Now the doctor to see the patient even patients do not look at a glance, I have cervical spondylosis, May 1 before going to the hospital, hung up the orthopedic number, waiting for half a day to me, the doctor did not raise his head, asked which is not comfortable, I said the back pain, neck pain, get up in the morning hand numbness, he opened a nuclear magnetic directly, said to do the MRI and then come back to him, his table side of the sticker him when he he went to work and his name, let me take a picture of the next time to come back to him.

Nuclear magnetic to make an appointment, a few days after doing nuclear magnetic registered and then go to him, he looked at the nuclear magnetic film, it is directly prescribed medication, a total of less than 3 minutes, it is directly the next number, he also does not open the prescription list, it is directly said to go to the pharmacy to scratch the price of the medication, said that 12 days later to come back to go to the pharmacy to scratch the price of 990 yuan, the nuclear magnetic 480 yuan.

Yesterday just finished the medicine, and go to him, hung up the number, he asked me how, I said you said 12 days later to come back to you, he directly prescribed and last time the same medicine, I asked how long this medicine to eat, he said to eat to see, I said to eat a few courses of treatment, he said I do not know, and I asked to eat this medicine all the time? He said the disease can not be immediately good, is the test drug, this drug has no effect on the change of drugs, depending on the situation to reduce the amount of Huang's blood capsule I opened a box of 350, each time to open 2 boxes of drugs this time and 990, see the whole process of the disease is not more than 3 minutes of time, and immediately press the next one.

This doctor spoke quickly, and then asked to be impatient, I do not dare to say again, I went to the clinic card recharge, go to the pharmacy to get medicine, after taking the medicine, I think the next time or a different doctor to see it, I feel unreliable ah, the doctor himself do not know, but also what to see the disease ah!

This is my real medical experience. How do you think, now the doctor will only look at the checklist prescription drugs, and can not look good do not know, I see this hospital is also the best three hospitals in Urumqi Xinjiang Hospital. This kind of big hospitals are like this, other hospitals are almost the same!

There was some relief from the meds, but I looked closer yesterday and one medication was the pain meds. I don't know if it reverted back without the pain meds.

Now it is really difficult to see a doctor, happen to be a good doctor okay, I'm afraid that will only come to prescribe drugs to get a commission on the trouble. Alas, this profession must have a conscience.

This question is a bit childishly cynical!

Many people share the lament, "As soon as you go to the hospital, the doctor asks for a checkup... did the doctor not see the patient in the past when there were no checkup instruments?"

Many others will question this, "Are doctors prescribing tests for the sake of prescribing tests, and can't they see patients without instruments?"

Now let me tell you why doctors used to not see many tests or prescribe fewer tests:

First: there weren't as many checks available before

Science and technology are the first productive forces, and the advancement of science and technology has enabled mankind to have more means to face diseases.

A long time ago, a doctor, when confronted with a patient who could have lung cancer, might only prescribe a chest X-ray, not that he didn't want to further clarify the diagnosis, but there was no high-resolution CT available to him or he simply didn't know that there was something as amazing as CT in this world!

A long time ago, when a doctor was dealing with a patient with a myocardial infarction, there was no good way to treat the patient except with medication because there was no interventional catheterization lab for him to use and no such thing as coronary angiography existed.

A long time ago, if you had recurring unexplained fevers, your doctor could do nothing because there were no blood cultures, PCTs, etc. to utilize.

All in all, technology nowadays provides an indelible contribution to human health.

Second: Maybe it didn't cost much to go to the doctor at that time

Prior to health care reform, patients might not need to pay out of pocket for medical care, and if they did, it would not be much .

Of course, at all times and in all eras, there will always be huge medical bills and there will always be the phenomenon of not being able to afford to see a doctor.

However, there is no denying that there was that period of history: most people don't need much money to go to the doctor.

Because of this, that's why patients have more trust in their doctors and why they often compare the past to the present.

Third: You were less demanding at that time

It used to be that you would go into a hospital and follow your doctor's advice because you trusted them and because you didn't know much about the disease.

However, it is different now because of the development of the Internet, because public wisdom has been opened up, because people's awareness of medical and health care is increasing, and because people's awareness of their rights is increasing.

In the past, you might not know even if the doctor was at fault, and even if you did know you had nowhere to complain to.

But, it's different now, and you have many avenues to defend your interests.

The best part is that some times, even if you are asking for something unreasonable, it will somehow be met.

Because of the reality of the predicament: it has to be admitted that sometimes doctors engage in protective medical practices and over-prescribe tests in order to protect themselves.

