Before, domestic doctors broke up for excessive screening of thyroid !
An ultrasound number published an article titled "Must have to clearly oppose the screening of thyroid cancer ". The doctors in the comment area were having a lot of fun!
As a self-media that writes about thyroid, how can you not take advantage of the hotness at this time
Today, the editor will analyze the thyroid screening for the general population for you
The interests behind thyroid screening
The title of that article is: We must clearly oppose the screening of thyroid cancer
You can wait and see the comment section behind
What you fear most in China is to fight with intellectuals (Editor, I am not an intellectual, but an internet celebrity!)
Because I fight with actors The pussy is usually for the benefit of everyone, but the intellectuals tear up the pussy. He is obviously for the benefit of the benefit, and he still has to criticize you from a moral high point.
In the end, should the thyroid gland of the ordinary population undergo color ultrasound screening? This answer can only be given by people with unrelated interests
0 Those surgeons who make money by doing a large number of thyroid surgery must not trust
Those institutions that rely on doing thyroid physical examination business cannot trust
Think about it, who benefits thyroid color ultrasound screening?
The first thing that benefits must be the thyroid surgeon
Some doctors actually say that thyroid surgery is a clear-water yamen. It’s really fucking to tell lies with your eyes closed
I really don’t know the so-called “big doctors” in those first- and second-tier cities. I know clearly that there is only one person who doesn’t accept red envelopes.
Don’t ask me how I know, because many people have recorded the recording of the main surgeon when receiving red envelopes.
I don’t want to use a doctor. Whether to receive red envelopes or not is evaluated for medical ethics. Although this is not allowed in terms of policy, it is sometimes a product of helplessness under the existing medical system. However, many surgeons make a fortune by thyroid screening. This is an indisputable fact.
Because now, the number of patients with thyroid nodules and thyroid cancer is huge, and even thyroid surgery doctors go to the patient group to work part-time selling cold-eating rabbits
is really interesting! You say that you are a doctor at work, it is not illegal to sell dishwashing detergent or condoms in your spare time
, but you can't sell some messy things under the banner of a doctor!
Doctor Zhang’s cold-eating rabbit, does this imply that eating rabbits can cure nail cancer, and is it misleading ignorant patients?
If you want to make money, you can call Zhang Butcher’s cold-eating rabbit. I think the sales volume is better and more appropriate
Also, because of the color ultrasound screening of thyroid ultrasound has produced a series of beneficiaries, surgeons, physical examination doctors, color ultrasound doctors, small doctors who have beds, and even one-stop scalpers at the entrance of the hospital
But because these people benefit, color ultrasound screening of the general population should be encouraged from a policy level. This is illogical
Should color ultrasound screening of the regular population?
I think other countries can give us some inspiration
When South Korea carried out color ultrasound screening for routine thyroid populations every year, the number of people with thyroid cancer increased by 25% every year. It has been carried out for many years. However, it did not reduce the death to thyroid cancer. Instead, it became a global joke.
North America I still know more about screening for screening for screening
, but using instruments The instrument checked other organs accidentally saw thyroid nodules, which led to the thyroid cancer.
Even so, the American Thyroid Association still changed the guidelines for the treatment of thyroid cancer.
From the past, most of the thyroid cancers needed to be completely cut to now, you can do a proper half-cut
The proportion of iodine 131 was greatly reduced. To a certain extent, it is also to deal with more and more micro-cancers that were over-examined
0 The number of people with thyroid cancer in our country is about 15%, which is definitely worse than the situation in North America
So has the thyroid screening for routine people help patients in our country?
Most of the very mild cases I think are not available
Microcancerous cancers often do not develop, even if they develop to touch and then deal with it, it will not affect the prognosis
Premature intervention These thyroid cancers not only cannot bring benefits to patients, but may cause recurrent laryngeal nerves and damage to the paraglial glands affect the quality of life
Most patients with thyroid cancer who undergo thyroid surgery need to take the medicine for life
What's more terrible is that discrimination against cancer still exists in our society. Patients with A-cancer have lost a lot of jobs. I think the most serious situation is not.
. I actually have never been willing to talk about this topic because I feel that talking about the facts may cause the fans.
. Many doctors say that they have never seen a person who died of A-cancer in their entire lives. I can only say that they have seen too little.
. In the past three years, I have known directly or indirectly that they may have left because of A-cancer. In China, there are more than 50,000 people in my official account. However, the number of people following me on my official account is still extremely small.
