Why are there so many tests every time you are hospitalized?

The perspective is different. From the patient's perspective, the doctor is doing it to generate income, but from the doctor's perspective, it is for confirming the diagnosis. They say that doctors are useless without instruments. I don't want to say that they are short-sighted. Doctors are not that short-sighted anyway. Check If it’s too expensive, let’s talk about it. If the diagnosis is missed or even misdiagnosed, you will be fussed. It’s up to you which one you choose. I’m just asking. Among the experienced doctors you mentioned, which one has a higher diagnosis rate based solely on experience? The machine is advanced and reasonable. Nowadays, doctors understand the diagnostic standards. They are all in the books. The books are what you call the experience of veteran drivers. Otherwise, what are the books you read? Martial arts novels? These people just accept it. With the advancement of electronic technology and entertainment facilities, we hope that medical treatment will stay in the era of seeing a doctor with a stethoscope and a thermometer. However, we still want to make a high diagnosis without checking. Why don’t we think about ways to make a lot of money without going to work? Well, In fact, this kind of medical treatment still exists. You can drive two hours out of the city and find a village to see a village doctor. They are experienced and highly skilled. Although the conditions are limited, they can provide you with the medical treatment you want. There is no need to draw blood or take X-rays.

Nowadays, when you go to the hospital to see a doctor, the doctor will first conduct a comprehensive examination of the patient. This is a hospital procedure for the following reasons. 1. Responsible for patients. When a patient is admitted to the hospital, the doctor will usually ask about the specific condition first, and the patient will also describe it in detail. In order to diagnose the patient's specific condition more accurately and prevent errors in the patient's oral description, it is necessary to conduct a series of instrument inspections to ensure the accuracy of the diagnosis. 2. Improve the utilization rate of medical devices (instruments) and increase income. The hospital has purchased and equipped so many instruments and equipment, some of which cost hundreds of thousands, millions, and some even tens of millions. If it is not used by patients and is left idle, not only will some patients' difficult diseases go undiagnosed, affecting the patient's physical recovery, but it will also seriously affect the hospital's economic income and waste a lot of resources. 3. Clarify responsibilities. After the patient is diagnosed with a specific disease through detailed and rigorous examination by doctors and instruments, the doctor will inform the patient or family members and formulate a detailed plan for diagnosis and treatment. During this treatment process, you will inevitably encounter unexpected problems, so you must discuss it with the patient or family members and sign an agreement, which the patient or family members must sign. After an accident occurs, the patient and his family must bear the responsibility, and the responsibility cannot be passed entirely to the hospital and doctors. All in all, the hospital's examination is also responsible for the patient, and there is no need to seek perfection and blame.

There was a pediatrician in my hometown in the 1980s and 1990s. He could tell what was wrong with a child just by looking at his hands. Most of the people who went to see him were babies who had been asked to be transferred to another hospital. In 1994, my son fell ill when he was only one year old. The county hospital, at that time, the county hospital did not dare to admit me and said that I had to go to the provincial hospital. An old man said that there was a street doctor specializing in pediatrics in the neighboring county, so I went there. The doctor looked at my son’s hand and gave me an injection. I took medicine for two days and the medicine cost 8 yuan and 6, and I was fine. Now when doctors see a cold, they have to ask for 7.8 tests before seeing a doctor. They are all liars and cheat money

I remember Liang Hongda said that now Doctors, they are really incomparable to the old doctors of the past. In the past, doctors (seeing, smelling, asking questions, and performing medical examinations) could see your illness in detail. That was really dedicated! Now, hospitals are divided into specialties, and doctors are divided into more detailed areas. In order to diagnose the disease accurately, they can only rely on medical equipment to check your whole body. Even if there is a real problem, they can shirk responsibility and say it is a medical equipment. If you are not qualified, you can still generate income openly and honestly.

Sometimes it’s hard to tell. Maybe you blamed the doctor wrongly. Because doctors have to consider efficacy when prescribing drugs, and penicillin is a highly controlled drug that can easily cause allergic symptoms.

I just came back from the hospital with pain in my right chest. I was seen in a small hospital before. I was immediately admitted to the hospital. They had electrocardiograms, X-rays, blood tests, and gynecological examinations. The conclusion was that it might be a bacterial infection. Another doctor asked He said it was neuralgia. After three days of treatment, he left. I went to another big hospital, but they didn't recognize the previous report, so they re-examined it. They told me while issuing the order that the examination might not be able to detect it. Then he said, I thought you had esophagitis when you came to the doctor and prescribed medicine for a few days. Fortunately, you have been taking it for two days and you feel no pain anymore. . Oh, money. . .

