The 12 questions doctors are most afraid to be asked

Question 1: Doctor, this disease has spent so much money, how is not getting better? This depends on what kind of disease you have, some diseases do not need to spend a lot of money, and even do not take medicine, pay attention to diet and hygiene, early rest, more exercise, or psychological relaxation will be fine, spending money and the effect of treatment is not positively correlated. But it is true that there are some diseases that you can’t cure even if you spend more money. Question 2: Why do doctors keep asking us to do so many tests, but still can’t find the problem, what is the reason? This needs to be considered from two aspects, the first aspect, when we patients go to the clinic, by the clinician to do the checklist, the doctor’s knowledge of your disease, or your knowledge of the efficacy of the examination method, there may be a situation that is not in place. Or the manifestation of your disease has not yet made him realize that other tests are needed. The second aspect, the condition of your disease, the course of the disease, there are times in the early stage of the display does not show, for example, early gastric cancer, cervical cancer requires meticulous, experienced doctors to detect, some patients visit to a few months later, become larger, you can be diagnosed. Nowadays, technology is so advanced that I’m afraid that there are not many diseases that cannot be detected. If you can’t find out, we have to consider whether he has an organic problem, maybe his psychological burden is more stressful, in fact, this is what medicine should be concerned about, medicine is not just a biological discipline, but a comprehensive discipline. Question 3: Is the doctor trying to shirk his responsibility by signing the consent form for surgery and talking about a lot of risks? We often encounter such patients. When we ask him to sign before the surgery, the patient will behave in two different ways. 30% of them don’t read the detailed entries inside, and there is one kind of person who reads it especially carefully, and he thinks that all the problems that may arise are made to be signed by the doctor in order to shirk the responsibility. In fact, medical science has many limitations, for example, ovarian cysts, which have a high recurrence rate, after multiple surgeries, the ovarian function is damaged, from the original normal to be able to secrete some sex hormones, finally it can not be secreted, the child can not be born. These possible problems, we have to communicate with the family and the patient, in medical terms, there are indeed complications of this surgery, the patient should understand the risks of this surgery, and for the doctor’s informed information about the surgery to approve, if not, our doctors are very difficult to do surgery for her, this is also on the basis of mutual trust to reach a consensus. To be a good doctor, a doctor should not only be able to reach the level of a real tertiary hospital in terms of medical technology, but also be able to reach a certain level in terms of medical ethics or communication with the patient on the basis of mutual trust, so that the patient may have a better understanding. Question 4: Professor so-and-so of a certain hospital said this disease is easy to treat, how come I didn’t get treated when I came to you? Professor so-and-so said this disease is easy to cure, why did not go to him to cure it, you did not go to him, indicating that he did not understand your specific situation. So, to see a doctor about this thing, or need to understand the patient directly, do a careful examination to determine, so there may be a little error in this, if the professor said it is easy to cure well, then you go directly to him to cure. Question 5: Doctor, the last time I used the medicine, I got better, why did it not help at all this time? In fact, there are many diseases, there are some drug resistance, for example, tumor, the first time the first-line chemotherapy drugs are effective, but after several times, drug resistance appears, which is caused by the characteristics of tumor cells. In medicine, there are still limitations. It is true that some diseases have reached a certain level, and this disease has developed drug resistance, so our doctors may choose second-line treatment options, and eventually the best time for treatment is lost. Question 6: Doctor, I’m sick, can this disease be broken? Here’s the thing, I’m a radiologist and I do interventions. Some diseases do get better with one treatment and some do take several treatments, and even the treatment gets worse and worse, depending on what kind of disease this is, which is very important. Most diseases are very difficult to break, and the key issue for common chronic diseases is prevention, preferably without getting sick. In fact, it is the most scientific to prevent this disease in the absence of disease or in a state of suboptimal health, so that the disease does not occur. Question 7: When you see me, you may give me some cheap medicine, can this medicine cure the disease if it is cheap? Don’t think that cheap medicine is not good medicine, medicine is allopathic, medicine is different from towel and toothpaste, the key to medicine is the right disease, the right disease is good medicine, not the right disease, more expensive medicine is not good medicine. Question 8: Last time I went to see you, I got worse after taking the medicine. In fact, the disease is a process, some in the treatment process, it is best to first fully diagnosed and clear before treatment. But sometimes, the disease is more urgent, and in order to relieve the patient’s symptoms, he may be given treatment before part of the report appears, but the disease is not diagnosed clearly in the end, for example, with some painkillers, the effect is not particularly good, which may be caused by his own disease, rather than aggravating his symptoms after the use of drugs. Therefore, doctors should communicate well with patients before using medication. Question 9: The medicine you prescribed for me yesterday was too expensive, and I heard that other clinics have cheaper medicine than you. You need this medicine for this disease, so you should use it. In China, when a patient sees a doctor, he or she will not say, “Prescribe me the cheapest medicine, but the best one. The doctor will also think, “This medicine is new, maybe it will be more effective. Our doctors in China should pay more attention to the price of drugs, to roughly estimate, because we are not fully covered by health insurance, the patient in front of you is a laid-off worker or a patient on low income or a boss, the benefits of this drug for him and pay is not appropriate. Therefore, the doctor is a physical, psychological, social issues, starting with medical education so that the patient’s medication will be better. Question 10: Does it matter if I have this disease? Is it serious? This is a question that radiologists often encounter, when we do a test in our hospital or other hospitals do a test to see the film, and ask me if this should be important. Other hospitals write that there is a nodule in the lung here, and when the patient sees this terminology, he or she thinks that this nodule may be a lung tumor. This is the time when a radiologist is needed to explain the situation and tell him what the probability is that it might be good and what the probability is that it might be bad, and can relieve some of the patient’s worries. Different diseases have the same manifestation, and the same disease has different manifestations. At this time, the result that the doctor tells you is based on the manifestation at that time, and the patient’s situation at that time to make it fit the situation at that time, but as the situation develops, it may change, so this is still a tentative and limited diagnosis, and it is a process of observation. Question 11: I have not used this drug before, but I have used other allopathic drugs, how effective is this drug for the doctor? Doctors should understand the role of this drug and have a comprehensive understanding before giving it to this patient. Since medicine is three parts poison, seven parts is the efficacy, so we should assess the patient after using this drug, the efficacy of more or more side effects? We then decide whether we should use or not, so the use of drugs is not a simple matter, we read a lot of books in the medical school, a large part of the pharmacology, new drugs must have a full understanding of the drug in hand, in order to give patients with. Question 12: I heard that you have a special drug, you must give me to use. In fact, this special medicine is specific to the disease and each different patient. Each drug has certain side effects, and our doctors will choose the drug that is most suitable for the patient. Therefore, the most suitable drug is the best one, depending on the person and the disease. You don’t have to think that it must be available only in a certain hospital, this hospital has it, so why not another hospital? The hospital is not the one doing the medicine. In fact, the right symptoms are really effective.