On April 2, 2018, in the outpatient hall of the Second People's Hospital of Guangdong Province, citizens inquired about relevant medical information through robots. Courtesy of Visual China (with pictures)
The author | Wei Xi
Edited | from Yuhua
The pile of "waste paper" piled at the bottom of the storage cabinet, Chen Xiaohong stubbornly prevented anyone from throwing it away.
It was a stack of tables full of "positive" characters, each of which represented a lost life.
In 1985, Chen Xiaohong, who worked in the medical department of the Bethune International Peace Hospital, drew the "positive" character on the death report sheet he handled. By now, the white paper has long since turned yellow, and the data in the table has been entered into the computer. Chen Xiaohong, 71, no longer has to draw "positive" character counts, as long as she "runs" in the computer, the misdiagnosed medical record data will pop up on the screen.
How many misdiagnosed medical record reports have you handled? She couldn't remember the exact number, "About 300,000 copies." She had seen syphilis disappear in the 1970s and make a comeback, with misdiagnosis rates peaking at 60 percent, and now all doctors know about it, rarely misdiagnosing it. When she was the editor-in-chief of the journal "Clinical Misdiagnosis and Mistreatment", she pushed a variety of diseases such as gastroesophageal reflux and its syndrome, which were little known at that time, to the public.
This is a road that few people take. Like climbing a medical mountain, the multitude of specialties is to climb from the front, while the research misdiagnosis is to climb from the back, also through steep slopes and cliffs. Today, Chen Xiaohong, who has been retired for many years, is still climbing up. She has become one of the most misdiagnosed in Chinese studies.
Every doctor has a graveyard in his heart
Many eyes are paying attention to misdiagnosis research: publishers ask Chen Xiaohong's research progress from time to time, hoping to publish books for free; programmers also join the research, type into programming languages, and easily find the correlation between misdiagnosed diseases; technology companies come to the door and want to cooperate with Chen Xiaohong to save her misdiagnosis medical records for more than 30 years to play a role in clinical diagnosis.
But in the early 1990s, when she and her companions wrote the first edition of "Misdiagnosis", they were rejected by publishers large and small, "Doctors have to write about experience, you are writing the opposite", not to mention, there has never been a medical book with the theme of misdiagnosis. In order to make the new book published smoothly, she plucked up the courage to visit the medical "big names" at that time and asked them to help write the preface.
Wu Jieping opened the door to her. This Chinese urology pioneer, academician of the two academies, zhou Enlai's doctor, undisguised to the juniors who met for the first time confessed the mistakes he had made: he once suggested that a patient with chronic prostatitis try a hot sitz bath, and it did not take long for the patient to feedback, which did not work, he asked about the way of the sitz bath, and the patient replied, "Isn't it just washing the ass?" ”
Speaking of this, Wu Jie, who has always been gentle, stood up and raised his voice, "Isn't it to blame me, I didn't make it clear." ”
"You've been out of the clinic for years, why do you remember these little things so accurately?" Chen Xiaohong couldn't help but ask.
"It's no small thing." After that, Wu Jieping always advised every detail, hoping not to delay the treatment of patients: what kind of water basin to use, how much water to add, how to keep adding water, why can't you use a bathtub or bath instead...
While reminiscing, he paced back and forth, and even took the cause of the misdiagnosis on his body: "This responsibility is not to blame the youth, the responsibility is our old comrades, and we have not passed on the past experience to the youth in time." ”
In order to support Chen Xiaohong, he informed the academicians of the medical field who could be found in Beijing at that time to participate in the seminar on the publication of the new book, "This is also what I want to do, and I am very excited to be done by you." ”
Qiu Fazu, known as the "father of Chinese surgery", received an invitation to the seminar and wrote back, "apologizing for not being invited to the meeting." Later, he specially met Chen Xiaohong, cheered her up, and emphasized that the law of misdiagnosis is worth exploring: Some people abroad study criminology, not to teach people to commit crimes, but to avoid crimes; similarly, the study of misdiagnosis is not to teach people to misdiagnose, but to reduce and avoid misdiagnosis.
