Putting the interests of patients first should always come first. On this point, no conscientious doctor should pretend to be deaf and blind.

That said, if there is peer misdiagnosis, it is relatively more likely to occur with primary care physicians, and relatively much less likely to occur with physicians from different hospitals of similar caliber.

Since there is obvious damage, the interpretation is that the diagnostic error has caused a misdirection of treatment measures and the condition has worsened. The patient can only continue to seek medical treatment, and some patients will slowly react or overhear something, which may lead to disputes if they go to the doctor who initially diagnosed and treated them.

The same for the tertiary hospital, the same specialty in different two hospitals level is still different, and sometimes some obvious, the same may appear in the title of the problem, if there have been serious consequences, this time want to protect their peers are very difficult. To the patient, that is certainly to correct the diagnosis, take the correct treatment measures, other things can only try to do what the extent of what the extent. Doctors generally do not encourage patients to go to the front of the doctor to make trouble, unless the conflict between doctors is not small or simply despise the front of the doctor, take the opportunity to suppress the other side, to raise their own. The patient who has experienced this kind of thing knows best.

How to protect the patient and also protect your peers is something that comes up. A lot of this is relatively easy to do when there are no serious consequences or when the situation can be salvaged. So, that being said, prevention is much more important.

Once and in the largest local tertiary hospital as the head of department alumni exchange how to understand the work of primary hospital doctors, he said, if he went to work in primary hospitals, the level of the level does not necessarily than the current primary care doctors to where high, the grassroots by a variety of constraints, can not achieve patient satisfaction with the level of technology, or else, what else do we need to be these people do? From a professional and technical point of view, or to understand, tolerate them, but also have to tell them to tailor the suit, do not take care of everything, do not dare to touch any patient, the transfer of hospitals to be transferred in a timely manner. The timely invitation to hire people, do not make it impossible to close the scene, only to think of shouting us to go or sent over, some of the scene we can not save.

See, treating patients and saving lives is not a heavy burden, but can only be done according to one's ability, and to have the fear of life, which is the key to prevention; secondly, we should be careful in what we say and do, and should not be blindly confident; lastly, even if we give the patient a consultation and treatment, we have to explain the precautions and observe the changes in the course of the treatment, and should not be paralyzed or let go of the matter.

I'm Dr. Kang. Thank you, friends, for your attention!

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Name two 'misdiagnosed' patients I've encountered.

The first patient was an elderly woman in her 80s. Because she often had a dry mouth, her family asked a doctor they knew who worked at a local clinic. The doctor prescribed the medicine "Quenching Thirst Pill" and told him to go to the pharmacy to buy it and take it, and the symptoms should be relieved.

But we know that this medication is actually a non-hospital routine medication primarily for the treatment of diabetes. This patient started to develop, after taking it orally for some time, sweating and weakness in the limbs, and was in a coma when he was brought to our hospital. The reason was hypoglycemia. At that time, I was also very disapproving of the approach of this doctor known to the patient's family. But the patient should be treated or treated.

In fact, when I first approached the patient, I inadvertently told the family that the medication prescribed by this doctor was not actually for thirst. But the family seemed to have no problem with the doctor's treatment. It also expressed gratitude for the treatment he gave the patient. But it's possible that it's a relative.

What do you do at this point as the doctor in charge? You can't just hold someone's ear and tell them to sue the doctor you know. The patient was discharged after treatment. The doctor was not held accountable.

Case 2.

The classmate's father came from out of town saying he needed surgery for a kidney stone. Upon receiving the call, he was immediately put in touch with a urologist. After everything was in place, he went to the outpatient clinic first when he arrived, only to be transferred to the gastroenterology department. It was only after an ultrasound that we realized the patient's abdominal pain was because he had advanced pancreatic cancer that had metastasized to the abdominal cavity.

When he was seen locally he said it was abdominal pain because he had kidney stones in the past and the doctor first gave him an ultrasound of the urinary tract first. When he came to our hospital, he had another abdominal ultrasound because he was fasting. Can this be considered a misdiagnosis?

There are times when we have to give a more detailed analysis of any description of the patient's condition. And some of what we call misdiagnosis may be referred to a higher level hospital because the examination at that time was not perfect, or there was really no examination or diagnostic technology and experience in the local area.

Objectively speaking, what really involves a doctor needing to intervene outside of medical treatment, that is if a patient his condition is considered to be a possible criminal case, then call the police, which is what should be done.

Peers should be protected in cases where there is no law or violation. In the case of breaking the law, patients should be protected.

Obviously misdiagnosis, certainly to correct the diagnosis ah, this is not any problem, has produced damage, try to save. Communication is an art, to protect the patient at the same time to consider the peers, do not speak arbitrarily, you big tertiary hospitals in the local area may be very powerful, but and the country's powerful hospitals than you may not necessarily low misdiagnosis rate. What's more, you should consider the difficulty of grassroots doctors, the grassroots not only equipment including staffing are relatively poor! Moreover, you bluntly put all the blame for the error on the outside doctors , there is no way to change the damage that has been done.

I once heard a very large big man say:

You don't know the patient's situation at the time, you don't know the doctor's situation at the time, don't just judge someone else's visit, maybe the treatment at the time is the most appropriate treatment ......

I would say: the doctors at the time did their best, but we could have better options now!

It all depends on what angle you are taking. The health care industry is definitely all about protecting doctors, so this lawsuit is unwinnable from the patient's point of view. The government also has to tell the doctors, so the hospital can't win. Of course if you say you find solid evidence, you can take it as a civil action, in that case it might be slightly better.

You don't have to ask? Both are protected! In fact, there is no need to protect, misdiagnosis is the inevitable thing of every doctor, no doctor will be an exception, unless he just hangs a doctor's name but does not see the patient at all. And the chance of misdiagnosis is not low, the statistics of the United States is about 30% of the misdiagnosis rate, China does not have this kind of statistics at present, but it is estimated that there will not be too much difference, or even higher. Therefore, if you use misdiagnosis to judge a doctor, then all doctors have to go to jail. To judge a doctor by whether or not he has done his duty, the meaning of this sentence is twofold: first, he has tried to do it and meet the norms. The second is to be able to match the level of his hospital, of course, higher than the level of his hospital is even better.

When a diabetic patient develops dry mouth, it is possible to prescribe the medicine Quenching Thirst Pill for TCM dialectics. Moreover, this prescription is an officially recommended medication, which is also found in the books for the licensing examination.

However, the diagnosis and treatment methods of Chinese and Western medicine are different. You think it's a misdiagnosis, but it's actually correct according to Chinese medicine's dialectic. So don't jump to conclusions early, and don't exacerbate conflicts between other doctors and patients when you don't understand.

Protecting the patient, of course, is your duty, as well as protecting yourself and trying to protect your peers on top of that!

I was hospitalized during the car accident also met a migrant worker working at the site, working at the site accident calf fracture, in fact, very simple common fracture, to ensure that the hospital tossed for a year, and finally have to give him amputation. This is a provincial hospital ah. The contracting team later also did not care about him, more than 100,000 operating costs did not, almost jumped off a building. Later went to the army hospital, military doctors did not spend much money to cure. This is an honest man, or another medical trouble.