About misdiagnosis and mistreatment (repost)

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To deal with misdiagnosis, we should not be emotional, but more rational and calm. The so-called "misdiagnosis and mistreatment", as the name suggests, is the application of wrong diagnosis and wrong treatment to patients.

Writing this word, it seems a little scary. From the perspective of each of our hearts, no one wants to be misdiagnosed or mistreated by a doctor when they are sick. However, misdiagnosis and mistreatment do occur in every hospital, and every doctor can misdiagnose. Misdiagnosis is an objective fact.

So, is there a high rate of misdiagnosis and mistreatment when doctors see a doctor now?

According to the statistics of the national medical journal "Clinical Misdiagnosis and Mistreatment", which specializes in misdiagnosis and mistreatment, in the past 30 years, despite the rapid development of medical science and the emergence of new treatment methods, the overall misdiagnosis rate of the disease has always hovered around 30%. -- In other words, for every 100 patients who come to the hospital, about 30 are misdiagnosed. With such a high rate of misdiagnosis, who would dare to go to the hospital to see a doctor! Is our doctor so bad?

No, misdiagnosis is not only related to the technical level of hospitals and doctors, it involves many problems, and it is an objective phenomenon in medical work. Moreover, the misdiagnosis rate is different for different diseases; The rate of misdiagnosis of the same disease is not the same at different stages.

The human body can be said to be the most complex and sophisticated "object" in the world, and the exploration of the mysteries of the human body has been the goal that scientists have been pursuing for thousands of years, and it is far from over. The diseases that human beings suffer from are as complex as the whole world. Just as there are no two identical leaves in the world, the same disease manifests in different patients, with different symptoms and signs; And the same symptoms, appearing in different patients, may be different diseases; This is the phenomenon of "the same disease" and "the same disease and different disease" that is often referred to in medicine. At present, there are nearly 20,000 diseases identified by the medical community! Moreover, new diseases are constantly being discovered by cognition, and human understanding of diseases is never-ending.

How can such a complex human body, such a complex disease, and hospitals and doctors with different social conditions, technical levels, work experience, and diagnosis and treatment facilities be foolproof? As a result, there is the misdiagnosis of the storage zài.

Misdiagnosis and mistreatment is an age-old medical topic. Since the beginning of the formation of medicine, there have been questions about whether diagnosis and treatment are correct under the conditions of the time. Doctors also have a long history of studying the phenomenon of misdiagnosis and mistreatment, such as the emergence of various diagnostic theories and methods, which are aimed at reducing and avoiding misdiagnosis. This is a positive view of the disease. In the medical cases compiled by many ancient medical scientists in China in their later years, they often used misdiagnosis to warn future generations. For example, Zhang Xichun in the Qing Dynasty's "Medical Hearts in the West", the Ming Dynasty's "Doctors' Mistakes" and the Qing Dynasty's Wang Qingren's "Medical Forest Correction of Errors", etc., these documents can be said to be the earliest medical monographs in China's history with the correction of errors as the main content.

So, what is a misdiagnosis? What is misdiagnosed?

Doctors define a misdiagnosis as "a patient who has the objective conditions to be diagnosed correctly after visiting the clinic but fails to make a correct diagnosis." "There are three basic elements to this:

First, the patient has already seen a doctor; Second, the condition has met the conditions for diagnosis at the time of consultation, that is, the diagnosis can be confirmed through accurate consultation, physical examination and correct auxiliary examinations, and the medical unit has the conditions for these examinations; Third, doctors did not take the initiative to observe and collect the necessary information for diagnosis, and made an incorrect diagnosis or omitted the diagnosis of major diseases.

Doctors also put forward a discussion plan for the classification of the consequences of misdiagnosis, and divided the consequences of misdiagnosis into three levels according to the process of misdiagnosis.

Level 1: Misdiagnosis and mistreatment, resulting in disability or even death of the patient.

Level 2: Those with any of the following: 1. Acute progressive diseases that worsen their condition due to misdiagnosis and mistreatment, which brings difficulties to treatment; 2. Chronic diseases that lose effective treatment opportunities due to misdiagnosis and mistreatment, and do not heal; 3. Misdiagnosis and mistreatment of malignant tumors are delayed for more than 3 months.

Level 3: with any of the following: 1. Misdiagnosis and mistreatment of immunodeficiency diseases and hereditary diseases; 2. When a variety of diseases coexist, the omission of one of them will delay the special conditions of the disease; 3. Misdiagnosis and mistreatment of rare diseases; 4. Misdiagnosis and mistreatment have occurred, but no adverse consequences have been caused; 5. Misdiagnosis due to various reasons, but not mistreatment.

Since the mid-80s, there has been a growing research craze for misdiagnosis in China's clinical medical community. Specialized monographs on misdiagnosis and mistreatment continue to appear; The journal "Clinical Misdiagnosis and Mistreatment", which specializes in studying errors from the negative side, was launched; In 1982, the first national academic symposium on clinical misdiagnosis was held; Nearly 100 medical journals have opened up special columns on the problem of diagnosis and treatment errors, and once or twice a year, a national academic conference on misdiagnosis and mistreatment is held. With the rise of misdiagnosis research, more and more medical personnel have taken up the pen to analyze the causes of misdiagnosis with a scientific attitude and methods, and explore the law of preventing misdiagnosis and mistreatment, which has initially formed a new discipline of misdiagnosis and mistreatment. For mobile phone users, please visit wènhttp://mnet

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