This problem exists mainly in those healthcare units that do not have electronic prescribing.

At present, most of the medical institutions in China, especially the level hospitals (secondary and tertiary hospitals) have basically realized the electronic case and prescription. Doctors usually form the electronic case and prescription through computer operation, and then print and sign their own names and give them to the patients, who pay the fees and then go to the pharmacy to get the medicine.

E-prescription has clear labeling for the name, specification, quantity, usage, dosage and other information of the medicine, all printed in block letters, so it is easy for patients to see the method of medication and dosage and other information from it.

In some clinics, pharmacies, community health organizations and the Chinese medicine departments of some hospitals, many doctors still use handwritten prescriptions to prescribe medicines for their patients.

As Chinese doctors need to see more patients per outpatient visit, sometimes even overloaded with work, and the doctor's main efforts are put on the consultation, physical examination, checking the report card and the proposed diagnosis and analysis, the choice of medication, etc., really left to write the medical records and prescriptions for too short a time, if the prescriptions also need to be all handwritten!In order to increase their speed, doctors inevitably need to use "running script" or even "cursive script" when writing prescriptions, so as to spare more consultation time for the patients at the back of the line. Therefore, some doctors' prescriptions are indeed written in very scribbly handwriting, coupled with the fact that some of the words in the prescriptions are not commonly used, making it difficult for the patients to read them.

The main task of the pharmacist in the pharmacy every day is to review the doctor's prescription and dispense medication to the patient according to the patient's condition and diagnosis as well as the doctor's prescription, Chinese pharmacists need to review and access a very large number of prescriptions every day, especially in some hospitals there is also an overload of work, therefore, thePharmacists are very familiar with the contents of the doctor's prescription, and they know by heart the names of commonly used drugs, their dosage and usage information.Pharmacists are also extremely sensitive to the handwriting of different doctors. Pharmacists are also extremely sensitive to the handwriting of different doctors because their "eyes" need to review each prescription to see if the drugs are prescribed by a particular doctor, so that no one can "fish in troubled waters" and receive medication with forged prescriptions.

In summary, there should be a very good cooperation between doctors and pharmacists in the same healthcare facility, and pharmacists can recognize a prescription at a glance even if the doctor writes it in very scribbled handwriting.

Almost everyone has encountered this problem, because people eat grains and cereals, there is no not sick, sick will see a doctor, see a doctor will get a prescription pad. In the face of prescription paper, we are often confused, knowing that the paper is full of Chinese characters, just can not recognize a few, Western medicine is sometimes okay, Chinese medicine is absolutely no door.

With so few doctors and so many patients, a doctor has to deal with a lot of patients during his consultation time, and this is especially true of famous doctors. Therefore, doctors often use scribbles to save time and energy when recording their conditions and prescribing medicines, and sometimes there are some abbreviations within the medical system instead. As a patient, it is natural that you will not understand these abbreviations, and those scribbles are not easy to recognize. But the pharmacy people are different, although they do not have a medical qualification, but the various ways of writing the drugs are bound to know, and they are familiar enough with the drugs, in the face of the prescription is a kind of two-way identification - according to the prescription to get the drugs, but also according to the drugs to judge the prescription written. This is just like when we look at some pieces of calligraphy, especially cursive, we may not recognize them when we look at them directly, but if we know what is written first, we will be able to recognize each character.

When you know the poem "Good rain knows the time of year, when spring comes", is the character not "ugly" anymore?

Moreover, there is a relationship of interest between the doctor and the pharmacy. The doctor's prescription directly determines the income of the pharmacy, and the income of the pharmacy, in turn, will be shared with the doctor as a commission. Therefore, sometimes, in order to prevent patients from getting prescriptions and then going elsewhere to get medicines, doctors will also agree with pharmacies on some special symbols. Such prescriptions are not only unintelligible to patients, but also to other pharmacies.

