Chapter 2918 [2918] Elimination
"Look, doctor, it doesn't shake anymore." The young man was very happy when he saw that his hands and feet were not shaking. He thought that his disease was not a serious problem, and hoped that the doctor would pronounce him as healthy as soon as possible.
Whether it is a disease or not is not decided by the doctor, but by the medical evidence. Doctors make a diagnosis based on medical evidence. For this reason, every time he sees the patient's statement and expression, the doctor can't bear to smile bitterly.
It can't be said that the doctor didn't understand the patient's desire to cut off the relationship with the disease as soon as possible. Cao Yong discussed with the patient and said, "We need blood tests, head CT and MRI examinations, and then make a further diagnosis."
"I've had a blood test. Dr. Xie said I went for a test, and the blood sugar is normal." The young man took out the same blood sugar test report as the aunt before, and handed it to the doctor for review.
Whether the measured value is normal or not, educated people can basically understand it by themselves, because the inspection report has normal values printed next to the measured values for the convenience of clinicians. If the value is abnormal, mark the abnormality directly on the inspection report.
What I want to emphasize here is that the understanding of common people is different from that of doctors. Ordinary people understand it based on the normal value as a reference. The blood test report is the same as the imaging report, indicating that clinicians need to make comprehensive judgments based on the patient's clinical symptoms.
It is equivalent to saying that the normal value does not mean that the patient is definitely not sick, and the abnormal value does not mean that the patient is definitely sick.
All in all, the changes of various components in human blood fluctuate greatly, and the measured values often only reflect the physical condition of the patient within a certain short period of time. Clinically, in the inpatient department, doctors often ask patients to take blood tests for this reason.
For the glucose tolerance test, you will find that whether it is an outpatient or an inpatient department, the doctor will ask some patients to do more than one blood sugar test, and the timing of the two checks may be arranged every few days or weeks. At this time, the doctor's mind is considering some potential factors that may affect the test results.
It fully shows that the doctor's thinking on the result of an examination is multi-level and multi-faceted.
The young man who took out this blood sugar report thought that he had solid evidence to prove that he was not sick.
In the doctor's eyes, this is not the ironclad evidence of no disease, but it may be the ironclad evidence of other diseases. Judging a disease clinically requires exclusion. Your normal blood sugar level paper is expected to become a rule of thumb.
"The blood test I re-prescribed for you is not to check blood sugar, but to check other items."
"Isn't blood sugar normal?"
"Your symptoms are not necessarily related to blood sugar."
The last sentence is the direction of the doctor's diagnosis.
The young man became even more anxious when he heard this, and then stretched out his left hand to show the doctor: "It doesn't shake anymore."
Several doctors looked over. The young man's left hand and left foot will not shake again by themselves. Shake no more it won't be like this. The patient himself knows this best. How could he come to see a doctor if he really stopped shaking, and how could he persistently call Dr. Xie.
The young man looked at his face and got angry at himself. He grabbed his trembling left hand with his right hand and tried to force his left hand not to shake again.
The classmate Wei Shangquan who was present was the most impatient. He shouted to stop the patient and said:
"Hey, what are you grabbing your hand for? Don't grab it hard. If you grab it wrong, you will break your bones."
The patient was startled by his words: "Can this fracture?"