Xiaoaxiao's health blog

as if the world is no longer the kind of people the relationship between patients and physicians as it.

when a disease who come to the time before the doctor Hou, he always wanted to be in the shortest possible time, to his mind clear as possible, without reservation, delivered to the doctor – he never knew a stranger. In order to allow physicians to maximize understanding of him, more deeply, more thoroughly certain. Only from that point on we can have ample reason to say: The reason why patients and aim to do so was that he was a kind of the doctors are full of confidence and earnest look.

and physicians who do ? Is the same. They need to be the patient's family history, personal history, past history of illness, marital history, hobbies and even some personal and social privacy, activity area and so one by one asked. Careful attempt to use their keen but the “smell” from any point in the patient described in the tiny details, finding refuge in his body or soul of that other guy he's really painful face. At this point, doctors were in fact has become a downright “detective.” “Treatment of the fruit of the tree grows to understand. Without a correct diagnosis, there is no proper treatment. “This is a German physician said a word.

Take for example the most common stomach ache for it! Take a brief look Diagnosis of the medical books you will know, cause abdominal pain is the number of species of the cause, and no less than dozens! Gastroenteritis, cholecystitis, pancreatitis can lead to; gastrointestinal perforation, ulcers can lead to; all kinds of stones, parasites can cause; organ injury rupture, torsion can lead to; blood vessel disease can lead to love; all kinds of food poisoning can also lead to … …. From these broad areas and then down again several sub-finer, smaller reasons. In a word, the truth hurts a pain, pain with pain reasons.

when a disease stomach ache symptoms were there, he arrived before the doctor how is the problem? Usually only tell the doctor stomach pain and severe pain. Sometimes even the exact location of pain are difficult to explain, casually pointing to her own stomach, while here, and he will probably be there. Moment could not bear the pain, such as needle sticks, like; while another chances to tell you the same pain as Daojiao. As a famous doctor who is, how can you be? How can we blame the patient instructions parts, it describes the condition clear? After all the pain they have suffered physical and mental ruined.

doctor at this time , had to mobilize their own mind up compact set. He began with the patients from the first sentence of communication started in his mind he seems to have known that all the possible reasons cited abdominal pain, had a fast lens like the movie as quickly passed it again. Then he will begin to understand the patient's last possible, and seek out in these words the search for the cause of abdominal pain caused some clues. He will put the patient under Nazhi hand touch above the abdomen, sliding and compression, combined with changes in patient's facial expressions to determine the site of pain or have rigid mass. Stethoscope on the abdomen above, he would listen to a change in bowel sounds. He will also need to make some of the patients to consider what kind of tests or equipment check … ….

These are the physicians in a very short period of time, remove all obstacles and completed. At this point the doctor has completely become an eagle eye dogs sense of smell, the lion's heart for the “detective.” Full use of the various available means to mobilize their forces to mobilize all possible, start their own all the thinking that went to their all in front of all strangers unreservedly entrusted to them. Order in a short time, quickly and accurately be able to hide in his body that the “mob” beat and kick out the meal. But even so, the process of medical misdiagnosis and risk of failure is inevitable, it is an objective fact. As “medical logic” (Xue Zunhua, XUE Wan a) There is a paragraph stated: “All the development was the result of the disease process reciprocating nature of the process because of all the diseases in its development, each stage are have positive and negative aspects. Any diagnosis can be confirmed, but it can last falsification. That is, the (disease) diagnosed during the negative than positive. “

; This is mankind itself, disease and the level of medical knowledge and decision.

humans always seem to often forget their own humble side , since that already have no problems of modern science can not be resolved. For medical terms, also is the case. Many patients believed that many diseases in the human body to nuclear magnetic resonance, CT , knife, blood analyzer and so heavily armed with mighty powerful medicine before, have vanquish a. However, in reality, far from being as sick as they thought.

medicine is the natural and social sciences and other disciplines are interrelated, each integration of a complex, almost can use” maximum depth “three words to describe. On the complexity of medicine and the human body, in the medical profession that a metaphor: for treatment, repair the relationship between an anatomy seems to have no difficult problems of the human body, is far more human space exploration and satellite high heaven even more difficult and complicated. Relying on scientific and technological level are human, the human body and medicine has too many unknown areas. Indeed, on the present, almost every industry eventually could have a similar “one plus one equals two” clear and absolute quantification. But for medicine now? The situation would be different.

from the human point of view this aspect of pure organisms, such as holding the most common drug therapy for. Any drug has its two sides: on the one hand it play in the human body by pharmacological action to treat or improve some symptoms of the patients, so patient's body to be recovered. On the other hand, a drug in every play the role of the treatment of diseases, drug adaptation, Taboo and toxicity in the body also play its role. “There is a third of drug toxicity,” and this saying is not so far that up too. Just this side of the side effects, millions of patients who in the performance varies. Some simply would not arise, and some show only a little, and some are great. But in the end no one able to predict which of these symptoms appear in a patient who, including doctors.

