If I were really demented, could I still talk to you like that? On January 17, a deputy dean of the International Hospital of Peking University admitted to instructing doctors in relevant departments to make a false diagnosis of dementia.
Previously, the Beijing News reporter grasped the diagnosis and treatment information, which showed that the Deputy Dean had been diagnosed as moderate to severe dementia and dementia by a number of physicians in the Department of Neurology of the hospital, and repeatedly brushed medical insurance cards to prescribe drugs.
In addition to the participation of the deputy dean in false diagnosis and treatment, it was reported that a deputy chief physician of anorectal surgery in the hospital would increase or decrease symptoms according to whether the patient had medical insurance settlement. On January 7, a self-financed journalist was diagnosed with anal fissure and internal hemorrhoids; on January 8, the same journalist with medical insurance settlement, the diagnosis turned into anal fissure, internal hemorrhoids, and hemorrhoids swelling poison, and recommended surgery. Three hours after the diagnosis of the deputy chief physician, the reporter found only slight internal hemorrhoids in Tiantan Hospital.
When the reporter asked why the two diagnostic results were different, the deputy chief physician said, Diagnosis is too busy to cover all aspects.
According to the information obtained by the reporter of the Beijing News, the deputy chief physician suffered from boils and swelling poisons almost all of the patients who used medical insurance to settle their visits in anorectal surgery. How can we decide whether a patient has a medical insurance or not and whether he suffers from the disease of `boil cyst? An informed doctor in the hospital commented on the diagnosis and treatment of the deputy chief physician.
Beijing News reporter learned that the Beijing Medical Insurance Administration has paid attention to this matter, will go to the hospital concerned to learn about the situation, for related issues, to wait for investigation and verification before making a formal conclusion. Relevant officials said that the health insurance fund is related to the vital interests of the people, as long as problems are found, it will be carefully checked to ensure the safety of the health insurance fund. If it belongs to the problem of fraudulent medical insurance, it will be dealt with resolutely.
On the morning of January 17, Xinjing News reporter met Xie Mou in the office of Xie Mou, deputy dean of Peking University International Hospital. Xie Mou showed the reporters the medicine package he opened. According to Xie Mou, this is the medicine he prescribed in the hospital through false diagnosis, in order to prevent and treat himself. New Beijing News Journalist Road Photograph
The result of the vice-presidents diagnosis and treatment is dementia?
Beida International Hospital is located in Zhongguancun Life Sciences Park, Changping District, Beijing University Medical City. It is a non-public hospital with social capital. It is a non-profit general hospital jointly invested by Peking University and Founder Group. It is currently a tertiary hospital and opened on December 5, 2014.
The hospitals diagnosis and treatment information shows that Xie Mou, vice president of the hospital, was diagnosed as moderate to severe dementia and dementia by many doctors in the Department of neurology.
A staff member of the hospital said that he had checked the clinical data center of the hospital and found that since February 3, 2017, Vice President Xie Mou had received many diagnoses in the Department of Neurology, when a doctor diagnosed dementia. However, the staff member who worked in Beida International Hospital for many years found that Xie Mou did not have dementia-related symptoms.
According to relevant medical information, Xie Mou was diagnosed as moderate to severe dementia from February 3, 2017 to December 19, 2018, and then as dementia from August 14, 2018.
Diagnosis and treatment information shows that the deputy dean, due to moderate and severe dementia, peripheral neuropathy, cerebrovascular disease, sleep disorder, mobility inconvenience, anemia and other diseases, will take methylcobalamin tablets, donepezil hydrochloride tablets, vitamin C tablets, ferrous succinate tablets, Ginkgo biloba extract and other drugs in the hospital every two weeks from February 3, 2017 to December 19, 2018, each time through medical insurance. The total price of prescription is about 1000 yuan.
Several medical staff of the hospital said that no dementia symptoms were found in their contacts with Vice President Xie.
