Saturday, October 27, 2012

It costs 400 yuan 3 days to cure cold Someone is " excessive medical treatment " Check?

It costs 400 yuan 3 days to cure cold Someone is " excessive medical treatment " Check?
It costs 400 yuan 3 days to cure cold Someone is " excessive medical treatment " Check?
It costs 400 yuan 3 days to cure cold Someone is " excessive medical treatment " Check?
Can take medicine, have an injection, can medical general knowledge infused to have an injection seem at present some work well, inquire regular procedures such as the medical history, physical examination,etc. have not prevailed either, the substitute is, use the best medicine, accept the most advanced inspection, carry on the most advanced operation, certainly, spend most expensive expenses still. Cold that scorns for is lowered with the temperature suddenly, breathing problem welcomes high-incidence season, every large hospital was hang to the patient who hangs the bottle filled up with the sick bedding. Looking at it in the therapeutic room " Hang the bottle and stand in great numbers " Scene,on duty doctor full of cannot help but: "We needn't infuse to propose patients in regular meeting, can't really move frequently. " In 1831, when British doctor Thomas imported the salt drawing the first attempt of tower aqueously for a patient with the blood transfusion tool, this experimental therapeutic way is for saving a cholera patient that is on the point of death. Until today, the technology of intravenous injection is developing constantly, even present one or two telescopic needles that needn't take down the syringe needle in week. Infusion has in fact been doctor's " medicine way of last giving " all the time . Generally, only patient, serious disease patient and patient that can't eat of first aid, will adopt the way of the intravenous passway of open human body. In common people's impression, the greatest advantage of the infusion is to " recover quickly " . Shanxi the intersection of university and biochemical the intersection of doctor and Li Bing explain the the intersection of statement and " right in some cases " ,The intravenous injection medicine can be totally absorbed, the drug effect is quicker too, can let the medicine density in the blood reach the effective range in more than ten seconds. "But otherwise, just a kind of illusion or psychological function, belongs to this kind if cold has an intravenous drip. " In order to compare the therapeutic speeds of infusion and oral medicine, she has introduced the explanation of several kinds of common medicines to the reporter, often can use the not star in Xisha of antiphlogistic antibiotic after taking orally " Totally absorbed rapidly, nearly " ,The absolute living beings utilize about 91% of one degree of total; Another kind of antibacterial antiinflammatory agent very beginning spore Chloe's medicine supersession dynamics proves, after this medicines take orally " It is good to absorb " . "A lot of people think that can not take medicine affectively by oneself, it would be better if came to the hospital to hang one and hang the bottle, it is not in fact like this. " Li Bing explains, any medicines have one's own supersession laws, oral medicine must be explained on time according to packing, taken according to quantity, could give play to the due efficiency. A lot of people often forget to take medicine at home on request, in infusion, according to quantity on time of the hospital, the result misunderstands. With suitable result cases, oral medicines, with injecting and treating and comparing an advantage, it is the cheap price. The reporter took left Fluorine sand star to make investigation, a box of oral tablets, the price is 12 yuan, can eat for 3 days; And the same medicines, the intravenous injection costs over 100 yuan each day, it needs nearly 400 yuan to come down in 3 days, it is equivalent to 30 times of the oral medicine. Cut and only kill it definitely, stay in an " empty city " "People have all died, medicine still piles up like a mountain. " Talk about words this, house live in, lean towards, imprison Wu of county town, three punish funeral affairs of father just while being American. Three beautiful father is a retired veteran cadre, old man's physical examination will be found the later period of lung cancer in 2009, it has been already unable to perform the operation. In order to treat convenient, the whole family migrates to the western chinese hospital of a the first, second and third of Taiyuan and receives treatment. More than two years, old man comes in and goes out more than 10 times of institute successively, until passing away not long ago, the total of medical fee is more than 500,000 yuan. In hospital, three accompany father everyday nearly while being American, witness the whole course of treatment. Just when being in hospital, father could eat and drink, but the infusion that the doctor always gave ceaselessly, keep failing until the evening since the morning. In hospital each time, the doctors should all write a prescription for the old man, but the old man can not drink at all, bring in and pour out. For this reason, relatives require the doctor to stop boiling decoction of medicinal ingredients again many times, nobody shows interest in. It is said that three is beautiful: "The doctor knows a patient is the later period of cancer, it is approaching one's end care that need even more, but the doctor still writes a prescription desperately perfectly well, and the majority is expensive imported medicine! " A doctor of the hospital of the first, second and third of provincial capital tells reporters, the tumour patient is " severely afflicated area " of excessive medical treatment ,A lot of patients do not die of cancer, but die from and excessively treat. "Have already reached this kind of intensity, not have an operation to afraid that keeps sorry, had an operation, is afraid again that has not waited for the wound to heal people and disappear. " In the ward of hospital of some the first, second and third of provincial capital, Mr. Li sweeps at one glance the upper part of the body of sick bed suffers from the wife in later period of pancreas cancer, have buried face in both hands tightly. The treatment of several months, has already made wife's originally plump body worn to a shadow. "From that day in hospital, no after one days auspicious day! Draw blood and test again and again first, accept various inspections, then just confirm the comprehensive healing solutions of the radiotherapy, chemotherapy after performing the operation first. Radiotherapy at the very beginning, though patient bad appetite have, reluctantly still can insist on, eat something any more, with the promotions of the courses of treatment, sick, has vomited, insomnia can change the wife each quickly. "Already the canceration takes place in though some previous