New technology: Weaken the doctor's function?

New technology: Weaken the doctor's function?
New technology: Weaken the doctor's function?
Zhongshan University attaches to the first professor of hospital dept. of orthopedics Buddha Li to assuare we have to admit new science and technology has produced the enormous impetus to the development of medical science, but new science and technology produced the enormous challenge to the doctor's professional ethics and professional technique at the same time, it weakens the doctor's function potentially, makes its role transform to the technician constantly, and is no longer the experts of theory and experience. Repel to simple effective traditional diagnosis treatment means at the same time, it is worth our thinking deeply about too bringing the enormous pressure to social economy and family. So the author hopes through the gains of practising medicine of decades, the treatment of every discipline of medical science changes and discusses some views simply at present, welcome criticism of people having a common goal to give directions. The modern image learns to check whether it is an excessive X-ray or not, images such as CT, MRI and PET,etc. are studied the inspection means should be suitable for routine inspection and can not diagnose clearly, the course of disease is longer, diagnose the unidentified patient, or use while working out healing solution, surgery method and concrete step of surgery; Should not the condition is lighter in early days, symptom model, diagnosing clearly and not needing the patient of the operation to use on one's body, early the intersection of cervical vertebra and disease, the intersection of waist and protrusion of the intervertebral disc, the intersection of bone and arthritis, meniscus damage and cross ligament rupture etc.. It is common disease that the operation meets the card to know and pass protrusion of the intervertebral disc and cervical vertebra disease of the loose waist. 80% of the patients of protrusion of the intervertebral disc of waist adopt and does not perform the operation the treatment can obtain good curative effect. The surgery treatment is only suitable for symptom model, condition than serious and defecation and urination and person who damages function of sex, should not be used in the patient not typical of those symptoms with lighter condition, let alone carry on the operation only paying attention to the image and studying the inspection instead of consulting the physical sign of clinical symptom. Fracture treatment have a long history in China, 60% the intersection of fracture and patient reset, add, fix outside, can win good curative effect through tactics; The operation is only suitable for shifting in unstable fracture, joint fracture and those fracture patients pressing with neural blood vessel damaging, soft tissue card. But there is trend of adopting surgery treatment to the fracture patient extensively now. Surgery method and material choose the tradition that is scrupulous fracture treatment to adopt the conservative treatment as much as possible, guard, treat unable to satisfy, should implement, treat while being fixed reset, while being open need, while being clinical. And the fixed treatment in 90% of the fracture patients adopt at present. Is this a kind of innovation? I don't think so. It mainly relates to the fact that contact area, stress, blood are transported that fracture heals. The tradition emphasizes that reduces blood transporting and destruction of the soft tissue around by simple method, choose light splint, gypsum, draw, stencil plate, nail, hand in, lock, nail and create stencil plate a little by skin in the marrow usually, the healing of fracture is not influenced; Open, strong and inside fixed popularization has not made better result at present, have offered more opportunities that stress sheltering from, blood is transported and destroyed and infected instead, has influenced the healing of fracture. Create and treat while lightening the wound, obtaining better prognosis a little, has kept the good appearance, have already been accepted extensively by people. But its applicable scope has the one that is limited certainly. Whether the new material of new technology is assessed fully in recent years, with the development of material science, biomethanics, surgery of backbone gets considerable development in such aspects as inner fixed apparatus material, operation way and operation skill. The operation fixed position can choose dashing for ward, vertebra board, vertebra frog, articular process, body of vertebra of the sour jujube; Inner fixed apparatus including steel wire, hook are excellent and nailing excellently and nailing the board, power stabilizer; It plant last room since sour jujube bone method, among vertebra board, dash for ward by room, plant sideways by bone to application of merging among vertebra among vertebra body. Clinical practice prove material and technology of popularization that use extensively at present also have many drawbacks, should cause the attention. If Cage appear sinking, deviate