The first thing you do at a doctor’s visit is to ask the doctor a question and to the patient a statement of the condition. This is the communication between the doctor and the patient in order to understand the cause of the disease. What and how to talk about this process is the first thing to do at the doctor’s office, to the doctor is to ask questions, to the patient is to state the condition. This is in order to understand the cause of the disease, the communication between the doctor and the patient. This process of chatting what, how to chat, is a learning. Chat well, the condition is clear, accurate judgment, treatment; chat is not good, it may produce misdiagnosis! Key point one: how long have you been sick First of all, the doctor will ask: how long have you been sick? This is to understand the duration of the disease. You can say: I was constipated from middle school; once married, constipation began; lover hospitalized, I did not stool for a week, and finally became a habit of …… Here in the middle school, once married, lover hospitalized is the onset of the time point, to try to account for clear. Key point two: the degree of development of the disease Mastered the above situation, the doctor can initially determine whether the acute disease, or chronic disease. For example, a patient, abdominal cramps, diarrhea for 3 days, is an acute disease. The doctor will then ask about the number of bowel movements in the past 3 days, whether there is blood in the stool, whether there is blood in the stool, mucus in the stool, and whether there is pus and blood. If there are any of these symptoms, it can be initially recognized as an infectious disease of the gastrointestinal tract. The process is to trace the condition and the doctor is gradually determining which tests should be done. Acute disease refers to diseases with rapid onset, rapid changes in condition, and severe symptoms, mostly limited to two weeks in medical judgment. Chronic diseases are gradual, not very strong symptoms of the disease. Generally more than three years of symptoms are categorized as chronic diseases. Key point three: whether you belong to a special group of people with the same symptoms, but also combined with the onset of the population, comprehensive analysis and judgment. If the disease is a special group of people, the elderly, children, pregnant women …… even if the symptoms are similar, the cause of the disease may be completely different. Therefore, if you are in a special situation, such as a short period of pregnancy, can not be seen, must take the initiative to inform the doctor. Key point 4: whether the living environment and habits have changed Once met an old man, originally living in the countryside, the children in order to filial piety received him to live in the city, this time it is good, can not bowel movement. Why? Because the countryside is squatting pit ah. When you go to the city, you have to sit on the toilet, and you’re not used to it. Moreover, squatting and sitting on the toilet have different postures and different abdominal pressures, which have an effect on defecation. There are also people at home every day on time to defecate, very regular, a business trip into the 5 days once …… These are affected by the habits of life. Habit is a kind of consciousness, long-term development. Once changed, the body is prone to uncomfortable reactions. Therefore, when you see the doctor, you should clearly state the changes in living habits, environmental conditions and so on. Key Point 5: Whether there is a relevant medical history The medical history mentioned here includes two aspects. The first is whether the same kind of disease before “I’m always like this, five years I’ve been like this ……” to explain clearly. It also includes diseases related to this disease, related organ diseases. Once to a mayor’s wife to see the disease. Because of long-term constipation, she ran to the major hospitals in Beijing, many years have not been cured, and then introduced to me. After careful examination, I found that the tail of her spine seriously collapsed, a pit with a hand pressure, but also grew a not small fibroid. These two reasons were pressing on the intestines, so could the bowels pass freely? Later, the spine was surgically treated and the fibroid removed, and the constipation disappeared on its own. That is why doctors have to have a full understanding of the patient’s situation and consider all factors comprehensively. I have always advocated that doctors should establish a good relationship with their patients and communicate with them effectively in order to understand the real condition, diagnose accurately and treat effectively. My cases are all written in great detail, and the process of asking about the medical history and condition is as exhaustive as possible, and then individualized questioning is done to give individualized treatment plans. This is one of the lessons I have learned from my many years of seeing patients. If you read this article, you can understand what to say to the doctor and how to say. Then my purpose will be achieved.