When encountering a situation where patients ask "why", these skills may make your communication work more effective!
ECG examination
Patients always don't understand why electrocardiogram, cardiac color Doppler ultrasound, and angiography are required, and explain to the patient:
The heart is like a room. Color Doppler ultrasound can check how big the room is, whether the walls are strong, and whether the door is closed tightly;
Electrocardiogram to see if the circuit is connected, whether there is a short circuit or leakage;
The radiography is to check whether the water pipes are blocked or not. The pipes are covered with iron sheets, and no one knows what kind of rust is inside. The electrocardiogram and heart color Doppler ultrasound can't be seen at all, so only radiography can be done.
The three inspections cannot replace each other.
Brain Injury
1. Explain cerebral infarction to the patient: Brain cells are like rice seedlings in a rice field short of water. They will not dry out in the early stage, but they may survive if the perfusion is restored in time; It was too late, and neurological function could never fully recover.
2. In the Department of Neurosurgery, when I met a patient with severe craniocerebral trauma, I often used a metaphor when communicating with family members: the brain contusion is like a watermelon falling to the ground, and the flesh of the melon is soup...
3. In the same neurosurgery department, the nurse told the patient's family: This disease is brain dysplasia, which is equivalent to undercooked buns...
Insulin
The patient asked: Why use insulin? Will it depend on it?
Answer: Insulin is something that normal people can produce. Diabetes is caused by insufficient or incapable production of insulin by yourself. Using insulin is to help you make up for the shortage. Just like we can’t produce or not enough, we can only rely on imports. Same thing, no way. Some patients can stop taking insulin after their islet function recovers, just like domestic factories have been repaired and upgraded, and their production has increased, so they can no longer import or reduce imports.
Respiratory Diseases
1. The chest piece is like looking at the leaves of the tree through the window. The round leaves are like the leaves of the sycamore tree, and the pointed leaves are like the pine tree, but not all the large leaves are sycamore trees, and not all the pointed leaves are Pine leaves, your chest X-ray looks like tuberculosis, but it's not necessarily tuberculosis.
2. Looking for tumor cells in pleural effusion and Mycobacterium tuberculosis in sputum or pleural effusion is like looking for gold in the sand or finding a needle in a haystack. Therefore, the absence of tumor cells in the pleural effusion cannot completely rule out tumors, and the absence of Mycobacterium tuberculosis in the sputum cannot rule out tuberculosis or confirm tuberculosis.
3. Explain why bronchial tuberculosis requires bronchofiberoscopy: the trachea and bronchi are like sewers, and now bronchial tuberculosis is like a blocked sewer, and it is blocked by many dirty things, so bronchofiberoscopy is needed, just like cleaning a sewer These dirty things, unclog the sewer.
4. Bronchial stenosis, bronchiectasis, and scars left over from bronchiectasis or old bronchial tuberculosis: Compared with normal trachea and bronchi, the trachea and bronchi of this disease are like asphalt roads in cities and mountain roads in rural areas.
The asphalt roads are smooth and clean. Even if it rains, the roads are clean. There are no flies, mosquitoes or insects. However, the mountain roads in the countryside are usually not smooth. Once it rains, they will be easily blocked, and flies and mice will come. Therefore, if you have suffered from bronchiectasis or scar stenosis left by bronchial tuberculosis, you are prone to colds and colds, and you are prone to bacterial and other infections when you catch cold.
Fever in children
1. A child's fever is like boiling water on a stove, and antipyretics are like pouring cold water into a pot. The water will not boil for a while, but it will boil as long as the fire is still burning. As long as the cause is found and the fire is extinguished, the water in the pot will cool down naturally and the fever will subside!
2. When encountering a patient with fever, the body temperature is still not well controlled after taking medicine for a few days, and the family members ask why they still have a fever. In fact, doctors and nurses are just like fire fighters to put out a fire. It will take several days or even dozens of days to control the big forest fire fire fighters if fire trucks are used.
blood disease
1. Talk about chemotherapy with leukemia patients: To treat, weeds must be removed, but the current chemotherapy can only remove grass and seedlings together, so after chemotherapy, there must be a period of time when there are neither seedlings nor seedlings in the field. Grass, if green and yellow are not picked up, the patient's resistance will be lost, and blood and platelet transfusions will be required continuously, which is very dangerous. After this stage, if the seedlings grow first, the disease will be controlled; if the grass grows first, the treatment will fail.
