This patient only remembered polycystic ovary syndrome and kept asking the doctor questions. Subconsciously, he was avoiding his own illness out of fear.
Ovarian cysts are more terrible than polycystic ovaries. They are not metabolic diseases. Pathologically, they are lesions of the ovarian tissue itself, or they may be cancer. In ultrasound, there may be one or two cysts. If they are large and larger than five centimeters, doctors will suspect that they are highly malignant.
Here, we should be careful that ultrasound doctors in small hospitals may mistake functional cysts, i.e. corpus luteum formed after ovulation, for pathological ovarian cysts. If you are worried about being misdiagnosed by the hospital, you can basically avoid this misdiagnosis by following the instructions of the clinician and checking the ultrasound a few days after the menstrual period ends and avoiding the luteal phase.
"These are all preliminary suspicions, and surgery is needed to determine whether it is true or not," Xie Wanying told the patient. Even if the doctor now thinks it is not polycystic, surgery and pathological diagnosis are still needed to determine the nature of the ovarian cyst. Otherwise, no doctor dares to confirm the diagnosis and can only write suspicion.
As soon as the doctor said that surgery was necessary, the patient's facial expression changed drastically.
In fact, Xie Wanying and Dr. Li had already seen that this patient was obviously very emotionally unstable. She kept asking the doctor questions and couldn't remember anything, which was actually a manifestation of panic disorder. It was impossible for such a patient to sign the preoperative consent form by herself.
Some patients cannot make their own decisions and will panic when they are sick. Such patients are actually very common in clinical practice. Therefore, in clinical practice, family members have to occasionally help patients make decisions instead of patients making their own decisions. Doctors cannot force patients to take a pen and sign the consent form for surgery.
We should not scold these patients for not being strong enough. Everyone has their own personality and weaknesses. Some people are afraid of disease and afraid of death. Fear of death is a basic reaction of human beings as biological beings and 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: "Can we help you do a check first to see if there are any problems with the previous hospital examination?"
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The patient understood what was said immediately, his confusion was no longer there, and he nodded.
"Next time, ask your husband or someone in your family to come with you, and let them accompany you to listen to the doctor's talk." Xie Wanying told the patient, and smiled at the patient and said, "I told you that your husband also needs to come to check for infertility."
"Yes, yes, doctor." The female patient's mood relaxed as she followed the doctor's smile.
While Xie Wanying and her colleagues were communicating with the patients, Geng Yongzhe was quickly writing outpatient medical records and issuing examination application forms for the patients, effectively shortening the consultation time for each patient.
Looking at the capable appearance of these two younger generations 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 examination form, the second patient immediately slipped in, also fearing that his seat would be taken away by others.
Infertile patients can be roughly divided into two types: one is those whose physical problems, i.e. the cause of the disease, can be quickly identified, and the other is those for whom the cause cannot be identified no matter how hard you try.
The first female patient belongs to the former, and the second female patient belongs to the latter. In fact, both patients are under 30 years old and are not considered older women. This shows that infertility has no gender or age discrimination. Infertility can occur in all age groups, but the probability is higher in older men and women. The medical diagnosis standard for infertility has nothing to do with age and gender. It is that the married couple has a normal sexual history without contraceptive measures for more than one year, and the woman has not been able to successfully conceive naturally.
Infertility accounts for more than 10% of the population and is a common disease. Therefore, patients do not need to pay too much attention to other people's strange looks, because many people are the same as you.
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