Excessive examination and treatment is the root cause of the contradiction between doctors and patients. What do you think of this?

Hello, everyone, I'm a doctor. I have seen doctors as patients in hospitals before, so I will talk about my views from the perspective of the general public.

The problem of over-examination and treatment mentioned by the subject does exist in hospitals. We can't deny that we should look directly at this problem.

Let me share a case first: when I was in college, I worked part-time outside the school. One day, a student came to class with a bruised bag on his head. I asked her what happened, and she said that she fell asleep and bumped into her bed. She asked if she could ask for leave to go to the hospital, and I said it was unnecessary. Have a rest. But she still went to the hospital. The doctor did a CT scan and prescribed drugs for promoting blood circulation and removing blood stasis, which cost more than 500 yuan. Unfortunately, in fact, these tests are completely unnecessary.

Doctors used to be respected, but now the relationship between doctors and patients is really tense, especially some reports of medical troubles have exposed this problem.

I think the current doctor-patient relationship often has the following reasons:

First of all, doctors or nurses are indifferent or unfriendly to patients. In the process of seeing a doctor in the hospital, I also met doctors who were unfriendly to me.

Second, excessive examination and treatment are serious. Friends around me said that it costs at least thousands of dollars to go to the hospital for a cold and tens of thousands of people are hospitalized. The salary of the general public is also several thousand yuan a month. It is really impossible to get sick.

Third, doctors explain hospital-related problems to patients simply and rudely. Patients are extremely short of medical knowledge, and medicine occupies the absolute initiative. Patients want to get more medical knowledge and advice from doctors, but doctors give too little, for example, the process of seeing a doctor is only a few minutes. How can this be satisfactory?

Fourth, patients' expectations of medical care are too high. At present, there are few problems that medicine can solve, but patients hope to live longer. There must be a contradiction between them.

Fifth, the social environment is under great pressure. Some friends have some negative emotions, which get worse after illness. They have a bad attitude towards doctors and are self-intensified.

I think it should be solved like this:

Second, establish an evaluation system of doctors' attitude, and patients will give doctors grades.

Third, increase investment in medical insurance so that the public can afford it.

Of course, some people say that in order to put an end to medical troubles, people who make medical troubles should be punished more severely and so on. Personally, I don't support this, because it is not a good way to solve the problem. We should face up to the problem, solve the pain point of the problem, and fundamentally put an end to the recurrence of medical troubles. I also hope that everyone can know more about doctors. After all, it is not easy for everyone.

These are my views from the perspective of the general public. I am a medical worker, doing AIDS prevention and treatment. My patients or counselors prefer me because I am friendly to them and can listen to their good or bad ideas. So I also hope that all medical workers can have a better attitude towards patients. People's hearts are all meat, and no one is a bad person from the beginning.

Excessive examination and treatment are only the appearance of the doctor-patient relationship. I think the deep-seated problem is that the positioning and development of medical institutions themselves have reached a dead end within the existing system.

Because my dead wife has cancer, I have been in contact with hospitals and doctors for more than three years and found that I have a certain understanding of hospitals and doctors. I'm going to talk about my feelings from an objective standpoint. Please correct me if there is anything wrong!

Let's start with the patient. A minor illness is terrible, and a serious illness is terrible! When the flat-headed people are sick, they are afraid of misdiagnosis when they go to small hospitals, and they are afraid of queuing when they go to big hospitals! Either a blood test or a ct scan. The final prescription for diagnosis is to prescribe some medicine without taking medicine, take two injections without injection, hang some water without hanging water, and do not need to be hospitalized. I suggest that you be hospitalized! In short, it gives people the feeling that since they are here, they will pay more! If you have medical insurance, pay more. I am also responsible for your health. This is how the patient feels!

In fact, the hospital is also quite difficult! Hospitals should be responsible not only for their own patients, but also for managers and the public! Every hospital has its own safety indicators. In case of misdiagnosis and death, all medical staff in the hospital will be implicated. This is also the motivation for hospitals to cure patients with the best medicine as soon as possible. In fact, this is understandable to the hospital, but the hospital should also develop, be promoted and be assessed. Only by promoting the reputation can we introduce better talents (doctors) through development, improve medical conditions and better serve patients. Then the question comes-where does the money come from? Medicine used to support doctors, but now it is based on examination! But taking medicine to support doctors is not completely out of touch. So people feel not only more expensive than before, but also more troublesome than before.

