This story has recently hit the internet and many people have been praising it.

Chinese people just like to go with the flow, and rarely analyze the nature of things, just blindly follow the trend.

There are even many official media echoing and singing the same argument, spreading, as usual, one big drama after another to fool the public, morally kidnap medical personnel and divert conflicts.

An official media outlet wrote an article on the matter with the headline: 19 cents on the dollar for a prescription that could have been written more often!

On the other hand, I have to say that the more you prescribe 19 cents, the more people will be harmed!

Why would I risk universal condemnation by saying such things?

Because as an emergency physician, I see a large number of patients every day, and I see a large number of patients in pain every day.

Because I, as a flesh-and-blood individual, have seen firsthand the blood-soaked reports that have victimized so many people.

I can see why so many people chimed in with kudos when the 19 cent prescription was reported.

Because everyone suffers from poverty, because everyone thinks it's the doctors who can't afford to see them.

Because everyone hates doctors and the existing medical system.

For example, someone once left me a message: Obviously, you can see a doctor for 19 cents, why don't other doctors write such a prescription, is it for the sake of getting kickbacks?

However, they don't know it:

Rational medication is not, however, the same as cheap medication!

Some diseases can be cured even without any treatment or medication at all, and some diseases cannot be cured after all even if they cost thousands of dollars.

There have been reports of megacolon cures for 80 cents and news of high blood pressure cures for a few cents.

If, however, you are able to go online right now, you will be able to see the dangers of this kind of flimsy reporting.

Nineteen cents is a normal prescription, and I've even written prescriptions for a few cents.

However, this is only an extremely isolated phenomenon and should not be taken as a measure of the standard and high professional ethics of doctors.

The greatest harm done by the news of the 19 cents on the dollar being reported is that it makes the medical profession even more hated by those who have no brains, and it will only make those with ulterior motives use the weapon of moral abduction to attack the medical personnel.

And, yet, no one has ever thought about the essence of the matter: what is the root cause that makes it expensive and difficult for everyone to see a doctor?

And no one has ever wondered: do we really have expensive and difficult access to health care compared to the evils of capitalism?

Let more people know a little bit more!

"Happy Little Dawgs" has the answer for you. Joyful Concerns

Henan Jiaozuo doctor ninety-nine cents prescription, cured the baby's allergies, the prescription was the patient's mother to the Internet, known as the conscience of the doctor quickly into the net red!

Praise the doctor at the same time do not ignore her words: the child was diagnosed with egg yolk allergy condition is not serious, the child used only 1/6 tablets, after the use of medication in the hospital continued to observe for half an hour, no obvious side effects go home and continue to use the drug.

Doctors are on the basis of ensuring the safety and efficacy of the diagnosis of the cause of skin allergies is clear, the child's symptoms are typical do not need to do further tests to confirm the diagnosis, and the pharmacy has such a cheap and symptomatic drugs, while the doctor did not prescribe the same kind of expensive drugs!

Nowadays, if you go to the hospital to see a cold, you can't come down without a few hundred, and some even spend up to a thousand, not to mention other major illnesses hospitalization, which may make people lose all their money.

It is widely believed that part of the reason for expensive medical care has to do with doctors, which is why this doctor who cured a patient for 19 cents was praised by patients and the public 👍!

I'd also like to give her credit 👍 for firstly being medically skilled and secondly for using conscientious medication kudos 👍 and also for the hospital being able to get in so cheaply 👍.

In reality there are cheaper prescriptions than this, such as let you go back to the observation, tell you do not have to worry about drinking more water, tell you to change your lifestyle habits, ...... some of the disease slowly get better, these pennies do not spend the prescriptions are often ignored, and some people even think that the level of such a doctor does not work! Use the medication while believing in the doctor's advice, these are the prescriptions that do not cost a penny!

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This is a normal situation.

I often see patients for $0 when I'm in an outpatient clinic.

Yes, $0. Because many patients have no organic disease at all, all he needs is a few comforting words from his doctor, which costs him nothing.

In the end, the amount of money spent on treatment depends one on the needs of the condition and the other on financial strength.

There are some illnesses that can be cured without money, such as the common viral cold, which can be cured by drinking more water and resting.

