How can I have an effective online medical consultation?

  The development of the Internet has provided a vast platform for medical services, and more and more patients are choosing to consult online before seeking medical treatment, and then seeking medical treatment in a purposeful manner, promoting the rational use of medical resources. However, despite the increasing number of people consulting online, due to the professional nature of medicine, few patients understand how they should communicate with their doctors in a truly effective manner, making the effectiveness of consultation greatly reduced. Here, I would like to talk about how to go about effective online consultation from a doctor’s point of view, hoping to bring some help to patients and friends.  Let’s start with some basic things. When a patient is seen, how does a doctor go about diagnosing and then deciding on treatment? The obvious answer is to obtain information about the patient, including a description of the condition (medical history), physical examination (examination), and the results of ancillary tests. Only after obtaining this information can the doctor use his professional knowledge and clinical experience to make further effective judgments and treatment decisions. Therefore, effective consultation should also be like this. I often see patients asking questions such as “What should I do for my stomach ulcer?” “My grandfather had a cerebral hemorrhage yesterday, what should I do?” and “What is the better treatment for lung cancer? Such questions, apart from patient information, physical examination and test results, make it difficult for doctors to give a satisfactory answer, and they can only reply with a paragraph taken from a textbook, which is meaningless. In my personal opinion, these questions should be asked by people who are more likely to refer to some scientific materials or professional literature, rather than to ask the doctor.  Next is the focus: how to tell the doctor the patient’s information?  1. Provide basic information about the patient: age, gender (occupation, height, weight if necessary). This is very important! Do not forget!  2, the onset of the disease: when, what triggers, the main discomfort, the description of discomfort-related (the more specific the better), accompanied by other discomfort, whether the symptoms have been relieved, (if so) the specific method of relief, (if not) whether there is aggravation and the development of the disease after the onset.  3. If you have been seen and treated: What tests have been done? What treatment has been given? What are the results?  4. Previously diagnosed diseases? (including the time of disease, the name of the disease, the current treatment and results) (as far as possible, do not feel that it does not matter do not write) 5, some special advice, such as genetic aspects should include family members, relatives disease, gynecological diseases should include menstruation and marriage, toxic diseases, including the work, living environment, etc.. The doctor will also make some additional inquiries according to the situation.  6. Images of various examination results in hand.  7. The medications that are currently being taken or the treatment that is being carried out.  Some patients may think that all of the above is too much trouble and they may not be able to provide all of them. But please believe that including as much of this in your questioning as possible will have a very noticeable impact on whether your questions are answered well.  Then comes the key point: how to ask the question? Here are a few suggestions.  1, do not ask broad and general questions. Broad and general questions will also be answered in a broad and general way. Ask specific questions about the points that concern you most, such as possible diagnosis, adjustment of medication regimen, recommendations for medical care, considerations for daily life, or next steps in testing. How to determine whether your question is broad and general, it is very simple, you change your perspective, if you are a doctor, although you do not know the expertise, the face of the problem, how you can reply, if completely clueless, then, please change a way of asking questions.  2. Ask only one question at a time if possible. As a doctor, I can understand the eagerness and helplessness of patients or family members when seeking medical treatment, hoping to tell all the things they know and the doubts they have at once, hoping to get a quick solution. However, the diagnosis and treatment of diseases need a process, and consultation is only one of them, and it is impossible to solve all the problems at once. Asking many questions at once will make the questions unfocused and become the broad and general questions mentioned above, and the doctor may choose to respond to only a few of them, leaving your real concerns unanswered and wasting a consultation. Secondly, most of the doctors are busy with clinical affairs, so too many questions at one time will make him unable to make appropriate answers due to lack of time.  3. Don’t put too much expectation on the questions you ask. Medicine is complex, and the ability of doctors is limited. Many diseases are still difficult to have a clear diagnosis, and there are also many diseases that currently have no treatment at all, or only symptomatic treatment, or appropriate disease control. Many times doctors can only do what they can to help the patient, but they cannot fundamentally solve the problem that the patient presents. Therefore, many doctors may refuse to answer a question if they feel the expectations are too high.  Finally, there are some considerations in the process of communication with the doctor.  1. Respect and trust the doctor you are consulting with. You will gain his respect for you while he goes out of his way to help you.  2. Keep in touch with the doctor you trust for a long time. Every doctor is willing to give special preferential treatment to their old patients, and at the same time, the guidance given is more individualized.  3. Don’t believe in replies that overstate the efficacy of the treatment. We do not deny that there are individual scum in our own group. If there is a clear tendency of advertising in some responses, please be careful.  4.Remind again that consultation is only a part of disease diagnosis and treatment, and cannot replace consultation. As mentioned before, through consultation, the doctor only gets a general description of the disease and some of the test results, without face-to-face consultation, physical examination and purposeful examination, and the conclusions obtained may not be completely correct, and thus can only be used for reference.  Finally, we wish our patients all the best in their medical consultations.