How does a doctor tell you to see a doctor?

  The core problem of seeing a doctor: usually to see a doctor, first determine which hospital to go to, which department to go to, what time, who to see, how to register, how to see a doctor, how to pay, how to get medicine, how to do tests, how to follow up.  Different hospitals have different names and different addresses, so the management process is not always the same.  Once you have decided which hospital you want to go to, you need to know the address of the hospital, where the doors open, what time they open, and how to get there by transportation. As a reminder, large hospitals are usually located in congested areas and parking is very difficult because of the large number of people, so there is often no place to park by car. It is recommended to go by bus or taxi.  Preparation before registration: The process of our hospital: first establish a medical card, which is our proprietary medical card (eight digits), foreign patients need to build a Beijing Medical Card and a medical card, to build a card need to provide identification and number, detailed address, telephone, type of insurance (self-funded, publicly funded, local employees’ medical insurance, local residents’ medical insurance, a small old medical insurance, or work injury insurance, in short, there are many kinds, do not make a mistake, otherwise it is troublesome! (The first floor of the registration hall.) Generally, they are handled in the registration hall on the first floor. Other hospitals are similar, but there may be differences. All information must be filled out truthfully, can not use other people’s information, otherwise the consequences are their own!  The most difficult thing is to register: the number of the department that should be registered, what time to hang, how to hang, how to get it, what to do if it’s wrong?  If you are not a specialist, you can only start with the first department. Different hospitals may have different departments for the same disease because of the management process (for example, in the hospital where I work, in the emergency department, emergency abdominal pain is first seen by an internist, usually many hospitals are first seen by a surgeon. This is because our hospital has a strong emergency medicine department with many patients and a fixed system of emergency physicians and inpatient wards, while the emergency surgery department has few patients and the emergency surgeons rotate regularly without a fixed ward, so the first consultation in internal medicine can ensure a smooth flow after the visit). Therefore, prior consultation is important, but not necessarily absolutely correct. Some specialties, such as ophthalmology, otorhinolaryngology and stomatology, have many specialties that even non-specialist doctors may not understand, so it is important to register with the right department and specialty. If you are not in a hurry, you can start with a general number, do some related tests, and then follow your doctor’s advice to go to the relevant department or specialty. Special note, because of the difference of hospital departments, in different hospitals, the same patient’s disease may be treated by a certain department of different specialties, or even different departments of doctors, there is no need to make a fuss, this is a Chinese characteristic, who told the hospital development is different, the development of different departments, no way, follow the customs! If you are really confused, you can first consult at the hospital’s information desk and registration room or even departmental triage desk, but even if you are wrong, do not complain or even clash with the consultant, after all, medicine is too complex, some conditions need to be examined to know. But so often in large hospitals that day only the department general number, because usually the general number is unlimited, so the common phenomenon of a sea of people to see the doctor is bound to happen. Most hospitals have unlimited general numbers, and patients come in like a tidal wave that can’t be stopped and cut off. The difficulty of seeing a doctor is so generated, the doctor can not help, so a day to see more than 100 patients, very normal, Chinese characteristics, please bear with the patient more, long live understanding! The average ordinary number you only have 5-10 minutes to communicate with the doctor, to seize the time, never please cherish!  What time to register, it is best to make an appointment in advance by phone, you can call 114 to make an appointment, please 114 to the hospital registration on the line, the phone appointment is characterized by the later the appointment time, the higher the success rate of the appointment, the recent number has often been about full. This method is only suitable for patients with chronic diseases and plenty of time. Of course, you can also make an appointment online, there are hospitals have a reservation platform, self-built or social special reservation platform (you can make an appointment with many hospitals), you can also call the hospital reservation phone (probably can not be reached, because it is too hot), or make an appointment at the special window of the hospital, or ask the doctor to make an appointment during the consultation (for example, in our hospital, each patient can ask the doctor to make an appointment with the undergraduate and other department number, which is convenient and very (For example, in our hospital, each patient can ask the receiving doctor to make an appointment for the department and other departments, which is very convenient and popular, but this increases the burden of doctors and compresses the effective consultation time of each patient.) After a successful 114 appointment, a code will be sent to your cell phone to pick up the number, and you can pick up the appointment slip from the machine in the clinic lobby on the same day, and exchange it for the official registration slip at the window with the appointment slip.  