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【2918】exclusion method

"Look, doctor, it doesn't shake anymore." When he saw that his hands and feet were not shaking, the young man was very happy. He thought that his disease was not a big problem and hoped that the doctor would quickly sentence him to no illness.

Whether it is a disease is not determined by the doctor, but medical evidence. Doctors should follow the medical evidence for diagnosis. For this reason, every time they see a patient's statement and expression, the doctor smiles bitterly.

It cannot be said that the doctor does not understand the patient's mood of wanting to cut the disease early. Cao Yong discussed with the patient and said, "You need a blood test, a head CT and magnetic resonance examination, and then further confirm the diagnosis."

"I've tested the blood test. Doctor Xie said I've gone to test it, and blood sugar is normal." The young man took out the same blood sugar test report as the aunt before and submitted it to the doctor for review.

The measured values ​​are normal or not. People with a little education can basically understand them themselves, because in order to facilitate reference by clinicians, the examination report form is not marked with normal values ​​next to the calculated value. If the value is abnormal, the examination report form will be marked with abnormalities directly.

What we should emphasize here is that the understanding of the common people is different from that of the doctor. People understand it based on the normal value. The blood test report is the same as the imaging report, and it is indicated that the clinician needs to be combined.

A comprehensive judgment of the patient's clinical symptoms.

It is equivalent to saying that the normal value does not mean that the patient is definitely not sick, and the abnormal value does not mean that the patient is definitely sick.

After all, the changes in various components in the human body's blood fluctuate greatly, and the measured values ​​often only reflect the patient's physical condition in a short period of time. In the clinic, doctors often ask patients to take blood tests at any time.

This is why.

If you have a glucose tolerance test, you will find that whether it is an outpatient or inpatient department, the doctor will ask some patients to undergo more than once blood sugar tests, and the time points of the two tests may be arranged several days or weeks. At this time, the doctor's

What I think about is some potential factors that may affect the results of the examination.

It fully demonstrates that doctors’ thinking on a test result is multi-level and multi-faceted.

The young man who took out this blood sugar report sheet thought he had a strong evidence to prove that he was not sick.

In the eyes of doctors, this is not a mountain of iron evidence of not having a disease, but it may be a mountain of iron evidence of other diseases. Clinically, it is necessary to eliminate a disease. Your normal blood sugar value paper is expected to become an exclusion method.

"I've given you a new blood test, not a blood sugar check or other items."

"Don't you have normal blood sugar?"

"Your symptoms may not be related to blood sugar."

The last sentence is the doctor's diagnosis direction.

When the young man heard this, his face became more anxious, and then he stretched out his left hand to show it to the doctor: "It won't shake."

Several doctors looked over. The young man's left hand and left foot would not shake again. It would not be like this if he stopped shaking. The patient knew best about this. How could he see a doctor if he stopped shaking?

I will come and hang up the number of Doctor Xie in persistently.

The young man was slapped himself in the face and got angry at himself. He grabbed the shaking left hand with his right hand and tried to force him to prevent his left hand from shaking again.

Wei Shangquan, who was present, was the most anxious and shouted and stopped the patient and said:

"Hey, what are you doing with your hand? Don't force yourself to catch it. If you force yourself to catch it wrong, you will have a fracture."
Chapter completed!
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