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홍차넷
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티타임
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- 다양한 주제에 대해 자유롭게 글을 작성하는 게시판입니다.
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전체기타일상/생각꿀팁/강좌방송/연예도서/문학영화의료/건강문화/예술경제생활체육과학/기술철학/종교정치요리/음식역사여행육아/가정IT/컴퓨터음악창작게임스포츠사회오프모임
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| Date |
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| Name | 리틀미 |
| Subject | 의료 및 의학 관련 질문을 올릴 때 |
|
홍차넷에 의사 선생님들이 많이 계셔서 의료 및 의학 관련 질문이 많이 올라오는데요. 의사선생님이 답변을 해줄 것이라고 기대한 글이라고 생각했을 때 이런 부분들을 이야기해주면 좋을텐데 아쉬운 게 많아요. 의학 지식이나 병원 현실에 대해서 아는 바가 많이 없지만, 원하는 정보를 좀 더 정확하게 얻을 수 있도록 참고할 만한 이야기를 몇 가지 써볼께요. 틀리거나 부족한 부분은 댓글로 보충해주시면 고맙겠습니다. 1. 온라인으로 진단을 내리거나 진료를 할 수 없다는 점을 먼저 기억하세요. 의료법에도 저촉되고 의료 윤리적으로도 문제가 있어요. 의학적으로도 환자를 직접 보지 않고는 단순한 추측에 불과합니다. 경험에 의거한 조언을 할 수 있지만 그것조차도 쓰는 의사 입장에서는 부담을 느낄 수가 있어요. 스스로 아프다는 확신이 들 때는 당연히 직접 병원에 가셔야 합니다. 병원에 방문하기 전에 또는 방문한 이후의 복잡한 과정에서 생길 수 있는 궁금한 점에 대한 답변은 가능합니다. 2. 증상이 사소하다면 질문해도 소용이 없어요. 질문 자체가 큰 의미가 없거나 답변을 받기 어려울 것입니다. 긴가민가할 때 "신경 쓰인다"는 표현을 많이 하죠. 신경 쓰이는 정도의 증상은 대부분 별 일 아닙니다. 그런데 만에 하나, 천만에 하나 심각한 병일 가능성이 있죠. 단순하게 텍스트로만 전달된 이야기를 보고 의사 입장에서는 별 일 아닙니다라고 함부로 말할 수가 없어요. 가령 팔에 울퉁불퉁한 점이 나서 신경 쓰인다는 이야기를 한다면 거의 확실하게 단순한 점이겠지만 피부암일 가능성을 배제할 수는 없습니다. 그런 상황에서 "아무것도 아닙니다" 혹은 "피부암일 수도 있습니다"라고 답변하기 어려운 것이죠. 심각한 증상인데도 사소한 것으로 오해하여 병을 키우는 경우에는 병원을 가보라고 조언할 수 있을 것입니다. 하지만 대부분은 이미 스스로 혹은 다른 사람을 통해서 병원에 가야겠다고 자각하지요. 이런 자각이 있을 때는 "평소와 다르게"라는 단어를 쓰게 됩니다. 3. 의학 지식을 물어보는 것인지 자신의 상황을 물어보는 것인지 명확히 해주세요. 증상을 일반화해서 설명을 요구하거나 특정한 질병이나 의학 용어에 대해서 궁금하다는 글이 올라올 때가 있어요. 쉽게 말씀 드리려고 기억 나는 예를 들면 "물을 많이 마셔도 괜찮은가요?"라는 글을 눌러 보면 "저는 하루에 몇 리터씩 물을 많이 마셔요. 사람은 하루에 물을 얼마나 먹어도 되나요?"라는 내용이 나오지요. 이런 글은 의학 지식을 물어보는 글이 아니라 스스로 건강에 대해 물어보는 글이라고 생각합니다. 사람이 하루에 물을 얼마나 먹어도 되는지는 당연히 사람마다 다릅니다. 게다가 물을 많이 먹는 것 자체가 증상일 수도 있어요. ALT 수치가 어떤 것인지 질문하는 글도 기억이 나네요. ALT라는 효소가 어떤 분자이고 무엇을 분해하는지 궁금하신 건 아니겠죠? 그것도 궁금할 수 있겠지만 그것보다 건강과 무슨 관련인지 알고 싶을 겁니다. 환자 상태가 어떤지에 따라 ALT 수치가 의미하는 바는 천차만별입니다. 외과에서는 조금만 올라도 겁먹는 경우가 있고 내과에서는 아무리 올라도 안 놀라는 경우가 있고 반대의 경우도 있습니다. 단순히 질병이나 의학용어를 질문하거나 일반화시키는 것에는 의사선생님들이 답변하는 게 큰 도움이 안 됩니다. 구글링하거나 네이버 의학정보를 보는 것이 훨씬 더 친절하고 자세할 겁니다. 자신의 상황을 구체적으로 말해야 조언을 얻을 수 있어요. 4. 의사가 환자를 이해하는 방법 혹은 차트를 쓰는 방법은 다음과 같습니다. 1) 주 증상 Chief complain "머리가 아파요", "배가 아파요"와 같이 환자가 직접 호소하는 가장 주요한 증상을 말합니다. 맹장염으로 응급실에 실려온 환자는 배가 아프다고 하지요. 단순하게 배가 아프다고 말하면 근처 내과를 방문하라고 말해주거나 정말 많이 아프면 2차 병원 외과나 소화기 내과를 가보라고 답변할 수 있을 거에요. 2) 나이/성별 Age/Sex 환자를 파악하는데 대단히 중요해요. 주증상과 조합하면 나이와 성별만 가지고도 의사의 머릿속에는 유력한 진단이 떠오르게 됩니다. 진료 과정에서는 신체 진찰과 검사를 통해서 가능성이 높은 것부터 하나씩 배제해나가게 되는데요. 물론 인터넷 상에서 개인 정보를 밝히는 것은 크게 부담되지요. 대신 그만큼 받을 수 있는 답변은 제한적입니다. 개인정보를 밝히면 더 좋은 답변을 얻을 수 있다고 말하려는 것이 아니라 그런 상황임을 감안하셔야 한다는 것이에요. 3) 현 병력 Present Illness 주 증상을 기초로 하여 어떻게 아픈지 설명하는 부분입니다. 의사가 직접 문진하여 병력을 청취하는 과정이 필요한데 인터넷에서는 불가능한 일이죠. 다만 조금 자세하게 설명하면 더 도움 되는 정보를 얻을 수 있다 정도입니다. 먼저 언제부터 증상이 시작되었는가(onset) 말해야 합니다. 흔히 급성이나 만성이라고 하는 부분이죠. 또 어떻게 아픈가를 묘사하면 좋습니다. "머리가 아프다"라면 "지끈지끈 아프다", "꼭꼭 쑤시듯이 아프다", "꽉 조이듯이 아프다" 등등의 묘사가 있으면 무슨 과를 내원하면 좋겠다 더 구체적으로 말씀드릴 수 있어요. 4) 과거력 History 이 부분은 일반인과 의료인 사이에 간극이 있을 수 있는데요. 병원에서 진단 받은 진단명이 있거나 수술 받은 경험, 먹고 있는 약이 있다면 말해주면 좋아요. 덧붙이면, 홍차넷 질문게시판에 의료 및 의학 관련 질문이 많이 올라오길 바라고 쓴 글은 아니에요. 오히려 사람들이 조금 의존적으로 되면 의사선생님들이 부담을 느낄 것 같고 전체적으로 서로 안 좋은 영향을 줄 것 같다고 생각해요. 지금 정도는 괜찮겠지만요. 서두에 밝혔듯이 특별히 질문게시판에 올라오는 글들에 문제가 있다고 생각해서 쓴 것이 아니라 이런 점을 더 얘기해주면 좋겠다 아쉬워서 쓴 것이고요. 아프면 가까운 병원에 가세요! 사실 웬만한 증상은 내과 가셔도 다 봅니다. Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view.php on line 133 Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view.php on line 146 Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view.php on line 161 4 |
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Warning: Use of undefined constant memo - assumed 'memo' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/view.php on line 545
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/view.php on line 576
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/view.php on line 577
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/view.php on line 577
Warning: Use of undefined constant level - assumed 'level' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/view.php on line 577
Warning: Use of undefined constant grant_delete - assumed 'grant_delete' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/view.php on line 577
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/lib.php on line 425
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/lib.php on line 429
Warning: Use of undefined constant use_formmail - assumed 'use_formmail' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/view.php on line 605
Warning: Use of undefined constant name - assumed 'name' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/lib.php on line 599
Warning: Use of undefined constant name - assumed 'name' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/lib.php on line 599
Warning: Use of undefined constant name - assumed 'name' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/lib.php on line 600
