Injured Femur Checked for “AIDS” Wu Yuzhen, an elderly man in Guangxi Southwest China? In May this year, she accidentally fell and injured her right thigh and was sent to Rui Kang Hospital of Guangxi College of Traditional Chinese Medicine, where she was diagnosed with a fractured femur. During the hospitalization, the hospital conducted tests such as HIV determination, hepatitis C antibody test, syphilis test, hepatitis B two-to-one hemagglutination test. The family could not understand that it was sent to the orthopedic department, but these had little to do with orthopedics. The hospital president Long Xueming said, “Wu Yuzhen is indeed a fracture, we consider the possibility of surgery, as long as the surgery may be transfused, in accordance with the provisions of the Ministry of Health “Clinical Transfusion Technical Specification”, transfusion of blood before the patient to carry out a number of tests such as HIV, otherwise it is irresponsible to the patient.” ”If the hospital transfuses blood without examination, the patient will turn around and sue the hospital if certain diseases appear after discharge.” Liang Chuncai, head of the hospital’s medical department, said. But the family said the hospital’s checkups were not told to them in advance or with their consent at all, and they only learned about them after each checkup when they went to pay the bill. When it comes to hospital visits, many patients are afraid to do tests, queuing up and spending money, not to mention that many tests seem to be of little help to their condition. Contrary to the views of patients, some experts interviewed by the reporter clearly said that some tests must be done. Zhang Wanxia, director of the Department of Dermatology at Beijing PLA 304 Hospital, told a short story: not long ago, a young boy with small blood spots on his skin went to the hospital after a number of tests such as anti-allergy and blood sampling to rule out skin allergies and blood disorders, and still did not get better after several treatments. After understanding the child’s examination and treatment, Director Zhang suspected that the child had kidney disease and issued a routine urine test. At this point, the boy’s parents were not happy, “My child is a skin disease, but let him check the routine urine, is not this obviously to earn the examination fee?” Director Zhang laughed and cried, but even though he was very busy at that time, he patiently told him that kidney disease may also cause small blood spots on the skin. The test results were not surprising, the child had kidney problems. Later, after symptomatic treatment, the child’s condition was effectively controlled. Otherwise, there is a high risk of kidney necrosis, which will eventually have to be maintained by dialysis. At that time, the child’s medical expenses may be ten million times more than the cost of the examination. The examination results determine the use of drugs Zhang Wanxia director told reporters, do not exclude some hospital doctors through unnecessary tests to increase the cost to achieve the purpose of generating revenue. However, as a qualified doctor, we must consider the health of the patient and collect as much information as possible from all aspects of the patient, after all, some tests are directly related to the patient’s interests, health and even life. From this point of view, there are some tests that must be done. Take a common dermatological condition as an example: a patient has a peeling spot on the head, and the doctor suspects that it may be a fungal infection or a syphilis infection, so a fungal test should be done to further confirm the diagnosis. Because the cost of treatment of fungal infection is relatively high, while the cost of treatment of syphilis infection is very low, if the blind use of drugs without examination, syphilis infection as a fungal infection to treat, will not only increase the economic burden of patients, but more importantly, will interfere with the disease, bringing difficulties to the later treatment, and even delay the patient’s condition. Why patients are reluctant to be examined Zhang Wanxia told reporters that an important reason why patients are reluctant to be examined is that the current medical system in China is not perfect. Director Zhang said, in her outpatients, there are many people do not have medical insurance, because all kinds of costs are paid by themselves, holding the psychology of saving as much as possible, naturally unwilling to do the test. In developed countries, the health insurance system is better, patients are generally open to accept the examination. In addition, at present, some large hospitals in China, especially the workload of well-known experts, must see their own outpatients every day, sometimes there is no time to explain to patients in detail why they need to do the test, resulting in patient misunderstanding.