This passage is from Misunderstood Medical Care. Author: Jiang, Director of Cardiology Department, Chief Physician, and Master Supervisor of Ningbo Huamei Hospital, University of Chinese Academy of Sciences. Member of the Standing Committee of ECG and Pacing Branch of Zhejiang Medical Association, deputy director of ECG and Pacing Branch of Ningbo Medical Association, and editor of Chinese Journal of Hypertension and Cardiovascular and Cerebrovascular Diseases.
The book Misunderstood Medical Care contains three chapters and 26 articles, which expounds three major issues: first, ask yourself whether your health view is correct; Diagnosis and treatment, medical treatment should be patient-oriented; Face it head-on, let's go back to the original medical treatment.
Before seeing a doctor, ask yourself whether your health view is correct.
The World Health Organization believes that "health is not only the absence of physical diseases, but also mental health, good social adaptation and morality".
According to the report of the World Health Organization on the composition of health influencing factors, health = 15% genetic factors+10% social factors +8% medical conditions +7% climatic conditions (environmental factors) +60% lifestyle.
It is not difficult to see that the impact of medical conditions on health is only 8%. And once we feel sick, we will go to the hospital to see a doctor. Some diseases don't really need to see a doctor, such as the common cold. These "seeing a doctor" are not necessarily really needed, and have gradually evolved into the "main force" of hospital prosperity. To go to the hospital, you have to get up early and queue up. Some hospital departments have to make an appointment one week in advance, and even some famous doctors can't make an appointment one month in advance.
Some people will say that if you don't see a doctor when you are sick, you can't prescribe the right medicine, but it will delay your illness. This will happen. My child caught a cold and coughed when he was a child. He didn't get better after taking medicine at home for a week, but his cough got worse. Later, I went to the hospital for a blood test and wanted to know what caused the inflammation. After symptomatic medication, the condition improved quickly. Virus infection and bacterial infection are naturally different.
The child is young, sick and uncomfortable, and does not have basic judgment ability. It is better to see a doctor at once. However, adults should establish a correct view of disease. Nearly 60% of diseases are self-limiting diseases (diseases that get better automatically after a period of time), and such diseases do not need to see a doctor.
100 years ago, the average life expectancy of human beings was less than 50 years. Today, the average life expectancy of people is 70-80 years. The improvement of human life span is inseparable from the progress of medicine, but in the prevention and treatment of some "chronic diseases", the role of medical treatment is really minimal.
When you go to the hospital, it is inevitable to do various tests. There is nothing wrong with the test itself. It is only suggested that patients must accurately complain to the doctor and clearly express their discomfort. If the chief complaint is unclear, it will easily lead to excessive inspection. Some doctors mainly rely on instrument examination, and will not make the doctor's basic judgment according to the patient's situation; Mainly rely on the patient's self-report, rely on the results made by the instrument to take the medicine according to the doctor's advice.
Once I was in the emergency room of a hospital, and I witnessed a patient telling the doctor that he was not feeling well and his expression was very painful. The doctor asked, what's wrong? The patient couldn't explain clearly. The doctor said that if you can't explain clearly, you should have a general examination, which is very expensive. You see, doctors don't judge according to the patient's condition, but just listen to the patient's chief complaint.
"In real life, many lives do not end with physical diseases, but are stuck in" inner disabilities "and slowly fall down. When the disease comes, most people will fall into the curse of "disorderly medical treatment" and cannot extricate themselves. I seek medical advice all over the world, thick medical records and supplementary bills, endless complaints and chanting, and I am too scared to sleep at night until the end of my life. "
In the book Misunderstood Medical Care, the author Jiang is full of affection between the lines, expressing his concern about the current medical situation and his urgent mood of "overtreatment" without introspection because he cannot establish a correct view of medical treatment for patients.
Diagnosis and treatment, medical care should be patient-oriented.
Medicine is a very practical subject, as the saying goes, "mule or horse, pull it out for a walk." The acquisition of many technologies and the establishment of clinical thinking ability must be obtained in clinical practice.
I once met a patient who was nearly eighty years old, and the renal cyst was reversed, so that the cardiology department could consult and evaluate the risk of the operation. By the way, after the consultation, I asked the patient why he had this operation. Is there anything wrong? Unexpectedly, the patient said, "There is nothing uncomfortable. It was discovered during the physical examination, and the doctor said that it should be surgically removed. " The patient's answer is surprising. Intuitively, this operation seems to be not the needs of patients, but the needs of doctors.
Always remember, patients come to see the symptoms of discomfort, not to see what auxiliary test results are positive. Therefore, when a positive result comes out, look at the result with "turning a blind eye" and think deeply with "turning a blind eye". The focus of thinking is "whether the symptoms of chief complaint are related to the positive results". And remember, any examination and treatment should be the needs of patients, not doctors.
How many students are determined to be doctors when they grow up because their family and friends are trapped by diseases. I thought that if I became a doctor, I could save my loved ones from illness and pain. However, when I really became a doctor, when I saw one patient after another being taken away from the hospital bed, even my loved ones, most doctors still failed to think about what benefits I brought to myself and my loved ones.
What a doctor should really do now is to avoid "unnecessary examination and treatment" as much as possible and avoid secondary medical-related injuries, that is, the hurtful side of "medical double-edged sword", rather than just knowing how to deal with diseases.
Professor Han Qide, honorary chairman of China Association for Science and Technology and director of peking university health science center, wrote in the report: "There is something wrong with our current medical care, not because it has declined, but because it has prospered; Not because it has done nothing, but because it doesn't know when it will end. " This is the doctor's self-knowledge, and medicine is not better than you. It's time for medical treatment to return to sometimes limited cure, always and often comfort and help, and let health return to a healthy lifestyle.
Face it head-on, let's go back to the original medical treatment.
Today's medical care, medical institutions, doctors and patients are all immersed in the "laughter" of free medical care. Patients are free to see a doctor, choose hospitals and doctors, talk about various diseases, and hope that medical institutions and doctors can have three heads and six arms. Through intervention, they can get rid of the disease, and there will be restrictions on seeing a doctor and telling them. However, as a patient, you know that the more complaints you have, the more overtreatment you may receive-overthecking and overtreatment.
As a patient, we must not be too blind and superstitious about medical treatment, learn to be cautious in seeking medical treatment and safeguard individual ecology; Carefully seek medical treatment, learn to rely more on the body's self-repair ability, and build adaptability through a healthy lifestyle and a healthy mentality.
Speaking of natural laws, birth, aging, illness and death are the natural laws of life. How should we identify, weigh and distinguish between old age and illness? People generally accept old age and death, and they all know that old age is such a thing-inevitable, inevitable. However, after the limited development of science and technology, people think that they can overcome and overcome diseases, so they would rather choose that I am sick than admit that I am old.
final conclusion
Misunderstood medical treatment is an author who has been engaged in clinical work for more than 30 years. From a doctor's point of view, he deeply reflected on the current medical situation in China, and pointed out that in order to get the truth about his health, he should first change his medical concept. I hope everyone can treat themselves with a "responsible" attitude and be responsible for their "complaints" and "needs", so that you can receive the examination and treatment you should receive and avoid unnecessary medical intervention and possible medical damage. When diseases attack the body, we should know that the effect of drug therapy is limited. We should learn to face the disease itself positively, face the psychological changes brought by the disease, and face the helplessness of seeking medical treatment.
"Being a doctor requires practice. Being a doctor needs a friendly, calm and peaceful heart. In this way, you can feel your patient, pay attention to the patient's inner needs and bring him peace and calm. " -Jiang