Most patients are accustomed to registering on site on the same day, special attention to on-site registration: first apply for the consultation card, later you can register at the window, all our windows can pay and register, so you can go to the floor with fewer patients to register, generally the lower the floor, the more patients in the department, the more difficult it is to line up to pay and register, on the contrary, the higher the floor, the less patients in the department, the easier it is to pay and register. After 12 p.m. you can hang the same day in a special window, the hospital every day to stay more on-site registration, so as long as you can be in the first day in this window row first, you can hang the next day any number (as long as the next day there will be), so every night you can see someone in the hospital somewhere wearing a coat queue. So the number of vendors on the survival of the soil, you can not have a skill, as long as you are willing to suffer, willing to stay up late, not afraid of hunger, not afraid of freezing, stand good first or the first few positions, when the time to turn to sell the position to the urgent need of patients on the line, the premise is to have an accomplice to sell for you, there is the hospital has to be good enough, worth the patient to come all the way, willing to pay a big price for non-hanging certain numbers. This is the soil for the survival of the number traffickers, in China any limited resources can be sold at a price, such as kindergarten, elementary school, secondary school and even university admissions, which is also a Chinese characteristic. Queuing for registration is suitable for patients who have family members, physical strength, perseverance and have to hang certain tight numbers, in fact it is not very recommended, it is recommended to make an appointment by phone or online. It is not recommended to make an appointment by phone or online. If the number is not particularly popular, you can register in the morning from the clinic lobby. Usually, the registration starts at 7:00 a.m. in the morning, so if you go to the lobby and line up, you can usually get a general number that day, and you can get an afternoon number if you don’t have a morning number. In any case, due to computer management, doctors can’t do anything without registration, and they can’t prescribe tests or drugs, so it’s most important to get a number. Different hospitals are different, so it depends on the specific situation. What time you arrive in the morning depends on the specific situation, sometimes you can’t get a popular general number in the morning queue, sometimes there are still numbers at 9am. Just like the stock market, the ups and downs are unpredictable and no one can say for sure. If you want to register, get up early and arrive early to take a seat is the way to go!  What should I do if I have registered wrongly?  Currently most hospitals are computerized management, the wrong number can be returned, whether you can change depends on the situation, the number source can certainly be changed, no number source can only be returned. In fact, the registration fee is not much money, if you hang the wrong general number, you can consider asking the first doctor to book the corresponding number of other departments, so although it costs money, but you can ensure that the next time you must have a number, after all, time is also a cost, you certainly do not lack the pack of cigarettes money (5 yuan for a general number of tertiary hospitals, is a pack of cigarettes money, Chinese doctors are so cheap, the pricing power of the government has the say, patients want to raise prices can not, let alone hospitals want to (Price increase.) (Think about it, how much is the parking fee after 1 hour in Beijing city?  If we exaggerate the difficulty of registering at major hospitals in Beijing, we can compare it to winning a lottery ticket. Then after the registration is correct is to see a doctor, congratulations on your efforts to start to run to win the lottery. The road ahead is long, you will be running up and down, left and right, ups and downs, feel the hardship, experience the essence of the Chinese style difficult to see a doctor!  First of all, we need to find the consultation room, in view of the rapid development of hospital construction in China over the past 20 years, Beijing’s major hospitals are actually not called large general hospitals, should be called since the history of medicine, looking at the world, the world, looking at the universe, unprecedented, unprecedented super hospitals, the number of departments, departments of complexity, the rapid changes, so that the hospital doctors do not know exactly which department is where, because the department There are too many to count! So be sure to read the name of the department and specialty on the registration slip carefully, and wait in the appropriate waiting area according to the hospital index combined with asking the medical guide. After you find the place, you will wait to see the doctor.  At present, hospitals mostly use manual triage and automatic number calling service system, waiting area patients can generally see the scrolling information on the big screen, generally showing the number of patients of a certain specialty to a certain consultation room, called to themselves must immediately arrive, otherwise the doctor will call the next patient! Some departments are also called by the nurse at the triage desk, so you must insist on waiting and not go to the toilet, otherwise you will be in trouble if you miss it. After the number is called, you must get to the consultation room as soon as possible. Some hospitals have a lot of consultation rooms with unclear signs, so you need to look carefully to get there, so it is important to be familiar with the specific location of the consultation room in advance, and you must remember the location clearly the first time you go, otherwise it will be a waste of time when you go back to the clinic.  Waiting for consultation: The waiting area of my hospital is not designed properly, all departments of internal medicine and surgery are waiting in the lobby, the sound is noisy and the quality of personnel varies, just like the waiting hall of a train station, which is very distracting and should be improved. I have also been to other hospitals, some hospitals are reasonably designed, different departments waiting area, very spacious, just like the waiting area, sitting and feel very comfortable. This is the hospital design concept and hardware conditions caused by the difference, can not be changed, so the hospital design is very important. You can be sure that some hospital designers simply have no personal experience of visiting the hospital, paper to design those odd hospitals.  