The Big Noses didn't quite look human (the way one of us looked human). Only when we got to know them well (not good) enough do they begin to appear human, each with their individual nationalities, personalities and so forth. But in the beginning, before we got to understand the finer details about each and everyone of them, they all looked odd and the same - it just didn't make sense.
It's the same way with English as a foreign language. It is only when one gets fairly acquainted with the nitty-gritty do they begin to find it reasonable (in its own way) and, in fact, interesting.
I can't tell you, Shirlie, how you may explain to your student why when people don't look WELL they need to see a doctor, but if I were you, I'd encourage them to keep listening (to native speakers preferably, via videos and tapes in case a real Big Nose is hard to come by) and to keep speaking. If mistakes are made, so what, just do it again.
I can imagine that somewhere along the line you'll tell them "never mind reasons, it's the way it is" or, as any mother will say to a child, "you'll understand when you grow up." You may sound a bit mystical that way but I think you can get away with it to some extent.
So long as you keep encouraging them to listen and to speak and see to it that they do. That way, eventually, they'll all look good.
And they'll make you, Shirlie, look good too.
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