It's talking about bleeding underneath the body.
"The problem is that I stopped having menstruation many years ago." The patient said in confusion.
Doctors are most afraid that patients don’t even know their own symptoms. Bleeding below, whether it is bleeding from the anus or skin, bleeding from the urinary system, or bleeding from the reproductive system, all need to be carefully identified.
It was absolutely right now. Classmate Geng Yongzhe lowered his head and prepared to open a series of checklists such as urine and stool examination, B-ultrasound, etc. Unexpectedly, Teacher Du opposite the patient suddenly said directly to the patient: "Go to the hospital..."
Student Xie guessed it right. When Geng Yongzhe looked up, he saw classmate Xie filling out the patient's hospitalization notice neatly.
The different actions of the two classmates opposite caught Du Haiwei's eye.
Some people say that Mr. Xie is very good at being a roundworm in the teacher's belly. Now it seems that it really makes sense. To be able to grasp the master's ideas, this technical essential requires almost grasping the threshold of the master.
Why was he immediately called to the hospital? Didn't he find out clearly? Geng Yongzhe had great doubts about this.
Don't listen to this patient's many stories about how he can't figure out where the bleeding is. The doctor wants to listen to the patient's words, but what the doctor wants to see more is the patient's contradictory behavior.
If this patient suspected that he was bleeding from the anus, he would definitely go to have an anal examination. If you suspect you have bleeding in your urine, go see a urologist. The patient came to the gynecology department without going anywhere. She clearly knew where she was bleeding. I was just very scared, so I told the doctor that I didn't know clearly. I hoped in my heart that it was not a disease I suspected and wanted to get some comfort from the doctor.
Indeed, it is impossible to gain this kind of dialysis insight into patients without accumulating certain clinical experience. Geng doesn’t need to doubt himself too much, it’s just that Xie is reborn and has more experience and advantages.
Why not let patients check in the outpatient clinic? The patient was in his sixties, and he suddenly had menstrual bleeding, so he knew it must be a bad thing. Veteran doctors only need to use their own experience to make a diagnosis, and do not torment patients repeatedly before admitting them to the hospital. This confidence is exactly what young doctors do not have.
Patients will be afraid when the doctor says they will be hospitalized immediately, and ask: "Should we do some tests first?"
The patient's first request for an examination means that the initiative is in the hands of the veteran doctor. An experienced doctor can talk to the patient about outpatient examinations in a consultative tone, and analyze the pros and cons for the patient: "If you want to have the examination done in the outpatient clinic first, I will issue you a checklist. If you are hospitalized, you don't need to do the examinations you have done again." However, the date of hospitalization can only be arranged later."
An experienced doctor will help patients take into account all kinds of financial interests when making recommendations. Patients just need to figure this out. Respected experts are not greedy for money, they will only help arrange the medical treatment process for patients to save money.
Patients who trust experts will say yes. Patients who are suspicious of doctors will choose to continue with outpatient examinations first. None of this matters, and doctors respect the patient's choice.
The patient answered yes and agreed to be hospitalized. Because the doctor in front of me said she was an expert, but she didn't hesitate to talk. She spoke very thoroughly. Everyone can feel the sincerity of the other person, so how could they not answer yes.
The veteran doctor maintains effective communication with patients in all aspects of his work, all relying on technical support, so he has a particularly good reputation. There is only one kind of patient that needs to be classified separately. Yes, it is the unreasonable patient.
