The doctor-patient relationship is the most controversial one in society at present, because in many cases, patients and doctors are not at the same level and cannot understand each other's ideas. In many cases, there is little communication between doctors and patients, which also leads to many contradictions between doctors and patients and even goes to court.
As we all know, sometimes when you go to the hospital, the doctor will write a list for the patient to do various tests. Sometimes, patients feel that there is nothing wrong with them and they are very resistant to the examination. He will also think that many tests requested by doctors are because he wants to cheat his own money.
To reduce the occurrence of misdiagnosis, the doctor's duty is to diagnose and treat, and the diagnosis of patients cannot be separated from some necessary examinations. Because it is hasty to make a diagnosis only by the doctor's experience when asking about the patient's condition, we can carry out relevant examinations according to the patient's condition and make further diagnosis. In addition, through the results of the examination, we can make a suitable treatment plan for patients better, so as not to delay the illness because of misdiagnosis. Although there are countless cases of treating diseases and saving lives in ancient Chinese medicine, it is undeniable that there must be patients who have aggravated their deaths because of hidden illness.
With the development of medicine, modern medicine relies on existing inspection instruments to assist diagnosis and avoid misdiagnosis as much as possible. In ancient times, Chinese medicine doctors only relied on seeing, listening, asking and asking questions without using instruments to assist in the examination, because there were no instruments available at that time.
In fact, from the doctor's point of view, it is not only beneficial to judge the condition, but also to protect the doctor from unreasonable infringement, which is a win-win situation for both patients and doctors.
In addition, seeing a doctor is not "where to fight". Take myocardial infarction as an example. Many people think that the symptom of myocardial infarction is chest pain, but in fact, every pain from under the nose to above the navel may be a signal of myocardial infarction. Myocardial infarction may induce toothache, backache, left shoulder and jaw radiation pain, abdominal pain and other symptoms, especially for diabetics and elderly people, because the first symptom may not be chest pain, but the deterioration of nerve sensation, so when these symptoms appear for no reason, we must rely on targeted examinations to find the reasons.
To improve the work efficiency of doctors, we must admit that domestic medical resources are still relatively scarce. China has a huge population base of over one billion, and people get sick every day, but the number of doctors can't keep up with the number of patients. Especially in large hospitals, medical resources are in short supply and doctors are very busy in their daily work. Through examination, each doctor can reduce the speed of diagnosing the patient's condition and increase the doctor's work efficiency.
Doctors are people, not gods. Doctors can't see the problem at a glance. All his judgments are subjective, and the proof needs objective basis.
Sometimes doctors think it's pneumonia, but in the end it's lung cancer; Sometimes doctors think it is a gastric ulcer, and finally it may be an abdominal aortic aneurysm; Sometimes doctors think it's appendicitis, and finally it may be perforation of fishbone. Sometimes in front of the examination, the doctor will doubt whether he is a doctor or not.
Patients and doctors have different understandings of diseases. For example, the patient has a cold, fever and cough fatigue. Maybe the patient thinks it's just a common cold, and it's no big deal. But doctors may see deeper reasons from these manifestations. Can you have myocarditis? Will there be pneumonia? In order to prove this, we need the help of testing and checking these AIDS. The disease is very cunning, and it still depends on scientific instruments and equipment.
Why do doctors rely more and more on examinations? On the one hand, because doctors don't want to gamble, disease diagnosis needs evidence, and treatment needs science. We should be cautious and think twice before facing patients. On the other hand, diseases are becoming more and more complicated, and all kinds of unexpected causes often need to be determined through examination. Even experienced doctors need examination methods, so when entering a hospital, whether it is an emergency department or an inpatient department, the first thing to do is always examination.
Undeniably, over-examination does exist, such as CT, angiography and magnetic resonance examination. According to Hu Dayi, chief physician of the Department of Cardiology, Peking University People's Hospital, over-examination and over-treatment are indeed common at present. Director Hu believes that many doctors now put the cart before the horse in the diagnosis process. After several consultations, the patient was immediately asked to do CT, angiography and MRI. Many patients also think that CT and angiography are harmless and can be done casually. In fact, these tests are costly and traumatic, and may also bring permanent harm to patients. For example, the CT examination of the coronary artery of the heart is equivalent to taking 750 chest X-rays.
For young people who don't need these tests, especially women, it is not only ineffective, but also wastes medical expenses and even brings people the risk of cancer for life.