Chapter 1692 【1692】Doctors Can only Be Flexible
This patient only remembered polycystic, and insisted on chasing after the doctor to ask questions, subconsciously, he was also avoiding his illness and being afraid.
Ovarian cyst is more terrible than polycystic. It is not a metabolic disease. Pathologically, it is a lesion of the ovarian tissue itself, or cancer. On the b-ultrasound, there may be one or two cysts. If the volume is large, if it is larger than five centimeters, the doctor will suspect a high risk of malignancy.
Here we must beware of B-ultrasound doctors in small hospitals treating functional cysts, that is, corpus luteum formed after ovulation, as pathological ovarian cysts. If you are afraid of being misdiagnosed by the hospital, in fact, as long as you follow the clinician's instructions, you can basically prevent this misdiagnosis by avoiding the luteal phase for a few days after menstruation is clean.
"It's all preliminary suspicion, and eventually surgery will be needed to judge whether it is true." Xie Wanying said to the patient. Even if doctors think it is not polycystic now, to determine the nature of ovarian cysts, surgery is still required for pathological diagnosis, otherwise no doctor dares to make a diagnosis and can only write doubts.
Only hearing the doctor say that an operation is necessary, the patient's facial expression changed completely.
In fact, Xie Wanying and Dr. Li had already noticed that this patient was obviously emotionally unstable. Asking the doctor repeatedly, not being able to remember things, is actually a manifestation of panic disorder. For such a patient, it is impossible for you to ask her to sign the preoperative consent form by herself.
Some patients can't make decisions by themselves, and they will only panic when they encounter their own illness. Such patients are actually very common in clinical practice. Therefore, clinically, family members have to be allowed to occasionally help patients make decisions instead of patients making their own decisions. Doctors can't force patients to take a pen to sign the consent form for surgery.
Let alone scolding these patients for not being strong enough, each person has his own personality and each has his own weaknesses. Some people are afraid of illness, fear of death, and fear of death is a basic reaction of human beings as creatures, and it is human nature.
The doctor had no choice but to take alternative measures. Xie Wanying said to the patient according to the teacher's instructions: "We can help you to do an examination first to see if there is any problem with the previous hospital examination, okay?"
The patient immediately understood what he said, and nodded without being confused.
"Next time, ask your husband or someone else in your family to accompany you, and let them accompany you to listen to the doctor's speech." Xie Wanying explained to the patient, and smiled at the patient and said, "As I said, your husband also needs to come for investigation. Infertile."
"Yes, yes, doctor." The female patient relaxed with the doctor's smile.
While Xie Wanying and the others were communicating with the patients, Geng Yongzhe was brushing up the outpatient medical records and issuing examination application forms for the patients, which effectively shortened the time for each patient to see a doctor.
Looking at the capable appearance of these two juniors from the National Association, Dr. Li Yuen smiled until his eyes narrowed into two straight lines.
As soon as the first patient left with the checklist, the second patient rushed into the door immediately, also afraid of being robbed of his seat.
Patients with infertility can be roughly divided into two types. One is that the cause of the physical problem can be found out quickly, and the other is that no matter how hard it is to find out.
The first female patient belongs to the former and the second female patient belongs to the latter. In other words, the two patients are not considered older women if they are under the age of 30. Explain that infertility has no gender and no age discrimination. Infertility can occur in all age groups, but the probability is higher for older men and women. The medical diagnostic criteria for infertility have nothing to do with age and sex. It is a married couple with a normal sexual life history and no contraceptive measures for more than one year, and the woman fails to conceive naturally.
The proportion of infertility can account for more than ten percent of the overall population, which is a common disease. Therefore, patients don't need to pay too much attention to other people's strange eyes, because many people are like you.