What to look for in an outpatient clinic for heart disease

  When patients come to Anzhen Hospital to register for cardiac surgery, some of them finish the examination in a day or two and return home satisfied; however, there are also patients who spend a week and still haven’t finished the examination. In addition to the needs of the condition, in fact, as far as I can observe, the majority of patients are not adequately prepared. Most of the reasons are as follows: 1. Forgetting to bring or thinking that the original test is not important.  This is the most common case. Many patients think that the local tests may not be accurate, so they want to come to Anzhen Hospital for further tests. However, it is important to know that doctors need continuity to judge your condition, and to understand the changes in your condition, they can only use your local tests as a reference. For example, in a patient with moderate aortic valve insufficiency, if the echocardiogram shows little change in the left atrium and left ventricle in the past 5 years, it is perfectly fine to wait before performing surgery. A quick glance at the echocardiographic results of the last few years will allow the physician to determine whether immediate surgery or elective surgery is necessary.  The ECG is especially important in patients with coronary artery disease. On more than one occasion, I have had to be very angry in the clinic, but there is nothing I can do about it. Even if some patients have contacted you before coming to Beijing, and you have repeatedly told them to bring all the tests, “all of them”, they still smile and say to you: “It’s okay, just do another one. But the ECG and troponin changes only occur when the patient is ill, and they can’t be done now! Even if you spend money and time to make an appointment for the test again, you are prepared for the medical expenses, but are you prepared for the money for meals and accommodation for two or three people? Instead of begging the doctor at this time can help to make an appointment in advance, you should bring all the information.  2, do not pay attention to the imaging data.  Many patients only bring paper reports, thinking that the film is too big and inconvenient to bring. To make it clear, specialists basically don’t look at the radiologist’s paper report when they look at the films, and the information they get from looking at the films will be much more than what is presented in the report. Don’t you think it’s just a 5-second scan of the film by the doctor? But this glance, we have gathered decades of clinical expertise. If you don’t believe me, find yourself a deck of playing cards and spend 20 or 30 years looking for the difference between two playing cards every day, and you’ll amaze others with the results. Therefore, if you don’t have a film, nine times out of ten you will have to make a new appointment to take one.  3. Inform your doctor at the time of review that all your information is on the computer.  Try it, it’s multiple different interfaces that need to be switched back and forth. Faced with a bunch of outpatients, patients who may be going to surgery soon and patients in the ward who are anxious to see the doctor, after hearing this, you have the heart to kick you.  So how should I do it?  1.Put all your doctor’s visits in a pocket of tablets and arrange them in chronological order.  2.Put your health insurance card in your pocket too, this is especially important.  3.If you don’t want to bring too much stuff, you can take pictures of all the information in order with your IPAD or smartphone and show them to the doctor during the clinic. However, sometimes the effect may be worse.  4.If it is an emergency, ask your family to take pictures of the original medical information and send it to your cell phone by WeChat.