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What are the "unspoken rules" in hospitals?

What are the "unspoken rules" in hospitals?

I've been a doctor myself for over 20 years, so let's talk about what I know about the unspoken rules of hospital visits. That is, for patients, the do's and don'ts of medical treatment.

First, don't mention that you know the director, or the dean, or a higher level of leadership, etc. You want the doctor to take you seriously, but instead the doctor will be wary of you. You want the doctor to give you a more serious look, but on the contrary, the doctor will be more wary of you.

A real leader of sufficient rank would have volunteered to come along. Or at least a phone call and the head of the section volunteers to come over.

Secondly, don't comment on other hospitals' diagnosis and treatment. Neither the doctor nor the patient should comment on other hospitals' diagnosis and treatment indiscriminately. You should not say that a small hospital can not understand anything, and then the results are not good, you go here to take a good look, you may want to elevate the doctor, so that he will pay more attention to you, or to make the doctor feel better, but this can only be counterproductive, because you can say that other hospitals are not good, and likewise go out and say that I am not good here, or you say that other hospitals are very good, the doctor will be very disgusted, you are there to cure so good, why come to me? The doctor will be disgusted if you say that other hospitals are doing a very good job, "Why are you coming to me when you are doing so well there?

Third, don't go to the hospital and say to the doctor, I just want to open a laboratory test, you can open a laboratory test, but the interpretation of the laboratory test, should not be carried out by the doctor, you'd better talk to the doctor, I just want to check, let's say that really only want a laboratory test, for example, chemotherapy patients need to check the blood, liver and kidney function, etc., or take warfarin patients need to check the coagulation function, this relatively special cases are okay, don't do that for the rest.

Fourth, don't say with the doctor, I just ask what's going on, do not register, this is a serious disrespect for other people's work, happen to have a relatively straight character of the doctor, will directly reject you, the character of a better doctor will not reject you, but certainly will not tell you what you really need, or that there is a 10-point question, at most, to tell you 2 to 3 points, this is very normal, you don't respect the people, the people naturally will not respect You don't respect people, they naturally won't respect you, they have studied hard to gain knowledge, not free for you to do science with.

This is the equivalent of going to a restaurant and saying to the owner, "What is the level of your chef? Stir fry me a Kung Pao Chicken, I'll see if it's good, if it's good I'll sit down and eat it, if it's not good I'll turn around and leave, do you think it's possible?

Fifth, when you go to the hospital don't think you're a grandpa. Consumer relations don't apply to hospitals, you don't spend money and necessarily buy the results of the treatment or the so-called service.

At least the current situation in our country, nurses only do medical care work, including waiting for urine and feces, turn over and wipe the body, etc., or by the family or their own money to hire caregivers to carry out, you if the economy allows, go to high-end private hospitals this additionally said, otherwise in the country's large tertiary hospitals overcrowded with patients, all of these nursing work, these non-medical care work, or rely on the family, be Prepare your mind enough.

Also if a doctor or nurse asks you to buy something outside, as long as it's not a medical item, go ahead and buy it, you can go to an outside supermarket or the hospital's supermarket, the latter will definitely be more expensive, but it has nothing to do with the doctor's kickbacks. Because these things are not allowed to charge, if the hospital provides them uniformly, firstly, the cost is too high, and secondly, it is very unlikely to satisfy all the people.


Sixth, hospitalized patients every day the hospital will provide a day a list, including the use of what drugs, what care costs, inspection costs, etc., this if you are more concerned about the cost, you can read carefully, do not understand the list, all marked, a one-time consultation to the nurse or doctor on the right, do not see a to ask once the doctor, the nurse, will be very annoyed by this matter, when you summarize a good after the unification of the Once, it will be easy to get an understanding and explanation.

Seventh doctors care about the patient's condition is a must, but during hospitalization, the doctor has a lot of things, especially surgeons need to operate, need to change drugs and remove wires, etc., so the real time to your ward is very little, generally every day there is a fixed time to check in, so check in the room before, you must be ready to prepare your own questions, let's say I am now how the condition of the next step to be done, the prognosis How, put the question 1234 are memorized, the use of the doctor to come, about up to 3 ~ 5 minutes time, ask all the questions, get the answer, record yourself, if there are any questions still do not understand continue to count, the second day to meet the doctor, or the night shift doctor is not too busy when you can go to ask, other times, do not go to the doctor's office once a while, really do not have the time to answer these questions.

In addition, there are the most immediate relatives, or appoint a relative who knows more about medical care, to ask the doctor once, and then convey to each other, do not just a relative, go to ask the doctor once, the first will be very annoying, the answer is not over, the second words will be very wary of your home, because it is impossible for people to do all the things that have been done, completely repeated on more than one time, before and after the surely there will be This difference, if caught, theoretically belongs to the problem, so the doctor is very annoyed with this kind of thing.

Objectively speaking, whether you are hospitalized or during outpatient treatment, if you don't see a doctor come to see you for three days, this is really a good thing, indicating that your condition is very stable. If the doctor often appears in your ward, often asking detailed questions about your condition and doing relevant examinations, it means that you may really have a problem, and you have to be careful, and your condition may be really serious.

Eighth, trust your supervising doctor, you can think that he is not good enough, but he is at least a little bit more specialized than you in one direction, so for any doctor in front of you, make sure that you have enough respect to get what you want to need, if you think that he is not good enough, you can go to other hospitals after you have finished your visit to him, this is completely your freedom, if you go to the hospital with a mistrusting If you go to the hospital with a feeling of distrust, you will not get good treatment.

Ninth most important, is not to complain about medical charges are too expensive, that the hospital will only make money, first of all, any of the hospital's charges, are not hospitals and doctors to develop, are higher management, and the price bureau to determine the charges, the doctor does not have the qualifications and the right to overcharge any penny, and can not be reduced a penny for you.

Theoretically, there is no difference between a hospital and a restaurant, only the guests who come to order more food, food is expensive, drink more, this restaurant can develop, the owner, the chef, the waiter can have a corresponding income or higher income, which is caused by the objective conditions.