In 1995, Chen Xiaohong went to the magazine "Clinical Misdiagnosis and Mistreatment" as the editor-in-chief. At that time, medical disputes began to increase, and many doctors were entangled. Admitting misdiagnosis is tantamount to asking for trouble. But a group of old academicians and doctors, willing to say something harsh, left their sealed works in this magazine.
In the early 1970s, he wrote more than 1.3 million words of "Abdominal Surgery", which affected tens of thousands of surgeons at that time, and Qian Li, who had already announced that he had put pen to rest. However, after reading the misdiagnosis analysis in the magazine, he took the initiative to write a number of articles reflecting on misdiagnosis and mistreatment, hoping to "pass on the help" and help young doctors grow rapidly.
Jiang Sichang, one of the founders of modern otolaryngology in China, recalled that he had performed hundreds of otosclerosis surgeries in his 55th year of medical practice, and firmly remembered the only case that failed: around 1970, when the patient's head suddenly moved at the end of the operation, his hand holding tweezers did not have time to avoid, pushing a piece of tissue into the vestibule. The patient cannot hear.
He also recalled the 16-year-old boy with the larger maxillary sinus fibroma in 1949. It was a surgery that was expected to go well – Jiang Sichang had always been praised by his peers for his quick and accurate surgery. But the boy eventually died on the operating table due to sudden heavy bleeding, and there was no adequate amount of blood transfusion prepared before the operation. Afterwards, the boy's father took the initiative to comfort Jiang Sichang, "Dean Jiang has failed to do it, then others have done it, and the failure is even more imaginable." ”
"It irritates me more than scolding me in person." In the days to come, Jiang Sichang would always think of the boy's childish and cute appearance. He attributed the failure of the operation to the feelings of youthful complacency at the time.
Jiang Sichang revealed several medical mistakes in the reminiscence article. These bloody lessons pushed him to pay attention to and support misdiagnosis research.
A book written by a foreign doctor, Doctor's Choice, mentions that every doctor has a graveyard in his heart. Whenever a patient dies of a surgical error, a new tombstone is added to the cemetery. Doctors are also ordinary people, and they need to grow up with mistakes and gain experience.
Most of the old academicians who submitted articles to magazines and were willing to reveal their scars are now dead. Chen Xiaohong lamented that these "everyone" who have left traces in the history of modern Chinese medicine rarely mention their achievements and talk about the mistakes they have made when looking back on their medical careers.
The Emergency Cases Symposium has been held for 60 sessions so far, attracting emergency department doctors from major hospitals in Beijing, and now there are specialist doctors participating. Courtesy of respondents
Talking about misdiagnosis is to solve the problem, not to create the problem
Today, computers have helped Chen Xiaohong find out many misdiagnostic patterns.
Doctors at all levels of hospitals can misdiagnose: young doctors misdiagnose, mostly because of lack of experience, can not think of another disease; old doctors misdiagnosed mostly because of too much experience, take it for granted. Misdiagnosis is not that disease A is misdiagnosed as disease B, but that disease A can be misdiagnosed as many diseases, and many diseases can be misdiagnosed as disease A. Different diseases are intertwined with each other, similar symptoms may lead to many diseases, and the clinical manifestations of common diseases are becoming increasingly secretive and individualized.
Even more troubling is that today, there is less time left for doctors to make a diagnosis. Many of the elderly doctors interviewed mentioned this invariably. Patients sent to the emergency department sometimes lose their breath before they can be diagnosed. Doctors must race against the clock to compete with the disease, learn to give a decisive diagnosis, and must diagnose correctly, otherwise it is easy to attract lawsuits.
A dental patient in his 60s, who has had many fillings, still has a toothache, and the last horizontal heart, the doctor must pull out the bad tooth. The doctor gave him an electrocardiogram before the tooth extraction, and it turned out that his toothache did not close the bad tooth, which was an old myocardial infarction.
