Physical examination is to "seize the early time of the disease"
"According to the data of our physical examination, we can find 10~20 customers every month, but they actually have cancer. LinYu Sheng, a doctor at the Health Outpatient Center of Taoyuan Chang Gung Hospital, said that some people were found by regular physical examination, while others were found by physical examination only after they felt uncomfortable. Now tumor resection is more and more advanced. Early detection will actually make a big difference in the effect of treatment.
Of course, for most people who do health check-ups, health check-ups are only routine. Only a few thousandths of people are diagnosed with cancer every month, and the rate is not high, and there is no need to spend money. But for those who really have "problems", health examination is a lifesaver, because no one knows when the disease will find them.
"In fact, sometimes the exam will have unexpected results. For example, a customer is addicted to smoking. We all know that smoking is a high risk factor for lung cancer. In order to make him willing to be examined, his wife accompanied him to do a low-dose computed tomography scan of his lungs. Instead, I found that my wife had lung cancer. 」
Lin, director of the Health Management Center of Wan Fang Hospital, took the colorectal cancer with the highest incidence rate in Taiwan as an example, saying that the colorectal cancer detected by physical examination was less 1 ~ 2 stages than that detected after bleeding, loose stool and other symptoms, and the cure rate improved a lot instantly.
Lin, director of Beirong Health Management Center, said that endoscope has developed into painless and direct resection technology, which has been proficient and the risk has been reduced. Now enteroscopy can use intravenous short-acting sedatives to avoid respiratory depression caused by excessive sedation and reduce the risk of surgery. Moreover, there are full-course ECG, blood pressure and blood oxygen concentration monitors, and the survival rate of early treatment of colorectal cancer is 90%.
But physical examination is useful and we are willing to use it.
But many people have made the scarlet letter, but they are still unwilling to treat it because they don't understand the danger. Even if there is an exam, it will have no effect. Chen Yuhan, the attending physician in the Family Medicine Department of Chimei Medical Center, mentioned that a 68-year-old Mr. Lin was found to be positive for occult blood in stool during physical examination two years ago. Although it was a scarlet letter, he didn't continue to do colonoscopy because he didn't understand the seriousness.
Results Recently, due to the change of defecation habits, it was found to be colorectal cancer after colonoscopy. Now Mr. Lin has a regular stool occult blood examination every two years, and has really started the road of "prevention".
Wang Yifen, manager of Taian Health Inspection Center, said, "Every year, many people check out cancer from us or need surgery. We immediately found it and referred it to the relevant departments, which prevented the deterioration of many diseases. However, the effectiveness of physical examination actually requires the positive behavior of customers. For example, we find that there are problems in these places. If you just look at it and put it on the bookshelf at home, it is invalid for the physical examination to be careful and accurate. Therefore, the cooperation after the physical examination is absolutely no less than that during the examination, but this "effectiveness" depends on whether the patient is willing to cooperate. 」
Lin also gave an example. "Just like an entrepreneur in his early fifties, he often feels chest tightness, but every physical examination says that he is busy with his work, so he is postponed. Later, he listened to his friend's advice and came back for an examination. God, vascular calcification reached 4000 points, which should be below 100 points. Normal people can't reach him at all, so it's still delayed to shoot it back immediately. " 」
Lin said that the gentleman in the last case finally came for further examination, and it turned out that the whole blood vessel of the heart was blocked. If it was later, he might have fainted while talking to a client, and it would be too late to save him.
Usually, if the vascular calcification index exceeds 400 points, there is already a risk of coronary heart disease. Entrepreneurs stayed up to 4000 points and didn't fall down. Although his willpower is amazing, he actually tied an untimely bomb to his body. Without this physical examination, he might really fall down the next moment.
However, Lin also said that this form of work has created an unhealthy body. If you don't change your habits, you won't know how you will fall down next time. However, doctors can't forcibly change the work and lifestyle of the subjects. All they can do is "flexible persuasion" and tell them what to avoid and what to do. Because of this experience, entrepreneurs also began to try to adjust their own pace of life, which is the most gratifying and confident result of doctors.
You think a healthy life is not necessarily healthy.
However, the above are all examples of high work pressure or unhealthy life. Don't worry about these problems is a "healthy life"? Lin Yusheng also mentioned that the healthy life he felt was not necessarily healthy.
LinYu said that there was a young man in his early thirties who used to run marathons and always felt that he was in good health. However, when he checked, he found that high cholesterol and abnormal exercise electrocardiogram were also high-risk groups of cardiovascular diseases. The subjects also found it hard to believe at the moment. Why do they still have such problems when they live a healthy life?
But in fact everyone's physical condition is different. LinYu said that although this gentleman has exercise habits, his diet is not taboo, and everyone has different constitutions. The same exercise and eating habits have different results. Usually seeing a doctor can only be roughly judged by most people's standards, but only by paying attention to your physical condition regularly can you master the more focused part.
Physical examination is to get a better quality of life.
Lin also said that a person's health is dynamic, not static, and small changes are taking place every year, every month and every day. Therefore, we should not only look at the physical data, but also look at things invisible to the naked eye, that is, the physical examination has not yet fully developed, and check "mental illness."
"Psychology will affect physiology, so why should we arrange a doctor's medical examination? It is to see if there is anything wrong with your appearance or what you have overlooked, but there are still some limitations, and it is also a piece that can be worked hard in the later stage. Lin said that the past physical examination needs to be transformed into health management. Maybe the patients themselves didn't notice the quiet changes in their bodies, but because of this examination, doctors can provide more professional advice to make their lives more quality and safer. This is the purpose of physical examination and medicine.