There are many different ways to obtain drugs. In addition to the more advanced method of using prescriptions from other hospitals to obtain publicly funded drugs in our hospital, there are many other tricks. The simplest one is the warehouse clerk of the pharmacy.
Cooperating with two cleaners, they stole medicines directly from the pharmacy and took them directly out of the hospital using medical waste bins to avoid inspection.
When Zheng Mingjiang heard about such a practice for the first time, her eyes widened. She thought that this method was unimaginative. It was completely reckless.
"Have they never considered a deficit?"
"Of course I have considered it." Wu Mu said, "The method is also very simple."
"How simple?"
"The drugs are taken out, the packaging box and instructions are left, and then replaced with some messy things, as long as they look similar in appearance. So they don't touch oral liquids, injections and other pharmaceuticals packaged in glass bottles." Wu Mu.
Said, "The people in the warehouse just take a look at whether the quantity is correct, and they don't open boxes one by one to check."
"This, it's so... so... funny, there is such a thing!" Zheng Mingjiang still couldn't calm down, "But if this were posted, wouldn't it be harmful to others?"
"Anyway, such fake medicines won't kill people if they are taken. At most, the patients will think that 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 100% able to treat the symptoms.
Effective."
"I really thought it was too complicated." Zheng Mingjiang said with a bitter smile, "I also thought it was simple! I thought everything would be foolproof if the rules and regulations were followed!"
"Rules and regulations are made by people, and they are not foolproof." Wu Mu has seen a lot of this kind of thing. In the final analysis, a good system needs someone to implement it. Considering the elder's own ability and the busyness of the work,
It would be great if the system can be implemented, but it is almost impossible to implement it properly.
Considering the scale of the Provincial and Hong Kong General Hospital, which has two or three veterans and hundreds of naturalized medical workers, receiving over a thousand patients and inpatients over a hundred every day, it is remarkable to be able to maintain the current normal operation situation.
Already.
Besides, the huge drug price gap caused by the dual-track system of public medical care and commercial medical care implemented by the Senate has also become a hotbed for all kinds of corruption. Under such a huge temptation of interests, the loss of drugs is only a matter of degree, not
Is there any problem anymore.
"I also talked about this issue with Dean Shi last time. Our dual-track drug pricing system will definitely cause problems. It is better to adopt a single price and a naturalized employee medical insurance system. This can at least eliminate the arbitrage space for drugs." Zheng
Ming Jiang said, "If we do this now, there is too much room for arbitrage. With such a huge profit, someone would behead someone."
After several days of interrogation, the number of naturalized workers and ordinary people involved expanded to hundreds. Some of them registered repeatedly to obtain prescription orders; some specially purchased the medicines dispensed by naturalized citizens; and some were colluding with nurses.
Stealing and counterfeiting drugs from hospitalized patients...
The more Zheng Ming Jiang checked, the more he felt his heart go cold. He originally thought that because a large medical institution like the Provincial and Hong Kong General Hospital has veterans in charge, its compliance would be much better and stricter than that of a small institution. There would be fewer leaks.
.
Unexpectedly, large institutions would have even greater problems due to the large number of patients they receive, the large amount of medicines they use, and the complex accounts they have, and the large number of low-quality managers who are not qualified enough to make up the numbers.
We have been born and died in the new time and space. In less than ten years, all kinds of corruption have emerged. Looking at these various tricks, she had doubts about her career for the first time: What are we?
What are you here for?
The more she read the report, the more discouraged she felt. Her determination to "get to the bottom of it" began to waver. She couldn't imagine what would happen once the audit of Lingao General Hospital and the joint medical service system, which had not yet been audited, would come out.
The result comes...
But now that the matter has come to this point, even if you want to back down, you have no choice. 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 was impossible to come up with a system that could be solved once and for all. She originally thought that this sentence was a helpless compromise to the hard-to-return status quo. She felt that as long as she was determined to overthrow it and start over, everything could be corrected.
It seems now that a piece of white paper is easy to draw, but no design is perfect.
All she can do is to make up for it and redraft the Drug Administration Law of this time and space, the Drug Clinical Trial Quality Management Practice, the Drug Registration Management Measures, the Drug Production Supervision and Management Measures, the Drug Business Quality Management Practice, the Drug Advertising Review and Management Measures, and the Drug Inspection Management Measures
and a series of laws and regulations.
Zheng Mingjiang knows very well that the law, as a superstructure, must adapt to the current productivity and production relations, otherwise it will be in vain and cause endless troubles. As a regulatory agency in late-developing countries, the drug administration of the old time has been reporting to the FDA, the Ministry of Health and Welfare and the EMA (Europe) since its establishment.