Chen Xiaohong found that the clinical manifestations of patients with acute myocardial infarction can be stomach pain, shoulder pain, back pain, toothache and so on. In 2000, she called for an ECG when doctors found that when a patient had these symptoms, he could give the patient an ELECTROG, "Spend seven or eight dollars on an ECG, you can avoid a misdiagnosis." ”
After more than 30 years of misdiagnosis of cases, Chen Xiaohong decided to be a person who reminded clinicians, "Don't let the diagnosis take a detour."
Sometimes, bad news excites her more than good news. In 2008, she heard that there were 17 medical disputes in Sichuan caused by the death of patients with pulmonary embolism, and responsibility should be determined through autopsy. She immediately pushed the editor on a business trip, went to the local area to verify the information, and published the article as soon as possible, "The autopsy rate in the mainland is too low, and every autopsy case is particularly valuable." ”
New diseases emerged, and she and her colleagues followed suit. In 2015, doctors from Peking Union Medical College Hospital sent an article stating 30 cases of anti-NMDA receptor encephalitis diagnosed and treated from 2011 to 2014, and the misdiagnosis rate of the first diagnosis in the outer hospital was as high as 100%. This is a new disease that few people know about. The first worldwide report of the disease was in 2007.
The article quickly attracted the attention of the editorial board — it had to be published immediately to remind other doctors to pay attention. Slowly, hospitals around the world continue to publicly share relevant diagnosis and treatment experience and misdiagnosis cases, doctors' awareness of sending for examination has become stronger, and by 2021, the First Affiliated Hospital of Zhengzhou University has announced 121 patients diagnosed with anti-NMDA receptor encephalitis, and only 43 people have been misdiagnosed.
In the early years, Academician Wang Zhonghao studied gastroesophageal reflux syndrome and found that the disease had been misdiagnosed for a long time and was scattered in respiratory, cardiovascular, otolaryngology, dentistry and so on. This discovery forced the editorial department to open up a special topic of "paying attention to gastroesophageal reflux disease" on the website and "shouted" Out Academician Wang's research.
In the editorial department, whenever there is a good article, the editor will always read it out loud and share it with colleagues. A patient who could not see well in a large hospital in the southwest region arrived at a county hospital in Gansu and was immediately diagnosed with black fever, which was a local endemic disease. Some tertiary hospitals diagnose epidemic haemorrhagic fever, and the misdiagnosis rate is higher than in first-level hospitals, because doctors in first-level hospitals are more likely to contact farmers who have been bitten by rats.
On June 16, 2020, in the operating room of Hebei Provincial Chest Hospital, doctors are using a "three-headed, four-armed" fourth-generation da Vinci surgical robot to treat patients. Courtesy of Visual China (with pictures)
Every endemic disease deserves attention. In the early years, the editorial board rarely received submissions from Xinjiang. Chen Xiaohong was anxious and contacted a Xinjiang doctor and invited the doctor to submit an article. Slowly, more manuscripts from Xinjiang became more numerous.
The vast majority of contributors from all over the country are clinical front-line doctors. Chen Xiaohong analyzed that compared with basic research, most clinicians are more likely to contact misdiagnosis cases, and once the manuscript is published, it is helpful for the doctor's title evaluation. Some doctors also said in their submissions that the advice of expert review can help him understand his mistakes more deeply and avoid repeat mistakes.
In order to improve the level of manuscripts, in the mid-1990s, Chen Xiaohong hired the most senior retired director of various specialties of the Bethune International Peace Hospital to the editorial department to jointly review submissions sent from all over the country.
The old directors who have been working clinically for most of their lives are full of interest in this new task. Some people often mutter, "I have seen this case in the clinic"; some people see that the submission is written in a messy way, and they can't help but start to revise it sentence by sentence; and some people clap the table while reading, "This is simply a hasty human life!" ”
Sometimes when they encounter cases that even they have not seen, the old directors will discuss over and over again, turn the book, and find answers. Several large bookshelves in the newsroom were quickly crammed with the latest medical books.
