This is in a joint discussion of the medical and health group of CPPCC members. Huang Jiefu, then vice minister of health, said:

"Many medicines are not to be eaten, but to be eaten; Many treatments are not needed, but they are being done; Many operations will make patients more painful, but some people are doing it. This is a very serious problem now. "

In the United States, 40% of medical care is ineffective; In China, this phenomenon has also become very prominent.

Huang Jiefu said, "I am a hepatobiliary surgeon. Many small gallstones, gallbladder polyps and hemangioma on the liver are harmless to people. 70% gallstones are asymptomatic. Medically called a' quiet stone', it does not affect health. But now as long as you enter the hospital, you usually require surgery. "

Huang Jiefu also shared a book "Ineffective Medical Care" (written by German writer Yuge Blake) that shocked the European medical community at this seminar, which described the situation of ineffective medical care from many angles. Let's take a look at some of the contents of this book-

In the long process of patient treatment, it is difficult for us to distinguish whether the cure of the disease is the result of the accumulation of drugs and surgery or the self-healing of the body.

There are 25,000 medical journals in the world, and 2 million medical papers are published every year, but 70% of the research results are not published-because these papers reflect the negative and disadvantages of modern medical care, which is a "minefield" in the medical field, and once published, it is very unfavorable to medical institutions. For example:

Many years ago, there was a kind of "heart laser surgery", which burned 20~30 small holes in the beating heart to regenerate blood vessels and improve oxygen supply to the myocardium. The founder of this operation is Dick Maas, the chief physician of Cratz Lin Heart Surgery Medical Center. This kind of operation used to be very popular in Europe.

Later, after repeated argumentation by British experts, this kind of operation does not have a higher survival rate than patients who only take medicine, but the cost of the operation is very high.

This is a lie. Many times, it deceives life, and more often, it deceives itself. From the myth of plastic surgery to the misleading of cardiac surgery; From helpless low back pain to chemotherapy known for its pain, it is worrying.

The book "Medical Ineffectiveness" also lists the case analysis of gallbladder stones, heart stents, intervertebral discs and other operations. Frankly speaking, a considerable number of diseases are better than the results of treatment, and sometimes treatment will cause more harm. However, in reality, ineffective medical care is everywhere, and many people are powerless and used to it.

"Ineffective Treatment" in Stent Surgery

"Heart stent surgery" is a mature operation, which can really play a therapeutic role in some cases, but the worrying "ineffective treatment" will also happen! A surgeon from Leipzig Hospital in Germany made a very convincing experiment:

They divided 65,438+000 patients with 75% coronary artery stenosis into two groups. One group has surgery, and the other group does exercise every day. One year later, the cure rate of the operation group was 70%, while that of the non-operation group reached 88%.

Medical institutions are extremely reluctant to publish experimental results and data like this, because the high income brought by heart surgery is an irresistible "temptation" for hospitals and surgeons, and the professional ethics of practicing medicine is also faltering in the face of strong profits.

There was once a 35-year-old male case. One day, he felt a little uncomfortable and went to the hospital to see a doctor. The doctor found that the patient was financially strong, so during the treatment, he actually implanted the 17 stent into his heart, which eventually made him unable to support such "generous treatment" and died.

Therefore, not all stent surgery is necessary and effective!

"Ineffective treatment" in intervertebral disc surgery

It has been proved that 40% of "discectomy" failed, and even the condition deteriorated to 12% after operation. At a surgeon's seminar in Britain, researchers surveyed 220 plastic surgeons. Results None of the 220 doctors wanted to have low back pain surgery.

Even the "chronic disease" such as lumbar disc herniation can actually be slowly recovered by itself. Dr. Corama of the United Kingdom stressed:

The back itself has amazing self-healing ability. The cells of the immune system will treat the substance that comes out of the intervertebral disc as a foreign body and dissolve it through enzymes. This is self-healing, but it will take some time.

Therefore, even spinal surgeons dare not say how difficult, safe and effective intervertebral disc surgery is, and individualized treatment is always the first!

"ineffective treatment" in cancer

Almost all elderly people have some tumors in their bodies, and only a few are dangerous; It is this tumor feature that complicates things.

Juda Fokerman and Lagha Kaluri of Harvard Medical School pointed out: "Most people have some tumors and they don't know it."

In the examination of cancer, as long as the spacing of tissue sections is close enough, I am afraid that every gland can screen out the tumor, even if it is not 100%. Because every cell has a protooncogene, if a protooncogene is activated, it may produce cancer cells.

Cancer is not so terrible, even if many advanced cancers remain stable and undeveloped, sometimes as long as you don't easily "disturb" the "balance confrontation" between cancer and the immune system.

Therefore, we can see that more and more oncologists in China realize that there is no need to "use all 18 martial arts and kill them all" when treating tumors. Sometimes palliative treatment or even no treatment is better than blind treatment!

Not all diseases must be treated by surgery and drugs. In fact, some diseases often subside spontaneously. In fact, they are naturally recovered by the human body. Like a common cold, it takes 7 days to see a doctor, and it takes 1 week to recover without seeing a doctor. There is no difference!

Even if the patient's condition improves because of this self-healing ability, they and doctors will still attribute this improvement to medical measures. For example:

Arthritis, about 35% of arthritis patients will recover automatically no matter what they do.

When people are old, they will inevitably see many diseases and go to the hospital. Health is our own right and our own responsibility. What we need to do is a balanced diet, regular exercise, regular work and rest, peace of mind and responsibility for our own health.

Doctors and medical care are just our "assistants", and we can't rely too much on superstition!

Medical superstition is a mistake in itself!

Without reasonable diagnosis and treatment behavior, even if the state increases medical investment, it will still not solve the problem of medical treatment for ordinary people. Then, how to curb excessive medical treatment and essentially alleviate the problem of expensive medical treatment? Establish a strict and effective medical and health supervision system to guide hospitals in rational drug use and treatment.

"To solve the problem of medical treatment for ordinary people, we must seek truth from facts, work hard and not be fooled." Huang Jiefu said.

This article is synthesized from Health Times and Ineffective Medical Care (written by German writer Yuge Blake).