, may, or may not do.
  3. You will practice giving and softening advice, and connecting a change in plans to how someone feels.

Core Vocabulary

The words below support the chapter's central function, discussing health and well-being. Vocabulary from Chapters 1 through 12 remains fully productive.

Body parts
RussianEnglish
голова́, го́рло, живо́тhead, throat, stomach
рука́, нога́, спина́arm/hand, leg/foot, back
зуб, у́хо, глазtooth, ear, eye
Symptoms and well-being
RussianEnglish
боле́ть, температу́ра, ка́шельto hurt/be sick, temperature/fever, cough
уста́лый, здоро́вый, больно́йtired, healthy, sick
пло́хо, хорошо́ себя́ чу́вствоватьto feel bad, to feel well
Pharmacy and appointments
RussianEnglish
апте́ка, лека́рство, врачpharmacy, medicine, doctor
запи́сь, приём, реце́птappointment, appointment/office visit, prescription
отдыха́ть, лежа́ть, вы́здороветьto rest, to lie down, to get better/recover

Every dative experiencer and softened advice pattern introduced in this chapter appears again in the Grammar and Sentence Patterns section with its relevant forms.

Pronunciation Focus

Pronunciation Focus — Stress in dative pronouns and softened advice Review, no new system

No new pronunciation system is introduced in this chapter. Two patterns deserve special attention here, because this chapter uses the dative case so often.

  • The dative pronouns мне, тебе́, and вам are short and unstressed in normal speech when they open a sentence, as in мне пло́хо, but the stressed content word that follows still carries the main pitch movement.
  • Continue reducing unstressed о and а, as in голова́ and больно́й.

Grammar and Sentence Patterns

Dative Experiencer New

Use the dative case of the person, with no verb needed, plus a short adverb or a body part construction, to describe how someone feels, physically or emotionally.

Building Block
Dative pronoun/noun + adverb or verb of feeling
The person who experiences the feeling appears in the dative case, not the nominative. This is the same dative experiencer pattern already familiar from мне хо́лодно and мне жа́рко.
Мне пло́хо.
I feel bad. (literally, to me, badly)
У меня́ боли́т голова́.
My head hurts. (literally, at me, the head is hurting)
  • Серге́ю пло́хо сего́дня.Sergéy feels bad today.dative experiencer, third-person dative noun
  • У меня́ боли́т го́рло.My throat hurts.у + genitive experiencer, боле́ть with body part as subject
  • Как ты себя́ чу́вствуешь?How do you feel?чу́вствовать себя́, reflexive verb of feeling, recycled from Chapter 7

Боле́ть, to hurt, agrees with the body part that hurts, not with the person: голова́ боли́т, the head hurts; но́ги боля́т, the legs hurt. The person who feels the pain appears with у plus the genitive, as already familiar from Chapter 4.

мне ну́жно, мо́жно, нельзя́ New

Use мне ну́жно plus an infinitive to say what someone needs to do. Use мо́жно and нельзя́ to say what is allowed or not allowed, with or without a dative person.

Building Block
Dative pronoun/noun (optional) + ну́жно/мо́жно/нельзя́ + infinitive
Ну́жно, мо́жно, and нельзя́ do not change form for person or number. Only the dative pronoun or noun before them changes.
Мне ну́жно отдыха́ть.
I need to rest.
Тебе́ нельзя́ игра́ть в футбо́л сего́дня.
You must not play soccer today.
  • Мне ну́жно пойти́ в апте́ку.I need to go to the pharmacy.мне ну́жно + infinitive, need
  • Мо́жно откры́ть окно́?May I open the window?мо́жно + infinitive, permission, no dative person stated
  • Вам нельзя́ рабо́тать с высо́кой температу́рой.You should not work with a high fever.вам нельзя́ + infinitive, prohibition, formal/plural вам

The Dative Recipient New

Use the dative case to say who receives an action, such as a phone call, a piece of advice, a gift, or an explanation.

  • Я звоню́ врачу́.I am calling the doctor.dative recipient, звони́ть + dative
  • Врач даёт мне реце́пт.The doctor gives me a prescription.dative recipient, дава́ть + dative
  • Она́ говори́т мне, что ну́жно де́лать.She tells me what I need to do.dative recipient, говори́ть + dative
Language Focus — Two functions of the dative case

You now know the dative case in two connected functions, the experiencer who feels something and the recipient who receives something. In both functions, the dative answers the question кому́, to whom or for whom, and the case ending on the noun works the same way in both.

Softened Advice New

Use вам лу́чше or вам сто́ит plus an infinitive to offer advice more gently than a direct command or a flat statement of necessity.

