Post-examination counseling is as important as physical examination

One statistic shows that the number of people who pay for physical examination by themselves is on the rise. The middle-aged people in their 40s and 50s account for the vast majority, while the elderly and young people account for less than 15%. The survey found that most people are fine after a physical examination and do not follow the health advice given by their doctor based on the physical examination.

Physical examination is different from diagnosis of disease

Fu Zhigang, director of the health management center at PLA Hospital No. 254, said the increase in the number of individuals paying for medical check-ups shows that people's health awareness is growing. However, there are significant differences in the importance of physical examination among different age groups. Some young people even "slip" the physical examination funded by the unit, which shows that the misunderstanding of physical examination still exists.

Fu said that when it comes to health checks, many people think they are in good health and there is no need for them. In fact, the subjective feeling that there is no disease is not reliable. No obvious discomfort is not equal to health, many diseases may not have any discomfort in the early stage, so we should not trust our subjective feeling too much. Feeling is only one aspect. What is important is to discover various potential health problems in people's body through physical examination, and to understand the dynamic changes of the health status of the subjects through the comparative analysis of the data before and after health examination. To provide the basis for early prevention and timely treatment of diseases. Physical examination is a preliminary screening process, which is different from going to the hospital to check and confirm the diagnosis after having obvious discomfort. Common diseases can be found through physical examination, while routine physical examination of more complex diseases can do nothing, but abnormalities can be found, so that the inspected personnel can find the potential diseases of the body without subjective symptoms, and then find out the hidden trouble after minor problems through targeted special examination. Therefore, for the doctor's recommendations for review, do not ignore.

It should be especially emphasized that the physical examination is not a kind of examination after you go to the hospital. If you already feel uncomfortable in a certain part of your body, you should directly go to the doctor of the relevant specialty, rather than a general health examination.

Young people cannot "avoid" medical tests

Fu said that the increasing pressure of life and work in modern society, coupled with bad habits such as smoking, drinking and staying up late, has led to a trend of younger people suffering from diseases that used to occur only in old age. And young people often think that their health is very good, physical examination is the elderly only need. In fact, in the physical examination found that young people are really a lot of problems, in the early 30 years of hypertension, high blood fat and even fatty liver is not uncommon. Regular physical examination is related to the health of people of every age group, and young people should not be ignored. This can have an understanding of the physical condition, can be early treatment of minor diseases early prevention, not the accumulation of minor diseases into major diseases.

Fu Zhigang pointed out that many people often after a physical examination, see their body is normal, think everything is OK, think the results of this time can be managed for a long time. In reality, the human body is a dynamic system, constantly undergoing subtle changes every day. The results of a single physical examination do not have long-term significance, because some diseases develop quickly and the symptoms are not obvious, making it difficult to detect, and the best time to treat them may have been missed. Physical examination should be carried out regularly, because its purpose is to detect the disease in time, and timely detection is the key to achieve good therapeutic effect, which is the significance of physical examination. Therefore, we should insist on an annual physical examination.

For many elderly people, who often already suffer from one or more chronic diseases, most of them just check for the existing disease when they feel uncomfortable, and rarely have a comprehensive physical examination every year. In fact, regular comprehensive physical examination can help to have a comprehensive understanding of the physical condition, according to the doctor's health advice in time to improve health.

Checking more items is not always better

When some people pay for their own health check, they check every part from top to bottom, which is not only energy consuming, but also financially heavy. "More health checks are not always better," Fu said. "The key is to have regular check-ups." Prior to the initial medical examination, the client should give a detailed explanation of his/her personal condition to the doctor. Everyone's physical condition and family medical history are different, and even everyone's physical condition is different at different ages, so the physical examination program cannot be the same. The correct approach is to make a comprehensive analysis by the physical examination physician based on previous history, family medical history, age, physique, living habits, work nature, environment and other aspects. According to the physical condition of the patients, "tailored", formulate not only meet the needs of the patients' physical examination, but also relatively economical personalized program.

Physical examination is the beginning of health management

Fu said the physical examination is to evaluate the physical condition at the time. Medical examination is not the goal, the key is to continue to focus on and manage health problems after medical examination. Its role lies not only in the therapeutic intervention after the disease, but also in the preventive intervention when the disease has not appeared but there are danger signals, in the correction and overcoming of disease risk factors, which is also the concept of health management advocated at present. Health management is the whole process of comprehensive monitoring, analysis, assessment, prediction and prevention of human health risk factors. Its purpose is to effectively use limited resources to achieve the maximum effect of health improvement. As a service, this is done by evaluating individuals based on their health status and providing targeted health guidance to individuals to take action to improve their health. However, there are still many citizens who have had a physical examination but have difficulty adhering to the health advice given by the doctor, let alone need the doctor's health promotion plan. In this case, the purpose of health intervention through physical examination is greatly diminished.

In particular, he reminded that a physical examination is the beginning of health management, after which a personal health record should be established and a bad lifestyle should be changed according to the doctor's advice. The physical examination report must be well kept and not thrown away. Each year, the doctor is asked to compare and analyze the physical examination report of last year and this year, which can discover the changes of the physical condition in the past year, determine whether there is a disease tendency, prevent and cure as soon as possible, formulate a reasonable health promotion plan according to the changes of the body, and persevere in the implementation of the health promotion plan, to achieve the purpose of disease prevention and treatment.