According to the publication of Peoples Health Publishing House, the tenth edition of Practical Internal Medicine edited by the Editorial Board of Practical Internal Medicine of Shanghai Medical University has definite diagnostic criteria for dementia. Practical Internal Medicine clearly pointed out that mild dementia manifested in the decline in work learning and social skills, but still maintain the ability to live independently; moderate dementia manifested in addition to eating, clothing and size can take care of themselves, the rest of life rely on other peoples help; severe dementia manifested in personal life can not take care of themselves. But when the reporter inquired the official website of Beida International Hospital, he found that he had attended many public activities and delivered speeches during the period of being diagnosed as dementia and moderate to severe dementia.
However, according to the diagnosis and treatment information, Xie Mou at this time is in moderate to severe dementia.
Xie Mou, Vice President of International Hospital of Peking University. New Beijing News Journalist Road Photograph
Vice President of Dementia Acknowledges False Diagnosis and Treatment
Judging from his performance in the hospital and public activities he participated in in in peacetime, it is likely to be a false diagnosis and treatment, using medical insurance to prescribe medicine for others. A staff member of the hospital said.
On the morning of January 12, 2019, a reporter from the Beijing News called Xie Mou, Vice President of the Party, to verify that he had been diagnosed with dementia. He admitted that he had participated in false diagnosis and treatment.
Xie Mou described to the Beijing News reporter, Because family members have Alzheimers disease, and Alzheimers disease will have a certain genetic tendency, self-prescription is used for prevention and treatment.
As for whether he had personally visited the Neurological Clinic of Beida International Hospital for treatment, he responded, It was for the people under his command to handle it. He has not visited the clinic himself. As for what the doctor wrote, it is not clear.
Ive only prescribed an Anlishen tablet (donepezil hydrochloride tablet), Xie constantly stressed in his telephone conversation with reporters that he used only one drug during the false diagnosis and treatment. However, according to clinical data, Xie also prescribed methylcobalamin tablets, vitamin C tablets, ferrous succinate tablets, Ginkgo biloba extract and other drugs.
During the conversation, Xie hoped that the journalist would suppress the matter. I dont want to cause too much trouble for this matter. If this information is just for you, I also hope you will suppress this matter. What do you think? Well have a long future. In principle, preventive treatment is not allowed, but from my personal point of view, I do not think so much.
On the morning of January 17, a reporter from Beijing News met Xie Mou in the administrative building of Beijing University International Hospital.
According to his introduction, Yang Moumou, a neurologist at Beida International Hospital, was the first doctor to make a false diagnosis and treatment for him. But clinical data show that besides Yang Moumou, neurologists Wang Moumou and Zhao Moumou have made false diagnosis and treatment for them.
According to Article 82 of the Rules for the Implementation of Regulations on the Administration of Medical Institutions, a reporter from the Beijing News found that medical institutions should not issue false certificates. According to Article 42 of the Current Basic Standards for Medical Record Writing, if the staff members of medical institutions commit fraud, neglect of duty, abuse of power or favoritism, which does not constitute a crime, they shall be given administrative sanctions according to law; if the case constitutes a crime, they shall be investigated for criminal responsibility according to law.
In addition, on December 27, 2018, the Beijing Health and Health Commission announced the Beijing 2019 Action Plan for Improving the Standardized Service Behavior of Medical Services (hereinafter referred to as the Action Plan), which made relevant provisions for the Beijing Traditional Chinese Medicine Bureau, the Municipal Hospital Administration, the District Health and Family Planning Committees and the tertiary hospitals. The action plan clearly implements the strict management of the negative list for medical institutions, and lists a number of prohibitions.
The action plan clearly stipulates that medical institutions should strictly manage their posts and links, and should not cheat medical insurance funds by hanging up in hospital, falsely memorizing services, fraudulent use of identity, exchange of items, illegal charges, forgery of documents and bills, false propaganda, unreasonable diagnosis and treatment, etc. Medical institutions shall reasonably carry out various services according to the patients condition, and shall not decompose diagnosis and overtreatment. No decomposition of prescriptions, decomposition of examinations, decomposition of hospitalization, unreasonable increase in diagnostic and therapeutic items, and intraoperative price increase shall occur.
