Joke Collection Website - Joke collection - Why are blood tests always required when seeing a doctor in some hospitals?
Why are blood tests always required when seeing a doctor in some hospitals?
"Doctor, please check my pulse to see if my blood sugar is high?" As a doctor in a traditional Chinese medicine hospital, this kind of problem will be encountered frequently. Although TCM culture has thousands of years of history and is extensive and profound, pulse diagnosis is an extremely important part of TCM culture. This makes many people mistakenly regard TCM pulse diagnosis as a "master key" and believe that pulse diagnosis can solve all problems and even replace it. Laboratory examination, this is a wrong and absurd view. The four diagnostic methods of pulse diagnosis in traditional Chinese medicine are inspection, smelling, questioning, and palpation. They are used to observe the balance of yin and yang in the patient's body and the rise and fall of qi and blood. We often say to patients: "In traditional Chinese medicine, diseases are mostly caused by imbalance of qi and blood in the body." , caused by the imbalance of yin and yang, Chinese medicine is to regulate the body's yin and yang secrets, and make the qi and blood abundant. After the body's body is adjusted, the body's own regulatory mechanism will return to normal operation, so the disease will tend to get better. "With modern times. With the continuous development of medicine, combined with the unquantifiable shortcomings of traditional Chinese medicine, laboratory examinations have become an important basis for diagnosis. The development of laboratory examinations has made the diagnosis of diseases more scientific, standardized and accurate.
Blood tests are an important means of examination. This is because blood carries important health information. Blood flows in every part of our body and is the basic nutrient for our survival. Here are a few specific tests: The project would like to introduce to you the importance of laboratory examinations:
1. Oxygen: Blood carries oxygen. Oxygen is an important life support. Excessive oxygen content can lead to oxygen poisoning. Oxygen poisoning can cause a series of symptoms such as dyspnea, palpitations, dizziness, nausea and vomiting. When the oxygen content is too low, a series of hypoxic symptoms such as skin cyanosis, dizziness and headache, and abnormal mental state will occur. Therefore, when we experience these symptoms, Doctors must draw blood to check the blood gas analysis results to determine the oxygen content in the blood and further prescribe appropriate medicine.
2. Sugar: Elevated blood sugar in diabetic patients refers to an increase in sugar content in the blood. When the body has insufficient insulin secretion, insulin resistance or chronic liver damage, the sugar intake cannot be fully absorbed. When absorbed and used, it will enter the blood, leading to symptoms of polydipsia, polyphagia, polyuria, and weight loss. Therefore, when we suspect that blood sugar is elevated, it is necessary to test blood sugar to confirm whether it is diabetes and conduct further blood tests. Pancreatic islet function, liver function, etc. are used to determine the cause of diabetes, and appropriate drugs are selected based on the quality of liver function.
3. Potassium: Potassium ions participate in the metabolism of important substances in the body and maintain the acid-base balance in the body. When hypokalemia occurs, muscle soreness, tachycardia, and even lead to Cardiac arrest and hyperkalemia may indicate renal failure, intestinal paralysis, heart disease, etc. These consequences are usually fatal. Therefore, when abnormal potassium concentration is suspected, blood tests must be taken to confirm the blood potassium level.
4. Blood lipids: High blood lipids are the basic factors for many diseases such as arteriosclerosis, coronary heart disease, and hypertension. Therefore, controlling blood lipids can prevent various cardiovascular and cerebrovascular diseases and nip them in the bud. . Moreover, when we take lipid-lowering drugs, we must regularly review liver function, so as to avoid damage to liver function due to taking lipid-lowering drugs.
5. Protein: As for diabetic nephropathy, we will stage diabetic nephropathy based on quantitative detection of urine protein. In addition to clarifying the degree of disease, the staging of diabetic nephropathy also plays an important role in selecting based on the stage. Appropriate hypoglycemic drugs can avoid choosing hypoglycemic drugs that are ineffective or harmful to the body. The test at this time not only avoids unnecessary waste of money for the patient, but also provides the patient with a more reasonable treatment plan.
The above-mentioned indicators are just the tip of the iceberg among many laboratory tests. Laboratory tests are like the fuse of our life and health, protecting our health and also indirectly affecting our health. It saves us long-term medical and economic costs, so we must not blindly reject laboratory examinations.
