【1692】Doctors can only be flexible
This patient only remembers polycystics and insists on chasing the doctor to ask questions. He is subconsciously escaping his condition and is afraid.
Ovarian cysts are scarier than polycysts and are not metabolic diseases. Pathologically speaking, they are ovarian tissue lesions or cancers. They may be manifested in b-ultrasound, which may be one or two cysts. If they are large and larger than five centimeters, they will be suspected to be highly malignant and dangerous by doctors.
Here we should be careful that B-ultrasound doctors in small hospitals regard functional cysts, that is, corpus luteum formed after ovulation, as pathological ovarian cysts. If you are afraid of being misdiagnosed by the hospital, in fact, as long as you follow the clinician, avoiding the corpus luteal phase a few days after menstruation is clean, you can basically prevent this misdiagnosis.
"There are all preliminary doubts, and the end of the day, we need to undergo surgery to determine whether it is right." Xie Wanying told the patient. Even if the doctor now thinks that it is not a polycystic, it is necessary to determine the nature of the ovarian cyst. Otherwise, no doctor dares to confirm the diagnosis, so he can only write a suspicion.
I heard from the doctor that surgery was necessary, and the patient's facial expression changed in an uproar.
In fact, Xie Wanying and Dr. Li had already seen it. This patient was obviously very emotionally unstable. He repeatedly asked the doctor and couldn't remember things. In fact, it was all a manifestation of panic disorder. For such a patient, it was impossible for you to ask her to sign the preoperative consent form by herself.
Some patients cannot make decisions by themselves, and they will only panic when they are sick. In fact, this kind of patient is often seen in clinical practice. Therefore, in clinical practice, family members have to occasionally help the patient make decisions rather than the patient's own decisions. Doctors cannot force the patient to use a pen to sign the surgical consent form.
We should not scold these patients for not being strong enough. Everyone has their own personalities and weaknesses. Some people are afraid of diseases, fear of death, and fear of death is a basic reaction of human beings as living things, and are a common human nature.
The doctor had no choice but to take action. Xie Wanying said to the patient according to the teacher's instructions: "We can help you do the examination first to see if there are any problems with the previous hospital examination, okay?"
The patient immediately understood this and nodded.
"Next time, let your husband or others in your family come with you and let them accompany you to listen to the doctor's speech." Xie Wanying told the patient and smiled at the patient and said, "I said that your husband also needs to check for infertility."
"Yes, yes, doctor." The female patient's mood followed the doctor's smile and relaxed.
When Xie Wanying and the others were communicating with the patients, Geng Yongzhe was writing outpatient medical records and issuing examination application forms for the patients, effectively shortening the visit time of each patient.
Looking at the very capable juniors from the National Association, Dr. Li Yuen smiled and narrowed his eyes into two straight lines.
The first patient just left with the examination form, and the second patient immediately flashed into the door and was also afraid that someone would rob the position.
Infertile patients can be roughly divided into two types. One is that the physical problems, that is, the cause, can be detected quickly, and the other is that they cannot be found no matter how they are tested.
The first female patient belongs to the former and the second female patient belongs to the latter. It is said that both patients are under the age of thirty and are not considered older women. This means that infertility has no gender and no age discrimination. Infertility is possible at all ages, but the probability of older men and women is higher. The medical diagnosis standards for infertility are irrelevant to age and gender. It is because married couples have normal sexual life history without contraception for more than one year, and the woman failed to successfully pregnant naturally.
Chapter completed!