If the doctor has prescribed a test, you think it is too expensive, you can tell the doctor explicitly, give the doctor a signature, do not do the test at your own risk, it is possible to give you do not do the appropriate test, first of all, the cost is not the doctor to determine, secondly, the medical law now, the doctor needs to use objective evidence, to prove that their own treatment is correct.

You also do not say a cough, did a CT, blood test can not be diagnosed, spent more than 1,000 dollars or how, or nothing has changed, you have to have a full understanding of the sophistication of modern medicine, the Chinese Medical Association issued a cough treatment guidelines, if the standardized according to the cough guideline guidelines, for examination and treatment, the cost of basically 30,000 to 50,000 up.

With his experience and judgment of the condition, it is already very difficult for the doctor to choose one or two thousand dollars from the 30,000 to 50,000 to examine and treat you.

My uncle, 55 years old, has been a surgeon in the hospital for 18 years, and he told me: there are "unspoken rules" in the hospital, but you just don't know them.

Hospital is a "magical" place, where you can see the warmth of people, the hospital is also a jungle, there are a lot of "unspoken rules".

Next, we'll take a closer look at the unspoken rules of the hospital.

1: go to the hospital, don't expect the doctor to smile at you, the doctor is doing is to treat the sick to save people's lives, the heart of how much pressure, only they can know. Into the consultation room of the people more painful, the doctor smiled at you, I guess you are not good. If you let the doctors keep smiling at everyone who sees them, I believe they will be paralyzed by the end of the day.

2: The highest level of doctors in hospitals may not be those experts with high titles, especially surgeons. Doing surgery is a physical job, and experts and professors over the age of 60 can't keep up physically. Many people think that the chief physician of 30~40 years old, the level is not too bad, in fact, this kind of young people have good physical strength, have the energy to learn the technology, understanding is also stronger, should give them more opportunities.

3: go to the hospital to see a doctor, is a very strict thing, some people will take advantage of the acquaintance relationship, directly run to the clinic to see a doctor, without queuing up, so although it is convenient, but the process of seeing a doctor is not documented, what happens to the problem there is no evidence. Therefore, do not in order to save more than ten dollars of registration fees, directly run to the acquaintance of the clinic to see a doctor, this will give the doctor and their own trouble.

4: Doctors are people, not God, can completely cure not many diseases, most of the diseases in the hospital treatment, can only alleviate the pain of the symptoms, as the patient's family, we must have more understanding of the doctor.

5: It is not appropriate to compare doctors to fortune-tellers. Nowadays, there are many voices that will say that doctors rely on examinations to make diagnoses. Some diseases are so secretive and have so many possibilities that doctors dare not jump to conclusions. They can only rule them out one by one through various examinations. To put it bluntly, if patients do not undergo examinations and rely entirely on the experience of doctors, it is a total gamble for them, and in case a person is killed, it is a big deal.

6: For patients to face up to their illnesses, they should not be taken lightly, nor should they be taken seriously. Oncologists have said a classic saying that many cancer patients either die of illness or are scared to death. No matter what the disease is, the mind is very important, keep a good mind, maybe a miracle will happen.

7: about the hospital's unspoken rules, have to talk about the issue of red packets, after all, there is a lot of controversy, some family members believe that did not send red packets to the doctor, will affect the success rate of the operation, the heart is not down to earth. Red packets for doctors, like a hot potato, received for fear of the East Window, affecting their own future, do not receive it, but also for fear of family members have pressure, mistakenly think that will not do surgery properly.

8: The fact that you go to the doctor to communicate about your condition and the doctor doesn't even bother and wants to shoo you away means that your condition isn't serious at all and you're just overly worried about it. There are people who go to outpatient clinics and complain that the doctor is dismissed in minutes, and these types of people should be thankful for that, rather than complaining that the doctor doesn't take their condition seriously.

9: No news is the best news when you're in the care unit, and the fact that the doctor doesn't talk to you or your family means that the condition is stable.

10: Don't think that just because you are difficult to deal with, doctors and nurses will give you the best treatment and open up green lanes. In a hospital, everyone is equal, and if you treat medical workers well, they will treat you well.

11: Patients in the hospital, all doctors can pull up medical records, each doctor's treatment plan is different, the whole process of seeing a doctor, it is best to insist on being able to find the same doctor, but there is also greater difficulty.

12: Doctors and patients say, one must have a certain understanding of the two sides can communicate smoothly, for example, the patient in the tertiary hospital for examination, the doctor said to be hospitalized for further examination, do not rule out XX disease, indicating that the probability of this is relatively large. If the doctor lets the patient go home first and wait for a period of time to come back for review, then the probability of this disease is very small.

13: When you are admitted to a hospital, don't keep thinking that you are already cured and why the doctors still won't let you leave the hospital. In fact, they are doing it for your own good, and some hospitals still have to wait in line to get admitted to the hospital, and they want to free up the beds. In addition, hospitals also have control over the length of stay, if there is nothing wrong, the average length of stay is too long will also be punished.

14: Hospitals under the critical illness notice, let the family to sign, is not to shirk responsibility, just in writing to inform the family, the patient's condition is serious, at any time will be life-threatening. As for the exemption of responsibility, the signature of this critical notice can not play a role, but also to look at the medical records. Even if it is signed by the family, the hospital will do its best to save the patient, after all, it is a living life.

15: Doctors' time is precious and they don't have a lot of time to talk to their patients, so if all of a sudden, one day, the doctor pulls you in for a family chat, something is going to happen next. If the doctor detaches you and talks to the family there in secret, there is a possibility that something serious is going to happen.

16: When the doctor goes to check on the room, do not feel that the doctor is indifferent to themselves, the more cold the doctor, the condition is generally no big problem. If the doctor is very concerned about the patient, detailed to what to eat and what to pull, on the contrary, it is not a good thing, indicating that the condition has reached a serious level and must be taken seriously.

17: As a good escort, after the patient was hospitalized, the first thing to ask the name of the doctor in charge of the bed, if it is a good person to identify, if it is a team, want to know who is inside the "boss", from the frequency of work can be seen, the one who works the most, is the medical team of the small doctor, and those who are "Big Brother", usually very busy, either in a meeting or surgery, the patient is difficult to see.

