crazy scalpel

Seeing that Zhong Liangquan's expression was not very good, Xie Ke added another sentence: "It should be said that it was originally. But I must also say that the operation plan that Dr. Zhao Hua made for you can't be wrong. After all, you came to see the doctor at that time Sometimes, it's because the pain is unbearable, right?"

Zhong Liangquan said anxiously: "Yes, I was in so much pain that Dr. Zhao performed the operation on me. But I see what you mean, is it better not to have the operation?"

Xie Ke shook his head, "That's not the case. At least his surgery did relieve the pressure on your spinal cord and nerves from your herniated intervertebral disc."

"Then," Zhong Liangquan said, "then why am I still suffering from head, neck and back pain? Oh, Xiao Xie, I know that you doctors don't speak ill of your colleagues, and I also know that you like to play mysteries The rhetoric made our patients dizzy. Don't go around in circles, for the sake of calling me uncle, just say, what should I do?"

"No." Xie Ke helped him sit down, then took a disposable paper cup, poured a cup of warm water and put it in front of him, "This is not an emergency, so you don't need to rush to make a decision. Understand it thoroughly, and then talk about how to treat it. And how to treat it is not just a doctor can do it, it mainly depends on yourself. "

Zhong Liangquan took a sip of water, "Okay, then tell me, I'll listen carefully."

Xie Ke crossed his hands and talked eloquently: "First of all, I must correct your prejudice against surgeons. You must know what is the most fundamental purpose of your coming to the hospital for medical treatment? It is to relieve pain. Dr. Zhao Hua's treatment methods —Removing the intervertebral disc is indeed for this purpose. As for whether what you suspect is overtreatment, I can tell you. Yes, and no.”

Zhong Liangquan: "Why?"

Xie Ke: "From the professional point of view of our surgeons, all your conditions have met the indications for surgery. This is our standard. Therefore, Dr. Zhao Hua's diagnosis is not wrong, and neither is the surgery proposal for you. Wrong. In this way, the cause of your pain after surgery will be ruled out for misdiagnosis."

Zhong Liangquan frowned and muttered: "It's okay if it's a misdiagnosis? This is considered a medical malpractice, and I can even sue you in court."

Xie Ke said with a smile: "Actually, misdiagnosis is very common. There is no special data collection agency in China. However, in western developed countries, the rate of misdiagnosis in public reports is also very high. In general clinical medicine, misdiagnosis is inevitable. Yes, it’s just a matter of probability. And the kind of situation you mentioned that can be brought to court must be caused by violation of routines and norms.”

What Shayk didn't say was that the identification of medical malpractice was done by a team of medical experts, who were actually industry personnel selected by the Ministry of Health.As long as it does not cause too serious results, or is too negligent, it will not constitute a "medical malpractice".

In fact, a doctor is nothing more than a profession.Like teachers and soldiers, it has been given too much aura.

"Famous doctors" are extremely rare.And once you become a famous doctor, you will be so busy that you can't touch the ground at all.So if you always hope that the doctor you meet should have the qualities of a "famous doctor", it is basically delusional.

Although Xie Ke is very confident in his knowledge reserve and surgical skills, he can't guarantee that he will never misdiagnose, nor can he guarantee that every operation will be successful.Because a successful treatment really covers too many elements, some of which are not even within his control.

It's true that Xie Ke is a doctor himself, but he never felt that doctors should be worshiped blindly.On the contrary, he believes that the relationship between patients and doctors is best equal and a two-way choice relationship.

Some doctors are used to being uncles, even if they should do things by themselves, they like to direct those young nurses around.

And those nurses are not as high as doctors in the hospital. They have to be supervised by the head nurse at one end and ordered by the doctor at the other end. They can't resist, and they have to do their own things.Therefore, doctors and accountants are the same as they get older and more popular, but nurses are young, and they can only change careers or go to relatively leisurely elderly care departments when they are old.

Speaking of resident doctors, some people are used to bossing around, and the same is true for patients and family members.Doctors who have been in outpatient clinics are generally more able to deal with the relationship with patients.But some inexperienced and incompetent people often feel impatient when they ask a few more questions.For example, Lao Youjun belongs to this category.

If the resident doctor in charge of Zhong Liangquan had been Xie Ke, maybe there would have been a completely different result.

Resident physicians now have a relatively detached status. Whether they are transferred from outpatient clinics or other places, they can choose to accept or not.And patients, in fact, they can also choose whether to continue to be treated by this doctor.But the problem is that many people silently give up this right.They always think that no one can offend the doctor if they offend anyone.Before anything goes wrong, most people will tolerate doctors in every possible way.And once something happens, they often vent their grievances indiscriminately.