To summarize: any issue has to be viewed in both positive and negative terms.

Let more people know a little bit more!

I am a Chinese medicine practitioner for almost 40 years. My comments are as follows:

1, do not bring this topic to the Chinese medicine and Western medicine comparison, Chinese medicine and Western medicine have their own strengths. I myself have had surgery and specialists in Western medicine have come to me to prescribe Chinese medicine.

2, and 20 years ago than the western medical doctors, now the western medical doctors do not pay attention to the basic skills, see the result of relying on machines and equipment, the most critical thing is that the habit of relying on equipment to check and see the disease, unknowingly, but also do not use the brain. From this point of view, there is indeed a considerable part of Western medicine that will not look away from the physical and chemical examination.

First of all is your question biased against the industry? Maybe I would be right because I am a doctor myself and tend to see questions like this thinking there will be some sort of bias against the medical profession, it would certainly be best if there wasn't.

The answer to this question is yes. Doctors are not produced by machines, they are learned the hard way day by day, following their own clinical teachers in the hospital day by day, as for your question about the machine checking, it's you who are certainly not in the medical industry and don't know much about our industry to ask such a question, first of all, I don't like this question, suspecting bias against the industry, and secondly, this question is asked by a layman that simply doesn't have a clue about the healthcare industry. But I still want to make my point. Spit it out, don't spit it out.

Should all kinds of medical equipment exist?

This I think no matter whether you are not the medical industry, should understand that the development of Western medicine for more than 200 years, medical equipment is also a generation of updates, which brings the gospel of human health can be said to be immeasurable, the average life expectancy has been extended, can not be separated from the development of medical care, the development of medical care is very much in the development of medical equipment updates. Some people say that there is no medical equipment in the past is not the same to see a doctor? I would like to ask is it? In the past, unexplained deaths, misdiagnosis is no longer a minority of things, there is no medical equipment, even if the death or misdiagnosis of the time there is no way to verify the medical equipment is not the main means of diagnosis of a disease, it is to verify that the diagnosis of the standard is not wrong.

There are a lot of medical equipment is not only used to do the examination, a lot of human beings do not have the means to do things, the machine can replace human beings to complete very well, when the hot premise is to have a doctor to operate. For example, a lot of minimally invasive and precision surgery, before there may be no way to do, can only choose the traditional way of surgery, the patient's trauma, postoperative recovery is slow, the patient suffers a lot of pain, etc., with these devices on the innovation of a lot of minimally invasive and precision surgery, so that the patient to suffer less pain.

Wouldn't doctors see patients without medical equipment?

This certainly will not be, in the beginning of the article I said, the doctor is not completely to rely on medical equipment, the doctor's hard work to learn the knowledge is not to be used as a pose, a doctor has a lot of possible diagnosis of a symptom, if there is no verification of the machine, the doctor can be through a variety of treatments or other re-emergence of the symptoms to determine, because the doctor is a human being is not a machine, encountered a complex disease there is no way to distinguish very accurately, this time to machine to verify the doctor's diagnosis is correct, only completely correct in order to give the correct treatment plan. The doctor is a human being, not a machine, when encountering complex diseases, there is no way to distinguish very accurately, this time to machine to verify whether the doctor's diagnosis is correct, only completely correct to give the correct treatment plan. Each doctor is not omnipotent, the doctor's mind is not a computer may accurately identify a variety of symptoms, this time the medical equipment is particularly important. If you don't have such advanced medical equipment now, what would it be like now? I can't imagine that picture, the medical level would have been stagnant, many doctors' ideas and theories may not be verified, and the medical career would be very difficult to develop. It will be just like the old days, relying on the experience of doctors and the effects of various first treatments to verify whether the judgment is correct. There is also no way to verify if there is a medical malpractice. Then the doctor is good to go, you have this disease and that's it, anything can happen and death is normal.

In fact, the existence is justified, many things are not simply one side of the reason, perhaps you think that because of these devices lead to the doctor may be completely dependent on the equipment, there may be a big checkup and so on, but these are after all those who do not have medical ethics doctors do, I can tell you that such a doctor is very little, this society is still very harmonious, not as complicated as you think.

Dr. Han: It's not easy to write, if you think what I say makes sense, please give a like, comment, retweet, etc. This is the best affirmation of an author.

Of course you can, you can go to traditional medicine, not modern medicine, traditional medicine or some small clinics will not examine you with instruments, you can go to those places. This question is like:Nowadays, wars are fought with guns, cannons, aircraft carriers, airplanes and even nuclear weapons; would armies still fight without these weapons? Or if there were no cranes now, would workers still build tall buildings?

