"Doctor, you give me a pulse to see if my blood sugar is high?" Although the culture of Chinese medicine has thousands of years of history, profound, pulse diagnosis is an extremely important part of the culture of Chinese medicine, which makes a lot of people mistakenly take the pulse diagnosis of Chinese medicine as the "key to everything", that the pulse diagnosis can solve all the problems, and even replace the laboratory tests, which is a kind of wrong and absurd point of view. Chinese medicine pulse diagnosis of the four diagnosis is used to observe the patient's body balance of yin and yang state and qi and blood and so on, we often say to the patient: "Chinese medicine on the production of disease, mostly due to the body of qi and blood imbalance, yin and yang imbalance caused by traditional Chinese medicine is to regulate the constitution, so that the body of the yin and yang secret, qi and blood full of health, after the constitution of the body to regulate the body of its own regulation mechanism back to normal operation, so that the disease After the physical conditioning, the body's own regulation mechanism resumes normal operation, so the disease will tend to get better." With the continuous development of modern medicine, combined with the inadequacy of Chinese medicine can not be quantified, laboratory tests have become an important basis for diagnosis, laboratory tests, making the diagnosis of disease more scientific, standardized, accurate.
Blood laboratory tests are important means of examination, this is because the blood carries important health information, blood flows in all parts of our body, is the basic nutrients for our survival, the following on a few specific laboratory tests to introduce you to the importance of laboratory tests:
1, Oxygen: blood carries oxygen, oxygen is an important life support, oxygen, high levels can lead to oxygen toxicity, oxygen, oxygen, oxygen, oxygen, oxygen, oxygen, oxygen, oxygen, oxygen, oxygen, oxygen, oxygen, oxygen, oxygen, oxygen, oxygen, oxygen, oxygen, oxygen, oxygen, oxygen, oxygen, oxygen, oxygen, oxygen, oxygen, oxygen. Too high a level can lead to oxygen toxicity, oxygen toxicity can appear in dyspnea, palpitations, dizziness, nausea and vomiting and a series of other manifestations, when the oxygen level is too low, there will be cyanosis of the skin, dizziness and headache, mental abnormality, and so on a series of hypoxia manifestations, therefore, when we appear in these manifestations, the doctor must draw blood to check the results of the blood gas analysis, in order to specify the oxygen content of the blood, and further to the symptomatic medication.
2, sugar: diabetic patients with elevated blood glucose, refers to the increased sugar content in the blood, when the body has insufficient insulin secretion or insulin resistance or chronic liver damage, the intake of sugar can not be fully absorbed and utilized, it will be into the bloodstream, which will lead to the emergence of polydipsia, polyphagia, polyuria, emaciation of the manifestations of the, therefore, when suspected of elevated blood glucose, it is very important for us to test blood glucose, to confirm the diagnosis of The first thing you need to do is to take a blood test to determine the cause of the diabetes, and then take a blood test to determine the cause of the diabetes, and then take the appropriate medication according to the liver function.
3. Potassium: Potassium ions are involved in the metabolism of important substances in the body to maintain the acid-base balance of the body. Hyperkalemia will cause muscle pain, tachycardia, and even lead to cardiac arrest, hyperkalemia may suggest renal failure, intestinal paralysis, and heart disease, etc., which are usually fatal, so if you suspect that the potassium concentration is abnormal, you must have blood tests to clarify the situation of potassium in the blood.
4, lipids: high blood lipids, is atherosclerosis, coronary heart disease, hypertension and many other diseases of the basis of the factors, therefore, good control of blood lipids, can prevent a variety of cardiovascular and cerebrovascular diseases, prevention is better than cure. And when we take lipid-lowering drugs before and after, we must regularly review liver function, so that we can avoid taking lipid-lowering drugs to damage liver function.