2. Talk to patients with acute leukemia: Why is the patient anemic, low platelets and easy to bleed? Because seedlings such as red blood cells and platelets are grown in the field of bone marrow, now there are bad cells, which grow fast like weeds, and soon the field is full of grass, squeezing the seedlings so that they have no place to grow. Yes, there must be very few red blood cells and platelets.
Operation
1. Many patients feel that there is no need for medical checkups before surgery. They are doing random checkups. It can be compared to: If you are going to drive, you must first check whether there are any problems with the engine, brakes and other parts. Otherwise, driving rashly will inevitably lead to serious car accidents. , the car crashed. The preoperative inspection is assessing your risks and is a necessary measure to ensure your safety.
2. Talk with the patient’s family members before the operation, and explain that adjacent organs may be damaged during the operation: if two dumplings are close together, they will not break when separated; but if they are stuck together, the dumplings will be broken when separated. The tighter it is, the easier it is to break. When human organs stick together, it may also cause damage during surgery. The damage is related to the degree of adhesion of the patient during the operation, and has little to do with the technology of the medical staff!
3. Surgery usually costs a lot, and many patients say that you are too dark. Reluctantly explained: Beijing's housing is expensive, right? But you can't blame the migrant workers on the construction site, can you?
4. Before the operation, talk about the risk of blood transfusion infection of various diseases: like buying a lottery ticket for 2 yuan and winning 5 million, there is a chance, but it is very small.
other
1. Explain to those patients who are afraid after the detection of ureteral stones and hydronephrosis: Just like the sewer is blocked by garbage, water will accumulate on the top, if there are stones in the ureter, the kidneys will also accumulate water, and hydronephrosis is not very serious Terrible, as long as the garbage (stones) are cleaned up in time, it will be fine.
2. Elderly patients suffering from serious heart and lung diseases are like a broken ship. Originally, the internal parts have been scattered. At this time, the disease is like a strong wind and waves, and the ship will sink at any time.
3. The patient asked: Doctor, why did you prescribe the imported medicine? Is it because the packaging is different, the price is different? National regulations must open a chemical name?
Answer: Just like cars, there are differences between Xiali and Mercedes-Benz, not only in appearance, but also in engines. The difference is huge!
4. Outpatient clinics often meet patients with low white blood cells in their physical examination reports. Ask them to do a little exercise for reexamination, and they are often normal. This is not a decrease in white blood cells but an abnormal distribution. When explaining it to the patient, I said: This is like checking whether a person has money or not, not only by whether they have money in their pockets, but also by whether they have money in the bank. If you can withdraw money from the bank when you need it, you don't have no money.
5. For some diseases with a clear diagnosis, sometimes the treatment takes a long time, and some patients will complain: "We have treated you here for several days, but there is no effect, but we went to a certain big hospital and only used 2- The disease will be cured in 3 days, so there is something wrong with your medicine or treatment?" At this time, he explained: Most people are full after eating 3 steamed buns, but can you say that the previous 2 steamed buns are useless?
6. When telling calcium deficiency patients to supplement calcium, they will refuse to supplement calcium, saying: Experts have said that it is not good to supplement calcium too much. So he explained: If the flowers you raise dry up, and others say that if you water too much, they will become waterlogged. Do you water them or not?
7. The dermatology department encountered paroxysmal, lightning-like nerve pain caused by herpes zoster, and told the patient: After the nerve is damaged, it is like the insulation wrapped around the wire is destroyed. Once it gets wet, sparks will appear.
8. The laboratory uses the ELISA method to detect virus antibodies, and the results will be available on the second working day after 9 o'clock every day. After 9 o'clock, patients often ask for help. We told him that it was like steaming steamed buns, they couldn't be taken out or put in after being put in the drawer.
Good doctor-patient communication skills are based on solid mastery and mastery of professional knowledge. If you are still in the dark, how can you effectively convey information?
What godlike communication skills have you heard or created yourself in clinical practice? Share your unique secrets with everyone!