Is the advent of instrumentation an advance or a step backward for healthcare?

In fact, this issue is very simple, just like fighting a war, with high-tech things is a kind of progress, I also do not understand why a lot of people think that they should not do instrumental tests to see a doctor, or think that doctors prescribe tests is to make money.

Qing Dynasty, we do not have guns, fighting with swords and knives, is very physical combat is very passionate, but not still by the foreign devils with guns and cannons blasted open the door. The same is true for medical treatment, which is a kind of struggle between human beings and diseases. The struggle between man and disease has existed since the emergence of man, but until now we have not completely overcome the disease. It is true that in the past we didn't use instruments to see the doctor, that's because there were no instruments, but now that medical treatment has progressed, instruments are used more and more and they have become more and more advanced. The appearance of each important instrument brings a very important improvement to medical treatment, and the invention of instruments is also a concentrated manifestation of the progress of modern science, not just the progress of medicine.

Whether the advent of instruments is a step forward or a step backward, one can check the change in life expectancy per capita to find out whether it was better before without instruments or with instruments.

How do instruments help doctors see patients?

To take the simplest example, we all know that diabetes and hypertension are two kinds of diseases, which have a very high incidence rate and are very harmful, so how are these two diseases diagnosed? Relying on the doctor's pulse? Or by visual inspection? We may all laugh, measure a blood pressure, blood sugar is not finished! People are right, it is by accurate measurement, the instruments needed, these two diseases at least need blood pressure monitors and blood glucose meters in order to accurately diagnose. The advent of the sphygmomanometer and blood glucose meter has made the diagnosis of these two diseases much clearer and can guide the treatment. Without the use of instruments, how else would this disease be seen?

More complex and serious diseases also need the help of instruments. We all know now that cancer is very common, but do you know what instruments are needed to accurately diagnose a cancer? First of all, it is the imaging examination, that is, ultrasound, CT, nuclear magnetic and so on. People don't have perspective eyes, so how can we detect a cancer on our internal organs? By taking a pulse? Or humanistic care? Of course, neither, we need to rely on imaging examination, because imaging examination is the best fluoroscopy at present, there may be better ones in the future, but this is the best one for now. Can you be sure it's cancer when you see it on imaging? Or even if it is, what kind of cancer? Or which pathologic type of cancer? To be sure, you need surgery or puncture to get the tissue, then send it to the lab, stain it, and look at it under a microscope to tell the difference. Which of these processes can be done without instruments?

Some people say you can't just treat it without tests? If you can't even find the cancer, how can you treat it when there are symptoms in the late stage? Some people say that nowadays there are targeted drugs and chemotherapy, targeted drugs also need to know the gene target, and pathological diagnosis is needed, and after taking targeted drugs, the efficacy needs to be observed without imaging assessment, what assessment is used? What kind of evaluation is it? Just sell you the drug in a haphazard manner?

Is it true that doctors won't see patients without instruments?

Definitely not. It's just that with instruments that can better help diagnosis and treatment, why not use them? It's the same thing as fighting a war, you can fight a war without long range high tech weapons, but with high end weapons, who's going to fight with a bayonet?

It is true that in the past it was possible to see a doctor without instruments, but many diseases could not be diagnosed or cured.

Ancient emperors were supposed to enjoy the best health care at that time, and some people have done surveys, there are 209 emperors in the past generations, and the average life expectancy is 39.2 years, while the average life expectancy of the common people in ancient times is less than 35 years. The teaching materials used by our current Chinese medicine practitioners are similar to those of that era, and the theoretical foundations have not changed, such as the Yellow Emperor's Classic of Internal Medicine and the Divine Husbandman's Classic of the Materia Medica. No instruments were used in those days, but of course, if you don't want to use instruments, there are still a lot of traditional medicine to choose from. After the relative maturity of modern medicine, the life expectancy of human beings has also increased a lot, if I remember correctly, the per capita life expectancy in Shanghai and Beijing has exceeded 80 years.

The term "instrumentation" reminds me of the many patients who have asked me, "I just have an upset stomach, why do I have to have blood drawn, an EKG, or a chest X-ray?" . They do not understand what the routine hospitalization tests are, and they have to be explained in detail every time. In fact, in addition to the admission routine checkups, the doctor will also make an initial judgment based on each patient's condition, and then go on to screen the checkups that are suitable for the individual. So, the question arises, without the return of test results, the doctor can not see the patient? Of course not, at the beginning of the origin of medicine, which has now these sophisticated equipment, the doctor at that time rely on the doctor to see the doctor is to look at the smell, four diagnosis and reference and their clinical experience. With the continuous development of the medical industry, a variety of sophisticated testing equipment has been invented, and applied to the clinical as an auxiliary clinical diagnosis and treatment of reference, which is a major progress in the medical profession.

