Chapter 2603 【2603】Informed
"From this point of view, her cervical spondylosis is not serious, and it does not match the symptoms she reported." Cui Shaofeng tapped his fingers on the photocopied medical record paper, and studied the words written by the outpatient doctor when the patient went to the doctor. something to say.
Tan Kelin picked up the MR film and took a closer look. Although he is not an orthopedic doctor, but at the level of an academic master like him, he can usually watch movies.
After careful study and judgment by the two big guys, it was discovered that what Xie and the others said was for the sake of other people's face. In fact, the film and the report did not match the symptoms reported by the patient.
First of all, we must know that the main cause of cervical spondylosis is the degenerative changes of the cervical spine. Although there are many degenerative changes, the most common one is bone spurs. Cervical bone spurs occur in more than 90% of middle-aged men and women, and bone spurs are bone hyperplasia. The real symptom of cervical spondylosis does not mean that it is due to bone spurs. The symptoms will not occur until there are pathological changes in the cervical intervertebral disc, the inner diameter of the cervical spinal canal is narrowed, and the blood vessels and nerves running inside are compressed.
After you take an X-ray, you finally see bone hyperplasia and thickened ligaments, but the intervertebral disc is generally normal, the inner diameter of the spinal canal changes slightly, and there is no tendency to involve blood vessels and nerves. It should be difficult to form typical and significant clinical symptoms.
Well, the expressions of Tan Kelin and Cui Shaofeng were silent.
Liu Li's heart skipped a beat.
This time, she didn't feel that it was inappropriate for her non-obstetric cousin and leader Cui to express their opinions.
After the previous period of thought-provoking education, she knew that she was led astray by the doctor friend who the patient kept saying.
The reason why the big guy is called the big guy is that he has a good common problem besides his specialties: he often conducts academic exchanges and communicates with other specialist big shots, has a wide range of information, listens to a lot of clinical cases, and is well-informed. For diseases that are not within the scope of his own specialty, the big brother's wide range of research can increase vigilance.
This is why young doctors do not suspect other diseases when encountering intractable diseases in clinical practice, and when clinical bosses come to make ward rounds, they can quickly determine that it is a specialized disease in other departments and call for other specialized examinations.
Of course, clinical masters are not know-it-alls, they can only be said to be better than rookies. At the same time, the bigwigs are often not in agreement. It's like a doctor friend of a patient, who has completely different opinions from them.
The reason why the bosses have different opinions may be related to their different clinical thinking.
Maybe Axi's mother's doctor friend thinks that the patient pays attention to his own health. Since pregnancy, all aspects of indicators have been maintained well, and the chance of accidents is very low. If there is 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 contrast, the doctors at the scene were not familiar with Yaxi’s mother, and the diagnosis could only be made based on clinical data.
In actual clinical cases, some doctor friends are right, and the on-site doctors are also right. In the end, who is right and who is wrong is the final decision.
As Leader Cui said, doctors are using their own technology to compete for the dominance of the patient's condition. 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 didn't fight and the patient died. Most doctors are benevolent and will not say that if you don’t come to see a doctor, you deserve what you deserve if you die. On the contrary, the latter result made the doctor sad. I don’t believe that the news all over the world is full of doctors’ mentality. The news is not exaggerated.