Powerful painkillers are frequently taken behind.

　　Three years ago, the 60-year-old Gao Laohan, who lives in Taiqian County, Henan Province, suffered from esophageal cancer. Because of his serious illness, he was unable to undertake farm work at home, and he spent money on medicine every day to treat his illness. He felt guilty about his family.

　　One day in April 2018, a fellow villager named Yuan Hua (a pseudonym) found him and said that he could take him to the hospital for free. The accommodation and transportation expenses were all included. Gao Laohan, who "encountered such a good thing", was tempted.

　　It is undoubtedly good news for him to see a doctor for free. First, the pain is unbearable every day after the operation, and second, the cost of buying medicine is too high. Gao Laohan, who thinks he has nothing to lose, decides not to ask anything and obediently listens to Yuan Hua’s "command".

　　That month, Yuan Hua, as the son of Gao Laohan, arranged for him to live in a senior hospital in a city in northern Jiangsu.

　　Magodayu, who admitted Gao Laohan, verified the medical records and confirmed that the old man did have esophageal cancer after some routine examinations.

　　Magodayu recalled to the investigators that Gao Laohan’s "son" told him that Gao Laohan was in the late stage of esophageal cancer, and hospitalization was mainly to relieve his pain and prolong his life. "Our medical staff expressed their understanding."

　　After Gao Laohan entered the ward, he often tossed and turned in the hospital bed, shouting pain from time to time, which really worried people.

　　"Later, his’ son’ took the initiative to find me and said that general analgesics had no obvious effect on his father. In the past, he used dihydroetorphine hydrochloride sublingual tablets and asked me to prescribe this medicine for him."

　　"dihydroetorphine hydrochloride sublingual tablet" is a small white tablet with only 20 micrograms per tablet. Because of its powerful analgesic effect, repeated medication can produce drug resistance and dependence, which is listed as narcotic drugs by the state and strictly controlled.

　　Magodayu, who has the right to prescribe anesthetics, prescribed this medicine at the repeated entreaties of Gao Laohan’s "son". For the next period of time, the doctor gave Gao Laohan routine treatment every day and prescribed dihydroetorphine hydrochloride sublingual tablets to relieve pain.

　　The instructions for use show that the maximum allowable dose of the drug is generally 60 micrograms (3 tablets) at a time and 180 micrograms (9 tablets) a day, and the drug should not be used continuously for more than 3 days. The doctor should follow the doctor’s advice when using the super-large dose.

　　The case-handling team learned that Gao Laohan was hospitalized for two months, and the doctor gave a total of 28 prescriptions, a total of 654 dihydroetorphine hydrochloride sublingual tablets, of which 24 tablets were prescribed for 27 times and 6 tablets were prescribed once. Judging from the prescription of a hospital in northern Jiangsu, it has obviously exceeded the normal dose.

　　What Magodayu didn’t expect was that this was an elaborate scam-pretending to be a "family member" of a cancer patient for medical treatment, trying to prescribe painkillers, but trying to stop the patient from taking them, and "selling" the set of pills was Yuan Hua’s real purpose.

　　What happened to Gao Laohan is by no means a case. Police investigation found that Yuan Hua and others searched for other cancer patients, arranged them to live in different hospitals with the same routine, and asked doctors to prescribe related narcotic tablets for the same reason.

　　In just six months, Yuan Hua and others successively set out 1,500 pills from medical institutions in Changzhou, Anyang and Xuzhou.

　　The police investigation found that this way of making money was "taught" to them by other villagers, and some drug addicts would use this medicine instead of drugs, and a tablet of four or five yuan could be sold to 260 yuan by changing hands.

　　The police found that the pills were mainly sold to Yanggu, Shandong Province and Puyang, Henan Province, but the identity of Shangjia and the actual use of the medicine were still under investigation by the public security organs because Yuan Hua and others did not actually ask questions.

　　Members of the public interest litigation case from the People’s Procuratorate of Gulou District, Xuzhou City are keenly aware of the loopholes in supervision, so they investigate the damage to public interests outside criminal cases. The attending doctor explained: "Because patients are in pain, the more narcotic drugs they take, the greater the dose. According to patients’ requirements, they can be given more doses."

　　According to Yuan Hua’s confession to the police, they just ran to the doctor to perform a bitter drama, and the doctor would prescribe more medicine. Even if they were not hospitalized, the doctor would continue to prescribe medicine according to the previous dosage.