5, protein: in terms of diabetic nephropathy, we will be based on the quantitative detection of urine protein will be diabetic nephropathy staging, staging of diabetic nephropathy in addition to a clear degree of disease, another important role and is based on the staging of the selection of appropriate glucose-lowering drugs, so as to avoid the use of non-functional or harmful to the body of glucose-lowering drugs, the test not only to avoid the waste of money for the patient, but also for the patient to provide a more reasonable treatment plan. This is not only to avoid unnecessary waste of money, but also to provide patients with a more reasonable treatment plan.
The above indicators are just the tip of the iceberg of many lab tests, which are like insurance pins for our life and health, escorting our health, and indirectly saving us from long-term medical and economic costs, so do not blindly reject the lab tests.
By: Li Xiaoxiao
Modern medical technology is changing rapidly, we have been out of the era of the pulse male left and female right to look at the tongue and other ways! Everything should keep pace with the times. Advanced instrumentation blood test can detect many of the traditional way difficult to find the problem. More and further, the instrumentation analysis has the characteristics of timely, rapid and accurate, and its efficiency to make the ask Zhen dwarfed, is indeed incomparable. Cure the disease to save the patient as fire, the faster the more favorable, this is not alarmist. Of course, should not be denied, advanced instrumentation testing price seems to make the general public feel a lot of economic pressure. However, there is no doubt that in the choice between life and money, I naturally choose the former. I'm not sure how much I'm going to pay for it, but I'm sure it's going to be a lot of money.
The common physical examination program of blood test is mostly used to measure blood fat, blood sugar, blood viscosity, hepatitis B and liver function, through the blood check pregnancy and other projects. With the continuous expansion of the physical examination program, the physical examiner independently selected blood diseases, infections and inflammation, anemia, leukemia, AIDS, some early detection of tumors, etc. can be achieved through blood tests. Although blood test is a simple routine examination project, but it can reflect many diseases:
1 red blood cells and hemoglobin examination - reduced: red blood cells are reduced in various types of anemia, such as acute and chronic aplastic anemia, iron deficiency anemia, etc.; increased: common in the body of hypoxia, blood concentration, true erythrocytes. Increased: common in the body hypoxia, blood concentration, true erythrocyte hyperplasia, emphysema, etc.
2 Leukocytes and neutrophils - physiological leukocytes increase in strenuous exercise, after eating, pregnancy, newborns. In addition, different sites of blood collection can also make the white blood cell count differences, such as earlobe blood than finger blood white blood cell count is higher on average. Pathological leukocytosis is seen in acute septic infections, uremia, leukemia, tissue injury, acute hemorrhage, etc. Pathological leukocytosis is seen in aplastic anemia, certain infectious diseases, cirrhosis of the liver, hyper-splenism, radiotherapy and chemotherapy. Lymphocytosis: certain infectious diseases, viral infections, lymphocytic leukemia; mononucleosis: tuberculosis, typhoid fever, malaria.
3 Platelets - increased: thrombocytosis, slow-growth leukemia, etc.; decreased: reattachment, hypersplenism, thrombocytopenic purpura, DIC, etc.? Prolonged clotting time is seen in coagulation factor deficiency, anticoagulant substances in the circulation, increased fibrinolytic activity, poor thrombin generation, etc.; shortening is seen in hyperlipidemia, hyperglycemia, cerebral thrombosis, venous thrombosis and so on.
In addition, needless to say, the blood test may have economic revenue considerations.
Blood flows throughout the human body, and when there is a problem anywhere in the body, abnormal changes in the normal indicators of blood are most obvious. Routine blood test is the most basic blood test, mainly including red blood cells, white blood cells, platelet count and hemoglobin content determination, etc. It allows doctors to assist in the diagnosis of diseases based on the changes in indicators and morphological distribution.
Through the patient's clinical presentation and the combination of blood test results, the doctor can accurately identify the type of disease and the severity of the patient's condition, and then prescribe the right medication to maximize the therapeutic effect with the least amount of medication.
Below, I'll take a few common diseases as examples, so you can quickly understand the importance of blood tests in diagnosing and treating diseases.
A routine blood test for colds can help clinicians accurately determine the type of cold and give a reasonable medication plan.
