It's talking about bleeding from underneath the body.
"The problem is that I haven't had my period many years ago..." the patient said in confusion.
Doctors are most afraid that patients do not even know their own symptoms. Bleeding from the lower part, whether it is anal bleeding, skin bleeding, urinary system bleeding, or reproductive system bleeding, all need to be carefully identified.
This time it was absolutely correct. Classmate Geng Yongzhe lowered his head and was about to open a series of examination sheets such as urine and stool examination, B-ultrasound, etc. Unexpectedly, Teacher Du opposite him suddenly said directly to the patient: "Go to the hospital."
Classmate 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 the tapeworm in the teacher's belly. Now it seems that it really makes sense. To be able to grasp the ideas of the master, this technical essential requires almost touching the threshold of the master.
Why was he immediately called to the hospital? Wasn't it because he didn't find out clearly? Geng Yongzhe had great doubts about this.
Don't listen to this patient's story that he can't figure out where the bleeding is. The doctor should listen to the patient's words, but what the doctor should pay more attention to is the patient's contradictory behavior.
If this patient suspected that he was bleeding from the anus, he would definitely go to see an anus. If he suspected that he was bleeding in the urine, he would go to a urologist. The patient did not go anywhere and came to the gynecology department. He clearly knew where he was bleeding. He was just very scared.
Therefore, I told the doctor that I didn't know clearly. I hoped in my heart that it was not a disease that I suspected and wanted to get some comforting words from the doctor.
It is true that this kind of dialysis insight into patients cannot be achieved without the accumulation of certain clinical experience. Geng does not need to doubt himself too much for this, but Xie is reborn and has more experience advantages.
Why not let the patient be examined in the outpatient clinic? This patient is over 60 years old, and he suddenly has menstrual bleeding. He knows that it must be a bad disease. The old doctor only needs to use his own experience to make a diagnosis, and do not torment the patient repeatedly, and then admit him to the hospital.
This confidence is precisely what young doctors do not have.
Patients will be afraid when they hear the doctor say 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 experienced doctor. The experienced doctor can discuss the outpatient examination with the patient in a consultative tone and analyze the pros and cons for the patient: "If you want to complete the examination in the outpatient clinic first, I will prescribe it for you."
Checklist. If you are hospitalized at that time, the examinations you have done do not need to be done again. However, the date of hospitalization can only be arranged later."
An experienced doctor will help patients take into account all financial interests when making recommendations. Patients only need to understand this. Respected experts are not greedy for money and will only help arrange the patient's medical treatment process.
save money.
Patients who trust the experts will definitely answer yes. Patients who are suspicious of the doctor will choose to continue with outpatient examination first. This does not matter, the doctor respects the patient's choice.
The patient answered yes and agreed to be admitted to the hospital. Because the doctor in front of him said he was an expert, but he did not hold back his words. She spoke very thoroughly. Everyone can understand the sincerity of the other person, so how could he not answer yes.
Old doctors maintain effective communication with patients in all aspects of their work, all relying on technical support, so they have a particularly good reputation. There is only one kind of patient that needs to be classified separately, yes, it is the unreasonable patient.