  • Вам лу́чше пойти́ к врачу́.You had better go to the doctor.dative + лу́чше + infinitive, softened advice
  • Тебе́ сто́ит отдохну́ть сего́дня.It is worth it for you to rest today.dative + сто́ит + infinitive, softened advice

Compare тебе́ ну́жно отдыха́ть, a statement of need, with тебе́ сто́ит отдохну́ть, softer advice that leaves more room for the listener's own decision. This chapter activates ну́жно, мо́жно, нельзя́, лу́чше, and сто́ит as productive dative-based predicates; a fuller conditional and comparative system is not active until later in the volume.

Model Dialogue: Что у тебя́ боли́т?

Context: Anna calls Sergéy on Saturday morning after he does not arrive at the park.

А́нна: Приве́т, Серге́й! Ты где? Уже́ два часа́. Hi, Sergéy! Where are you? It's already two o'clock.
Серге́й: Прости́, А́нна. Мне сего́дня о́чень пло́хо. У меня́ боли́т голова́ и боли́т го́рло. Sorry, Anna. I feel very bad today. My head hurts and my throat hurts.
А́нна: Ой, как жаль! У тебя́ есть температу́ра? Oh, that's a shame! Do you have a fever?
Серге́й: Да, ка́жется, есть. Я, наве́рное, бу́ду лежа́ть до́ма весь день. Yes, it seems so. I'll probably just lie down at home all day.
А́нна: Тебе́ ну́жно пойти́ в апте́ку и купи́ть лека́рство. И тебе́ лу́чше позвони́ть врачу́, е́сли температу́ра высо́кая. You need to go to the pharmacy and buy medicine. And you had better call the doctor, if the fever is high.
Серге́й: Хорошо́, спаси́бо. А тебе́ мо́жно прийти́ ко мне за́втра, е́сли мне бу́дет лу́чше? Okay, thank you. And may you come to me tomorrow, if I feel better?
А́нна: Коне́чно! Но сего́дня тебе́ нельзя́ ду́мать о пла́нах, тебе́ ну́жно то́лько отдыха́ть. Of course! But today you must not think about plans, you only need to rest.

Notice how the dialogue moves between the dative experiencer, мне пло́хо and у меня́ боли́т, the dative-based predicates, ну́жно, мо́жно, and нельзя́, and softened advice, тебе́ лу́чше, all within a natural conversation about feeling unwell.

Listening Practice

If no audio recording is available, ask a partner, instructor, or text to speech tool to read the passage below aloud, or read it aloud to yourself slowly.

Listening script
Меня́ зову́т Серге́й. Сего́дня мне о́чень пло́хо. У меня́ боли́т голова́, боли́т го́рло, и, ка́жется, у меня́ есть температу́ра. Мне ну́жно пойти́ в апте́ку и купи́ть лека́рство от ка́шля. А́нна говори́т, что мне лу́чше позвони́ть врачу́, е́сли температу́ра бу́дет высо́кая. Сего́дня мне нельзя́ игра́ть в футбо́л и нельзя́ гуля́ть в па́рке, мне ну́жно то́лько лежа́ть до́ма и отдыха́ть. Я наде́юсь, что за́втра мне бу́дет лу́чше.
My name is Sergéy. Today I feel very bad. My head hurts, my throat hurts, and it seems I have a fever. I need to go to the pharmacy and buy cough medicine. Anna says that I had better call the doctor, if the fever is high. Today I must not play soccer and must not walk in the park, I only need to lie at home and rest. I hope that tomorrow I will feel better.
  1. What two symptoms does Sergéy mention?
  2. What does Anna suggest he do if the fever is high?
  3. What is Sergéy not allowed to do today?

Speaking Practice

Управля́емая пра́ктика — Controlled practice: symptoms and dative experiencer

With a partner, take turns naming a body part and producing a sentence with боле́ть, such as у меня́ боли́т рука́, and a sentence with the dative experiencer, such as мне пло́хо or мне уста́ло.

Коммуникати́вное зада́ние — Communicative task: giving advice

With a partner, one person describes how they feel today, and the other person responds with at least one мне ну́жно, мо́жно, or нельзя́ sentence, plus one softened advice sentence using лу́чше or сто́ит.

Самостоя́тельная пра́ктика — Solo alternative

Record yourself describing how you feel today, including at least one dative experiencer sentence, one мне ну́жно/мо́жно/нельзя́ sentence, and one piece of softened advice you would give a friend who feels the same way.

Reading Practice

Запи́ска для колле́ги — A note for a colleague

Приве́т! Извини́, что не бу́ду сего́дня на рабо́те. Мне о́чень пло́хо, у меня́ боли́т голова́ и, ка́жется, есть температу́ра. Вчера́ ве́чером я до́лго гуля́л под дождём, и, наве́рное, поэ́тому сего́дня мне так пло́хо. Врач говори́т мне, что нельзя́ рабо́тать с высо́кой температу́рой, и что мне ну́жно то́лько лежа́ть до́ма и отдыха́ть. Он даёт мне реце́пт, и я пойду́ в апте́ку по́сле обе́да. Мне сто́ит верну́ться на рабо́ту то́лько тогда́, когда́ мне бу́дет лу́чше, наве́рное, в понеде́льник и́ли во вто́рник. Спаси́бо за понима́ние.