Author: Li Xiaoxiao
Modern medical technology is changing with each passing day, and we have moved away from the era of men taking pulses, women looking at the tongue coating, etc.! Everything should keep pace with the times. Blood tests with advanced instruments and equipment can detect many problems that are difficult to detect using traditional methods. What's more, the analysis of instruments and equipment has the characteristics of timeliness, speed and accuracy, and its efficiency dwarfs that of Wenzhen. It is indeed very different.
Treating illnesses and saving people is like putting out fires. The faster, the more beneficial it is. This is not an alarmist statement. Of course, it should not be denied that the testing prices of advanced instruments and equipment seem to put a lot of financial pressure on ordinary people. However, there is no doubt that when I have to choose between life and money, I naturally choose the former. Just think about it: if the skin is gone, how will the hair be attached?
Among the common physical examination items, blood tests are mostly used to measure blood lipids, blood sugar, blood viscosity, hepatitis B and liver function, and to check pregnancy through blood tests. With the continuous expansion of physical examination items, early detection of blood diseases, infection and inflammation, anemia, leukemia, AIDS, and some tumors selected by the examinee can all be achieved through blood tests. Although the blood test is a simple routine examination, it can reflect many diseases:
1 Red blood cell and hemoglobin examination - reduction: Red blood cell reduction is more common in various anemias, such as acute and chronic regeneration Obstructive anemia, iron deficiency anemia, etc.; increased: common in body hypoxia, hemoconcentration, polycythemia vera, emphysema, etc.
2 White blood cells and neutrophils - Physiological increase in white blood cells is more common in strenuous exercise, after eating, pregnancy, and newborns. In addition, different parts of the blood collection site can also cause differences in the number of white blood cells. For example, the number of white blood cells in earlobe blood is higher on average than in finger blood. Pathological leukocyte elevation is more common in acute purulent infection, uremia, leukemia, tissue damage, acute hemorrhage, etc. Pathological leukopenia, aplastic anemia, certain infectious diseases, cirrhosis, hypersplenism, radiotherapy and chemotherapy, etc. Lymphocytosis: certain infectious diseases, viral infections, lymphocytic leukemia; mononucleosis: tuberculosis, typhoid fever, malaria.
3 Platelets - increased: thrombocythemia, chronic myelogenous leukemia, etc.; decreased: aplastic anemia, hypersplenism, thrombocytopenic purpura, DIC, etc. ?Prolonged coagulation time is seen in the lack of coagulation factors, the presence of anticoagulant substances in the blood circulation, enhanced fibrinolytic activity, poor thromboplastin generation, etc.; shortened coagulation time is seen in hyperlipidemia, hyperglycemia, cerebral thrombosis, venous thrombosis, etc.
In addition, it goes without saying that blood testing may have economic considerations.
Blood flows everywhere in the human body. If there is a problem anywhere in the body, abnormal changes in normal blood indicators will be most obvious. Routine blood test is the most basic blood test, which mainly includes red blood cell, white blood cell, platelet count and hemoglobin content measurement. It allows doctors to assist in diagnosing diseases based on changes in indicators and morphological distribution.
Through the patient's clinical manifestations and combined with blood routine results, doctors can accurately identify the patient's disease type and severity, prescribe the right medicine, and use the minimum amount of medicine to maximize the therapeutic effect.
Below, I will take several common diseases as examples to help everyone quickly understand the importance of routine blood tests in the diagnosis and treatment of diseases.
Performing routine blood tests when you have a cold can help clinicians accurately determine the type of cold and provide a reasonable medication plan.
Colds can be divided into two categories: bacterial colds and viral colds. Bacterial colds generally have an elevated white blood cell count and neutrophil count, while viral colds tend to have normal or low white blood cell counts and an elevated lymphocyte ratio.
Generally speaking, antiviral drugs are needed to treat viral colds, while antibiotics are needed to treat bacterial colds. Not prescribing the right medicine not only wastes money, but also fails to achieve the therapeutic effect. Abuse of antibiotics will accelerate bacterial mutation and develop drug resistance, and can also cause intestinal flora imbalance, etc. Therefore, it is particularly important to use antibiotics rationally according to the type of cold and blood condition.