Many doctors say that misdiagnosis is pushing doctors to better understand the human body. In fact, Feng Lianyuan, the founder of "Clinical Misdiagnosis and Mistreatment", initially founded the magazine in order to learn from the misdiagnosis experience of peers. At the time, Zhang Xiaoqian, the founder of Chinese gastroenterology, supported his idea, but also raised concerns, "Will the name cause trouble?" ”
After thinking about it, Feng Lianyuan proposed a solution: the article concealed the names of patients and doctors, and appropriately modified some insignificant details to avoid exposing the patient's personal information. "To run this magazine is to solve problems, not to create problems."
Misdiagnosis is a systemic challenge
More than 30 years later, modern medicine is improving: robots have replaced people, looking at CT images; 3D printing can print out human tissue; in the past, mobile phones affected the work of pacemakers, but now the two are directly connected, and mobile phones track the heart health of patients... But misdiagnosis still occurs clinically on a daily basis.
He Quanying, a respiratory doctor at Peking University People's Hospital, believes that to solve the misdiagnosis, it is a systematic project. On the one hand, the medical knowledge mastered by human beings is more and more, deeper and deeper, and the medical school system has changed from 5 years to 6 years, and then increased to 8 years, but medical students still feel that the knowledge is not enough. Medical specialties are more and more detailed, many doctors only focus on one of the diseases of a specialty, when patients have a variety of diseases, it is easy to miss diagnosis.
"It's like drilling a hole, drilling deeper and deeper, and finally, you can't see the place next to the hole." He Quanying metaphor.
He studied sleep apnea for more than 20 years and found that the disease can trigger other diseases such as coronary heart disease, high blood pressure, diabetes and so on. When consulting, he likes to draw pictures for patients, list various diseases on paper, ask questions to the root, and then look for the correlation between each disease. But some patients are reluctant to answer too many questions, "You doctor is so annoying, it will not be over to prescribe medicine for me." ”
Doctors and patients do not trust each other, which is one of the reasons for misdiagnosis. Some unmarried women have stomach pain and deliberately conceal their personal sexual history from the doctor, causing the doctor to find the wrong cause, and did not expect that it was an ectopic pregnancy. Sometimes, the consequences of delayed treatment will last these women for the rest of their lives – cutting off half of their fallopian tubes is equivalent to reducing their chances of conceiving by half.
Patients can now obtain medical knowledge from all sources, but He Quanying believes that the level of public health knowledge is still insufficient, and more importantly, patients are not as tolerant and allow doctors to misdiagnose as in the past. This also leads to a reduction in the autopsy rate, and when family members find misdiagnoses through autopsy reports, they often file lawsuits with hospitals.
A few years ago, the editorial department of "Clinical Misdiagnosis and Mistreatment" would welcome several waves of uninvited guests every year - patients holding a stack of medical records and hoping that the editorial department would help evaluate and evaluate, "You judge, are we misdiagnosed?" ”
Chen Xiaohong concluded that this attitude stems from the asymmetry of knowledge. When the patient is lying in bed for examination, he is looking up at the doctor; but when the doctor cannot understand the disease and cannot make judgments, he is also looking up at the mysterious and complex medical universe.
Misdiagnosis research is a companion in the development of medicine. The development of examination technology once helped doctors judge correctly, but Chen Xiaohong found that excessive reliance on examination machines has become an emerging cause of misdiagnosis.
Over the past 30 years, the concept of misdiagnosis has gradually become larger, and the requirements for doctors have become more stringent. In the past, doctors diagnosed the wrong disease to be misdiagnosed, and now even if the diagnosis is correct, it is also a misdiagnosis if the treatment medication is inappropriate, or the initial diagnosis is wrong.