These people who died of aphrodisiac were almost all diagnosed with physical examinations. Some were diagnosed with hoarse voices, and some were diagnosed with a large bag of
. Some were diagnosed with difficulty in breathing because the tumor directly invaded the trachea.
Their tumors are very fierce and progress very quickly in a short period of time. Some people's Tg can soar from 10 to 1000 in three months.
It is difficult to find these extremely fierce atherosclerosis
If you want to survive, you can only achieve very thorough surgery and very cruel auxiliary treatment, plus a little luck.
Is there anyone who benefited from routine color ultrasound screening?
I think there are also some, but the proportion is very small
For example, early medullary cancer found by color ultrasound due to physical examination,
For example, diffuse sclerosis papillary cancer with a wide metastasis area,
For example, some thyroid cancers in adolescence,
Because most of these thyroid cancers will develop, the early intervention of color ultrasound physical examination can often make the treatment path simpler and smoother for these patients
But from the overall level,
Considering that most thyroid cancer patients found by color ultrasound screening,
Considering the medical system A The manpower and material resources spent on cancer screening and treatment
Personally believe that color ultrasound screening of the thyroid in the conventional population is much more expensive than the benefits
For conventional populations, color ultrasound screening of the thyroid is a very strange behavior
. The more appropriate method may be to palpate the neck of the conventional population
. Only further color ultrasound tracking of the people with abnormal palpation
Because most of the thyroid cancers that can be touched are more than 1 cm
. At this time, medical intervention should be more beneficial than disadvantages
. What should I do if I find a suspected micro cancer in my physical examination?
When you follow the young literary youth in Vancouver
Most of the time, you are not the ordinary people who have not been screened yet
, but the patient who has discovered suspicious nodules
You want a patient who has discovered suspicious nodules and does nothing at home. It is impossible for
No one can do it because we are all normal people!
At this time, the most important thing for patients is evaluation, rather than rushing to find relationships,
Because evaluation does not cost anything, and rushing to take care of
. Who should I ask for evaluation? How to evaluate? This is the most concerned issue for everyone
I think you can't find doctors who make a fortune by opening black shops in secondary hospitals to evaluate it.
, and you can't find doctors who sell cold-eating rabbit thyroid glands in the group for evaluation.
, stakeholders,
will slowly reveal
in the future.These people who died of aphrodisiac were almost all diagnosed with physical examinations. Some were diagnosed with hoarse voices, and some were diagnosed with a large bag of
. Some were diagnosed with difficulty in breathing because the tumor directly invaded the trachea.
Their tumors are very fierce and progress very quickly in a short period of time. Some people's Tg can soar from 10 to 1000 in three months.
It is difficult to find these extremely fierce atherosclerosis
If you want to survive, you can only achieve very thorough surgery and very cruel auxiliary treatment, plus a little luck.
Is there anyone who benefited from routine color ultrasound screening?
I think there are also some, but the proportion is very small
For example, early medullary cancer found by color ultrasound due to physical examination,
For example, diffuse sclerosis papillary cancer with a wide metastasis area,
For example, some thyroid cancers in adolescence,
Because most of these thyroid cancers will develop, the early intervention of color ultrasound physical examination can often make the treatment path simpler and smoother for these patients
But from the overall level,
Considering that most thyroid cancer patients found by color ultrasound screening,
Considering the medical system A The manpower and material resources spent on cancer screening and treatment
Personally believe that color ultrasound screening of the thyroid in the conventional population is much more expensive than the benefits
For conventional populations, color ultrasound screening of the thyroid is a very strange behavior
. The more appropriate method may be to palpate the neck of the conventional population
. Only further color ultrasound tracking of the people with abnormal palpation
Because most of the thyroid cancers that can be touched are more than 1 cm
. At this time, medical intervention should be more beneficial than disadvantages
. What should I do if I find a suspected micro cancer in my physical examination?
When you follow the young literary youth in Vancouver
Most of the time, you are not the ordinary people who have not been screened yet
, but the patient who has discovered suspicious nodules
You want a patient who has discovered suspicious nodules and does nothing at home. It is impossible for
No one can do it because we are all normal people!
At this time, the most important thing for patients is evaluation, rather than rushing to find relationships,
Because evaluation does not cost anything, and rushing to take care of
. Who should I ask for evaluation? How to evaluate? This is the most concerned issue for everyone
I think you can't find doctors who make a fortune by opening black shops in secondary hospitals to evaluate it.
, and you can't find doctors who sell cold-eating rabbit thyroid glands in the group for evaluation.
, stakeholders,
will slowly reveal
in the future.