Anemia refers to a common clinical symptom in which the volume of red blood cells in the peripheral blood of the human body is reduced and is lower than the lower limit of the normal range. It can be divided into iron deficiency anemia, megaloblastic anemia, Aplastic anemia, etc.
Although the hemoglobin concentration of the human body will decrease when anemia occurs, the shape and number of red blood cells vary due to anemia due to different causes.
There is also a kind of transitional cell in the blood between immature red blood cells and mature red blood cells, called reticulocytes, which can reflect the vigorous degree of hematopoiesis in the bone marrow.
After effective treatment of iron deficiency anemia or megaloblastic anemia, the number of reticulocytes in the blood begins to increase in 2 to 3 days, reaches a peak (about 10%) in 7 to 10 days, and gradually drops to normal levels after 2 weeks. Therefore, reticulocyte count is often used as one of the must-do follow-up examinations for patients with anemia.
Diarrhea can be caused by bacterial and viral infections, or by gastrointestinal dysfunction caused by irritation from raw or cold food.
In short, blood tests can not only help diagnose diseases, but also help doctors observe the effects of treatment, which is very critical for doctors to judge the condition of the disease.
Because there are more people suing hospitals now, in order to protect themselves, doctors and hospitals must follow the rules of "Evidence-Based Medicine" at every step and leave evidence at every step. For many diseases, doctors actually have a diagnosis in mind, but they need evidence and cannot just rely on subjective judgment, so they need to be tested. It’s not that doctors don’t look at the results. Nowadays, hospitals’ computers are connected to the Internet. When you go to get the results, the doctor’s computer has already seen them.
Then why is it so troublesome for you to get the results? Because it allows you to see it yourself, and it also eliminates the possibility that if something happens and you sue the doctor, the hospital will modify the computer data.
There is another thing called "drug ratio", which is an assessment indicator for hospitals by medical insurance. Usually tertiary hospitals require 20%, which exceeds the deduction for doctors. In other words, if your medical expenses are RMB 20, the total cost will be more than RMB 100. Otherwise, I will prescribe self-pay medicine and let you buy it outside.
Some people don’t understand and always think that hospitals prescribe MRI and other tests indiscriminately. In fact, if they know that there is no follow-up treatment for the disease and just do MRI, the hospital will lose money in calculation, and the hospital will not be so stupid. Equipment such as nuclear magnetic resonance is imported at a sky-high price. The manufacturer stipulates that it must be maintained after a certain number of uses. Just like if you buy a luxury car, the maintenance cost is also sky-high, and the inspection fee is set by the Price Bureau. Even if you are rich, The company is willing to pay for all employees to undergo MRI for daily physical examinations, but the hospital will not do it. This will cost the hospital a lot of money.
Those in the industry would not believe these things, thinking that one or two thousand for an examination is already very expensive and the hospital can make a lot of money. In fact, at the current price, the hospital has no money to make by just doing the examination and has to make a loss. "Happy Little Doctor" has the answer for you. Happy to follow
Nowadays, medical diagnosis of diseases does not require blood tests. Let me tell you a joke and see what else is there for diagnosis?
It is said that a doctor was out in the clinic and was treating patients. As a result, a patient came to the doctor with a small box of poop in his hand and said angrily: Doctor, you asked me to do a urine test. I barely swallowed it. But you said you want me to have a bowel test, how do you want me to swallow this?
This is just a joke, but we have seen that not all diseases require blood tests.
Generally speaking, Western medicine needs to diagnose a disease based on the patient's medical history, physical examination, laboratory examinations, and auxiliary examinations. These aspects must be unified together and point to one disease so that the diagnosis can be basically confirmed.
Why can’t the diagnosis and treatment be confirmed by taking a medical history and physical examination?
Because of the same symptoms and signs, many diseases may be present.
Anyone who studies medicine knows that surgeons are afraid of patients complaining of stomachaches, and physicians are afraid of patients complaining of headaches. Why?
Because there are so many causes of stomachaches and headaches, it is necessary to identify the causes before prescribing the right medicine.
For example, stomachache may be appendicitis, gastroenteritis, intestinal spasm, gallstones, kidney stones, intestinal obstruction, etc. There are too many diseases.
