Problems of oncology patients in the consultation process

Recently, I have been sitting in the oncology clinic and receiving a lot of new and old tumor patients every day. I found that some patients are very tangled in many treatment issues or have taken many detours. (1) First of all, when foreign patients come to the clinic, you must bring all the local medical records, especially the CT and MRI films and reports, gastroscopy and bronchoscopy reports and biopsy pathology reports, as well as the local hospital discharge summary. (2) This is very important. Remember, no matter what level of hospital you are hospitalized in, apart from the discharge summary, you can ask for a copy of any reports of blood tests and films you have done to facilitate future visits for review, remembering that this is your legitimate right. If you have been discharged from the hospital for a long time, you can go to the medical office to get a certificate and then go to the medical records office to make copies yourself. There are also many rural cooperative medical reimbursement, discharge summary to take away, so you must remember to copy before reimbursement, many people come to our hospital, with a few fragmented film to the consultation, what textual information is not available, think about it, you came all the way to the provincial hospital to consult, certainly hope that the doctor to give you a good look, but you do not have a full set of information, difficult doctor is not “A clever woman can not cook without rice” well. (3) On the issue of reimbursement of expenses related to radiotherapy treatment in the outpatient clinic, Nanjing City Medical Insurance, you can apply for the major disease portal special, so that all treatment in the outpatient clinic, take drugs, can be reimbursed. For out-of-town patients, you can apply for a day account with us, and you will be given a formal discharge summary, discharge details, invoices, and disease diagnoses upon discharge, and you can return to your local area with these for reimbursement of expenses according to the policy. (4) After radiotherapy is finished, please come for regular follow-ups as instructed by your doctor, and it is better to see your first doctor for follow-ups so that you will have a better understanding of your situation. Follow up, in fact, includes two major parts: draw blood to check tumor markers, if the markers are dynamically elevated, it indicates that the tumor may recur or metastasize, and further check imaging evaluation is needed, but some people’s tumor markers have not been high before surgery or at the initial consultation, then this point loses its meaning, so you’d better save your pre-operative marker sheets and the results of marker tests before treatment: for example, for digestive tract adenocarcinoma, check CEA, CA199, CA242, CA724, esophageal squamous carcinoma, nasopharyngeal squamous carcinoma, cervical squamous carcinoma check: CEA, CyfRA21-1, lung cancer: CEA, CA125, C yfRA21-1, NSE, hepatocellular carcinoma: AFP, hepatobiliary cell carcinoma: CEA, CA199, CA724, CA242, etc.; another aspect is to review imaging, which is actually CT, MRI and other examinations for the organs and lymph nodes where the tumor is prone to recurrence and metastasis, in order to assess the disease.