本帖最后由 alberts 于 25-8-2010 07:25 AM 编辑
我的信箱收到了很多信,很多都是問我醫學問題。。我當然可以私底下回答你,不過你們也知道的,現在做intern 沒天沒日的,很難有規律的空閒時候來回答你的問題,而且,我不覺得我的能力在這裡是最好的,再強調一次,我只是一名實習醫師,我還有一年才正式畢業,只是我對醫學有很強烈的喜愛,所以有些問題我是了解的,知道答案了,我才敢於回答,。但是,這裡還有很多資格比我還深的老前輩,所以,我的意思是:有問題不如把它貼在這個論壇上,讓更有能力者來解決問題,那不是更好嗎?
可是我也有幾點想說明,比較台灣和大馬的病患,台灣人一般對於如何提出問題比較有概念,敘述能力也比較強。
來到這裡,這裡很多人很奇怪,性別,年齡,有沒有同一時間伴隨的疾病,發生的來龍去脈不寫,就寫了短短一段話,就要一個“有救嗎?”或“這個要吃什麼藥?”--- 一些很麥當勞的答案,這一點我接受不到,大馬人這一點真的要很努力了。
其實這裡也有人寫好問病規範指南了,但是還是很多人根本不去看他,就是要很快速的答案而已。
http://cforum3.cari.com.my/viewthread.php?tid=1319810&extra=page%3D1
另外,很多人發問問題,從來不去翻查從前的稿,結果是浪費資源了,其實這裡留下了很多的醫學資源,只是急躁的人沒有發現而已。。很可惜。。。
然後我看到很多人,在這裡買健康食品,我覺得很傷心,你們知道嗎,台灣是全世界洗腎率最高的國家,為什麼會這樣呢?因為這裡很多地下電台(中南部),很多無知的鄉下人去聽了這些電台所推銷的健康食品,結果很多人因為要“治病”,結果反而把腎臟弄壞了,搞到要洗腎的程度,一生就這樣毀掉了;我在這裡呼籲大家不要那麼做,你今天賺到的錢,是抵不過你傷害一個人的良心的。
下面一封短消息,我就在這裡回答了,記得,大家請不要再短消息我一些醫學問題,我不會私底下回答你,因為我的能力不是最強的。。
hello
i see ur comment in 我怀疑自己染性病
can i know when go see doctor how to tell the doctor what test i want to do ???
cuz i think i got the same problem 细菌感染......
blood test can detect it
do STD test can tell ????
or any other test need to do ????
thanks
july 2010
polymorphs 46%(hightlight this one) abs count 1.8(hightlight thisone)
lymphocytes 48%(hightlight this one) 1.9
monocyres 0.1(hightlight this one)
ESR 2
platelet ok
chol all ok no high
other no problem
RBC: A few spherocytes seen
WBC: relative lymphocytosis but morphologically normal
platelet: adequate
Impression: relative lymphocytosis
suggestion: please monitor the full blood picture
my white blood cell got problem???
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I can't tell you an exact answer without knowing your sickness's background.
With such limited information, I don't know which part of your body is having problem now, neither do I know whether you are having fever at the said period.
All these related informations would constitute a more solid picture when we are going to talk about the diagnoss, and even the prognosis. It is rather important to a doctor, who can instruct you about the next move.
However, for " relative lymphocytosis " per se, it usually hints a mild illness such as viral infection, which would never happen in a case of Urinary Tract infection or STD which you are concerned .
Personally, I think you should approach any LMD/GP, in whom you have faith, to tell them what's your problem, in order to get a suitable test as well as treatment.
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