18: When you go to a hospital for an outpatient visit, it is not that an expensive number is better or a good number is more expensive. There are some specialists and professors who are usually busy with various meetings and administrative affairs and may not have more energy to spend on technology. There are times when a deputy director's number is even better than a specialist's number.

19: nurses in the hospital, there are some fruits "can not eat", such as on duty, it is best not to eat mango, "mang" and "busy" homophonic, and strawberry, a little bit of "bad luck" meaning, do not eat these fruits have no scientific basis, completely seeking a psychological comfort.

put at the end

Hospital is a place to save lives, talking about the word "subterfuge", it does not necessarily mean that it is a pejorative, some people go to the hospital, some methods and techniques are not very understand. Now the doctor-patient relationship is more tense, do not trust the doctor, no matter what, they are for the sake of the people's health, work even harder has been insisting, we should say thank you to the doctor, rather than too much suspicion.

Having worked as a nurse in a hospital for a couple of years, I can responsibly tell you that there are indeed unspoken rules in hospitals that you should be aware of thatThese 15 will do you more good than harm.

1, the hospital's most profitable departments, not the most difficult to cure the disease, the highest average age of the patient's internal medicine, but the "golden eye, silver outside".

The so-called "golden eye" of the medical profession is that the most profitable department in a hospital is ophthalmology, followed by surgery. It is very difficult for doctors to enter a department that pays well, is relatively clean, and is almost free of infectious diseases.

2. Most of the guides you see wearing white coats on the guide desk are not doctors or nurses.

This type of person is basically outsourced by the hospital to a third-party company, which enters into a labor contract with them. Why do hospitals do this? Because most of them do not have high education, mainly responsible for hospital triage, consultation, guidance, this type does not need to use too much specialized medical knowledge.

Very few hospitals, will have a specialized doctor or nurse at each information desk.

3. Almost every outpatient doctor hates it when, while he is consulting a patient, the patient on the other side of the room interrupts, says something else, or discusses the condition of the patient with whom he is consulting.

This is a big taboo when you see a doctor, because they are very busy every day, need to see a lot of patients, the consultation itself requires the doctor to concentrate and seize the key, if you interrupt on the sidelines, so that he or the patient delayed the consultation time, the doctor spends less time on each patient, then the patient from the doctor, to get the information on the condition, will also become less.

4. The doctor with the best business skills in each department of the hospital may not be the director of that department.

It's simple, because hospitals are where the ratings are made. There are 4 rating exams to go through from Resident, Attending, Associate, and Chief, each with different requirements.

Especially at the level of chief physician, it is required to publish papers in some authoritative journals. At this time, if they use their mind on papers, naturally they will spend less time in the clinical practice of treating patients.

At the same time, they are often the leaders of the department, and while they are giving treatment to the patients, they need to put the operational ability of the entire departmental staff and the performance of the department in the 1st place, which require him to spend a lot of time to study. Therefore, the head of the department may be the one with the strongest overall ability, but not necessarily the one with the strongest operational ability.

5. Don't evaluate another doctor or another hospital in front of your doctor in person.

Some patients like to say in front of the doctor when they see the doctor, this doctor is not good, that hospital is not good, I have seen for a long time but no effect, or you here is better.

On the surface this seems to be words of praise for the doctor, but in reality the doctor does not think so in his heart. He will think that since you can say such things in front of me, you can say the same thing the next time you go to see another doctor, which will make the doctor feel uncomfortable.

6, after hospitalization, can not see the doctor in charge is common, do not a little problem to go to him, it is best to focus on the problem, to the time of the room specifically to ask him.

Although you live in a hospital 24 hours a day, doctors do not. They have to deal with a lot of patients every day, sometimes unexpected surgeries, and even endless academic meetings, critical patient consultations, etc. every day, and they never have enough time. So there must be a reason why doctors are a high-income group.

7. It's actually good that the doctor in charge doesn't come to see you regularly.

This situation means that your condition is not serious and does not require special care. The doctor has a plan for each patient's treatment, and he can only take care of each patient as much as possible with limited time and limited energy. But for patients with more serious conditions, he definitely needs to spend more time.

8. Don't just put forward the idea of changing the doctor in charge, since you have chosen a certain doctor you have to choose to believe in him.

If you don't believe, from the beginning, that your competent doctor can cure you, then when he makes some treatment plan for you, you will not follow it in your heart, and if you don't follow it, it will be even less effective, and the vicious circle, on the contrary, will be even more distrustful of the doctor, and will do nothing to help your condition.

9, do not complain that the doctor prescribed too many tests, everything is to help the hospital or department to generate income.

It is true that doctors are actually a high-risk profession and sometimes prescribe tests that are meant to serve as supporting evidence for his treatment of patients.

If in order to save money do not do that part of the examination, the patient's treatment everything goes well, that's okay, not afraid of 10,000 is afraid of the eventuality, if the patient died in an accident, resulting in lawsuits and litigation, if there is a lack of certain tests in the medical record, the Health Bureau and the hospital to pursue the responsibility, the doctor will be held liable for the corresponding legal responsibility. Faced with such a dilemma, how do you think the doctor can do a good job?

10. With regard to the cost of hospitalization, nurses know better than doctors.

Many patients who have questions about hospitalization costs like to ask their doctors. In fact, doctors only care about prescribing treatments, but they do not know as well as nurses how much they actually charge for medications, tests, and nursing care.

This is because it is the office nurse who works the long day shift who carries out the medical orders and types up the inpatient day list. Therefore, it is best to ask the nurse sitting in front of the computer about hospitalization charges.

11. Don't push the nurses to come early to give you an injection and infusion, because they want it sooner than you do.

As a responsible nurse who used to work both the night shift and the day shift, I can tell you responsibly that whenever we can come earlier to give you an injection and infusion, we will never delay it because the longer we delay, the more we suffer instead.

Normally, the hospital starts at 8:00 a.m. Basically, we have to be in the department at 7:50 a.m. to change clothes and get ready. The first thing to do at work is for the nurse-doctor to do a handover.

