How can I be tired of going to a big hospital? It is difficult to go to a major hospital. If you are not well prepared, it is likely to be a wasted trip. Recently, some experts have summarized the rules for visiting a major hospital. For this strategy, do you agree? A. Preparation The most registered time is on Mondays, Tuesdays and Wednesdays, and more people visit the doctor in the morning than in the afternoon. If you want to see a doctor easily, consider coming on Thursday and Friday, and if you are not in a hurry, you can register for the afternoon, when there are fewer patients. If you feel that there are still too many patients on weekdays and you can’t get a number, you can also try going on holidays or at night. At present, many large hospitals in China have started holiday clinics and night clinics, where specialists are also available (some hospitals are only open for half a day on weekends, so it’s best to consult with them by phone or online in advance). For example, Beijing Union Hospital has an East Hospital in Wangfujing and a West Hospital in Damucang Hutong, where you can register for the West Hospital. Don’t be upset if you are the last patient to see a doctor. In addition to the first five patients, doctors are usually more patient when explaining to the last patient. Patients can write a concise description and summary of their condition before they see the doctor. Make sure you have a good idea of what you want to ask the doctor first. Doctors generally prefer to see patients who have a clear understanding of their illness so that they can more easily understand their treatment plan. When you do not know much about your condition, you can check the relevant knowledge on the internet and science books in advance, especially the clinical papers in professional databases such as China Knowledge Network and Wanfang Data. Second, registration chapter For the first visit, you can really register a general number first, especially for oncology patients. Because 60% of the patients cannot choose the department and specialist accurately. The department setting of oncology hospital is also different from general hospital, there is no department by system such as gastroenterology and respiratory department, but only divided into head and neck surgery, abdominal surgery, thoracic surgery, gynecology, internal medicine (chemotherapy), radiotherapy and other departments according to body parts and treatment methods. General number is the best choice. The general number of oncology hospital is actually equivalent to the specialist number of general hospital specialties. The most important basis for tumor diagnosis and treatment is imaging and pathological examination. When tumor patients first visit the hospital, all doctors need to use various examinations to confirm the diagnosis, which may be to give you a CT sheet or MRI sheet and let you do relevant examinations first. Therefore, it is totally unnecessary for patients to see the dean and famous experts for the first consultation. If you really want to see a specialist, like in the Cancer Hospital of the Academy of Medical Sciences, the general outpatient doctor can refer the patient to a higher level doctor of the same specialty. Many patients who want to see a specialist may also have the idea that “the number I registered is the best specialist and he should be the one to give me treatment and surgery”. In fact, many hospitals now have a system of “three-level examination”, “three-level physician consultation” and “graded management of surgery”. For example, even if a patient with breast fibroadenoma is registered with a well-known specialist, the surgery may be done by a resident or attending physician, and even if a patient requires breast reconstruction is registered with a general practitioner, the surgery will be done by a specialist with a senior title. For patients with chronic diseases, it is convenient and quick to register for a simple outpatient clinic or a general number if the prescription is for medications or tests only. Sometimes it is not necessary to wait for half a day for a few tablets of antihypertensive drugs. People are used to ordering meals, and it’s important to get into the habit of making appointments in advance for your own convenience. If you want to make an appointment for a specialist, you can learn as much as possible about the hospital’s appointment methods, and then choose the one that is most convenient for you. From the outpatient data of Beijing Stomatological Hospital, about 80% of patients are registered by appointment. If some patients want to register in person at the hospital, besides the registration window, they can also try their luck at the “Lost Appointment Replacement” window, which is the number of patients who give up after making an appointment because of things to come, and there is a certain number every day. It should be reminded that many large hospitals have a real-name registration system, so you must bring proof of identity, such as ID card, family register, driver’s license, work permit, senior citizen card, retirement card, disability card, medical insurance and hospital medical record card! Third, the doctor to see the patient, pay attention to the right medicine, the patient to find a doctor, but also to “the right medicine”, so as to avoid the wrong number, a waste of time. Before the patient sees a doctor, it is worth screening in the order of “hospital→specialty/specialist clinic→doctor” to better protect the effect of seeing a doctor. First of all, it is recommended that patients with unclear conditions should prefer authoritative general hospitals rather than specialist hospitals, which will refer patients to specialist hospitals, such as lung cancer and breast cancer patients may be referred to oncology hospitals. After choosing a hospital, you have to choose a department. Often