Why is the pathological diagnosis so diverse?

  Often, patients have 7-8 pathology reports in hand with 5-6 diagnostic opinions. Why are there so many differences and who should patients believe? In this regard, let’s analyze for reference!  First of all, we must admit that pathology department is the escort for diagnosis of various departments in the hospital, and the importance of pathological diagnosis is gradually recognized by patients (because in regular hospitals, for tumor patients, no pathological diagnosis means no treatment; the era of relying entirely on clinicians’ so-called experience to treat has passed – boldly wait for medical lawsuits! (Wait for the medical lawsuit!) Therefore, the awakening of patients is the fundamental reason for multiple hospital consultations, reflecting the importance of pathological diagnosis, which is praiseworthy and desirable!  Secondly, how can we face 5-6 different pathological diagnoses? Such cases are very rare and difficult, because pathological diagnosis is a subjective process of objective judgment, and different people are bound to have different opinions. We should treat it this way: first, find a senior pathologist for pathology consultation, how many of these 5-6 pathology reports are relatively consistent, and how many are made by real clinical pathology experts in this specialty (there are also “pseudo-clinical pathology” experts in pathology – some professors do not do clinical pathology at all). -Some professors do not do clinical pathology at all, but are very famous for writing articles, doing research, or holding social positions); in addition, whether the general direction of the diagnosis is consistent, the reasons for the inconsistency, and whether further tests are needed to find diagnostic evidence. Finally, with a relatively reliable pathological diagnosis, find a doctor in the corresponding clinical department, and then confirm and treat with clinical signs and symptoms!  Finally, we must advise the price department and the relevant health leadership: at present, because the pathology charges are so low that it is already a loss-making business, the pathology department can not make ends meet, resulting in a shortage of pathologists, the quality of pathologists has greatly decreased, the economic status of pathologists in the hospital has been inferior to a laboratory technician, let alone with the social status of the clinicians themselves is not high! “You let the hospital judges poor to the hospital to beg for food, and always inexhaustible passion to judge the case! You let the “doctor’s doctor” everywhere inferior, he can still for the hospital to keep the quality gate! Please health price department, reduce the price of drugs at the same time to raise the hospital brain work charges, especially pathology charges – otherwise the pathology talent will continue to lose, and then there will be left “can not see, no one credible” sad!