Зада́ние по чте́нию — Reading task:

  1. Why does the writer think they feel unwell today?
  2. What does the doctor say the writer needs to do, and what is not allowed?
  3. When does the writer plan to return to work?

Writing Workshop

Complete the following linked writing tasks in order. This workshop applies the new grammar from this chapter, the dative experiencer, мне ну́жно/мо́жно/нельзя́, the dative recipient, and softened advice.

Зада́ние 1 — Complete the sentence: Choose the correct form to complete each sentence.

Choose the correct form
1. (Я/Мне) пло́хо сего́дня. 2. У меня́ (боли́т/боли́шь) голова́. 3. Тебе́ (ну́жно/ну́жен) отдыха́ть. 4. Вам (нельзя́/не мо́жете) рабо́тать с высо́кой температу́рой. 5. Тебе́ (лу́чше/хорошо́) позвони́ть врачу́.
1. I feel bad today. 2. My head hurts. 3. You need to rest. 4. You must not work with a high fever. 5. You had better call the doctor.

Зада́ние 2 — A note about feeling unwell: Write eight to ten sentences describing how you feel today and what you plan to do about it, including at least one dative experiencer sentence, one мне ну́жно/мо́жно/нельзя́ sentence, one dative recipient sentence, and one piece of softened advice.

  1. Review the Core Vocabulary tables above. Confirm the meaning of any body part, symptom, or pharmacy word you intend to use.
  2. Decide how you feel and what caused it. Choose one or two symptoms and, if useful, a simple reason.
  3. Draft your description. Include at least one dative experiencer sentence, one мне ну́жно/мо́жно/нельзя́ sentence, one dative recipient sentence, and one softened advice sentence.
  4. Read your description aloud once. Listen for the reduced dative pronouns мне, тебе́, and вам.
  5. Check each system against the Grammar and Sentence Patterns section. Confirm that боле́ть agrees with the body part, not with the person.

Спи́сок прове́рки — Editing checklist:

  • The dative experiencer is used correctly to describe how someone feels.
  • Мне ну́жно, мо́жно, or нельзя́ is used correctly with a dative person and an infinitive.
  • The dative recipient is used correctly to show who receives an action.
  • At least one softened advice pattern, лу́чше or сто́ит, is used correctly.
  • Vocabulary and grammar from Chapters 1 through 12 are used correctly where they appear.

Culture and Communication

Culture in Context — Pharmacies as a first stop

In many Russian-speaking communities, a trip to the pharmacy is often the first response to minor symptoms, with pharmacists able to give some guidance before a formal doctor's visit, but pharmacy practices, prescription requirements, and appointment systems vary by country, region, and healthcare system. Treat the вра́ч and апте́ка expressions in this chapter as a useful starting point, not a description of every healthcare system.

Regional Variation — Softened advice in different settings

How directly people offer health advice can vary by relationship, age, and setting. A close friend may use тебе́ ну́жно quite directly, while advice to a stranger, a colleague, or an older person often leans on softer patterns such as вам, наве́рное, сто́ит. Adjust your directness to the relationship, not only to the grammar.

Common Mistakes

Common Mistake — Making боле́ть agree with the person

Error: Saying Я боли́т голова́ instead of У меня́ боли́т голова́.

Correction: Боле́ть agrees with the body part, голова́ боли́т, the head hurts, not with the person who feels it. The person appears with у plus the genitive: у меня́ боли́т голова́, not я боли́т голова́.

Common Mistake — Using the nominative instead of the dative person

Error: Saying Я ну́жно отдыха́ть instead of Мне ну́жно отдыха́ть.

Correction: Ну́жно, мо́жно, and нельзя́ take a dative person, not a nominative subject: мне ну́жно, not я ну́жно, just as with мне хо́лодно and мне жа́рко.

Common Mistake — Treating нельзя́ as a simple “no”

Error: Using нельзя́ for every kind of refusal or disagreement, including personal opinions.

Correction: Нельзя́ specifically expresses that something is not allowed or not advisable, usually for a practical or health-related reason: тебе́ нельзя́ рабо́тать с высо́кой температу́рой. For a personal opinion or a simple disagreement, use other expressions instead.

Chapter Review

Dative experiencer

Describes how someone feels, physically or emotionally, with the person in the dative case.

мне ну́жно/мо́жно/нельзя́

Expresses need, permission, and prohibition with a dative person and an infinitive.

Dative recipient

Shows who receives an action, such as a call, a gift, or a piece of advice.

