What is over-censorship?
Excessive examination should be included as one of the contents of excessive medical treatment.
Excessive means too much is as bad as too little, which means that if you do too much, it is the same as not doing it well.
This once again shows that in medicine, being overly enthusiastic and doing too many things may not necessarily be a good thing, but may be a bad thing. Medicine only requires accuracy and precision.
All of these point to one central question: how to determine the degree.
Dr. Xie Wanying said frankly: "In medicine, the determination of these degrees requires a large amount of clinical observation data."
For example, the upper and lower limits of normal blood indicators that we know now are all derived from a large amount of case data accumulated over a long period of time, and are standards determined by professional national organizations.
Some of the specified values even vary from country to country.
In such cases, if a country has not yet developed guidelines on "degree" in this regard, it can learn from other countries' experience in this regard.
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After all, human beings live on the same planet, and the differences are not very great. We can learn from them and then combine them with our own national conditions to make decisions.
Using CT to check lungs as a screening physical examination for early lung cancer is being carried out in full swing in some countries and has made some achievements. For example, in one country, they first conducted such a project on pilots and found that the detection rate of lung cancer was close to 2% to 4%, and some of them were in the early stage, which can be said to be very good for saving and prolonging the lives of some patients. When Dr. Xie was talking, Dean Wu and Section Chief Yang kept swiping their pens on the notebooks, constantly encouraging her to continue.
There is another big country, which claims to have the most advanced medical technology on the planet. It has completed the data accumulation of this part of the work and concluded that the use of CT for early lung cancer screening can detect lung nodules, which generally refer to round or irregular lesions in the lungs with a diameter of less than or equal to three centimeters, and the imaging manifestations are increased density shadows.
According to the density, they are divided into three categories: solid nodules, partially solid nodules, and ground glass density nodules. Partially solid nodules have the highest probability of being malignant.
All these foreign data show that early screening is meaningful. But don't forget that these examination items have target groups, which are not imagined out of thin air, but guided by past medical data.
For example, pilots and airport ground staff are more likely to be exposed to high-risk environments than ordinary people, so there is a need for this examination.
To put it simply, like the chest X-ray physical examination we did before, if the patient has a history of lung disease, is a smoker, or is exposed to a high-risk environment, or is an elderly person, this type of examination requires more attention and more careful identification.
In summary, whether it is an excessive examination item depends on the target group, which is also a relatively unified academic cognition in the medical community in the future. Now Dr. Xie Wanying directly told the bigwigs on the scene this information.
After Dean Wu has recorded it, he should report it to his superiors.
After hearing her words, the two leaders were silent and thoughtful, and the expressions on their faces gradually changed from worried at the beginning to relaxed.
Doctors are no different from ordinary people in this respect. The fear shown in medicine is also due to the unknown of the future.
When Dr. Xie revealed that some medical measures were effective and could determine the general direction, the bosses gradually calmed down.
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