April 18
A post on Zhihu that broke the news
caused an uproar on the Internet
A netizen claiming to be a doctor of medical oncology at Peking University Third Hospital
A netizen who claimed to be a medical oncologist
A netizen who claimed to be a doctor of medical oncology of Peking University Hospital No.3 issued an article to expose the dark secret of tumor treatment
A doctor from the third hospital of Peking University exposes the dark secrets of tumor treatment! The National Health Commission: Investigate immediately
The picture is not related to the text. Photo source: Vision China
The article says
In most cases
Tumor treatment should not be empty of people and money
but should be treated
better and less costly than at present
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Over the past year or so, I have personally encountered more than a hundred cases of oncology patients in dozens of hospitals receiving inappropriate or even wrong treatment, i.e., treatment that clearly violates the accepted basic principles of the oncology community, some of which are very bad practices.
These malpractices, without exception, have led to substantial increases in patient costs and have caused harm and suffering to patients, and even death in some cases.
What’s more, it is highly suspected that some departments have developed a uniform strategy and do not follow the most authoritative oncology treatment guidelines (Chinese CSCO guidelines, US NCCN guidelines or European ESMO guidelines) and intentionally use other protocols instead of standard treatment protocols for oncology patients, and there is ample evidence that such protocol changes are harmful and not beneficial to patients because they increase patients’ financial costs, toxic side effects It is also well-documented that such protocol change is harmful to patients, because it will increase patients’ economic cost, toxic side effects and even mortality.
Doctors of tertiary hospitals reveal the dark secret of tumor treatment! The National Health Care Commission: Investigate immediately
This girl has been struggling with the disease for more than ten years, and her mother has been collecting scraps to insist on her treatment. Image Source.
This explosive doctor
The doctor also mentioned a specific case
↓↓
Dr. L, a general surgeon at a well-known tertiary hospital in Shanghai, admitted a patient with AFP-positive advanced gastric cancer. Although this type is rare, it should be treated according to the treatment specification as ordinary gastric cancer.
Usually, first-line, second-line and third-line treatments for gastric cancer do not cost much and are reimbursed by the state.
However, this patient’s survival was significantly shortened, and the cost was more than 10 times higher than conventional treatment, with no savings and more than 100,000 debts.
Look at how Dr. L. operated –
1, let the patient undergo NGS sequencing: about 20,000 cost. Dr. L gave the patient NGS, which is currently considered the least reliable blood test, instead of the more reliable tumor biopsy tissue test. In other words, the NGS result done has almost no reference value. As a rule, it should be more accurate to have the gastroscopic pathological tissue section for testing.
- Adopt oddball second-line treatment regimen: pemetrexed, anlotinib, oxaliplatin, capecitabine and tamoxifen combination therapy. Any doctor who knows the basic knowledge of oncology drug therapy knows that this regimen is totally unreasonable. The standard second-line chemotherapy for gastric cancer is the paclitaxel regimen, which is currently considered to be one of the most likely effective treatment regimens and less costly. However, the cost rises sharply after forcibly changing to the above regimen.
- Recommending ineffective, expensive and illegal NKT treatment to patients: up to 30,000 per treatment. At present, it is clinically agreed that NKT treatment is almost completely ineffective for advanced tumors, so the state has prohibited NKT treatment fees and limited it to free clinical studies. It is important to know that these are the patients’ hard-earned money and it takes more than 1 year to save 30,000 RMB. Patients and their families can only live in the basement every time they go to Shanghai to save as much money as possible in order to see a doctor, and with the hope of controlling and curing the disease.
- Abuse of adjuvant drugs: Dr. L. prescribed many adjuvant drugs, such as Zidaxen and so on. Of course, Ritalin itself is a good drug, but it is not suitable for patients who are not financially well-off, the cost performance is too low.
The doctor of a tertiary hospital revealed the dark secret of tumor treatment! The National Health Care Commission: immediately carry out an investigation
The “anti-cancer kitchen” next to Zhengzhou Cancer Hospital, where fried dishes cost 5 yuan and stew costs 10 yuan. Image source: Vision China
“It is not easy to treat medical chaos
I think the following four points
is the most important way
Add additional provisions on medical disputes
Strengthen the regulatory system
Promote peer monitoring mechanism
Popularize correct knowledge to the public”
Doctors of tertiary hospitals reveal the dark secrets of tumor treatment! National Health Care Commission: immediately carry out investigation
A pathologist examines the tumor body tissue of a patient. The picture is not related to the text, photo source: Visual China
April 18
The doctor who broke the news posted another article saying
Because of the inability to bear the pressure
and the possible consequences
The article will be deleted by himself.
Doctors in tertiary hospitals reveal the shady practice of tumor treatment! The National Health Care Commission: Investigate immediately
Xinhua News Agency then published a commentary
After the doctor revealed the dark secret of tumor treatment
Deleted the post
Xinhua News Agency Commentary
On April 18, a netizen claiming to be a doctor of oncology of the Third Hospital of North China Hospital posted that many patients were left empty because of the doctors in charge of tumor treatment, because “the lack of supervision has led some doctors to act recklessly”.
The actuality of the story is yet to be investigated and authoritatively responded to, and the person also deleted the post because he “could not bear the pressure and possible consequences”, but a stone has stirred up a thousand waves, and the matter has triggered a discussion on medical chaos.
The hospital is the last line of defense for people’s health, the doctor’s benevolence is the blessing of the patient, if the doctor moves for profit, the harm is not only the patient, but also the doctor-patient relationship and people’s confidence in the “life first”. If the information is true, it shows that in today’s strong anti-corruption, there are still a few black sheep unscrupulous, which can not not remain vigilant. We believe that most doctors are benevolent and benevolent to help the people, because of this, it is all the more important to establish a monitoring system for malpractice, to untie and empower good doctors.
This is to protect both the patient and the doctor. The actual fact is that you can find a lot of people who have been in the business for a long time. We hope that this matter is not the end of the parties to delete the post, but like a while ago, “Datong doctors expose themselves to receive kickbacks”, triggering a timely response and in-depth investigation of multiple levels of functional departments, to become the beginning of cleaning up industry chaos, correcting the relationship between doctors and patients, to start accountability.
The healthy development of any industry is inseparable from a pair of eyes of supervision. Let the reporter from the fear of retaliation, so that the exposed “tip of the iceberg” to become the beginning of the melting iceberg, and even so set off a storm of rectification, which is the source of the root.
Otherwise, not to solve the problem but to solve the “problem of people”, will only drag the whole industry, the final accumulation of heavy hard to return.
The evening of April 19
National Health Commission response
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The National Health Insurance Commission (NHFIC) has been concerned about the information on the internet about “the oncology doctors of the North Medical Center reflecting the dark secrets of tumor treatment”, the Commission attaches great importance to it and immediately organizes the investigation and verification of the situation and the problems reflected.
Once the relevant issues are confirmed, they will be handled seriously according to law and regulations and will not be tolerated. The relevant situation will be announced to the society in time.
The doctor of a tertiary hospital reveals the dark secret of tumor treatment! The National Health Care Commission: immediately carry out an investigation
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