Indeed, now there are various examinations and tests for hospitalization, and the fundamental reason is to ensure medical safety. If diagnosis and treatment can be done in outpatient clinics, why bother with hospitalization? After all, hospitalization requires an indication for hospitalization. From a medical perspective, reasonable examination, reasonable diagnosis, and reasonable treatment are essential.

1. For some diseases, although hospitals at all levels have done a lot of examinations, due to the limitations of medical knowledge, there may not be a clear diagnosis in the end.

2. Some diseases, limited by safety and popularity, must be screened in advance, such as invasive gastrointestinal endoscopy and various surgeries (checking blood type, infectious disease-related inspections), and currently The coronavirus is rampant and patients need to be admitted to the hospital and need nucleic acid testing and/or lung CT in advance.

3. Although the diagnosis of some diseases is clear, necessary reexamination is needed, especially for patients with many underlying diseases or serious illnesses. Because the disease changes quickly in such patients.

4. After the state implements quantity-based procurement of drugs and equipment, it is not excluded that some doctors will prescribe excessive examinations and fail to conduct reasonable examinations.

5. The uncertainty of doctors’ performance income. Currently, even public hospitals are implementing performance appraisals, and medical safety has a veto power, so there may be more relevant inspections.

6. The current medical environment has created the repeatability of inspections and tests. The uncertainty of some patients and their families has made doctors and nurses frightened, and they have become people who "always walk by the river". In order to ensure medical safety, they dare not take risks no matter how skilled they are. Never allow a "one in ten thousand chance" to happen, otherwise it will be a "100% hit". There once was an old Chinese medicine doctor who was very arrogant and saved countless lives, but he didn't know how to prescribe examinations. One of the patients took the traditional Chinese medicine prescribed by her for two months and was later diagnosed with "pancreatic cancer". What a tragedy! Delayed illness, lawsuits, loss of money, and loss of food (physician license). Think about it carefully, even if the cancer is clearly diagnosed before taking traditional Chinese medicine, will the patient survive? Sadly, I no longer have the qualifications to "learn from every experience". If he could do it all over again, would this old Chinese medicine doctor still not prescribe examinations? ...

Based on the above, long live understanding! It's not easy for patients, and it's not easy for doctors either. There is a long way to go to create a harmonious doctor-patient environment...

In current hospitals, doctors do not treat patients, but machines treat patients. My child got sick when he was more than two years old and went to the People's Hospital. When I went to the pediatrician, the doctor said that I would need to be hospitalized and have needles inserted into my head. I was so frightened that I called my mother and told her what the doctor said. My mother directly asked me to carry the baby back to my parents' home. She took the baby and Let's see, don't listen to the doctor's nonsense. The child is not as good as the doctor said. I took the child directly to the traditional Chinese medicine hospital and found an old doctor who was re-employed by the hospital. The old doctor said that there is no need for injections for small things, so he prescribed some medicine for less than 10 yuan. Just give the money to the children. Therefore, when we are sick, we should not completely listen to the doctor’s lies.

The current special examination department is the auxiliary device of the hospital. If the doctor does not write these orders, they will not be able to complete the task and may not even be able to earn a salary. Therefore, these departments are directly linked to the doctor, as long as there are patients Come on, the doctor will write the bill first. After the task is completed, he will receive a reward of tens of percent. I have been working as a consulting doctor in the hospital for decades. These are all minor departments. Otherwise, the hospital’s millions of profits every year will be all Where did it come from!

1. Nowadays, there is a saying of "inversion of evidence", which roughly means that if the hospital did not misdiagnose the patient, it must have enough diagnostic evidence to prove that the hospital has performed the necessary examinations. Typical example: An injured person in a car accident lost too much blood and needed a blood transfusion during surgery. After the treatment, the driver found out that the cost was high. One of the tests was an HIV-related test for the injured person before the blood transfusion. The driver felt that the hospital did it. Unnecessary examinations are a form of extortion, and the injured feel insulted to their character. This is the inversion of evidence. If the injured person develops AIDS after surgery, and the hospital does not check whether the injured person is HIV-negative before the operation, then the hospital will have a hard time defending the case. 2. Many diseases have similar examination results, and multiple examinations can differentially diagnose and confirm the diagnosis of the disease.