Hi everyone, I am a doctor and I have attended hospitals as a patient before, so let me put myself in the shoes of the general public.

What the subject said about excessive examination and treatment, this problem does exist in hospitals, we can't deny it, and we should face this problem head on.

First, let me share a case: when I was in college, I worked part-time off-campus, and one day a student came to class with a bruise on her head. I asked her what happened, and she said that she slept and got up and bumped on the bed. She said she could take time off work and go to the hospital. I said it was not necessary and that she would be fine after some rest. But she went to the hospital anyway, and the doctor took a CT scan and prescribed medication to invigorate blood circulation and remove blood stasis, which cost her more than 500 yuan. Unfortunately, in fact, these tests were totally unnecessary.

Doctors used to be respected, but now the doctor-patient relationship is really tense, especially when some reports of medical malpractice have brought this problem to light.

I think there are often reasons for the current doctor-patient relationship:

Firstly, doctors or nurses treating patients in an indifferent or unfriendly manner. I have also encountered doctors treating me in an unfriendly manner during my hospital visits.

Secondly, excessive examination and treatment is serious. Friends said, cold once to go to the hospital to spend at least a few thousand, hospitalized tens of thousands of dollars, the general public a month's salary is only a few thousand dollars, really can not afford to get sick.

Thirdly, the doctor gives the patient a simple and rough explanation of the relevant hospital problems. Patients on the medical knowledge of the extreme lack of mastery, and medicine occupies the absolute initiative, patients want to get the doctor's more medical knowledge, as well as medical advice, etc., but the doctor to give the patient is too little, such as it, the process of diagnosis and treatment only a few minutes, how can it be diagnosis and treatment of satisfaction?

Fourthly, patients' expectations of medical treatment are too high. There is definitely a point of conflict between the fact that medicine is currently able to solve a very small portion of the problem, but patients want to survive for a longer period of time.

Fifth, the pressure of the social environment, some friends have some negative emotions, in the sick even more aggravated by such negative emotions, the face of the doctor's attitude is not good, radicalized their own.

I think it should be resolved this way:

First, the country everyone's investment in medical and health science, so that the general public know more about medical knowledge, only enough to understand to better prevention and treatment.

Secondly, an appraisal system for doctors' attitudes should be set up, with patients giving scores to doctors.

Thirdly, the investment in health care insurance should be increased so that the public can afford medical treatment.

Of course, some people say that in order to put an end to medical malpractice, we should impose heavier penalties on those who cause medical malpractice, and so on. I personally do not support this, because only blocking not dredge is not a good way to solve the problem, we should face the problem, to solve the problem of the pain points, in order to fundamentally eliminate the recurrence of medical malpractice. I also hope that we have more understanding of doctors, after all, everyone is not easy, right?

These are my views from the perspective of a member of the general public. I am a health care worker who works in the field of HIV/AIDS prevention and treatment. My patients or counselors like me more because I am friendly to them and I listen to their good or bad thoughts. So I also hope that all health care workers can be nicer to their patients. People's hearts are made of flesh, and no one is a bad person at the beginning.

If you guys have questions about health related issues, you can follow me for private messages. You can also click a like, your likes are my motivation to write.

Excessive check-ups and treatments are only a symptom of the doctor-patient relationship. I think the deeper problem is that the positioning and development of the medical institutions themselves have come to a dead end within the existing system.

Because my late wife had cancer, I have had over three years of interactions with hospitals and doctors to find out what I know about them. I now say my feelings from an objective standpoint. If there is anything wrong, please correct me!

Let's start with the patients. Small illnesses are a pain in the ass, and big illnesses are expensive! The ordinary people are sick, go to small hospitals for fear of misdiagnosis, go to big hospitals for fear of queuing! Either blood tests or ct filming, diagnosis of the last prescription is not need to take some medicine, do not need to take two injections, do not need to hang water hanging water, do not need to be hospitalized, "recommended" you hospitalized! In short, it gives the impression that since you are here, you should pay more! With health insurance then pay more, I am also for your health "responsible". This is the patient's feeling!

