It refers to the bleeding below the body.
"The problem is that I haven't had my period for many years." The patient said in confusion.
Doctors are most afraid of patients who don't even know their own symptoms. Bleeding from below, whether it is anal bleeding, skin bleeding, urinary system bleeding, or reproductive system bleeding, all need to be carefully identified.
This time it was definitely correct. Geng Yongzhe lowered his head and prepared to write a list of tests such as urine and stool ultrasound. Unexpectedly, Teacher Du across from him suddenly said to the patient directly: "Be hospitalized."
Xie had guessed it right. When Geng Yongzhe looked up, he saw Xie neatly filling out the patient's hospitalization notice.
Du Haiwei saw the different actions of the two students opposite him.
Some people say that Xie is a good teacher's worm, and now it seems to be true. To understand the master's ideas, this technical skill requires almost reaching the master's threshold.
Why did they call him to the hospital directly? Didn't they check it out clearly? Geng Yongzhe was very confused about this.
Don't listen to this patient's words about not knowing where the bleeding is. Doctors should listen to the patient, but doctors should pay more attention to the patient's contradictory behavior.
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If the patient suspected that she was bleeding from the anus, she would have gone to see a urologist. If she suspected that she was bleeding from the urine, she would have gone to see a urologist. The patient came to the gynecology department without going anywhere else, which clearly showed that she knew where she was bleeding. She was just very scared, so she told the doctor that she didn't know, hoping that it was not the disease she suspected and wanted to get comfort from the doctor.
This kind of insight into the patient's dialysis is indeed impossible without a certain amount of clinical experience. Geng does not need to doubt himself too much for this, it is just that Xie is born again and has more experience advantages.
Why not let the patient be examined in the outpatient clinic? This patient is in her sixties, and it is obvious that the sudden bleeding is a serious illness. The old doctor only needs to use his own experience to make a diagnosis, not to torment the patient repeatedly, and admit the patient to the hospital first. These confidences are exactly what young doctors do not have.
When the patient hears the doctor say that he needs to be hospitalized immediately, he will be afraid and ask, "Should I do some tests first?"
The patient asked for the examination first, which means the initiative is in the hands of the old doctor. The old doctor can discuss the outpatient examination with the patient in a negotiating tone and analyze the pros and cons for the patient: "If you want to complete the examination in the outpatient clinic first, I will give you a checkup order. If you need to be hospitalized later, you don't have to do the examination you have done. However, the hospitalization date can only be arranged later."
When an experienced doctor gives advice to a patient, he will help the patient take into account all the economic interests involved. The patient just needs to understand this. A respected expert is not greedy for money, and will only help the patient arrange the medical process to save money.
Patients who trust experts will definitely answer yes. Patients who are suspicious of doctors will choose to continue with outpatient examinations. It doesn't matter. Doctors respect patients' choices.
The patient answered yes and agreed to be hospitalized. Because the doctor in front of her said he was an expert but he was not stingy with words. She was very thorough. Anyone can feel the sincerity of the other party, so how can he not answer yes?
The old doctor maintains effective communication with the patients in all aspects of his work, all relying on technical support, so his reputation is particularly good. However, there is only one type of patient that needs to be classified separately, yes, it is the unreasonable patient.
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