Colds can be categorized as bacterial or viral. Bacterial colds usually have elevated white blood cell counts and neutrophil counts, while viral colds have normal or low white blood cell counts and elevated lymphocyte ratios.
In general, the treatment of viral colds requires the use of antiviral drugs, while the treatment of bacterial colds requires the use of antibiotics, not the right medicine not only a waste of money, but also can not achieve the therapeutic effect. The most important thing to remember is that you can't just use the same thing as you would if you were a child, but you can also use the same thing as you would if you were a teenager.
Anemia is a common clinical condition in which the volume of red blood cells in the peripheral blood of the human body decreases and falls below the lower limit of the normal range, and it can be divided into iron-deficiency anemia, megaloblastic anemia, aplastic anemia, and so on.
Although the concentration of human hemoglobin decreases in anemia, the morphology and number of red blood cells are not the same in different causes of anemia.
There is also a transitional stage of cells in the blood between late juvenile and mature red blood cells, called reticulocytes, which can reflect the exuberance of bone marrow hematopoiesis. After effective treatment of iron deficiency anemia or megaloblastic anemia, the number of reticulocytes in the blood starts to rise in 2~3 days, reaches the highest peak (about 10%) in 7~10 days, and then gradually decreases to the normal level after 2 weeks. Therefore, reticulocyte count is often used as one of the mandatory items in the follow-up examination of patients with anemia.
Diarrhea can be caused by bacterial or viral infections, as well as gastrointestinal dysfunction due to cold and raw food stimulation.
In short, blood tests not only help diagnose the disease, but also help the doctor to observe the effect of treatment, which is very critical for the doctor to determine the disease.
Because now sue the hospital more people, doctors hospitals in order to protect themselves, every step of the way to follow the law of "evidence-based medicine" to do, every step of the way to leave evidence. A lot of diseases in fact, the doctor's mind early diagnosis, but to have evidence, can not rely solely on subjective judgment, so we have to test. It is not that the doctor does not see the results, is now the hospital's computer networking, you go to get the results, the doctor's computer has long seen.
Then why do you have to go to the results of so much trouble, because you can see yourself, but also to rule out the eventuality of something you sued the doctor said the hospital to modify the computer data.
There is another thing, called the "drug ratio", this is the health insurance to the hospital an assessment of the index, usually the three hospitals to 20%, exceeded the deduction of the doctor.
Some people, do not understand, the old thought that the hospital indiscriminately open nuclear magnetic and other tests, in fact, if you know that there is no follow-up treatment of the disease, alone to do the nuclear magnetic, the hospital calculated that the loss of money, the hospital will not be so stupid. Nuclear magnetic and other equipment are expensive imported, the manufacturer stipulates the use of a certain number of times on the maintenance, like you bought a luxury car, maintenance costs are also sky-high, and the examination fee is the price bureau to die, even if there is a rich unit is willing to pay money, all the employees usually do the physical examination of the nuclear magnetic, the hospital will not do so, so that the loss of death of the hospital.
These things, not the line will not believe that one or two thousand a checkup fee has been very expensive hospitals earn a lot, in fact, the price now, single checkup hospitals do not have the money to earn also have to lose.
"Happy little doctor" for you to answer. Happy attention
Now the medical diagnosis of disease is not necessary to check the blood, to tell a joke, see the diagnosis and what?
Said a doctor outpatient clinic, is to the patient, the results of a patient holding a small box of poop to find the doctor, said angrily: doctor you let the test urine, I barely swallowed, but you said let me test poop, this you let me how to swallow?
This is just a joke, but we see that not all diseases require blood tests.
General Western medicine to diagnose a disease, according to the patient's medical history, physical examination, laboratory tests, auxiliary examination, these aspects to be able to unite together, all pointing to a disease so that the basic can be diagnosed.
Why can't you make a diagnosis and give treatment by asking for a history and physical examination?
Because the same signs and symptoms can be found in many diseases.
We all know that surgeons are afraid of patients with stomach pains and physicians are afraid of headaches.
