Why should the tumor removed by surgery be shown to the family?

In principle, it is not necessary to show the specimen directly to the patient, just look at the photo; and if the specimen is left outside for too long after the specimen is removed, it may contaminate the specimen and affect the preservation of the specimen. But why would you show the specimen directly to the patient? Because the family of the patient has the right to know the medical treatment, in principle, the patient has the right to know all the health-related information of the patient, but due to historical reasons and conditions, it is impossible for every specimen cut by the hand to be able to take pictures, and the family of the patient requires Look, so it’s a habit to cut it off and give the patient’s family a glance, which continues until now. The following is a brief description of why you should show specimens to the patient’s family, but I personally recommend that you still take pictures in the future. It is best to have a post dedicated to this matter. These general specimen photos can also be stored in the case. The process of diagnosis and treatment requires that the doctor-patient relationship is not simply a contract of sale, but more of a credit relationship. The patient entrusts the health to the doctor, the doctor has the obligation to inform the patient of the condition, and the patient also has the right to know his condition. But in China, this is quite special, and many family members of patients are not willing to let doctors directly inform patients of their condition, for fear that the patients themselves cannot bear it. This is understandable, but when telling the patient’s family members about the condition, you must tell the truth and not hide it. There are many types of treatment for diseases. Surgery is a relatively risky operation. Before surgery, an informed consent for surgery will be signed, and after surgery, the patient will be informed of the success of the operation and postoperative pathology report. In fact, it is okay not to show the family members during the operation, but many family members require it, so they have reached a unified one, and the cut specimens will be given to the family members of the patients, and briefly talk about the operation. The advantage of this is that the family of the patient is at ease and has a sense of being pragmatic; second, the condition of many patients needs to be known during surgery, such as tumors. Before surgery, it is only possible to judge whether it is benign or malignant, or whether there is lymph node metastasis, etc. The situation can only be more clarified after the operation is performed, and at this time, some doubts of the patient’s family before the operation were answered. Even if specimens are not shown to the patient’s family during the operation, the patient’s family must be explained after the operation, and the final pathological results should also be informed. The relevant regulations of laws and regulations require patients to have informed consent, so patients also have the right to see the cut specimens. The laws and regulations are not simply to evade responsibility, but to better coordinate and promote the harmonious relationship between doctors and patients. Many people do not understand the significance of signing these documents, thinking that it is only to protect the doctor, but this is not the case. Let me give a more extreme example. “Killing the law” we all know that A and B are good friends. They usually don’t think of any disputes with each other, let alone harm each other. In this case, it seems that they don’t need law. This is not the case, but there will be many legal relationships between them. “Killing the law” is one of them. If the killing does not break the law, they will have some disputes one day. It is very likely that one of them will be tempted because the law is not broken. what. In modern society, they wouldn’t do this under normal circumstances, because they knew each other about this law, and they knew what they could do and what they couldn’t do. The same is true for the doctor-patient relationship. Signing these things also allows doctors and patients to know what can and cannot be done, and how to deal with some accidents. Without these provisions, some patients may be injured, or many hospitals may be forced to operate normally. Therefore, it is good for everyone to sign some documents in advance.

Exercise control of walking exercise for children with spastic diplegia in Aixing Children’s Rehabilitation Center

1. Impediment to movement control of pace: Difficult to accelerate walking, unable to leave the dangerous environment. Training method: The therapist takes the child’s hand while walking, first gradually speeds up the walking speed, and then gradually slows down the walking speed. After the child is proficient, use verbal instructions to tell the child to accelerate or slow down. The therapist held the child’s hand while the child was walking, and stopped walking suddenly according to the child’s ability, and then started walking after 3 to 5 seconds. After the child is proficient, use a verbal instruction to tell the child to stop or start walking suddenly. The therapist took the child’s hand while walking and suddenly turned to the left or right. After the child is proficient, use a verbal instruction to tell the child to turn while walking. The therapist took the child’s hand while walking and suddenly backed away. After the child is proficient, use a verbal instruction to tell the child to retreat while walking. The therapist took the child’s hand while walking and suddenly jumped forward, backward, or to the left and right. After the child is proficient, use a verbal instruction to tell the child to jump forward, backward, or on both sides. The therapist handed the toy to the child while the child was walking. After the child was skilled, the number of toys could be increased. Role: Children can adjust their walking direction to stop or restart according to their own wishes or changes in circumstances. 2. Obstacles to the adaptation of the movement control of the step length: the step length cannot be adjusted. Training method: The therapist holds the child’s hand while the child is walking, and first uses verbal instructions to tell the child to complete the walk with the maximum step, the minimum step, and the middle step respectively. After the child is proficient, the therapist uses verbal instructions to tell the child to change the step size during walking. After the child can change the step length, the therapist asks the child to complete the above training with the aid of a wall or a cane. After the child can complete the above training with the aid of a wall or a cane, the therapist allows the child to complete the above training independently without the aid of auxiliary equipment. The therapist draws horizontal lines with unequal spacing on the floor, the maximum distance between the horizontal lines does not exceed the maximum step length of the child, the shortest distance does not exceed the minimum step length of the child, and tells the child to step on each time during walking with verbal instructions To the horizontal line. Role: Children can adjust their step length according to their own wishes or changes in circumstances. 3. Obstacles to the movement control of the step width: the step width cannot be adjusted. Training method: The therapist holds the child’s hand while the child is walking, and first tells the child to complete the walk with the largest step width, the smallest step width, and the middle step width respectively with verbal instructions. After the child is proficient, the therapist uses verbal instructions to tell the child to change the step width during walking. After the child can change the step width, the therapist allows the child to complete the above training with the aid of a wall or a cane. After the child can complete the above training with the aid of a wall or a cane, the therapist allows the child to complete the above training independently without the aid of auxiliary equipment. The therapist draws parallel lines with unequal spacing on the floor. The maximum distance of the parallel lines does not exceed the maximum step width of the child, and the shortest distance does not exceed the minimum step width of the child. Parallel lines. Role: Children can adjust their step width according to their own wishes or changes in circumstances.

