Diamond To put it bluntly, physical examination is the "compass" and "calibrator" of preventive health care. All preventive care that is separated from physical examination data is essentially "blind care" based on feelings.
I have been doing chronic disease management in a community health service center for almost 8 years, and I have seen too many examples of things going astray. There was a 62-year-old uncle who heard in a health class that panax notoginseng powder can open blood vessels. He ate it for more than half a year, and his gums bleed every day without taking it seriously. Later, he accompanied his wife for a free senior physical examination and checked his coagulation function, only to find that the indicators were abnormal. His own coagulation factors were lower than ordinary people. If he had done a basic physical examination earlier, he would definitely not have been eating blood-activating ingredients for so long.
Many people think that a physical examination is a "one-time deal" and that it is done once the blood is drawn and the examination is done. In fact, the moment you get the physical examination report is the starting point for targeted preventive health care. Last year, more than 300 residents who were positive for Helicobacter pylori were found in our jurisdiction. We did not recommend medication and treatment at the outset. Instead, we adjusted the plan based on the individual's physical examination: those with low values and no stomach discomfort were first guided to implement a meal-sharing system at home, eat more active probiotics, and then review after 3 months. ； Only those who already had signs of atrophic gastritis were given guidance on standardized medication. Among the people who were followed up for six months, nearly 60% of those who had positive symptoms turned negative, which was much better than before when people randomly bought stomach health supplements.
Nowadays, there are many different opinions about the relationship between the two. Some people think that physical examination is all about preventive health care. They spend thousands every year on a luxury package, and the rest is to stay up late and drink heavily. They think that there is no problem with physical examination to "cover the bottom line".； Some people think that physical examinations are an IQ tax, and if minor problems are discovered, they will scare you half to death. It is better to soak your feet more often and maintain good health, so there is no need to spend unjust money. In fact, both of these ideas are quite extreme.
Take the "punk health care" that young people often talk about these days. You stay up late and apply anti-aging eye cream, eat spicy hot pot and swallow probiotics. If you don't have a basic physical examination every six months to focus on indicators such as intraocular pressure, blood lipids, and uric acid, you don't know whether your "health care practices" are making up for a leak or adding to the chaos. Last month, I met a 28-year-old fitness instructor. His muscles looked very strong. He usually buys protein powder and creatine supplements. If the unit physical examination had not revealed that uric acid has reached the critical value, he would show off seafood and drink cold beer with his friends after training every day. If he really waits for gout to attack before making adjustments, then it is not preventive care, but treatment.
Of course, this does not mean that the more expensive the physical examination, the better. Nowadays, many people want to undergo a full set of PET-CT as soon as they start. In fact, for ordinary young people with no family history of cancer and no related underlying diseases, it is completely unnecessary and they will instead take extra radiation. Our industry has been calling for the physical examination items to match your own preventive health care direction: if you often work at your desk to prevent cervical spine problems, focus on taking an anteroposterior and lateral cervical spine X-ray. ； If you have a family history of lung cancer and focus on lung health, you should have a low-dose spiral CT every year instead of blindly pursuing expensive packages.
To put it bluntly, it is the same as maintaining a car. Filling it with oil, washing and waxing the car regularly and doing beauty treatments cannot replace the annual annual inspection, right? Without disassembling it to see if there are any hidden problems with the brakes and engine, would you dare to drive on the highway with confidence? The same is true for the body.