Usually at this time, it takes about 20 minutes. If there were more new admissions and surgical patients yesterday, and the department head had more questions to cover, it could take up to half an hour.

After that, the head of the department and the head nurse will then take the doctors and nurses to the wards to check in, which will take another half hour.

Next, it was our turn to go back to the treatment room, prepare the patient for the injection and infusion, check the treatment sheet, the infusion bottle, and this took at least another 20 minutes.

So the time we actually get to the ward to give the patient an injection and infusion is around 9:30 a.m. Our daily workflow is such that anyone would want to give the patient treatment earlier so that the on-call nurse is not so busy at noon.

12. Never give a doctor a red packet.

It is expressly stated in the hospital that doctors are not allowed to accept red packets from patients indiscriminately. Even some fruits are not allowed. If you really want to thank a doctor, you can just write him a thank you letter or send him a banner, which will help him in his career advancement career.

13. The nurses' station has a lot of small items that you wouldn't expect to be commonly used in life.

Very often, patients come in a hurry, many life daily necessities did not bring all, in fact, most of these things, you can go to the nurse station to borrow. For example, nail clippers, hair dryers, hot water bottles, needle and thread boxes and so on.

14. Drugs in hospitals must be cheaper than those in pharmacies.

The State has long since explicitly stipulated that hospitals have to realize zero profit on medicines. At the same time, hospitals are subject to the supervision of the Pharmacy and Poisons Board, so no hospital dares to mess around. Therefore, buying drugs in hospitals is not only cheaper than pharmacies, but also more reassuring.

15. Please do not occupy the hospital's green corridor or special elevator.

Green lanes or special elevators are reserved for those who need them in case of emergencies. If everyone tries to be convenient, it will only make the hospital's medical work more difficult. Cause more tension between doctors and patients.

What other hospital secrets do you know that are not well known? Feel free to leave a comment in the comments section to discuss.

I have a friend who is a hospital director and this is what he said:

If you're a patient, there are nine don'ts and three suddenly

Nine don'ts:

1、Don't mess with the expressionless nurse in front of the clinic desk after 12 noon and after 6 p.m., and don't mess with the doctor who keeps nagging and talking.

Because, they may have something at home, they may have a date with their boyfriend and have to work overtime temporarily.




2. Don't tell the doctor, "I'm sorry I'm late because I was too busy".

Because, he's probably in more of a hurry than you are, and you don't take yourself seriously, and doctors are human, and they get tired, and they want to hurry home to a hot meal.

3. Don't tell the doctor, "I have a good relationship with a certain doctor in the hospital" or "Hello, I was told to come to you by a certain director".

Because, the fact that you have greeted him or are well acquainted with the leadership of the institution may put him under psychological pressure, and instead, he will be more cautious in dealing with you, and being cautious will only make you feel that he is unprofessional, and as a result, report it to his colleagues and report it to his leadership, which will affect his future.

4. Don't cry poor in front of your doctor.

Because the hospital is not owned by his family.

5. Don't get into an argument with your surgeon before the procedure.

Because, it won't do you any good at all. If there is a real problem, you can correct them with your good words, and they will usually accept it with an open mind, if you go straight to the hard dishes, in the end, the biggest loss is still you. People are in mutual respect, build goodwill, build trust, and suffer together.




6. Don't say, "That's not what the other doctor told me" in front of your doctor.

Because, doctors have their own specialties and treatment options can vary, the most important thing you need to do when the diagnosis is different is to find another doctor to confirm it rather than question it, but not from the same hospital.

7. Don't discuss such boring issues as doctors getting kickbacks and male doctors doing gynecology and obstetrics in front of doctors.

Because, you are there to see a doctor, not to save the doctor community. The doctor-patient relationship is already strained, and you're going to turn people off when you don't mention which pot you're in.

8. Don't give red envelopes.

Because, the red envelope will not affect the success rate of the surgery, nor will it allow you to recover from your illness earlier, it is at best a psychological comfort and will get the doctor into trouble.




9. Don't mind checking too much.

Because, doctors are not fortune tellers, not to mention God. Doctors have encountered too many small probability events, and they would rather not let one go than in case of misdiagnosis or omission. You feel that it's a big checkup for a small disease, but it's actually responsible for you. The result is not that serious, you should feel grateful, not complain. Doctors also have to do tests, not that they want to make money, but it is a requirement of the Ministry of Health.

Three suddenly:

1. When the doctor suddenly stops talking and doesn't look at you, it means there's nothing wrong with you and you can go.

2. When doctors suddenly look at you with affection, you may be in trouble. If they suddenly look at you several times a day and pull your family to talk, you may be in trouble.

3. When the doctor suddenly advises you not to persist, you'd better think it over to avoid the double blow of losing both people and money.




If you're a family member, there are a few bits of common sense

  • The "No Smoking" sign outside the operating room is usually just for decoration.
  • It's normal for the big chief doctors to worship Buddha and Jesus occasionally, and the smaller doctors usually worship someone with the last name of He.
  • Doctors are also mortals. Although doctors are experts in treating illnesses, the doctor who treats you may not be as healthy as you are, and many of them have a chronically disorganized work schedule and are unable to treat their own various ailments on a regular basis.




  • To see whether a hospital is good or not, it depends on whether there are all kinds of "specializing in the treatment of certain difficult and complicated diseases", "Chinese medicine health care, beauty and fitness" and other advertisements in the hospital.
  • If you don't know which doctor is the leader, see if he has a red pen pinned in his jacket.
  • In the operating room, if the doctors are chatting, it means the surgery is going well, and if the doctors and nurses are silent, it means the surgery is entering a critical moment.
  • Retired and rehired old specialists > young doctors > middle-aged specialists, the most famous doctors < the most competent doctors.




  • When you meet a "cold" doctor, you should be glad, because behind the doctor's indifference, he or she has seen too many lives and deaths, human feelings and warmth, on the contrary, they will be more calm, serious, to minimize the error rate.
  • There are many ways to learn about a hospital, and the media and advertising are usually two of the least reliable.




