假設你是參加執照考試的醫學生,你會如何回答這道題?

來源: 閩姑 2014-08-10 09:48:03 [] [博客] [舊帖] [給我悄悄話] 本文已被閱讀: 次 (1988 bytes)
本文內容已被 [ 閩姑 ] 在 2014-08-10 09:52:13 編輯過。如有問題,請報告版主或論壇管理刪除.

其實這種類似的問題每天都在健康壇出現, 或是問帖或是秘方轉帖. 你選擇哪個答案?


A 46-year-old Caucasian woman comes to your office for a routine follow up visit. She was previously diagnosed with depression and obesity. She has smoked one pack of cigarettes daily for the past 30 years. She drinks one ounce of alcohol daily, and takes fluoxetine. Examination shows no abnormalities. The patient tells you that she read an artical in the internet, which discussed a study involving a new Chinese herb that was very effective for depression. According to the article, eight patients took the herb for six weeks, and five were cured. She wants to try it, but she wants to hear your advice first. Which of the following is the most appropriate response to the patient's inquiry?

A. Do not use it. This herb does not work.

B. Do not use it. The results may be false.

C. Do not use it. There is not enough evidence.

D. You must use only the medications I prescribed you.

E. Use it, but at your own risk. I do not recommend it.



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提示:

標準答案是根據醫療中的兩個原則:
1). It is physician's duty to protect patient from a possibility of drug (including herb) toxicity. 
2). medical decision has to be made based on evidence.








所有跟帖: 

C -TBz- 給 TBz 發送悄悄話 TBz 的博客首頁 (0 bytes) () 08/10/2014 postreply 09:51:39

勇敢啊,T哥.第一個回答~~ -閩姑- 給 閩姑 發送悄悄話 閩姑 的博客首頁 (0 bytes) () 08/10/2014 postreply 10:24:16

木事的。無照,還怕神馬? -TBz- 給 TBz 發送悄悄話 TBz 的博客首頁 (0 bytes) () 08/10/2014 postreply 10:26:24

木事的,我本來就不給標準答案的.因為這裏不是考場.BTW這道題的正確率為43%. -閩姑- 給 閩姑 發送悄悄話 閩姑 的博客首頁 (0 bytes) () 08/10/2014 postreply 10:30:54

這個病人值得讚揚,比這個論壇裏的很多網友強。 -TBz- 給 TBz 發送悄悄話 TBz 的博客首頁 (270 bytes) () 08/10/2014 postreply 10:49:11

請手下留情,神醫也得吃飯! -霧裏看花123- 給 霧裏看花123 發送悄悄話 霧裏看花123 的博客首頁 (0 bytes) () 08/10/2014 postreply 10:31:13

我見過的醫生比這個狠多了。 -TBz- 給 TBz 發送悄悄話 TBz 的博客首頁 (600 bytes) () 08/10/2014 postreply 10:40:36

BTW,還有更狠的。 -TBz- 給 TBz 發送悄悄話 TBz 的博客首頁 (0 bytes) () 08/10/2014 postreply 10:52:38

本來想選E,但是在看了你的提示後,改選C:-) -betadine- 給 betadine 發送悄悄話 (0 bytes) () 08/10/2014 postreply 10:59:52

我在醫院忙起來就是回答E的.很多醫生嫌麻煩也會回答E.因為你跟他們說沒充分證據,他們搬出手提電腦或 -閩姑- 給 閩姑 發送悄悄話 閩姑 的博客首頁 (211 bytes) () 08/10/2014 postreply 11:06:28

哈哈哈。 -betadine- 給 betadine 發送悄悄話 (0 bytes) () 08/10/2014 postreply 11:27:30

保健品上邊往往寫著谘詢你的醫生,醫生往往說C或E, 其實跟沒回答一樣,所以大家才會求助於網絡 -Manymore- 給 Manymore 發送悄悄話 Manymore 的博客首頁 (0 bytes) () 08/10/2014 postreply 11:23:17

問題是很可能查半天也沒有結論。我覺得最好是說不知道。不過已知和處方藥物可能衝突的還是要告訴病人。 -viewfinder- 給 viewfinder 發送悄悄話 viewfinder 的博客首頁 (234 bytes) () 08/10/2014 postreply 13:58:40

謝謝!請查悄悄話。 -linda5yang- 給 linda5yang 發送悄悄話 (0 bytes) () 08/10/2014 postreply 12:00:26

對於西醫,越守規矩越好,越機械水平越高,一切以書本實驗為基礎,西醫生是沒有多少自我發揮的餘地,一切行動聽指揮。 -kai2002- 給 kai2002 發送悄悄話 kai2002 的博客首頁 (0 bytes) () 08/10/2014 postreply 16:33:10

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