Not only that, even today the so-called clinical application of high technology in improving medical standards, but also still has its reverse side . Yale University School of Medicine professor Dr. EM Schimmel once did a study this statistical test. In 1964 he, on the number of inpatient medical institutions statistics and found that one in every five patients may have treatment in hospital of complications. This seven people each, there is one complication was fatal. And by 1981, he continued to do the same statistical study found that patients because of treatment complications, people nearly 30% 。

medicine itself is one very practical subjects. After all, all the books written on the disease can be said is common, but in clinical practice, physicians are faced with is the performance of each patient's disease upon their different personalities. In theory, as a disease, no two patients are identical. Therefore, physicians must take into account every day can occur in every patient who's all kinds of unexpected things. Thus we can say that every step Medicine are medical doctors are constantly conducted to explore.

In addition, we have said before, not only is a pure life, organisms, he also has the abstract social properties. At this point, the body of some of the disease is erratic and unpredictable. Therefore, the doctor for every patient's medical process is bears the risk of misdiagnosis and failure.

medical industry due to their own characteristics, making it a sharp” double-edged sword. ” It can be powerful forces according to a patient suffering smile broke; while its opponents magic and complex nature of many uncertainties, it may give the patient hope of bubble suddenly burst and swallowed their anger Jiuquan. Medical characteristics of such a double is also allowed to carry the subject – doctor, trapped in a high-risk and a state of embarrassment. With the constant improvement of our legal system and sound, people's legal awareness, rights awareness has gradually increased, the medical process, an uncertainty factor of any small or misdiagnosed, the patient will likely be a fatal blow will be dragged into a doctor “should not be called every day, call by anyone” painful abyss of medical disputes.

king President had left a few years of clinical work, and talk about the reasons for off white, his look of helplessness and loss. It was the work of the emergency department he had just entered the third year, one night, suddenly came an upper abdominal pain, more than 40-year-old patient. Accompanied by nausea, vomiting symptom. The patient's family members told him that the patient is suddenly in pain after a meal, had a history of gastric ulcer. Dr. Wang carefully patients for routine physical examination, abdominal tension, upper abdominal tenderness. Although auscultation found some abnormal heart sounds, arrhythmias, but the combination of patient history and the signs show that he was initially diagnosed as a stomach ulcer. Immediately started on the basis of this diagnosis on the patient's conventional therapy. The student, who, three hours after the sudden illness of patients increased, chest tightness, chest pain, shortness of breath, and the emergence of shock. At this time the patient's electrocardiogram and several other blood tests Tip: gastric ulcer patients is not, but the AMI. He hastened to replace the doctor's advice, but it was too late, after an hour after the patient died. So he has experience not only tasted the fist to the dispute boredom, financial compensation is a final outcome, and he was also the hospital's actions. However, it is this time of misdiagnosis, a disputes, and almost made him a yard of “celebrity”, he became private discussions with the people accused of the object.

he said: If I still do clinical work, the face of such patients I am sure that similar mistakes will not the.

doctor is a noble occupations, but unless dry to Liangbinbanbai can “into their new house on crutches,” I had to bow. I love this profession a doctor, a dying patient's hands in my recovery, then it “feels good”, this is a sense of accomplishment. This profession is the noblest, if you think life is the most precious words. But how many doctors can be recognized and admit it? If the disease optimistic, and patients think it should be, if there is misdiagnosis, the patients that the doctor is “scum”, dereliction of duty.

In fact, the misdiagnosis of medical errors just as inevitable in life. 2000 in 7 month 27 day “Beijing Youth Daily, “an interview, a former reporter Guo Xiaojing is a doctor and is now represented by a pharmaceutical company says 。 He told of many doctors in the helplessness of those inside.

“clinical misdiagnosis and mistreatment,” magazine editor in chief, Chinese Hospital Management Association of Clinical misdiagnosis of Chen Xiaohong, vice director told reporters that the phenomenon of misdiagnosis of clinical work is difficult to avoid the objective facts, many patients that before the doctor, they are weak, the mercy of others; the patients and their families seldom think of doctors faced with the patient's symptoms, signs, laboratory tests without a lot to start with, they are weak. ( See 2000 on 11 on 16 on “Health Times” first edition )

doctor for the patients in the medical process, both sides bear their different risks. Patients assumed the uncertainty in the misdiagnosis, wrong treatment and the likely resulting medical accidents, death and loss of health risks. For doctors who have it too! They need to take is after their pay is as objective and subjective factors, but failed to achieve the purpose of making occupational risk patients recovered. Health risks for patients who are generally very intuitive, concrete, and also directly led to emotional or moral consciousness of the mass reaction. The occupational risk for physicians is too! Obviously, the situation is different, highly professional lead to the abstract side of the face in people's feelings are for little. Particularly at the constant improvement and a sound legal system, legal Yi Shi Ren Men gradually improved, but the awareness for the medical Zhi Shi Shui Ping Que Yi Ran in a relatively Di Cengci, both Moyoutongbu under the current situation risks and Nan Yi Gao Yi who was the embarrassment of Li Jie state is more prominent now. In addition to became a doctor himself, it seems that not many people can do this occupational risk can truly understand.

in many complex causes of medical disputes, we do not deny that there is some sense of responsibility because the doctor is not strong and other non-technical factors for patient injury caused by man-made, to resort to legal means to seek justice is correct. However, we should also address the medical specialty, to address the special Health care doctor, doctor of medical technology to address occupational risks. After all physicians for every patient in the medical process contains both a great uncertainty. Do not look so many of advanced equipment of armed that though there are so many high-tech methods used in clinical treatment, doctor's diagnosis rate for the disease only about 70 percent, it is still not reach 100% of accurate. This is an objective reality.