"It seems that her cervical spondylosis is not serious. It does not match the symptoms she reported." Cui Shaofeng placed his fingers on the photocopied medical record as if he was pointing at an officer, studying word by word what the outpatient doctor had written when the patient came to see the doctor.
Tan Kelin picked up the MR film again and looked at it carefully. Although he is not an orthopedic surgeon, he is an academic giant at his level and can generally read the films.
After careful analysis by the two bosses, they discovered that what Xie and his friends said was just to save other people's face. In fact, the film and report do not match the symptoms reported by the patient.
First of all, we should know that the main cause of cervical spondylosis is degenerative changes in the cervical spine. Although there are many degenerative changes, the most common one is bone spurs. More than 90% of middle-aged men and women suffer from cervical bone spurs, which are bone hyperplasia. The real symptoms of cervical spondylosis are not caused by bone spurs. Symptoms will only occur when pathological changes occur in the cervical intervertebral disc, the inner diameter of the cervical spinal canal becomes narrower, and the blood vessels and nerves running inside are compressed.
After you take the X-ray, you will find that there is bone hyperplasia and thickening of the ligaments, but the intervertebral disc is basically normal, the inner diameter of the spinal canal has changed slightly, and there is no tendency for blood vessels and nerves to be affected. It should be difficult to form typical and obvious clinical symptoms.
Well, Tan Kelin and Cui Shaofeng's expressions fell silent.
Liu Li's heart was pounding.
This time she didn't think that her cousin who was not an obstetrician and leader Cui were inappropriate to express their opinions.
After the thought-provoking education above, she realized that she had been misled by the patient's doctor friend.
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The reason why the big guys are called big guys is that, in addition to being very good in their specialties, they have an excellent commonality: they frequently engage in academic exchanges and communicate with other specialties, have a wide range of information, listen to a lot of clinical cases, and are knowledgeable. For diseases that are not within the scope of their own specialty, the boss's wide range of knowledge can increase vigilance.
This is why young doctors do not suspect other diseases when they encounter difficult and complicated cases in clinical practice, but when clinical experts come to make rounds, they can quickly determine that the disease is a specialty of other departments and ask them to do other specialist examinations.
Of course, clinical experts are not know-it-alls, they are just better than rookies. At the same time, the bosses often do not agree. For example, the patient’s doctor friend has completely different opinions from them.
The reason why the experts have different opinions may be related to their different clinical ideas.
Maybe Yaxi's mother's doctor friend thinks that the patient pays attention to her physical health, and all indicators have been maintained well since pregnancy, so the probability of accidents is very low. If there was going to be a problem, it should have happened earlier rather than now. This is an inference made by a doctor friend based on his familiarity with the patient.
In comparison, the doctors on site were not familiar with Yaxi’s mother and could only make diagnoses based on clinical data.
In actual clinical cases, some doctor friends are right, and some on-site doctors are right. Ultimately, facts will determine who is right and who is wrong.
As Leader Cui said, doctors are using their skills to gain control over patients' conditions. If you don't fight, it's one thing for your patients to decrease. On the other hand, it is possible that you were right but did not fight for it, which led to the patient's death. Most doctors are kind-hearted and will not say that you deserve to die if you don’t come to see them. On the contrary, the latter result makes doctors sad. If you don’t believe it, read the news all over the world. It’s all about doctors’ mentality. The news is not exaggerated.
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