A neurosurgeon, when meeting a patient with severe craniocerebral trauma, often compares it to communicating with the Family that a brain contusion is like a watermelon dropped on the ground, the flesh of the melon is Soup…
I just heard a neurosurgeon say to the patient’s family: this disease is brain dysplasia, equivalent to undercooked buns…
And leukemia patients talk about chemotherapy: to treat, we must remove the weeds, but the current chemotherapy, can only remove the grass and seedlings together, so after chemotherapy, there must be a period of Time, there are no seedlings and no grass in the ground, green and yellow, the patient will have no resistance, to constantly transfuse blood, platelet transfusion, very dangerous. If the seedlings grow up first, the disease will be controlled; if the grass grows up first, the treatment will fail.
When I talk to a patient with acute leukemia, I say this: Why is the patient anemic and prone to bleeding with few platelets? Because the red blood cells, platelets, these seedlings, are the bone marrow of the land, now there are bad cells, like weeds, grow fast, and soon the ground is full of grass, the seedlings squeezed no place to grow, that red blood cells, platelets must be very little.
Cardiology, patients always do not understand why we need to do electrocardiography, ultrasound, but also imaging, as if the heart is a room, heart color to see how big the room, the walls are not strong, leaky, electrocardiogram to see whether the circuit is open, there is no short circuit ah leakage ah, and imaging is to see whether the water pipes are blocked, the pipes are wrapped in iron, inside rust into what no one knows, electrocardiogram and cardiac ultrasound simply can not see, can only do imaging, the three tests are not interchangeable. The three tests are not interchangeable.
Pediatrics: fever in children is like “boiling water on the stove, antipyretic Medicine is like pouring cold water into the pot, the water temporarily does not open but as long as the fire is still burning it will still open. Only to find the cause of the fire to extinguish the pot of water will naturally cool down the fever will also be receded! “
I am a general surgeon, and when I talk to the patient’s family to explain the possible damage to the neighboring organs during surgery, I will use this analogy: If two dumplings are separated by leaning together, they will not break, but if they are stuck together, they will break when separated, and the tighter they are stuck, the more likely they will break. When human organs are stuck together, surgery may also cause damage, and the damage is related to the patient’s degree of adhesions during surgery, not much to do with the surgeon’s skill!
Our thoracic surgery costs more, and many patients say that you are too dark. We explained to him that the housing in Beijing is expensive, you can’t blame the migrant workers in the construction site, right?
Pre-operative talk about the risk of transfusion infection of various diseases is like 2 dollars to buy a lottery ticket and win 5 million, the chances are there, but very small.
I am an obstetrician and gynecologist, usually do ovarian tumor debulking, patients always ask if the ovaries are gone after the debulking. Then I heard a doctor use the analogy of peeling an orange. He said it was like peeling an orange. After we peeled the flesh, we sewed the skin back together and it was a new ovary.
Brain infarction: brain cells are like seedlings in a rice paddy that lack water, early on they do not die of dryness and may survive if perfusion is resumed in time.
My teacher in the emergency department always told those patients who were scared after they were examined for ureteral stones and hydronephrosis that: just like water will accumulate on the top of the sewer when it is blocked by garbage, if there are stones in the ureter, the kidneys will also accumulate water, and hydronephrosis is not very scary, as long as the garbage (stones) is cleared in time.
Elderly patients with serious diseases such as heart and lung are like a broken ship, the internal parts are already fragmented, and at this time the problem is like a big wind and big waves, which will sink the ship at any time. Chest, like a car tire, the chest wall is like the outer tire; lungs, like the inner tire, tender and weak, easy to burst, such as increasing any pressure factors leading to inner tire such as forceful bowel movements, coughing, laughing, etc., can cause it to burst.
Very necessary to use metaphors. Because say professional, most patients do not understand, time-consuming and difficult, a metaphor is easy to understand. A patient once asked me, doctor prescribed azithromycin why to prescribe that imported, just because the packaging is different, the price is different, the state regulations are to prescribe the chemical name? I replied: like a car, there is a difference between Xiali and Mercedes, not only in appearance, the engine is also different. The difference is big.
The patient sent a small biopsy and asked which stage of cancer? Pathologist: According to the leaves you sent, at present, we can only determine whether it is toxic and the name of the plant, as to where its root system extends, the almighty God may know!
In outpatient clinics, we often meet patients with physical examination reports saying that they have low white blood cells, ask them to go for a little exercise to review, and they are often normal, which is actually not a decrease in white blood cells but an abnormal distribution. When explaining this to the patient, he said, “It is like looking at a person’s money not just in his pocket, but also in the bank. If you can take money out of the bank when you need it, you don’t have no money.
In fact, the doctor’s fever is like a fire fighter fighting a fire, a small fire with a fire extinguisher is enough, a big one with a fire truck, and then a big one such as a forest fire that takes days or even tens of days to control.
I met those women whose premature rupture of membranes ultrasound indicates little or no amniotic fluid, often say, the baby in the belly is like a fish in the water, it is said that the fish can not live without water, no water how it can survive? If the water is low and the pollution is serious, it will be more dangerous. Similarly, the fetus also needs amniotic fluid, if it is too little or the color is unclear, it may indicate fetal hypoxia, which needs to be taken seriously.
Pediatricians: For some diseases that are clearly diagnosed, sometimes the treatment time is longer, and in the face of many Parents‘ complaints to us: “We have been treated here for several days, but we don’t see any effect, but when we go to such and such a big hospital, the disease is cured after only 2-3 days of medicine. We said: “You eat 3 buns, you say you are full, but can you say that the 2 buns you ate in front of you are useless?
Endocrinologist. When I say calcium supplementation to patients with calcium deficiency, they refuse to take calcium and say, “Experts have said that it is not good to take too much calcium. I said: if you keep the flowers dry, others said watering too much will flood, you are watering or not watering? People are also right.
I am a dermatologist, for the paroxysmal, lightning-like nerve pain caused by shingles, I told the patient that “when the nerve is damaged, it’s like the insulation wrapped around the wire is destroyed, once it gets wet, it will spark “.
I am an orthopedic surgeon, and when a plate breaks in a domestic fracture patient after surgery, the patient usually does not understand, thinking that the plate quality is faulty or the surgery was not done properly. When I was in the United States, many of my fellow Americans explained it this way: bones are made by the almighty God and can break; a steel plate is only man-made, and it is even less surprising that it breaks.
During my rotation in internal medicine, I often encountered patients who were confused about anemia and hypotension. I explained to them that anemia is equivalent to having fewer fish in the pond, and hypotension is equivalent to having less water in the pond. Anemic patients do not necessarily have low blood pressure, which is equivalent to having fewer fish in a pond, not necessarily less water. A patient with High blood pressure is not necessarily not anemic, which is equivalent to more water in the pond not necessarily more fish.
I am an anesthesiologist, and many times patients will ask: What is the risk of death from anesthesia? I would tell him that the risk is like a person driving on the road. Your condition is like road conditions and weather, if the car is driving in potholes, overhanging mountain streams, when the road is slippery, when there is lightning and thunder, you can see how great the risk is, so the risk and the chance of death is closely related to your own condition!
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