It’s about bleeding below the body.
"The problem is I haven’t had a period for many years." The patient said, perplexed.
The doctor fears most when patients are unclear about their own symptoms. Bleeding below could be from the anus, the skin, the urinary system, or the reproductive system; all require careful differentiation.
This ti there’s no mistake. Student Geng Yongzhe lowered his head, preparing to write orders for a series of tests like urine and stool b-ultrasound. Unexpectedly, Teacher Du directly said to the patient: "Get hospitalized."
Student Xie guessed it. When Geng Yongzhe looked up, he saw Student Xie efficiently filling out the patient’s hospitalization notice.
The different actions of the two students across were noticed by Du Haiwei.
So people say Student Xie can really understand what a teacher is thinking; now it seems there’s so truth to it. Being able to grasp a master teacher’s thoughts, this technical principle requires almost touching the master’s threshold.
Why directly call for hospitalization, isn’t it not yet clarified? Geng Yongzhe had a lot of doubts about this in his heart.
Never listen to this patient saying a bunch of unclear things about where the bleeding is. The doctor’s role is to listen to patients, but they must also observe the patient’s contradictory behaviors and actions.
If the patient suspected anal bleeding, they would surely go to see an anal specialist. If they suspected urinary bleeding, they would seek out a urologist. The patient didn’t go anywhere and ca to gynecology, clearly understanding where the blood is coming from. It’s just that they’re very frightened, so they tell the doctor they don’t know, hoping internally that it’s not the disease they fear and seeking comforting words from the doctor.
Such an insight into the patient is indeed unattainable without a certain accumulation of clinical experience. Student Geng shouldn’t overly doubt himself about it, it’s just that Student Xie is reborn with a considerable advantage in experience.
Why not conduct the examination outpatient? This patient is in her sixties, and suddenly having nstrual bleeding is definitely indicative of a serious illness. An experienced doctor only needs their own experience to diagnose, without repeatedly troubling the patient, admitting them first. This confidence is precisely what young doctors lack.
When patients hear the doctor say to be hospitalized imdiately, they might be frightened and ask: "Shouldn’t we do so tests first?"
For patients themselves to initiate the request for examinations ans the initiative lies in the hands of the experienced doctor. The doctor can then discuss the outpatient examination issues in negotiating terms and analyze the pros and cons to the patient: "If you want to finish the examination outpatient first, I’ll write you the examination order. If there’s an issue needing hospitalization later, the tests won’t have to be redone. However, the hospitalization date can only be scheduled later."
An experienced doctor who assists patients with suggestions will consider all sorts of economic interests involved. The patient only needs to understand this point. Esteed experts aren’t greedy; they’ll only help arrange the patient’s treatnt process to be more cost-effective.
Patients who trust the expert will certainly say yes. Patients who are suspicious might choose to continue outpatient examinations first. Both decisions are fine; the doctor respects the patient’s choice.
This patient said yes, agreed to be hospitalized. Because the doctor in front, labeled as an expert, didn’t hesitate with their words and explained things thoroughly. Anyone could perceive the genuine intention of the doctor, how could one not say yes?
An experienced doctor maintains effective communication with patients in all aspects, entirely supported by their skills, which is why they have an exceptionally good reputation. Except for a type of patient that needs to be specifically classified separately, yes, those who are deliberately difficult.
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