Treatment may include anti-inflammatory drugs, surgery, antispasmodics, etc.
In order to confirm the diagnosis, different examinations are required, some require blood tests, some require urine tests, some require color ultrasound, and some require CT, etc.
Symptomatic medication can only be given after the diagnosis is confirmed. No one wants to get the wrong diagnosis, least of all the patients.
"Happy Little Doctor" will push you health and medical knowledge and share cases every day. Don't forget to click on the upper right corner to follow!
Why did I modify the health values ??of blood routine, lactate dehydrogenase and serum calcium indicators
Dahai
March 1, 18:36
Why did I modify the health values ??of blood routine, lactate dehydrogenase and serum calcium indicators?
There is a quality difference in the movement of life. Supporting human survival depends on the physiological activities of human organs. Ability, there are differences between people in terms of level or strength of ability. Usually people only use vague concepts to make distinctions and cannot accurately measure them with numerical values, which leads to inaccurate judgments and events that surprise people. Recurring occurrences, for example, sudden death, sudden onset of high blood pressure, sudden diagnosis of cancer and other sudden major illnesses.
When sudden events occur, what is extremely surprising is that they are often in good physical condition and have normal medical examinations. Are there no signs or regularity for emergencies? What is the breakthrough point for mysteries?
Emergencies are events that occur among people. When such events occur in any area, individuals and groups are in the same environment, and differences in living conditions cannot be proven to be an important factor in emergencies. Therefore, we need to start with the conditions of human health to find the answer.
From a medical point of view, various methods of health examination are performed. There are great differences in the inspection, smell, questioning and examination. The trust in accuracy is mainly placed on the instrument examination, while blood routine, liver examination and so on. The importance of checking functionality is first and foremost, so I started from this perspective.
There is no historical record of when the blood routine examination method was introduced into China. Western medicine was officially introduced to China in 1834. From 1843 to 1887, Western medicine was introduced from abroad and used in Shanghai. Therefore, we can only infer that blood Conventional applications have a history of more than 100 years.
The author of the blood routine reference values ??also has no evidence. The author has been working since 1972 and has found that the reference values ??of routine blood tests have not been modified. With the development of society, the improvement of living conditions, and the improvement of human health, the blood routine reference values ??that have been used for hundreds of years and use the health index of most people in East Asia as health standards are no longer suitable for the needs of today's medical diagnostic standards. , has lost the scientific significance of blood routine examination in diagnosing diseases, so that the value of routine blood examination has not been reflected, and even the nature and extent of the disease have been obscured.
Careful analysis can reveal that the normal white blood cell count for adults is 4.0~10.0X109/L. The normal value means the value of a truly healthy body. However, in addition to blood diseases and bacterial infections , almost all sub-health conditions, cardiovascular and cerebrovascular diseases, and even early and mid-stage cancer diseases are within the normal range. Is the occurrence of cardiovascular and cerebrovascular diseases or cancer just a local problem of the human body and has nothing to do with the composition of blood cells? Or do you still not realize the causal relationship between the generation of early diseases and cells? For people with a low neutrophil percentage and a high lymphocyte percentage, who have typical allergic constitution, the main blood indicators are also within the normal range; the degree of sub-health is obvious but does not meet the medical diagnosis standards of the disease, cachexia, For cancer patients or the elderly who are dying, platelets are still within the normal range. Such standard setting of normal values ??or reference values ??has obviously lost the medical diagnostic significance of routine blood tests.
Another example with similar significance: In 1981, the Ministry of Commerce imported corn from Lianyungang Port. The warehouse of the foreign ship was filled with seawater in the Sea of ??Japan. 38,000 tons of corn were soaked in seawater and severely deteriorated. However, the heavy metals, pesticide residues, and protein content were in line with the trade agreement between the two countries, and the other party strictly refused to compensate. In desperation, we designed a peroxide value detection method and presented the peroxide value test results of protein spoilage, and finally won a compensation of US$4.05 million. If the contracts were rigidly followed and health inspection certificates in line with national health standards were issued to tens of thousands of tons of spoiled grains, the imported food inspection and supervision agencies would lose their dignity and be disgraced. At that time, there were no national project regulations and testing methods for this food category when using this analysis method.
