BXBX NOVEL Chapter 1692: 【1692】The doctor can only work around
Ovarian cysts are more terrible than polycystic cysts. They are not metabolic diseases. Pathologically, they are lesions of the ovary itself, which may be cancer. It may be one or two cysts on the b-ultrasound, and if the size is larger than 5 cm, the doctor will suspect a high risk of malignancy.
Here, we should beware of b-ultrasound doctors in small hospitals who regard functional cysts, that is, the 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 what the clinician said, avoiding the luteal phase to check the b-ultrasound a few days after the menstrual period is clean can basically prevent such misdiagnosis.
"It's all initial suspicion, and eventually surgery is needed to judge whether it is true or not." Xie Wanying said to the patient. Even if the doctor now thinks that it is not polycystic, to determine the nature of the ovarian cyst, surgery is required for pathological diagnosis. Otherwise, no doctor who dares to diagnose can only write doubts.
Hearing the doctor say that surgery is necessary, the patient's facial expression changed completely.
In fact, Xie Wanying and Dr. Li had already seen that this patient was emotionally unstable. Asking the doctor over and over again and 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.
Some patients are unable to make decisions by themselves, and will only panic when they are sick. Such patients are actually quite common in clinical practice. Therefore, in clinical practice, family members have to occasionally come to help the patient to make decisions instead of the patients themselves. Doctors can never force patients to use a pen to sign a consent form for surgery.
It is also impossible to scold these patients that they are not strong enough, and that each has its own personality and weakness. Some people are afraid of disease and fear of death. Fear of death is a basic reaction of human beings, and it is human nature.
The doctor had to take workarounds. 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 are any problems with the previous examination in the hospital, okay?"
The patient immediately understood what he said, his head was no longer confused, and he nodded.
"Next time, ask your husband or other people in your family to accompany you, and let them accompany you to listen to the doctor's speech." Xie Wanying explained to the patient, smiled and said to the patient, "As I said, your husband also needs to come to investigate. Infertile."
"Yes, yes, doctor." The female patient's mood relaxed with the doctor's smile.
When Xie Wanying and the others communicated with the patients, Geng Yongzhe was writing the outpatient medical records and opening the examination application form for the patients, which effectively shortened the consultation time of each patient.
Looking at the capable juniors from the two National Associations, Dr. Li Yuen smiled until his eyes narrowed into two straight lines.
The first patient just left with the checklist, and the second patient rushed into the door for fear of being robbed.
Infertility patients can be roughly divided into two types, one is that the physical problem of the body can be quickly detected, that is, the cause, and the other is that no matter how to find out.
The first female patient belongs to the former and the second female patient belongs to the latter. It is said that the two patients are not older than 30 years old and are not considered elderly women. Explain that infertility is neither gender nor age discrimination. Infertility can occur at all ages, but older men and women are more likely to experience infertility. The medical diagnostic criteria of infertility has nothing to do with age and gender. It is a married couple with a normal sexual life history without 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 do not need to care too much about other people's strange eyes, because many people are like you.
(end of this chapter)