Some people go to the male clinic even write a “million words” in advance Many male patients do not know how to “say the condition”, when describing the symptoms “ask one answer two give away three” is a big taboo
”More than half of the male patients do not know how to see a doctor!” A considerable number of patients describe their symptoms, everything is reported to the doctor, holding a “memo” written in advance to tell the condition. But the funny thing is, he should not talk about the place, and the main disease is not related to the discomfort but can talk for half an hour. Doctors say that talking a lot does not mean talking accurately. This way of seeing a lot of disadvantages, especially in the case of many outpatients, is likely to affect the efficiency and accuracy of diagnosis. The most important thing to avoid when describing the symptoms is to not be able to distinguish between the priorities, “ask one answer two give away three”.
The patient came to see the doctor with a “book of words”
In a tertiary hospital men’s department to see a waiting patient clutching a piece of paper in his hand, it turns out that this is his pre-written narrative outline of their own symptoms, counted more than ten.
The doctor said it was not unusual for ten male patients to have five or six “memos” in hand to see the doctor, and some even simply omitted to describe their own symptoms of the link, directly to the doctor a full page of A4 paper “million words”.
The patient’s reason is that “there are too many symptoms, and it is confusing to talk about them, so it is better to write them for the doctor to see more clearly”. However, is this really effective? Many doctors say that whether the patient expresses himself or herself verbally or submits a “letter of ten thousand words”, there is a problem of getting half the result with twice the effort.
One situation is that the narrative of the condition is more than appropriate, not prioritized, the doctor asked one, he answered two, incidentally “gift” three, but the result of the most important symptoms buried in a large number of minor symptoms, the more people do not understand where his most pain, but also make people feel that the condition is “very serious The more you talk about it, the more you don’t understand what hurts the most, and it makes you feel “very serious.
Some doctors say that patients with common male diseases will generally name at least 10 symptoms, if each symptom is prescribed separately, so the treatment can be scared to death!
For example, 23-year-old Wah first said he was uncomfortable at the root of his penis after climbing the pole, his legs would cramp when he masturbated, and he suddenly stood up with a swollen feeling at the root of his penis after sitting for a long time, in addition to a long list of symptoms such as hair loss, soreness, insomnia, and dizziness.
The doctor will feel that there are many possible causes based on his narrative: penile injury?ED?inflammation of the reproductive organs? Take Wah’s insomnia and dizziness, is it caused by trauma, disease or his own demons at work? In fact, in the male diseases, insomnia and dizziness, aches and pains are not the main symptoms, quite often caused by psychological factors or physical exertion. However, in the patient’s “memo”, “the book of words”, this item is often heavily rendered, it is not necessary.
”Insignificant” details reveal the disease
Providing accurate information to the doctor is certainly beneficial to the diagnosis of the disease. However, it has been found clinically that male patients are more conscious of making their own diagnosis than other patients. A “standard” male patient will go through this process: after the body appears “unspeakable”, first look at medical advertising, and then listen to the “experience” of others, thinking to give their own diagnosis. The study also showed that male patients are prone to emotional anxiety and depression caused by their condition, and their physical illnesses can lead to mental illnesses, which can disillusion and amplify physical pain.
”correcting”
When encountering such patients, male physicians must first prescribe antidepressants to relieve the heart condition.
Many male patients have expressed the frequent confusion that the symptoms they feel need to be highlighted are not considered important by their doctors, and that a small thing that they downplay or mention unintentionally makes their doctors pay great attention to them, and sometimes make them go for tests that are not related to male medicine. In fact, some people show symptoms of male diseases, but the root of the disease may not be a male disease. For example, patients who say they have inflammation of the foreskin, much like warts, are actually caused by prostate cancer. Some patients who have been infertile for years and have a reduced sex drive are actually caused by pituitary tumors.
The order of description of different diseases is also different
The actual description of the disease can improve the efficiency and accuracy of the consultation? For those who have some speech impairment, you can rehearse in your mind before the consultation and think about how to describe it, highlighting the “most”, i.e. the earliest, the most recent, the most important, the most painful and the most frequent symptoms.
The first is to talk from the “most recent” to the “furthest”, suitable for prostatitis patients.
Patient: I recently had blood in my urine and pus coming out of my urethra. (Other recent and frequent symptoms)
Doctor: How was it before? Have you had any sexual contact during this time?
Patient: This was not the case before. I had intercourse with my wife during this period.
Doctor: Did your lover have any problems? Patient: She is uncomfortable when having sex and her vagina itches. Doctor: Do you have children? Did the child feel uncomfortable?
This is suitable for patients with ED (erectile dysfunction), and it is important to explain in detail what happened during their sexual development.
Patient: I found myself a little impotent. Doctor: Tell us in detail when the symptoms started.
Patient: I’ve had this reaction since I was a teenager. I used to masturbate (masturbate) a lot and my function declined. I used to masturbate (masturbate) a lot and my function declined. After I got married, it was even worse.
Doctor: Are you still interested in your lover or other people of the opposite sex?
Patient: I can’t get interested anymore, and I have back pain, and I am often anxious and easily anxious. Doctor: ……