Now go to the hospital to hospitalization, the doctor first of all will be a comprehensive examination of the patient, this is a hospital procedure for several general reasons. The first is to be responsible for the patient. The patient is admitted to the hospital, the doctor will generally ask the first specific condition, the patient will also be detailed oral. In order to more accurately diagnose the patient's specific condition and prevent errors with the patient's oral statement, it is necessary to carry out a series of instrumentation to ensure the correctness of the diagnosis. Second, improve the utilization rate of medical equipment (instruments), increase revenue. Hospitals have purchased and equipped with so many instruments and equipment, some of which are hundreds of thousands of dollars, millions of dollars, and some even tens of millions of dollars. If not for the use of patients, idle aside, not only so that some of the patients' difficult illnesses can not be diagnosed, affecting the patient's physical rehabilitation, but also seriously affect the hospital's economic income, a waste of large amounts of resources. Third, clear responsibility. The patient through the doctor and the instrument of a detailed and rigorous examination, diagnosis of specific diseases, the doctor will inform the patient or family members, to develop a detailed program for diagnosis and treatment. In this treatment process, it is inevitable that unexpected problems will be encountered, it is necessary to discuss with the patient or family members, sign an agreement, the patient or family members to sign. When accidents occur, the patient and his family will have to bear the responsibility and cannot put all the blame on the hospital and the doctor. All in all, the hospital's examination is also responsible for the patient, do not have to seek blame.
My hometown in the 80s and 90s there is a pediatrician, look at the child hand to know what disease, go to him to see most of the hospitals require the transfer of dolls, 94 years my son was only one year old sick to the county hospital, when the county hospital did not dare to receive, said that they must go to the provincial hospital, an old man said that the neighboring counties have a professional look at the pediatrics of the street doctor, I went to the doctor to look at my son's hand, the doctor said. A shot, packaged two days of medicine, 8 yuan 6 medicine, on the good, now the doctor to look at a cold to ask to check the 7.8 kinds of see a doctor, are liars, cheating
I remember Liang Hongda said, now the doctor ah, with the past, the old doctor can not be compared to the doctor in the past (look, smell, ask, cut) can be your disease can see a eight or nine not quite ten, that is really called dedication! Now, the hospital is also divided into sections, the doctor is also more detailed, they in order to get the disease accurate, only to rely on medical equipment, to give you a whole body to do a check, that is, really out of the problem or to shirk the responsibility of saying that the medical equipment is unqualified, and then again can be justified to engage in the revenue generation.
Sometimes it's hard to tell, and it's possible that you're wrong about the doctor. Because doctors have to consider the efficacy of prescribing medication, and penicillin is a very tightly controlled drug that can easily cause allergic symptoms.
Just look back, right chest pain, before the small hospital to see, directly called hospitalization, electrocardiogram, film, blood tests, gynecology are examined, the conclusion is that it may be a bacterial infection, the other doctor said, neuralgia, look at the three days, went away. When I went to another big hospital, the previous report was not recognized, and I was re-examined, and the doctor said that I might not be able to detect it while he was writing the bill. Then said, I when you esophagitis to medical, prescribed a few days of medicine, fortunately today ate two days, feel no pain. The first thing you need to do is to get your hands on a new one, and you'll be able to do that.
Indeed, now hospitalized will have a variety of tests, the fundamental reason is to ensure medical safety. If the outpatient clinic can diagnosis and treatment, and why hospitalization? After all, hospitalization, the need for hospitalization indications. From the medical point of view, rational examination, rational diagnosis, rational treatment, this process is essential.
1. Some diseases, although all levels of hospitals do a lot of testing, limited to the limitations of medical knowledge, may not have a clear diagnosis.
2. Some diseases, limited to the safety and popularity, must be done in advance screening, such as invasive operation of gastroenteroscopy and a variety of surgical (check blood type, infectious disease-related examination), such as the current coronavirus rampant, the patient to be admitted to the hospital in advance need of nucleic acid testing and/or lung ct and so on.
3. Some diseases, although the diagnosis is clear, but the need for necessary review, especially the underlying disease numerous or seriously ill patients. This is because the disease changes rapidly in these patients.
4. After the implementation of the national drug and device volume purchasing, not except some doctors will be excessive prescription of some tests, did not do a reasonable examination.
5. The uncertainty of the performance income of doctors. At present, even though public hospitals are practicing performance appraisal, and medical safety has a one-vote veto, the relevant inspection and testing may be more.
6. The current medical environment creates the duplication of inspection and testing. Part of the uncertainty of patients and their families so that doctors and nurses have become birds of a feather, become "always walking on the river" people, in order to ensure medical safety, even if the medical skills are not dare to take risks. Never allow the "one-in-a-million chance" to occur, otherwise it would have achieved the "100 percent hit". There was an old Chinese medicine, pretentious, but also save countless people, but do not know how to open the test. One of the patients ate her prescribed two months of Chinese medicine, was diagnosed with "pancreatic cancer", sad! Delayed condition, lawsuits, lose money, and eat the capital are lost (physician's license). Come to think of it, even if the diagnosis of cancer is clear before taking Chinese medicine, will the patient be able to survive? Woe to the patient, "learn from the mistakes of the past" are no longer qualified. If you can do it all over again, this old Chinese doctor will not open the examination test? ......
Based on what was said above, the understanding is great! The patient is not easy, the doctor is not easy, to create a harmonious doctor-patient environment is a long way ......
Now the hospital is not a doctor to see a disease, is a machine to see a disease, my child was more than two years old when he was sick, go to the People's Hospital to see the pediatrics, the doctor said that to be hospitalized, but also from the head of the needle, I was scared to death, called my mom to the doctor said the situation relayed to her. Said the situation relayed to her, my mother directly let me carry the child back to her mother's home, she took the child a look and said, don't listen to the doctor nonsense, the child did not the doctor said so, directly to take the child to the Hospital of Traditional Chinese Medicine to find a hospital rehired the old doctor to see, the old doctor said that a small matter of time without needles, prescribed a little medicine less than 10 yuan, to the child ate on the good. So we do not completely listen to the doctor's fooling around when we are sick.
Now the special inspection section, is a hospital auxiliary, the doctor does not open these single, they can not complete the task, may not even earn wages, so these sections directly linked to the doctor, as long as there are patients to, the doctor first bill, after the completion of the task, in the commission of a few tens of percent of the incentive, I engaged in hospitals in the clinic doctor for several decades, these are a small two subjects, or hospitals every year several million! The first thing you need to do is to get your hands dirty!
1. Now there is a "reversal of proof", roughly meaning that if the hospital did not misdiagnose the patient, it is necessary to sufficient diagnostic evidence to prove that the hospital did the corresponding necessary checks. Typical example: a car accident victims of excessive blood loss, surgery at the same time also need a blood transfusion, treatment, the driver found that the high cost of one of the tests is the transfusion of the injured before the HIV-related test, the driver felt that the hospital did not need to check, is knocking on the door, the injured feel insulted its personality. This is the reversal of proof, if the injured postoperative AIDS, and the hospital did not check the injured preoperative HIV negative, that the hospital is a hundred mouths to defend.2. Many diseases have similar test results, a number of tests can be differential diagnosis and a clear diagnosis of the disease.