  • Hospital drugs are definitely cheaper than drugstore drugs.
  • Do not occupy the hospital's special elevator.
  • Mondays generally have the most patients, and there are also more patients in the morning than in the afternoon. The mortality rate for surgery done on major holidays is 48% higher than the mortality rate for patients admitted on weekdays, the mortality and complication rates for surgery in July and August are the highest of the year, and the percentage of anesthesia problems for surgeries starting at 4:00 p.m. is also the highest of the day.
  • If you want to thank a doctor, it is best not to send red packets, but to write a letter of thanks directly to the hospital or send a pair of banners, which is the best way to thank the doctor.
  • If you want the doctor's personal phone number, just ask him for it directly, and if he pushes, it's best not to ask their colleagues for his number.
  • Don't be blind to the fact that the medical profession is full of negative issues nowadays. The vast majority of doctors are the conscience of the profession, or else the profession would not have existed until now. If you are really dissatisfied with a certain doctor, you can just lodge a complaint.




If you're a doctor, there's something you need to know about your job.

1, borrowed a colleague's pen must remember to return it in time.

2. Just mind your own patients, don't comment on a colleague's treatment plan or help a colleague explain his or her condition to a patient.

3. The relationship between doctors and nurses in surgical units is mostly amicable, while the relationship between doctors and nurses in non-surgical units is mostly tense.

4, do not always look for the nurse sister to snacks to eat, and from time to time to bring them some snacks and fruits and so on, will receive an unexpected return.

5. Don't change shifts early on a holiday.

6, coworker's phone, WeChat, do not give others at will.

7, the high paying clean and easy departments in hospitals are usually not easy to get into. For example, ophthalmology, dentistry, etc.

8, the section office is to do according to the provisions of the regulations, no rules according to the rules, no rules according to the leadership instructions.

9, see the doctor, there are symptoms simply say symptoms, do not talk to the patient too well, the better you talk, the more trouble you.

10, the distance from the leadership office is often close to the work of the late last to go to dinner.

12, can write as well as running errands, can do as well as can blow, can say as well as will be sent, this is not as good as the publicity, rules as well as listen to the words, adhere to the principle of as well as will be flexible.

13, do not get used to the "silent work, silent dedication", because sooner or later you have to raise a family, buy a house, have children, only to pay and return to achieve a balance, you can work better.

14, learn to control their emotions, the more tense the doctor-patient relationship, the work of a long period of time in a high degree of mental concentration, the more we must learn to do to regulate their own emotions.

15, do not receive kickbacks, receive red envelopes, which is the industry taboo.

16. Even if you are no longer a doctor yourself, don't talk about some of the bad things about the profession.




Write at the end:

Hospital is the so-called "unspoken rules", there is a good side, there is also a bad side, the key lies in the patient, the doctor, the family, how to look at the three, how to deal with this problem.

It is not that the bigger the hospital, the deeper the water, all the "unspoken rules" exist because of people's psychological reasons, and finally, because they do not meet the expected value of the negative impact.

However, there is always the law of eight or two in any rule, and the difference between good and bad lies only in whether or not each person is able to think differently. If one really encounters bad "unspoken rules", the only way to deal with them is to report them to the relevant authorities after fruitless negotiations, rather than to solve them in a "private" way.

In any case, doctors as a profession, no matter how the outside world evaluation, "to save lives and help the injured" has always been the biggest "unspoken rules" in the medical profession, at least this point has never changed.


Hospitals in the subterfuge is too much, clearly in the door hanging a sign written in the hospital prohibits the receipt of red envelopes, in fact, let the receipt. Doctors receive red packets after the attitude is particularly good.

I have a relative who is the head of the medical education department in a hospital, was the head of the emergency department, and now manages the staffing of the hospital.He told me that the hospital is a complicated place where people come and go, and where the world and people's feelings can be seen, and where there are a lot of unspoken rules that can cause great things to go wrong if one is not careful.


Whether it's a big tertiary hospital or a small hospital, there are some fixed unspoken rules, which will be talked about in detail below:

1. The chief doctor who has a large number of patients and is older may not have the highest level of medical skills.There are different departments in a hospital, and each department may have several chief doctors. Some of these chief doctors have high titles, and some are only deputy chiefs, and those doctors with high titles who have a large number of patients are not necessarily highly skilled in medicine.

In the pediatrics department of my relative's hospital, there are two chief doctors and one doctor who is so popular that every time a parent goes to register, the number will be finished if he is a little slow, and people say by word of mouth how great that doctor is. Later, my child got pneumonia with cough and fever, and since I couldn't get the number of the director, I consulted my relative, who recommended another young deputy director in the pediatrics department. At that time, I was skeptical, but my relative could see my doubt and told me that all the doctors in our hospital thought that the deputy director was the most skilled in pediatrics, and that the reason why the director's doctor was popular among parents was because he was kind to the parents and had a good attitude. He told me that all the doctors in our hospital consider the deputy head doctor to be the best in pediatrics, and that the reason why parents are attracted to that head doctor is because of his kind attitude towards parents, which is spreading by word of mouth.


2. There are also VIP passages in hospitals, and this passage is not honored and only available to patients with connections, but is available to all patients with emergencies.In our traditional concept, we always think that hospitals are a place full of people and faces, but in fact, when we have an emergency, we can also take the VIP lane.

For example, we only take CT or MRI, which are the most popular items in the hospital, and usually need to make an appointment in advance, but we can also jump the queue in special circumstances. I remember last year when my father went to the hospital for an operation, when he was admitted on a Wednesday to pay the bill, he queued up at the MRI window with the bill issued by the doctor, and was told by the staff at the window that we had to queue up until Saturday morning for the MRI. However, my father's operation was scheduled for a Thursday morning, so there was no point in coming back to the MRI after the operation.

So, I informed the attending physician of the situation. He immediately notified the head of the department and told them exactly what was going on, so the MRI staff immediately scheduled my father for an MRI on Wednesday morning.

Some people may think this is unreasonable, but due to the needs of the surgery, it is sometimes possible to cut in line and take the VIP lane due to the urgency of the situation.

