Half a year's medical experience has made Old Z lose a minimum sense of trust in doctors.
Old Z half a year ago stomach discomfort, always feel the right lower abdomen has a vague pain, to the local top three hospital to do colonoscopy, the results show: everything is normal. The doctor was fine on the intestines, and Old Z was relieved, but after returning home, the hidden pain in the right lower abdomen still appeared frequently, and Old W did not care too much, and went to the pharmacy to buy some medicine to eat.
After two months, in addition to the faint pain in the stomach, the phenomenon of abdominal distension slowly appeared. So old W went to another tertiary hospital to do another colonoscopy, and also found a relationship to say hello, colonoscopy results again prompted no abnormality, the doctor recommended sweeping a full abdomen CT. When preparing for CT, the community where I live has close contacts of the new crown, and the control is strict. Old W thought of not causing trouble for everyone, and then did CT after the control was relaxed. When the control was not so strict, Old Z felt that the stomach swelling was not significantly aggravated, so he did not go ct, went to grab some herbs and went home to drink.
One day half a year later, Old Z suddenly had unbearable abdominal pain after breakfast, and he curled up on the sofa with his stomach covered, sweating profusely in pain. The family hurriedly contacted me, I read the previous examination report, touched the old Z stomach, the pain in the right lower abdomen. Combined with the first two colonoscopies being normal, consider appendicitis or urological examination first. So I first went to check the appendix and urinary tract, and the results were still normal!
If you don't understand the reason, then start over. I arranged to do another colonoscopy, and the result this time surprised all of us: the bowel cancer was advanced, and the tumor was already large and almost blocking the intestinal tube! Continue to check the CT: the liver and lungs have metastasized!
Old Z and his daughter were not calm on the spot to run away: the first two colons were fine, and bowel cancer developed so fast?
I am a little weak-minded, because often popular science says that the best way to find bowel cancer is to do colonoscopy, and has been sparing no effort to call on everyone to do colonoscopy. This is good, people have done it 2 times and found a loneliness! I replied very realistically: "The first 2 colonoscopies missed, and bowel cancer has actually been there for a long time, and it has been for at least several years." If the first colonoscopy is found, there may be a chance of surgery. Now that many organs have metastasized, the surgery is meaningless, and I'm sorry. ”
Sorry for being useful? That was a life-long opportunity that could have been fought for a cure!
The daughter could not accept it! Two tertiary hospitals, none of which were found? Is it my family's life or the doctor's death?
The missed diagnosis in the examination of bowel cancer is a pain in the hearts of all patients. The occurrence of bowel cancer missed diagnosis is a disastrous consequence for patients. In any case, no patient wants bowel cancer to be missed, and this kind of thing happens to them.
The reasons for the missed colonoscopy of intestinal tumors are related to the following aspects:
1. The doctor's technical level
Definitely the number one reason for missed diagnoses! There is no doubt about this, and the possibility of missing a diagnosis by an experienced and patient doctor is greatly reduced!
2. The intestinal preparation is not good, and there is more feces in the intestine, which affects the observation
3. Intestinal spasm, poor quality of colonoscopy, small tumor and other causes.
In fact, the proportion of clinical colonoscopic misdiagnosis and missed diagnosis is quite high. It has been reported that the misdiagnosis rate of endoscopic specialists in tertiary hospitals has reached 15.7%. The figure below is a summary of the cases published by a hospital, and the missed diagnosis rate of tumors in this hospital is as high as 19.9%. Each number represents a tragic medical ending, and how many people's tears and regrets are behind it!
Finally, I would like to say that although there are such things happening, although many bowel cancers have been missed and misdiagnosed by colonoscopy, and there are often cases of cancer but inaccurate biopsy, I still appeal to everyone to do it when it is time to do colonoscopy, and people over 40 years old must do it if they have not done colonoscopy.
Because, the current level of medical treatment, there is no more direct than colonoscopy can find intestinal lesions! Hopefully, there will be a better way to come up in the future, but for now, no!