Drug Administration), always talks about being in line with international standards, and is proud of plagiarizing FDA regulations, so much so that the abbreviation SFDA is joked to be Stupid FDA.
Therefore, it is not an easy task to draft the regulations of this time and space and make them play a positive role. We can only do it slowly.
In addition, she is also drafting several short popular science articles. When Wang Liang returned to Lingao, she took away all kinds of "magic medicines" she collected. The drug analysis report has been sent back to Guangzhou. Among them, the antibiotic part
Sulfonamides are the most common, followed by penicillin V, which is in line with the current production reality.
Sulfonamides are all. Penicillins are β-lactam antibiotics. According to their antibacterial spectrum and resistance, they can be divided into small-spectrum penicillins, enzyme-resistant penicillins, broad-spectrum penicillins, anti-Pseudomonas aeruginosa broad-spectrum penicillins, and
Penicillins against Gram-negative bacteria. Among them, narrow-spectrum penicillins are represented by penicillin G for injection and penicillin V for oral use. Penicillin G is a natural penicillin that can be extracted from Penicillium culture fluid. Its chemical properties are relatively stable and antibacterial.
It has strong effects and easily enters the blood-brain barrier during inflammation. It was a commonly used antibiotic in the old days. However, its disadvantage is that it is extremely unstable when dissolved in water and is not heat-resistant. Its oral administration is easily destroyed by gastric acid and digestive enzymes, and its absorption is low and irregular. Therefore,
It is not suitable for oral administration and is usually used for injection. Penicillin V can be obtained by fermentation by changing the precursor substance. 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.
, so it is ineffective against most Staphylococcus aureus and should not be used for serious infections. As for amoxicillin, another commonly used broad-spectrum oral penicillin in the old days, it is a semi-synthetic antibiotic and 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 dose is very important, so there is a saying that "the secret of secret lies in dose". Although there is a simple understanding of pharmacy, pharmacokinetics is obviously
It is beyond their cognitive scope, so they do not know that taking penicillin for injection orally will not achieve the required blood concentration.
In addition, there is another issue of drug resistance that needs attention. Many veterans believe that it is too early to consider this issue. However, the dose of the drug 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 bacterial flora.
Accelerate the development of drug resistance. Not everyone can afford to take antibiotics that cost one tael of silver for a small packet, and they can last for several days. This is a huge hidden danger.
After several days of interrogation, the "Hearthstone Powder" eucalyptus from Luofu Medicine Market finally surfaced. After the political security secretly arrested Lu Renjia, they finally mapped out the full picture of the eucalyptus.
As the director of the Nanhai County Health Center, Lu Renjia is not only responsible for the basic medical and health security work in Nanhai County, but is actually responsible for the medical and health services of the entire Nanhai County. This gives him an excellent opportunity to get involved.
Lu Renjia has long been aware of the huge market value of "Australian medicine", and when he first took office as the director of Nanhai County Health Center, he had already begun to extort drugs and sell them privately. However, although he had the authority to manage all Nanhai health institutions,
However, the only medical institution that he directly manages is the Nanhai County Health Clinic, and the drugs he can obtain are very limited, so he can only do it in a small way.
He really started to work hard after he met Quan Youde.
Logically speaking, Quan Youde was from Huizhou Prefecture and had nothing to do with him. However, Quan Youde worked in the name of a "drug dealer" and got acquainted with Lu Renjia.
At first, Lu Renjia was just using high rebates as bait to "take care" of him when bidding for various Chinese patent medicines and herbal medicines. After more contacts, the two gradually became fair-weather friends, and then they became "sworn brothers".
.
Zheng Mingjiang thought that they were all the same way! Zheng Xiaoyu and He Jun were like this, but he didn't expect that Lu Renjia and Quan Youde were also like this!
Lu Renjia was born into a poor family, but his grandfather came from a wealthy family and later fell into decline. Although Lu Renjia never had a good day, he inherited many of his grandfather's old ideas. Among them, the one that stuck most to his heart was "There are three ways to be unfilial and to have no descendants."
big".
He was rescued by the Senate in Guangzhou. After coming to Lingao, although he attended a health school, later became a doctor, and was promoted to a senior cadre of naturalized civilians, he always had problems with his family.
His wife was a female nurse whom the elder worked as a matchmaker when he was working at Bairen General Hospital. After marriage, he had two daughters. Although his family life was quite happy, his lack of sons had always been his heartache, and as a nurse,
His wife was not very "obedient" to him, which made Lu Renjia always grudge. This time he went north to Guangzhou, and originally wanted his wife and children to be transferred there together, but his wife felt that there were no good kindergartens in Guangzhou, so she did not come with him.