Release date: 2014-05-21 “It’s not like a hospital, it’s more like a factory, an efficient factory. And I’m like a cow in a slaughterhouse, walking through the assembly line,†said American doctor Richard. Richard Saint Cyr, 45, originally a family doctor in the United States, has done six physical examinations since he came to China in 2007. He called it a "very interesting experience." Under the bleak haze of air and food quality issues in China, people began to invest their energy and money in their own health management. They sent themselves behind a state-of-the-art instrument to seek practical comfort or clarity in a series of health data. anxiety. Two meter long price list During the two-hour medical examination, Richard was wearing a pajamas at the medical examination center and was led by a nurse to shuttle between rooms. In order to reflect this class of health services, guests can also enjoy bread and soup after the medical examination. But at the beginning of the medical examination, no doctor or nurse asked Richard about health issues, did a risk assessment, and then decided what tests he needed to do. The truth is, "They don't have the ability to recommend based on their health needs, because they are sales people, not professionals like doctors," Richard said. Female college student Yuan Wei stood in front of the consultation desk and posted a two-meter-long price list. The first column reads “pharmacy, residence permit, medical examination, postgraduate study, home economics†and other categories from top to bottom. At 100-300 yuan. Starting from the second column, the medical check-up package is divided into ten categories starting with the letter AJ. The price ranges from 355 yuan in category A to 2650 yuan in category J. There is no distinction between gender and age. The two middle-aged female staff members were responsible for the reception. Yuan Wei noticed that there is a "HCV (hepatitis C virus)" in the self-selected project. "What is this check?" The other party said that she did not know. Yuan Zhen also asked what is the examination of Helicobacter pylori. "It's a kind of thing in the stomach." The other party looked at Yuan Hao and wanted to ask again. He added another sentence: "You have to check, the doctor will tell you." Yuan Hao was so sent away. Richard believes that in China's medical examination, doctors seem to be the least important part, and people only need a qualified equipment operator. The 64-year-old Yao Hui got an advertisement for "28 yuan to enjoy the original price of 350 yuan medical examination". When he went to the hospital for examination, the doctor said that his prostate problem was "very serious" and he had further examined and opened a variety of drugs. A total of 20 boxes, directly explode his medical insurance card. Then Yao Hui was re-examined in another top three hospital, but was told that his "prostatic hyperplasia" is only a common disease of the elderly who does not have to pay too much attention. Unnecessary inspection Richard also found himself doing a lot of unnecessary checks. Some inspections in the United States that cost a lot of money can be done. In some medical institutions in China, hundreds of dollars can be fully prepared, such as cancer enzyme examination, Helicobacter pylori respiratory test, physical analysis of Chinese medicine, abdominal and carotid arteries. Ultrasound examination of all vital organs such as the heart, prostate, and uterus, CT scan of whole body and X-ray photographs, and more advanced transcranial Doppler examination. In China's medical institutions, their business philosophy is to cheaper expensive high-level testing, and small profits but quick turnover. "The strangest of these is a full body thermal scan, which I have never seen before in a US hospital," Richard recalls. "There is also a 'Quantum FAFA bio-energy screening tracing system', sitting in front of a machine, the palm of the hand on the machine, the operator presses the button, it ends in less than 1 minute. ." According to the test, the medical examination center produced a four-page report covering the levels of various heavy metals in the body, such as the level of mercury, Richard said. "This is an impressive one. The report of the giant." But this test is very rigorous in terms of his expertise - to check the heavy metal content in the body, you should do a blood test or a hair check. "Using ultrasound in the neck, when you are over 60 years old or have a heart problem, you need to do it." Richard said, "And I have a transcranial Doppler (TCD), why give a young man in his 30s? People do TCD? That is the check for screening patients with stroke. The proliferation of such tests is a waste of public health." In Richard's medical check-up package, there is also a blood test for tumor markers. “I know that many Chinese people really like and care about this check, but the cancer marker check for healthy people is very inaccurate.†In fact, the American Cancer Society believes that tumor markers are mainly used for patients who already have cancer, to assess their response to treatment, or to detect cancer patients with signs of recurrence. The Chinese are not aware of this. They see that the normal inspection results, or abnormal inspection results, are mistakenly reassured or mistakenly scared. In fact, this inspection is very inaccurate for healthy people. For healthy young people, CT is harmful. If a young person does a CT every year and exposes himself to radiation, it increases the risk of cancer. Believe that the device is still a doctor Chinese people's enthusiasm for medical examinations often surprises foreign doctors like Richard. Richard said that Americans also have annual medical examinations, but they don't have such a huge medical check-up package. They go to their family doctors to talk about it, and then, according to the doctor's advice, decide to check the items, usually some cholesterol. Blood pressure, blood sugar check, no one must do electrocardiogram (Electro Cardio Gram), CT, ultrasound every year. In foreign countries, physical examination usually requires an appointment one month in advance, and requires the personal data of the medical examiner, including basic information, medical history, medication history and so on. Subsequently, the medical examination center will give the medical examiner a detailed receipt, including a medical examination program tailored to them, a medical examination schedule that is accurate to the time of each individual examination item, and precautions such as diet and wearing. After the medical examination, the doctor will not only tell the medical examiner what problems exist in the body, but also explain in detail why these problems occur, what consequences these problems will bring, and how to adjust the lifestyle in the future. In China, the physical examination is like a streamline, and it enters various B-chambers and CT rooms in different categories. That is to say, most of the physical examinations are done by instruments. But the Chinese don't know this, they don't have a real family doctor. Chinese doctors are trained to treat diseases rather than helping people prevent diseases. The GP does not need to do an item check, just give people some health advice and tell them how to stay healthy. In fact, it is very important to prevent disease before it happens. "The biggest difference between the medical examinations in China and the United States is that in China's medical examination culture, it is much more important to do a test than to communicate with doctors. This is very sad. The Chinese do not believe in their doctors." In the medical examination center in China, there are no doctors you are familiar with, only the same tests year after year." Medical experts said that in fact, the value of the data is not as big as imagined. The inspection of the equipment is only a "cross-sectional examination", including blood drawing, color ultrasound, and electrocardiogram, which can only reflect the state of the body at that moment. The problem. Source: Kexun Medical Network
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