In fact, hospitals are in a difficult position! Not only do hospitals have to be responsible for their own patients, they also have to be responsible to their administrators and to the public! Every hospital has its own safety targets, and if someone dies from a misdiagnosis, the entire medical staff of the hospital will be implicated. This is the driving force behind the hospital's desire to use the best medicine and cure the patient as quickly as possible. In fact, this point can still understand the hospital, but the hospital also need to develop, also need to promote, also need to evaluate the merits. Through the promotion of reputation, in order to bring in more high-quality talent (doctors), through the development of better medical conditions, in order to better serve the patients. Then the question arises - where does the money come from? In the past, it was medicine that supported medicine, but now it is examination that supports medicine! But medicine for medicine has not been completely disconnected. So the feeling is that it is not only more expensive than before, but also more complicated and troublesome than before.

As for doctors, I think they are not easy. Every day to face a lot of outpatients, but also to face the inpatient bed patients; not only to sit down to write the paperwork, but also on the operating table knife; not only to treat the patient, but also to summarize the case, scientific research and innovation, it is really not easy. The reason why the doctor and the patient's contradictions sharp confrontation, on the surface is the doctor is not patient enough, in fact, is the performance of the doctor's excessive pressure! There are several pressures:First, the time pressure, the doctor's time is not only and death to grab time, but also and the task to grab time, and the evaluation of time, and promotion to grab time, and thesis to grab time;Second, the responsibility of the pressure mentioned above. One day to face a large number of patients, in case of medical errors, themselves, their colleagues, the hospital are implicated, the pressure of this responsibility can not be small. Third, career promotion pressure. Want to promote, then you have to complete the hospital and the indicators issued by the Health Planning Commission. This is the hospital's revenue-generating targets! This is where patients and doctors are most likely to conflict!

I have seen a medical scene, probably the situation is a patient cough fever, the doctor let the patient take an ultrasound, the doctor found a small shadow, so let the patient took a color ultrasound, this time showing no problem, so the doctor in accordance with the inflammation of prescription, but the patient is not happy! The doctor said then continue to check it, the patient is even more reluctant! And so it went on.

My reflection on this incident is that both the patient and the hospital (doctor) are torn between health and money. Although the hospital (doctor) in a responsible attitude to recommend patients to review, to eliminate the hidden danger of the original intention is good, but can not rule out the fact that the examination to generate income, so in the final analysis or the problem of money.

The development of hospitals, the remuneration of medical and nursing staff, the upgrading of medical equipment, the maintenance of medical venues and scientific research in medicine are all money-burners. If we can systematically solve the financial problems of hospital development, so that hospitals and doctors feel at ease in the treatment of patients and academic research, more low-cost drugs, fewer tests. I think this is the ultimate way to fundamentally solve the conflict between doctors and patients!

By the way, the drug companies and instrument vendors are also not divorced from the doctor-patient conflict. More on that later when I have time!

I went to the province's largest hospital to see mouth ulcers, because I live near the hospital, the results of the experts to me to the worst cancer on the inducement, let you think there, but also said that you must be hospitalized, the provincial hospital experts said, then hospitalized, the results of hospitalization on the first day of a variety of costs of 5,300 yuan, I'm a laid-off workers more than 50 years of age, the cost of this cost can be into the bear it, the second day of hospitalization day, I want to take advantage of the hospital! Doctors are not yet at work to check the room, I took a taxi to an ordinary municipal hospital and then look at the taxi to go, register the first, the results of this doctor said, this is the most common disease, do not take medication will be good, is a few days longer, prescribed more than 60 rounds of medicine, I immediately took a taxi back to the hospitalized provincial hospital discharged home, and the results of more than a week well. I took the hospitalization invoice at that time and hated it so much that I had the heart to kill someone.

Treating a fractured humerus could be $60,000 or $1,000!

Since my fall on September 20, at the time of writing this article, my right hand is still in a sling and my right arm is in a heavy external fixation brace.

I guess it's more compelling to illustrate this with my own personal experience, right?

Not black and white, just a faithful record.

No treatment at Chinese Medicine Hospital

The morning of September 20, traveled for many years I sadly folded in the field of a hotel toilet 。。。。。。

A supine heel but inexplicably broke the humerus of his right arm.

After a checkup at a local hospital, my doctor gave me the option of conservative treatment or surgery.

After consideration, it was decided to return to Beijing for treatment after simple immobilization, and the first choice was a famous Chinese medicine hospital in Beijing for conservative treatment.

