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¡¾2603¡¿Informed

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    "It seems that her cervical spondylosis is not serious, and it is not consistent with her self-reported symptoms." Cui Shaofeng placed his fingers on the copied medical record paper like a sword, and studied word by word what the outpatient doctor wrote when the patient went to the hospital.  something to say.

    Tan Kelin picked up the mr film and looked at it carefully.  Although he is not an orthopedic surgeon, at his level as an academic leader, he can watch ordinary movies.

    After careful consideration by the two bosses, they discovered that what Xie and the others said was based on other people¡¯s face.  In fact, this film and report are inconsistent with the symptoms reported by the patient.

    First of all, we must 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 will develop cervical bone spurs. Bone spurs are bone hyperplasia.  The real symptoms of cervical spondylosis are not caused by bone spurs. Symptoms will only occur when the cervical intervertebral disc undergoes pathological changes, the inner diameter of the cervical spinal canal becomes narrowed, and the blood vessels and nerves running inside are compressed.

    You took the X-ray and finally saw that it was bone hyperplasia and ligament thickening, but the intervertebral disc was generally normal, the inner diameter of the spinal canal changed slightly, and there was no tendency for blood vessels and nerves to be affected. It should be difficult to form typical and significant clinical symptoms.

    ¡°Well, Tan Kelin and Cui Shaofeng¡¯s expressions were silent.

    Liu Li¡¯s heart was jumping.

    This time she didn¡¯t think it was inappropriate for her non-obstetrics boss cousin and leader Cui to express their opinions.

    After the thought-provoking education she received earlier, she realized that she had been misled by the patient¡¯s doctor friend.

    The reason why big guys are called big guys is that in addition to being great at specialties, they have a common trait: they often have academic exchanges with big guys from other specialties, they have a wide range of information, they listen to a lot of clinical cases, and they are well-informed.  For diseases that are not within the scope of one's own specialty, the boss's broad coverage can increase vigilance.

    This is why when young doctors encounter difficult and complicated diseases in clinical practice, they do not suspect other diseases. When clinical bosses come to make rounds, they can quickly determine that the disease is a specialist disease in other departments and order other specialist examinations.

    Of course, clinical experts are not masters of everything. They can only be said to be better than rookies.  At the same time, the bosses often do not agree with each other.  It's like a patient's doctor friend and boss, whose opinions are completely contrary to theirs.

    Why the big guys 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 his own health. Since the pregnancy, all indicators have been maintained well, and the chance of accidents is very low.  If there is a problem, it should have happened long ago, not now.  This is an inference made by a doctor friend based on his familiarity with the patient.

    In contrast, the doctors on site were not familiar with Yaxi¡¯s mother, and their diagnosis could only be based on clinical data.

    In actual clinical cases, some doctor friends are right, and some on-site doctors are right.  In the end, who is right and who is wrong is the truth.

    ¡°As Leader Cui said, doctors are using their own skills to gain control over the patient¡¯s condition.  If you don¡¯t argue, it¡¯s one thing if your number of patients decreases.  On the other hand, it is possible that you were right but failed to make an effort, which resulted in 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 me.  On the contrary, the latter result makes doctors sad. If you don¡¯t believe it, look at the news all over the world describing doctors¡¯ mentality in this way. The news is not exaggerated.

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