Doctors prescribe tests for their patients to comply with the tenet of evidence-based medicine on the one hand, and to prevent disputes between doctors and patients on the other. We all know that the famous doctor Hua Tuo was killed by the suspicious Cao Cao because he wanted to open Cao Cao's skull. Imagine if Hua Tuo had taken the head CT and put it in front of Cao Cao, would Cao Cao still have killed him? I'm sure the results speak for themselves.

In addition, many diseases do not have clinical symptoms at the beginning of the disease, and can not be detected by the naked eye, can only rely on a number of indicators to detect the existence of these instruments as an auxiliary treatment, is the existence of science, and in line with the purpose of evidence-based medicine. I hope that patients can understand and accept that the existence of medical equipment is a medical aid, do not hold hostile psychology.

Respondent: Yamin Wang M.S.

Welcome to Apricot Island for more interesting health facts!

This is really not much to do with the relationship between the instrument, say a my own thing, in 2000 when I was 18 years old, that day I went to the hospital to do a physical examination (organized by the school), but that morning I suddenly had a stomachache, the kind of dying, just to go to the physical examination of the hospital is very close to the hospital, I went to the hospital early, about 7:30 to the hospital, there have been classmates to the hospital, then have to be classmates to assist me, the first physical examination. The results of the physical examination did not find out the problem, at this time I have been unable to stand, my classmates helped me rent a wheelchair, and then registered internal medicine, came to a male doctor wearing glasses, stethoscope listened to half a day, and then let me lie down and touched a half a day, looked up and told me, you may be peritonitis, attention, it is possible, and then b ultrasound, ultrasound finished did not see what, at this time from my admission has been 2 hours past, I was admitted to the hospital! I was admitted to the hospital with the complaint of acute abdominal pain, my parents were there and asked the doctor what was wrong with me, the doctor still said it could be peritonitis, or stomach cramps, and put me in the outpatient observation room, after I had struggled for three hours, I took the first shot of Prednisolone, and after that, I fell asleep, but I woke up with pain in 40 minutes, and the doctor couldn't do anything about it, and gave me the second shot of Prednisolone, and it was not so painful at all, but the medicine seemed to be effective. After the injection, finally not so painful, but the effect of the drug seems to get worse and worse, the third shot, the fourth shot, the fifth shot, to the sixth shot when the effect can only last five minutes. The male doctor wearing glasses never dared to come forward, this time it was already more than 2:00 p.m., seven hours after I was admitted to the hospital, and still have not found the cause of the disease. At this time came in an older old man, tall, thin, tall, top of the head, to my bed with a hand pressed my stomach, and then gave my family that I may be a gastric perforation, grab the ultrasound to confirm, the doctor went with me to do the ultrasound, directly from the display results, acute gastric perforation, and then consult the family's views on the operation or conservative treatment, at the same time to give me the seventh shot of strong painkillers, my family members! advocate conservative treatment, the doctor also said, I'm young, conservative treatment should not be a problem, followed by the transfer to the inpatient ward, under the gastric tube, infusion, all the arrangements are in place, more than 4:00 p.m., the gastric tube under the end of the moment after the suction of a full bottle, change the second bottle slowly after the stomach is not so much pain, that's what I am in the hospital one day, a day I can not forget for the rest of my life, the seven shots of painkillers, a confusing medical examination, an incompetent doctor, and the doctor is not competent. I will never forget this day in the hospital, seven injections of strong painkillers, a confusing medical examination, an incompetent doctor, and the old man who cured me. Subsequent to the hospitalization process is not long-winded, in addition to molesting the nurse sister (mainly because I am allergic to the rubber cream, change the particularly diligent, and finally the sister in my bedside infusion rack hanging a whole roll of rubber cream), or else sneak out to smoke (not allowed to drink, not allowed to eat, smoking a cigarette can always be it, I'm a gastric disease, not a lung disease), and there are holding a negative pressure device and the patient to play cards, and in addition the last negative pressure device is my The last negative pressure device is my own pull, that thing slides outward by itself, usually fixed with rubber paste, I'm allergic, always change always change to slide outward well, one morning the doctor checked in and asked me how you that negative pressure out so much, I said I don't know, said I'll poke my hand back, the doctor rushed to give me a stop, said don't poke it, unhygienic, pull it out, so I pulled it out by myself.