Doctors use handwriting that is unintelligible to write prescriptions, and sometimes there is another intention, that is, to prevent the leakage of prescriptions. This point mainly exists in Chinese medicine, because Western medicine are finished drugs, not much special, Chinese medicine is not, all tonics are doctors through the prescription is now blended, in the face of the same disease, different doctors will have different formulas, the efficacy of the treatment will also be different. For some unique secret prescriptions, the confidentiality of the prescription is directly related to the doctor's job, so it must be made unintelligible. However, such a prescription must be communicated with the pharmacy in advance, so that the pharmacy can understand, otherwise the pharmacy can not understand the words, the medicine can not be caught, what miracle effect is all for nothing.

In the end, of course, we can't rule out the fact that some doctors just don't write well; after all, we get to see some prescriptions among the elderly that are not only readable, but the words are quite calligraphic.

As a physician very qualified to answer this question. I'll share what I do feel and think.

I remember when I first started my internship, the teacher assigned tasks to us, especially when we encountered writing a lot of us do not know, and then identify the word is like learning English. Later, I went to the pharmacy internship to see even more exaggerated, there are good writing teacher's words, can not be called a word, there are written or even a cross, what kind of all kinds of strange. The pharmacy teacher said that they just started to work also do not recognize. Recognize familiar to know which doctor wrote.

And then later on their own work, many times a lot of patients, a lot of patients are critical, it is too late to write slowly, and over time writing is also very fast. But the word also formed a "doctor's body" only myself, department, pharmacy can be recognized, the level of writing has also declined dramatically. Many people say that my writing is ugly (I used to be the president of calligraphy), sad.
Many patients have responded that the doctor can not recognize the writing, is the doctor intentionally write this way, so that people can not recognize, will not know what drugs are used, in fact, it is really not so. It is because there are too many patients, busy, only fast writing. Over time, the formation of another font.

Fortunately, the use of a structured electronic medical record system has been introduced in recent years. The electronicization of all prescriptions has solved the problem of patients not being able to read them and has also reduced the burden on doctors.

In fact, the doctor wrote the patient can not read, there are many reasons, one is the doctor received too many patients, so can only be fast "cursive"; Secondly, some doctors in order to prevent the outflow of prescriptions, intentionally so that people can not read; Thirdly, it is the problem of terminology, the doctor used aliases or commonly known as many non-professionals do not understand to see is also a very normal. Very normal, such as the hormone dexamethasone, written as DXM, anti-tuberculosis drug rifampicin RFP, etc., non-professionals naturally see a glance at the unidentified, and for the pharmacist, in general, the pharmacist is familiar with the medicine of the hospital pharmacy, basically understand the clinical symptoms, see the name of the drug only need to recognize a word or two, you will be able to learn is to be dispensed with what medicine. And then there are some Chinese herbs, such as what Duchenne, half-sia and so on, non-professionals naturally difficult to recognize.

Therefore, I have to say that "there is a sequence of knowledge, there are specialties" and that's all, as a pharmacist, I think that I can understand the prescription is just my job, and there is nothing special about it. In addition, now most of the tertiary hospitals are information technology, modernization, most of the prescriptions have become electronic prescriptions, and the National Health Planning Commission has issued a document requiring regular prescriptions to use the international common name, so generally speaking, "can not read" prescriptions will slowly disappear, for the majority of patients is also information transparency.

A lot of people can't read what doctors write, so a lot of people have been wondering if doctors have ever learned a specialized script or font? Let me tell you: this is still true! See the picture below:
How was it? Isn't it amazing? Let's open it up again and see what's inside:
Ever been surprised? It's true that doctors have specialized prescription abbreviations.

As old as the book is, however, this is a long time ago, and the vast majority of doctors one can meet nowadays have never learned similar prescription abbreviations or Latin.One of the main reasons why people can't read what doctors write is that they are too busy!

China's medical status quo is less doctors and more patients, a doctor a day there are hundreds of outpatient consultations, if you really write every word with one stroke, then many people go to the hospital is really can not see the disease. In order to save more time, in the medical record and prescription writing time will appear a variety of shorthand, hyphenated, cursive, etc., for example, the following picture was everyone on the network trolling the writing style of Roxithromycin:

So why is it so easy for a pharmacy person to read a prescription written by a doctor?

That's not really true, not all doctors' prescriptions are recognized by pharmacies, and it used to be common for a pharmacy to call a doctor to ask him what he was prescribing, or to refuse to dispense it so that the doctor could write a new prescription from scratch.

