The specific methods of extracting drugs are really varied. In addition to the more advanced practice of using prescriptions from other hospitals to obtain publicly funded drugs in our own hospital, there are many other tricks. The simplest one is that the pharmacy keeper and two cleaners cooperate to steal drugs directly from the pharmacy. , using medical waste trash cans to avoid inspection and take them directly out of the hospital.
When Zheng Mingjiang heard about such a method for the first time, her eyes widened. She thought that this method was unimaginative. It was completely reckless.
"Have they never considered a deficit in accounting?"
"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 proofread them."
"This is 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. The patients at most 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. After all, a good system needs someone to implement it. Considering the abilities of the elders themselves and the busyness of their work, it would be good if they could implement the system, but it would be almost impossible to implement it in place.
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 quite remarkable to be able to maintain the current normal operation situation. .
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 profit, the loss of drugs is only a matter of degree, not whether it is available or not.
"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 naturalize the civilian 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 will 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 specialized in purchasing medicines dispensed by naturalized citizens; and some colluded with nurses to steal or impersonate medicines from inpatients...
The more Zheng Mingjiang checked, the more he felt his heart grow cold. I originally thought that the compliance of large medical institutions like the Provincial and Hong Kong General Hospital would be much better and stricter than that of small institutions because they have veterans. There will be very few leaks.
Unexpectedly, large institutions will have even greater problems due to the large number of patients they receive, the large amount of drugs they use, and the complex accounts they have. Under the indiscriminate efforts of a large number of low-quality managers who are not qualified enough, the problems will be even greater.
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 various tricks. For the first time, she had doubts about her career: What on earth are we here to do!
The more I read the report, the more discouraged I felt. The determination to "get to the bottom of it" also began to waver. She couldn't imagine what kind of results would come out once the audits of the Lingao General Hospital and the Joint Medical Service System, which had not been audited yet...
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 investigating. Find out all the current problems and make remedial measures based on the discovered vulnerabilities.
It is impossible to come up with a once and for all system. She originally only 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 overturn 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 make up for it and redraft the Drug Administration Law, Drug Clinical Trial Quality Management Practices, Drug Registration Management Measures, Drug Production Supervision and Management Measures, Pharmaceutical Business Quality Management Practices, Drug Advertising Review and Management Measures, and Drug Inspection Management Measures in this time and space. 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 a late-developing country, the drug administration of the old era has been learning from the FDA, the Ministry of Health and Welfare, and the 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 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 had collected. The drug analysis reports have 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 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, its antibacterial effect is strong, and it 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 difficult to dissolve in water. It is stable and heat-labile. It is easily destroyed by gastric acid and digestive enzymes when taken orally. Its absorption is small and irregular, so 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 not suitable for most golden grapes. Ineffective against cocci and should not be used for serious infections. As for amoxicillin, another commonly used broad-spectrum oral penicillin in old times, 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 medicine lies in dose." Although they also have a simple understanding of pharmacy, pharmacokinetics is obviously beyond their scope of knowledge, 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 drug dose is too small and the time is too short not only cannot achieve the therapeutic effect, but also promotes the screening of bacterial flora. Accelerate the development of drug resistance. Not everyone can afford a small packet of antibiotics that costs one tael of silver, and they can last for several days. These are all huge hidden dangers.
After several days of interrogation, the Luofu Medicine Market’s “Hearthstone Powder” case finally surfaced. After the political security secretly arrested Lu Renjia, they finally drew a full picture of the case.
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 gave him the perfect opportunity to get his hands on him.
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 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, so he was nowhere to be seen. However, Quan Youde worked in the name of "drug dealer" and met Lu Renjia.
In the beginning, Lu Renjia was just using high rebates as bait to "take care" of him when bidding for various Chinese patent medicines and crude drugs. After more contacts, the two gradually became fair-weather friends, and then they became "Jinlan". .
Zheng Mingjiang thought that they were all in this way! 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 into a poor family, but his grandfather came from a wealthy family and later fell into decline. Although Lu Renjia has never had a good day, he has inherited many of his grandfather's old ideas. Among them, the one that appeals to his heart the most is "There are three types of unfilial piety, the greatest is not having children."
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 the female nurse whom the elder married as a matchmaker when he was working at Bairen General Hospital. After marriage, they had two daughters. Although his family life is quite happy, he has always been worried about not having a son, and his wife, who is a nurse, is not very "obedient" to him. Lu Renjia has always been worried about it. This time he went north to Guangzhou. He originally wanted his wife and children to be transferred there together, but his wife felt that there were no good kindergartens for the children in Guangzhou, so she did not come with him and stayed at Bairen General Hospital.