After calling the number, walking into the consultation room, and seeing the doctor, the consultation begins. Have the following suggestions for seeing a doctor, depending on your personal situation, see how many points you can do?  1. Patients should enter the consultation room in the order of triage and greet the doctor.  2.To answer the doctor’s questions with clear answers, for example, if the doctor asks: How long has the leg been hurting, you should answer a few years, months or days, or even a few hours. Don’t say that it started since I retired, after I gave birth to my third child, or it started after a year, etc. Vague answers.  3, for the description of the symptoms should be the first major, after the secondary, using ordinary language, do not use dialect, colloquial language. To have primary and secondary, highlight the main, cover the secondary.  4, for the doctor’s other questions to answer truthfully, the doctor’s concern for other personal issues and disease is related to the professional requirements of doctors will not disclose personal privacy, not because of personal reasons to deceive doctors, the consequences are bound to be delayed or even misdiagnosis of their own condition.  5, during the consultation doctor may be interrupted by others, such as nurses, follow-up patients, or other personnel, patients should wait quietly, do not be interrupted by the consultation and other disputes or verbal altercations, even if you are not against the doctor, but also affect the doctor’s mood.  6, after the doctor prescribes the examination, you can ask the doctor what position in the outpatient examination, what needs to be noted, whether it can be completed on the same day, and the time to bring the results for follow-up consultation after completion. Some medical institutions doctors are not responsible for explaining such problems or too many patients doctors are too busy, you can go to the triage desk for further consultation, or ask the medical guide department on each floor, it is not possible to ask the hospital staff.  7.If you have been seen in a foreign hospital, you should bring your outpatient medical records, test results, prescription places and other results. If you do not bring the results, you should describe them according to medical terminology as much as possible. If you describe them only from your own memory, it may cause bias in the doctor’s understanding.  8.After the examination is completed, bring the examination results and find the doctor again for a follow-up consultation. If the examination cannot be completed on the same day, you should ask the doctor when the follow-up appointment will be held. Some medical institutions can book an appointment number for a certain period of time to facilitate the follow-up appointment. Even if you cannot make an appointment, you can make an appointment with your doctor for your next follow-up appointment and ask him/her to give you an extra number or take care of it. For example, in many hospitals, the doctor’s prescription stamp (containing the doctor’s work number and name) can be used to add the doctor’s clinic number without restriction on the same day.  9. Some patients have made consultations before going to the doctor, such as asking some doctors, looking up diseases on the Internet, or getting some opinions on websites with medical service consultation, but seeing a doctor is a comprehensive process, the doctor’s consultation, physical examination, auxiliary examination, and combining the patient’s own economic and physical conditions and subjective requirements, different doctors may not have exactly the same opinion, which is only a benevolent and wise difference. We hope patients can understand this. Even if there is a significant difference in treatment plan, the doctor’s opinion should be respected. Because of the rapid development of modern medicine, there are certain differences between different regions and different hospitals. Some of the so-called new technologies are really just propaganda slogans, just like the headlines of some articles in the media nowadays. The development of medicine is always based on evidence-based medicine, which is gradual and needs enough time to be tested.  Usually after the visit, you need to start queuing up according to the tests or prescriptions issued by the doctor, congratulations, you can experience the crowds in China. There is a perpetual line at the fee and you realize you are in the wrong line when you get to it. It’s hard to find the place where the lab tests are done, and finally break through the difficulties and get to the place after all the difficulties, only to find that it’s closed, or you can’t do it today and come back tomorrow. When you encounter the above situation, please calm down and then calm down, life always has to experience pain, see it as a kind of practice you can be a little more calm. About the charge office, the hospital generally has each floor, more people floor charge office, less people floor charge office, so you can look more before queuing. Some hospitals have different fees at different windows, so be sure to ask, or the wrong line will only delay your valuable time. Although in the hospital it seems that you are really nothing, you also have no precious time.  After paying the fee, you have to pick up the medicine or do the test. Remember, there are at least four pharmacies in large hospitals: outpatient western pharmacy, outpatient Chinese medicine, emergency pharmacy, and ward pharmacy. Some hospitals also have some kind of messy pharmacy that I can’t figure out, but in any case, go to the right pharmacy and queue up before you can get your medicine. Special note: some special drugs, you need to go to a specific window, do not make a mistake ah!  