Warning: Use of undefined constant name - assumed 'name' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/lib.php on line 600
Warning: Use of undefined constant is_admin - assumed 'is_admin' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/lib.php on line 605
Warning: Use of undefined constant is_admin - assumed 'is_admin' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/lib.php on line 605
Warning: Use of undefined constant is_admin - assumed 'is_admin' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/lib.php on line 609
Warning: Use of undefined constant is_admin - assumed 'is_admin' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/lib.php on line 609
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/lib.php on line 614
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/lib.php on line 616
Warning: Use of undefined constant x - assumed 'x' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/lib.php on line 618
Warning: Use of undefined constant name - assumed 'name' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/lib.php on line 618
Warning: Use of undefined constant x - assumed 'x' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/view.php on line 612
Warning: Use of undefined constant name - assumed 'name' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/view.php on line 612
Warning: Use of undefined constant reg_date - assumed 'reg_date' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/view.php on line 620
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/view.php on line 628
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/view.php on line 628
Warning: Use of undefined constant HTTP_HOST - assumed 'HTTP_HOST' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/view.php on line 640
Warning: Use of undefined constant name - assumed 'name' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/view.php on line 644
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/view.php on line 646
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/view.php on line 646
Warning: Use of undefined constant HTTP_HOST - assumed 'HTTP_HOST' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/cmt_replace.php on line 3
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 6
Warning: Use of undefined constant file_name - assumed 'file_name' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 28
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 65
51186 class="iamcmt" style="display:none;"> Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 66
51186 class='vcm '>
Warning: Use of undefined constant x - assumed 'x' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 70
Warning: Use of undefined constant x - assumed 'x' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 71
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 76
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 117
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 118
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 119
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 120
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 121
51186'> jsclub
Warning: Use of undefined constant mod_date - assumed 'mod_date' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 133
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 140
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 140
Warning: Use of undefined constant reg_date - assumed 'reg_date' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 142
16/08/11 15:57
51186>삭제 주소복사
Warning: Use of undefined constant level - assumed 'level' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 150
오 의료넷 쌤들에게 질문할때 알아야할 주의점같은건가요
Warning: Use of undefined constant level - assumed 'level' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 158
Warning: Use of undefined constant password - assumed 'password' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 166
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 171
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 172
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 172
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 173
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 173
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 173
Warning: Use of undefined constant level - assumed 'level' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 158
Warning: Use of undefined constant password - assumed 'password' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 166
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 171
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 172
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 172
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 173
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 173
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 173
51186>
51186>