There are some diseases that can be cured for tens of dollars, tens of thousands and hundreds of thousands of dollars. For example, a common bacterial respiratory infection can be cured with a little oral antibiotic. Some people must go to UF to live in a high-class hospital room, use high-class antibiotics and immune enhancers all the time, and spend hundreds of thousands of dollars to get well.

There are also some diseases that have little therapeutic significance, you do not spend money to ignore him, you spend hundreds of thousands or even millions of tens of millions of dollars in the end can not be cured. For example, very advanced malignant tumors, terminal multi-organ failure, etc. (Yes, there are really rich people who spend tens of millions of dollars to give advanced tumors, systemic failure, etc.). (That's right, there are really tycoons spend tens of millions of dollars to advanced tumors, the whole body failure of the mother's treatment, six million wild ginseng also boiled a few times soup, Thailand, please a Buddha statue back to the hospital room can spend a few million ...... meaningless, but people do have money, and want to do filial piety.)

Kudos to Dr. Zhao in Henan! Dr. Zhao's behavior is something that all medical professionals should learn from, as he is able to rationally use medication, prescribe the right medication, and abide by the essential duties of a doctor to solve the pains of children.

In the current context of provincial health insurance cost control, medical institutions at all levels are strictly controlling the proportion of drugs, for example, in Guangdong Province, which requires tertiary public hospitals to control the ratio of drugs to less than 30%, and at the same time, strengthen the monitoring of auxiliary medicines and pCm injections.

The reason for the introduction of a more stringent policy is related to some of the chaos in the management of medical insurance drugs, at all levels of medical institutions, a very small number of a small part of the doctor there is a certain no indications for prescribing large prescriptions, to play ball to prescribe auxiliary medicines and pCm injections and other irrational use of medicines, resulting in the drug ratio of the high is not small, and to some extent, resulting in the phenomenon of the expensive phenomenon of the doctor.

Of course, it is not that the cheaper the drug is the better, because sometimes it depends on the type of disease, take the disease chronic granulocytic hematological disease of "I am not the God of Medicine" as an example, the disease's previous treatment plan is hydroxyurea, the drug costs about a few dozen dollars per month, and after the introduction of the targeted drug Gleevec, which costs more than 20,000 dollars per month, and the cheapest Indian generic drug initially costs more than 2,000 dollars, is it reasonable for the doctor to choose the cheaper drug hydroxyurea if the doctor is not reasonable?

Obviously not, because Gleevec is the first-line treatment option recommended by national and international guidelines, and its efficacy is recognized as the best, choosing Gleevec is the right choice.

Back to Dr. Chiu's cheap prescription this time, as it is a reasonable use of medication for the right condition, we should rightly give her credit! But at the same time, I need to remind you, my fellow readers, that if a doctor prescribes a drug that is more expensive, but is completely in line with the guidelines for treating the disease, or is completely rational in its use, again, we should not blame our doctor just because it's expensive!

I am Jian Fang, Master of Pharmacology from Sun Yat-sen University, Deputy Chief Clinical Pharmacist of a tertiary hospital.

Welcome to follow: pharmacist Fang Jian for dry knowledge on drugs and health.

If the content is helpful to you, please forward it, thank you very much!

Allergies can be small or large, mild or severe. A mild allergy is a small, itchy bump on the skin, which can be cured by taking a few tablets of paracetamol. Severe allergies can lead to a sudden drop in blood pressure, shock, and in more severe cases, laryngeal edema, leading to asphyxia, or even the need to cut the trachea for emergency treatment.

I have times when I particularly enjoy treating allergies because the patient comes in very badly, itching, covered in a red rash, and in great pain. It looks very serious too, and the patient and his family are distraught. As a result, I prescribe two tablets of paracetamol, or a shot, a few cents, a few dollars, and the patient's disease is cured. The patient and his family thought it was amazing.

Allergies come and go.

There are times when I again especially hate allergies because there are times when the cause of the allergy is something trivial.

I remember once when I was on the night shift in the emergency room, a little girl was brought in who had eaten a mango and had a severe allergic reaction. When she was brought in, her consciousness was already a little unclear, her eyes were blackened, her blood pressure was very low, and we started resuscitation immediately. We immediately began resuscitation. We spent most of the day using epinephrine and glucocorticoids (the most effective drugs for treating allergies). In the end, the family had a hard time understanding how eating a mango could cause such a big problem, not to mention the fact that hormones were used on their baby girl.