Doing tests: One of the most painful things in the world is definitely doing a test in the hospital that you don’t understand. Medical tests are usually done by first paying a fee before you can make an appointment (some tests need to be booked first and then paid for before or after they are done). You should know that no one knows how many kinds of tests are available in large general hospitals, even the director, the head of the medical department. It can’t be helped that the hospital is so big and has so many patients. Considerate hospital in the doctor issued a checklist will prompt you what time, where, can do this test. Don’t make a fuss if it’s not written. If you walk to the place to find the test changed, also to accept, after all, the hospital is constantly under construction, the department today in this tomorrow in that, the test changed the place is also very normal, continue to look and walk is it, more walking can be fitness to lower blood sugar, after all, the wrong way to walk more eventually you will always come across the right way. Different tests have different requirements, some to fasting, some to drink water to hold urine, some to take drugs in advance, in short, a variety of, you must comply with, in order to check the effect can not be an exception, this point up to the head of state, down to the civilian population finally completely equal. You see medicine or social science, to achieve real equality that could not be achieved elsewhere, although some people later but always finished the test before you. Some tests can be done on the same day or in line on the spot, but many tests require an appointment and then wait until the appointment date to be completed. The waiting time for tests varies widely from hospital to hospital, ranging from a few days, weeks, months, and even 3-6 months later.  After the test is completed, you will need to have the test report, which can be picked up at the time, or you can wait a few days for it to come out, which varies from hospital to hospital.  When you get the preliminary test results, you will need to find a doctor to follow up. If you see a doctor in the morning and have the test results in the morning, then congratulations you have won at least another small prize, you can take the outpatient medical records and test results and find a doctor to see them. Often the doctor will be seeing other patients at this time. Some hospitals require triage nurses to help arrange for patients to be seen after tests, and some hospitals are completely herded, with doctors being responsible for whoever they see. If there is no fixed process, then you need to wait at the door of the consultation room, wait for the patient to come out and hurry to remind the doctor before the next patient, you are the patient who finished the examination, ask him to arrange your consultation, if at this time another patient, if he is very temperamental, very dissatisfied, and you are more serious, stressing that you should see than him, at this time the conflict occurred, words, actions, and even physical conflict are possible It is possible, remember, the consequences are their own.  After the follow-up, the condition is basically clear, and the doctor usually tells you whether you need treatment, medication or surgery, and when to review it. After the prescription is written, you can pay and pick up the medication from the pharmacy.  If you find the right pharmacy, pick up your medication, know how to store it and how to take it, then congratulations, one of the most painful things in the world is over successfully. Don’t forget to rush to the parking lot and take your car away, because you have been parked for at least 4 hours and you will probably have to pay 30-50 RMB (2 RMB standard for 15 minutes in Beijing city). You will find that the registration fee is really not expensive, if you compare it with the parking, highway and bridge fees, which are all thanks to the great Development and Reform Commission. But very unlucky, some comrades of the Development and Reform Commission recently had trouble to go to a place that does not cost money to eat, why is this, I am also very torn, how good comrades ah! If the comrades of the Development and Reform Commission look for me to see a doctor, I will certainly give them a look for free, really, without charging a registration fee, not for anything else, just to not be insulted by that poor registration fee. I can see a doctor for free, don’t insult my dignity with five dollars!  If after the visit the doctor thinks you need to be hospitalized, then you start to experience a different kind of pain. You know that waiting to be hospitalized in a large Beijing hospital (actually, I should say the largest hospital in the universe) is another test of life, and only God knows how long to wait. At present, the performance evaluation of departments in large hospitals has been clearly defined to the average hospitalization day, bed utilization rate, bed turnover rate, average cost per hospitalization, CMI value, inpatient surgery rate per capita (surgery), drug ratio, self-pay drug ratio, and so on. Doctors are basically in a state of frenzy, to complete the targets, they must toss and turn to complete the targets as soon as possible, in order to get the poor salary plus bonus. Therefore, there is almost no department that does not selectively admit patients to the hospital, if you are strong, have the right disease, the expected length of stay is short, the hospital likes the type of insurance, congratulations, you can usually be admitted quickly. If you do not meet a certain article, then you need to wait, 1 week to start, 1 month in general, 3 months also have, half a year is not uncommon (even some well-known specialty hospitals are arranged for next year’s bed, who called the whole of China’s patients to come to the big hospitals in Beijing to see it!) This point the great Health Planning Commission and the Development and Reform Commission will automatically selectively ignore, do not blame them, too busy, too many social engagements, no time!  In short, it is difficult to see a doctor in this godlike country of China, and it is even more difficult to see a doctor in the great capital city of Beijing, and it is difficult at every step, difficult for the patient, difficult for the doctor, difficult for mutual understanding, an experience that will last a lifetime and is engraved in your bones! I sincerely pray that everyone in the world will be healthy and happy for the rest of their lives without seeing a doctor!  In the end: after graduating from medical school and working for 12 years, outpatient clinics for nearly 10 years, I feel the confusion and bewilderment of patients in the outpatient clinics, I write the following words to help patients to improve the efficiency and quality of medical care, reduce unnecessary disputes, and desire to get the understanding of patients and their families.