It was praised by the Ministry of Health as the largest food compensation case since the founding of the People's Republic of China, and the Ministry of Commerce named it nationwide for praise.
This example illustrates that the setting of standard values ??must be realistic and cannot be blindly applied mechanically. Only by following the rules and not correcting mistakes can the purpose of setting standard values ??be achieved.
In the blood routine reports for thousands of different diseases, we encountered many cases where the values ??of routine blood tests were inconsistent with the actual physical condition of the subjects: the data were within the normal range, and the imaging results were However, the examination is for the diagnosis of serious diseases or even cancer; for complex and difficult diseases, many items of blood routine are within the normal range; for cases where the body is obviously abnormal but on the edge of disease and health, it is excellent The subject had passed away the next day according to the physical examination results; patients with obvious signs of anemia had three red blood cell tests showing normal values; patients with early- and mid-stage cancer undergoing high-dose chemotherapy had no abnormality in the enzyme indicators that showed whether the liver was damaged; the patients were critically ill. Patients cannot predict the time of death through blood routine liver function indicators. Why can't these incredible phenomena be organically linked to changes in blood cells? Is there no causal relationship between changes in cells and health status? Are there any regular changes? If there is no close relationship between blood routine data and diseases, wouldn’t the blood routine technology have no medical diagnostic value? Are routine blood examinations still necessary?
No matter what the state of human health is? There is a balance point between the level of health. A 100% healthy state has a balance point, a 75% health state has a balance point, and a human body on the verge of death also has a balance point. The difference in the balance points of different human bodies depends on the quality of establishing the balance point. The balance points of different health levels are actually the displacement of the balance point. The process of changing the health status of the human body from high quality to low quality in youth is the result of the displacement of the balance point.
It goes without saying that life is an extremely complex organism. From the intricate physiological activities of human life, we can find the root and source. The cornerstone of life is composed of tissue cells, and cells are mainly provided by the hematopoietic organs of the human body. . The life cycle of a cell has been recognized by medicine as 128 days. New cells are continuously produced, and old cells die sequentially, forming a balance that maintains the periodic changes in blood cell metabolism. Cells are closely related to other physiological manifestations of the human body. Therefore, the balance point of human health should be found in the composition of human cells and the changes in their composition. The specific manifestations are the well-known blood Routine inspection.
I choose the relationship between concentration and quality to express the quality of the balance point of human health. Blood is composed of red blood cells and white blood cells, and white blood cells are subdivided into several cells, such as neutrophils, lymphocytes, monocytes, basophils, and eosinophils. When the human body's health level is at its highest, blood cells behave in optimal proportions. When the health level decreases, the cell composition will change accordingly. The extent of the decrease in health level has a certain relationship with changes in cell composition and cell structure. Simply put, it is related to changes in concentration. The higher the health level, the more reasonable the structure of the cells is, which is the optimal stage. The lower the health level, the more unreasonable the structure of the cells is. This is the worst stage, and the intermediate stage is between the two.
When the health level changes, what changes with it is not the change in the absolute value of cells but the change in the proportion of cell composition. Therefore, the absolute value of each cell in the blood routine is of little significance, so the meaning of the percentage is It has played a leading role as a bellwether for health changes.
As far as materials are concerned, it is common practice to set a certain standard value while taking into account the conditions under which most of society can survive. However, for human health, there are obviously many shortcomings in using this common practice. The blood routine reference value The setting highlights its shortcomings. It is assumed that a physical condition with a percentage of more than 60 points is considered a healthy condition, and a condition of 60 points is at the critical line of disease. This means that the standard set by the blood routine reference value is too loose, resulting in a gap between disease and health. A stalemate situation that overlaps with each other and is confusing.
No matter what level of health the human body is in, any uncomfortable feeling is a superficial phenomenon of abnormal health, and the composition and structure of cells will also undergo subtle changes. In this case, if the blood The reason why the routine does not show the changes that follow the trend is the sensitivity and accuracy of the detection technology. If the blood routine does not show the size of the healthy amplitude change, it is the reason why the blood routine reference value setting area is too loose. Therefore, in order for blood routine to respond sensitively to changes in human health, it is necessary to re-find rigorous and logical limiting parameters and formulate new normal values.
