M.D. writes a lifelong article on medical care

  We often struggle with whether to go to the doctor when we feel unwell. Should we go to the emergency room or the outpatient clinic? What is the best time to go to the hospital? What should I prepare before going to the doctor? How to make the doctor better help you?
  A. What to see or not to see
  The human body has the ability to repair itself. And this ability is very strong, obviously more powerful than computers and cars. Some diseases do not require treatment, and some are “self-limiting” – that is, they will get better when the time comes. However, the disease that can occur in people, but also with the human evolution of the same long time, is not an idle person.
  If you are not feeling well, should you carry on, or go to the hospital for medical attention. This is a question.
  1. If the function of the organ is impaired, you need to see a doctor immediately The function of the eye is used to see things, and suddenly you can’t see, you should see a doctor immediately. Similarly, suddenly unable to hear, the movement of the limbs suddenly appear impaired ……
  2.
Intolerable pain pain is a fire alarm from the body, do not challenge the pain. If you experience unbearable pain, you should seek medical attention as soon as possible. For example, abdominal pain, chest pain, eye pain. It is important to note that even if you get to the hospital, usually the doctor will not give you immediate pain relief. Pain is a fire alarm, an important signal to know the condition of your body, and no one will cut all the phone lines in the neighborhood before eliminating the fire.
  3.
Recurring discomfort is old and endured – this is how most cancers pass through unmolested childhood. For recurring discomfort, you should pay careful attention to the triggering cause and the way to relieve it. By the way, the most important thing is – one’s age, >50 years old, it is better to check it out to avoid future problems.
  4.
Already in a certain disease process, but the feeling suddenly changed the doctor may have told you that the disease is nothing, in a few days themselves will be better, and at the beginning, the feeling is also better day by day, but today suddenly worsened, then it is best to go again to review.
  5.
Diseases seen by others usually do not need to be anxious, the human body has a well-developed self-detection system, if you do not feel anything uncomfortable, most likely there is not much of a problem. (Note: except for those found by doctors after a physical examination, such as a lump on the body and so on)
  6. regular medical checkups are necessary. Their own body only their own protection, brothers can not rely on, the organization can not rely on.
  Second, emergency or outpatient?
  General hospitals have emergency and outpatient clinics.
  Urgent care is prepared for patients who need urgent treatment. Outpatient clinics are for less urgent patients. Emergency clinics are set up to get patients out of danger in a short period of time, so they are equipped with emergency, quick-acting drugs and basic tests that allow for quick judgment. So if you have a less urgent illness, or even a chronic illness, you will not actually be diagnosed very well in the emergency room.
  Don’t go to the emergency room at night simply because you work during the day and it’s not good to take time off. You won’t get the best medications and can’t complete the best lab tests and ancillary exams. Your body is your own, don’t give up giving yourself the best diagnosis and treatment just so you don’t take time off work, and encroach on the medical resources allocated to acute care patients…
  Diseases requiring emergency room visits.
  1. an illness that has just occurred. A disease that I have had for three days and still run to the emergency room, I will have a good attitude and mentally berate.
  2.
The disease may cause irreversible damage to the function of organs within 8 hours. Sudden onset of abdominal pain, chest pain, eye pain, headache, or should go to the emergency room to see first.
  The time to visit the outpatient clinic
  Our country is a huge country with a huge population, and the possibility of a very small number, multiplied by 1.3 billion, is unbelievably huge.
  Any time you feel appropriate, it must be the time when there are many people in the outpatient clinic.
  1. Be sure to avoid three times: Monday morning, Monday morning, Monday morning can only be described as a sea of people. For the health of you and your family, please do not see a doctor on Monday morning
  2, generally speaking in the morning to see more people, less in the afternoon, more on Monday, less on Friday.
  On Friday afternoon, there are basically very few people seeing the doctor. It seems that hard work is good for your health.
  3, bad weather wind and rain is the best time to see the doctor, the heavier the rain, the fewer people. In fact, the weather for many people to travel, does not have much impact, if the work is very busy, need to see a doctor in a short time, and then rush back to work, it is best to go to the doctor in the rainy weather.
  Fourth, the preparation before seeing a doctor
  I believe you have already chosen a date to see a doctor, the following describes the preparation before seeing a doctor.
  1. Review the history.
  Please review your medical history before seeing the doctor, from when the onset of the disease? What did you feel when you had the attack? If you have time, please write it down with a notebook and pen.
  Think back to whether you are allergic to medications. A history of drug allergies is very important to your doctor. If you have had a serious adverse reaction to a medication in the past, make a note of it and ask your doctor to write down the name of the medication you are allergic to on the cover of the medical record you use most often.
  Recall the treatments you have received, as well as the medications you are using, and their trade names. If you can still find the instructions or empty vials or leftover medications, bring them with you.
  Bring all previous medical records and test results. After each visit, please also collect all test results and medical records. Some test results are printed by thermal printing, which tend to fade over time, so please make a copy and keep it.
  2. Prepare administrative supplies: bring your credit card and enough cash, as some hospitals do not support credit cards. Also need to beware of thieves.
  Bring your ID card, social security card, medical blueprint, retirement card, leave card, hospital visit card, etc. Everything that may be related to medical insurance.
  3.Arrange your affairs on the day of your sick leave: Take your sick leave and arrange your work for that day. It is best to find a healthier partner than you to accompany you to the doctor’s appointment. Expected time to go, do not go to the hospital to register after 11:00 am, or after 4:00 pm. Because, I am afraid that there are no numbers left, or although you see the doctor, by the time you need to do the test, it is after office hours and the other departments are empty. Check the weather for that day. The worse the weather, the fewer people will see the doctor.