Correct diagnosis is a prerequisite for treatment, this is not said. It is also wrong to prescribe large quantities of drugs. But it is not right to measure a doctor's opinion on the basis of how much medicine he prescribes. This can easily lead to some misunderstandings, causing conflicts between doctors and patients on the one hand, and on the other hand, it may also lead to a lack of awareness of allergies.

What do you think?

First of all, thank you for your question. This news has attracted widespread media attention, to a certain extent, also reflects the current social sensitivity to the medical environment. The people always have a kind of thought is not dare to be sick, can not afford to be sick, etc., in recent years, "difficult to see the doctor" "expensive" problem is still in many areas or many people in the highlight. Often the people into the hospital to see a doctor, although the pocket loaded think enough money, but still inside full of uncertainty and a little nervous, fear. This is not the fault of the people, this kind of ideological understanding has been a long time to foster the formation of the subtle caused by. Caused by the increasing incidence of medical incidents, in fact, the response is the existence of misunderstanding between doctors and patients and should not have the hostility. Physicians also have job responsibilities, there are hospitals to implement the rules and regulations, and the process of diagnosis and treatment is with the progress of the times more and more standardized, scientific. Physician's practice operation also have supervision, assessment, they do not spare a year of hard work, regardless of holidays in the maintenance of life and health of the first line. Not every physician is profit-oriented, they want to use their medical knowledge to solve the pain of each patient. Like this with a few cents, a few dollars, prescribe two boxes of drugs to solve the patient's pain there are many examples. As long as the cause of the disease is clear, symptomatic treatment can be effective. We have to believe in the professionalism and ethics of physicians. We believe that only mutual trust between doctors and patients can be conducive to the rapid and effective solution to the patient's pain. Please do not be influenced by the hype of some unscrupulous media, and trust the medical workers around you, they are the guardians of your life and health.

I hope the above answer can help you.

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

The whole thing is unrepresentative and shouldn't be something that other doctors are clamoring to emulate.

Before we talk about this, let's first get one thing straight, and that is: rational medication is definitely not the same as cheap medication!

The rational use of medication should at all times be the goal of every doctor, I also admit that some doctors will be over-treatment, but please believe that doctors are also people, the vast majority of life must be from the patient's health considerations. Therefore, there is no need to doubt that the rational use of drugs is not only our professional conduct, but also a mandatory requirement imposed on us by every level of medical regulatory authority!

But this is not the case with cheap medication! My view is that of course we should save patients as much money as possible if we can do so while ensuring that medication is used wisely. However, the current trend is to advocate cheap medication, and in the eyes of many in the media, cheap medication is good?

It would be really funny, cheap drugs are so good. Why do so many of the world's top drug companies and universities invest so much effort in developing new drugs?

Putting it into this topic, it's just a coincidence that it just happens to be an allergy, and naturally it's fine with anti-allergy medication! But what about other diseases? For example, infant pneumonia, without antibiotics and antiviral drugs you try! And antibiotics and antivirals are not cheap!

So yeah, analyze the problem and don't follow the crowd!

First of all, I applaud Dr. Cho's behavior!

0.19 yuan, allergy medicine, presumably "chlorpheniramine maleate tablets". Thank you very much, Dr. Zhao, for curing me at a minimal cost.

Secondly, I would like to express my views on this matter.

When I first started practicing medicine, I encountered children with "thrush" and told their parents that the child was small and could be left alone for a few days. When the parents heard this, some of them believed you, while others were skeptical of what you said.

Sometimes when a child has a runny nose or sneezes, I ask the parents, "Is there a cough? Do you have a fever?" The child's parents said "no cough, no fever", I looked at the throat, also fine, I said "no need to take medicine", the child's parents, some said "OK, do not take medicine first", but some say "Take some medicine, it's better quickly!" ......

The list goes on and on!

But do you think your parents thank you for not spending money? That would be a big mistake! Later, I heard some statements, "This doctor doesn't know much about illnesses", "He won't see children", "He doesn't dare to prescribe medicines for children who are too young", "I won't see him in the future", "I'll go to him only when my child is sick, and he even said that I don't need to take medicine, so won't this delay the illness?" ......