Running all the way back to the capital, but in the Chinese hospital received a blow to the head.

The emergency doctor said my fracture was very serious and they were not capable of treating it, so I had to rush to the best orthopedic hospital in Beijing 。。。。。。

Gave it away straight away!

I later understood exactly why they did this, but at the time, was instantly confused by this doctor.

The option of conservative treatment is no longer preferred.

I'm a little confused by the $60,000 surgery bill.

Not daring to delay, we immediately rushed to Beijing's most famous orthopedic hospital and registered for emergency treatment.

The doctor looked at the x-rays we brought and said easily: a minor surgery, nothing serious.

The little heart that had been thumping with fear by the TCM doctor was a little more grounded.

With that, I took a sheet with an adherence process printed on it and began the pre-surgical physical examination.

The visit took about five minutes, during which time other patients came in and out, and the doctor was busy and didn't say a few words.

After the examination, it was agreed to be hospitalized for surgery in three days, pending the results of the nucleic acid test.

We asked about the cost of the procedure and were told that the deposit was $10,000.

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

Three days later successfully admitted to the hospital, during the period a moment to find a doctor to sign the family, a moment to find a doctor to sign the family, as if the family is downstairs to pitch a tent stationed like.

In the evening, a thunderbolt rang out from a clear sky, and the nurse suddenly informed me that the family would be asked to bring $60,000 for the surgery at 9:00 a.m. tomorrow morning.

I'm a little confused.

Determination and apprehension

So as not to disturb the rest of the world, I took the phone and ran down the hallway.

It's easy to notify your family to prepare for the surgery first, but the big deal is to swipe your credit card first.

Then there was the inquiry as to what the $60,000 was all about.

Nursing staff have seen a lot of knowledge, smiled and said an imported steel nails 6,000 yuan to 7,000 yuan, surgical ones have to spend 50,000 to 60,000 yuan.

At least 1,000 surgeries per week at the hospital.

The doctor on duty was approached and asked if there were any domestic steel nails, and the reply was that they were all imported.

Check the reimbursement rate with an insurance company friend, 65% for domestic and very low for imported.

I'm afraid I'm going to have to pay tens of thousands of dollars out of pocket.

Then there was all kinds of harassment of friends, x-rays taken to get them to find someone to ask if they could be treated conservatively.

A fruitless night of non-stop googling, thanks to the internet.

The next morning the dean himself checked the room and came to me with no words: there is nothing to say about this (sic)

The message from friends came back: conservative treatment was recommended.

After much hesitation and financial obsession, I made up my mind: get out of the hospital!

How much is the hard work of three doctors worth?

I saved for a rainy day and registered for another famous orthopedic hospital in Beijing the next day, which didn't work.

Before discharge, the doctor said responsibly: I have to adjust you before you can be discharged, I can't let you out of the hospital without treating you.

I tentatively asked if they could just treat me conservatively, and the doc was all for it.

So in the spirit of one thing not two surprises, here's the treatment!

It's also annoying to change hospitals again.

The doc suggested I get a brace without a cast, but it was out of pocket, over $1000, which is an acceptable cost.

Then there were three doctors who came to do the brace, which took about three hours and delayed lunch.

It took about three minutes to square up my bones on the way to installation, X-rays were taken after installation and they were in perfect position.

An appointment was made for a review in a week, and he was discharged home with a support fee of $890.

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

Steel nail material costs tens of thousands of dollars, a few doctors busy half a day support costs 890 yuan, the craft is really not worth it.

Is there overmedication or not?

The fracture will be four weeks old in a couple of days and it feels fine.

At least it's already possible to use your right hand when writing on your phone.

There is no need to be left-handed, as was the case some time ago.

In terms of personal feelings, objectively speaking, there are pros and cons to surgical versus conservative treatment.

Due to the long humerus, it doesn't fixate well, which I did feel , and I felt some tugging when I sneezed in the initial stages.

It is a fact that surgical treatment of the inability to care for oneself is short, with good immobilization and a high degree of certainty.

But it's also a bit more damaging to the body and involves the question of whether to remove the steel nails at a later date.

Conservative treatment has a long recovery time, many unexpected factors, and poor recovery has the consequence of causing functional impairment.

