Back in 1996, the eldest daughter of Oldman Xie’s Family, Xie Wanying, said that she wanted to be a surgeon, to which many people laughed at her .
“ A Phoenix gives birth to a phoenix. And a ...
"Look, doctor, it's not shaking anymore." When the young man saw that his hands and feet were no longer shaking, he was very happy. He thought that his illness was not a serious problem and hoped that the doctor would quickly declare him healthy.
Whether or not a person is sick is not determined by the doctor, but by medical evidence. Doctors make diagnoses based on medical evidence. Therefore, every time a patient says this and looks like this, the doctor can't help but smile bitterly.
It cannot be said that the doctor did not understand the patient's desire to end the disease as soon as possible. Cao Yong discussed with the patient and said: "We need to do a blood test, a head CT scan and an MRI to further confirm the diagnosis."
"I've taken a blood test. Doctor Xie said my blood sugar is normal." The young man took out the same blood sugar test report as the aunt's before and handed it to the doctor for review.
Whether the measured value is normal or not, ordinary people with some education can basically understand it by themselves, because the examination report form has the normal value printed next to the measured value for the convenience of clinical doctors. If the value is abnormal, it will be directly marked as abnormal on the examination report form.
What needs to be emphasized here is that the understanding of ordinary people is different from that of doctors. Ordinary people understand it based on normal values as a reference. The blood test report is the same as the imaging report, which indicates that the clinician needs to make a comprehensive judgment based on the patient's clinical symptoms.
This 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.
After all, the changes in various components in human blood fluctuate greatly, and the measured values often only reflect the patient's physical condition in a certain short period of time. This is why doctors in the inpatient department often ask patients to draw blood for tests at any time.
If you are doing a glucose tolerance test, you will find that doctors will ask some patients to do more than one blood sugar test, whether in the outpatient department or in the inpatient department. The two tests may be scheduled a few days or weeks apart. At this time, the doctor is considering some potential factors that may affect the test results.
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This fully demonstrates 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 evidence that he was not sick.
In the eyes of doctors, this is not ironclad evidence of no disease, but rather ironclad evidence of some other disease. Clinical diagnosis of a disease requires the method of elimination. Your normal blood sugar value paper is expected to become the method of elimination.
"The blood test I ordered again for you is not to check blood sugar, but to check other items."
"Is it okay even if the blood sugar is normal?"
"Your symptoms may not be related to blood sugar."
The last sentence is the doctor's diagnostic direction.
The young man looked even more anxious when he heard this, and stretched out his left hand to show the doctor: "It's not shaking anymore."
Several doctors looked over. The young man's left hand and left foot would not tremble again. It would not be like this if it stopped trembling. The patient himself knew this best. If it really stopped trembling, why would he come to see a doctor, why would he insist on making an appointment with Dr. Xie.
The young man saw himself slapping in the face and got angry with himself. He grabbed his shaking left hand with his right hand and tried to force it to stop shaking.
Wei Shangquan, who was present, was the most anxious. He shouted to stop the patient and said:
"Hey, what are you grabbing your hand for? Don't force it. If you force it wrong, you'll break a bone."
The patient was startled by his words: "Can this be broken?"