How to see a doctor (a) Should you see a doctor when you are sick The human body has the ability to repair itself. And this ability is very strong, apparently more powerful than computers and cars. Some diseases do not require treatment, and some are “self-limiting” – that is, they 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 an organ is impaired, immediate medical attention is required. The function of the eyes is used to see things, and suddenly you can’t see, you should see a doctor right away. Similarly, sudden loss of hearing and sudden impairment of limb movement …… It is worth noting that many human organs are double, such as the eyes and ears. Some people have a sudden loss of vision in one eye while the other is intact, and it is possible to overlook the problem of a bad eye. 2. unbearable 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 extinguishing the fire. 3. Recurring discomfort. It’s old, just put up with it – that’s how most cancers pass through their 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 feel a sudden change. The doctor may have told you that the disease is nothing and that you will get better on your own in a few days, and at the beginning, it feels better every day, but today it suddenly worsens, then it is better to go back for a review. 5. Diseases that others can see. Usually there is no need to rush, 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 a doctor after a physical examination, such as a lump on the body or something like that) The typical one is subconjunctival hemorrhage. This is usually a bright red blood stain on the “white eye”, you do not feel it, no pain, no loss of vision, usually when you look in the mirror or found by others, this is not “fundus bleeding”, this is “white eye The tiny blood vessels on the “white eye” are broken, no different from a bump. Coughing, constipation, rubbing eyes …… can cause it. Regular medical checkups are necessary. Your own body can only be protected by yourself, brothers can’t be trusted and organizations can’t be relied on. How to see a doctor (II) Emergency or outpatient General hospitals have emergency and outpatient clinics. Urgent care is for patients who urgently need medical attention. Outpatient clinics are for patients who are not so urgent. 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 can make quick judgments. So, if you have a less urgent disease, or even a chronic disease, in fact, in the emergency room, there are no drugs with good efficacy and few side effects for your disease, and the laboratory tests are not very complete, and not all the equipment for auxiliary examinations can be done. Don’t go to the emergency room at night simply because it’s not good to take time off from work during the day. You won’t get the best medications to complete the best lab tests and ancillary exams. Your body is your own, your job is the state’s or capitalist’s. By going to the emergency room at night just to not take time off work, you are doing a disservice to yourself by forgoing giving yourself the best diagnosis and treatment in order to save a day’s pay, and by encroaching on the medical resources allocated to acute care patients. Diseases that need to be seen in the emergency room: 1. Diseases that have just occurred. A disease that I have had for three days and still run to the emergency room for, I will have a good attitude and mentally berate. 2. The disease may cause irreversible damage to the function of organs within 8 hours. Strictly speaking, the only eye diseases that require emergency care are: central retinal artery blockage (which needs to be saved within 10 minutes), rupture injury of the eye, and acute attack of acute closed-angle glaucoma. (To add, there are also chemical injuries, burns, etc.) Sudden onset of abdominal pain, chest pain, eye pain, and headache should still be seen in the emergency room first. How to see a doctor (3) Time to see a doctor Our country is a vast and populous country, a small possibility, multiplied by 1.3 billion, is a huge number. Any time you feel right must be the time when the clinic is crowded. 1. Be sure to avoid all three: Monday morning, Monday morning, Monday morning What 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. Please tell those around you, “For the health of you and your family, please do not see a doctor on Monday morning,” and ask them to tell those around them as well. Generally speaking, there are more patients in the morning and less in the afternoon, more on Mondays and less on Fridays. In the afternoon on Friday, there are basically very few people seeing the doctor. It seems that hard work is good for health. 3. seasonal Go get a prescription for glasses after the holidays – wait in line honestly Wait until it’s cooler to have this surgery – wait in line honestly Wait until you have time to see this doctor after the holidays – – wait in line honestly – – – Wait in line honestly 4. Bad weather Wind and rain are the best times to see a doctor; the heavier the rain, the fewer the people. In fact, the weather does not affect many people’s travel, not too much. If you are very busy at work and need to see a doctor in a short time and then rush back to work, it is best to go to the doctor in rainy weather. How to see a doctor (d) Preparation before seeing a doctor I believe you have already chosen a date to see a doctor, the following is a description of the preparation before seeing a doctor. 