Practical strategies for hospital visits Queues for registration, queues for medical treatment, queues for laboratory tests, queues for hospitalization, and endless queues for medical treatment at large hospitals. The more understanding people to the hospital will also be unable to understand the door, up and down a pass around, a kind of “maze” of feeling. This post has compiled some medical tips to help you save more time and money in your medical treatment. Choosing a hospital is the first step in seeing a doctor and has the greatest impact on diagnosis and treatment outcomes. For you, the patient, it is not the more famous, the larger, the more patients the better. Nor does having an acquaintance mean that you will get the most appropriate diagnosis and treatment. Because the level of each department in each hospital is not the same, even big hospitals have relatively weak departments, and some small hospitals also have strong advantages and special treatment programs, so you can not generalize. You can consider the following aspects: 1, look at the nature of the hospital in general, the strength of the hospital affiliated with the medical school some. As a result of the medical school as a backing, good teacher, coupled with doctors to undertake more lectures, with the task of intern doctors, knowledge update faster, the experience of some difficult diseases is relatively rich. The human resources of doctors in these hospitals are definitely superior. 2, look at the hospital’s reputation a good hospital, will always leave a good impression in the local patients, that is, a good reputation. Before you go to the clinic, you may want to search the Internet, or ask some people to get a preliminary understanding of the hospital. 3, general hospitals and specialty hospitals compared to general hospitals, specialty hospitals are more purely set up, the study of a particular aspect of the disease is also more thorough, such as cancer hospitals and maternity hospitals. Of course, if the disease is not limited to a certain system, it is better to go to a general hospital, which can organize multi-departmental consultation, in addition to more comprehensive examination means and equipment. Some hospitals are famous, but it is not ideal if the department you are visiting is weak. Therefore, it is very important to widely compare the settings and level of the department in each hospital. At present, there is no specific ranking of each department in China, but the national key disciplines published by the accreditation are available for reference, which of course only include the top ones with the strongest overall strength in the country. In addition, ask the first doctor, search the Internet, and listen to other patients’ opinions and suggestions. Choosing a good doctor After choosing a hospital and department, the next step is to choose a good doctor who is conscientious and responsible. This is even more difficult than choosing a hospital and department. Although doctors in strong hospitals have a lot of experience, for difficult diseases, it is crucial to choose a good doctor. This is because different doctors specialize in different diseases. The list of specialists can be found on the hospital’s webpage, generally large hospitals have their own webpage with the list of specialists and their visiting hours. See which specialist’s published scope of consultation is most compatible with your disease, write down their names, and search the Internet for the doctor’s specialty, publications and academic status. If you don’t have enough laboratory and examination materials in hand, it is better to register for a general outpatient clinic, usually at the level of attending physician, whose name will not be written on the clinic form. Doctors at this level are very busy, seeing 50 to 60 patients a day, and they will not give you much time to talk about your condition, just a few minutes at most. Therefore, it is important to keep your report focused and concise. Remember to ask him which specialist is more suitable for your disease, and ask the doctor of the department to help you choose a specialist through this channel. If you want, you can listen to the opinions of other patients outside the clinic to get a side view of the specialist you want to see. Specialists often work part-time and sometimes travel and stop. It is best to call the registration office or the clinic in advance (you can check via 114) and ask if the specialist is available. Then register in advance, bring all the materials (organized in chronological order and categories), think about what you want to tell the specialist and the questions to ask, and wait for the consultation. 4.Check the hospitalization can get help from the specialist if the specialist recommends you to do a certain checkup again, if you need to make a long appointment, you can sincerely ask him for help and try to advance some. If you need to be hospitalized, you can also ask him to help you contact if you can be admitted earlier after the hospitalization note is issued, and the specialist is often happy to help you in any way he can. Do some “homework” before registering. You can choose to make an appointment and register online to save yourself the trouble of standing in a long queue in the morning. Check the hospital website first. Some hospitals need to fill out a form for a card, so you can apply first. The number of general numbers is generally not limited, if it is really difficult and complicated, you may want to choose the special needs clinic or consultation clinic, the price is generally in 100 to 300 yuan, many large hospitals are providing this service, many large hospitals are providing this service. The main reason for this is to avoid the peak crowds and to choose to come in after 10 am or in the afternoon, because noon is also a good time for less people and easier communication. If you have