Lactate dehydrogenase is a rarely used item in the diagnostic process. It is mainly used to consider malignant tumors, hepatitis, cirrhosis, myocardial infarction, etc. This item is not included in normal physical examinations. The regular changes in the numerical value of lactate dehydrogenase are particularly prominent in cancer patients and people with cachexia. However, the significance of lactate dehydrogenase has not been fully valued and effectively utilized in clinical applications, especially in the treatment of cancer and cachexia. Many terminal cancer patients who have been ill for a long time do not even have the concept of lactate dehydrogenase. The reason is that the normal value or reference value range set for lactate dehydrogenase is too large (the reference value of lactate dehydrogenase is 109-245u/L), which loses the diagnostic significance and evaluation of the lactate dehydrogenase project. The precious value of therapeutic effects.
The reference value of serum calcium is 2.10--2.80mmol/L. The setting of the normal range of serum calcium and lactate dehydrogenase is exactly the opposite. The fluctuation area is extremely narrow. In the process from health to death, serum calcium The range of change is only a few tenths of mmol/L. The formulation of such a small range of serum calcium amplitude changes completely obliterates the medical diagnostic significance of serum calcium in electrolytes in human tissue fluids. In terms of function, the function of serum calcium is completely better than that of lactate dehydrogenase, and it is no less important than the diagnostic significance of all physiological activities in the blood routine. The same blood routine value shows the status of the disease, but serum calcium reveals the extent of the disease. Therefore, the serum calcium index has not been actively used in clinical practice, and the popularization of health education has been misled by false propaganda, which has also branded the public as just calcium supplementation. This concept has spread to millions of people and has endless harm.
All medical indicators of the human body are inextricably linked to each other, affecting the whole body, including the red blood cell group, white blood cell group, platelets, lactate dehydrogenase and serum calcium. The indicators are correctly, accurately and accurately integrated into one, and can display the signals of human body activity changes with high sensitivity and all-roundness, and combine to form comprehensive judgment parameters. This requires selection that can not only highlight the characteristics of individual indicators, but also have the characteristics of each item. The parameters of fusion that conform to the rules are the single balance point and the balance point of comprehensive items mentioned above.
The individual balance point can display the problems existing between a certain aspect of the body's health status and other individual items. The overall balance point can display the overall health level of the human body and identify possible test data for a certain individual item. technical errors. Technical errors include systematic errors, including method errors, instrument errors, reagent errors, operational errors and accidental errors. These errors are not even noticed by the tester. They can be identified through the logical relationship between the numerical changes of the single balance point and the comprehensive balance point. (So ??while checking the various indicators of blood routine, it is also necessary to analyze the relationship between the various indicators to judge the accuracy of the test data).
Using the setting of individual and total balance points, its functions are: 1. In the early stage of the early stage when the human body does not feel but the obstacles that already exist in the body, the problems that have occurred in the human body can be expressed in the form of data, and The extent of the problem can be described numerically, that is, in the early stages of asymptomatic sub-health, the sub-health status can be known and a preventive warning can be achieved. The reason why many people feel good when they are diagnosed with cancer is that they ignore the role of the balance point; secondly, they can judge the degree of the disease, evaluate the treatment effect and judge the quality of the treatment during the treatment process, and can evaluate the drug. Judgment and weigh the effectiveness of the drug and the pros and cons between the positive effects and side effects of the drug on the human body; 3. Judgment of whether to terminate treatment for endangered patients.
When the cell regeneration function of an endangered patient has been lost, when the trend of organ failure is irreversible, and when the miracle drug cannot activate the hematopoietic organs, the above indicators can be displayed numerically, although the patient's physical signs are still left to relatives. All efforts at this time are ineffective and should be cut off. Otherwise, it will only prolong the torture of the patient, aggravate the pain, destroy the dignity of the deceased, and lead to the end of all wealth and death.
The correction of normal values ??improves the evaluation standards of health level, discovers the direction and trend of human health development in advance, accurately judges the role and effect of treatment and the occurrence of side effects during treatment, and screens other diagnostic instruments errors and promote improvements in treatment quality.
