VIP Class Notes (Lily) [W]

corrected the writing

Pronunciation

ai: tail pail rail fail e-mail main pain gain drain raining
ay: hay bay May railway lay payment say clay pray tray

Vocabulary

1.contacts= 隐形眼镜
contact solution= 隐形眼镜药水
ex: do you like to wear contacts?
ex: I like to wear contacts because I can finally eat noodles without the foggy glasses.

2. plan B= emergency contraceptive pill 紧急避孕药
ex: you can buy Plan B off the counter without a prescription.

Chronic cough patients journey
Chronic cough is a symptomatic diagnosis that persisting cough for over 8 weeks, affecting in 10% Chinese population.
Most patients conduct self-treatment when cough occurs, if the condition doesn’t relieve within 2 weeks, most patients choose to go to hospitals for further diagnosis and treatment.
1. Symptom appears and self-treatment When initial symptom appears, most patient choose seeking help from pharmacy, online information or relatives.
2. 1st hospital visit Some patients go to community hospital/ primary hospital for medical consultation, while some go tier III hospital firstly due to there is no referral restrictions in China.
3. 2nd hospital visit most patients who visit primary hospital initially will choose go to tier III hospitals.
4. Patient distribution by department ~80% CC visit respiratory department for initial consultation, although some patients might go to other departments for initial visit, they would go to respiratory for diagnosis if the condition can’t be controlled
5. Initial diagnostic tests and treatment Initial suspicions are based on medical history inquires and physical exam. Then most physicians apply empirical treatment according to suspect cause.
6. Systemic workup and treatment After patients have received some general medical treatment without improvement , systemic workup might be applied to determine diagnosis

Revised

Chronic cough patients journey
Chronic cough is a symptomatic diagnosis when patients persisting cough continuously for over 8 weeks, affecting in 10% of the Chinese population.
Most patients conduct self-treatment when cough occurs, if the condition isn’t relieved within 2 weeks, most patients choose to go to the hospital for further diagnosis and treatment.
1. Symptom appears and self-treatment: When initial symptoms appear, most patient choose to seek help from the pharmacy, online information or relatives.
2. 1st hospital visit: Some patients go to community hospital/ primary hospital for medical consultation, while others go to tier III hospital firstly because there is no referral limitations in China.
3. 2nd hospital visit :most patients who visit primary hospital as plan A will choose to go to tier III hospitals for plan B. 
4. Patient distribution by department: Around 80% of the CC patients visit respiratory department for initial consultation, although some patients might go to other departments for initial visit, they would go to respiratory department for diagnosis if the condition/illness can’t be controlled
5. Initial diagnostic tests and treatment: Primary diagnosis is based on medical history, inquires and physical examinations. Then most physicians apply empirical treatment according to the primary diagnosis.
6. Systemic workup and treatment After patients have received some general medical treatment and sees no improvement , systemic workup might be applied to determine the correct diagnosis.