"Look, doctor, it stopped shaking." When he saw that his hands and feet were no longer shaking, the young man was very happy. He thought that his disease was not a serious problem and hoped that the doctor would quickly declare that he was not sick.
Whether it is a disease or not is not decided by the doctor, but by the medical evidence. Doctors must base their diagnosis on medical evidence. For this reason, the doctor couldn't help but smile bitterly every time he saw the patient's words and expressions.
It cannot be said that the doctor did not understand the patient's desire to cut ties with the disease as soon as possible. Cao Yong discussed with the patient and said: "We need a blood test, head CT and magnetic resonance examination, and then further confirm the diagnosis."
"I've taken the blood test. Doctor Xie said that I took the test and my blood sugar is normal." The young man took out the same blood sugar test report form as the previous aunt and submitted it to the doctor for review.
People with a little education can basically understand whether the measured values are normal or not, because for the convenience of clinicians’ reference, the inspection report has normal values printed next to the measured values. If the value is abnormal, it will be marked abnormal directly on the inspection report.
What needs to be emphasized here is that the common people’s understanding is different from that of doctors. Ordinary people understand it based on normal values as a reference. The blood test report form is the same as the imaging report form, indicating that the clinician needs to make a comprehensive judgment based on the patient's clinical symptoms.
It is equivalent to saying that normal values do not mean that the patient is definitely not sick, and abnormal values do not mean that the patient is definitely sick.
All in all, the changes in various components in human blood fluctuate greatly, and the measured values often only reflect the patient's physical condition within a certain period of time. In clinical practice in the inpatient department, doctors often ask patients to take blood tests for this reason.
For glucose tolerance tests, you will find that whether in outpatient or inpatient settings, doctors will ask some patients to do more than one blood glucose test, and the time points for the two tests may be arranged a few days or weeks apart. At this time, the doctor's mind is considering some potential factors that may affect the test results.
It fully shows that a doctor’s thinking about an examination result is multi-layered and multi-faceted.
The young man who took out this blood sugar report thought he had irrefutable proof that he was not sick.
In the eyes of doctors, this is not an ironclad proof that you are not sick, but may be an ironclad proof of other diseases. Clinical judgment of a disease requires elimination. Your normal blood sugar value sheet is expected to become an elimination method.
"The blood test I prescribed for you is not to check blood sugar, but to check other items."
"Isn't it okay even if your blood sugar is normal?"
"Your symptoms are not necessarily related to blood sugar."
The last sentence is the doctor’s direction of diagnosis.
The young man's face became even more anxious when he heard this, and he stretched out his left hand to show it to the doctor: "It stopped shaking."
Several doctors looked over. The young man's left hand and foot will soon start shaking on their own. It won't be like this if it doesn't tremble anymore. The patient himself knows this best. How could he come to see a doctor if he no longer shivered, and how could he persistently call in to thank the doctor for being there.
The young man saw himself slapped in the face and got angry at himself. He grabbed his shaking left hand with his right hand and tried to force it to stop shaking.
The classmate Wei Shangquan who was present was the most anxious. He shouted and stopped the patient and said:
"Hey, what are you doing with your hands? Don't hold on hard. If you don't hold on hard enough, you'll break your bones."
The patient was startled by his words: "Can this fracture be broken?"
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