Some illnesses, like the one encountered by Dr. Zhao, can be cured without taking medication or a few pills, but you will hear statements such as, "Will such cheap medication work?" and "Will this few dollars medicine work? You may hear such statements as, "I've gone to other places and spent hundreds of dollars on so many medicines, but they didn't work...does his medicine cost a few dollars?" , "Throw this medicine away, it's too cheap and won't work." ......

In fact, being a doctor is not just as simple as doing one's job well. Nowadays, the doctor-patient relationship is so complicated that it is too difficult to be a doctor!

Dr. Zhao said it well, "It's a doctor's job to treat the symptoms and do what a doctor should do." That's a nice thing to say! I envy Dr. Zhao. I wonder how many years Dr. Zhao has been on the job? When I first started working, there were sick people who didn't spend any money and got well the way I told them to, but they didn't thank me!

Some of them spend a few cents or dollars and get well, but what do they think? But what do they think? They think that if they can't spend a lot of money on a good disease, it's not a disease, so they won't thank you! Sometimes, like "cystitis", it's just a few cents for medication, but will the patient believe you?

Dr. Zhao is very lucky to have met patients who believe in her and understand her!

I hope that the state, society, and everyone else will work together to create an environment for doctors to do their jobs well, and then it will become easier and easier to get medical care!

"Treat the symptoms and do your job as a doctor." We all work together toward that goal!

The media love this kind of claptrap news, in order to get eyeballs is also no bottom line, cheap does not mean appropriate, what disease prescribed what medicine are not said, is to increase the degree of bad doctor-patient relationship, if it is a common allergy, drink more water to promote the metabolism of allergic substances will be good, medical care is not a sale of relations, can not only look at the price!

The "prescription" of 19 cents is not worth the Internet discussion. There are six main reasons:

1, braided evidence-based treatment, the right medicine is the essence of the doctor's profession and practice the basic ability, not to his prescription "price how much" as a measure or evaluation of the relevant doctor "medical ethics" and "medical skills The main criterion of "medical ethics" and "medical skills" cannot be measured or evaluated on the basis of the "price" of the prescription.

2, dialectical treatment, identification of diseases and selection of prescriptions, rational use of medication, reasonable examination of each practicing doctor's comprehensive quality and professional competence, quality of service assessment and promotion of the basic requirements, rather than relying on the "price" of a prescription as the basis for judging the technical level of the doctor.

3, the child is due to the consumption of egg yolk, resulting in food "allergic" reaction, purely a "symptom", stop eating or move away from the source of allergy or appropriate drinking water, the same can improve the symptoms of allergy, and even do not have to spend "ten cents nine of the" anti-allergy "tablets can also improve the symptoms. Even without spending "10 cents and 90 cents" on "anti-allergy" pills, the symptoms can also be improved. Therefore, the "value" and "price" of the "10 cents and 90 cents prescription" for this child do not have a "positive correlation" between effectiveness and causation. Effectiveness and causation.

4, as we all know, really suffering from some kind of acute or chronic disease patients, doctors need to use the necessary tests to be clearly diagnosed or for the supervision of differential diagnosis, only to help the selection of medication, not a dime and nine cents of the cost of the "concept", at this time, the patient or his family will take the initiative to request: "use the best medicine, as long as the can cure the disease, how much money does not matter ......".

5, in today's generally reflected "expensive" background, the emergence of the use of a piece of similar "Park Sensational Min" and other "ten cents ninety-nine" prescriptions, causing a lot of heated debate, is to send everyone to solve the problem of expensive medical care. The fact that a prescription similar to "Park Sensitizer" and other "dime-nine" prescriptions has aroused much discussion among the public is a token of everyone's expectation and aspiration for a solution to the problem of expensive medical treatment, but it does not mean that the crux of the problem has been solved.

6, in essence, all parties to the medical "difficult" and "expensive" understanding, not only from the development process of large populations in the medical system and operational mechanisms "symptomatic" treatment ", it is more necessary to strengthen the doctors and patients from the "thinking differently", through the organization of the "doctor-patient forum" activities, further exchanges and communication, to achieve better understanding, hand in hand, to achieve the whole society into the deepening of the medical reform of the social dynamics.

Hopefully, the "19 cents" prescription will not trigger another "emotional" dispute between doctors and patients.

Thanks for the invitation!