tells a colleague's story.
Colleague is a nurse in our hospital. She has been annoyed and anxious these days, so I asked her what was going on.
asked after I found out that a relative of her family was diagnosed with lung cancer, and it was still in the late stage. Actually, I am very curious why I didn’t find out earlier and didn’t find it until the late stage.
Colleague was helpless and said that this was the most annoying thing. She said that her relative basically went for a physical examination every year, and she also had a physical examination at the place she introduced. The physical examination was fine half a year ago, but now I say it’s late, so I don’t know how to explain it to my family.
After all, it is a fact that the late stage of lung cancer is now, and it is also true that the relative at home has regular physical examinations. Now, the family members will inevitably guess the result, thinking that there was a problem with the physical examination introduced by the colleague at the beginning, or that the colleague got the benefits.
Is that really the case?
Why do some people have had
and finally found advanced cancer ?
In fact, the reasons here are many aspects, not that the physical examination is inaccurate, or that the physical examination is spent in vain.
First of all, the doctor of the physical examination may indeed have missed or misdiagnosed.
There are many physical examination institutions on the market now, and the levels of physical examination personnel are also uneven. Some physical examination institutions do conduct inspections strictly in accordance with the requirements, but some institutions are different, and even the staff do not even have the most basic qualifications. We really have to distinguish this by ourselves. It is recommended that we should go to a regular hospital or a professional institution for physical examinations.
Secondly, many cancers do not have typical symptoms in the early stages.
Some cancer symptoms are not obvious in the early stages, but may be just low fever , fatigue and weight loss, etc., because the symptoms are not obvious and are easily overlooked. It is not until it is serious that the patient or doctor's attention is attracted, and it is often in the middle and late stages.
For example, liver cancer is the most typical "silent cancer". When the patient has already felt obvious pain, the tumor may be already very large. Because the sensory nerve distribution in the liver is very small, it is difficult for small lesions to have obvious sensations.
In addition, sometimes abnormalities are found in physical examinations, but they are not taken seriously.
This is the easiest to see in clinical practice. Some patients clearly found abnormalities during physical examinations, but because the symptoms were not obvious or serious at that time, they felt that it was okay. Some people felt that they were wasting money and there was no need for treatment. Some people felt that the doctor was deliberately intimidating and wanted to take the opportunity to make money, and the condition was delayed like this. As a result, the best treatment opportunity was missed as soon as it was delayed.
Finally, some people have biased their understanding of the meaning of physical examination.
physical examination means to check the body, understand our physical health status, and carry out corresponding health management, rather than to diagnose the disease. The choice of physical examination items is not to say that the more expensive the better, but to choose comprehensively based on one's age, physical condition, past medical history, family medical history and economic situation.
For example, if a long-term smoker wants to check whether there is a risk of lung cancer, he needs to have a chest CT, but in reality, most people choose to have a chest X-ray examination. For example, for bowel cancer, the most secure examination for high-risk people is colonoscopy . If you choose routine stool or tumor index CEA, it is very likely that the diagnosis will be missed.
Therefore, the physical examination items we choose during the physical examination are very important. Only when the right choice can we eliminate health risks as much as possible. Instead of saying that the more the better, the more expensive the more you are, the more reassuring it is.
These physical examination items must not be missed!
In the hospital, I found that some people are very strange when choosing physical examination items. Some items that are obviously of great practical significance are always ignored selectively, either because they are afraid of pain or because they are embarrassed. Anyway, there are all kinds of reasons.However, what you don’t know is that those projects that we ignore can really save lives at critical moments!
①Anal fingerprint examination
Anal fingerprint examination does seem quite embarrassing, but I don’t know that many diseases can be found through anal fingerprint examination, such as anorectal diseases represented by hemorrhoids , anal impotence, rectal polyps and rectal tumors, as well as prostate diseases such as prostate cancer and prostate hypertrophy. Therefore, it is recommended that people over 40 years old should undergo an anal test once a year.
② Fecal Check
Fecal Check sounds cumbersome, dirty, and embarrassing, so many people will choose to give up. But you need to understand that fecal analysis can detect gastrointestinal bleeding, parasitic infections, gastrointestinal tumors and various inflammations in the early stage. Through urinary routine, we can find stones, lymphangiopathy and urinary inflammation.
③ gastroscopy
Gastroscopy is the most easily abandoned examination item. On the one hand, it is troublesome to make an appointment, and on the other hand, it is really a pain in the examination. But what we need to know is that gastroscopy can directly observe the real status of the examined site, and can also perform pathological biopsy and cytology examination of the suspected lesion site . Whether it is gastrointestinal tumors, erosion, ulcers, or bleeding or inflammation, gastroscopy can be detected in a timely manner. It is recommended that ordinary people do it once every 5 years, and people who already have precancerous lesions should do it once every two years.
④ Gynecological examination
Gynecological examination is the most controversial examination. In addition, many doctors’ operations are not standardized, which has led to many people’s disgust and disgust. But it should be clear that gynecological examinations can promptly detect abnormalities such as tumors, inflammation, deformities and cancer.
Finally, I want to say one thing is that even if you have a physical examination every year and do all the projects, you still need to maintain healthy and good living habits. We cannot place all hope on physical examinations and doctors. Physical examinations are just a reference. The most fundamental thing is that we must pay attention to it. Only we know our own body best.