As for doctors, I don't think they are easy either. Every day, I have to face many outpatients and bedridden patients in the inpatient department. Not only to sit down and write a copy, but also to operate on the operating table; It's really not easy not only to save lives, but also to sum up cases and innovate in scientific research. The contradiction between doctors and patients is sharp. On the surface, the doctor is impatient. In fact, it is a sign that doctors are under too much pressure! There are the following pressures: First, time pressure. Doctors' time is not only a race against death, but also a race against tasks, a race against evaluation, a race against promotion and a race against papers; Second, the pressure of responsibility mentioned above. In the face of a large number of patients a day, in case of a medical accident, oneself, colleagues and the hospital will be implicated, and this responsibility is not small. Third, the pressure of career promotion. If you want to be promoted, you have to complete all the indicators issued by the hospital and the Health Planning Commission. Among them, there are hospital income indicators! This is also the place where patients and doctors are most likely to have conflicts!

I've seen scenes of medical trouble. Probably, a patient has a cough and a fever. The doctor asked the patient to have a B-ultrasound. The doctor found a small shadow, so he asked the patient to have a color Doppler ultrasound. No problem was found this time, so the doctor prescribed a prescription according to inflammation, but the patient was not happy! The doctor said, then keep looking, and the patient is even more reluctant! It just happened.

My reflection on this incident is that both patients and hospitals (doctors) are entangled in health and money. Although the hospital (doctor) suggested that patients should be reexamined in a responsible manner, the initial intention of eliminating hidden dangers was good, but the fact of income generation was not ruled out, so in the final analysis, it was still a question of money.

The development of hospitals, the remuneration of medical staff, the renewal of medical equipment, the maintenance of medical venues and medical research are all the main reasons for burning money. If we can solve the problem of funds needed for hospital development from the system, let hospitals and doctors feel at ease to save lives and academic research, more low-priced drugs and less inspections. I think this is the ultimate way to fundamentally solve the contradiction between doctors and patients!

By the way, pharmaceutical companies and instrument manufacturers are also inseparable from the contradiction between doctors and patients. Let's talk about it later!

Go to the largest hospital in the province to see oral ulcer, because I live near the hospital. As a result, experts induced me to get the worst cancer, so you should think about it yourself. They also said that you must be hospitalized. Experts in the provincial hospital say that you should be hospitalized. As a result, the first day of hospitalization cost 5300 yuan. I am a laid-off worker in my fifties. Is this cost affordable? I want to take advantage of the fact that the doctor in the hospital is not bright the next day. I took a taxi to an ordinary municipal hospital. I took a taxi and registered it as the first one. As a result, the doctor said that this is the most common disease, and I will be fine without taking medicine. For several days, more than 60 yuan of medicine was prescribed. I immediately took a taxi back to the provincial hospital and went home. The result was better for more than a week. I was holding a receipt for hospitalization. I hate killing people.

Treatment of humeral fracture may be 60,000, or it may be 1 10,000!

Since I fell on September 20, when I wrote this article, my right hand was still hanging and my right arm was still carrying a heavy external support.

I want to use my own personal experience to illustrate this problem. Is it more convincing?

It's not black, it's not blowing, it's just a faithful record.

Chinese medicine hospital does not give treatment.

On the morning of September 20th, after years of travel, I collapsed in the toilet of a foreign hotel. . . . . .

He fell on his back and broke his right humerus for no reason.

After checking in the local hospital, the doctor asked me to choose conservative treatment or surgical treatment.

After consideration, I decided to go back to Beijing for treatment after simple fixation. Conservative treatment in a well-known Chinese medicine hospital in Beijing is the first choice.

I ran all the way back to Beijing, but I got punched in the Chinese medicine hospital.

The emergency doctor said that my fracture was so serious that they could not treat it. They must go to the best orthopedic hospital in Beijing at once. . . . . .