The benefit is that it saves money and is also less harmful to the body.

Frankly speaking, I'm afraid it's quite controversial to say that we've been overmedicated, and the doctors in particular certainly don't support that view.

Things in the world are inherently complex and not black and white.

I don't really think it's being over-medicated, it's a matter of personal perspective on such things, see what you will!

I'm still a little uncomfortable.

From my personal and immediate experience, at least the following points are really worth exploring.

First and foremost is the patient's right to know, from my personal experience

See this aspect is not as good as it should be.

CCHS took the easy way out by shrugging off the alarmist talk and seriously scared me off.

The orthopedic hospital, on the other hand, didn't even give me a choice of whether to have conservative or surgical treatment, and went straight to having me follow the surgical process.

As far as treatment options and costs are concerned no one has ever told me.

Don't tell me that hospitals don't do that, I can take responsibility for what I say, it's all true.

The second is the choice of materials, according to my later inquiries, 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!

Without the option, patients are likely to pay tens to tens of thousands of dollars more out-of-pocket.

Thirdly, the consultation process is unreasonable, good thing I am a broken arm, I can still walk to complete the examination process like walking monkeys, if the leg is injured, it will be tossed to death.

Being hospitalized and not being able to go out but not knowing when to ask for a family member, as if the family member has been out there 24/7 waiting to be called.

These situations make it so that the patient and family may eventually end up being very upset and emotionally compromised.

So the doctor feels unthanked for his hard work, and the patient is left with a bellyful of complaints that he really can't find gratitude for.

Feeling wronged by each other.

I'm in pretty good shape and basically have very few colds.

Haven't been inside a hospital door in years, it's all various hearsay.

Having experienced it first hand this time around, it's rather breathless.

Doctors are actually good doctors, doctors in regular hospitals can still be trusted, Putian's don't count.

Hospitals naturally have their difficulties, and doctors also have the right to pursue a better life, and cannot be completely harsh.

Let's hope that we can see the doctor and feel better in the future!

My mother recently often diarrhea, go to the hospital to see a doctor, the doctor gave a checklist, electrocardiogram, ultrasound, gastroscopy, and ct, after checking spent nearly 2,000, the doctor said ct checklist a bit of kidney stones, the other no problem, or not to do a colonoscopy, the doctor treats the disease is a professional, we do not understand, but the existence of that is reasonable, so the doctor is to treat the disease in the exclusionary method, in case this is the signal of what is the big disease, a test will be able to see very clearly, no problem, directly everyone is relieved. However, I think, the check is not wrong, the doctor is not wrong, check a series of costs incurred why so high, well, your equipment is a cost, but the cost recovery of public hospitals is not the patient only to pay the cost of consumables, other free of charge? Health care reform is a priority, not a problem, and then who is responsible. Because too many families, sick, treatment is the family broke up. Before I read a news story, a rural 50-year-old man was sick, learned that hundreds of thousands of medical costs, that is, to throw himself into the river, hundreds of thousands of crushing the ordinary people.

Is over-screening and treatment a source of doctor-patient conflict?

Can be said to be one of the contradictions between doctors and patients, excessive medical care certainly should not be, this is an unethical behavior, if too much may constitute fraud, but the reality is that only a very few doctors in a small number of violations of medical ethics, personal interests in the first place so that patients bear some unnecessary expenses, additional burden, which should be conscientiously condemned and to make a deep introspection, and should be awakened and thoroughly corrected.

Doctors are a special profession, saving lives and helping the injured is a vocation, doctors and patients should be mutual amount of mutual concessions, and jointly maintain the order of the medical field, so as to achieve a win-win situation.

Thanks for the invite!

The doctor-patient relationship is strained, and overmedication is certainly a key factor; take one of my own ring removal procedures!

I went to the hospital in the spring of 2015 to try to remove the ring, the slow process of torture I can not eat, can not sleep. A total of six times, but did not take off, every time I go to give me blood tests, do ultrasound drink 2 bottles of mineral water, and so feel that there is urine can not hold it, called my number to do ultrasound, and so really into the removal of the ring, regardless of outpatient, or inpatient hospitalization due to the limited level of professional and technical skills of the doctor, and even expand the opening of the uterus of the medicine did not put it in, it is simply not possible to carry out the removal of the ring, and so I tortured the disillusionment not to say, scared not eat The first time I saw the car, I was so scared that I had to do hysteroscopic surgery if I couldn't take it off. my God, I can't do it on my own but I still want to harm my patients, so I didn't dare to take off the ring. 6 times of various checks for nearly 2,000 yuan, and nothing has worked.