On the morning of January 17, Xinjing News reporter met Xie Mou in the office of Xie Mou, deputy dean of Peking University International Hospital. Xie Mou handed two VIP medical cards to reporters and put forward seal. New Beijing News Journalist Road Photograph
There are too many wrong prescriptions
In Beida International Hospital, another insider reported that Tan Mou, a deputy chief physician of anorectal surgery in the hospital, often decided whether to diagnose multiple diseases and prescribe drugs based on whether the patients used medical insurance or not.
At about 9 a.m. on January 7, 2019, a reporter from Beijing News came to the outpatient Hall of Beida International Hospital and paid a registration fee of 60 yuan to obtain the outpatient number of the deputy chief physician.
At about 11:30 a.m., a reporter from the New Beijing News entered the No. 13 clinic and was referred by him.
There may be hemorrhoids. The reporter responded.
Go to bed and lie on your side. Ill check for you. Tan Mou did not ask much, directed reporters to the next clinic bed, asked reporters to take off their pants for inspection.
Another male journalist standing on one side recorded the inspection process by video.
The whole inspection process does not exceed 10 seconds. The deputy chief physician said to the reporter, This is anal fissure and internal hemorrhoids. Its not a big problem. Just take some medicine.
At the end of the examination, the doctor asked the reporters for their own expenses and sat in front of the computer to fill in the bill of fees for outpatient treatment projects. According to the list, the clinical diagnosis was anal fissure and internal hemorrhoids, and the item name examination was anal examination and anal endoscopy. The total cost of diagnosis and treatment was 10 yuan. However, when he examined the reporters, he only used his fingers to diagnose them. He did not use other medical instruments such as anal mirrors during the whole process.
On another prescription note, Tan opened four boxes of Xihuang Capsules and a pill of Mayinglong Musk Hemorrhoids Ointment. Subsequently, the reporter was advised to open another three boxes of medicines for external use - Huli Powder.
Another doctor from the Anorectal Surgery Department of Peking University International Hospital told the Beijing News that hemorrhoids are the most common anorectal disease in clinic, with a wide range of hemorrhoids patients. Hemorrhoids can be divided into internal hemorrhoids, external hemorrhoids and mixed hemorrhoids according to the location of occurrence. However, there was no anal fissure symptoms during the examination.
For the three medicines prescribed by the doctor, a deputy chief physician of the Chinese Medicine Department of the General Hospital of the Chinese Peoples Liberation Army (301 Hospital) introduced to the reporter of the Beijing News that Xihuang capsule was generally used to treat hemorrhoids and cysts, but not for hemorrhoids and anal fissures.
Using Medicare to settle an additional disease
According to the informers description, Tan Mou, as an anorectal surgeon in the hospital, will make a false diagnosis according to whether the patient holds medical insurance or not in addition to the fictitious condition.
A doctor familiar with the deputy chief physician, Peking University International Hospital, told the Beijing News that when he diagnosed and treated patients with medical insurance, he would diagnose a disease called furuncle cyst.
A doctor from a third-grade A hospital in Beijing told Xinjing News that boils and swellings are inflammation caused by acute and chronic infections in surgical diseases. The main pathological features are red, swollen, hot and painful symptoms. The disease develops rapidly. When viruses and bacteria enter the blood from the focus, they are prone to sepsis. They must be treated early and seriously endanger the lives of patients. u3002
At 10 oclock on January 8, less than 24 hours after the first diagnosis, a reporter from the New Beijing News came to the Beida International Hospital with medical insurance again to find Tan Mou for examination.
In room 14 of Anorectal Surgery, when he saw the reporter, he said, Didnt you come yesterday?
Check again today to see if its getting worse. I didnt get the medicine yesterday. Reporter replies said.
Like the first examination, he asked the journalist to lie on his side in the clinic bed. After the examination, he said the journalists condition had worsened a little.
Do you have health insurance? He asked the reporter.
