Different physical examination items Physical examination is not simply carried out according to the general physical examination items, because each individual is different, so the physical examination should be different. In many people's minds, a physical examination is just like a normal physical examination. Measuring height, weight, blood pressure, chest X-ray and physical examination are all formalities.
However, is the physical examination really that simple? Physical examination is a complicated project. Every year, many people do physical examinations and finally find out cancer, but the physical examination doesn't get to the point. The purpose of physical examination is not to check serious illness, but to check minor illness.
For example, cancer, many patients with advanced cancer have poor quality of life, suffer from cancer, and their families go to the abyss. Except for some cancers that cannot be screened out early, most cancers can be screened out, and some cancers have a very high early cure rate. Therefore, the purpose of physical examination is to find precancerous lesions and stop losses in time. This is like putting out the fire line ahead of time, so there is no chance for this mine to explode.
Physical examination should follow the pattern of 1+X 0+X, with 1 as the basic item, including blood routine, urine routine, stool routine, blood sugar, blood lipid, pulse, renal function and heart examination. In addition to these basic items, physical examination items should be set according to the individual's physical condition.
If you have a family history of cancer, you should pay special attention to the corresponding cancer. If you have a chronic disease, you should check it regularly. When middle-aged men and women enter the period of high incidence of cancer, they should also pay special attention to cancer and do gastrointestinal endoscopy, cervical cancer screening and breast cancer screening. The elderly are people with high incidence of cancer, so special cancer screening programs should be done.
But these, in the daily physical examination, few people pay attention. Most of the reasons are that people don't understand physical examination, hospitals don't have special physical examination departments, and doctors don't have time to do special physical examination items. This has caused many people's physical examination items not to reflect the real physical condition.
Because of its long history, Japan's physical examination programs are all set according to big data and evidence-based medicine, and hospitals also have departments specially set up for physical examination. Physical examination items are set reasonably. For example, in addition to basic items, Japanese physical examination also pays attention to Helicobacter pylori, human papillomavirus and hepatitis B virus.
Helicobacter pylori is the culprit of stomach disease, which is highly contagious and destructive. However, many people don't know it exists. Human papillomavirus (HPV) is a big killer threatening women's health. Check hepatitis B virus.
In addition to these virus tests, there are many tests that cannot be ignored in physical examination. Men should check low-dose CT in the lungs, because many men may smoke, and smoking can cause lung cancer. The screening method for lung cancer is CT. Gastroenteroscopy is also a project that can't be ignored. Gastroscopy is the first choice to check throat, stomach and other diseases.
In China, few people will take the initiative to do gastroscopy, and most of them will do it because of stomach discomfort. Colonoscopy is the most direct and necessary examination for screening colon cancer. There are also projects such as ultrasound examination of prostate.
Women can get lung cancer even if they don't smoke. Therefore, low-dose CT examination of the lungs is also essential. Gastroenteroscopy, breast ultrasound and molybdenum target are the most important items in physical examination. These are all physical examination items specially set for men and women in Japanese physical examination. The project is comprehensive and the physical examination is meticulous. This is a major reason why Japanese physical examination is famous, and it is also the most fundamental reason.
Physical examination service is different. I believe that everyone should have experienced a physical examination in China, or a physical examination arranged by a unit or company. Just go and check it yourself. It is not easy to go by yourself, make appointments one by one, run up and down to pay fees, and have a physical examination. There are so many people in the hospital that doctors are too busy to go to the toilet and their service attitude will not be good.
B-ultrasound is very fast. After checking the doctor's paper, the next person comes in before getting dressed. It would be nice if the physical examination items were completed. What services are we talking about?
Conversely, high service quality is a major advantage of Japanese physical examination. In Japan, because Japan's medical system is perfect, there are fewer doctors for physical examination and their attitudes are better. In addition, Japan's medical industry is also a service industry, so medical staff are very patient and have a good service attitude.
Here, Japanese service is reflected in many details. For example, heating B-ultrasound glue, nurses checking the excrement of people undergoing colonoscopy, communicating with people undergoing physical examination with warm voice, smiling and kneeling to serve people undergoing stomach examination, and so on.
In Japan, physical examination is a one-stop process, which can be completed directly in 2 days, without paying one by one, and the actual examination takes 8 hours. I didn't feel at the hospital at all during the examination, because the physical examination department was clean and tidy, and the medical staff provided good service, which made the people feel at home.
In a word, Japanese physical examination is highly respected, on the one hand, because the core of physical examination is the reasonable setting of physical examination items, on the other hand, the service attitude of medical staff makes medical examiners happy to complete physical examination.