This patient only rembered polycystic ovary syndro and insisted on asking the doctor all sorts of questions, subconsciously trying to avoid facing their condition out of fear.
Ovarian cysts are more frightening than polycystic, not being tabolic diseases, but pathological changes in the ovarian tissue itself, which might be cancer. On an ultrasound, they may appear as one or two large cysts. If they are larger than five centiters, doctors may highly suspect malignancy.
It’s important to be cautious of small hospital ultrasound doctors mistaking functional cysts, which are corpus luteum ford after ovulation, for pathological ovarian cysts. To avoid misdiagnosis, follow your clinician’s advice to have an ultrasound a few days after nstruation, avoiding the luteal phase.
"These are preliminary suspicions, and surgery is ultimately needed to determine if it is," Xie Wanying said to the patient. Even if doctors currently suspect sothing other than polycystic, determining the nature of an ovarian cyst requires surgery and a pathological diagnosis; otherwise, no doctor would be confident in making a diagnosis and could only write ’suspected’.
Upon hearing that surgery was necessary, the patient’s facial expression completely changed to shock.
Actually, Xie Wanying and Doctor Lee had already noticed that this patient was emotionally very unstable. Repeatedly asking doctors questions and being unable to rember things were all manifestations of anxiety. For such patients, asking them to sign a pre-surgery consent form on their own is impossible.
So patients cannot make decisions themselves and panic when they fall ill. Such patients are actually quite common in clinical practice. Hence, sotis family mbers have to help make decisions instead of the patient. Doctors cannot force patients to pick up a pen to sign a surgical consent form.
It is also unacceptable to criticize these patients for not being strong enough. Everyone has their personality and vulnerabilities. It’s normal for so people to fear disease and death—fear of death is a basic biological response and human nature.
Doctors have to adopt flexible asures. Following her teacher’s guidance, Xie Wanying said to the patient, "We can help you re-examine to see if there are any issues with the previous hospital’s checkup, okay?"
Upon hearing this, the patient imdiately understood and nodded repeatedly.
"Next ti, have your husband or another family mber accompany you, so they can listen to the doctor with you," Xie Wanying instructed the patient, smiling as she said, "I ntioned before, your husband also needs to be checked for infertility."
"Yes, yes, doctor." The female patient felt relieved, smiling along with the doctor.
While Xie Wanying and the others were communicating with the patient, Geng Yongzhe was swiftly writing the patient’s outpatient dical record and filling out examination request forms, effectively shortening each patient’s consultation ti.
Watching these two diligent juniors from Guoxie, Doctor Lee Yuen smiled, eyes narrowing into two straight lines.
The first patient had just left with her examination form when the second patient quickly entered, afraid her turn would be taken.
Infertile patients can be generally categorized into two groups: those for whom physiological problems can be quickly identified, and those who cannot be diagnosed despite thorough examination.
The first female patient belongs to the forr, while the second to the latter. Neither patient is over thirty, not considered older won. Infertility does not discriminate by gender or age, occurring across all age groups, although the probability is higher for older n and won. The dical diagnostic criteria for infertility are unrelated to age or gender: it’s defined as a married couple with a normal sexual history without contraception for over a year, yet failing to naturally conceive.
The prevalence of infertility can be around ten percent of the total population, making it a common condition. Therefore, patients should not worry about others’ peculiar looks, as many share the sa issue.
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