Because there are so many reasons for tummy aches and headaches, it is important to distinguish what causes them, and only after that can you prescribe the right medicine.
For example, if you have a stomach ache, it could be appendicitis, gastroenteritis, intestinal cramps, gallstones, kidney stones, intestinal obstruction, etc. There are so many illnesses.
Treatment may be with anti-inflammatory drugs, surgery, antispasmodics and so on.
To confirm the diagnosis different tests are required, some blood tests, some urine tests, some ultrasound, some CT, and so on.
It is only after the diagnosis is confirmed that the right medication can be given. No one wants to get the disease wrong, and the patient must want it even less.
Why have I modified the health values of routine blood, lactate dehydrogenase and serum calcium indicators
The sea
March 1, 18:36
Why have I modified the health values of routine blood, lactate dehydrogenase and serum calcium indicators
The movement of life has a qualitative difference, the support of the human being depends on the physiological activity of the organs of the human body's ability to survive.
The occurrence of sudden events, surprising to the extreme is often in good health, the medical examination is normal, is not there any signs of sudden events, no regularity to follow? What is the breakthrough in this mystery?
Emergencies are events that occur in a crowd, in any region where such events occur, individuals and groups in the same environment, differences in living conditions can not prove to be an important factor in emergencies, and therefore the need to start looking for answers from the condition of the human body's health status.
From a medical point of view, various methods of health checking, looking, smelling, questioning, and cutting there is a big difference in the accuracy of the trust is mainly in the instrumental aspects of the examination, and the importance of routine blood tests, liver function tests first, so I started from this point of view.
When was the routine blood test introduced into China? There is no historical record that Western medicine was formally introduced into China in 1834, and from 1843 to 1887, Western medicine was introduced from abroad and used in Shanghai, so it can only be deduced that there is a history of more than a hundred years in the application of routine blood tests.
The authors of the reference values for routine blood tests are also undocumented. The author has been working since 1972, and has found that the reference values for routine blood tests have not been modified. The first is to analyze the blood of the patient, and the second is to analyze the blood of the patient.
Careful analysis reveals that the normal value of white blood cells in adults is 4.0-10.0X109/L, which means that the normal value is the value of a truly healthy body, but, in addition to blood diseases, bacterial infections, almost all sub-healthy conditions, cardio-cerebral vascular and even early and mid-stage cancerous diseases, are all in the range of the normal value. Is the occurrence of cardiovascular and cerebrovascular diseases or cancer only a localized problem of the human body and has nothing to do with the composition of blood cells? Or is it a failure to recognize the causal relationship between early disease generation and cells? In the case of people with low percentage of neutrophils, high percentage of lymphocytes, and typical features of allergic body, the main indicators of blood are also within the normal range; in the case of people with obvious sub-healthy degree but not up to the medical diagnostic standard of disease, malignant disease, cancer, or elderly people who are on the verge of death, platelets are still within the normal range, and such a standard setting of normal or reference values has obviously lost the medical diagnostic significance of routine blood tests. The first thing you need to do is to get your hands on a new pair of shoes or boots.
Another example of similar significance: in 1981, the Ministry of Commerce imported corn from the port of Lianyungang, and the ship's warehouse was filled with seawater in the Sea of Japan, and 38,000 tons of corn were soaked in seawater and corroded and deteriorated badly. But heavy metals, pesticide residues, protein content in line with the two countries' trade agreements, the other party strictly refused to pay. In a desperate situation, we devised a peroxide value test method and presented the results of the peroxide value test on the degree of protein spoilage, and finally won the compensation of 4.05 million dollars. At that time, if the contract was implemented in accordance with the rigid, tens of thousands of tons of food spoilage of the issuance of health inspection certificates in line with national health standards, the imported food inspection and supervision agencies will be a loss of dignity, shame. The use of this analytical method at the time there was no national regulations and test methods for this food category. By the Ministry of Health as the largest compensation case since the founding of the food category, the Ministry of Commerce, the national notification of praise by name.