But in fact, unilaterally giving up this right that was originally in a balanced relationship will make the two ends of the balance unequal.If it is not stable, it is easy to have accidents.

As a wise patient, first of all, you should obtain information related to your condition from many aspects and channels, rather than just what the doctor says.Second, trust your own attending physician and seek to communicate.After all, in a treatment, patients and doctors should be in a cooperative relationship, and the serious disease is the real opponent.

Communication is the most effective means to reduce the probability of being misdiagnosed.

Tell your doctor how you feel in every detail, rather than avoiding something that you consider personal.Because sometimes it is precisely those situations that you think can be omitted, which will prompt a lot of information related to the disease.

For example, sexual relations.Many people find it hard to talk about this.But if you withhold this information, certain diseases are likely to go unnoticed without laboratory testing.

Furthermore, if you have any opinions about what the doctor has done to you, you should also raise them in time.

For example, surgeons will habitually ask patients to do this and that examination.Because for them, computers and advanced technology are always easier and more accurate than manual physical examinations.But some checks are really not necessary.This is the time to express your opinion.Of course, this does not mean that you always fight against the doctor.Instead, ask more questions.

"Do you have to do this test? Will this test have side effects? Are the test results useful for diagnosis?"

Similar to these.

If the patient doesn't say it, but does it according to the doctor's arrangement.So even if the patient's heart keeps beating, the doctor will not know.

And if the patient expresses his doubts and concerns, most doctors will think about it carefully, and while giving an explanation, it is also the process of his thinking again.

Think twice before you act, and you can avoid many mistakes, omissions and mistakes.

The same is true for decisions about diagnosis and whether to undergo surgery.

If Zhong Liangquan expressed concern about this, and consulted Zhao Hua, expressing his own doubts, perhaps Zhao Hua would consider other treatment methods.Normal doctors with professional ethics will do this.If Zhao Hua's attitude is very tough and arrogant, and he insists that only surgery can cure him without convincing Zhong Liangquan, Zhong Liangquan can completely say goodbye to him manually.

There is not only one hospital in Tianhai City.

This is the two-way choice advocated by Shayk.

It seems that doing so will lower your status, but it can actually relieve the pressure of being a doctor, and it is also beneficial to patients.

Zhong Liangquan curled his lips, "You kid is very good at shirking responsibility, what do ordinary people know, how dare you question the doctor casually?"

Xie Ke said with a smile: "Society is improving. In the past, most people could not even read a word. Now elementary school students are required to learn English."

Zhong Liangquan took another sip of water, "I see. Anyway, what you said so much is to talk about the difficulties of your doctors. In fact, I was just talking nonsense, and I didn't really plan to sue you. Okay, let's get back to business , Let’s talk about my cervical spine.”

"No," Xie Ke said to him with a smile, "I'm telling you this not to find out the mistakes made by the doctor, nor to complain for myself. On the contrary, it's just for the good of your cervical spine."

"Ah?" Zhong Liang was dumbfounded, "What does this have to do with me?"

Xie Ke bent his fingers and tapped on his medical record with his knuckles, "According to your description, your left arm often has labor pains, right?"

Zhong Liangquan: "Yes."

Xie Ke asked him, "When did you discover this labor pain?"

Seeing that Zhong Liangquan was about to answer immediately, Xie Ke stopped him, "There is no hurry, think about it carefully."

So Zhong Liangquan shut his mouth, recalled it carefully, and then said with certainty: "It was half a year after the second surgery."

Xie Ke took out a postoperative spine examination from his examination film and asked him, "When was this film taken?"

Zhong Liangquan glanced at it and said, "It was taken after the second surgery."

In fact, of course Xie Ke knew that there was a shooting time in the film.He just confirmed it to Zhong Liangquan, "That's three months after your second surgery, three months before the labor pains started, right?"

Zhong Liangquan didn't answer right away this time, but thought for a while before saying, "Yes."

Xie Ke continued to ask: "Are you sure it's the left arm?"

Zhong Liangquan raised his right hand and touched his often painful left arm, "Yes."

Xie Ke smiled, "But your scoliosis is pressing on the nerve in your right arm. From an anatomical and pathological point of view, if this scoliosis causes your pain, it can only be your right arm. Not the left arm. Of course it's not too curved, it doesn't put too much pressure on your spinal cord and nerves, so it's normal that you don't feel pain in the right arm."

Zhong Liang opened his mouth wide, "You mean, I'm not sick?"

Xie Ke stopped laughing: "No, you are sick."