Sunday, October 31, 2010

Which, as some patients have to do to reduce the chances of misdiagnosis

 Which, as some patients have to do to reduce the chances of misdiagnosis?
Misdiagnosis is a disaster, although not absolutely avoided, but we still have to minimize the probability of occurrence of misdiagnosis.
How to do that what?
This requires that we clear understanding of the medical treatment process, what factors may lead to misdiagnosis, that these factors, it allows us to see a doctor Hou, drew attention to reduce the man-made, is the probability of misdiagnosis .
lead to misdiagnosis of the factors, the details of the process from the doctor point of view, chaotic complex, indeed a lot, every little detail there is deviation, an error may be misdiagnosed.
So, what are the factors that lead to misdiagnosis? Here We see the doctor in accordance with the general process to comprehensively summarize.
First of all, to see a doctor the first step, that is, patients and doctors to conduct a preliminary communication on the condition.
statement is the patient condition to the doctor, and doctors to collect patient The history of communication between doctors and patients by the doctor to understand the patient's condition.
the first step is to diagnose disease doctor, the most critical part of the patient's condition the doctor the situation, grasp is accurate, comprehensive, is critical to avoid misdiagnosis. inaccurate, incomplete statement of condition can be described as the fundamental source of misdiagnosis.
here to statements related to the patient's condition and the doctor both interrogation.
we start with a patient, In this process, which practice is not proper and easily lead to misdiagnosis of the doctor.
1, patients of the disease state, the expression is unknown, tell unclear.
patients for the disease, the deepest feelings, but sometimes difficult language to describe describe do not know, the expression is unknown. If the patient's language skills and then weak, then the disease is difficult to accurately state that clear.
this factor, it is easy for the doctor to collect a history of bias, misdiagnosis condition.
2, patients with the privacy reasons, intentionally concealed the disease, or to draw attention to exaggerate the disease.
this Needless to say, the accuracy of history, it is difficult to guarantee.
3, omission of illness before the patient course of treatment or the occurrence.
course, this will make the doctor of your history taking, it is difficult to achieve comprehensive, will lead to the occurrence of misdiagnosis.
patient factors just said, let's talk about the doctor factors, what are the circumstances.
1, the doctor operational level is weak, poor communication skills, interrogation lack of experience.
sometimes tell the patient pain, seasoned doctor, will consider very comprehensive, by inquiry, patience, clear induction of patients with the condition that, if the doctor is the weak level of business, experience is not seasoned, it is difficult to do these things.
2, the doctor is not strong sense of responsibility, no detailed inquiry.
this to Needless to say, the sense of duty, of course, would have done the work very difficult to do successfully.
understanding of these factors, which the doctor concerned, we really good control, but as a patient, optimistic about the disease for as much as possible to before he can do a good job first, do not because they did not do a good job, and misdiagnosis occurs.
Well, the first step in the medical treatment, let's talk about finished, the following is the second step on, the doctor checks the patient .
In this process, lead to misdiagnosis of factors, but also more subjective aspects of patient reasons, commonly have
1, patient tolerance of different symptoms, different perception of the doctor to easily be kept.
also take the blue tail to for example inflammation, the doctor's point of wheat to check whether there is significant tenderness. Some relatively fragile little girl, a bit of a push to the doctor yelling to Hantong so easy for the doctor that the apparent tenderness. And Some doctors press, we had a bit of pain, but also to endure, he said not very painful, so that the doctor is very likely that no significant tenderness.
, different patients with a disease, medical doctor the reaction time difference, you can make misdiagnosis occurred.
2, patients do not fit physical examination.
some patients do not fit on a medical doctor, the doctor wanted to check, he was considered not necessary, not to do, said mouth alone. Some patients do not follow the requirements of the doctor, or so-so, do not get bit, so that female patients with the high side. For example, the doctor auscultation, patients shy side across the clothes have to let the doctor listen. < br> physical examination do not match the experience of the doctor are not the real disease, it is easy to misdiagnosis error. Therefore, in accordance with the doctor or physical examination, the doctor said, careful to match.
3, the level of the doctor's business is weak, or inspection is not careful.
doctor with little experience, the weak level of business, on the distinction between disease is difficult to grasp. For example, some heart murmur auscultation, auscultation is a lot of experience to hear the distinction between the feeling of noise. hear less, with little experience, of course, the accuracy can not be too high.
In addition, medical doctor is not careful, lead to misdiagnosis of the problem is one of the factors to look to understand, there is no need to explain carefully.
