Lin Gao Qiming

Chapter 2598 Investigation (25)

There are really various ways to get the medicine.In addition to the more advanced method of using prescriptions from other courts to obtain public medicines from this hospital, there are many other tricks. The simplest one is to steal medicines directly from the pharmacy in cooperation with two cleaners. , Using the medical waste trash can to avoid inspection and take it directly out of the hospital.

When Zheng Mingjiang first heard about such a practice, she didn't feel her eyes widened, thinking that this method was unimaginative, it was completely reckless.

"Didn't they consider the account deficit?"

"Of course I have considered it." Wu Mu said, "The method is also very simple."

"How easy is it?"

"The medicines are taken out, the packaging box and instructions are kept, and then replaced with some messy things, as long as the appearance looks similar. So they don't touch medicines such as oral liquids and injections packaged in glass bottles." Wu Mu Said, "The people in the warehouse just take a rough look to see if the quantity is correct, and they don't open the boxes one by one to check."

"This, it's...too... funny, there is such a thing!" Zheng Mingjiang still couldn't help himself, "But if this is sent out, wouldn't it be harmful?"

"Anyway, this kind of fake medicine won't kill you if you take it. At most, the patient thinks your medicine is useless. Even if you tell the doctor, the doctor will think that the medicine is not right. Even in the old time and space, taking medicine is not [-]% effective for the symptoms. effective."

"I really thought it was too complicated." Zheng Mingjiang said with a wry smile, "I also thought it would be simple! I thought the rules and regulations would be foolproof!"

"Rules and regulations are made by people, and people will not be foolproof." Wu Mu has seen this kind of things a lot. After all, a good system needs someone to implement it.In terms of the elder's own ability and the busyness of his work, it is considered good to be able to implement the system, but it is almost impossible to implement it in place.

As far as the Provincial and Hong Kong General Hospital is concerned, with two or three veterans leading hundreds of naturalized medical workers, over a thousand patients a day, and over a hundred inpatients, it is remarkable to be able to maintain the current normal operation up.

Besides, the huge difference in drug prices caused by the dual-track system of public medical care and commercial medical care implemented by the Senate has also become a hotbed of various corruptions.Under the temptation of such great interests, the loss of medicines is only a matter of degree, not whether they are available or not.

"I also mentioned this issue to Dean Shi last time. There will definitely be problems with our dual-track drug pricing system. It is better to adopt a single price and integrate the medical insurance system for civilian workers. This can at least eliminate the arbitrage space for drugs." Zheng Zheng Ming Jiang said, "There is too much room for arbitrage in doing this now. For such a large profit, someone will kill the head."

After several days of interrogation, the number of naturalized civilian workers and ordinary people involved expanded to hundreds.Some of them registered repeatedly to obtain prescriptions; some specially purchased the medicines dispensed by the naturalized people; some colluded with nurses to deduct and falsely claim medicines from hospitalized patients...

The more Zheng Mingjiang checked, the colder he felt.I originally thought that a large medical institution like the Provincial and Hong Kong General Hospital would be much more stringent and stricter than a small institution because of the veterans in charge.There will be very few cases of running and leaking.

Unexpectedly, due to the large number of consultations, the large amount of drugs used, and the complicated accounts, large institutions have even greater problems due to the indiscriminate filling of a large number of low-quality management personnel who are not qualified enough.

We have been born and died in the new time and space. In less than ten years, all kinds of corruption have emerged as the times require. Look at these ghost tricks full of tricks.For the first time, she had doubts about her career: what the hell are we here for!
The more I read the report, the more frustrated I felt. The determination to "investigate to the end" also began to waver.She can't imagine what kind of results will be revealed once the audit of the Lingao General Hospital and the joint logistics and health service system, which has not yet been audited...

But the matter has come to this point, even if you want to retreat, it is no longer possible, the only way is to continue to investigate.Find out all the problems that are currently occurring, and then make remedial measures based on the discovered loopholes.

It is impossible to come up with a one-and-done system.At first, she only thought that this sentence was a helpless compromise to the hard-won status quo, and that as long as she was determined to overthrow and start over, everything could be corrected.

Now it seems that a piece of white paper is easy to draw pictures, but any design is not perfect,
What she can do is to fix the situation and re-draft the Drug Administration Law, Drug Clinical Trial Quality Management Regulations, Drug Registration Management Regulations, Drug Production Supervision and Management Regulations, Drug Distribution Quality Management Regulations, Drug Advertising Review Management Regulations, and Drug Inspection Management Regulations in this time and space. A series of laws and regulations.

Zheng Mingjiang knows that the law, as a superstructure, must adapt to the current productivity and production relations, otherwise it will be useless and cause endless troubles.As a regulatory agency of a late-developing country, the drug administration in the old time and space has been learning from the FDA, the Ministry of Health, Welfare and EMA (European Medicines Agency) since its establishment. It always talks about being in line with international standards, and is proud of copying FDA regulations. So much so that the abbreviation SFDA is joked as Stupid FDA.