This example shows that the standard value of the setting of the standard value to meet the actual, not a rigid, follow the rules, wrong and not corrected, in order to achieve the purpose of the standard value of the setting.
In contact with thousands of different diseases in the routine blood report card, encountered many routine blood test values and the actual physical condition of the examinee does not match the situation: data in the range of normal values, imaging is a serious disease or even cancer diagnosis; complex and difficult to find, the routine blood of many items but in the range of the normal value; the body clearly shows abnormalities, but the boundary between the disease and the edge of the state of health, the very best of the best of the best, the best of the best, the best of the best. In the case of patients with obvious physical abnormalities but on the border between disease and health status, the patient with excellent physical examination results passed away the next day; in the case of patients with obvious signs of anemia, the three items of red blood cells are shown to be normal; in the case of patients with early- and mid-stage cancer who have received high doses of chemotherapy, the enzyme indexes that show whether or not the liver is damaged do not show any abnormality; and patients who are critically ill are not able to predict their time of death through the indexes of liver function of the routine blood tests, so why are these incredible phenomena not organically connected with the change of the blood cells? Why can't these mind-boggling phenomena be organically linked to changes in blood cells? Is there no causal relationship between cellular changes and health conditions? Is there no regularity in these changes? If there is no close relationship between routine blood data and disease, the technique of routine blood is not without medical diagnostic value, and routine blood tests are still necessary?
Regardless of the state of health of the human body, the level of health is high or low. The level of health, between high and low, have their balance point, 100 percent of the state of health has its balance point, 75 percent of the state of health has a balance point, the dying human body also has its balance point. The difference between the equilibrium points of different human bodies depends on the quality of the establishment of the equilibrium point, the equilibrium point of different levels of health is actually the displacement of the equilibrium point, the human body's health status from the high quality of young people to change the process of low-quality equilibrium point is the result of the displacement of the equilibrium point.
Life is an extremely complex organism, and it goes without saying that from the intricacies of the physiological activities of human life, we can find the root of the problem: the cells of the tissues form the cornerstone of life, and the cells are supplied mainly by the hematopoietic organs of the human body. The life cycle of cells has been medically recognized as 128 days, with new cells being produced and old cells dying in an orderly fashion, forming a balance that maintains the cyclical changes in the metabolism of blood cells. Cells and other physiological manifestations of the human body is the relationship between the outline, then the balance of human health should be in the composition of human cells and their composition of the changes in the regularity of the search for its characteristics, and the specific ways of expression that is known to all the routine blood tests.
The quality of the balance point of human health, I choose to express the relationship between concentration and quality. Blood is composed of red blood cells and white blood cells, which are subdivided into cells such as neutrophils, lymphocytes, monocytes, alkaline- and acidophagic cells. At the highest levels of health, the blood cells behave in an optimally proportioned composition, and at lower levels of health, the form of cellular composition changes accordingly. The magnitude of the decrease in the health level is related to changes in cellular composition and cellular structure, or in simple terms, changes in concentration. The higher the health level, the more rational the structure of the cellular composition, which is the optimal composition stage, the lower the health level, the more irrational the structure of the cellular composition, which is the worst stage, and in between the two is the middle stage.
When the health level changes, it is not the absolute value of the cells that changes, but the proportion of the cells that change, so the absolute value of the cells in the blood count is not very significant, so the significance of the percentage plays a dominant role as a weathervane for health changes.
In terms of materiality, it is customary to set a standard value that takes into account the conditions under which most of society can survive, but in terms of human health, it is clear that there are many shortcomings in the use of this customary practice, and the setting of the routine blood reference value highlights its shortcomings, assuming that a percentage of more than 60 points is a health condition, and that a condition of 60 points is at the threshold of disease, which is the standard of the routine blood reference value. The standard is too loose, so that the intersection between disease and health, confusion and confusion of the sticky situation.
