The relationship between preventive care and physical examination is

The former is a comprehensive health maintenance system that runs through daily life, and the latter is a periodic hidden risk screening tool. The two are neither subordinate nor substitutes for each other. They jointly serve the core goal of "fewer illness, later illness, and no serious illness".

When I worked at a street public health station two years ago to help conduct physical examinations and education for the elderly, I met many elderly people who confused the two things. Aunt Zhang, who lives in Building 3 of our community, eats grains and dances with the health group every day. She always soaks wolfberry and astragalus in a thermos cup when she goes out. She says that she has done a good job in preventive care and refused to receive free physical examinations for the elderly for three consecutive years. As a result, she went to the hospital because of dizziness last winter and it was found that her fasting blood sugar had stepped on the red line of pre-diabetes. Even she was confused. She said she didn't feel any discomfort at all, so why was her blood sugar high?

Not only the elderly, but many young people nowadays are also prone to extremes. Some people believe that "physical examinations are omnipotent" and think that if they spend thousands of dollars to do a full physical examination every year, and get a report saying "no abnormality is found", they can let go and stay up late, drink ice wine, and eat heavy takeaways without any hesitation. ； Another group of people believe that "health is universal" and believe that drinking fruit and vegetable juices, doing yoga, and staying in a good mood will prevent you from all kinds of diseases. Physical examinations are a way for hospitals to make money, and even the free physical examination quotas given by their work units are given away directly. I once dealt with an executive from an Internet company who spent more than 20,000 yuan on high-end physical examinations including PET-CT every year. All the indicators were very good. However, he had a heart attack during a review meeting last winter and was sent to the emergency room. After he was rescued, he said that the doctor specifically marked high low-density lipoprotein in his previous physical examination report. He thought that other indicators were normal anyway. He went for physical examinations every year and did not adjust his diet at all. He even ignored the doctor's reminder to exercise three times a week.

If our body is compared to a family car that has been driven for more than ten years, preventive health care means that you regularly add glass of water, change the oil regularly, drive slowly on bad roads, and don’t drive too hard.； A physical examination is when you drive to a 4S shop for a full vehicle inspection every 10,000 kilometers to see if there are any problems such as brake pad wear and engine carbon deposits that are not usually noticeable. You can't say that I never go for maintenance because I drive carefully, and you can't say that I just step on the accelerator and hit the curb every day when I have a major inspection every year, right?

Of course, there are different voices in the industry. Some public health scholars feel that young people are now anxious about physical examinations. They have nothing to do, but they find out a 3 mm lung nodule and grade 2 breast hyperplasia. They don't think about food and drink every day, but their immunity is destroyed. At this time, psychological adjustment in preventive health care must keep up. This is not to let you ignore the problem, but don't over-exaggerate. Do the review required by the doctor's order. The rest should be exercise and eating, which is better than anything else.； There is also a group of clinicians who believe that many early signs of chronic diseases and malignant tumors can only be caught by professional physical examinations. No matter how good your daily health care is, it is impossible to discover early precancerous lesions of gastric cancer and lung cancer by yourself. At this time, the early screening value of physical examinations is irreplaceable. Both views are actually correct, but they come from different perspectives.

When I make health plans for clients, I never give them only a physical examination list or only health recipes. Take the most common people with hyperlipidemia. During the physical examination, I will recommend that in addition to the four routine blood lipids, they also have a carotid artery ultrasound and liver function test. If the report shows that the blood lipids are only high and there are no plaques, then the health care plan is to walk briskly for 30 minutes a day, drink less full-sugar milk tea, and eat no more than 500 grams of red meat per week. After 3 months, you can use a fingertip blood meter to measure blood lipids at home without having to go to the hospital frequently. ； If there are already plaques, in addition to adjusting your diet and exercise, you must also take statins as directed by your doctor, and review changes in plaques every six months with a physical examination. The two are screwed together, and neither one will work without it.

To be honest, whether it is preventive health care or physical examination, they are essentially insuring our health. There is no need to worry about which is more important, and there is no need to follow the trend of sky-high price physical examinations and sky-high price health care products. Stay up less late and walk more often. During the physical examination, choose appropriate items according to your age and family history. Don't miss or over-examine. Do small things as usual. Don't be lazy when it's time to check. That's better than anything else.