some people work hard to queue up for registration and end up with the wrong specialist in the wrong department, so before registering, you should be on the hospital’s official website beforehand and roughly determine the department, subspecialty or specialty clinic according to your symptoms, or go to the hospital guide desk to find out what type of specialist to look for. It is important to be dedicated to your relationship, which works just as well for seeing a doctor. If you are a patient with a chronic disease, if you feel comfortable with this specialist, the treatment effect is also good, then settle with this specialist, do not just change doctors, over time, the doctor is also familiar with your condition, and the doctor has an understanding of the old patients, each visit does not have to repeat the narrative too much. Take the case of seeing an infertility doctor, such patients always think that a good doctor will be able to conceive a child at a glance, and infertile couples are usually in an urgent and anxious mood, so the most likely mistake is to change doctors frequently. But objectively speaking, infertility treatment is in most cases a complex “protracted battle”, and frequent changes of doctors mean interruption and restart of the treatment program. If the infertility couple has chosen the gynecology department of a regular hospital or a fertility center with state admission, they should not change doctors at will without special circumstances. However, if you have a temperament problem with the doctor, have unpleasant communication, or the results are not satisfactory even after a period of treatment, it is time to change to another doctor. If you feel that communication is easy, follow this expert, be dedicated, do not “spend”. Fourth, the examination of the big hospital to see the doctor just queue to do the examination sometimes takes two or three days, especially for foreign patients, more delayed one day, it will cost an extra day. Therefore, patients should bring all the diagnostic information from other hospitals, especially for out-of-town patients. Many patients think that the information from other hospitals is “not recognized” by the hospital, but this is not true at all. Pathology slides (pathology wax blocks, etc.) can be brought directly to the consultation, but if patients do not bring them, they may have to do invasive tests and pathology slides again, and this delay will be a week or two. In addition, it is best to bring in films and diagnostic reports even if they are two years old. Doctors can use them to see the speed and trend of disease development and judge the condition in order to develop a more accurate treatment plan. Some test results are mutually recognized in domestic tertiary hospitals. Routine blood tests, transaminases for hepatitis B and other such routine tests, as well as some large imaging tests (CT, MRI, etc.), are shared by tertiary hospitals as long as they are recent. A few smart patients will have all the relevant tests done at their local tertiary hospitals before they go to the big hospitals in big cities like the North. Patients also have to keep their previous medical record book and information – the medical record book contains the patient’s medical history and important examination, diagnosis and treatment results, if there is a lack of information, and the patient can not say the condition, not only waste the consultation time, but also to do repeated tests, so patients must pay attention to their medical records, do not see a doctor to buy a new The patient must pay attention to their medical records, do not buy a new one for each visit, remember to bring it every time you see a doctor. It’s too bad not to bring this information! Love takes time, so does seeing a doctor, and you have to prepare some time for the doctor. For example, tumor patients, especially those from out of town, should prepare at least one to two weeks for diagnostic imaging and analysis of disease staging to allow the doctor to become familiar with your condition. In the case of anorectal diseases, the tests are different from other departments. Some tests, such as colonoscopy and intracavitary ultrasound, require the evacuation of stool before the examination, so laxatives are usually used to make the patient have diarrhea, especially in elderly and frail patients, who are very weak after excretion and are afraid that their bodies will not be able to bear it if they have to run around to register for a consultation. If the patient’s situation is not very serious, you can come to the examination in the afternoon, register a general number, first do the examination, go home and rest well, and have the energy to take the results first thing the next morning and register directly, which is less hassle. However, patients with perianal abscesses have fever and abscesses, because they need to take blood tests on an empty stomach, so it is best to go in the morning, and if the condition requires surgery, you can directly operate in the afternoon and solve the problem in one day. Do you agree with this expert summary of the above strategy for visiting a major hospital? In fact, many patients who go to big hospitals do not have serious symptoms, some just have colds, sore throats and other problems. But patients are not sure whether their condition is light or heavy, so they choose to go to big hospitals. People think that the experts in big hospitals have more patients and more experience, and are more at ease, so small hospitals can’t compare. I hope that the medical reform will advance smoothly, and that graded treatment will be realized as soon as possible, and that the level of primary hospitals will continue to improve, so that patients can rest assured. When the big hospitals are no longer overcrowded, we will no longer need the “big hospital visit strategy”.