Just to see a stomachache, I was transferred to three departments by the hospital, and there was still no problem. Is a stomach ache really that difficult to treat? What is the hospital doing?
Zhang Huifang, 56, had pain in her right lower abdomen and went to the hospital at the urging of her family. Who knows, the first visit didn't go well. Because of an argument between two nurses in the hospital, one thought she should be enrolled in general surgery, and the other thought she should be enrolled in gynecology.
Zhang Huifang hesitated, and finally hung up a gynecology expert number under the advice of a nurse, and after more than an hour of waiting, Zhang Huifang finally saw the expert, and the expert asked her to return to the clinic after the ultrasound.
It was already more than 11 o'clock in the morning after Zhang Huifang finished the examination, and she waited until the afternoon, when she finally waited for the return consultation, and the expert saw the B-ultrasound and asked her to go to the general surgery department.
When she arrived at the Department of General Surgery, the doctor asked this and that in detail, and finally recommended that she do abdominal ultrasound. Considering that seeing a doctor after the ultrasound might delay her picking up her grandson from school, she decided to do an abdominal ultrasound the next morning. There were no abnormalities in the kidneys, ureters, and bladder.
The doctor asked her to do a barium enema to see if there were any ulcerative colitis, intestinal tuberculosis and other diseases, and the results were normal. So he was transferred to the Department of Gastroenterology, and it was finally determined that it was cholecystitis.
After listening to Zhang Huifang's medical experience, many relatives and friends thought that the hospital deliberately let the patient under-examine in order to make black money, and there was no medical ethics at all.
But most doctors don't see it that way. They believe that this is a normal diagnosis and treatment process: the doctor is like a public security officer solving a case, and it takes a little investigation and exploration to finally lock down the criminal.
Dr. Shang Zhanmin, chief physician of the Department of Gastroenterology of Beijing Chaoyang Hospital, believes that the right lower abdomen belongs to the triangle in medicine, which is the intersection of urology, gynecology, intestine and appendix, involving multiple departments.
Wang Zemin, chief physician of the Department of Internal Medicine at Wangjing Hospital of the China Academy of Chinese Medical Sciences, believes that pain is only a reflection of a certain part of the body's disease, and it is difficult to determine which part of the problem is without examination.
For example, if you have a stomachache, you may have stomach problems, you may have liver disease, you may have appendicitis, cholecystitis, or you may have heart disease.
For example, some people's toothache is not necessarily a dental problem, but may be caused by heart disease or myocardial infarction, so experienced and responsible dentists will transfer patients to cardiology.
In view of the complexity of the right lower quadrant pain, experts give a general procedure:
1. If it is acute right lower quadrant pain, it is highly suspected of appendicitis, so priority is given to hanging surgery.
2. If it is long-term chronic pain, you can go to the internal medicine department first, and see if it is an intestinal disease through blood routine, urine routine, abdominal B ultrasound, etc.
3. As for the anorectal department, it is actually also a part of the surgery, if you have a history of anorectal disease, you can directly hang the anorectal department.