Therefore, it is not an easy task to draft the laws and regulations of this space-time and make it play a positive role, so we can only do it slowly.

In addition, she is still drafting several popular science articles.When Wang Liang returned to Lingao, she took away all kinds of "miracle medicines" she had collected, and the drug analysis report had been sent back to Guangzhou.Among them, the majority of antibiotics are sulfonamides, followed by penicillin V, which is in line with the current production practice.

That’s all for sulfonamides. Penicillins are β-lactam antibiotics. According to their antibacterial spectrum and drug resistance, they can be divided into broad-spectrum penicillins, enzyme-resistant penicillins, broad-spectrum penicillins, anti-Pseudomonas aeruginosa broad-spectrum penicillins, and Penicillins against Gram-negative bacteria.The narrow-spectrum penicillins are represented by penicillin G for injection and penicillin V for oral use.Penicillin G is a natural penicillin, which can be extracted from Penicillium culture fluid. Its chemical properties are relatively stable, its antibacterial effect is strong, and it is easy to enter the blood-brain barrier during inflammation. It is a commonly used antibiotic in old time and space. Stable and not heat-resistant, it is easily destroyed by gastric acid and digestive enzymes when taken orally, and has little and irregular absorption, so it is not suitable for oral administration and is usually used for injection.Penicillin V can be obtained by fermenting precursor substances. Its antibacterial spectrum is the same as that of penicillin G. Its biggest feature is acid resistance and good oral absorption. However, food can affect drug absorption. The disadvantage is that it is easily hydrolyzed by penicillinase. Cocci are ineffective and should not be used for severe infections.As for amoxicillin, another broad-spectrum oral penicillin commonly used in the old time and space, it is a semi-synthetic antibiotic, which exceeds the current production capacity of the Senate.

Although traditional medicine in this time and space does not have the concept of dose-effect relationship, it also knows that dosage is very important, so there is a saying that "the secret of non-disclosure lies in the quantity".Although they also have a simple understanding of pharmacy, the pharmacokinetics are obviously beyond their cognition, so they don't know that oral penicillin for injection will not reach the required blood concentration.

In addition, there is another problem of drug resistance that needs to be paid attention to. Many veterans think it is too early to consider this problem, but the drug dose is too small and the time is too short not only to fail to achieve the therapeutic effect, but also to promote the screening of the flora. Accelerate the development of drug resistance.Not everyone can afford a small packet of antibiotics for one tael of silver, and they can take them for several days in a row.These are great hidden dangers.

After several days of interrogation, the "Hurstone Powder" case in the Luofu Drug Market finally surfaced.After the political security secretly arrested Lu Renjia, they finally drew up the whole picture of the case.

As the director of the Nanhai County Health Center, Lu Renjia not only undertakes the basic medical care and health security work in Nanhai County, but is actually in charge of the medical and health services of the entire Nanhai County.This gave him an excellent opportunity to do his best.

Lu Renjia has long been aware of the huge market value of "Australian medicine", and when he first took office as the director of the Nanhai County Health Center, he has already started to sell the medicine privately. However, there is only one Nanhai County Health Center in the medical institution that he directly manages, and the medicines he can get are very limited, so he can only do small things.

It was after he got acquainted with Quan Youde that he really started to work hard.

It stands to reason that Quan Youde is from Huizhou Prefecture, and he has nothing to do with him.But Quan Youde drilled in the name of "drug dealer" and got acquainted with Lu Renjia.

At first, they just used high kickbacks as a bait to ask Lu Renjia to "take care" when bidding to purchase various proprietary Chinese medicines and crude drugs. After a lot of contact, the two gradually became friends, and then they "married Jinlan". .

Zheng Mingjiang thought to himself that they all follow this path!Zheng Xiaoyu and He Jun were like this, but I didn't expect Lu Renjia and Quan Youde to be like this too!
Lu Renjia was born in a poor family, but his grandfather was a wealthy family, and later fell down.Although Lu Renjia has never had a good day, he has inherited a lot of his grandfather's old ideas.Among them, what caught his heart the most was "there are three unfilial acts, and the greatest is to have no descendants."

He was rescued by the Senate in Guangzhou. After he came to Lingao, although he studied at a health school, later became a doctor, and was promoted to a senior cadre of Guihuamin, he always had opinions on his family.

His wife was a female nurse who was a matchmaker for the elders when he was working in the Bairen General Hospital.Married and had two daughters.Although the family life is quite happy, but not having a son has always been his heart disease, and as a nurse's wife, she is not very "obedient" to him.Let Lu Renjia have been brooding.This time he went north to Guangzhou, and originally wanted his wife and children to be transferred here, but his wife felt that the children did not have a good kindergarten in Guangzhou, so she did not come with him and stayed in Bairen General Hospital.

(End of this chapter)