【Doctors talk freely.Painted benevolence】Medical specialized treatment

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Increasingly available specialist treatment

A few days before entering 2024, a male patient in his 40s suddenly came to the clinic one morning without an appointment.

“Hello Mr. Bai, do you have any questions about your visit this time?” I asked.

“Hello Dr. Huang, this is my first time to come to you for medical treatment. In fact, it was Dr. XX from outside who recommended me to come to you for medical treatment.” Mr. Bai said.

“Oh, that’s it. Then what kind of question is it?” I asked a little curiously.

“When I had a medical check-up at Dr. XX’s place a while ago, I accidentally discovered that the syphilis index VDRL was positive. I originally wanted to treat him on the spot, but he said that he did not have the relevant antibiotics for treatment, so, It was suggested that I come to a big hospital for treatment, so I came to your clinic.” Mr. Bai said.

“Mr. Bai, generally speaking, this VDRL can only be regarded as a preliminary screening test for syphilis. I would like to know what its proportion is? And I also want to know whether you did a TPHA test later to confirm that you were infected with syphilis?”

“I asked.

“Yes, my VDRL ratio is 1:32, and the TPHA ratio I did later was 3+,” Mr. Bai replied.

“I said Mr. Bai, since you have done both, and they are still positive, then you must be infected with syphilis. I also want to know Mr. Bai’s work and marital status, and whether he has high-risk sexual behavior?” I Ask again.

“Dr. Huang, I am working as a tour guide. I am currently single without a girlfriend. I have hired prostitutes several times, but that was several years ago. Because now my family is urging me to get married and is preparing to give me a blind date. So I want to deal with this disease as soon as possible.” Mr. Bai said.

organ-oriented medicine

“Mr. Bai, if this matter happened more than ten years ago, there should be no problem in leaving your disease to any internal medicine specialist for treatment, but the situation now is a little different.” I said.

“How do you say this? I don’t understand.” Mr. Bai asked.

“The thing is like this, because syphilis is a notifiable infectious disease. After confirming the diagnosis, you first need to report it to the Ministry of Health, and then transfer it to the relevant doctors and experts for evaluation and treatment. Now, because my hospital specialists have already Therefore, these STDs are all treated by VENEREOLOGISTs. He will judge the severity of your condition based on your clinical manifestations, physical examination, biochemical examination data and other information and then provide appropriate drug treatment. “I said.

“But, Dr. Huang, I don’t want to be so public. I just want to cure this disease in a low-key way. I don’t want people to know that I have seen this kind of venereal disease specialist, because as soon as people hear that I went to this venereal disease specialist clinic, they will immediately Do you know what happened to me and what disease I have?” He said a little anxiously.

“Mr. Bai, I know this, but since medical specialization is becoming more and more sophisticated, it is best to leave all diseases to relevant specialists for treatment after confirming the diagnosis. Taking orthopedics as an example, there are now specialized departments for treating sports injuries, spine and orthopedics , orthopedic surgeons for hand or foot bone diseases. The department of obstetrics and gynecology also has obstetricians and gynecologists who specialize in treating gynecological cancer, infertility or delivering babies. In the current situation where there are more and more specialist doctors, this organ-oriented Specialist treatment for treatment is an inevitable trend,” I replied.

“But I just want to simply solve the problem and let a doctor I am familiar with treat it?” Mr. Bai said.

“At this point, unless there are no such specialists here, it would be difficult for me to take on such a case,” I replied.

Indeed, organ-oriented treatment has become a major trend after the refinement of medical specialties.

Guangming Daily/Doctor Column‧Author: Huang Xueqian)

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