The World Health Organization has published that the average misdiagnosis rate in clinical medicine is 30%, of which 80% of medical errors are caused by wrong thinking and understanding. According to the misdiagnosed literature collected by Chen Xiaohong, in the past 30 years, the literature misdiagnosis rate has remained at about 30%, and there has been no significant decline, but the literature misdiagnosis rate does not represent the true misdiagnosis rate.
"It's hard to count accurate clinical misdiagnosis rates." He Quanying explained that the rate of clinical death autopsies in mainland China is low, and autopsy is the best and most accurate way to detect misdiagnosis. What's more, there is no uniform standard for calculating misdiagnosis rates today.
Feng Lianyuan, who ran a journal in order to gain experience in the era of information isolation, has now worked in the clinic for nearly 40 years and has accumulated enough experience. But he found that even with experience, it would be misdiagnosed.
For common diseases, doctors need to use drugs and treat according to the corresponding diagnosis and treatment guidelines, but the standards in the guidelines do not exactly match each patient. For example, according to the guidelines, gas poisoning patients should be infused with 200 mg of niacin, but Feng Lianyuan has encountered experience beyond imagination: using 2,000 mg, which is 10 times the niacin of the guidelines, to save the patient.
There is also a patient in Shanghai, who has a headache for a month and wants to lower his blood pressure, but his high pressure 115 and low pressure 75 are in the normal range. Several hospitals refused to prescribe antihypertensive drugs for him. Feng Lianyuan inquired and found that the patient's blood pressure was lower than the normal blood pressure of ordinary people for many years, so he broke through the guidelines and prescribed antihypertensive drugs. The patient's headache symptoms slowly eased.
Going beyond the guidelines for medication is an extreme test of the doctor's courage. Today, to avoid over-medical treatment, the system automatically recognizes the amount of medication a doctor is taking, and if it is found to be out of line with the guidelines, the doctor will be fined. Moreover, in the event of a medical dispute, responsibility will be determined according to the guidelines, and the doctor must explain clearly, why not prescribe the drug according to the requirements of the guidelines?
Feng Lianyuan concluded that the formulation of guidelines is a big step forward, and standards have been set for doctors across the country, but the appropriate dosage for each person is different, and it is necessary to understand individual differences.
"It's like putting 100 screws into a screw hole, some screws have to be padded with paper to be installed accurately." He said.
As a result, Feng Lianyuan, who has been retired for many years, is still studying misdiagnosis. He cites mathematical models, compensates for inaccuracies, and finds the piece of paper that pads and screws.
On February 12, 2019, the outpatient building of the First Affiliated Hospital of Zhengzhou University was crowded. Courtesy of Visual China (with pictures)
Doctors sit together regularly and self-correct
Some years ago, Meng Qingyihui appeared on the podium of the 301 Hospital as the chief physician to give the first lesson.
Sitting at the bottom are the trainee doctors from all over the country, all of whom are technical experts who "stomp their feet and shake three times" in the local hospital.
His first lesson was about misdiagnosis. He did not talk about those tall and difficult diseases, but started from the stories of "thinking wrong" in daily clinical work.
After an elderly person went to bed at night, his family called out and did not wake up, and sent an emergency room overnight. The doctor judged that there must be a serious illness in the coma, so he opened various examinations, and urgently called the doctor who only worked during the day for mrioris examination, but could not find the cause. Until 6 o'clock in the morning, the old man suddenly woke up, looked at the doctor in front of him with a surprised face, "Why am I here?" It turned out that he had only taken two tablets of tranquilizers.
He also gave the example of a fever patient with a high incidence of influenza, which is easily misdiagnosed as influenza. In fact, the patient may be another disease, such as urinary infection, meningitis, tetanus attack, etc.
He remembers that in 1994, just after graduating with a doctorate, he entered the emergency department, and a young man in a coma came to the emergency department. The doctor spent more than 4 hours to do various examinations, still could not find the cause of the coma, and finally, invited a hyperbaric oxygen specialist from the outer hospital, only to know that the patient was carbon monoxide poisoning. He later read from an English book, "Young patients in non-traumatic coma, first consider poisoning." "These experiences finally played a role in the later work.