It's three o'clock in the middle of the night, and I'm withholding so many words mainly to say that, while the instruments are important, the best instruments are useless without a good doctor who is experienced and dedicated to the patient.

Updating an infusion joke

The first day of hospitalization, negative pressure device, nutritional solution, are hung, I lie in bed to see my liquid, nutritional solution 5 pounds a bag, the old one big, next to the glucose injection above a small label written on four typing: Sanjiu gastroenterology [cover the face] [cover the face] [cover the face] [cover the face].

The next day I basically came back to life, in addition to still hanging negative pressure device, other flexible, every morning routine is the nurse came in to hang a bag of dextrose, and then slowly drip, during which the resident doctor checking, according to the situation of the dextrose inside the drug added, but I do not know, ah, dextrose hung, the nurse just left me to adjust the drip speed of the speed, a moment later the doctor came to check the room, asked me, where is your liquid? The doctor came to check on me and asked me, "Where's your fluid? I said all almost finished, there is a bottom. The doctor said, I have not given you to add drugs, what is your hurry, said the nurse and took a new bottle of glucose to give me a new bottle of glucose, before adding the medicine. That said, my infusion has always been very fast, 750ML of liquid, 45 minutes to finish.

In fact, the instrument is only to confirm the doctor's judgment is correct, not to take what to prove it, the doctor of this. Diagnosis must have evidence hey, like some tumors or cancer, in fact, the doctor took a look to understand what it is, sometimes it can only be very implicitly said: suspected of being something bad, but the diagnosis needs to be pathological slice examination to fully under the diagnosis of an experienced doctor in the through the questioning of the medical history, physical examination, it is basically on the disease to have an initial diagnosis of the disease, just targeted l prescribed examination, which is the evidence that. Just the development of modern medical technology, medical equipment more and more f high-grade, some traditional physical examination, many doctors are reluctant to do, too dirty too time-consuming, in fact, this is wrong, a good doctor must patiently ask about the history of the disease, a careful physical examination of physical examination diagnosis of the disease is very important, I wish that our young doctors are able to learn the most basic medical fundamentals of diagnostics, such as physical examination We hope that our young doctors will learn the basic medical fundamentals, such as the physical examination of diagnostics, and be patient in asking medical history and not relying too much on the examination of medical instruments.

If one is a Chinese medicine practitioner, one can still see the disease without the examination of various modern instruments. A TCM practitioner is able to judge the condition and prescribe the right medicine for the illness by looking, listening and examining, and by combining the theory of TCM with his own accumulated experience in treating illnesses.

For experienced western doctors, they can also see the disease without instruments, but sometimes they are not sure, which is not conducive to a precise understanding of the disease. Therefore, in order to be on the safe side, it is very necessary for Western medical doctors to require all kinds of instruments to be examined. After all, it is not a trivial matter to treat the patient and save him, and any misdiagnosis will delay the treatment and even put the patient's life in danger.

Of course, some doctors, in order to increase the income of their hospitals and individuals, ask their patients to undergo some unnecessary instrumental tests against their conscience, which is very offensive to their patients. Doing an instrumental test can cost as little as a few tens of hundreds or as much as a thousand dollars. Doing some unnecessary tests will be an extra waste of patients' money, which is also criticized and needs to be eliminated.

In short, Western medical practitioners are responsible for their patients by allowing them to undergo all kinds of necessary tests, after all, the clearer the understanding of the condition, the more beneficial to the treatment, even Chinese medicine practitioners sometimes have to rely on the results of instrumental examinations for treatment. However, we must firmly oppose excessive and unnecessary tests, which will increase the financial burden of patients.

Our old farmers also say a few words, read a number of replies to feel said are not right, do not look at so many hospitals and pharmacies plus a variety of advanced equipment. In fact, the purpose is not to cure the disease, is to cure the money! If a person is sick without money, even if the instrument can be brought back to life and what is the use? Can you just give you to use for nothing? Nowadays, the quality of human life and money multiply positively proportional, not and how advanced medical equipment. If everyone has no money, the directors and doctors of major hospitals can only play hide-and-seek around various instruments. If everyone is rich and willing to spend money on medical treatment, all kinds of instruments in hospitals will be full of tricks in the future. In fact, we can not avoid having a problem, into the hospital for treatment is inevitable, everyone's life is contributing to the hospital, they still do not know, ridiculous it. Or learn more from the old Chinese medicine is how to maintain health, try not to get sick less sick is the right thing.