several tests to be done at the same time, register for an appointment at the department that requires an appointment, especially one that takes a long time, and try to get it as far in advance as possible before going for the items that do not require an appointment. Be sure to read the precautions for the examination, such as taking medication several hours in advance, fasting, drinking water, etc. The distribution of medical resources in China is very uneven, with large and good hospitals concentrated in large cities. But it is not necessary to go to a big hospital when you see a doctor. The key is to go to a legal and regular hospital and choose a responsible and experienced doctor. It is extremely helpful to fully understand the hospital and doctor before visiting them to choose a good hospital and the right doctor. Common diseases – choose a general hospital If you are suffering from a common disease, you can be seen at a community hospital or a secondary hospital. If the diagnosis is still unclear after 5 to 7 days of treatment, or if the symptoms do not improve significantly, you should be referred to a tertiary hospital or a corresponding specialist hospital for a clear diagnosis as soon as possible. Acute and serious illnesses – rush to the nearest good hospital If the condition is urgent, you should immediately go to a large hospital with a better level of medical care in the vicinity to see the emergency room. Because time is extremely important for the prognosis of major injuries and illnesses, such as acute myocardial infarction, coma, persistent high fever, hemorrhage, severe trauma, etc., do not hesitate to send straight to the nearest large hospital. Large hospitals are technically strong, with advanced medical equipment and complete resuscitation drugs, which can save lives in a timely and effective manner. Family members who understand the patient’s condition should accompany him/her to the hospital, and the medications taken by the patient should be brought to the hospital for the doctor’s reference. However, in some remote areas, you can first go to the nearest health center to do the basic treatment, while quickly contacting the transfer to a large hospital. There have been cases of patients dying in hospitals due to refusal to admit them. Therefore, the Ministry of Health stipulates that emergency doctors and nurses are responsible for the first consultation of patients and must be responsible for emergency patients to the end. When transferring to another hospital or department is required, the medical records should be filled out in detail and medical staff should accompany the patient to the hospital. Chronic diseases – first confirmed in a good hospital The bigger the hospital, the higher the level, the higher the cost, and different levels of hospitals have different starting standards for health insurance coordination payments. Therefore, when choosing a hospital do not blindly greedy for big and add unnecessary financial burden to yourself. Some common chronic diseases such as hypertension, diabetes, chronic bronchitis, prostate enlargement, etc., now have standard treatment plans, so you can directly in the better hospital (secondary or tertiary hospitals) to confirm the diagnosis and develop a reasonable and effective treatment plan; after the condition is stable, you can regularly go to the nearby community hospital for follow-up. If the doctor’s treatment plan changes significantly during the follow-up, it is best to ask an experienced doctor to confirm that it is correct before applying it. If there is any change in the condition or serious complications during the follow-up, which cannot be solved by the community hospital, the patient should be sent to a higher level hospital for treatment. Hospital Grades According to the “Hospital Grading Management Measures”, hospital grades are divided into three levels and ten grades. In other words, the first level A, B and C, the second level A, B and C, the third level special, A, B and C, etc. Grade I hospitals are primary hospitals and health centers that provide preventive, medical, health care and rehabilitation services to communities of a certain population; Grade II hospitals are regional hospitals that provide comprehensive medical and health services to several communities and perform certain teaching and scientific research tasks; Grade III hospitals are regional or higher hospitals that provide high-level specialized medical and health services to several areas and perform higher education and scientific research tasks. Tertiary special hospitals are the highest level of hospitals in China. Hospitals in the industry are, in descending order: hospitals under the Ministry of Health or affiliated with national key medical schools, provincial hospitals; hospitals affiliated with provincial medical schools; large military, local medium-sized (former regional-level hospitals and now municipal-level hospitals) and provincial-level specialist hospitals; large factory and mine staff hospitals, county-level hospitals and other secondary hospitals; medium-sized staff hospitals, infirmaries, health centers, etc. ; Private clinics. Identify whether a clinic is legal or not Illegal clinics do not have a license to practice medicine issued by the local health administrative department, the practitioner is not qualified to practice medicine, has not passed the national examination for medical practitioners, has not been registered to practice, and does not have the right to treat. How to identify whether the clinic is legal or not? See whether there is a license to practice medicine on the wall; second, see the authenticity of the license marked on the opening items and the official seal, such as the opening items are dermatology, you can not treat other diseases; third, see whether there is a doctor’s photo by the provincial health department seal issued by the physician’s