Softened advice

Offers gentler suggestions with вам лу́чше and вам сто́ит plus an infinitive.

Часть A — Понима́ние (Comprehension)

1. Return to the Model Dialogue, and answer these short questions.

  1. What two symptoms does Sergéy describe to Anna?
  2. What does Anna tell Sergéy he needs to do, and what does she say he must not do?

Часть B — Пи́сьменная речь (Writing)

1. Write three sentences describing how you feel today, using the dative experiencer for at least one of them and мне ну́жно/мо́жно/нельзя́ for at least one of them.

2. Write one sentence of softened advice you would give a friend who feels unwell.

Часть C — Чте́ние (Reading)

1. Return to the note about feeling unwell, and list, in order, what the writer says they need to do, may do, and must not do.

Часть D — Говоре́ние (Speaking)

1. With a partner, describe how you feel today, and have your partner respond with at least one мне ну́жно/мо́жно/нельзя́ sentence and one softened piece of advice.

Practical Performance Task

Chapter 13 Practical Task

Что у тебя́ боли́т: What Hurts

Complete the following connected tasks, in order, applying the new grammar from this chapter along with recycled material from Chapters 1 through 12.

  1. Read the Model Dialogue and the reading passage about the colleague's note. Answer the comprehension questions above before continuing.
  2. Describe how you feel today. Use at least one dative experiencer expression from the Core Vocabulary.
  3. Say what you need to do about it. Use мне ну́жно plus an infinitive.
  4. Say what you may or may not do today. Use мо́жно or нельзя́.
  5. Say who you would call or talk to about how you feel. Use the dative recipient.
  6. Give a partner one piece of softened advice about how they feel. Use лу́чше or сто́ит.
  7. Write your eight to ten sentence note from the Writing Workshop. Apply the editing checklist.
CriterionWhat is assessed
Dative experiencer accuracyThe learner uses the dative case correctly to describe how someone feels.
мне ну́жно/мо́жно/нельзя́ accuracyThe learner uses these dative-based predicates correctly with an infinitive.
Dative recipient accuracyThe learner uses the dative case correctly to show who receives an action.
Softened advice accuracyThe learner uses лу́чше or сто́ит correctly to offer gentle advice.
Health and well-being vocabularyThe learner uses body-part, symptom, and pharmacy vocabulary accurately and appropriately.
Connected performanceThe learner moves smoothly between describing symptoms, stating needs, and offering advice within one coherent exchange.

This task builds on the systems activated in this chapter. Only material from Chapters 1 through 13 is required.

Answer Key

Listening — Comprehension

  1. Sergéy mentions a headache and a sore throat.
  2. Anna suggests that Sergéy call the doctor if the fever is high.
  3. Sergéy is not allowed to play soccer or walk in the park today; he only needs to lie at home and rest.

Model Dialogue — Comprehension

  1. Sergéy describes a headache and a sore throat, and mentions that he seems to have a fever.
  2. Anna tells Sergéy he needs to go to the pharmacy and buy medicine, and that he had better call the doctor if the fever is high; she also says he must not think about plans today.

Writing

  1. 1. Мне. 2. боли́т. 3. ну́жно. 4. нельзя́. 5. лу́чше.
  2. Sample answer: Сего́дня мне не о́чень хорошо́. У меня́ боли́т голова́ и, ка́жется, есть температу́ра. Мне ну́жно пойти́ в апте́ку и купи́ть лека́рство. Мне нельзя́ сего́дня рабо́тать до́лго за компью́тером. Я, наве́рное, позвоню́ врачу́ по́сле обе́да. Врач ска́жет мне, что ну́жно де́лать. Мне сто́ит лежа́ть до́ма и отдыха́ть весь день. Мои́ друзья́ говоря́т, что мне лу́чше не выходи́ть на у́лицу сего́дня. Я наде́юсь, что за́втра мне бу́дет лу́чше. Other combinations using material from Chapters 1 through 13 are also correct.

Reading

  1. The writer thinks they feel unwell because they walked in the rain for a long time the evening before.
  2. The doctor says the writer needs to lie at home and rest; the writer is not allowed to work with a high fever.
  3. The writer plans to return to work only once they feel better, probably on Monday or Tuesday.

Looking Ahead

Что вы уже уме́ете — What you can do now

You can describe common body parts, symptoms, and states of well-being, say how someone feels using the dative experiencer, express need, permission, and prohibition with мне ну́жно/мо́жно/нельзя́, say who receives an action with the dative recipient, and offer softened advice.

Продолже́ние: Гла́ва 14 — Continuing on: Chapter 14

Учёба и рабо́та continues Unit III and introduces study and work, activating the instrumental case for means, accompaniment, and roles, along with comparison and communication verbs, while continuing to recycle health, well-being, and planning vocabulary from this chapter.