Whether the normal value correction is consistent with its medical value should be verified with facts and time.
Attachment: The corrected normal values ??are as follows:
Red blood cells 450--550 10X12
Hemoglobin 135--165 G/L
Hematocrit 40--50%
White blood cells 5.5--6.5 10X9/L
Neutrophil percentage 55--65%
Lymphocyte percentage 32--35 %
Monocyte percentage 5.5--6.5 %
Platelets 1.6--1.8 million
Lactate dehydrogenase 109--160 U /L (modified based on the original reference value 109--245)
Serum calcium 2.4--2.41mmol/L (modified based on the original reference value 2.1--2.8)
This question is very Actually, you will understand after reading my answer. I am an old physician and have been working for more than 30 years. When I first started working, seeing patients, laboratory testing was not as common as it is now, especially when treating outpatients. For common diseases, you can basically make a preliminary diagnosis based on experience by asking about medical history and doing physical examinations. It is to prescribe the medicine for three to five days first and give it a try. If it is not good, then further examination will be carried out. If the treatment is not good, the patients will accept it. If the effect is not good, they will not cause trouble to the doctor. They always trust the doctor and will accept the doctor's opinion.
With the development and progress of medicine, from the aspects of policies and regulations, hospital standardized management and medical science progress, patients' treatment and doctors' medical practice have gradually changed, which are specifically reflected in the following aspects:
p>
1. Evidence-based medicine requirements: Doctors cannot treat patients based on experience alone. Every diagnosis and every treatment must be based on evidence, such as gastric ulcer. In the past, patients had acid reflux, belching, and upper abdominal pain. Postprandial pain can basically be diagnosed, and doctors can prescribe medication based on symptoms and signs. But now, a gastroscopy is necessary to diagnose. If you don’t do an examination and tell the patient directly that you have a gastric ulcer, the patient will not agree and will ask the doctor, why do you diagnose me with a gastric ulcer?
2. Hospital standardized management has many indicators for assessing medical quality. One of them is the proportion of drugs, which is the proportion of drugs in the total cost. Hospital standards at all levels are different, but the general direction is the proportion of drugs. The ratio cannot exceed the ratio of examination and treatment. Examination and testing are also an effective way to reduce the misdiagnosis rate and improve the diagnosis rate. Therefore, sometimes more money is spent on examinations than on medicines.
3. The tense relationship between doctors and patients leads to an increase in doctors’ awareness of self-protection. After the promulgation and implementation of the Regulations on the Handling of Medical Accidents in 2002, patients' awareness of rights protection has increased, and complaints against doctors and hospitals have continued. In order to protect themselves, doctors must investigate whether they can or not, otherwise, if they miss a diagnosis, they will get into trouble. It was miserable.
Therefore, in the current medical environment, patients have broken their trust in doctors, doctors cannot let go, and in the end it is the patients who suffer. We old doctors will be very sad that it is much more difficult to be a doctor now than when we were young.
Every year when I go to the hospital when I am sick, my husband orders a blood test. It is very troublesome. I go there and have three blood tests. A week later, I wait for a long time to get the results. Iron anemia, sir, do a blood test to diagnose the condition. Traditional Chinese medicine doesn’t think so. If you don’t do a blood test, check your pulse to diagnose the disease. Just use intuition. Everyone has their own way.
Of course, you don’t have to do it. Blood tests, based on experience, experimental medication, if it gets better, you’re better, I’m better, everyone is better, but what if it’s not better? The money you spent on the previous medicines turned out to be white, and it doesn't count as a waste of time. How can you not blame the doctor? I guess you are of good quality and don’t care. What about others? Many people in today's society are very strange
- Related articles
- Excuse me, are students allowed to have long hair in Fuzhou No.1 Middle School, Fuzhou Normal University High School, Fuzhou No.2 Middle School and Fuzhou Foreign Language School?
- Ask for some super funny jokes
- Laughing and generous idiom stories
- What stalks did Altman have today?
- Class meeting cold joke
- English handwritten newspaper pictures
- What is the employment prospect of nursing specialty?
- The role of laughter in solving interpersonal contradictions.
- Loquat is not the answer to reading pipa.
- Cartoons suitable for nine-year-old children