1. Review your history: * Please review your medical history before seeing the doctor. How did you feel at the time of the onset of the disease? If you have time, please write it down with a notebook and pen. * Recall if you are allergic to medications. A history of drug allergies is very important to your doctor. If you have had a serious adverse reaction with a medication in the past, make a note of it and ask your doctor at the time of your visit if it is a drug allergy, and if so, ask your doctor to write down the name of the drug you are allergic to on the cover of the medical record you use most often. * Recall the treatments you have received, and the medications you are using, and their trade names. If you can still find the instructions for the medication 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 and tend to fade over time, so please make a copy and keep it. 2. Prepare administrative supplies: * Bring credit cards and enough cash, some hospitals do not support credit cards and there may be a lot of people in line in front of the cash machine. Take care of your belongings. If you are a thief, there are ways to steal, so please do not steal in the hospital. * Bring your ID card, social security card, medical blueprint, retirement card, divorce card, hospital visit card, and anything else that may be related to your health insurance. Usually, it is better to use a clear plastic file bag exclusively for these things in addition to your ID card to keep them together. 3. arrange the affairs of the day of sick leave: * Take sick leave and arrange the work of the day. The job is the state’s or capitalist’s, the body is your own, and there is no problem to leave work as long as you do not cause trouble to your colleagues. * If you are going to the emergency room or are self-conscious of more serious organ function problems, such as severe precordial pain, sudden loss of vision, etc., bring your cell phone and charger with you, you may need to be hospitalized or kept in the hospital for observation. * It is a good idea to have a healthier partner than you to accompany you to the doctor’s appointment. * Do not go to the hospital after 11:00 a.m. or after 4:00 p.m. to register your number. Because, I am afraid that there is no number 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. * Estimate the traffic situation and choose the appropriate transportation. It is better not to drive or ride a bike by yourself, please take a taxi to the hospital. For one thing, it is difficult to park near the hospital and parking fees are high, and for another, some of the treatments you receive may no longer be suitable for driving or bicycling. * Check the weather for the day. The worse the weather, the fewer people will visit the doctor. 4. 4. Choose the right hospital: * If you already have considerable medical knowledge, you can choose a hospital based on your condition. * Usually community hospitals and secondary hospitals are very clean and it will be comfortable to go to see a doctor and pick up 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. If you are not sure about the quality of medical care in these hospitals, you can also consult your friends with medical background beforehand on where to go for better care. * When you choose to see a tertiary care hospital, you also mean choosing to have a difficult time registering and seeing a doctor. 5. registration * Nothing to say, it’s too difficult, even for doctors to see themselves. If you are an out-of-town patient visiting another city and you want to see a specific specialist, try making an appointment online or something like that in advance so you don’t arrive and not get a number and have to wait a few days or even a week. The minimum cost of living in Beijing is also 100 RMB/day and once you wait up the consumption is amazing. 6. Adjust your mood * Getting sick is not a pleasant thing. But people will always be sick, and sooner or later, they will also be sick and die. So there is nothing to complain about when illness comes to you. * Going to the hospital is not a sure cure. In fact, the doctor who sees you must not be able to see his own disease in the end, and 100% of them die of it. * Work with your doctor to fight your illness. * The Book of History? Therefore, there are six diseases not to be treated: arrogance and disregard for reason, one not to be treated; light body and heavy wealth, two not to be treated; food and clothing can not be adapted, three not to be treated; yin and yang and dirty gas uncertainty, four not to be treated; the shape of the wonky can not take medicine, five not to be treated; believe in sorcerers and not believe in doctors, six not to be treated.” Translated into vernacular, it means: first, people who are arrogant, arrogant, and unreasonable; second, people who attach importance to money and not to health; third, people who are too picky about clothing, diet, medicine, etc. and cannot adapt; fourth, people whose internal qi and blood are disordered and whose internal organs are severely depleted; fifth, people whose bodies are extremely weak and cannot take medicine or cannot bear the power of medicine; sixth, people who only believe in ghosts and gods and do not trust medicine. For people who belong to one of the above six conditions, their diseases are difficult to cure regardless of Chinese medicine or Western medicine. 