3. Doing the surgery, whether you give a red packet or not will not affect the success rate of the surgery.In the traditional concept of the people, people sick to the hospital for surgery is a big deal, many people think it is best to give the surgeon red packets. Later, after the entire medical system was reorganized, doctors were not allowed to accept red packets from patients, so some family members were worried that the doctors did not accept red packets and might not be so attentive during the surgery, fearing that the surgery would fail.

My relative told me the reality is that you don't give a red packet to the surgeon in charge is not going to affect the outcome of the surgery. Because the doctor will get into a lot of trouble if the surgery fails. Doctors in general are very responsible and careful with their surgeries. So when the surgery fails, don't blame yourself for not giving the doctor a red packet, or blame the doctor for not trying his best. This is most likely a chance event.


4. Don't get close to your doctor, and don't expect to use complimentary language to get better treatment and special treatment from your doctor.Some patients think that if they get close to the doctor, the doctor will try his best. In fact, the doctor is in contact with hundreds of people every day, so if you are not a relative or friend, he will probably forget who you are the next time you go to see him. Furthermore, it's useless to get close to the doctor, as the doctor will be wary of the patient, and he will judge whether the patient is a risky patient based on what he says.

When your doctor identifies you as a risky patient, he will take a conservative treatment plan for you because he doesn't want to go along with the risk. So don't act like you're different from everyone else, just treat your primary care doctor with the usual care.

5. Don't display your connections, power or money in front of your doctor.If you are really very well off, a rich man with a lot of money under your belt, and you just can't help but want to reveal this information to your doctor, then it is best to mention it just once in front of your doctor, otherwise it may backfire. Because these things of fame and money do not have much effect on the doctor, his responsibility is to see you, you are a patient in front of him.

6, the doctor's service attitude, the degree of patience has little to do with his business ability.Often those older doctors and specialists have the best attitude, and some young and middle-aged doctors who are highly skilled in medicine may appear to be more aloof in their attitude. They need to do a lot of surgeries every day and have to be busy with a lot of different things, so they do not have the time to listen to their patients very gently about things that are not related to their illnesses.


7. If you want to communicate with your doctor about your condition, it's best to do so in the morning and evening when you are checking in.This is mainly for hospitalized patients, usually doctors have a lot of busy work, they will go to the wards every morning after work to check the room, to understand the patient's situation, this is the best time to communicate with the doctor, you can put their own day to day the development of the disease, discomfort and other situations with the doctor feedback, the doctor will immediately modify the next treatment plan. In addition to these two periods of time, other times do not have a small problem immediately look for a doctor, the doctor is not the patient's beck and call, not only for a particular patient services.

8. If you want to know the real level of the surgeon, it is best to go and listen to the anesthesiologist and the operating room nurse.These two groups of people deal with surgery every day, they know the surgeon's bottom line best, and there is no interest in the two, there is no intentional demeaning phenomenon, and the least you can do is to learn about it from people in the same specialty or in the same department, who, because of their respective purposes, tend to speak words with a personal touch.

9. In general, doctors speak more concisely.If your doctor seldom comes to see and ask questions after your surgery is done, then you should be thankful that you are well and that there is probably nothing wrong with you. If one day the doctor is suddenly very kind and patient to talk to you about your condition, and also came to see you several times a day, every time with your family muttering, then you should pay attention, the doctor so concerned about you, you may be in a big mess.

10, try not to choose Friday for surgery or Saturday for hospital visits.Many office workers, because they are very busy from Monday to Friday, often have to wait until Saturday morning before utilizing this half day to go to the hospital to see a doctor, which is not desirable. Because most of the authoritative doctors and specialists are scheduled from Monday to Wednesday, if the condition is more serious and urgent, it is best to go to the hospital during the period from Monday to Wednesday.

And try not to schedule the surgery on a Friday, because the first day after having the surgery there will be many anomalies, and the next day happens to be a weekend, there are a lot of doctors and specialists who are on vacation, and there are fewer on-call doctors on weekends, and it is likely that they will be too busy to do anything about it.


11, there is an unspoken rule in first aid, often save the quiet patients first, then save the agitated patients.In the event of a major accident, in the face of a large number of patients, some people are quiet and wait for the doctor to save, some people shouting, often the medical staff will first save the quiet people, because these people may be more serious illness, some are in a coma or craniocerebral damage, so their condition is serious and must be prioritized for resuscitation.

As for those patients who will shout, their vital signs tend to be more stable, or at least conscious. Of course there is a case-by-case approach, and some patients with heart disease, who are prone to deterioration, should also be the first to be saved.

12. If you want to be hospitalized, try not to pick and choose, but go to the hospital on weekends for admission.It's often hard to find beds at this time of year, due to the fact that hospitals are less staffed on the weekends and inpatient units don't process discharges, which means there are few empty beds available for new patients.

13, if the condition is more serious, go to the hospital to find a doctor always inevitably have to open a single check, some of these tests are routine checks, such as blood, urine, etc., therefore, it is best not to choose the afternoon to go to see a doctor, but more than eight o'clock in the morning to the hospital, at this time, try to not eat breakfast, because some of the tests are required to fasting, otherwise it may be necessary to run a trip for nothing.

14, try not to choose the hot weather season to do surgery, this situation is easy to wound inflammation, triggering more complications, and do not choose holidays to the hospital, this time the hospital is often overcrowded, the doctor is not all in place, may not achieve the purpose of seeking treatment.


Write at the end:

Hospitals are the most concentrated place of life, disease and death, where there is the warmth of the human condition, there is the world, but more because of the doctor's professional habits and work and rest time in the invisible formation of the unspoken rules. These unspoken rules are not bad, but potentially we all know, need to know the principles, know these key points to us to the hospital for medical consultation has a great help!

Now when I go to the hospital, I queue up to see the doctor and ask a couple of questions and prescribe a bunch of tests, then queue up for the tests until the end of the day, and have less than 10 conversations with the doctor in total.

In fact, the hospital unspoken rules quite a lot, as a person who knows the insiders, I come to secretly tell you some of the unspoken rules of the hospital.

Hospitals are not charitable organizations, and when a patient's family can't afford to continue treatment, the hospital can only choose conservative treatment

Don't blame the hospitals. Hospitals are self-supporting institutions, they are not charitable organizations, and so many health care workers are waiting for their salaries to support their families, so hospitals need to think about making a profit on top of treating the sick and saving lives.

