delicate doctor-patient relationship

Original link: https://zhou.ge/2023-05-28.html

My father was hospitalized for acute myocardial infarction on the 9th and was discharged on the 15th. During the hospitalization, he had to draw blood once or twice a day to check the values ​​of various indicators such as high, low blood lipids, blood sugar, uric acid, etc. As a patient, he was very repulsed by the daily blood draw but dared not say anything. After all, it is the doctor’s request. The patient can only obey. The last time the blood was drawn, the old man couldn’t hold back and said a few complaints, saying that he smoked like this every day in the hospital, and his appetite was not good and he didn’t eat any food. How could this person suffer? Oh, it’s still three or four tubes of blood…

Diabetes needs to take hypoglycemic drugs for many years. I didn’t know much about the policies of specific outpatient clinics before and did not help the elderly. After this hospitalization, the attending doctor said that diabetes, coronary heart disease, and hypertension can be handled in specific outpatient clinics. The drug reimbursement is quite large, which can greatly relieve patients. burden. It is necessary to go to the medical record room of the hospital to print the relevant information of the patient one week after being discharged from the hospital, and go to the outpatient clinic to find the director of the relevant department to write the application form, sign and seal it, and the deputy chief physician cannot.

It was because of this problem that I went to the hospital a few times to complete the procedures. Some of the experiences made me very uncomfortable. I thought it would be all right to sign and sign and seal the application form with the doctor and hand it over to the front desk, but it was not as simple as I imagined…

The first trip: I found the attending doctor during the hospitalization and issued a specific outpatient application form, and printed a total of 53 pieces of information in the medical record room for 53 yuan. I took the materials and application form to the special outpatient service department on the first floor and handed in the materials. After a while, I was told that the average value of high blood pressure did not meet the application standard and I could not apply for this item, and the remaining coronary heart disease could be processed. At that time, I was stunned for a moment and asked what about the diabetic? The data officer said that diabetes can be processed, but he did not see the diabetes application form. If you want to apply, please write another diabetes application form, or you will have to prepare another set of materials for the next application. Why divide the things that can be solved in one time into two.

The second trip: Go back to the third floor and find the doctor in charge to ask for another application form for diabetes, but he said that diabetes can only be prescribed by the director of the endocrinology department. He can only prescribe coronary heart disease? It is very clear. The Department of Endocrinology was just across the street and was about to leave work, so no one knocked on the door and asked the director to help open the application form. There was a young girl sitting next to him, “Apprentice? Secretary? Assistant?” Let the words come in.

Me: Hello, Director Li (passing him the hospitalization information) can you help me open a specific outpatient application form for diabetes?
Director Li: Have you ever had relevant examinations in my department before, and have you been hospitalized?
Me: Probably not, my dad was hospitalized here for the first time.
Director Li: Well, how can I write an application for you?
Me: I have the hospitalization summary and examination report in this file.
Director Li: I can’t open this document to you if it’s not in my hands. For example, if two people fight but I’m not the person handling the case, how can I prove it to them? At this moment, he picked up the frozen milk~~tea delivered by the takeaway beside the computer and drank it.
Me: Suddenly speechless, I wanted to hate him at that time! I held back later… How can I issue this application form?
Director Li: Take another blood test for diabetes, ask the resident doctor to write the application form, and come back to me tomorrow morning to sign it. He only spends half a day in the outpatient clinic…

Damn it! I was kicked back to the Cardiovascular Department again, and I was too embarrassed to go in… The doctor looked puzzled and said, is this okay? I was a bit reluctant, but finally wrote it to me, but the superior doctor did not have the director’s signature! ! I opened the mobile phone official account and had a bill of 417 yuan to be paid. When I saw this, my blood pressure suddenly rose. During Gou Ri’s hospitalization, so much blood was drawn and so many examinations were done. If he didn’t even look at it, he would deny it all, and he would have to pay for it again. The hospital’s equipment and inspection instruments are all supported by these unnecessary examinations. After paying the fee, it was past 12 o’clock and I couldn’t catch up with the blood drawing and fundus photo examination.

The third trip: at 2 o’clock in the afternoon, I went to do the test again, and the results were available in about two hours after the blood was drawn. It’s quick to take pictures of the fundus. The female doctor is not required by the ophthalmology department to look at the test sheet. The photo came out and said that the fundus is not clear. I suggest asking their ophthalmologist to check it carefully. Ask my dad if he wants to see it? During the examination, I waited outside to hear their conversation, so I went in and asked my dad in Hakka if there was any discomfort in his eyes? My dad said it was nothing, so I rejected her directly. It feels like a routine. I just want to sign my diabetes application. According to your process, do I have to check every part of my body again?

The fourth trip: The next day I couldn’t leave due to my own business. On the hospital’s official account, I saw that Director Li was scheduled on the morning of the 28th. I thought I only needed to sign and not register, so I went to the lobby near the end of work time and waited until he put After reading all the registered patients, I went in and asked him to help sign, and handed him the inspection report and application form that day to sign. At this time, it was almost 12:20, there were only three of us in the department, and the little girl was also there..

At this time, according to common sense, I should have signed it, but he said why I didn’t register? This first step was wrong and there were a lot of other things. I said that the report was re-inspected according to your request. I wanted to delay you for a few seconds to sign the name and finish the job. I didn’t expect to have to register to sign this word?

You said that the registration fee of 25 yuan is neither expensive nor cheap to ordinary people, but the people who charge it are really upset, can they be more rational and humane? Of course, this is something I didn’t say in front of him.. In the end, I gave him a registration fee of 25 yuan + a consultation fee of 5 yuan? I didn’t even say a few words and charged a consulting fee.. Damn it!

What do you think of such a medical system? I don’t know if this is a personal behavior or a unified process of major hospitals; so many people are afraid of going to the hospital, and they will not choose to go to the hospital unless they have to. It’s not a big problem, just get some medicine and go back to take it and have a look. I really can’t afford to be sick and die. I have had this experience and there is no major problem, so don’t go to a big hospital and be slaughtered by him like a pig. Take good care of your body, control your diet, exercise properly, stay up late, and don’t cause trouble for the hospital. Good day everyone.

After running four or five times, I finally got the specific outpatient clinic for diabetes and coronary heart disease, and it can be completed in about 7 working days after the materials are submitted..

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