7. dress up * Don’t wear makeup. Perhaps you will have a pale face and dark circles under your eyes. These are okay, and these are exactly what the doctor needs to see. Even if you are going to see that very handsome or beautiful doctor. * Try to wear clothes that are easy to put on and take off, for example, tops that are open-backed are recommended instead of pullovers. * The sleeves should be relatively easy to pull up or take off. For example, in winter, it is best to wear a heavy coat while wearing relatively thin clothes underneath. * Mask. Wear one if you have one. Hospitals are the most concentrated place for diseases. You are already in a weakened state of illness, so don’t get infected with other diseases. Wash your mask after coming back from the hospital, and wash your hands well. 8. Check and confirm all the preparations above, bring all the things and go. If you can beat the disease, beat it together with the help of the doctor, if you cannot beat the disease, then learn how to live with your disease from the doctor. How to see a doctor (5) How to communicate with your doctor Your time with the outpatient doctor As mentioned earlier, when you choose to visit a tertiary care hospital, you also choose 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, especially specialists, and may be rated to see 20 patients today, but will usually add up to 30 or even 40 because of out-of-town patients, poor patients, patients with serious illnesses, and patients who are too powerful to mess with. If the morning clinic is 30 people, 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 outside the hospital registration room in the cold for three hours before getting a number, and then wait for three hours from work. 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, and those are probably the patients who have finished the tests and showed the doctor the results. Perhaps you would be so kind as to help the doctor maintain order and stop those people from jumping the queue. I recommend doing this outside of the office whenever 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 and has an average of 8 minutes to talk to the doctor. Talking to the doctor Whether you are seeing a Chinese doctor or a Western doctor, 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 relaxed and in a good mood, and they would be convinced if they got the right answer. The other type of people are many and they will keep making statements. For example, “I’ve had chest congestion since 20 years ago, the year of Comrade Xiaoping’s southern tour, since the reform and opening up ……” Sometimes such confessions are unconscious, especially in the elderly. Older people must rely on events to recall the chronological order, so I wrote in the “Preparation before seeing a doctor” need to recall the medical history beforehand and record it. The doctor will interrupt you when the confession has nothing to do with the illness, or your elders, it is not disrespectful or bad manners, but you only have 8 minutes. Distinguish between facts and judgments Please learn to distinguish as much as possible between stating facts and making judgments. The distinction between the two requires a great deal of knowledge and intelligence, and can be confused even by those with great 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,” “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 suggestion is: * For chronic diseases, please be precise to years or months, e.g. “chest tightness after exercise for 5 years”, * For the last 1-2 years, please be precise to months, e.g. “vision loss in both eyes for 6 months” * For the last 1 month, please be precise to days, e.g. “For acute illnesses, please specify to the nearest hour, e.g., “blackness in front of 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 simply 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 from the pain. Pain is a gift from nature, although it is a gift that no one wants. Pain is the body’s fire alarm, an important signal for diagnosing disease and determining 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. Another point worth making, and one that needs to be emphasized to junior doctors, is that the kind of patient who shows pain and screams loudly, on the other hand, also shows that they have a strong life force, while another type of patient who is pale and silent is more likely to have a life-threatening condition. So when you see a doctor in the emergency room disregarding your loudly screaming companion and going to see another quiet patient, don’t try to stop the doctor. Attitude If you do not have a high income and do not live well, please talk to your doctor directly. I believe many doctors will give you relatively inexpensive drugs and treatments as I did. But at the same time relatively cheap drugs also mean a difference in efficacy, especially in side effects. If you are stuck in a traffic jam, can’t find a parking space, are freezing in front of the registration office, or sitting in the clinic all morning with nothing to do, please try not to take out your frustration on the doctor who is seeing you. Many times a doctor’s attitude is determined by the department, and the more urgent and life-threatening the department, the more indifferent or even nasty the doctor’s attitude. It is impossible for a doctor to speak to a family in the emergency room in a pleasant manner, there is and only is a stern voice ordering the family to do something. Doctors do not and should not treat patients as if they were their own relatives, and in fact many doctors are afraid to operate on their own relatives because emotional factors may influence judgment.