The “10-cent prescription” may not be desirable

  The “one cent prescription” reflects the conscience and goodwill of doctors. Introduction: The “10-cent prescription” reflects the doctor’s conscience and kindness; but as a doctor, kindness is not enough, more emphasis should be placed on professionalism. On June 9, 2010, a doctor surnamed Xu from Changzhou Seventh People’s Hospital in Jiangsu Province issued a “10-cent prescription” for a 16-month-old child. On June 9, 2010, a doctor surnamed Xu in Changzhou Seventh People’s Hospital, Jiangsu Province, issued a “penny prescription” for a 16-month-old child – 5 tablets of “Dysentery”. The incident was reported and quickly became a hit with netizens. The record was soon broken four days later when a 77-year-old man was cured of a cold and fever for only 9 cents at the Shuangnan Community Health Center in Chengdu, Sichuan province, with a prescription for five tablets of paracetamol. Another article titled “Doctor Prescribes 109 Yuan for Abdominal Pain” reported that a doctor in Changchun prescribed 92 cents for four sticks of gentamicin for a patient. The latest record so far is a doctor surnamed Wang at Hangzhou No. 1 Hospital, who cured a child’s cough with only 6 cents of an anti-allergy drug, ketotifen.  ”That’s the kind of good doctor you want, who shouldn’t even be checking blood.”  ”It’s a miracle that doctors don’t rip off patients and stick to their professional ethics.”  ”To Dr. Xu, who has excellent medical skills and high medical ethics, I pay high tribute!”  These are the representative comments of netizens on the “penny prescription”. A commentary in the China Youth Daily pointed out, “‘The cheapest prescription’, just like the boy in Andersen’s fairy tale, inadvertently revealed the naked profiteering of the drug market. It turns out that the cheapest to this can also be cured; it turns out that patients have been slaughtered as lambs for so long.” The media comments on this matter are lopsided.  In fact, in the doctor’s view, many functional diseases, psychosomatic diseases, may not need any drugs, just by diet and living adjustments or receive psychological comfort, you can get a good treatment effect; and for some self-limiting diseases, such as the common flu virus caused by the fever, can also be more rest, drink more water, etc. to get relief, and even cured.  Therefore, the record of “6 cents prescription” will definitely be broken, and the new record prescription will not cost 1 cent; if the doctor pays for the patient’s advance, the record will become negative.  Unfortunately, all this is not new, “go home to rest” is indeed a long-standing “zero cost” prescription, and the doctor for the patient to advance medical costs, is not uncommon, just in the media is not seen. The doctor prescribed a reasonable prescription, without concern for the price of high or low, to treat the disease with a realistic attitude, this is the normal medical form.  The reason why the “penny prescription” has become the object of media attention and is seen as some kind of “progress” is because the system of “medicine to feed the doctor” has distorted the mentality of some doctors, medical There are indeed kickbacks in the medical industry, which has led to the profit-making of medical practices. At the same time, the weak social security system is unable to cope with the huge medical and health needs of the society, and most of the drug costs are still borne by individuals.  In this context, the media and society are more concerned about the “penny” gimmick and ignore the rationality of the “prescription”. In the eyes of the media, the “penny” reflects the conscience and goodwill of doctors, and this conscience is now lacking in society and is urgently needed.  Interestingly, the “kindness” seen by the media does not stand up to the scrutiny of doctors. In the eyes of doctors, the rationality of prescriptions is more important. Take the “penny prescription”, “dysentery” can lead to a variety of serious side effects, such as damage to the hematopoietic system, leading to polyneuritis, etc., belong to the side effects are too large and eliminated drugs, the Chinese Ministry of Agriculture has long been banned in 2002 for the drug for The Chinese Ministry of Agriculture banned this drug from veterinary medicine in 2002. And in the case that the pathogen is not clear whether it is a bacteria or a virus, the prescription of “dysentery” inevitably has the suspicion of abuse of antibiotics.  The same reason, the common cold and fever is a self-limiting disease, there is no need to take drugs, so “paracetamol” is also redundant; “less than 1 yuan prescription” in the gentamicin, but because of its strong nephrotoxicity and ototoxicity, and in the clinical hardly as the first choice of drugs in the prescription; the first choice of drugs in the prescription; the first choice of drugs in the prescription. As for the six-cent anti-allergy drug ketotifen, it has long been a non-recommended drug in the prevention and treatment of asthma in children because it affects the intellectual development of infants and children and has toxic side effects on the heart.  –What’s more, these “very cheap” drugs with one problem or another now have relatively safe first-line alternatives, albeit at a higher price.  As a doctor, it is not enough to have a good heart, but also to emphasize professionalism, because the professionalism of the medical profession determines the life and death of patients.  On the other hand, from the doctor’s point of view, if the “penny prescription” does not cure the disease, the doctor is likely to bear the reputation of “perfunctory, careless”, which will once again trigger a round of social scorn for doctors, and because there is no relevant clinical examination, may be   The “10-cent prescription” reflects society’s expectation of a fair medical system, and in fact, doctors are also looking forward to the early arrival of this fair system – after all, no one wants to work in a criticized, undignified industry.