I recently saw a post like this Am I wrong about arguing with a doctor?The doctor-patient relationship is an eternal problem, and every time I see a similar problem, as a clinician, I can't help but click into it.
According to the patient's family, his grandmother sought medical attention from the gastroenterology department of the local hospital due to constipation. Based on the patient's condition, the outpatient doctor intends to perform a new type of colonoscopic catheterization**, but may not explain it clearly to the family, and only says that he will be hospitalized for examination. The questioner only wanted to take medication and do a colonoscopy, thinking that the doctor had planned it as well. After being hospitalized in a daze, when the doctor came to talk about preoperative matters the day before, the patient was emotionally unstable and unwilling to cooperate, and the two sides broke up unhappily after a quarrel.
Source: Zhihu.
In the author's opinion, this is a problem of doctor-patient communication, and it is still embarrassing to think about. The purpose of the doctor and the family is obviously for the good of the patient, but instead of doing it in one place, Jin Er went the opposite way, and finally caused a misunderstanding.
I have to say that the patient's family is very filial, and he took his elderly grandmother with bipolar disorder to the clinic alone. From the subject's point of view, while coaxing the emotionally unstable and uncooperative grandmother to be hospitalized, I had to run around at home and in the hospital, and learned that the anesthesia colonoscopy clinic I originally planned to do could be done, and the catheterization recommended by the doctor was naturally unacceptable.
Perhaps because of the tiredness of taking care of the patient, the family reacted very much to the ** plan that did not meet expectations, and even felt that it was deliberately concealed by the doctor.
In fact, all of this can be understood, and the patient's family certainly has the right to refuse and accept. There's nothing wrong with questioning what you have in doubt. From the post, it can be seen that the patient's family also said that the patient could not cooperate with the new **, but the wording was too strict, and he said a lot of nonsense, and he was more than polite and never made it clear whether to do it or not. Inpatient doctors have been trying to persuade families to agree. In the end, the talks collapsed, or the meaning of both sides was unclear.
Although the description of the main person inevitably has subjective factors, it is not clear in the outpatient clinic that the risks and benefits of colonoscopic catheterization as a new ** are required. It leads to conflicts between subsequent family members and inpatient doctors.
From the perspective of inpatient doctors, it is clear that they are recommending better new programs to patients, so how can they do more with half the effort?
Preoperative communication, the family's attitude is hesitant, it may be a problem of worrying about money?Then inform them that this hospitalization** can be reimbursed more than the outpatient treatment. But the family also said that they would not let the patient take the risk in order to save some money. As long as the family members don't say no, then continue to persuade them.
For outpatient doctors, there are countless outpatient patient numbers every day, and there is really no way to communicate everything in detail, and it is inevitable that there will be omissions. In addition to the need to identify the condition within a limited time, whether it is outpatient or inpatient**, it is also necessary to explain and explain the precautions clearly.
Indeed, sometimes doctors have seen too much of the world in the hospital, and it is inevitable that they will neglect to empathize and understand patients. Each patient has special circumstances and family attributes, and even if it is the same disease, the regimen may not be the same.
This is not to blame the doctor group, but to encourage you, reflect on yourself, and hope to better go further on the road of medicine. Otherwise, it is not worth the painstaking treatment of patients, and in the end in exchange for a cold complaint.
Effective communication is important not only in daily life, but also in delicate doctor-patient communication.
Doctors can't make decisions on the best plan for the patient, but they can put the advantages and disadvantages of various **, risks and benefits on the table.
For patients, they have the right to refuse** or choose which option to choose, but they should be clear and resolute. We don't do catheterization and we were discharged from the hospital on Monday after a colonoscopy. Simple and crisp.
The ambiguity makes it easy for doctors to mistakenly think that there is still room for struggle, and perhaps they can persuade patients to try the possibility of a new **. To do or not to do, sign it to make it clear.
On the other hand, for clinicians, it is important not to be too one-size-fits-all, and when patients hesitate, they can restate the risks and benefits, but pay attention to the wording, which is a suggestion rather than a compulsion.
In other words, for patients with poor compliance and very hesitant decision, even the best technology for him is easy to lose follow-up in the future.
The author recalls that in the process of clinical follow-up of difficult diseases, I also encountered a lot of people who hung up, or scolded when they picked up.
You can't expect every patient to understand the doctor's situation, so you can only dance in shackles. In fact, the method is very simple and simple: do it, let's sign the ** consent form;If you don't do it, you will sign a refusal** and go through the discharge procedures.
It is understandable to expect the ** plan to be clearly introduced and fully accepted by the patient at one time, but it is not easy to operate.
A good way of communication between doctors and patients is not to talk to themselves, but to look at the problem from the perspective of the other party, otherwise blindly immersed in the self-belief that the interests of the patient are maximized, but the other party will mistakenly think that the other party has ulterior motives. In the end, it was unpleasant to break up, and it was useless.
Sometimes it's **, often it's helping, it's always comforting. This phrase is familiar to doctors, and it will never go out of style. In the process of diagnosis and treatment, if we can communicate with patients efficiently, fully consider the reasonable demands of patients, and carefully and comprehensively consider the patient's family and physical conditions, then we can better reflect the effect and value of medical treatment.
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Author |Attending physician of a provincial tertiary hospital.