Tea-gate

 Some time ago, the QQ, met a fellow reporter about to do, without reference to chat in the March 19, 2007 created a hubbub of when they revisit the issues.
in the report I saw one, based on now for doctors, hospitals, too many and too negative a variety of reports that he will not care too much. But things heated discussions, the aftermath is not the net , has affected their feelings, heart, then speak out!
medical students about to graduate as soon as it will go to frontline medical work, may also face numerous Xi Yi Shuihan winds blow, Xi warrior is not a thing of the past to tragic.
the original news:
a reporter asked the general situation, called a reporter to go to be a urine test.
press the tea poured into a prepared cup of urine samples in full bloom, and then sent to the laboratory. less than 5 minutes, test results came out. the values shown above include: three indicators, including excessive bilirubin. Dr Choi said after reading a single laboratory, from laboratory test shows the: l white blood cells, 1-3 r that inflammation may is urethritis, you must first go back with some medicine to eat, not good again soon.
Dr Choi opened the three boxes to the reporter anti-inflammatory drugs, two boxes of a satirical ADM capsules, a box of azithromycin tablets, including medication and inspection fees , the reporter spent a total of over two hundred and twenty yuan.
located in Hangzhou Xiaoshan District, No. 608 Xiao Shao Xiaoshan Road, Huadong Hospital, laboratory technicians to get our tea samples, sends it to the test machine, a few minutes later, the report single out, bilirubin a plus. the. When asked Can not dispensing, the doctor did not answer, but said the best for further examination.
reporter went to the hospital is located in the Third Degree Road, Sha, Hangzhou of Zhejiang University Obstetrics and Gynecology Hospital, listening to that journalists have a pain when urinating, a reporter asked the doctor to be a urine test, the same reporter to the prepared tea water sent to the laboratory. half an hour after the test results came out, white blood cells plus 2, interleukin 2 microscope to 3. it really will be inflamed? large hospital ever going wrong? With this question, the reporter in the hospital with the same tea water made a second test. displayed on a single laboratory, the instrument detected a plus white, artificial microscopic detection of leukocyte 1-3 plus. The medicines prescribed by doctors to reporters is a box of medicine, five boxes of Chinese medicine, Western medicine is a left g levofloxacin capsules, medicine tablet is inflammation and bleeding Yinhua Relinqing particles, drugs costs 70 yuan.
reporter ran the first four hospitals in Zhejiang Province Chinese Medicine Hospital, 10 minutes after the test results came out, an increase of bilirubin, manual microscopic detection of red blood cells 1-3, and before reporters to find out how the matter, doctors say the laboratory: six public hospitals, six public hospitals, there are four is the provincial hospitals, are using the same cup of tea water as urine samples, test results are: two private hospitals and two provincial hospitals have not been detected in tea leaves in the water white, the other six hospitals were detected in varying degrees of white blood cell and red blood cells, including two hospitals on the laboratory test showed that white blood cells can be seen with a microscope, 5 hospitals to reporters with the anti-inflammatory drugs, a total of 1,300 yuan drugs left and right. , at their own expense to do with tea to complete the testing of urine testing. tea is to buy their own, the registration fee out of their own, but also pay for their own inspection fees, and all laboratory tests are used to apply a single pseudonym, and then aggregated information and data for statistical analysis.
so costly, not only summarized as follows boring move: hit back at those irresponsible and malicious slander of misinformation, with clear green tea for their seating arrangement.
from The data fed back to see, to do with the tea test results of urine testing rarely normal, 136 were tested in a single, 127 were in varying degrees of abnormalities were found not urobilinogen urine specific gravity is reduced, excessive bacteria, ketones detected, a Then we came out from the first scientific description of the basic principles of: tea will not check out the red white?
laboratory doctor, > urine occult blood (RBC) analysis of the reaction principle is the use of test strips in the heme of hemoglobin false catalytic decomposition of peroxide peroxidase activity, new eco-oxygen, and then oxidation indicator, the indicator color From the intensity of the color of blood can see that the concentration of urine.
measured in urine leukocyte reaction principle is the use of neutrophil esterase catalyzed hydrolysis of the indole phenol ester hydrolysis to produce free phenol and free phenol oxygen and the test strip in the coupling of the diazonium salt was purple.
tea and the complexity of the material in water, including water, protein, amino acids, caffeine, polyphenols, carbohydrates, lipids, minerals, plants pigments, vitamins, volatile components, organic acids and so on. Some of the tea due to environmental pollution, the more impurities it contains numerous, as long as there is oxidation, which can produce a new eco-oxygen, can make the indicator oxidation, the indicator was color, resulting in false positive reactions, while those of phenolic and other organic matter, as long as the diazonium salt with the test strip in the coupling reaction occurs to produce false positive results can be.