license; fourth, see whether the clinic has sterilization equipment, such as transparent lamps, thin sterilization lamps (ultraviolet lamps); fifth, see the infusion bottle Whether the name of the drug is marked, whether the prescription is issued to leave evidence, whether the drug has the factory name and address, batch number, expiration date. The five look at a problem, indicating that the clinic may be illegal clinics, should not go to see a doctor, should be reported to the relevant departments. See the right doctor to hang on the right section Each hospital often has one to two strong specialties, but also the backbone of the hospital departments. The characteristic of large hospitals is that the overall level of each department is relatively strong, while the gap between the level of each department in medium or smaller hospitals may be relatively large. The subspecialties of large hospitals are very detailed, and the first problem people encounter when they go to a large hospital is that they don’t know which department to register for. If you make a mistake in judgment, you will not only waste time, but also delay your treatment. Therefore, if you are not sure which department your disease belongs to, you can first check online or call the hospital to consult. When you arrive at the hospital, you can first register for a general outpatient number, and then see a specialized outpatient clinic or a specialist clinic after examination, or you can ask at the consultation desk first. Of course, when the condition is complicated, the consultation desk may make a triage error, and some diseases do require a period of observation or special examination to figure out what the disease is and which department it belongs to. If your condition is complex or if you have had poor results from multiple treatments, you should register for the relevant specialist clinic. If you have stomach pain, acid reflux, erratic, liver pain or abdominal pain, you can see the gastroenterology clinic; if you have cough, phlegm, asthma, you can see the respiratory medicine department; if you have anemia, subcutaneous bleeding, bruises, leukopenia, you can see the hematology department; if you have systemic lupus erythematosus, rheumatoid arthritis, etc., you can see the rheumatology department; if you have abnormal heartbeat, breathing difficulty, chest pain, swollen feet, etc., you can see the cardiology department; if you have crooked mouth, slurred speech, hemiplegia, mental retardation, convulsion, etc., you can see the cardiology department. If you have a heart attack, breathing difficulties, chest pain, swollen feet, etc., see a cardiologist. If you are not eating properly and have symptoms such as diarrhea and vomiting, you can go directly to the intestinal clinic. How to find a good doctor, we have consulted many people in the field and summarized the following experiences: (1) Look at the popularity: Generally, doctors with a high reputation are also of a higher level. Older professors tend to have a high reputation, but there is no shortage of young doctors with excellent medical skills and high medical ethics. (2) Look at the title: In general, it is better to choose doctors with intermediate or higher titles. These doctors are young and strong, have richer clinical experience, quick response, better understanding of new medical information, and are competent in general diseases; for more difficult to diagnose and difficult to treat diseases, it is better to choose doctors with senior titles. (3) Look at the degree: Doctors with high degrees such as doctor and master tend to have a high level of diagnosis or treatment for a particular specialist disease. However, medicine is a practical science and experience comes by accumulation, so it is important to combine clinical experience when looking at degrees. (4) Look at medical ethics: Medical ethics includes character and responsibility. If a doctor suggests to you that gifts or treatment is not serious, this doctor must have poor medical ethics. Medical skills and medical ethics generally go hand in hand. Of course, there are a few doctors who are very good at medicine but have poor medical ethics. But generally speaking, people with good medical ethics are very good at medicine. In addition, elderly people with chronic diseases should try to fix a few doctors to see them. Because the “old doctor” is familiar with the condition, complete medical records; doctor-patient relationship; easy to find the underlying disease; generally will not repeat the examination, prescribe drugs. Do you have such a feeling? To see a doctor to delay half a day, but the direct dialogue with the doctor often only two or three minutes, here will tell you how to make these minutes to play the effect of half the effort. Fight the battle of preparation As the saying goes, “Don’t fight the battle of the unprepared”. It’s best to be prepared for everything, and seeing a doctor is no exception. Do you often walk out of the office, only to suddenly remember: “Oh no, I forgot to ask the doctor ……” or when the doctor asked what drugs have been taken, what tests have been done, often ask three questions? To avoid this, you may want to make a list of your symptoms, medical history, tests you’ve had, medications you’ve taken, and questions you want to ask before you go to the doctor. Also, be sure to bring your medical records and recent test reports with you, otherwise it is a waste of money and time to reopen lab tests, which is not conducive to continuous observation and analysis of the disease by the doctor. In addition, if you want to do blood tests, abdominal ultrasound, gastroscopy and other examinations, you need to fast and skip breakfast to avoid wasting time on another day. Extraordinary measures to deal with emergencies Patients with broken fingers and teeth must save and carry the dislodged fingers and teeth (preferably kept in