"Doctors should always be alert and constantly ask questions of themselves, why is this manifestation? Will it be misdiagnosed? He described the doctor's working state as walking on thin ice and having to force himself to break through clinical thinking and cognition. This course later became the ace class.
He often hears patients complain, "This disease has not been diagnosed in the county hospital, and you know why." Meng Qingyi helped his peers explain, "The doctor in the county hospital is not at a poor level, and your disease is not characterized in the early stage", and his correct diagnosis is based on the mistakes of the predecessors, and the diagnosis of the predecessors cannot be disparaged.
There are still many puzzles in the field of medicine waiting to be solved. Meng Qingyi has been studying difficult diseases for many years, and has encountered some diseases that are "not on the side", which are neither like existing diseases, nor belong to a certain specialty, nor are they recorded in any chinese and foreign medical books. Many times, the fight against this type of disease requires a series of failed attempts before winning at the end.
At Peking University People's Hospital, every two months, such a group of doctors get together to share the "puzzles" encountered clinically. Doctors from various hospitals took turns to tell the truth about the difficult cases they had experienced. When they share their experiences, they are also able to accept peer scrutiny. For difficult cases, how to peel back the cocoon to find the final answer. In this process, there are also cases in which there is a missed diagnosis in the initial diagnosis, or there is a phenomenon of seeing only trees and not seeing the forest, and as the patient's course progresses, the patient's main diseases and simultaneous diseases are gradually sorted out.
Mi Yuhong, director of the Emergency Critical Care Center of Beijing Anzhen Hospital affiliated to Capital Medical University, was a frequent visitor to this seminar. They also sometimes have serious discussions about deaths. It will even be critical, analyzing the details of the entire diagnostic process and deeply investigating whether there is any imperfection? Or, where can I do better next time?
This ability to self-correct is too important for emergency department physicians.
Mi Yuhong has studied pulmonary embolism for 17 years, and has been exposed to at least thousands of patients with pulmonary embolism, each with a different clinical manifestation, by no means more than the symptoms mentioned in the guidelines. More importantly, in the emergency department, the clinical manifestations of the three fatal emergencies of aortic dissection, pulmonary embolism, and acute myocardial infarction are similar, independent of each other, sometimes causally and mutually, and extremely easy to confuse and misdiagnose. The treatment methods of these three diseases are contrary to each other, and they are a test of the determination, experience and medical skills of emergency doctors.
Such seminars have been held for 60 sessions so far, attracting emergency department doctors from major hospitals in Beijing, and now specialists. They sat together regularly, discussing each other's misdiagnosis experiences without barriers, and trying to avoid them in the future.
Mi Yuhong remembers that once, a doctor mentioned a case on the podium, and the patient had previously been treated at a hospital in Beijing, and then transferred to the hospital to get a diagnosis. After stepping down, the doctor calmly walked up to her and gently reminded, "What you just said (misdiagnosed) is your hospital." ”
Let the doctor dare to say
There are many doctors who dare to face misdiagnosis and missed diagnosis, but there are a few doctors who dare to open their mouths. Mi Yuhong once contributed to the journal "Clinical Misdiagnosis and Mistreatment", writing about the process of her contact with a patient with a lack of right upper pulmonary artery in the emergency department, and the initial diagnosis was misdiagnosed as pulmonary embolism. The impetus for her bold announcement is that she is confident in her professional level and wants to take this opportunity to remind her peers, "I have been studying pulmonary embolism for 17 years, and I know what is the common difficulty in the emergency circle?" ”
But for those younger doctors, it takes a great deal of courage to talk openly about misdiagnosis. In fact, what young doctor did not grow up in the constant correction of errors by the superior physician or director?