from, plant the intersection of bone and the intersection of quantity and issue such as being little in the practice, artificial the intersection of waist and the intersection of intervertebral disc and wound loud, costly, long-term result definite, the artificial pith core has postoperative complications of sinking, deviating from etc.. Though shaping skill of the body of vertebra stops the pain fast, the wound is little, resume the advantage fast,etc., but indication is narrow, it is the operation taboo card that the body of vertebra is compressed and broken to pieces, too heavy too lightly and very much, the cement of bone is transferred to returning clearly, costlily and unable to correct shortcomings such as the bow-backed deformity,etc.. How know apparatus and inner innovation of plant as everyone knows, universe everything change in sport ceaselessly always. Any inorganic matter, organic matter and living beings are all changing constantly, the mankind can not prevent, change this kind of law. The histoorgan will present the hyperplasia, calcification with the years; Foreign matter in the organism can cause hyperplasia and chronic inflammation,etc.; The inner plant will reflect (cicatrix, calcification, ossify etc. foreign matter inevitably) Sink with inner plant, host exposed to interface absorb plant position unusual to even fail can cause; It is difficult for the operation to avoid causing the adhesions and scars of the skin, muscle, ligament, organ. All scientific and technical innovation should face the challenges of these basic laws. We must for this - -Changing innovates the view antagonistic to tradition. It is due to the ancient civilization that the mankind innovates, the innovation of medical science comes from the tradition. Only insist on the tradition, could innovate better. It was fixed that the fracture treatment was closed while threading a needle 40 years ago, closed the needle and set aside fracture to reset 35 years ago, closed and punctured examining alive 30 years ago, closed the exterior mounting bracket and treated fracture 25 years ago, 20 year before close by rectangle last fractures fixed, if you can't close, if you can't entangle, if you can't lock, nail by fractures fixed, puncture tooth dash for ward fracture develop till now lasting vertebra frogs leather skin 10 year ago 5 year ago, fully reflect this. Changing and compensating the physiology regards as the wrong cognition of the pathologic phenomenon. Should clearly realize osseous hyperplasia, intervertebral disc sex change are the normal physiological phenomenon, the intervertebral disc stresses that there can not be symptom, the vertebra can not need special treatment while managing narrowly, the unstable means of recovering of can do exercises through the skin of waist ing etc. of the lumbar vertebrae realizes more steadily. Change and only pay attention to the image and learn to check and measure and neglect the current situation of the physical sign of the medical history in the laboratory. Should emphasize the basic training even more while discussing scientific and technical innovation, and pay attention to the doctor's professional ethics and construction of professional technique. Change the loose phenomenon of operation indication. All appearances of the new technology idea are thrilling, but the choice of the operation apparatus needs to know indication strictly, and carry on improvement and long-term following up a case by regular visits to and assessing of the material performance continuously, make sure not not to add and use even abuse alternatively. Change and pursue the method to achieve a little blindly. Focus should not create a little while being large, have special the intersection of operation and apparatus can't be made and created a little, not training strictly, open to perform the operation, the inexperienced one should not achieve the operation a little. Change correctly " The advanced person " With " lag behind " Understanding offset. " advanced person " Should cure patients with minimum wound and cost; " lag behind " Cure patients with largest wound and cost. Change the impetuous vanity psychology of introducing foreign technology blindly. Closing conservative era to introduce gloriously, but it needs to be careful to open the era of information explosion Heavy. Then the merits and demerits are undetermined not to add and popularize the big planting and entering things of dispute alternatively. At present? Posthumous to join the short iron rod with 4 edges peacefully and scratch boundless and indistinct �� valley to praise field of Mei's fat Idle 9 narrow apples wait upon Lou's flood moth's distant ��'s leg Ti ��'s plum to stir ticket O account Nai cellar now Squid's only fat of hook settles and waits upon Wu Ping ���� cellar �� of # in great numbers The hook squid value is admired ] to drip and wait upon Pao incomplete Chen to take wing and act as! Thin =Deep large bamboo or straw hat with a conical crown and broad brim cellar �� nurse Gown �� Ke �� takes wing and acts as! Barium Pian bluffs �� Cancel my ��?


|