On the other hand, since pharmacists have been working in the pharmacy for a long time, they are familiar with the scripts of the doctors in the hospital and can recognize what the doctors have written over time. If a new pharmacist or a new doctor comes in, this "tacit understanding" will be disrupted, and it will take a longer time for the pharmacist to familiarize himself with it.

On the other hand, some medications contain specific words, so you can guess the corresponding medicine based on a recognizable word in the prescription, combined with the diagnosis and the hospital's drug list.

It is because handwritten prescriptions are inconvenient, difficult to recognize, easy to dispense the wrong medication, etc., the state has implemented outpatient e-prescription and electronic medical records, greatly enhancing the speed and safety of medical treatment, and the "doctor's font" that can be complained about in the future will gradually be withdrawn from the stage of history.

The above represents personal opinion only, a like or follow would be a great encouragement!

Thank you for your question.

(1) First of all, to understand the doctor wrote a relatively scribbled word is how to practice out, generally called by the patient as "heavenly book", ghost painting peach beard. I think the main thing is 1) every day the prescription is written so some things, such as RP aspirin enteric-coated tablets 100mg * 30 tablets / box 1 box Usage: Oral qd 100mg on an empty stomach, etc. Of course, there are medicines behind. Every day to write the same thing, the more you write the more skillful, the faster you write, the more you write, the more scribbling it may be (time is more likely to happen when the time is more urgent); 2) of course, do not rule out, originally this doctor in the book when the writing is relatively poor, after the doctor even more scribbling; 3) the doctor would not have wanted to let you (the layman) know what is written on the top of the prescription, which is for the insiders to see;

(2) patients do not understand, mainly because they do not have the background of medical and pharmaceutical knowledge, but also is that patients are generally sick to the hospital to see the doctor to prescribe medication, access to prescriptions is relatively small, do not understand what the doctor wrote something is also very normal; pharmacy staff, they are more professional pharmacy personnel, and has a certain medical background, review of the prescriptions is their strengths, and they and the doctor issued by the prescription contact more, if encountered in the prescription do not understand, you can ask an experienced pharmacist or communicate with the doctor to solve the problem. They have more contact with the prescriptions issued by doctors. If they do not understand something in the prescription, they can ask an experienced pharmacist or communicate with the doctor to solve the problem. If the pharmacy staff cannot understand the prescriptions, how can they dispense, issue and account for the medication?

(3) Of course, there is no need to worry that the doctor's writing is unintelligible nowadays. Nowadays, prescriptions in hospitals are usually printed out electronically, which is neater and easier to read at a glance.

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

Most people are flabbergasted when they see this list. There is a saying that every doctor may not necessarily be a medical doctor, but they are all calligraphers, and agree with this saying too much! Ask from the bottom of your heart, doesn't your conscience hurt when you write a prescription list that I don't recognize a single word of?

I used to hear the old folks in my family say that doctors don't write badly, they write like that on purpose. Why? For example, if you have a cold, and you can read what you've grabbed this time, you won't go to him next time. What a painful realization. Another thing we noticed was that the old pharmacy would take the slip back after grabbing the medicine, and if you didn't specifically ask him for it, he wouldn't voluntarily give you the prescription. But no matter how sketchy the prescription, the grasping pharmacist had no trouble catching it, and no grasping pharmacist could not read it. When I later asked a friend from the pharmacy in town, he said that there were just a few medicines, all of which were written in a specific way, and that they had been trained to do so. Ancient doctors are despised industry magpie see Cai Huan Gong Li, Cai Huan Gong said: medical good cure not sick thought merit, said the doctor's professional ethics of doubt, it seems that this problem seems to be even more in ancient times ah ......

Why can the pharmacy doctor understand the doctor's handwritten ambiguous prescription ...... need you ask? This is the pharmacy comrades, long-term with the doctor's "struggle" in the accumulation of a wealth of combat experience, so that they can understand ...... know! If you don't believe me, ask a newly graduated pharmacy staff to take a look at it, I guarantee that they will not be able to understand it......

