? -Dr. Trudeau
As a doctor, I often hear patients complain about which doctor has a bad attitude and is perfunctory in seeing a doctor. Maybe this is caused by poor communication between doctors and patients.
Information inequality between doctors and patients is always inevitable, because doctors have professional knowledge that patients don't have. Many times, patients misunderstand doctors and even overreact. When they finally explain, they always use the omnipotent "we don't understand" as a shield. Sadly, in reality, people who claim to be ignorant often interfere with doctors' decisions (of course, there are many reasons).
In the process of medical treatment, of course, some people have bad service attitude or average technical level, which is normal. If every doctor is an expert, maybe this is not normal. At the same time, patients can be in a bad mood, and doctors will certainly have it. There are secular desires like doctors, and more emotions and fears. Maybe the doctor who treated you and his closest relatives are also lying in the hospital bed (the disease is fair, maybe everyone is inevitable, big or small), or he is also worried about the child's borrowing fee.
Therefore, it is essential to understand this word: doctors need patients to understand, and patients also need doctors to understand. This is the best state, in order to achieve real victory. Today, Dr. Jiang gave you some suggestions, hoping to help the general public communicate with doctors better when they see a doctor, and finally doctors can make the most appropriate treatment plan accordingly.
The premise is that you must go to a regular hospital to find a real professional doctor, instead of being fooled by various media advertisements. (The doctors mentioned below refer to specialists in regular hospitals, except pseudo-doctors in a certain department in the south. Hereby declare. )
The goals of doctors and patients are always the same. The same goal is to promote the health of patients, improve their quality of life and prolong their lives as much as possible through various measures and means. Attention is prolonged because some diseases may be fatal in the past, such as myocardial infarction. Now some measures have saved many lives, but the natural length of life is beyond the control of doctors.
Just like a metaphor, I think it is very appropriate, that is, everyone is on the way to death, and everyone is waiting in line at the death line. The doctor's duty is to put the people who jump the queue back from time to time, that's all.
Burn Superman Po once said: When a patient is lying on the operating table, your wife doesn't necessarily want you to live, your children don't necessarily want you to live, your parents don't necessarily want you to live, your brothers and sisters don't necessarily want you to live, and your parents-in-law don't necessarily want you to live. However, the doctor who operated on you is absolutely, definitely and 100%. I strongly hope you can survive!
The information inequality between doctors and patients exists objectively, and the social division of labor is becoming more and more detailed. Should be handed over to medical personnel with professional knowledge to deal with their own diseases. This is the fundamental way. Therefore, psychologically, we should trust doctors, rather than doubt, question or even threaten them from the beginning, which is also the premise of good communication between doctors and patients.
Some people say that patients have nothing to hide when they see a doctor. I can only say too much, so I won't elaborate on the specific reasons. For example. Once I heard the teacher say that a young woman was admitted to hospital with acute abdominal pain. After investigation, she was highly suspicious of ectopic pregnancy. But the patient himself firmly denies the history of sexual life (the patient is afraid to tell his family). From the common sense, since she denies the history of sexual life, ectopic pregnancy is naturally ruled out (of course, except the mother of the ancient emperor can feel the grace of pregnancy, we ordinary people still need to follow the laws of nature). )。 However, there is still no other reason. Finally, the doctor in charge immediately stopped and took the risk of laparotomy, which turned out to be an ectopic pregnancy. Then the patient admitted talking to someone. I really want to say that without left, there is no death.
So, now some teachers tell me not to believe what the patient says easily, or you will fall into the pit. This is a reminder to me, perhaps this is also a lesson that many patients have exchanged with blood and life!
The growth of a famous doctor may be tragic, just like the death of a famous doctor.
Many times, in fact, doctors are not unwilling to believe you, but for the sake of your health, and sometimes they really can't believe you. When you ask what tests you have done, you should tell the truth, not say something you haven't done. In order not to do it, you said, "Yes, I didn't take it, but everything is fine." This statement is often heard in clinic. Many patients tell the truth, but doctors still have to look at the test sheet to make a judgment (which patients can't judge), because sometimes your lies may lead to a wrong diagnosis and eventually suffer. Especially some special medical history, such as heart disease, can't be concealed.
I often meet patients in the outpatient department, especially those who are reviewed after operation. They don't bring their previous cases and surgical records. Just say the operation was done here, and you did it. I want to say that doctors contact too many patients every day. Even if the patient who performed the operation in person is not a special case (unless you are a rare disease in the world, it is usually a common and frequently-occurring disease), it is generally difficult to remember, and even if you have an impression, it is difficult to remember so accurately (for example, in our cardiology department, it is difficult to remember which blood vessel is blocked and how much). When you come to see a doctor, if the information is complete, you can comprehensively evaluate the next treatment plan according to the whole course of disease and treatment. This is the safest and most effective measure.