ice chips) and go to the hospital as soon as possible, and it is possible to implant the dislodged parts back in time for medical treatment. In the following cases, you’d better call 120 emergency number and let the emergency vehicle take the patient to the hospital: acute attack of coronary heart disease, stroke, high fever convulsion, profuse sweating, pale face, cold limbs, unconsciousness, haemorrhage, lower limb fracture, patients with serious infectious diseases, moderate to severe burns, spinal injuries. Save time and coordinate the flow of medical treatment Most hospitals have floor plans or signs, and you should get to know the layout of the hospital first. Ask your doctor about the following steps as you go through each one. When describing your condition, first tell the doctor in simple words what is most uncomfortable and urgent, such as upper abdominal cramps for half an hour (medically called a chief complaint); then describe the onset of your illness, such as when it started, what triggered it, the exact location of the pain, how it felt at first, what changes followed, what other discomforts accompanied it, and what tests and procedures were done. Then tell the doctor about your past illnesses, such as any similar episodes, any major illnesses, and any drug allergies (called past history in medicine). Such a statement will enable the doctor to have a preliminary understanding of your illness in the shortest possible time and buy time for the next step of diagnosis and treatment. If you have already had some tests done in other hospitals, you should take the initiative to show these information to the doctor to avoid repeating some laboratory tests or special examinations. 8 questions to ask before ending your visit Before ending your visit, you must clarify the following questions: (1) What disease do I have? What is the cause of the disease? (2) Why do I need to take this medicine? What does this medicine treat? (3) How can I know if the medicine is effective? Are there any side effects? (4) How long do I have to take the medicine? What will happen after this prescription is finished? (5) How long will it take to get better? (6) What should I do if I don’t feel well? Do I need to continue the medication? (7) Are there any other possible treatments? (8) What should I pay attention to in the future? Keeping the report card and keeping the report card will help you to save your next visit. On the other hand, knowing how to keep the information of the consultation is also a practice to protect your rights. The consumer rights department points out that in dealing with consumer complaints about medical disputes, the problem of difficulty in keeping information often arises. There are many patients who seek assistance from the Consumer Council and are unable to specify what happened at the time they visited the doctor. Listen to a second opinion Doctors are of different levels, and you can’t just trust a doctor or hospital, sometimes you need to seek a “second doctor’s opinion”. For example, if you have been seeing a doctor for a while and your condition is not improving and your doctor has no other treatment options, or if you have a serious illness that requires major surgery or an expensive procedure, you may want to consider whether you should get a second opinion. Who should I ask? Experts suggest that the second doctor should be no less expert than the first. If two doctors disagree, it is also a good idea to seek the opinion of a third and fourth doctor with a level of expertise no less than that of the second doctor. If you are faced with the decision of whether to operate or not, you may wish to ask the opinion of a non-surgical system. For example, if an abdominal surgeon recommends surgery, you may want to ask a gastroenterologist what his or her opinion is. When several doctors have different views on surgery, experts suggest the following options: (1) “minority obeys majority”, according to the majority of doctors’ opinions and ideas; (2) in general, you should listen to the opinions of doctors with high rank or high prestige in the field; (3) to respect the opinions of surgeons, because After all, surgery is done by surgeons, who are more familiar with the indications, risks, prognosis and contraindications; (4) for difficult and high-risk surgery, the problem can be solved by means of a large consultation inside and outside the hospital if necessary. Quote Reply Reply 牡丹梦(超级版主)新手手路 | 455分 发/回:20/30 [发SMS] [加朋友] 6楼 2009-04-17 17:51:51 There are many misunderstandings and even traps in medical treatment, you have to practice a pair of discerning eyes to see the disturbances in a clear and true way. “You may think that you don’t need to go to the hospital for minor illnesses such as fever and headache, and that you can carry it off in a few days, or buy some medicine on your own. But fever, headache, fatigue, weakness and other minor symptoms may be the early manifestation of many serious diseases, some patients with diabetes, tumors is because of the early carry, not timely medical treatment, delayed the best time for treatment. Some people often ask their acquaintances and relationships to find famous doctors to see. It’s true that specialists are high in their specialties, but not all the patients who come to them are suffering from diseases that fall within their specialties. If you are overly superstitious and blindly follow the experts, you are likely to go the opposite way and cause misdiagnosis. Doctors are human beings, not immortals Do not easily believe in “miracle doctors”. Any cultivated doctor will not brag about himself as a “miracle doctor”. On the contrary, many self-proclaimed “miracle doctors” have gone to jail. At present, many media reports are not necessarily accurate. Experts warn that if someone claims to be able to cure a recognized difficult disease or a chronic disease that is difficult to cure, you