First, choose a hospital and doctor
Currently the internet is very developed and you can look for the hospital and specialist you want to find online (personally I recommend searching by the disease you are suffering from – there is a function for this on), also consider factors such as transportation, cost, etc., and whether the doctor you are looking for can operate on you and the waiting time for the surgery! It is best to consult briefly online about the above issues before deciding to go to the clinic!
Second, registration
All major hospitals in the country have passed the function of online or telephone booking (all free of charge, in case you are deceived.
Third, visit the clinic
It is recommended that you bring all relevant information about your previous visits for the doctor’s reference! Also note that the doctor you are registered with is in the same room, and pay attention to your registered number and the order of your visit! In addition, the doctor will take a medical history and give a brief introduction (main discomfort symptoms and time, as well as treatment, what problems you need the doctor to help you solve, etc.), and the doctor will do a specialized examination of the ear (outer ear, tympanic membrane) and a tuning fork examination, and will issue some necessary checklists according to your condition.
Fourth, examination
The doctor will do a specialist examination and issue a checklist. The following tests are usually required for otitis media: pure tone audiometry, acoustic conduction, endoscopy + graphic, and CT examination of the temporal bone! If you have a lot of people, you may not be able to finish the examination in half a day (you can consider registering for a general number to do the above examinations first, the general number is relatively good, generally unlimited, and then register for a specialist number after taking the results)!
Fifth, the hospitalization application form
If you need surgical treatment, the doctor will issue a hospitalization application form according to your condition, the general hospital has a special inpatient management section. Submit the hospitalization application form to the hospitalization management department! Be sure to include your phone number on the application form and keep your communication open! You will be notified by phone when a bed is available.
Sixth, hospitalization
Usually the waiting time for hospitalization is not equal! When a bed is available, the inpatient management department will call you! You need to bring your ID card and the fee (you can use your card) to the hospitalization management department. (Only the inpatient management section for, there is no proxy points, do not be cheated !!!!)
Seventh, hospitalization
After the hospitalization management department has completed the procedures and paid the fee, there will be a person to lead the patient to the hospitalization department, to the nurse station to hand the procedures to the nurse, the nurse will give you a brief introduction to the department and precautions, etc., the doctor will come to briefly ask the medical history to check the body to open the next day to do the checklist!
Eighth, preparation before surgery
Before the surgery, we will do some necessary tests, such as: ECG, chest X-ray, blood biochemistry, infectious disease screening (serology 8), blood, urine and stool routine, CT of temporal bone (outpatient recently done, no need to do again), endoscopy! There is also a hearing test (there is a difference between the outpatient and ward machines, so you need to review it once)!
Surgery schedule: Generally, the doctor will tell you the surgery time one day in advance. The doctor will explain the condition and the procedure, possible complications, etc. The family will be required to sign an informed consent form for the surgery. The nurse will also do pre-operative instructions!
One day in advance, you will have to do the haircut and ear haircut preparation, etc. You will also have to do antibiotic skin test, etc.
Ninth, surgery
Usually the operating room nurse will come to the ward half an hour before surgery to pick up the patient at the time of surgery, and will also give pre-operative injections (atropine and hemostatic injection). Preparation for general anesthesia will be done before surgery! Surgery after anesthesia! After surgery, we will call the family members in the waiting area to inform them to return to the ward, and the doctor, anesthesiologist and nurse will send the patient back to the ward after surgery!
Tenth, post-operative precautions.
(1) After surgery, pay attention to any local blood oozing, tinnitus, dizziness, nausea sudden decrease in hearing, and reflect to the medical staff in time.
(2)The head should be temporarily wrapped with bandages after surgery and removed by the doctor after 2-5 days, not to be loosened by yourself to avoid wound bleeding or peri-auricular swelling; patients with stapes surgery are often required to be bedridden and have their head fixed for 3 days due to consideration of vertigo and hearing bone displacement.
(3) After the surgery, you should adopt a flat lie with your head slightly elevated and keep the unoperated ear facing downward to avoid pain caused by pressure on the wound.
(4) Please eat light or softer foods after surgery.
(5) The stitches will be removed approximately 7 days after surgery.
(6) After surgery, the ear canal will be filled with plugs and oozing from the outer ear canal, so hearing will temporarily deteriorate. 7-10 days will pass before the doctor removes the ear canal plugs.
(7) Prevent colds and flu. Do not cough or blow your nose hard. Keep the ear and dressing away from water when bathing or washing your face, and keep the wound dry and clean.
(8) After the ear canal gauze is removed, do not dig your ear with a cotton swab and do not get water in your ear to prevent infection.
(9) Do not swim or fly in the water for three months.
(10) Regular outpatient review after surgery, including tympanic membrane growth and hearing condition.