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【2918】Exclusion method

"Look, doctor, it stopped shaking." When he saw that his hands and feet were no longer shaking, the young man was very happy. He thought that his disease was not a serious problem and hoped that the doctor would quickly declare that he was not sick.

Whether it is a disease or not is not decided by the doctor, but by the medical evidence. The doctor must make a diagnosis based on the medical evidence. For this reason, the doctor cannot help but smile bitterly every time he sees the patient's words and expressions.

It cannot be said that the doctor did not understand the patient's desire to cut ties with the disease as soon as possible. Cao Yong discussed with the patient and said: "We need a blood test, head CT and magnetic resonance examination, and then further confirm the diagnosis."

"I've taken the blood test. Doctor Xie said that I took the test and my blood sugar is normal." The young man took out the same blood sugar test report as the previous aunt and submitted it to the doctor for review.

People with a little education can basically understand whether the measured values ​​are normal or not, because for the convenience of clinicians’ reference, the inspection report has normal values ​​printed next to the measured values. If the values ​​are abnormal, the inspection report will be marked abnormal directly.

What should be emphasized here is that ordinary people’s understanding is different from that of doctors. Ordinary people understand based on normal values ​​as a reference. The blood test report is the same as the imaging report, indicating that it requires the combination of clinicians

A comprehensive judgment is made based on the patient's clinical symptoms.

It is equivalent to saying that normal values ​​do not mean that the patient is definitely not sick, and abnormal values ​​do not mean that the patient is definitely sick.

All in all, the changes in various components in human blood fluctuate greatly, and the measured values ​​often only reflect the patient's physical condition within a certain period of time. In the clinic, doctors often ask patients to draw blood for tests at any time in the inpatient department.

That's why.

For glucose tolerance tests, you will find that whether in outpatient or inpatient settings, doctors will ask some patients to do more than one blood glucose test, and the time points for the two tests may be arranged a few days or weeks apart. At this time, the doctor's

What comes to mind are some potential factors that may affect the test results.

This fully illustrates that a doctor’s thinking about an examination result is multi-layered and multi-faceted.

The young man who took out this blood sugar report thought he had irrefutable proof that he was not sick.

In the eyes of doctors, this is not an iron-clad proof that there is no disease, but it may be an iron-clad proof of other diseases. Clinically, judgment of a disease requires elimination methods. Your normal blood sugar value paper is expected to become an elimination method.

"The blood test I prescribed for you is not to check blood sugar, but to check other items."

"Isn't it okay even if your blood sugar is normal?"

"Your symptoms are not necessarily related to blood sugar."

The last sentence is the doctor’s direction of diagnosis.

The young man's face became even more anxious when he heard this, and he stretched out his left hand to show it to the doctor: "It doesn't shake anymore."

Several doctors looked over. The young man's left hand and foot would never shake on their own again. It wouldn't be like this when it stopped shaking. The patient himself knows this best. How could he come to see a doctor if he really stopped shaking?

I will come and persistently call the doctor’s number to thank him.

The young man saw himself slapped in the face and got angry at himself. He grabbed his shaking left hand with his right hand and tried to force it to stop shaking.

Wei Shangquan, a classmate present, was the most anxious. He shouted and stopped the patient and said:

"Hey, what are you doing with your hands? Don't hold on hard. If you don't hold on hard enough, you'll break your bones."

The patient was startled by his words: "Can this fracture?"

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