Straight away!

Later, I understood why they did it, but at that time, I was suddenly shocked by the doctor.

Conservative treatment is no longer the first choice.

60 thousand yuan for surgery makes me a little confused

Without delay, we rushed to the most famous orthopedic hospital in Beijing and hung up the emergency room.

The doctor looked at the X-rays we brought and said easily that there was nothing serious about minor surgery.

My little heart, which was scared by Chinese medicine, felt a little more at ease.

Immediately take the printed list of procedures and start the preoperative physical examination.

It took about five minutes to see a doctor, during which other patients came in and out. The doctor was very busy and didn't say much.

After the examination, I agreed to be hospitalized for surgery three days later, waiting for the results of nucleic acid test.

We asked about the cost of the operation and said that the deposit was 10000 yuan.

We estimate that the cost of treatment should be within this range, which is not expensive.

Three days later, he was admitted to the hospital smoothly. During this period, doctors came to ask their families to sign, and doctors came to ask their families to sign, as if their families were camping downstairs.

One thunderbolt night, the nurse suddenly informed me to ask my family to bring 60 thousand yuan for surgery at 9: 00 tomorrow morning.

I'm a little confused.

Decision making and anxiety

In order not to disturb others' rest, I ran to the corridor with my mobile phone.

It's very simple to inform your family to prepare the operation fee first, so you can swipe your credit card first.

Then I asked what this 60 thousand yuan was?

The nurse was well informed and said with a smile that an imported steel nail costs 6,000 to 7,000 yuan, and surgery costs 50,000 to 60,000 yuan.

The hospital performs at least 1000 operations every week.

Ask the doctor on duty if there are any domestic steel nails, and the answer is all imported.

Look for a friend from the insurance company to check the reimbursement rate. It is 65% made in China and very low imported.

I'm afraid I have to pay tens of thousands of yuan at my own expense.

Then there are all kinds of harassing friends, taking X-rays and asking them to find someone to ask if they can be treated conservatively.

Nothing came of it overnight. I keep searching for information on the Internet, thanks to the Internet.

The next morning, the dean personally made rounds and came to me with nothing to say: there is nothing to say about this (original words)

The news from friends also came back: conservative treatment is recommended.

Hesitant and obsessed with money, I made up my mind: leave the hospital!

How much is the hard work of three doctors worth?

I took precautions and hung up the number of another famous orthopedic hospital in Beijing the next day, which was useless.

Before leaving the hospital, the doctor said responsibly: I have to adjust it for you before you can leave the hospital. I can't let you leave the hospital without treatment

I tentatively asked them if they could give me conservative treatment, and the doctor readily agreed.

So in order not to disturb the two masters, I received treatment here!

I'm tired of changing hospitals.

The doctor suggested that a brace should be made without plaster, but it was acceptable at his own expense 1000.

Then three doctors came to make braces, which took about three hours and delayed lunch.

By the way, it took me about three minutes to fix my bones during the installation. X-ray was taken after it was installed, and the location was very good.

Agree to review after one week, go home after discharge, and support 890 yuan.

Now I understand why Chinese medicine practitioners don't take this job.

Steel nails cost tens of thousands of dollars, and several doctors spent half a day supporting 890 yuan. Craft is really worthless.

Is there overtreatment?

The fracture will be around in a few days, and I feel ok.

At least you can write with your right hand when you can use your mobile phone.

You don't have to operate with your left hand like you did some time ago.

Personally, objectively speaking, surgical treatment and conservative treatment have their own advantages and disadvantages.

Because the humerus is long and difficult to fix, I really feel this, and sneezing at the initial stage will feel a little touched.

It is a fact that surgery can't take care of itself for a short time, and the fixation effect is good.

But it is also harmful to the body, and it also involves the question of whether to bring steel nails in the future.

Conservative treatment takes a long time to recover, and there are many unexpected factors. Poor recovery will have the consequences of functional damage.

The advantage is that it saves money and does little harm to the body.

Frankly speaking, I must say that I have been overtreated. I'm afraid there is a lot of controversy, especially the doctors definitely don't support this view.

