How to be a “qualified” patient?

I’m sure you’re wondering how there is a difference between qualified and unqualified patients when you see this title. The term “qualified” here refers to the patient’s compliance, which, to put it bluntly, means whether the patient follows the doctor’s advice. In reality, most patients fall into the following categories: First, scholarly With the development of the Internet, we have more and more information and can learn more and more things by ourselves. When these patients come to the doctor, they seem to have a very in-depth understanding of their disease, and give themselves a preconceived judgment, and then directly say to the doctor, I have what what what disease, you directly give me how to treat and so on. Doctors are actually rather helpless to such patients, who sees who? Who is the doctor? If you can diagnose and treat yourself, why do we need doctors? To put it bluntly, you still do not trust the doctor enough, or their own research so in-depth why? The second type, do not know how to pretend to understand type This type of patients and the opposite of the scholar type, they do not have medical knowledge, but only through medical common sense to judge the problem. Some time ago, I met a patient who wanted to have a “minimally invasive extraction”, and after the surgery was completed, the patient’s boyfriend asked me angrily, “Where is this minimally invasive extraction? Why do you still need an incision? Why did you bleed so much? You still need to sew up the incision?” He thought that minimally invasive means there should be no incision, no bleeding, and no stitches. I told him that “minimally invasive” is just a concept, the purpose is to minimize the trauma to the patient, and the purpose of minimally invasive extraction now is to avoid the discomfort of the instruments and reduce the adverse reaction after the operation. He just couldn’t understand and always looked at the problem from his own medical common sense, so I took out the textbook and told him that this is how the incision is made and you have to cut it like this everywhere. The third type, bargaining type This type of patients are more torn about the price, always feel that the doctor is overcharging, everything is expensive, and some people even compare the price of 20 years ago and now. Can you keep up with the times, 20 years ago and 20 years later? Not to mention the changes in prices, housing prices have not increased by many times, you do not feel expensive to invest in housing, but so stingy when it comes to investing in your own health. In addition, medical fees are now the health department’s fee schedule, but also involves the issue of health insurance, you think doctors dare to overcharge it? The fourth category, timid and cowardly type This type of patient is inherently fearful of new things, always used to a comfortable and uneventful life, afraid of any change, unless it affects his survival and living, otherwise it is able to avoid it, can be delayed. Recently, I met several patients who had this problem, with more female patients. It is clear that the wisdom teeth are often inflamed and have destroyed the front teeth, it is recommended to remove the wisdom teeth, she just refused to pull, the reason is fear, the result must wait until the wisdom teeth and the front normal molars are broken and can not be removed, this time to remove the two teeth, wisdom teeth, not to mention the normal molars are dragged by your bad, it is a pity to pull out ah. There are also localized abscesses caused by inflammation of the wisdom teeth, which requires incision and drainage, I won’t say how painful it is. The fifth category, stubborn type This type of patients are mostly elderly, they do not listen to young doctors, only trust older doctors, and some people only listen to their own ideas. There are many elderly patients who have a lot of residual roots in their mouths, and even some have obstructed wisdom teeth, and every time they are advised to pull them out, they will never do so if it does not affect their food. In fact, the residual roots and wisdom teeth are very harmful, many elderly patients because of the residual roots and wisdom teeth inflammation led to local infection and septicemia, and some even resuscitation failed to die. The sixth category, acquaintance-dependent Many patients are confused after listening to the doctor’s advice, and then call their family members, acquaintances, and even doctor friends, as if the person on the phone is a lifesaver. In fact, it is the doctor who can really help you solve the problem, and other people’s opinions are just references. The seventh type, the tit-for-tat type This type of patient is like a wounded hedgehog, how to get all the hands, I have encountered such a patient, before the surgery need to sign the consent form, the possible complications of surgery a talk, he asked me, this is not a disclaimer ah, I really speechless. Well, since you think I can not, you can go to Beijing and Shanghai and other large hospitals to see, they do not sign the surgery? The eighth category, doctor-dependent This kind of patient is what I appreciate, they can accept the doctor’s advice well, can cooperate with the doctor’s treatment, and can communicate well with the doctor. They fundamentally trust the doctor, and because of their trust, the doctor’s pressure becomes greater to try to provide the best service to the patient. In summary, the first seven types of patients are not the type of patients that doctors expect. Doctors hope that everyone will become the eighth type of patients, and that they will accept the doctor’s advice with an open mind and try to be a “qualified” patient. Of course, the most fundamental expectation of doctors is that everyone is healthy, and I wish there were no diseases in the world to see! I wish everyone good health!