Don't spray, everyone has to feed themselves first before they can think of doing good deeds, and it is the same with hospitals. For a hospital to thrive, apart from treating the sick and saving lives, the most important thing is to make a profit. Only when the hospital has more money can it retain better and more health care workers.

Hospitals have some bad debts every year, as little as 100,000 to 200,000 dollars, or as much as several million dollars

The forest is big, there are all kinds of birds, hospitals have more patients there will always be a variety of bad debt. Because some patients' families may not have money, some have money deliberately refused to pay, there may be some medical disputes.

They have been making a lot of trouble and they just won't pay the medical bills. Even if the hospital takes them to court, the court is at its wits' end and wants to enforce their assets, but most of them, too, do not have any fixed assets in their names to go to. Most of them are unemployed, and credit cards are of no use to them, so the name of old scoundrel doesn't hurt them at all.

Doctors are just ordinary people, they are not gods, and their skill level varies, so it's as if we're rolling the dice when we register to see a doctor.

Anyone who registers to see a doctor wants to meet the most skilled and excellent doctor, but there are only a few excellent doctors in hospitals. So no matter what kind of doctor we meet, please trust their medical skills.

It's like when we go to the barber store to get a haircut. When we sit on the barber's stool, we have no choice left but to trust the barber.

No matter how good they are, they are much better than laymen like us. Do not question the level of the doctor in person, do not take the Baidu to retrieve the case to the doctor to see, different patients suffering from the same disease, the treatment may not be exactly the same.

The portion of the hospital's reimbursement to the patient is paid by the SSA (social security agency), not the hospital

The patient is discharged from the hospital to check out, and after deducting the reimbursements, pays only a portion of the remaining medical expenses. The hospital will send all of the costs incurred by each patient who incurred reimbursement costs during their hospitalization to the Social Security Administration, which will aggregate the reimbursements for each patient and credit the hospital after the Social Security Administration has approved the batch audit.

So when we go to the hospital and incur reimbursement expenses, we need to know who is reimbursing you for this money. Don't be fooled into thinking that the hospital is paying for you.

Not all hospitalizations are reimbursable, such as hospitalizations for accidental injuries or cosmetic treatments.

For example, if we are hit by a car, if our family member injures themselves or commits suicide, or if we are cut, and so on, these situations are not eligible for reimbursement.

I have seen many people who attempted suicide by taking pesticides, spending more than $100,000 to $200,000, and although they were eventually resuscitated, their whole body organs had already failed, thus dragging a family down alive.

How many families can casually come up with a hundred or two hundred thousand dollars in today's society? Not only does it drag down a family financially all of a sudden. The subsequent treatment is still a bottomless pit, in addition to the need for people to take care of them day and night. How many families can survive such a predicament?

The world is actually a beautiful place. You should not even think about ending your life for the sake of your family or for yourself.

Doctors are very busy, please do not bother them because of some trivial things, if you are very presumptuous to bother them, please accept their small temper!

We often go to the hospital to find a doctor to investigate the accidental injuries of some patients, are to be booked in advance, if not booked in advance, basically ten to seven empty, in many cases are going to a lonesome, pouncing on the empty.

It's normal for doctors to be a bit grumpy after a busy day. Facing a wide variety of patients every day, doctors themselves are very depressed. It's normal for doctors to be a bit grumpy when they have to deal with all kinds of patients every day, and doctors themselves are very stressed out.

Don't force the doctor to modify or falsify your cases, it's just like breaking their rice bowls, not giving them food, and don't think that the doctor is insensitive.

Doctors modify, falsify the case is very serious, the penalty is light on the doctor to stop the right to prescribe, the penalty focus on discipline inspection and public security organs to intervene, that the doctor's job basically can not end.

Many patients or their family members often ask doctors to modify their cases or falsify the relevant cases so that they can go to the relevant departments to get their certificates, which is not allowed.

The basic professionalism of a doctor is to be responsible for the cases he or she writes, and never to allow arbitrary alterations or changes to cases that have been uploaded and filed privately.

Almost all doctors ask us about our financial situation before treating us, not to screw us of course, but because when your finances allow it, the doctor will choose the best course of action for you to save your life

I believe that many people who have been to the hospital have been asked by their doctors how their family's finances are and how much medical expenses they can afford. When many people hear a doctor ask this, they are immediately on guard. Are they all thinking that the doctor is getting ready to rip you off?

In fact, this is not the case. For the same disease, if the treatment cost is different, the treatment effect is still different. Imagine, a rich man with cerebral infarction spends five million dollars to treat and you suffer from cerebral infarction spends fifty thousand dollars to treat, this treatment effect can be the same?

Hospital examination fees, nursing costs, surgery costs, drug costs, laboratory costs, etc. are priced by the price department and have nothing to do with the hospital.

The most popular complaint after a visit to the doctor is that the hospital charges high and indiscriminate charges. In the past, there may have been high charges and indiscriminate charges, but now I clearly tell you that it is almost impossible. Now the hospital charges for each item, as well as the price of charges are clearly marked.

And can the hospital change that price?

It used to be possible, but the reality is simply not possible anymore, because the direction of health care reform is to make all hospitals use a unified charging system, hospitals do not use a unified charging system, then you can't make discharge settlements for reimbursement.

So don't go to the hospital to scold the health care workers for charging indiscriminately, overcharging, the items that are allowed to charge, that is the labor of the health care workers. For example, the nurse to give you a turn over a pat on the back, do an anti-decubitus care, that is the people should be charged money, because the other nurses to pay the labor.

If you don't think you should charge for it, then you go to the hospital and give it to every patient who needs anti-decubitus care for free. After all, if you want to be a lightning rod, that's a good thing, and no one is going to stop you.

Doctors are not gods and goddesses, they can't cure everything, and just because a patient has been discharged from the hospital doesn't mean that he or she has completely recovered from his or her condition.

Many elderly chronic diseases such as hypertension, diabetes, cerebral infarction, etc. simply can not do the medicine to cure the disease, and very often the patient is discharged from the hospital just better than before.

