This patient only remembers polycystic cysts and insists on chasing after the doctor asking questions. Subconsciously, he is avoiding his condition and is afraid.
Ovarian cysts are scarier than polycystic cysts. They are not metabolic diseases. Pathologically speaking, they are lesions of the ovary's own tissue, perhaps cancer. They may appear as one or two cysts on the B-ultrasound. They are large in size and will be diagnosed if they are larger than five centimeters.
Doctors suspect a high degree of malignant risk.
Here we should be careful that B-ultrasound doctors in small hospitals regard functional cysts, that is, the corpus luteum formed after ovulation, as pathological ovarian cysts. If you are afraid of being misdiagnosed by the hospital, in fact, you only need to follow the instructions of the clinician and avoid the luteal phase for a few days after menstruation.
B-ultrasound can basically prevent this misdiagnosis.
"It's all preliminary suspicion, and we will eventually need surgery to determine whether it is true or not." Xie Wanying told the patient. Even if the doctor now thinks it is not polycystic, to determine the nature of the ovarian cyst, surgery still needs to be performed for pathological diagnosis, otherwise no doctor would dare to make a diagnosis.
I can only write doubts.
When the doctor said that surgery was necessary, the patient's facial expression completely changed.
In fact, Xie Wanying and Dr. Li have already noticed that this patient is obviously very emotionally unstable. Repeatedly asking the doctor questions and being unable to remember things are actually manifestations of panic disorder. What do you call such a patient?
It was impossible for her to sign the preoperative consent form herself.
Some patients are unable to make decisions on their own and will only panic when they are sick. Such patients are very common in clinical practice. Therefore, in clinical practice, family members have to occasionally come to help patients make decisions instead of the patients making their own decisions.
.The doctor cannot force the patient to use a pen to sign the consent form for surgery.
We should not scold these patients for not being strong enough. Each person has his or her own personality and weaknesses. Some people are afraid of illness and are afraid of death. Fear of death is a basic reaction of human beings as biological creatures, and it is human nature.
The doctor had no choice but to take alternative measures. Xie Wanying said to the patient according to the teacher's instructions: "Can we help you do an examination first to see if there are any problems with the previous examination at the hospital?"
The patient understood this immediately, no longer confused, and nodded.
"Next time, ask your husband or other people in your family to come with you and let them accompany you to listen to the doctor." Xie Wanying told the patient, smiled at the patient and said, "As I said, your husband also needs to come for investigation.
Infertile."
"Yes, yes, doctor." The female patient's mood relaxed as the doctor smiled.
While Xie Wanying and the others were communicating with the patients, classmate Geng Yongzhe was writing the outpatient medical records and issuing examination application forms, effectively shortening the treatment time for each patient.
Seeing these two juniors from the National Association being very capable, Dr. Li Yuen smiled until his eyes narrowed into two straight lines.
The first patient had just left after taking the examination form, and the second patient immediately ducked through the door, fearing that someone would take his place.
Infertile patients can be roughly divided into two types, one is those who can quickly detect the physical problem or cause of the disease, and the other is those who cannot find out no matter how hard they check.
The first female patient belongs to the former, and the second female patient belongs to the latter. Generally speaking, both patients are under thirty years old and are not considered older women. This shows that infertility has no gender or age discrimination. All ages
Infertility is possible for everyone, but the probability is higher for older men and women. The medical diagnostic criteria for infertility have nothing to do with age and gender. It means that a married couple has a normal sexual life history and has not used contraception for more than one year, and the woman has not used any contraceptive measures.
Pregnancy can be successful naturally.
The proportion of infertility can account for more than ten percent of the entire population, and it is a common disease. Therefore, patients do not need to pay too much attention to other people’s strange looks, because many people are just like you.