Then Ill prescribe the medicine for you as I did yesterday. Tan said that, through its computer print out a medical insurance prescription note, prescription note shows that the reporters clinical diagnosis is anal fissure, internal hemorrhoids, hemorrhoids swelling poison. The prescribed drugs are 3 boxes of Huli Powder, 4 boxes of Xihuang Capsules and a Mayinglong Musk Hemorrhoids Ointment. The total cost of automatic clearing machine display in outpatient toll office is 408.62 yuan.
After the examination, Tan told reporters in the Beijing News that the condition deteriorated and suggested surgical treatment.
New Beijing News reporter through two consecutive days of outpatient prescription information comparison found that, without medical insurance, the doctor only false diagnosis of internal hemorrhoids and anal fissure for reporters; after the use of medical insurance, he was internal hemorrhoids and anal fissure on the basis of more diagnosis of hemorrhoids swelling poison.
On the morning of January 8, Tan Mou, deputy chief physician of anorectal surgery, Peking University International Hospital, prescribed the medicine for reporters after diagnosis, with a total value of more than 400 yuan. New Beijing News Journalist Road Photograph
Reporters reexamined no anal fissure, boils, swelling and poisoning
In order to find out whether the reporter suffered from the three diseases diagnosed by the deputy chief physician, the reporter rushed to Tiantan Hospital Affiliated to Capital Medical University for a review three hours later.
In the general surgery clinic on the south side of the second floor of the outpatient department, a deputy chief physician of the general surgery clinic carried out an anal examination for the reporter of the Beijing News and examined it by anus endoscopy. After the examination, the doctor said that the reporter had only minor internal hemorrhoids, no anal fissure, and no symptoms of hemorrhoids swelling.
Subsequently, the doctor wrote in the reporters medical record, PE (physical examination): Anal endoscopy at 6 oclock chest and knee position can be seen anal canal blue (local venous blood stasis, a description of internal hemorrhoids), no bleeding, local eminence.
The diagnosis of the two doctors is quite different.
Tiantan Hospital, a doctor, told the Beijing News that the inflammation of hemorrhoids is usually caused by infection, and its symptoms and clinical manifestations are totally different from those of hemorrhoids. The clinical manifestations of hemorrhoids are obvious, and patients can clearly feel the existence of the disease, he said. According to TCM pathology, hemorrhoids and swelling poison refers to a general term of sores and ulcers and hemorrhoids. This is two different things from hemorrhoids.
Dont prescribe medicine, avoid spicy diet and stay up late. When the reporter told the doctor about the medicines and diagnostic results he would get at Beida International Hospital, he did not respond. He just looked at the reporter sideways and said with a laugh, Just go home and have a good rest. Its all right.
Hemorrhoids, swelling poison and hemorrhoids are totally two different diseases. Dr. Zhao, Department of Traditional Chinese Medicine of 301 Hospital, agreed with two other anorectal specialists that boil swelling and poisoning is a general statement of various sores and ulcers and poisoning. Hemorrhoids tend to be hemorrhoids, while hemorrhoids are skin infections and inflammation caused by acute and chronic surgical infections. Zhao said, Xihuang capsule is mainly used for hemorrhoids swelling and toxicity, Xihuang capsule medicinal temperature, not for the treatment of hemorrhoids disease.
On the morning of January 8, Tan Mou, deputy director of anorectal surgery, Peking University International Hospital, issued a prescription document for the journalist after diagnosis, which recorded the information of the symptoms and medicines that Tan Mou diagnosed and treated for the journalist. New Beijing News Journalist Road Photograph
Doctor Change Medical Record Suspicious Check
Wang Jun, an informed doctor at Beida International Hospital, told Xinjing News, There are four doctors in anorectal surgery, of whom the deputy chief physician is the main sitting doctor, and his visits rank first in the department.
Wang Jun introduced that similar diagnostic behavior occurred in the department, and most of the cases were diagnosed and treated by the deputy chief physician. He will increase the disease according to the patients condition, at the same time, according to whether the patient holds medical insurance to prescribe whether the patient suffers from boils and swelling poison.
