In Medicine, What Is the Golden Hour?

The second medical opinion service is to provide you with professional written advice based on a consultation network of top medical institutions around the world based on an individual suffering from an illness or accidental injury and having been diagnosed (that is, the first medical opinion). Medical advice. Mainly for life-threatening or life-changing diseases, such as cancer, benign tumors, and congenital heart disease.

Second medical opinion

(Medical concept)

The second medical opinion service is to provide you with professional written advice based on a consultation network of top medical institutions around the world based on an individual suffering from an illness or accidental injury and having been diagnosed (that is, the first medical opinion). Medical advice. Primarily for life-threatening or life-changing diseases, such as cancer,

The second medical opinion is from a well-known hospital of a large scale,

When a patient is diagnosed with a serious condition, especially a fatal cancer, it is important to seek an independent and objective second medical opinion. The more a patient cares about and understands the illness he or she is suffering from, the greater the chance of recovery by choosing the most appropriate treatment. Even cancer is now more treatable than ever, and there are more treatment options to choose from. The second medical opinion will help a patient understand these options and make an informed decision, which is also the patient's responsibility for his precious life.

The second medical opinion belongs to a more comprehensive objective diagnosis, including observation from every different perspective. Especially for previously diagnosed cancers, there are usually special groups of specialists in the hospital providing second medical advice, including

Johns Hopkins Hospital

A clinical research report published by The Johns Hopkins Medical Institutions [*] in the United States states that the second medical opinion used for cancer patients pathological diagnosis found that 86 out of 6,171 patient cases were misdiagnosed (The error rate is 1.4%). Among them, 20 patients with benign tumors were misdiagnosed as malignant tumors. Unfortunately, patients have probably received unnecessary cancer treatments such as radiotherapy and chemotherapy. Other misdiagnosed cases may miss prime time for treatment due to inappropriate treatment. The study report emphasized in the conclusion that the pathological samples of the original diagnosis should be subject to the objective detection (ie, the second medical opinion diagnosis) step before the start of treatment.

An error rate of 1.4% is good for many cases, but the medical diagnosis translates into a misdiagnosis of 14 out of every 1,000 patients. This result is regardless of the patient, the attending doctor, or the medical institution (attending hospital and health insurance). Company) is definitely not acceptable.

Note: [*] John Hopkins Hospital has been ranked No. 1 for 21 consecutive years by the US media "USNews & World Report LP".

Harvard Medical School

Dr. Jerome Groopman (MD)

Harvard Medical School's famous doctor, Jerome Gerberman, described his injury to his right hip in the foreword of his book Second Opinions: Stories of Intuition and Choice in the Changing World of Medicine. Seeking medical treatment, but relying on personal medical training and professional knowledge, and neglecting the treatment recommendations of the attending doctor, as a result, after suffering for more than a year, he gradually recovered.

Dr. Gerberman wrote in his book because of this experience: "Providing or receiving excellent treatment and care requires not only medical skills but also an open mind".

Dr. Gerberman included eight true case stories in the book. The first story is a statement that describes his first nine-month-old son, who was almost killed because of being misdiagnosed. Both the doctors, the Berbers, were suffering from anxiety and anxiety because they did not agree with the emergency room doctor's diagnosis After suffering, I finally found a well-known pediatric expert through a friend and performed a second diagnosis, confirming that the original diagnosis was misdiagnosed, and the son was finally fine.

Columbia University Medical Center

Dr. Robert Klitzma, MD

Robert Kesma, a well-known doctor at Columbia University Medical Center, published an article entitled "Second Opinions, Through a Patient's Eyes" in the New York Times in 2008. The article wrote:

"Second medical opinion has undoubtedly saved the lives of many patients, and it has increased its importance in the event of medical errors that are of increasing public concern. But it is surprising that second medical opinions are ignored by many doctors and patients And it makes them feel embarrassed and uneasy. Sometimes when patients tell me they want another medical opinion, I subconsciously feel defensive uneasy. But I still agree with their request. Some patients will say to me later: "If I don't see another doctor, I think I'm dead." I hope that more doctors and health care decision makers will not need to be a patient one day before they can refocus on the professional or insurance industry. The importance of medical advice. "