comprehensive As stated above, we can see that in the doctor Hou, although the doctor is the protagonist, but the patient's understanding and cooperation is also essential, is also very important.
doctor and fellow patients as if, in the same trench, to work together, with the good. that work together to the existing health care level, common to avoid misdiagnosis, the disease optimistic.
in front of us that first and second, the next third step is, the doctor on diagnosis of the disease.
this process, the doctor and the disease is essentially a contest myself. At this point, leading to misdiagnosis of the factors, most of the signs and symptoms of disease manifestations, and disadvantages of the Mongolian doctor and misleading.
After years of clinical summary of the process, I think the following main points:
1, the patient's age, physical condition, tolerance of individual differences and other reasons, the same disease in different patients, and its primary and secondary symptoms may be different.
, for example, are appendiceal inflammation, may be this person may be the primary symptoms of stomach pain, vomiting, that person would be, said to be the first symptoms of reaction.
2, different levels of development of disease symptoms is different, the treatment time difference, might lead to misdiagnosis occurred.
some diseases, the occurrence and development, as time goes on, symptoms are somewhat different. Also, not all patients are the same development of the disease in time to find the doctor to see a doctor. patient treatment time difference, the disease is difficult to the same symptoms.
such as: cerebral hemorrhage, cerebral hemorrhage in the early case of very small the patient's symptoms may be conscious, only a slight dizziness,UGG boots cheap, headache. when Hou treatment, the doctor will most likely not be considered to have bleeding.
and as time goes on,UGG shoes, perhaps a day or two After the bleeding increased, the patient will appear delirious, vomiting, when Hou to go in, the symptoms, of course, the doctor will consider the possibility of cerebral hemorrhage.,
Therefore, a lot of disease, treatment at different times, symptoms different, and also lead to the occurrence of r l misdiagnosis.
3, the patient is not the most uncomfortable symptoms of the disease are all manifestations of its essence.
such as: the patient is vomiting, the most painful, but the nature of disease is not gastrointestinal digestive system, but the increased intracranial pressure or neurological disease.
also such as: the patient said that the most uncomfortable symptoms of chest pain, its nature is not all chest diseases, organ or muscle disease, but the neurosis .
like this kind of situation, the clinical abound, too numerous to mention, so that these factors can lead to misdiagnosis occurred.
4, symptoms are very similar, but essentially they are different diseases differential diagnosis difficult.
example, fever, right lower quadrant pain, vomiting, there may be appendiceal inflammation, gastroenteritis, intestinal obstruction, intestinal perforation or gynecological inflammation, etc..
another example: cough , chest tightness, difficulty breathing, it may be bronchitis, sinusitis, tuberculosis, lung cysts, heart disease, allergies, etc., are not quasi-static response is too high.
no example, open random medical books, the symptoms are similar to the differential diagnosis is extremely common.
In short, the disease symptoms of this factor, leading to the doctor misdiagnosed the situation, but also a most doctors can not do anything.
I want to be the doctor they saw This is when deep feeling, a sense from the heart.
Well, the above mentioned factors lead to misdiagnosis of these, only the common case, the actual medical treatment process, there are many,Discount UGG boots, many.
such as the patient is served before the medicine doctor? auxiliary bias test results, the hospital's comprehensive level, etc., these topics in our follow-up will bring, to remind everyone to pay attention.
In short, the factors that lead to misdiagnosis more, In any case, if doctors and patients with mutual trust, with the collaboration? whether harmonious communication? can be said that the primary factor,UGG bailey button, is this.
the same time, the misdiagnosis of the factors that search, we hope everyone can understand what the doctor their helplessness, frustration and hardship and worries, disease not good, not necessarily all the fault of the doctor is that they do not work hard, not hard, not the responsibility to do that, but sometimes it is limited by objective conditions, they did not move children.
I can not say, one hundred percent of doctors are conscientious, but at least ninety percent or more of the doctor, psyche, want to give patients optimistic about the disease and help patients solve pain troubles.
So, hope to see a doctor in the future, from the patient's point of view, one of the best time to do a good job themselves, but also a number of doctors are more understanding, and create a harmonious relationship between doctor and patient, is optimistic about the disease key.
professional advice
l is the doctor and patient doctor thing two people, do not think all of the fault, are committed doctor, the patient may be wrong sometimes
accomplice.
patients experience
l and with the good doctor, and asked carefully, ground communication.

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