Doctors expose the inside story: Why do I always go to the hospital for a lot of examinations?

Source: "Medical Road Forward Weizi" WeChat public account

Author: Weizi

Many friends have this feeling when they go to the hospital: queue for hours, see a doctor for a few minutes. In the few minutes of seeing a doctor, the doctor simply asked about the condition, checked the body, and then prescribed a lot of examinations.

Moreover, the same stomach pain or low back pain, headache, why do the tests or laboratory items are still different?

Sometimes, people go to the hospital just to simply prescribe a medicine, after all, they are uncomfortable before, and it is good to take a medicine. However, the doctor did not agree, and had to check the test before the patient could prescribe the drug...

I believe that many patients have too many questions, there are too many puzzles, is it the doctor in order to get more bonuses?

I'm an emergency department doctor, and today I'm going to tell you all this with 3 cases!

Image: Figureworm Creative

Case 1:

16 years old, little girl, stomach ache

That morning, not long after I went to work, a mother rushed into the emergency room with her child.

The child was a 16-year-old girl, still wearing a school uniform, holding her stomach and bowing her waist, and did not speak. The child's mother urged me to say that the child's stomach hurt, and quickly prescribed a painkiller, and the child had to rush to school after receiving the medicine.

I called the child over and asked her where she was uncomfortable.

The little girl whispered: It is a small stomachache, always going to the toilet.

I asked her: Is menstruation normal?

The little girl looked at me and replied, "Normal."

The child looked at me a little evasively, and I then asked: Do you have a boyfriend?

The mother next to me got angry when she heard it, scolded me and said: What do you say, my child is only 16 years old, talk about what boyfriend, you hurry up to prescribe medicine, don't delay us in school.

I glanced at the little girl, and she lowered her head. So, I also left a heart eye, I asked the little girl to do a urine test and a B ultrasound on the abdomen. Her mother was anxious again and scolded me indiscriminately. Finally the test results came out, positive for HCG, and ectopic pregnancy.

Fortunately, my concern at that time was right, otherwise the consequences of the little girl would be unimaginable.

Case 2:

21-year-old guy, drunk, stomach aches

It was night shift and it was quite cold.

A young man came into my emergency room wrapped in a large cotton jacket, and as soon as he sat down, I smelled the wine on him.

He said he had just had some drinks at the party and now his stomach hurt badly, and he suspected that the old problem was pancreatitis, and hoped that I would give him a liquid.

He was still conscious, but a small movement caught my attention—the lad hammered his shoulder with his hand from time to time.

So I asked him, is your shoulder uncomfortable?

The young man said yes, and he did not twist it, but his shoulder was very heavy and painful.

I then asked if my chest was also stuffy and a little out of breath?

The lad said yes.

So, I quickly prescribed him an electrocardiogram examination, and found that he was an acute myocardial infarction, which was fortunate to be found early, otherwise it may cause sequelae, and in severe cases, it may even lead to death.

Case 3:

42-year-old big brother, drunk, vomiting

This patient was sent by his family, saying that it was a happy event at home, and the eldest brother was very happy and accidentally drank too much.

As soon as I was about to get a physical examination, he was already throwing up and the other patients in the clinic were starting to be dissatisfied. His family felt embarrassed and wanted me to help sober up the wine, get a sobering injection or something.

After the physical examination, I didn't feel right, the pupil size of the eldest brother's eyes was different, I tapped him on the shoulder to call him, he did not respond, he was not in this state like an ordinary drunk, more like a coma.

So I gave him a head CT examination, and it turned out that as I expected, the eldest brother had a cerebral hemorrhage.

The patients of the above three cases are all treated by me, and I may not feel too much when I see them, but as an emergency department doctor, I think back to these three cases, and now I am afraid for a while.

In these cases, if I did not make my own judgment at the first time, or did not insist on my own decision, then there may be serious consequences, causing tragedy, and may be a life gone.

Diseases are unpredictable, and diseases and diseases are different, so sometimes the seemingly same symptoms may all be different diseases.

With the development of science and the continuous improvement of medical technology, some laboratory tests and auxiliary examinations can better clarify the diagnosis, but here, I also want to say to our doctors: advanced laboratory tests and auxiliary examinations are important, but I think we should inquire about the condition in detail, understand the medical history, and do a good job of serious physical examination.

At the same time, I also hope that patients can understand our doctors, believe in our doctors, cooperate with the doctor's examination and treatment, and do not hide their condition from the doctor, because our purpose is only one, that is, to fight the disease together, and hope that everyone will stay away from accidents and be healthy and safe.