First of all, I would like to popularize it with you, now even the county hospitals have begun to use electronic prescriptions, the era of handwritten prescriptions is over. And the signature of the prescription has been electronic signature. There is no need for you to get tangled up in the prescription, wasting time wondering about this matter is not interesting.

The next point is why the doctor's prescription is very scribbled, the dragon flies, in fact, there are several reasons.

First, many of the old doctors wrote in Latin, which the patients could not understand.. Dr. Shea has been out of school for almost 20 years and I wonder if he still teaches Latin inside medical schools.

When Dr. Hsieh first graduated, around 2000.Many hospitals are not yet electronic medical recordsMost hospital doctors require handwritten prescriptions to give medical advice and prescribe medication.Almost most doctors get to work very early in the morning, theIt is necessary to prescribe the medicines that need to be prescribed on that day, or on the 2nd or 3rd day, with a prescription, so that the dispensing nurse can take the prescription and dispense it, and the patient will have the medicine available. If the prescription is written word by word, a lot of time will be wasted.In those days there were not particularly strict controls on prescriptions, such as saline or certain medicines, which could be replaced entirely in Latin.So prescriptions in those days were written with tons of Latin on them. I still remember my teacher's horrible Latin cursive, but after hanging out with my master long enough to recognize most of it, theSo at that time I was mainly responsible for translating the teacher's prescriptions to the nurses to prevent the nurses from giving the wrong medication or not giving the medication.. That's why I said that the reason why comrades in the pharmacy can read certain doctors' prescriptions is that they actually read them a lot and for a long time.

Second, why the scribbles?，It's just one word, busy!Because usually those who need prescriptions are in outpatient clinics, sometimes they are too busy to write at all, and they ask doctors to write in regular script for everyone?

Please take a look at the scene when the hospital is busy, some departments of the doctor a morning to see more than a hundred patients, water can not drink, urine can not urinate, a morning to see the patients do not retreat, but also to continue to fight in the afternoon, I would like to ask the question of the pro, to give you in that position to be able to write the Regular Script? You try to face a large number of patients in line, you relaxed and comfortable to write the word clear, clear, even if it does not matter whether the back of the people will not be noisy, complaints, fighting, if you can really do so, I believe that one hundred patients may have to see the latter half of the night.

Third, it's also true that we can't rule out the fact that some doctors have other agendas, such as their own experience prescriptions, do not want to tell others to read and understand to steal to go to the technology, etc.. Or afraid of patients with a prescription not in the hospital to buy drugs, but to go to the neighborhood pharmacy to buy drugs may be.

Thanks to technological advances and state support, prescription management is now paperless, with complete notification of prescriptions directly to the pharmacy, and prescriptions stored entirely on the patient's visiting card. Even if the prescription is printed out, the patient can see a very clear electronic version of the prescription. Patients will no longer have to wonder why doctors write scribbled prescriptions. In addition, with the advancement of technology, many hospitals will now slowly carry out voice case input, now some hospitals in Beijing and Shandong have begun such an attempt, I believe that with the advancement of technology, the doctor will really be rescued from some such as writing prescriptions and other redundant links, and more communication with the patient, better management of their own patients, and to do the doctor's duties.

I'm sure that even with all the explanations, there will still be some skeptics who suspect that doctors all have some ulterior motive for writing prescriptions as scribbles on purpose, and it can't be helped. It's not so much typing to make a friend who reads this believe it.

I'd like to thank my friends for reading, and if you have any other doubts about anything you can also private message me or leave a comment below.

I am Xie Xinhui who insists on using simple language to explain the knowledge of complex diseases, it is not easy to code, if you can agree with my point of view, please help to point out a concern, or click a like it, thank you!

To be honest with you, as a veteran pharmacist who has been practicing for over twenty years, there will still be prescriptions that I can't read that exist.

In fact, there is no secret that pharmacists can understand the words written by doctors, and there is only one reason for this: "Practice makes perfect". When I first started working, my main job every day was to clean up our pharmacy (in the novels of the Golden Warrior, the floor sweeper is the most powerful character), and in addition to sweeping the floor, I learned how to recognize the thick stacks of prescriptions. In addition to sweeping the floor, I would carry a thick stack of prescriptions and learn how to recognize the words of our doctors.

