This patient only remembers polycystic cysts and insists on chasing the doctor asking questions. Subconsciously, he is avoiding his condition and is afraid.
Ovarian cysts are more terrifying than polycystic cysts. They are not metabolic diseases. Pathologically speaking, they are pathological changes in the ovarian tissue itself, perhaps cancer. The B-ultrasound may show one or two cysts, which are large in size. If they are larger than five centimeters, the doctor will suspect a high risk of malignancy.
Here we should be careful that B-ultrasound doctors in small hospitals 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 the clinician's advice and avoid the luteal phase for a few days after menstruation and go for a B-ultrasound, you can basically prevent this misdiagnosis.
¡°This is all preliminary suspicion, and we will eventually need surgery to determine whether it is true or not.¡± Xie Wanying said to the patient. Even if the doctor now thinks it is not polycystic, surgery and pathological diagnosis are still required to determine the nature of the ovarian cyst. Otherwise, no doctor dares to make a diagnosis and can only write suspicion.
When the doctor said that surgery was necessary, the patient¡¯s facial expression changed completely.
In fact, Xie Wanying and Dr. Li had already noticed that this patient was obviously very emotionally unstable. Repeatedly asking the doctor questions and being unable to remember things are actually all manifestations of panic disorder. For such a patient, it is impossible for you to ask her to sign a preoperative consent form.
Some patients cannot make decisions on their own and will only panic when they are sick. Such patients are common in clinical practice. Therefore, in clinical practice, family members have to occasionally help patients make decisions instead of patients making decisions themselves. Doctors cannot force patients to use a pen to sign a consent form for surgery.
It is even more forbidden to scold these patients for not being strong enough. Everyone has their own personality and weaknesses. Some people are afraid of illness and death. Fear of death is a basic reaction of human beings as biological 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: "Can we help you do an examination first to see if there are any problems with the previous examination at the hospital?"
The patient understood this immediately, no longer confused, and nodded.
"Next time, ask your husband or other people in your family to come with you and let them accompany you to listen to the doctor." Xie Wanying told the patient and smiled at the patient and said, "As I said, your husband also needs to come for investigation. Lower sterile.¡±
"Yes, yes, doctor." The female patient's mood relaxed as the doctor smiled.
While Xie Wanying and the others were communicating with the patients, classmate Geng Yongzhe was writing outpatient medical records and issuing examination application forms, effectively shortening the treatment time for each patient.
Looking at these two juniors from the National Association who were very capable, Dr. Li Yuen smiled until his eyes narrowed into two straight lines.
The first patient had just left after taking the examination form, and the second patient immediately walked in the door and was also afraid of being robbed of his position.
Infertility patients can be roughly divided into two types. One type is able to quickly detect the physiological problem of the body, that is, the cause, and the other type is unable to detect it no matter how hard it is checked.
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 over thirty years old and are not considered older women. Explain that infertility has no gender or age discrimination. Infertility can occur at all ages, but the probability is higher in older men and women. The medical diagnostic criteria for infertility have nothing to do with age and gender. It means that a married couple has a normal sexual life history without contraceptive measures for more than one year, and the woman fails to get pregnant naturally.
The proportion of infertility can account for more than ten percent of the entire population, and it is a common disease. Therefore, patients don¡¯t need to pay too much attention to other people¡¯s strange looks, because many people are just like you.
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