Instructions and tips for outpatient visits

  Whether or not a patient knows how to see a clinic has a direct and important relationship to how well they see their patients. Therefore, in order to achieve a good outcome, patients should learn how to visit the clinic. I have summarized the following general rules for outpatient clinics and some special rules for our hospital and even our TB department.  1. Before entering the clinic, patients and their families should put their cell phones on silent or vibrate mode.  2. Before entering the consultation room, please organize your medical records (including chest X-ray, CT film, external laboratory tests, checklist, discharge summary, etc.) and briefly summarize your condition and diagnosis and treatment, or write them down if you are afraid of being unclear. Don’t ask questions, don’t wait for the doctor to ask before you start to think, important information must be brought, otherwise it will affect the effect of seeing the doctor.  3. In the consultation room, both patients and family members please do not answer or dial the cell phone.  4. Patients and family members please do not chat in the consultation room, which is a place for doctors to communicate with patients or family members.  5. Please follow the order of registration and one person in one consultation room. When a patient is being seen, other patients and family members should not enter the consultation room, so as not to interrupt the doctor’s thinking and slow down the speed of seeing the patient.  6. Please arrange sufficient time for outpatient consultation. Don’t be busy to go to work or rush to catch a bus and ask to cut the line to see first. Other patients will have opinions, but also make the doctor difficult.  7. Patients who need to have laboratory tests first (mainly patients on anti-tuberculosis drugs, liver and kidney function, uric acid, routine blood and urine tests, ultrasound, lymph node puncture, etc.) can ask the doctor to have laboratory tests first without following the order of registration. However, you need to enter the consultation room at the end of one patient’s visit and before the next patient starts, and you need to tell the doctor directly the test items; if you don’t know the test items, you need to wait for your registration number. After you get the test results, you will still be seen in the order of your registration number.  8. Things that need to be done extra by the doctor (such as issuing sick leave slips, filling out follow-up forms issued by the CDC, etc.) should be told to the doctor at the time of your own visit, so that you do not wait until you have finished seeing the patient and left the office before remembering and interrupting another patient’s visit. If a patient who has finished seeing a doctor still has something to ask the doctor, please enter the office at the end of a patient’s visit.  9. A registration is valid for half a day. If you get the test results during this period, you can ask the original doctor to see them again; if you get the results after the doctor’s clinic is over, or even on the next day of the clinic or later, you need to register again in order to ask the doctor to see them. You can’t just find a doctor and ask him/her to “I just want you to look at the lab results” without registering. This is not only disruptive to the order of outpatient consultation, unfair to the patients who have registered in the queue; but also not as simple as the patient’s imagination of “just a glance”, usually the doctor does not just look at the results, but also to understand the condition of the doctor to make a judgment and the next step to deal with, which requires an outpatient consultation to complete.  10. After entering the consultation room, don’t talk to the doctor about the following: what time you waited until now, how many hours you have waited; how far you came from; how busy you are; how difficult it is for your children to find time to accompany you; how slow the doctor is to see the patient in front of you. The patient’s feelings are understandable. I have been to other hospitals myself or with my relatives and I know exactly what it is like. Patients do this to vent their emotions or to get extra attention from the doctor, but it is counterproductive because every minute in the office is precious, so don’t waste precious time or distract the doctor. It is in your best interest to speak directly about your condition and let the doctor give you his or her full attention.  11. Here is the most important thing: How do I communicate my condition to the doctor?  Tell the doctor about your condition in a clear and concise manner, and make sure that you get to the point, and do not go into details that are not important.  (1) Complaint: Include the main symptom or symptoms, how long the symptom or symptoms lasted and how they occurred.  (2) Consultation: When did you go to what hospital, what tests were done, what the doctor considered might be the disease, what medications were used, and what was the effect.  (3) Provide medical records for the doctor to see.  The main cases of patients in our TB department are as follows: (1) If you come to the first consultation because you have symptoms, you should tell the doctor the symptoms and the time (for example, “cough for 2 months, fever for half a month”).  ②Findings from physical examination: including health checkups and routine chest radiographs when you have other diseases. You should tell the doctor that “a lung shadow was found during a health checkup one month ago” or “a lung shadow was found during a routine chest X-ray before surgery after being hospitalized for gallstones half a month ago”.  (3) Come for follow-up during anti-tuberculosis treatment. You should tell the doctor, “I came for a follow-up checkup after 3 months of anti-tuberculosis treatment, and there is no discomfort.” Or, “I have been on anti-tuberculosis treatment for half a month and have had a rash for one day.  I have encountered various kinds of patients in the clinic, some of them have no idea what they are asking, some of them have no answers, some of them are off-topic, some of them have a lot of nonsense, no focus, inconsistency, a lot of holes, a few people have several statements, all kinds of things. Some oddballs simply leave people speechless, and doctors waste a lot of time to figure out what could have been said in a few words or seconds. In short, patients need to learn to express themselves well in the language and do a little more preparation before seeing a doctor to try to make the visit more efficient and effective.  Finally, I wish you all to learn to see the clinic and help yourself to get well soon!