In fact, the doctor's font scribble, not to hide any medical secrets, for two reasons: 1, the doctor is too busy, every day to see more than a hundred people, it is almost impossible to write a prescription carefully. 2, each doctor writing prescription habits are not the same, the prescription writing is mixed with a variety of pen style of the Latin name of the drug, the name of the English language, the name of the common name, the name of the goods, aliases. Don't say that ordinary people don't recognize, professional pharmacists have the same time to look away.

We pharmacists can read it, half by experience and half by guessing from our knowledge of doctors. For example, in the past, when there was no generic name for medicines, doctors wrote "paracetamol" and "paracetamol", basically a big "par" in front, followed by a wavy line. But in our hospital, these are the only two types of oral medications that begin with the word "paracetamol", which narrows down the scope. Then look at the dosage, 0.5g is paracetamol and 10mg is paracetamol. Then look at the doctor's department, whether it is internal medicine or dermatology. Finally, communicate with the patient, ask about the specific disease to see if it is symptomatic, and then finally determine the drug. If you really can not recognize , you must communicate with the doctor to clarify the drug.

It used to be that when ER docs wrote Advil, Valium, and Poppycock in Latin, it was basically the same shape of wavy lines. I had to rely on 2ml, 10mg, and 30mg to differentiate. I had a conversation with an ER doctor once, he was so tired and blinded from his midnight shift that he couldn't recognize what he was writing and what I was sending was the exact kind of drug he wanted, and he felt particularly magical about it. In fact, our experienced pharmacists will understand each doctor's medication habits, each disease each doctor with what medication, I can probably guess a eight or nine.

However, we pharmacists are only familiar with the font of doctors in our own hospitals, and the recognition rate of prescriptions from outside doctors is much lower. Now that the national pharmaceuticals have unified generic management, and hospitals have switched to computerized and paperless e-prescription, our pharmacists' ability to recognize fonts has deteriorated, just as it did in "The Strongest Brain". However, the error rate in reading prescriptions on the computer and dispensing medications has been greatly reduced. But I still occasionally miss those days of recognizing all kinds of scribbles every day, for no other reason than it was my youth.

I am Pharmacist Wazi, welcome to follow me and let me be the pharmacist by your side!

Let's start with the fact that as a surgeon, you can read the writing in the little black pot! This question can be broken down into two areas. First, why can't a patient understand a doctor's handwritten prescription? Secondly, why do people at the pharmacy understand it? The following small black pot to talk about their own views, if you think it makes sense, remember to like forwarding and attention [orthopedic small black pot].

[Why do doctors write prescriptions that patients can't read?]

In fact, because the doctor outpatient clinic to see more patients, some need to handwrite prescriptions for hospitals, write more medical records to go, write slow patients can not see the end, over time has developed a bad habit of handwriting scribbles!

As for your question, why is it so fast to see a doctor?

You guys try to see 40 patients in a morning, there are some doctors who see 50, 80, try to get a few minutes per patient?

[Why is it that the doctor writes in words that the pharmacy people can read?]

For many drugs, the people may not be able to understand, and even the name sounds a little strange, but the pharmacist in the pharmacy is different, they know the name of every common medicine, as long as they read a word, they can naturally associate the name of the drug!

For example, etoricoxib, colchicine, hydrocortisone, these drugs in the ordinary people seem to be confused, the pharmacy people see the words "et", "colchicine", "can" three words, combined with the words of the The pharmacy people see the words "Yi", "Autumn", "can", combined with the word position can basically guess the drug, and then look at it is almost the same!

[There are very few hospitals with handwritten medical records anymore!

As the title, at present, some hospitals may still exist handwritten medical records, but most of the hospitals have realized the electronic medical records, that is, the computer typing and then print out the list, I believe that with the development of medicine, and the increase in investment, handwritten medical records will be gradually eliminated, the people do not have to worry about not being able to read the doctor's words

The above is a small black pot on the understanding of this issue, if you think it makes sense, don't forget to like forwarding attention [orthopedic small black pot].