  4.Choose the right hospital: If you already have considerable medical knowledge, you can choose a hospital according to your condition. Generally, community hospitals and secondary hospitals are very clean, and it will be comfortable to go to see a doctor and get medicine. It is recommended that you first go to a community hospital or a nearby secondary hospital to get at least the appropriate medical advice and referral recommendations. When you choose to see a tertiary care hospital, it also means that it is difficult to choose to register and see a doctor.
  5, registration: nothing to say, it’s too difficult, even for doctors themselves to see a doctor. If it is a foreign patient to another city to see a doctor, and to see a specific, try to make an appointment in advance on the Internet and other methods, so as not to arrive after the number can not be registered.
  6, adjust the mood: get sick is not a pleasant thing. But people will always be sick, and sooner or later, they are going to die of illness. So when illness comes to you, there is nothing to complain about. Going to the hospital is not a sure cure. In fact, the doctor who sees you must not be able to see his own illness in the end, and is 100% sick and dying. Work with your doctor to fight your disease.
  7. Check-up: Confirm the various preparations above, bring all the things and set off. If you can overcome the disease, use the power of your doctor to overcome it together. If you cannot overcome the disease, then learn how to live with your own disease from your doctor.
  V. How to communicate with the doctor
  When you choose to visit a tertiary care hospital, you are also choosing to have a difficult time registering and seeing a doctor. This also means that other patients face the same problems. In order to alleviate these problems as much as possible, a doctor will see as many patients as possible during clinic hours.
  If the morning clinic is 30 patients, and you see them from 8am to 12pm, for a total of 4 hours, with no toilet breaks in between, then the average time per patient is 4*60/30=8 minutes. That’s right, that’s the average time it takes for you to get up in the morning, wrap yourself in a military coat and wait for three hours in the cold outside the hospital registration room, and then wait for three hours from the beginning of your shift.
  It is not accurate enough, this 8 minutes is not the time you sit in the consultation room and communicate with the doctor, after forming a preliminary diagnosis, the doctor will arrange some tests for you, most of which can be completed on the same day, so you take the test list to the doctor after the test, you have to show him the results again. You may have noticed that while you are waiting, there are always people rushing into the doctor’s office without the registration slip, but those are probably patients who have finished their tests and are showing the doctor their results.
  Perhaps you would be so kind as to help the doctor maintain order and stop those people from jumping the queue. I suggest doing this outside of the office if possible. Maybe you are pulling out the patient who has just run up several flights of stairs and held his urine for half a day to get his ultrasound results to the doctor, and has an average of 8 minutes to talk to the doctor.
  Talking to a doctor is not a matter of whether you are seeing a Chinese doctor or a Western doctor, as Chinese medicine is all about looking, smelling and feeling, while Western medicine is all about history and physical examination. Doctors need to talk to you to know what your disease is like. Our bodies are full of self-testing signals that report to your brain in their own language, such as pain, soreness, weakness, burning, and foreign body sensations. Please report these sensations to your doctor so that he can help you.
  Chinese medicine does not just cut your pulse to find out what is wrong with you, and Western medicine does not just rely on CT, ultrasound, and labs to know what is wrong with you. Diagnosing a disease is like CSI doing an investigation; comprehensive evidence is needed to point to a serious culprit.
  Although it is rare, there are indeed some patients who come to the doctor without saying a word, with their hands outstretched or their faces straightened, the doctor has to guess his main symptoms and discomfort first, and only after saying the right thing, he continues to see the patient. In the past, when I was out of the clinic, I would play with them for a while when I was relatively free and in a good mood, and they would be convinced if they got the right answer.
If the answer is correct, they will be very convinced.
  Please remember that you only have 8 minutes.
  Distinguish between facts and judgments Please learn to distinguish as much as possible between the presentation of facts and judgments, as the distinction between the two requires a high degree of knowledge and intelligence, and can be confused even by those with a high degree of knowledge and intelligence if you are not careful.
  The following are factual statements: “My eyes are red,” “I have a fever of up to 39 degrees,” and “I have a sore throat,” and the following are judgmental statements: “My eyes are Unless you are in a psychiatric or psychological clinic, please state the facts as much as possible.
  For example, “I can’t pee for 3 days” is a very good description, while “I can’t pee for a long time” still doesn’t give the doctor enough information. My advice is
  For chronic diseases, please be precise to years or months, e.g. “chest tightness after exercise for 5 years”, for those with onset in the last 1-2 years, please be precise to months, e.g. “vision loss in both eyes for 6 months”, for those with onset in the last month, please be precise to days, e.g.
“For acute illnesses, please be precise to the hour, for example, “blackness in front of the left eye for 1 hour”.
  If you have a number that describes your condition, please tell your doctor the number if possible. For example, “My blood sugar has been as high as 13 this week”, but if you just say “My blood sugar has been high this week”, it depends on who you are comparing yourself to.
  Please try to answer the doctor’s questions with numbers, especially if they have key words like “how much”. Unfortunately, when I ask, “How many years have you had high blood pressure?”
More than 80% of the answers are “a long time”.
  Pain and suffering When you go to the doctor, even if it is an emergency, the doctor will not give you immediate relief.
  Pain is nature’s gift to man, though it is a gift no one wants. Pain is the body’s fire alarm, an important signal for diagnosing disease and judging its progress, a direct report from the part of your body that is sick to your doctor. A doctor cannot help a patient with pain until there is a clear diagnosis, just as we cannot hang up the fire alarm call easily without identifying the location of the reported fire. You or your family member may be in pain on the examination bed, and the doctor may still be indifferent and touch this or that with his or her hand, or even press hard to ask if you are in more pain, so please tell the doctor how you feel.