Due to the repetitive and long duration of chronic illnesses of the elderly, some elderly people are discharged from hospitals one week and then hospitalized the next week because of aggravation of their conditions. As a result, the family members of the patients would scold the hospitals and the doctors, thinking that the doctors have failed to treat the patients properly, which is actually very wrong.

There is no need for the patient's family to scold the hospital. In many cases, it is because the family does not give the patient medication on time or the family does not give the patient any medication at all for a long time that the patient's condition worsens as a result of the attack.

put at the end

Hospital is a place to save lives, because of its profit-making nature. Always be considered the existence of a variety of "unspoken rules", in fact, no matter which line of business have this unspoken rule. Subterfuge is just a trade rule or industry self-regulation, it represents not what we understand as "darkness".

The hospital itself is a profit-making nature, the doctor to save lives and help the injured at the same time certainly have to consider this economic benefits. After all, the most basic purpose of everyone's work is to provide for their families, and no one wants to great anyone to where this point.

At present, the doctor-patient relationship in hospitals is tense and many families do not trust doctors. But no matter what, doctors have been working hard and persistently for the health and well-being of the people and have given their all for us.

There is no doubt about it, and we should give them a big thank you and say, "Doctors, you have worked hard!

Cousin uncle is the hospital director, for the hospital's unspoken rules are the most clear, listen to the professionals, long insight. In order to figure out this issue to satisfy my curiosity, I deliberately asked my cousin uncle, the following are some of the unspoken rules about the hospital, read it can help you save a lot of money.

When you go to the hospital to visit a major hospital, you first get a general number.

My cousin said that it is best to visit a big hospital and get a general number first, do the tests that should be done first according to your illness and wait for the final results.

If the condition is more serious at this time and then go to register a specialist number, so that you can save some money, because if you hang a specialist number, first of all, the cost of registration is more expensive, and the expert prescribed by the cost of various tests is more expensive. It is not easy for the people to earn money, and it costs more money to go to the hospital, so if you can save, you can save a little bit.

There are more specialist clinics Monday through Wednesday.

Bigger hospitals have more specialists sitting on Monday through Wednesday, and Monday through Wednesday are the hospital's leading specialists. Specialists usually sit in the morning or in the afternoon, and usually specialists sit from Monday to Friday, so it is best to make an appointment online if you need to register for a specialist's clinic.

Pay attention to the need to see a specialist in the department of time, we have a master in the factory, every half a month to the hospital to see a specialist outpatient clinic, due to his culture is relatively low, each time I am on the Internet to help him hang up the specialist clinic.

Patients with complicated and difficult illnesses must go to the doctor from Monday to Wednesday, and make an appointment online to hang a specialist clinic before arriving at the hospital, so that they only need to sign in at the hospital, avoiding the time of waiting in the anxious queue.

If you are unfortunate enough to be hospitalized, don't complain that your doctor doesn't care about you.

If you are unfortunate enough to be hospitalized, having a good mood is conducive to recovery. Don't complain that the doctors and nurses don't care enough about you, it's a good thing you should be happy because there's not much wrong with you.

If the doctors and nurses are warming up to you and taking good care of you all day long, it means that your condition is serious and your situation is optimistic. The way the doctors and nurses treat you determines your condition, and that's something you need to be clear about.

Try not to have surgery on a Friday.

If you are sure you want to have surgery, don't do it on a Friday because many doctors are off on Saturdays and weekends and the hospital staff is small. If there are emergencies, there are fewer doctors on duty, and the risk to patients experiencing emergencies increases.

Don't choose to visit the hospital after 4:00 p.m. because the doctor on duty at 4:00 p.m. is already off duty, and besides, you can't get the lab results for the same day's test after 4:00 p.m.

On the 2nd day you will have to make another trip and register again, so for lab tests, it's best to go in the morning. The lab results will be available the same day, after all, everyone is pressed for time these days. Knowing this in advance saves you valuable time and reduces the number of trips to and from the hospital.

If you register at the hospital after 4:00, the lab test results will not come out that day. You will have to run to the hospital again on the 2nd day and still need to register, which is a waste of time and more money.

So don't visit the hospital after 4 p.m. If you need to check it's best to go in the morning, and if you need to check items that require fasting, remember not to eat breakfast, and fasting results are more accurate.

Women who are experiencing discomfort can apply for priority treatment.

Female gynecology patients who visit the doctor, if there is a sudden severe pain in the lower abdomen, or bleeding down there, female patients can choose to see the emergency room, you can also tell the nurse or the doctor in the emergency room to apply for priority treatment, and should not be delayed in the condition of the disease.

When having surgery, if the doctor is chatting it means that the patient's surgery was a success.

After surgery, if the doctor and nurse are chatting, it means the patient's surgery was successful. If the doctor and nurse don't say anything, it means the patient's surgery is going on intensely.

If the patient is in the intensive care unit doctors and nurses attending physicians do not talk to the family, it means that the patient's condition is stable, if the doctor and the family talk from time to time, and nurses often come to the monitoring room to see the patient, it means that the patient's condition is not good.

Don't only recognize the third-class hospitals, hang up not brother number don't buy scalper's high-priced tickets.

Tertiary hospitals are in the examination equipment, expert staff team treatment conditions and other aspects of the inherent advantages, and then good medical tertiary hospitals, it also has a general outpatient departments.

Do not buy scalper's high-priced tickets when you can't hang up the number , because the scalper's ticket price is particularly high, buy scalper's high-priced tickets for registration, the money spent can go to see a specialist special outpatient clinic.

Don't tell your doctor or your primary care physician that you're not bad during treatment.

Spending money on hospital visits is like running water, especially when it comes to major illnesses or when you need surgery and hospitalization, don't tell your primary care doctor that you're not too bad off to use the best of whatever medicine is available.

No few people's financial conditions can be capricious enough to let him say such words, except for the big tycoon ah, because people are not poor. If you find it useful, welcome to like, comment plus forwarding, to help more people.

To the hospital to see a doctor, such as the need to queue up the place don't pinch queue (pinch a child), unlucky. Doctors say, we are the work of pulling the pinch queue?

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