Later a friend who helped himself to a job recommended a town gynecologist, the friend said that her mother was also in the hospital where I removed the ring also could not be removed, all sorts of scares, and later was also recommended to go to the town hospital successfully removed the ring.

Received her advice, I have not eaten dinner, hurry to find my female classmates to accompany me together with the bus to the town hospital, to the town hospital to find the doctor I want to find, she disinfected medical kits, hospitals do not have a disposable medical kits, the doctor put a good dilatation medicine for me, told me and my classmates to go out for a walk to eat, carried out in the late afternoon.

My classmates and I ate a good meal, skipped for a while back to the town hospital, the doctor told me to get on the delivery bed, used a variety of medical equipment to remove the ring, there was a jam in the middle of the process, the doctor was also tired and sweating, and after some efforts, the ring was finally removed, I thanked the medical technology of the town hospital doctors, to relieve me of the biggest worry, did not have to carry out any examination, save a lot of money, good service attitude, the patient's mood is relaxing.

A good doctor is a patient's family member. A good doctor eases the patient's worries.

Two weeks ago, my mother kidney stones, go to the hospital, after registering the doctor asked no two sentences, and then ultrasound, ct, blood test, urine test, a set of down to spend no money is a small matter of stone pain ah, seven o'clock in the morning on the queue to register to noon to say that lithotripsy, lithotripsy can not be set, said the next time to make an appointment, the people hit the painkillers can not afford to straighten out the pain, this is not a pitiful people? Will not ultrasound to see what is going on how to drop how to drop not good, blood and urine test results out slow, the results do not come out does not affect the treatment ah, have to wait for the results to come out to cure, mom temperament good gas have to be ancient said that this wait to wait for people who can not stand to die of pain counting on who, and then take the prescribed medication to go to the clinic of the neighborhood to find acquaintances to infuse on the liquid only to ease the. To wait in the hospital that it does not give when the infusion on it. It's really a pity that I didn't find someone I knew! Also blame me for not looking for acquaintances thought last year my son is also a stone but very small, find an acquaintance to an ultrasound immediately said to go to the pharmacy to buy stone particles at home to drink water pop on the line, the process of less than ten minutes, and then go home for two days on the good. This time thought also so simple that know so pit! After relief to go to the city's larger hospitals and find an acquaintance to find a more professional acquaintance, half a day to solve the problem, this more professional said there is no need to do ct or something, there is no need ah.

First of all, my opinion is that I feel that the subject matter and the way it is mentioned are inaccurate. For what is excessive examination and treatment, it is difficult to have an accurate definition of the standard, some diseases can not be correctly diagnosed through a variety of complex tests, some diseases have a therapeutic observation of the process of treatment, this situation is basically to get the patient's acceptance of the cooperation and respect and understanding, so this problem is not the root cause of the conflict between doctors and patients. I always think that the crux of the conflict between doctors and patients is the quality of medical care and service attitude.

Indeed there is some truth, now the hospital is a visit to the doctor to routine routine examination, so excessive see see patients must check, is bound to lead to patients questioned that the doctor is in order to make money, this is also because the hospital on the doctor to implement the prescription on the fishing for labor remuneration, excessive examination so that the patient on the medical path to produce contradictions, but also the same so that the doctor to grow selfishness, affecting the professional ethics.

In ancient times, the famous physician Bian Magpie was able to diagnose illnesses by "looking, smelling, asking questions and cutting", but nowadays doctors do not learn this at all? I think so:

One: must need to check to confirm the diagnosis of the condition, must go to the examination of this pathway, which can not be doubted and denied, and the patient to hook up with the good on the line.

Its: general minor diseases do not need to let the patient for this or that complexity of the full range of tests. Often small illnesses cost several hundred dollars in examination fees, how can the people afford! This will undoubtedly lead to the patient and the doctor's thatched shield, the emergence of excessive violence.