The human body, regardless of the level of health status, any uncomfortable feeling is the surface phenomenon of abnormal health, the composition of the cell structure is also accompanied by subtle changes, in this case, if the routine blood does not show changes in the flow of the sensitivity and accuracy of the detection technology, if the routine blood does not show the magnitude of the change in the magnitude of the health of the routine blood is the cause of the setting of the reference value of too loose. The reason is that the reference value is set too loosely. Therefore, the sensitivity of routine blood tests to changes in the body's health status requires a new search for rigorous and logical limiting parameters and the development of new normal values.
Lactate dehydrogenase is one of the less frequently used diagnostic tests, mainly for malignant tumors, hepatitis, cirrhosis, and myocardial infarction, and is not included in the normal physical examination. Regular changes in the value of lactate dehydrogenase are especially prominent in cancer patients and malignant diseases, but the significance of lactate dehydrogenase has not been fully emphasized and effectively utilized in clinical applications, especially in the treatment of cancer and malignant diseases, and many patients with advanced cancer who have been sick for a long time don't even have the concept of lactate dehydrogenase. The reason for this is that the normal value or reference value range set for lactate dehydrogenase is too large (the reference value for lactate dehydrogenase is 109--245 u/L), which loses the significance of the lactate dehydrogenase program according to the diagnosis and the precious value of assessing the therapeutic effect.
The serum calcium reference value is 2.10 - 2.80 mmol/L. Serum calcium is the opposite of the normal range of lactate dehydrogenase values, with an extremely narrow fluctuation zone, from health to death, with serum calcium varying in the range of a few mmol/L. This is a very narrow range, with the serum calcium fluctuating in the range of a few mmol/L from health to death. Such a narrow range of serum calcium amplitude completely obliterates the medical diagnostic significance of serum calcium as an electrolyte in human tissue fluids. In terms of its function, serum calcium is no more diagnostic of physiologic activity than lactate dehydrogenase, or the full range of blood counts. Whereas the same blood values indicate the state of the disease, serum calcium reveals the extent of the disease. Therefore, the serum calcium index has not been actively used in the clinic, the popularization of health education misinformation, but also to the public branded as a mere calcium supplement, the concept of its spread to the masses, and endless harm.
All of the body's medical indicators are inextricably linked to each other, affecting the whole body, the red blood cell group items, white blood cell group items, platelets, lactate dehydrogenase and serum calcium indicators correctly, accurately, accurately fused into one and can be highly sensitive, all-rounded display of the human body activity changes in the signals, the confluence of the formation of a comprehensive judgment parameter, which requires the selection of both This requires the selection of parameters that can highlight the characteristics of individual indicators, but also have the integration of each item in accordance with the law, and is the balance point of the single item and the balance point of the integrated project as described above.
A single balance point can show the problems that exist between one aspect of the body's health and other individual items, and a full balance point can show the overall level of health of the body, and can identify technical errors that may have occurred in the test data for a single item. Technical errors include systematic errors including method errors, instrument errors, reagent errors, and operational and accidental errors, which are not even recognized by the tester, and can be identified by the logical relationship between changes in the values of the individual balance points and the overall balance point. (This is why it is important to look at the indicators of routine blood tests while also analyzing the relationship between the indicators to determine the accuracy of the test data.)
Utilizing the single and full balance point settings, the role of: First, in the human body does not feel but the body already exists in the early stages of the obstacles, can be expressed in the form of data on the human body has been a problem, and can be numerical description of the extent of the problem, that is, in the early stages of asymptomatic sub-health, you can know the state of sub-health, to achieve the role of preventive warnings. Many people who feel good why found when already in the late stages of cancer, is to ignore the role of the balance point; Second, the degree of the disease can be judged, can be in the process of treatment to assess the effectiveness of treatment and treatment quality judgment, can be the effectiveness of drugs and drugs on the human body positive effects and side effects of the pros and cons of the relationship between the judgment of the trade-offs; Third, on the endangerment of the patient's judgment of whether or not to terminate the treatment. When the endangered patient's cell regeneration function has been lost, when the trend of organ failure has been irreversible, when the miracle drug can not activate the hematopoietic organs, the above indicators can be numerical value to show, although the patient's physical signs to the relatives to leave the slightest hope, at this time, all the efforts are ineffective, it should be cut off when cut off, or else it can only be to prolong the torment of the patient, aggravate the extent of the disease, destroy the deceased's dignity, can not get out of the financial exhaustion of people. The first thing you need to do is to get out of the way and get out of the way.
