The patient injures the medicine case and exposes doctors and patients and links up the blind area Exchange and cause believing in to lack few

The patient injures the medicine case and exposes doctors and patients and links up the blind area Exchange and cause believing in to lack few
The patient injures the medicine case and exposes doctors and patients and links up the blind area Exchange and cause believing in to lack few
The time of going to a doctor is 5 minutes, is the doctor too cold and detached? Patient: Ms. Li, 54 years old, Shandong Go to the large hospital, expert's brass-wind instrument is hung, it is a lot of patients' hope. But go to the large hospital to see the doctor, register long time, wait for long time, fetch the long time of medicine, see time of expert short actually, give " send " 5 minute sometimes ,unlucky especially after feeling people. In fact, the patients all know too experts are busy bees, feel for others, does not expect you to enclose me and inquire after one's well-being, but will let me feel great to come far away at least, the value. For what is it to then look for you far? In order that in order to rest assured. I have relative view from the point of going to Beijing in Jinan stomach (disease) specially ,Hold and concern and hang up expert's number in advance, has tossed about more than 1000 yuan before and after train ticket, hotel expense, see experts with great difficulty, the buttocks has not done heat yet - -10 minute less than,write, prescription,can't finish questions many, the next one (patient) Having come in, let people think the doctor very perfunctory, it is not enough to respect us. So, many patients, have finished still hanging on without leaving at doctor's side, can ask one (question) more Ask one more. The patient's psychology is very simple, " rely on " a bit Doctor, hope to receive more treatment. This is " looked after " Point to practice backdoorism, even if the intersection of attitude and one o'clock such as heart such as ability of doctor, answer more our issue, let me go home without a stomach question, feel that estimates that will be different. Doctor: The division of respiratory disease of general hospital of the Second Artillery Force, to this idea of the patient's, I can especially understand. It is difficult that it is big to come to see the expert once far away, who does not hope the expert can spend more time in oneself on one's body, see a little more carefully? But the doctor has one's own awkward. Now, the disease that some is simple, patients or relatives hope to come to big city, large hospital to look. So, our work load is very large, the expert of the large hospital is even more like this, several doctors that an department goes out and examines every day. The general patient may not understand " See fifty or sixty, sixty or seventy patients in a whole morning " It is some concepts. That is to say morning clinic is from 8 o'clock to 12 o'clock, a doctor tries not to drink water, does not go to toilet, reach on each number of people on average, perhaps have 5 minutes only too. We compress, lose drinking water, time that going to toilet already, why bring a scene of scoldings? Everybody hopes for the doctor " Divide " Give one's own time longer, but under the most situation, come oning heavy that doctor can only worry about closely, simpler to some conditions, may only explain the most key information. Some patients wonder that is not fully answered, but the disease that some are simple, what the doctor can say are a few words in this way. So, I am good at understanding some " hanging on not to leave " Mood of patient,interval of patient in diagnosing next,too can explain he a few words more intermittently, but will this influence the next patient's inquiries test quality? For doctor, this is a dilemma. Vomiting will check the heart too, the hospital is in " hole " The money? Patient: Rectify to Sir, 63 years old, Beijing I have heart disease, run to the hospital very much these years, but once my stomach is uncomfortable, feel sick, the doctor lets me check the heart too. I think very that can not understand, worry running into " excessive inspection " . The patient is actually afraid very much " The excessive inspection " ,it spend money first, in vain, second, follow health too to endure hardships. Really find what question come, we must not say, but estimate under most situations, do " useless work " Have gone. That time, toss about for quite a while, find finally it is one that suffers from diarrhoea ordinarily out like I. Ordinary people unavoidably make talking in whispers: It is said doctor's income is with doing the project checking " Get in touch " ,doctor do so, for "hole" Our money? In fact, it is very difficult to establish trusting relationship between doctors and patients, it is very easy to destroy upside down. One good news sometimes, one talk in whispers, suppress in the heart long, can all let you not believe a doctor slowly. Fortunately with cure mainly doctor of disease of me, familiar with, ask first whether listened to a explanation carefully of his more later I, talking in whispers just gives up. But many not native (patient)s ,Too shy to ask or doctor have no time, explain very detailed, can impression on doctor OK after going back? Doctor: Really some hospitals or doctors want to make money by opening more and checking in thoracic surgery of the People's Hospital of Peking University, but it is for trying hard to cover various possibilities that there are more projects that most doctors make, what the doctor worried about most is " Leak and examine " . The relationship between doctors and patients is tense now, the doctor's psychological pressure is very great. Have checked, find the index normal, patients may say doctor's " excessive inspection " for you ; If what should do check and is not done, once because " leak and examine " Let the patient aggravate the condition and even die, patients or relatives will sue you. There are two kinds of medical responsibility, one is technological accident, one is liability accident. " accept the lesser of two evils " ,The doctor would rather get a scolding sometimes, will check all the ones that should check too. Hospital of a the first, second and third has ever met and examined the advanced age patient suffering from abdominal pain, vomiting in the same way, the doctor on duty did not especially take notice of at that time, prescribed antiemetic. But on myocardium infarction after the patient left the hospital, while coming back, there are not medicines that can be rescued. Some heart stem patients' behavior at first, uncomfortable in the stomach district. I think, perhaps This is the reason why rectified the gentleman's doctor lets him check the heart. In case find early myocardium infarction? Not that some is checked " The excessive inspection " ,And the misunderstanding formed by the fact that because patients do not study medicine, not understand. Taking my speciality as examples, the patient of a chest traumatism has come, can understand to pat a chest and a patient for him, but why make a Ultrasonography B for him? The patient does not understand very much. In fact, chest traumatism often amalgamates belly internal organs to break, the serious words may have life dangers, this is a very necessary inspection. There are a lot of patients - -Including some old doctors will say, there are not so many inspections for sixty or seventy times, he can see the doctor too. But they have often neglected a situation: For now, the mortality of all diseases is reducing progressively. The existence of some auxiliary examination, have its value. Certainly, there are many events checked to spend money after all, the patient does this inspection, there should be right of being in know. For avoid, misunderstand, it is necessary for doctor not to explain with the patient clear. If the doctor adds one sentence " I suspect your disease has this kind of possibility, propose you and do a inspection " ,Or " seen from situation checked at present, generally speaking possibility is not big " ,Give the patient a space weighed in the hand, considered by oneself, perhaps the similar misunderstanding will be reduced a little. Result, as speak well, doctor in " the flicker " ? Patient: Ms. Ke, 26 years old, Anhui If the doctor informs Sue me, " treat this kind of disease, I am very experienced, often do, just minor operation " ,Saying the experts of this words if have a little more reputation, this will certainly let the patient have very high expectation. I have run into the doctor and can not speak prudently too, especially some beauty and shaping, managing the small hospital of the gynaecology specially, boast before being admitted to hospital " The knife is eliminated to the disease " , " invalid refund " ,Really meet an accident, push responsibility thoroughly at once. For solicit patient, boast a wild boast situation rare medical skill some hospital at the society, it is a quilt why the patient can not worry about oneself " The flicker " That piece? Doctor: Often there is one the hospital to understand tendency definitely surgical patient and relative of PLA general hospital: Think disease any, come hospital will certainly " can have a good prospect, will watch bad only " ,But medical science is different from other fields, even small disease, the accident may still exist in the course of making a diagnosis, it is very difficult to " buy 100% of the guarantee slips " . As the doctor, should certainly try hard to improve the rate of accuracy diagnosed tentatively, but some situations are inevitable. For example, the doctor estimates that some tumour patient's life cycle is one or two years, but patient's nothing was propped up finally, relatives will think it is a doctor that has presented the error in treating. We will tell them the risk appearing while talking before the skill with patients or relatives. Also someone says, the doctor is repeated to explain to the patient the risk is for frightening the patient, make a diagnosis and charge more money more. In fact most doctors' purpose, will not be this one, but should let the patient have a mental preparation with relative. Even do basic operations such as lipoma, haemorrhoids, appendicitis,etc., if anaesthetize and present shock in the course, may jeopardize the life too. Such