Ten people and nine kidney diseases: For people with kidney disease, 3 precursors will “inform” in advance

Among the middle-aged people, they often hear their ridicule: Is your kidney okay? Actually, if you really have kidney disease, you can’t tell a joke. Ten people and nine kidney diseases: people with kidney disease, 3 precursors will be “informed” in advance. According to epidemiological research data, the incidence of chronic kidney disease in China is 10.8%, while the incidence of uremia (end-stage renal failure) is 300-400 million people. It can be seen that kidney disease is constantly threatening our health. So, what are the causes of people suffering from kidney disease? Ten people and nine kidney diseases: people with kidney disease, 3 precursors will “inform” the cause of nephropathy one: long-term holding urine I believe everyone will have the experience of holding urine, occasionally holding urine once or twice has little effect on the body, but often holding back Urine will seriously damage the kidneys and increase the burden on the kidneys. It is very easy to cause kidney problems in a long time. Two causes of nephropathy: Most patients with general nephritis have a history of pharyngitis, acute tonsillitis or severe cold. If a person has inflammation or infection, it is very likely to cause a disorder of the immune system. If the control is not timely and the disease progresses, it may damage the kidneys and induce nephritis. Ten people and nine kidney diseases: people with kidney disease, three precursors will “inform” the cause of nephropathy in advance three: privately taking drugs indiscriminately in daily life, cases of drug-induced kidney damage caused by taking drugs indiscriminately are not uncommon. As the saying goes: medicine is threefold poison. Especially for some patients with chronic diseases such as high blood pressure, diabetes, and high blood fat, taking drugs indiscriminately may damage the kidneys and cause drug-induced kidney damage. Four causes of nephropathy: regular drinking and long-term drinking not only hurts the liver but also the kidneys. This is mainly because the kidney is the most important metabolic organ of the human body. When a person consumes a large amount of alcohol, he needs to undergo kidney metabolism, which undoubtedly increases the burden on the kidneys. In addition, long-term heavy drinking leads to a significant increase in occult blood acid, thereby forming uric acid polycystic kidney stones, which can cause kidney obstruction and damage to the kidneys. Ten people and nine kidney diseases: For people with kidney disease, the three precursors will “inform” in advance that the emergence of kidney disease will undoubtedly cause great harm to people’s health, so how should people discover the existence of kidney disease as soon as possible? If you have the following symptoms of kidney disease, then you have to pay attention! (1) Edema is general. Under normal circumstances, people’s eyelids or face appear edema in the morning, and then disappear in the afternoon. However, they will edema after fatigue. Once the rest is subsided, it will often disappear. This situation is most likely to be related to kidney disease. related. Ten people and nine kidney diseases: For people with kidney disease, the 3 precursors will “inform” in advance (2) Excessive or too small urine volume Generally speaking, it is normal for a person to excrete 1500ml of urine per day. If a person is not affected by external factors, such as not drinking too little water, sweating, fever, diarrhea, etc., a sudden decrease in urine output is an abnormal condition. If a person’s daily urine volume exceeds 2500ml, it is most likely related to kidney disease. (3) Urine has foam and does not disappear for a long time. If people have foam when urinating and do not disappear for a long time, it is necessary to consider whether it is proteinuria, that is, excessive protein excretion in urine. At this time, it is very likely that there is a problem with the kidneys. You should seek medical advice in a timely manner to check your urine routine to avoid kidney disease. Ten people and nine kidney diseases: For people with kidney disease, the three precursors will “inform” in advance that in addition to self-checking the symptoms of kidney disease, regular inspection is also very important. It is best for normal people to have a routine urine test once a year, and if necessary, to perform b-ultrasound and renal function tests; those with diabetes and hypertension, it is best to check urine microalbumin once every six months to monitor the progress of the disease and actively receive standardized treatment . If the urine test shows abnormal indicators such as urinary protein and red blood cells, you should immediately consult a nephrologist for further diagnosis.

0 to 3 weeks after the first stage of rotator cuff surgery

The main rehabilitation goal at this stage is to create a good recovery environment for the patient’s shoulder joint. Both the surgeon and the therapist should explain to the patient the importance of braking and strict protection for repair. Patients should be informed that they cannot frequently use the surgical side limbs in daily activities and avoid sudden movements. Excessive tension at the attachment point of the tendon-bone reconstruction will lead to the failure of the rotator cuff repair and reduce the patient’s function. The patient should be instructed to wear the sling correctly, and the patient should be instructed to wear it except during home training time. Communicate the sleeping position with the patient, knowing that the patient takes a supine position during sleep, and put a pillow or towel behind the upper arm to support the shoulder. Patients usually feel this position is the most comfortable and can reduce pain. Patients are not encouraged to lie on their side. Instruct patients to take multiple cold treatments during the day, every 10 hours for 10 to 20 minutes. The currently known benefits of cold therapy include reducing pain, reducing inflammation and reducing muscle spasms.