When a patient spends his own money, he does not write a medical record of boils and swellings. Wang Jun said that patients at their own expense bear the cost of diagnosis and treatment. Generally, they will not inquire whether the medicines used match the symptoms, nor will the Medical Insurance Bureau make inquiries.
New Beijing News reporter grasps the diagnosis and treatment information, the first diagnosis and treatment of the reporter on January 7 in the medical record information is also more than the furuncle swelling virus disease. At the end of the first examination, the physician did not provide the electronic medical record to the journalist, but only the prescription note for the outpatient department, and the prescription note for the outpatient department did not contain scabies and swelling.
Wang Jun said that the clinical diagnosis in the electronic medical record must be consistent with the clinical diagnosis information in the outpatient prescription note. But in less than 24 hours, the visiting physician privately changed the reporters medical records.
Wang Jun introduced that the medical insurance bureau would check the medical treatment status of the patients with medical insurance, If there is no indication of medication in the patients medical record when Xihuang capsule is issued, it belongs to the act of prescribing drugs in disorder. Wang Jun analyzed that the deputy chief physician added boils and swellings to the medical records of medical insurance patients, mainly to avoid the investigation of the Medical Insurance Bureau, and also to worry about the refusal of medical insurance payment.
According to the information of diagnosis and treatment, Xin Jing Bao reporters found that in the morning of January 8, more than 20 patients in the anorectal surgery department of the hospital, including 6 patients with Beijing Social Security including Xin Jing Bao reporters, all of their outpatient information showed that they suffered from ulcers and swelling poisons. The deputy chief physician prescribed Xihuang capsules for the above six patients. Several of the patients at their own expense were not diagnosed with boils and swellings.
On January 21, a reporter from the Beijing News contacted Tan Mou, the doctor concerned, by telephone, questioning the false diagnosis and treatment of the journalists. Tan said that the reason for the diagnosis of hemorrhoids and swollen poison for reporters is that the ulcer of hemorrhoids and swollen poison is the ulcer of hemorrhoids, from my diagnosis, hemorrhoids accord with hemorrhoids and swollen poison. When the reporter asked why the two diagnostic results were different, he replied, Diagnosis is too busy to cover all aspects.
And why do doctors make false diagnosis and treatment, and there are different problems between those who have medical insurance and those who dont. Xie Mou, deputy president of Peking University International Hospital, said there were three situations: the first was that doctors could open three or four more boxes of a drug based on the patients illness; the second possibility was that the patients demand was put forward on his own initiative; and the third one was that the doctor would receive a corresponding rebate from the medical representative after prescribing more drugs. The third is the common latent rule, which is no secret in the medical industry.
A medical administrator of the former Naval General Hospital also said that in recent years, the phenomenon of false diagnosis often occurs in the medical industry, some doctors and patients collude or use medical insurance to benefit each other, or doctors independently prescribe drugs for patients through false diagnosis, and then get kickbacks from the medical representatives according to the designated drugs. The experts said that in the medical profession, doctors false diagnosis violates not only the Rules for the Implementation of Regulations on the Administration of Medical Institutions and the Basic Standards for Medical Record Writing issued by the former Ministry of Health, but also the professional ethics of doctors.
On January 23, a reporter from the Beijing News will report to the Beijing Municipal Health and Health Commission and the medical and health management department about the information of Xie Mou, the Anorectal Surgery Department, Neurology Department and Vice President of the Beida International Hospital, concerning diagnosis and treatment.
The reporter learns from the relevant departments in Beijing that the medical insurance management department has paid attention to this matter and will go to the hospitals concerned to know the situation. For the problems involved in the report, it is necessary to wait for investigation and verification before making a formal conclusion. Relevant officials said that the health insurance fund is related to the vital interests of the people, as long as problems are found, it will be carefully checked to ensure the safety of the health insurance fund. If it belongs to the problem of fraudulent medical insurance, it will be dealt with resolutely.
Source of this article: Xun Jianguo_NN7379, responsible editor of New Beijing Daily