Some might say that the various components of urine do not too much? special urine test strips, but the design has taken into account when these disturbances, and thus little effect. By the same token, the tea of the physical components (such as dust, debris, suspended particles, theophylline crystals, etc.) there are many, could easily cause some urine sediment analyzer reported the results of the error.
now normal hospital laboratory or test center by the use of analytical instruments and reagents urine are approved by state departments Urine-specific detector, is in the state under the strict quality assurance system carried out its quality assurance object is the body's urine, instrument design and testing principles are also of urine, and clinical examination provinces Center for at least two tests on the hospital to ensure the accuracy of test results. If the press really want to look into the quality of hospital tests, you can buy some urine quality control materials (with commercial reagents supplied), to various hospitals to do, and the final results were collected and statistical analysis.
II
practices do not meet the test from the laboratory point of view, first of all is the specimen failed. Clinical Laboratory Practice regulations: to stay in the urine shall be taken to take the fresh urine, the urine is appropriate to the early morning for the first time, conditions constant, easy comparison; the use of clean covered container; specimens sacrificing, should be promptly inspected, in order to avoid bacterial growth, cell lysis and so on. tea contains a large number of unknown interfering substances, urine test strips are designed primarily to consider the composition of human urine and to avoid the interference of other substances, accurate determination of the required items, instead of tea ingredients. From this perspective, any inspectors posing as the face of a glass urine samples of tea, there is no way to start doing quality control.
test or manual test equipment through a variety of chemical or biochemical indicators to indirectly determine whether there is inflammation, instruments and experimental materials testing there is a certain base price range, urine testing is one of the precautions in the hours prior to testing should not drink tea, coffee and other beverages, so as not to cause false positive results. Obviously, the direct use of tea to do the check what the consequences will appear. In the past some people out cheat go to the hospital in a variety of purposes, This is nothing new tricks.
the other hand, developed countries, some patients really test specimens collected by medical personnel to assist. such as urine, specimens collected in the female patients, the first carefully cleaning the vulva, in the medical the supervision and guidance of specimens from urine, or genital skin, the bacteria can contaminate samples, resulting in false positive results. As our country is currently no check conditions to imitate foreign models, many specimens were collected from the patients themselves, as collected improper, it may cause false positive test results. when a doctor is necessary according to clinical symptoms, the patient complained to carry out comprehensive judgments, when necessary, under the guidance of medical personnel in the retest.
small science: the urine in the tea routine check, why would a peroxide, to generate new ecological oxygen, oxidation indicator, so that the color indicator, from the intensity of the color of blood can see that the concentration of urine. That is not a complete measure of red blood cells, but the sub-Jagged red pigment, so if red blood cells have decomposed, you can still measure the positive. so often quoted Laboratory: RBC + +, microscopy-negative results. If you leave the tea contains substances peroxidase activity, the same can be decomposed peroxide test strips material samples, new eco-oxygen, oxidation indicator, the indicator color.
small science: the tea and urine routine examination, microscopic examination will report found why some red / white?
1, microscopic morphology of detection are needed to determine the experience of inspectors. If the naked eye under a microscope to see a very typical red / white blood cells was reported that, despite improved diagnostic specificity, but reduced the sensitivity of diagnosis. because the urine cells (if indeed any) form of the ever-changing, there does not typical, like much of, or complete cell morphology has been destroyed, leaving only cell debris or residue. So as a test officer should take into account the sensitivity of and specificity, see a typical cell is about to report that atypical cells may be considered in patients suffering from the disease after the report. tea there are particles, dust, theophylline crystals, tea and other debris in the normal human urine did not contain the ingredients that will greatly interfere with inspection personnel to determine and identify. especially in the face, a prior complaints under a microscope to see who suspected the positive (previous paper has described the basic principles), which inspectors had a great disturbance.
now moving on to the journalist for a really beautiful, and well-planned information for their own clues, for the director's 2007 In the spring of the first Pa Support for dysuria may be a clinical demonstration of disease.) test results were provided by the laboratory folder to the body temperature of a hot water bottle, the doctor will put a reporter diagnosed as The results obtained after the diagnosis listed in the press did not forget to drop out of a majority of the drugs, I do not know that she is to expensive drugs, prescription errors, or stolen my heart secretly delighted in the curse? hi to my doctors finally on sets of pull, criticize doctors greedy? doctors in the diagnosis of urinary tract infection patients complained mainly for reference, signs and other factors, and female anatomy and physiology because of its characteristics, the urethra is short and straight than men, more conducive to bacterial entry, prone to urinary tract infections and other diseases, there are statistics of women in the male urinary tract infection is 8-10 times, so when a female reporter to tell the doctors themselves, cases can be other reasons for treatment (this drug is: diagnostic treatment), while no one do not want to just treat sick patients as doctors do not really like to see their patients give up treatment, said that many people will argue: Doctors are not afraid of giving up a god of wealth, this I have nothing to say, I just think you should not get sick, sick, you should not see the doctor, and everyone should go to study medicine 求人不如求己 m not saying it? doctors and patients trust the least are not guaranteed: Patients often worry that doctors will rule disabled, he may die, the doctors felt more and more people are to see the doctor next to each plaintiff and the defendant himself!
