'Now doctors, I won't see a doctor away from the machine! 'How many doctors have hurt this statement

"As soon as you see a doctor, you can do a check. Do your doctors will not see a doctor without an instrument!"

In the outpatient clinic, a male patient accused Dr. Chen angrily, and his tone was excited because Dr. Chen wanted him to perform a CT examination in order to make further diagnosis.

In less than half a minute, several onlookers were gathered at the door, and they talked about:

"I just asked me to get blood."

"It's just a headache, why do you want to do CT?"

Dr. Chen sighed helplessly, he was accustomed to this scene . In Dr. Chen's opinion, diagnosis and treatment must talk about evidence, and you cannot rely on feelings and experience. Instrumental examination can help doctors clarify the condition and formulate a reasonable treatment plan.

First, why do you often check the doctor now?

Laboratory, color Doppler, magnetic resonance, CT ... Now go to the hospital to see a doctor, many patients need to check, but some people are very resistant and think they are "pitted".

In response to this issue, some doctors have shared a bloody case.

Last year, a young man in his 20s came to a doctor to see a doctor. He had been bloating, stomach pain, and acid reflux, which could not stand it for more than 2 months. In the outpatient clinic, after the doctor did a preliminary examination, it was recommended to check the gastroscopy, but the young man refused as soon as he heard it .

No way, without examination, doctors can only prescribe the right medicine.

Six months later, the symptoms of young people appeared again and aggravated, and came to the hospital to see a doctor. The doctor did ideological work and persuaded him to do gastroscopy. He sighed and agreed reluctantly. The results showed that the gastric wall was stiff, and there was redness and ulceration at the gastrointestinal sinus. The biopsy was diagnosed with " gastric seal cell carcinoma " . Subsequent examinations found that cancer has metastasized by the abdominal cavity, and it is late.

In half a year, it is enough to allow gastric cancer to develop into advanced stages. If gastroscopy is made from the beginning, will the ending be different?

There are too many unknown risks in medicine. Doctors are humans, not God, and it is impossible to know the situation in the patient at a glance. The doctor's judgment is subjective, and the diagnosis requires an objective basis to prove its scientificity, and sometimes instrumental examination is essential.

2. Without the instrument, will the doctor still see a doctor?

"Without the instrument, will your doctors still see a doctor?"

Numerous patients have asked this sentence, so we assume that if the hospital is out of power, all instruments cannot be used, what should I do?

Before laboratory inspections and video technology popularization, traditional physical diagnosis occupies a major position . Physical diagnosis refers to physical examination . Through physical examination and combination of consultation, most of the common diseases can be diagnosed. It is not that the doctor will not see the doctor without the instrument doctor.

What's more, diseases are divided into major diseases and minor illnesses, most of which do not need to be checked . For some common diseases, most doctors will not allow patients to check further, so in community hospitals, there are relatively few instrument examination. Those who see a doctor at a large hospital may have diseases that the community hospital cannot be diagnosed or treated. At this time, the probability of checking is increased.

Objectively speaking, instrumental examination is the result of medical progress.

Taking cerebral hemorrhage as an example, if the patient has suspected symptoms, CT examination can quickly assist diagnosis. However, if there is no CT, the process of diagnosis is traditional and troublesome . It needs to be checked repeatedly, test medication, lumbar spine puncture, brainstorming, etc. It takes a few days.

Cerebral hemorrhage is a critical illness. One minute of treatment every night, there is an extra risk of death.

Therefore, if there is no instrument, doctors will see a doctor, especially minor illnesses. However, if it is difficult or major diseases, it may increase the probability and time cost of misdiagnosis, and eventually delay treatment.

3. Doctors who are good at using the instrument are good doctors

In fact, the purpose of medical examination is very simple. One is to verify the doctor's judgment, and the other is for further treatment.

In modern medicine, doctors who are good at using instruments are good doctors and are the doctors responsible for patients. Determining whether different patients need to be checked, what inspections are required, and when to review, they are the basic skills of a good doctor. After all, experience can never replace real data .

Of course, we do not encourage any excessive examination and treatment, but doctors and patients should actively consider for necessary examination and treatment.

Extension: The physical detection of these diseases, basically no need to cure

Sometimes, the patient finds abnormalities during the examination, and he is scared and even thought he is going to die. In fact, we don't have to worry about some problems found during the medical examination, because they basically do not need to treat, for example:

1. Cervical erosion

The word " cervical erosion " sounds scary, but it is not really erosion, but a very common chronic cervical inflammation. Most of them belong to normal physiological phenomena without treatment.

2. Heart early blog

Puzzle is the most common type of arrhythmia, which refers to the case where the heart is beating in advance. But it is not a heart disease. Most of them are benign and do not cause heart problems. As long as there are no other abnormal symptoms, don't worry too much.

3. Chronic superficial gastritis

Most people who have done gastroscopy will get the conclusion of " chronic superficial gastritis ". This is the lightest diagnosis. If there is no symptoms of discomfort, only mild inflammation is displayed, and there is usually no need to treat.

4. Announced asymptomatic prostate calcification

Prostate calcification refers to the deposition of calcium salt for local tissues , which is a symptom and not a disease. In most cases, prostate calcification is a normal physiological process. Generally, there are no obvious symptoms and signs, will not affect fertility, will not cause cancer, and no targeted treatment is required.

The reason why medicine is constantly developing is to be able to give diagnosis faster and more accurately, run with diseases, and win life. We have to look at medicine from a scientific perspective, neither over -examination nor blindly refusing to face the disease, and we must think twice in order to facing the disease in order to gain the highest benefits for patients.

References:

[1] Cai Shishi, Xu Ying. Doctors see a doctor. Clinical thinking is more important than the inspection of instruments -Li Yousheng, Director of General Surgery of the Ninth People's Hospital of Shanghai Jiaotong University Medical College [J]. Rehabilitation, 2017 (5): 3. 3.

[2] Full Department of Clinic · Case6 | Pay attention to the basic skills of physical examination.

[3] You do n’t need to treat these nine diseases. Do n’t scare yourself! . Medical circles endocrine channel. 2020-01-07

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