Things in the world are complicated, not black and white.

I don't think this is overtreatment. This kind of thing has a different personal angle.

I still feel a little sick.

From my personal experience, at least the following points are really worth discussing.

The first is the patient's right to know, from my personal experience.

Look, this aspect is not satisfactory.

The traditional Chinese medicine hospital took a simple evasive approach, and under the alarmist, it seriously scared me away.

Orthopedic hospital didn't let me choose conservative treatment or surgical treatment at all, but let me follow the surgical procedure directly.

As for the treatment plan and cost, no one told me.

Don't tell me hospitals can't do this. I can be responsible for what I say. It's all true.

Secondly, the choice of materials. According to the news I inquired later, many other hospitals in Beijing can choose domestic steel nails or imported steel nails, which is directly related to the proportion of medical insurance reimbursement!

If you can't choose, patients are likely to have to pay tens of thousands to tens of thousands of yuan at their own expense.

The third is the unreasonable process of seeing a doctor. Fortunately, my arm is broken and I can walk like a monkey to complete the inspection process. It would be terrible if my leg hurts.

I can't go out when I am in hospital, and I don't know when I can find my family. My family seems to have been waiting for 24 hours.

These situations may make patients and their families unhappy in the end and affect their mood.

So the doctor felt that he had worked hard but he was not thanked, and the patient was full of complaints and could not find gratitude.

We both feel wronged.

Physical fitness is ok, and I rarely catch a cold.

I haven't been to the hospital for many years. It's all hearsay.

I felt it once this time, and I was quite speechless.

Doctors are actually good doctors, and doctors in regular hospitals can still be trusted, not from Putian.

Hospitals naturally have the difficulties of hospitals, and doctors also have the right to pursue a better life, so they can't be completely picky.

I hope to see a doctor in the future and feel better and better!

My mother has been having diarrhea recently. She went to the hospital to see a doctor. The doctor prescribed a checklist, electrocardiogram, color Doppler ultrasound, gastroscope and ct. It cost nearly 2000 yuan after the inspection. The doctor said that the ct checklist was a little kidney calculi, but there was nothing wrong with it. Let's do a colonoscopy. The doctor treated the disease professionally. We don't understand, but it is reasonable if it exists, so doctors are treating diseases by excluding them. In case it is a serious illness signal, you can see it clearly when you check it. But I think there is nothing wrong with the examination and the doctor. Why is the cost of a series of inspections so high? Well, your equipment has a cost, but does the public hospital only pay the cost of consumables, and everything else is provided free of charge? Medical reform is a top priority, not a problem, and then who will be held accountable. Because too many families, diseases and treatments are the destruction of families. I read a news before that a 50-year-old man in the countryside was ill and learned that the medical expenses were hundreds of thousands, that is, he committed suicide by throwing himself into the river, and hundreds of thousands of people were killed.

Is excessive examination and treatment the root of the contradiction between doctors and patients?

It can be said that it is one of the contradictions between doctors and patients. Excessive medical treatment is definitely not appropriate. This is an immoral behavior, which may constitute a crime of fraud if it is excessive. However, in reality, only a few doctors violate medical ethics, put personal interests first, and make patients bear some unnecessary expenses and increase extra burdens. This should be condemned by conscience and deeply reflected, and should be awakened and completely corrected.

Doctors are a special profession, and it is their bounden duty to save lives and heal the wounded. Both doctors and patients should reciprocate, maintain order in the medical field and achieve a win-win situation.

The doctor-patient relationship is tense, and overtreatment is definitely the key factor. Take my own ring removal surgery for example!

20 15 I went to the hospital to get the ring removed in the spring, and the slow process tortured me to eat and sleep. I've been there six times and I haven't taken it off. Every time I went there, I had a blood test and drank two bottles of mineral water for B-ultrasound. When I feel like I can't hold my urine, let me have a B-ultrasound. When I really entered the ring-taking, I didn't even put in the medicine to expand the palace mouth, so I was disheartened and scared. Six inspections cost nearly 2000 yuan, and nothing worked.