false history posing with tea urine, the combination is bound to interpret the absurd result. This is not a doctor and medical tests error, nor the incompetence of medical science and technology. For modern science and technology is concerned, to distinguish between urine and tea, soy sauce, beer to design a different urine and tea, soy sauce, beer testing equipment can be described as easy, but doctors are not journalists, doctors assume that patients will not go to a history of forgery, false complaints to prank with tea instead of urine, although the of this combined with the forged specimens will produce absurd results.
course, the media is not a professional body, news reporters are not medical professionals, but the lack of basic medical science literacy is not your fault but you is your good out of voices . the general understanding of medical knowledge for the people may be less than professional journalists, physician-patient relationship is based on the doctor-patient trust, and to jointly deal with disease. For these, these journalists can not be ignorant, not the ignorance, should not interfere with patient relations and deepen the opposition parties as a selling point. journalists have been recovered so professional responsibility has long been lost.
in the Thinking interpretation of a silly joke for the medical profession, the expense of home patient trust, make fun of the medical staff, to fool the people, poisoned the physician-patient relationship and undermine the social harmony. as a propaganda medium for building a socialist harmonious Social time you sing a discordant note.
trust the doctor said. journalists, the public and doctors say the word. journalists to tea as urine, as a touchstone of medical ethics and medicine, and its ideas themselves are very poor, very ridiculous, she fooled a doctor, fooled the public, but also made a fool of himself. his first to abandon the integrity test method is also tested in a frivolous law.
from the , to fulfill their obligations should follow the principle of good faith. the reporter posing as patients, providing false urine is very dangerous behavior, take up valuable medical resources, harm the public interest.
shall abide by laws and administrative regulations, observe social ethics, or disturb the social economic order or harm the public interest. investigation and evidence collection can go to the hospital, but the reporter's investigative power is not unlimited.
hospital is a place where patients, a large number of dying patients every day waiting for treatment, a counterfeit of the 10 hospitals made a false statement to require hospitals to provide tea and pretending to urine designed to check the medical equipment to detect the urine itself is dangerous, take a direct consequence of damage to the other 10 patients the opportunity for consultation and valuable medical resources direct danger that may lead to other patients because they could not timely detection and treatment and early death.
In addition, there may lead to contamination or damage to medical equipment, impact on other patients with the diagnosis and treatment of disease.
visible very large, damaging the public interest.
(c)
damage the national, collective or a third party; (c) a legitimate form of cover up illegal purposes; (d) damaging the public interest; At least damage to the social behavior of public interest (the specific reasons have been expounded in the preceding), and the Law Protection Act, , producers, uses, performance, specifications, grades, main ingredients, production date, expiration date, certificate of inspection, operation instructions, service, or service content, specifications, costs and other relevant circumstances. hospitals to provide patients with the medical services, medical services patients as objects, hospitals and medical services provided by medical staff shall enjoy the right.
(b) of the press and the medical staff of hospitals provide medical services investigative power, supervision.
behavior of social supervision. The mass media should do a good job of safeguarding legitimate rights and interests of consumers propaganda, prejudice the legitimate interests of consumers conduct public opinion. the truth of the investigation and supervision of medical services, the legal powers of China, therefore, journalists and medical personnel of the hospital medical services provided investigative and oversight powers.
(c) The reporter, not consumers, not the PRC Consumer Rights Protection Law by the .
apology, and may claim damages. corporate name, reputation or honor is infringed upon, the preceding paragraph shall apply. the courts to resolve this matter.
(b) : false statement, the hospital can not get the correct information, they can not make the right judgments.
Second, journalists can not prove that submission of false urine mm tea does not received any pollution, so the reporter said, not enough to prove the evidence question the integrity of the hospital.
again, reporters outside the hospital issued a reputation of derogatory remarks, the evaluation of community hospitals will naturally be reduced, so the reputation of natural damage to the hospital.
the statements of foreign journalists because of the lack of valid evidence to support, we can boldly say they suspect that their reporters go to the hospital is to check the urine specimen provided is not the tea she had been declared, if such things happen and that the discussion of this is is absurd. She is alleged to infringe the right of the hospital's reputation. Once the hospital filed defamation lawsuits against journalists and the media is highly likely.
matter has now, the consequences to both parties with varying degrees of impact: Doctors once again pushed to the cusp, the doctor's working style and professionalism once again become the object of everyone crusade; and gossip reporter again of your own, the mass in the same time, the doctor suspected a lack of respect you more.
in these Doctor!