At the same time, many elderly people can't remember the name of the medicine they took, so they should bring their previous case data, and it is best to bring a medicine box, so that when the doctor asks you what medicine you took, you can get a more accurate answer. If the medicine you take is vague, it will be difficult for the doctor to adjust the treatment plan for you. You can only guess by experience what you may take now and how to adjust it (medicine itself is an uncertain subject, and these can be very accurate, so I don't think it is necessary to take this risk to guess, which will only increase unnecessary risks).
Of course, for the elderly, or those who have difficulties in expression, family members should also accompany them as much as possible, otherwise it will be difficult for doctors to communicate and guide patients well.
This is very critical. Let's give an example of cardiology. Some hypertensive patients use all kinds of drugs no matter how they adjust their drugs, but their blood pressure still can't come down. Finally, they found that the patient secretly hid the medicine and didn't take it at all. Alas, the gods can't save them. So sometimes in the clinic, patients are often asked how much medicine they take every day. In addition to knowing the situation, it is also a temptation to see if the patient really takes the medicine according to the doctor's advice. At present, not taking medicine according to the doctor's advice is one of the important reasons for refractory hypertension, alas, pathetic!
So you must tell the doctor the truth about your past treatment and current medication, otherwise it will affect the doctor to make the next treatment plan for you.
With the popularization of medical insurance such as the new rural cooperative medical system, most patients have medical insurance, and many items can also be reimbursed. Therefore, before going out to see a doctor, it is also important to bring the previous medical information, oral medicine box and ID card (more importantly, remember to pay the medical insurance premium on time every year! Because medical insurance missed the delivery time in the past, it can't be paid! )
With the implementation of the three-level diagnosis and treatment system, grassroots people need to issue referral forms from local medical institutions (such as county hospitals) in order to enjoy the medical insurance policy of large hospitals (this system has advantages and disadvantages, so it is omitted here).
Many patients often ask doctors if they can reimburse them. Some commonly used treatment and examination methods may be known, but there are many types of medical insurance, including employee medical insurance, resident medical insurance and new rural cooperative medical system. However, the final interpretation right lies with the medical insurance office, so it is best to consult a doctor and go to the staff of the medical insurance office in the hospital. They are the people who have the final right to reimburse. (Actually, from the doctor's heart, I hope that all patients will report it, so it is easier to communicate. After all, there are still many people in China who have economic problems. )
The biggest duty of a doctor is to protect the safety of patients and minimize risks, but no matter what you do, risks will always exist and uncertainties will always exist. This is medicine. Just as we are bound to fall when we go out, we still have to go out boldly and go to the world.
Medicine, too, is far from the so-called advanced and developed that people are fooled by various advertisements (colds can't be cured-no doctor can promise you that once they are cured, they will never catch a cold again! According to statistics, everyone has about 1-2 colds or cold precursors every year. There are too many unknowns and uncertainties, but doctors still resist the pressure, take risks and keep moving forward, trying their best to relieve the pain of patients. This is the doctor's original intention.
People say that a hospital is a place where you can see all kinds of things in the world. Recently, there was a documentary "The World on Earth", which truly recorded the hospital environment. Seriously, the author has never had the courage to read it, which is too realistic to bear.
As a doctor, although my qualifications are still shallow, I have seen many things: I have seen that the elderly need to be hospitalized, and the children are unwilling (especially those with many children, shirking each other); I have seen loving couples become strangers because of illness; I have seen people deliberately hide their illness and set traps for doctors; I have seen people who have to give up medical treatment for economic reasons; I've seen people who ran away because they deliberately owed medical bills (not because they couldn't afford them) ... What's even more amazing is that a friend of the author (who was a friend at that time) asked me if the patient was rescued urgently and didn't come back. I was shocked at that time, because the person standing opposite me asked me was also a college student. I only said: doctors rescue patients, not everyone stands in line to shout the slogan of "rescue", but also. Of course, if the country gives the package, I have nothing to say, and the fact is impossible. Then I hacked him. I really feel that I am not intelligent enough to make such friends.
Doctors and patients were originally the same interest subject, but for various reasons, there was a crack between them. I hope that with the efforts of all parties, this situation will improve this morning. Only when doctors and patients are full of trust and live in harmony can they bring the greatest health maintenance to patients, so that doctors can really put down their burdens, concentrate on treating diseases and really bring you health! Finally, I want to say that the safety of doctors is the safety of society and the safety of ordinary people. If even doctors are not safe, who will ensure the safety of patients, or the bearded ancestral old Chinese medicine practitioner in the advertisement (statement: Chinese medicine is extensive and profound, and it should be vigorously promoted and studied, here referring to those who practice fraud)?
Perhaps, when it comes to this, everyone will have a steelyard in their hearts! I sincerely wish everyone a happy life!
The moon is bright tonight, I hope the sun will be brighter tomorrow!