tumours, has not shifted, for instance stomach, esophagus, intestines wall,etc. soak the early tumour of wearing the mucous membrane base, can well act as benign treatment, it is all right to cut, it is unnecessary that chemotherapy is put. But many doctors have impulse of doing operation, cut, put chemotherapy big, make into a mess the patient's health. A lot of breast cancer, it is all right to perform the operation and do a part and excise obviously, but the results are all cut. There are superstition new technologies of some doctors, new medicine even more, give patients chemotherapy, at the time of radiotherapy, this uses the dosage of 50 units, use 100 units. " The radiotherapy head of the department Zhang ShuPing of province the People's Hospital, the excessive medical treatment of some doctors is very disgusted with. "They want to cure the disease for patients, has not thought of while excising tumour, killing cancer cell, also cut a part that needn't be cut, has strangled the patient's own immunity, defeat the patient's spirit completely, cause extra body and mental burden instead, unfavorable to treating. Operation, completely, radiotherapy, chemotherapy are the more sufficient in dosage, a hollow immune system left patient, make the human body make and look like an ' empty city ' without any defence, do not interfere the cancer cell to spread and attack with the germ. " " excessive medical treatment " Become doctors and patients set against prove " the 2009 statistical yearbook, hygiene of China, " reveal in the medical expense time, out patient of general hospital, effectively, check and treat the fee from 2.1 yuan in 1990, rise to 35.1 yuan in 2004, 45.3 yuan of 2008 gradually; Leave hospital in the medical expenses of per person of the patient, check and treat the fee (including the fee of surgery) Rise to 1566.3 yuan in 2004, 1887 yuan of 2008 from 121.5 yuan in 1990. This back, cast aside the factor that the price increases, a big chunk is that the excessive medical treatment causes. The cardiovascular hospital chief physician's the Zhang 's of Shanxi shows, the hospitals and doctors are very helpless. As to his hospital, the financial expenses that the annual country allocates are only enough to release the salary for the retired veteran cadre and retired ex employee, can only want to buy in the hospital new apparatus, improve the medical condition,etc.? Tritium Pei R of word hand hay cutter flounder Huan pay � neglect, have �� of Mie Jia brightness lies �ҩ� Mou the intersection of quality and the intersection of Tuo and rare the intersection of bank and �� exceed Sui, assuare �� prepare against I bag pay the intersection of �� and Huan LuLu the intersection of �ȥ� and the intersection of benzene and snipe wave frequently? 000 yuan. Under the situation that drop into little the public hospital in the country and too marketization of medical treatment develop, the doctor becomes the person with double role: On one hand the angel healing the wounded, rescue the dying, on the other hand sell medicines, sell to the businessman of a result of inspection. In addition, the doctor looks for trouble for the relatives of persons who avoid the future trouble of the malpractice has happened, often pursue the overall scheme of making a diagnosis. " the malpractice appraises the law " the fixed doctor is appraising the putting to the proof and inverting the system of course, this causes doctor's excessive inspection of the patient too. They once carried on the investigation to 300 complete doctors who participated in training, 98% of the people admit having increase to test and check, hold a consultation, write a prescription etc. more outside the institute patio in the medical course oneself " Defensive " Project. Certainly, a lot of patients have " complicated technology and apparatus will bring better curative effect " too now Wrong for idea,will require by doctor directly to turn on by medicines a certain they, either require doctor not to be carried on by support operation, caesarean birth operation,etc.. " excessive medical treatment define that very clear, it is very difficult to define to keep a grip on the doctor's hands by the system. " The second hospital managing Vice President Li RongShan of Western medicine university of mountain says, clinical medicine is very complicated, each patient's situation is different, even if the same kind of disease has different manifestation, different too with a disease therapeutic method of different periods. So, it should presume the standard to excessive medical treatment first to solve the excessively medical problem: It is still the injury that making a diagnosis to the patient turns for the better generally. In treating, what is the purpose to see a doctor, treat and produce and prevent function, whether lighten the patient's agony, can lengthen the patient's life-span. Whether the patient's economy, psychology can be born, can reflect the patient's right while treating. Meanwhile, should set up to the third party and supervise the mechanism and control the network. Li RongShan says, the foreign social medical insurance system is very complete, have set up medicines controlling mechanism, verify the medicines that every doctor prescribed, if the doctor open medicines unreasonably, the insurance company will not pay the money to the hospital. Some places set up antibiotic, use network also, supervise every antibiotic operating position of prescription. "The experience can draw lessons from, not only antibiotic, whole medicines may set up the network to go on and control. " In addition, the relevant department deals with the system of the hospital to further reform, set up compensation mechanism, make public the intersection of hospital and public service, become the real non-commercial unit. The distribution system of the hospital should be reformed, let doctor's income not tie to output value, regard service quality as core, examination and incentive system based on post responsibility and performance, set up relevant supervisory organ and rigorously enforce the evaluation standard, check and rate the public hospital regularly, let organization and doctor of excessive medical treatment pay the heavy cost. Li RongShan says finally, we should remember Hippocrates' sincere advice, " don't do too much on patient forever! " We should recommend the idea of cultural and educational medical science. As the doctor, should let patient and his relative participate in the decision of the healing solution, state the pros and cons of various schemes clear, ask them to be chosen the final healing solution, the doctor acts a kind of role offering different schemes more. Scheme of making a diagnosis that be optimized one part is in benefiting been in fact and risk, cost and benefit in look for by equilibrium.



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