The correction of normal values improves the standard of evaluation of the level of health, detects in advance the direction and trend of the development of human health, accurately determines the role and effect of treatment as well as the occurrence of therapeutic side-effects in the treatment process, and identifies errors in the diagnosis of other instruments and promotes the improvement of the quality of treatment.
Whether the correction of normal values is in line with their medical value is verified by facts and time.
Attachment: The corrected normal values are as follows:
Erythrocyte 450--550 10X12
Hemoglobin 135--165 G/L
Erythrocyte Pressure Volume 40--50 %
Leukocyte 5.5--6.5 10X9/L
Percentage of Neutrophils 55--65 %
Percentage of Lymphocytes 55--65 %
Percentage of Lymphocytes 5.5--6.5 10X9/L
Lymphocyte percentage 32--35 %
Monocyte percentage 5.5--6.5 %
Platelets 1.6--1.8 million
Lactate dehydrogenase 109--160 U/L (based on the original reference value of 109--245)
Serum calcium 2.4--2.41mmol/L (based on the original reference value of Original reference value 2.1--2.8 modified)
This is a very practical question, read my answer and you will understand. I am an old internist, working for more than 30 years. At the beginning of the work of the time, to patients, laboratory tests are really not so common as now, especially when receiving outpatients, common diseases, ask the medical history, do physical examination, basically by experience can make a preliminary diagnosis, is generally the first three or five days of the medicine, with try, not good and then further examination, so that the treatment of the patient are accepted, the effect is not good, and will not look for the doctor's trouble, always believe the doctor, and will accept the doctor's opinion. The first thing you need to do is to get your hands on a new one, and you'll be able to do that.
With the development and progress of medicine, from the policy and regulations, hospital standardized management and medical science advances and other aspects of the requirements of the patients, doctors have gradually changed, specifically in the following areas:
1. Evidence-based medicine requirements: doctors can not rely solely on experience for the patient to see, each diagnosis, every treatment should be based on, such as gastric ulcers, in the past, the patient has acid reflux, belching, and the patient has a good understanding of the treatment. In the past, patients with acid reflux, belching, postprandial pain in the upper and middle abdomen could basically make a diagnosis, and the doctor could prescribe medication according to the symptoms and signs. But now, must do gastroscopy to diagnose, if not to do the examination, directly tell the patient that you are gastric ulcer, the patient does not agree, will ask the doctor, what do you diagnose me gastric ulcer.
2. The standardized management of hospitals has many indicators for assessing the quality of medical care, one of which is called the drug ratio, that is, the proportion of drugs in the total cost of hospitals at all levels of standards are different, but the general direction is that the proportion of drugs can not be more than the proportion of examination and treatment, to do the examination of tests is also an effective way to reduce the rate of misdiagnosis to improve the diagnosis rate. The first time I saw this, I was in the middle of the night, and I was in the middle of the night.
So, the current healthcare environment is that patients lose trust in doctors, doctors can not let go, and the final loss is still the patient. We old doctors would lament that being a doctor now is really much harder than it was in our younger days.
Every year, the sick go to the hospital, Mr. called blood test, trouble, a go, test three times blood, a week later, in the results, Zheteng half a day, iron deficiency anemia, alas, Mr. blood test, diagnosis of the condition of the Chinese medicine does not think so, do not test the blood, pulse, diagnosis of the disease, intuition, each has their own road, ...
Of course, the doctor will be very happy to help you, but the doctor is not a good choice.
Of course, you can also not test the blood, based on experience, experimental medicine, if it is good you good I good everyone good, but not good? The previous medication was used in vain, and the money was wasted, not to mention the delay, you can do not blame the doctor? I guess you have a good quality, will not care, other people? Nowadays, society, many people especially strange