Chapter 2603： 【2603】well-informed

Chapter 2603 [2603] Well-informed

"In this way, her cervical spondylosis is not serious, and it does not match the symptoms she complained about." Cui Shaofeng pointed his fingers and put it on the copied medical record paper, and studied word by word what the outpatient doctor wrote 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, but at the level of an academic leader like him, he can generally watch movies.

Under the careful study and judgment of the two big brothers, I found that Xie’s statement was for the sake of other people’s face. In fact, the film and report do 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 degenerative changes include many, the most common one is bone spurs. The incidence of cervical spine spurs in middle-aged men and women is more than 90%, and bone spurs are bone hyperplasia. The real symptoms of cervical spondylosis do not mean that it is because of bone spurs. 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 in it are compressed.

You took the film 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 the blood vessels and nerves were not affected for the time being. 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 the non-obstetric big brother cousin and Cui leader were not suitable to express their opinions.

After the thought-provoking education in the previous paragraph, she knew that she was being led astray by the doctor's friends who kept talking about her patients.

The reason why the big guy is called a big guy is that in addition to being a good specialist, he has an excellent common problem: he often communicates with other specialists in academic exchanges, has a wide range of information, has heard a lot of clinical cases, and has a lot of knowledge. For diseases that are not within the scope of their own specialties, the extensive coverage of the boss can increase vigilance.

This is why young doctors cannot suspect other diseases when they encounter difficult and miscellaneous diseases in clinical practice. When the clinical boss comes to the ward round, he can quickly determine that it is a specialist disease of other departments and call for other specialist examinations.

Of course, the clinical boss is not a know-it-all, he can only say that he is better than a rookie. At the same time, the bigwigs are often not in agreement. For example, the patient's doctor friend has a completely different opinion.

Why the bigwigs have different opinions may be related to the different clinical thinking of the bigwigs.

Maybe Aki's mother's doctor friend believes that the patient pays attention to his own physical health. Since pregnancy, all indicators have been maintained well, and the chance of accidents is very low. If something went wrong, it should have gone wrong sooner rather than now. This is an inference made on the basis of a doctor's friend's familiarity with the patient.

In contrast, the on-site doctors were unfamiliar with Axi’s mother, and the diagnosis could only be based on clinical data.

In actual clinical cases, doctors and friends are right, and doctors at the scene are also right. In the end, who is right and who is wrong is a matter of fact.

As Leader Cui said, doctors are using their own technology to compete for the dominance of patients' conditions. You don't fight, it's one thing to have fewer patients. On the other hand, it is possible to be right but fail to fight and cause the patient to die. Most doctors are benevolent and will not say that you deserve to die if you don't come to see a doctor with me. On the contrary, the result of the latter makes the doctor sad. I don't believe that the news all over the world is written in the doctor's mentality, and the news is not exaggerated.