　　It is worth noting that the drug instructions clearly stated that the patient must be taken care of under the tongue when he is hospitalized. The nurses involved in the hospital further confirmed that "the hospital also stipulates that such controlled drugs must be delivered to the patient in person and watched by the patient before leaving."

　　However, the file materials show that the five hospitals involved in the case have given drugs directly to their families and left patients unattended to take drugs to varying degrees.

　　Zhang Xiaodong, a member of the public interest litigation case handling team, said that Gao Laohan stayed in the hospital for only a few days, but he didn’t actually stay in the hospital for various reasons, such as "needing to eat liquid and semi-liquid food" or "staying at his daughter’s house". While the patient was not in the hospital, drugs were prescribed normally, and all of them were collected by "family members". As for how to take medicine and whether to take it, the hospital didn’t know.

　　According to the file data, there are also medical staff who report that sometimes after nursing Gao Laohan, he said that he would feel queasy and spit out the medicine first, but he didn’t know whether to take it later.

　　"The hospital has found some clues, but it has not attracted enough attention in medical activities." Zhang Xiaodong said.

　　Although all countries strictly control psychotropic and narcotic drugs, whether they are defined as drugs needs to be clarified by relevant departments.

　　In a previous reply, the Supreme People’s Procuratorate decided that dihydroetorphine hydrochloride belongs to the category of narcotic drugs "other drugs". Therefore, considering that 1,500 dihydroetorphine hydrochloride sublingual tablets flowed out of the hospital and were used for illegal trading by Yuan Hua and others, the circulation of this controlled drug with the nature of drugs in society will definitely infringe on the public interests. After research, the public interest litigation case handling group decided to file an investigation on the case.

　　The case-handling team believes that some lawless elements in society take advantage of sympathy for cancer patients and omissions in the management of medical institutions to obtain narcotic drugs. In this regard, the procuratorial organ can not handle the case, summarize the handling situation, and make a procuratorial proposal, and fully communicate with the health department about the three types of problems found in the medical institutions during the handling process.

　　The doctor did not verify the actual situation of the patient, and even prescribed drugs in violation of the regulations when the patient was not actually hospitalized; The nurse didn’t give the medicine to the patient in person and take care of it according to the medication rules; Some medical staff lack a sense of responsibility, have an inaccurate grasp of the instructions for drug use, and know little about the properties, dosage and taking regulations of drugs …

　　Faced with the problems pointed out by the procuratorate, the Municipal Health and Health Commission attached great importance to it, and formed a task force to carry out a special investigation in relevant hospitals, giving 40 medical staff who violated the rules different degrees of administrative punishment, such as being ordered to suspend their practice, being fined, being warned, etc., and making an inventory of the management of the use of narcotic drugs in all medical institutions above the second level in the city, and conducting a city-wide informed criticism on the medical institutions with problems.

　　"Thanks to the procuratorial organs for giving us feedback on the problems found in time and giving us valuable suggestions, we can stop the regulatory loopholes of narcotic drugs in time." The relevant person in charge of the city’s health and health commission said.

　　The case-handling team also found that the above problems also existed in a city in southern Jiangsu. After fixing the relevant evidence at the first time, the case handling team transferred the case clues to the city procuratorate. Subsequently, the hospital started the public interest litigation procedure after examination. After investigation, the local health and health commission gave administrative penalties of warning and fine to the two hospitals involved, revoked the purchase and use of seal cards for narcotic drugs and psychotropic drugs of category I in the two hospitals, and imposed administrative penalties of ordering to suspend practice for six months or one year and warning on the seven doctors involved.

　　In addition, the People’s Procuratorate of Gulou District of Xuzhou also transferred the clues about the supervision of narcotic drugs to the People’s Procuratorate of Anyang City, Henan Province. Through the joint efforts of the local procuratorate and the Health and Health Commission, the hospitals involved and related medical staff were subject to different degrees of administrative punishment.

　　"Bit by bit, what we feel is responsibility!" Qiu Jun, procurator-in-charge of Xuzhou Gulou District People’s Procuratorate, said that the state has set strict control measures on hemp essence drugs. If there are regulatory loopholes in medical care, these drugs will be easily used by drug dealers once they enter the society, which will seriously endanger public safety.

　　She said that through the inquiry of the Judicial Judgment Document Network, the case-handling team found that there were many similar cases, involving medical institutions all over the country, which also needed the attention of National Health Commission and other relevant departments.