a risk is extremely rare, but once meet for each individual, it is 100%. The operation is smooth, certainly to the satisfaction of all, but in case accidents happened to? That may bring a series of subsequent dispute. In fact, it is a door of knowledge not apt to grasp that the doctor speaks, so light as to won't do again, relate to each doctor's words style, someone will lean to at only ice-cold listing risk, some may until oneself judge, comfort a few words of a patient warm. But in any case, doctors should pay attention to one's own words and deeds even more, from any a word that said in doctor's mouth, may all influence the patient's psychology. Many results may not be good to spend money, where is the money flower? Patient relatives: Five ladies, 48 years old, Hebei My relative got lung cancer several years ago, relatives tried their best, used the best medicine, relatives would rather tie the trousers belt tight, should see a bit more expensively and giving covert payment to a doctor too, do not ask " special treatment " ,Only ask and treat equally without discrimination. Frankly speaking, relatives are buying sense of safety. Now, money that should spend flower arrive, the intersection of I and the therapeutic effect of relative, it needs the few patients in the same period than he to not as good as flowers. Certainly, everybody's physique is different, cancer, this kind of thing, is unable to impose, but relatives will not understand: In this field of medical treatment, it is not " a point of prices for a point of goods " (used after a verb to indicate the completion of an action)? Make others " Lose both the person and money " ,How could feel wrong relative? Doctor: There is its cruelty nature in department's medical field of radiotherapy of Shanghai Tongji University hospital, " Money talks " Statement untenable,"one point one price points of goods " Folk adage,also totally applicable. To most diseases, by some as to good medicine, constructing by relatively good treatment means, though costly a little,it can diagnose for being overall, treat for in time, result is getting finer; But there are a lot of diseases, could not be solved by the present medical means, in addition, there is accessory risk that exists, perhaps relatives have spent the huge money, doctor's strenuous mental and physical efforts too, but powerless eventually. Sometimes, we ourselves, will be depressed for the limitation of horizontal development of medical science too. Sometimes, the doctor will tell relatives voluntarily, spend money being uncertain best to the patient more. For example, some tumour patients whom I touched, a clear evidence has proved already that fails to respond to any medical treatment, at this moment if relatives must adopt and treat the behavior actively, though can reflect relatives' good intention, but itself ethics, at this moment, have doctor can propose, let patient spend last time calm, perhaps it is more appropriate. For example, the radiotherapy of tumour generally divides " ordinary radiotherapy " again With " accurate radiotherapy " Two kinds, price of the two differs significantly. But for some diseases such as cancer of the esophagus etc., in respect to life cycle of 5, the intersection of difference and a lot of, difference lie in accurate bad reaction of radiotherapy may be a little lighter and tolerance is a little finer. At most time, doctors will make this situation clear with patient relatives in advance, for relatives to choose. To the family not well-to-do of some economic conditions, the doctor will often advise the patient to adopt " ordinary radiotherapy " . The patient thinks that abuses a huge sum of money to live in " The star ward " ,Doctor should extremely enthusiasm too, despise public ward and the intersection of star and ward pay attention to so simple, if a patient is more critical in the general ward than you, I will choose to see him first. The doctor wants to review too, in more tense, unavoidable " relied on " psychologically in the face of the operation Patient of doctor and at the relative, attitude could hospitable a little, some patience? I think I need. However, this kind of improvement, should improve wholly, does not only direct against a certain " star ward " Guests' improvement. In some cases " The medical result may not be good to spend money more " ,Do relatives query " where money is spent "? " ,This is very normal. Also relatives think, " this treatment charges so high, the doctor must earn much by oneself " . But actually, most doctors are only a middle operator, executor. If the input of the country on the medical insurance is a little greater, let some basic medicines enter the medical insurance range, even cover some imported medicine with better with relatively a bit higher price curative effect, let patient because of money advanced medical means " Block outside the door " ,Even if the objectivity of disease can't be overcome, the medical risk is inevitable, whether it is a contradiction in this respect between the doctors and patients, will become a little smaller? (reporter and king dream Jie's intern Zhai Lu)


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