must not be gullible, even if he cites the testimony of a certain expert, a certain patient cured, you should keep a clear head. Like advanced and widespread metastatic cancer, hypertension, diabetes and other diseases, any claim to be able to overcome the cure is not based on scientific “myth”, is not credible; and then infertility, the cure rate is only about 30%, any exaggerated promises can only be the moon in the water, flowers in the mirror. The usual tricks of “medical trust” are: find the target – accost to get the condition – introduce the “black doctor “The “black doctor” to see the doctor – selling “drugs” to earn money. The medical doctor will generally carry the hospital radiology bag, or hold a child, pretending to be to see a doctor, and then accosted around, looking for targets. They even follow you all the way to eavesdrop on your chats and phone calls with friends and relatives. People from rural areas and with foreign accents are often their first choice. After taking the condition, the “medical trust” to see the opportunity to act as your acquaintance, hometown, told in the big hospital to see all kinds of not, and then said they or relatives to get the same disease in where good, bragging about how good that hospital, how skilled doctors …… When you see that you are somewhat impressed, the “doctor” will take out paper and pen, write down the name of the hospital, address and the route to go, and even accompany you to the doctor. The actual fact is that you will not be able to get a good deal on your own. Many commercial websites offer free medical consultations, claiming that their doctors are experts and that they can answer your questions if you send an email or leave a message. But who is really sitting on the other side of the computer? If you look online, you will find that some sites even allow doctors to register directly to practice medicine online, as long as you fill out your personal information after registration can become a “registered doctor” of the online hospital. The first thing you need to do is to register as a doctor at an online hospital with false information and open your own clinic. Who will be responsible for the behavior of the online doctor? If something goes wrong, who do patients go to and how do they go about it? Expert advice: online consultation is only an additional information channel, not a substitute for seeing a doctor, so as not to delay the best treatment time, beware of being fooled. The truth cannot be concealed There was an unmarried woman who went to the hospital for sudden abdominal pain. The doctor suspected ectopic pregnancy, but when asked about the patient’s history of sexual contact, the patient denied it. As her condition gradually worsened, her blood pressure dropped rapidly and she became pale. A laparotomy revealed a large amount of non-clotting blood in her abdominal cavity, and without timely surgery, she would soon die from hemorrhagic shock. Subsequent dissection confirmed the doctor’s judgment, and the patient narrowly escaped death due to concealment of medical history. Experts caution that the taking of medical history plays a vital role in the diagnosis and treatment of disease, and that concealing medical history can affect the doctor’s ability to make a timely and correct diagnosis of the disease. Lying about your medical history is worse than concealing it and can be more harmful to you. A false medical history can lead a doctor’s thinking astray, making it easy to make the wrong diagnosis, which in turn can lead to the wrong treatment, with unimaginable consequences. Unless you have a chronic disease, have been examined and diagnosed in detail, and have a long-term treatment plan, do not ask your doctor for medication by name. Because the treatment must be the right medicine, what drugs should be used must be prescribed by the doctor according to the diagnosis, abuse of drugs is not only a waste, but also easy to cause adverse reactions to drugs, and even serious consequences. In addition, many doctors hate it when patients ask for their own medicine, and the practice of asking for medicine by name is seen as a distrust of doctors, so this practice can also damage the doctor-patient relationship. Mail-order drugs are like fighting a tiger across the mountain. Nowadays, many informal hospitals (clinics) advertise mail-order drugs everywhere, and arbitrarily exaggerate their efficacy to deceive consumers. Some patients who lack common sense in medicine, anxious to seek medical help, often misled by false advertising, spend a lot of money on mail-order drugs, the result is often deceived, not only delayed the disease, and a lot of money wasted hard-earned. Chinese medicine is concerned about the diagnosis of the disease, Western medicine to ask the medical history and do relevant tests, the diagnosis is clear before prescribing drugs. Mail order drugs, such as the tiger across the mountain, there is a great deal of blindness, should not be careful. Show your true face Some drugs can mask symptoms, therefore, unless the condition is urgent and requires rescue drugs, it is generally not advisable to use drugs indiscriminately before the consultation, especially analgesics, antipyretics, antihypertensive drugs, sedative and sleeping drugs, etc. You should not wear makeup, especially not heavy makeup, before a medical appointment. This is because makeup hides the original skin color and is very detrimental to the diagnosis of skin changes such as anemia, jaundice, maculopapular rash, cyanosis, and vascular nevus. Before seeing a doctor, you should also be careful not to exercise strenuously, eat too much, get too emotional, drink a lot of alcohol or smoke, as these factors can cause a significant increase in heart rate (pulse), fluctuations in blood pressure, and other abnormal changes, creating “false impressions” and making it difficult to confirm the diagnosis.