Meng Qingyi understands the concerns of young doctors. For young doctors, misdiagnosis is a very painful thing, will feel depressed, "in the past, big experts found that young doctors misdiagnosed, tantrums, but will fall on the medical record clip." But slowly, the young doctor has more experience and a thicker skin, and without the director's reminder, he will go to the book."
Meng Qingyi stressed that the vast majority of misdiagnoses do not cause consequences. This is similar to the conclusion of Chen Xiaohong's misdiagnosis study, in the past 30 years of misdiagnosis medical records, most of the misdiagnosis does not affect patients, only a very small number of deaths and disabilities.
But most doctors prefer to discuss misdiagnosis behind closed doors, "which is not a good thing [for patients] after all."
Out of conscience, He Quanying is willing to speak out publicly and serve as a bridge between the public and the medical community. He found that in recent years, very few officials or doctors have been willing to openly discuss misdiagnosis, and misdiagnosis and mistreatment have not been included in the criteria for measuring the level of doctors and hospitals.
"Misdiagnosis has become a clichéd and avoided topic." He Quanying said that the medical community should not cover its ears and steal the bell, because it is afraid of provoking lawsuits and affecting reputation, and ignores not mentioning misdiagnosis, which will affect the public's attention and understanding of misdiagnosis.
This atmosphere of avoidance also influenced Chen Xiaohong's research. She once established the Misdiagnosis and Mistreatment Research Association in 1999, which was supported by many academicians, but later, some people worried that the name would cause trouble and changed it to "Medical Quality Research Society".
In the early years, publishing papers in medical journals could help doctors evaluate their titles, which made Chen Xiaohong not worry about missing papers. At that time, an insider commented that other medical journals were guinea pig journals and rabbit journals, and only "Clinical Misdiagnosis and Mistreatment" was talking about people. However, in recent years, the standards for evaluating medical journals have changed, and basic research and subject research have become more likely to be taken seriously. In the journal Clinical Misdiagnosis and Mistreatment, there are fewer and fewer articles related to misdiagnosis, and the number of pages is getting thinner and thinner.
Journal of Clinical Misdiagnosis and Mistreatment. Courtesy of respondents
Chen Xiaohong began to shift the focus of her research to the study of misdiagnosis big data, and she was reluctant to put down the misdiagnosis research. She sees that there are still more than 3,000 misdiagnosed literature every year, published on major platforms, "If I don't do it, these precious articles will die, and they need someone to wake up and collect." ”
Some doctors introduce their misdiagnosis stories on the short video platform. Chen Xiaohong excitedly approached the young man of the team, "How do I take this medical record off?" Her latest distress is that the literature records relatively lagging cases, and some doctors have written cases that are even years old or ten years ago, "too old" to keep up with the current medical development.
The only solution she thought of was to encourage more doctors to dare to speak up and bravely and sincerely share clinical misdiagnosis cases. Only in this way can the latest misdiagnosis cases be widely collected at the first time.
Chen Xiaohong is still walking on this road that few people walk. She didn't feel lonely at all. She recruited a group of young people, not only medical students, but also programmers who graduated in computer science. She can see the brightest place in front of her, which is when the doctor receives the treatment, and can use the misdiagnosis medical records and rules she has saved for more than 30 years at any time.
Her supporters also include a Chinese doctor in Malaysia. He opened a small clinic and has subscribed to magazines since 1998. A few years ago, he came to Chen Xiaohong and hoped to buy and use this database.
Even now, the medical community is still controversial in the "misdiagnosis or not". Some doctors insist on misdiagnosis and no learning, but the doctor's scattered clinical experience summary, "not all phenomena are called science." However, Meng Qingyi believes that the law of misdiagnosis is complex and profound, textbooks cannot be written, and some specialists cannot refine it, and must use the thinking of physics, chemistry, psychology and other disciplines to think about misdiagnosis.
"Misdiagnosis is a high-level science." Meng Qingyi said it should become the crown jewel of medical research.
- END -
Produced by China Youth Daily and China Youth Network