As mentioned earlier, 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 difficulties in getting registered and seeing a doctor. 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 a total of 4 hours from 8am to 12pm, 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 suggest doing this outside 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 an ultrasound to show the doctor his results, and has only an average of 8 minutes to talk to the doctor. Whether you see a Chinese doctor or a Western doctor, Chinese medicine is about looking and smelling, while Western medicine is about asking for medical history and physical examination. Doctors need to talk to you in order 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 the 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 is not related to the disease, or your elders, it is not disrespectful or bad attitude, but you only have 8 minutes. Please learn as much as possible to distinguish 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 they 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. 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 see a doctor, even if it is an emergency, the doctor will not give you immediate relief from the pain. Pain is a gift from nature to mankind, although 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 call easily without identifying the location of the reported fire. You or your family member may be in pain on the examination bed, but the doctor will still indifferently touch this or that with his or her hand, or even press hard to ask if you are in more pain. 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 ignoring your loudly screaming companion and going to see another quiet patient, don’t try to stop the doctor. V. 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 cheap drugs and treatments as I did. But at the same time relatively cheap drugs also mean a difference in efficacy, especially 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 loved ones. In fact, many doctors are afraid to operate on their own loved ones because emotional factors may cloud their judgment. I hope you will understand that a doctor’s attitude is not directly related to the level of medicine. Sixth, expectations Quite a number of diseases are not able to eliminate the cause, such as common hypertension, diabetes, glaucoma, rheumatoid …… Nowadays, medicine is also unable to solve these problems, what doctors can provide is to control the progress of the disease as much as possible, so that the disease is harmless, blood pressure is reduced to normal values, which means that you will die decades later from Lowering your blood pressure to normal means you are less likely to die from a brain hemorrhage decades later; lowering your eye pressure to the target eye pressure means your loss of vision can be slowed or even stopped. What you can find with your doctor is not necessarily a way to beat the disease, but often to learn how to live with it. Just because there is “hope” for a disease in the news or in the newspaper does not mean that it will actually be available to you in the hospital. Medicine is a very conservative discipline, and it takes years, decades or even decades of research to determine a treatment, and at least a decade of experimentation and approval before a new drug is available in the hospital pharmacy. Even after all those years of research, it is still impossible to guarantee a 100% cure for your disease, absolutely impossible. A cure is not the same as getting a car repaired; you don’t just pay for it and get a repaired car. Please always remember: it is absolutely impossible to get a guaranteed cure and absolutely impossible to guarantee that there is no risk when you spend money. In case you get such a guarantee from the doctor, it means that: a) the doctor is reassuring you; b) the person you are talking to is not a doctor at all. As mentioned above, you can never be guaranteed a cure and there is absolutely no guarantee of no risk. Before an invasive procedure or surgery, the doctor will show you an informed consent form. This informed consent is like the “risky investment” you hear when you buy stocks or funds, it is to inform you of the possible risks. 1. Every risk written on the informed consent form is a real risk that has happened to at least one real patient who has actually suffered from it. 2. the risks stated on the informed consent form have occurred and the doctor will continue to do all he can to help you if they do. Self-evident axioms 1. People are going to get sick. 2. people are going to get sick and die.