Later, a friend who helped him find a job recommended a gynecologist in the town. My friend said that her mother was in the hospital where I took off my ring, and she couldn't take it off. There are all kinds of threats. Later, someone recommended her to go to the town hospital to get the ring smoothly.

After receiving her advice, I didn't eat anything, so I quickly asked my female classmates to accompany me to the town hospital by car. When I arrived at the town hospital, I found the doctor I was looking for. She disinfected the medical bag. There was no disposable medical bag in the hospital. The doctor put away the medicine for expanding the uterus and told me to go out for a walk in the afternoon and have dinner with my classmates.

I had a good meal with my classmates and went back to the town hospital after shopping for a while. The doctor asked me to go to the maternity bed and take out the ring with various medical instruments. There was a blockage in the middle. The doctor was also tired and sweaty. After some efforts, he finally took out the ring. Thanks to the superb medical skills of the doctors in the town hospital, I relieved my biggest worries, did not carry out any examination, saved a lot of expenses, had a good service attitude and relaxed the mood of patients.

A good doctor is a relative of a patient. Superb medical skills can relieve patients' worries.

Two weeks ago, my mother kidney calculi went to the hospital. After registering, the doctor asked if there were any questions. Then color Doppler ultrasound, ct, blood test and urine test were performed. Spending money on a set was originally a trivial matter. Stone headache. Queue up at 7: 00 a.m. and wait until noon to say gravel, which can't be repaired. The next appointment, people are so painful that they can't stand up after taking painkillers. Isn't this a lie? I wouldn't have seen what color Doppler ultrasound was all about. The results of blood test and urine test come out slowly, which does not affect the treatment. I have to wait until the results come out. My mother is so angry that some people who wait and wait can't stand the pain. Later, I took the prescribed medicine and went to the clinic in the community to find an acquaintance to get fluid relief. Wait at the hospital. I don't know when I can get the liquid. Really speechless! It's also my fault. Last year, I didn't find any acquaintances who thought my son had stones, but it was very small. Looking for an acquaintance to do a color Doppler ultrasound, he immediately said to go to the pharmacy to buy Paishi granules and go home to drink water. It takes less than ten minutes, and then I will go home for two days. I thought it was so simple this time, but it was so pit! After remission, I went to a big hospital in the city and found acquaintances to find professional acquaintances. It was solved in half a day. This professional said that there is no need to do ct or anything, no need.

In this regard, I clearly remember that cervical spondylosis caused dry eyes because of too many notes. Busy at work and close to the hospital, my colleague said you should go and see it! I went to the hospital. It was a white-haired old lady doctor who saw me at that time and asked me what was wrong. I said that my eyes are always astringent at eight or nine every morning. The old lady doctor directly said to shoot the cervical vertebra! I said I was busy. If you want to be sure, give me medicine! Actually, making a movie is right! But the doctor smiled and really prescribed medicine for me, and it really healed in a few days! At the same time, we doctors should also strengthen the training of medical skills, and don't always rely entirely on instruments. As people say, is your doctor seeing a doctor or is the instrument seeing a doctor again? Of course, the necessary inspection is necessary, there is no need to check. Why waste the patient's money innocently? No wonder repair shops and cars follow your example. The patient's smile in front of you is painful! Pain and heartache! They are all smiling faces that are put on by biting their teeth, in order to please you and cure diseases! ……

There is a certain truth. At present, hospitals are required to do routine examinations as soon as they see a doctor. If they go to see a doctor too much, it will inevitably lead patients to question that doctors are trying to make money. This is also because hospitals are trying to make money for doctors' prescriptions. Excessive examination makes patients have contradictions about medical treatment, and also makes doctors selfish and affects professional ethics.

In ancient times, the famous doctor Bian Que could diagnose diseases by looking, smelling, asking and feeling. Don't doctors nowadays learn this at all? I think:

First, if it is necessary to check the diagnosed condition, this method must be adopted. This is beyond doubt and denial. Just communicate with the patient.

It: general ailments do not require patients to do this or that comprehensive examination. Often minor illness checks cost hundreds of dollars, so why can ordinary people afford it! This will undoubtedly lead to excessive violence between doctors and patients.