“不孕不育”暗藏地下金矿 "sterility"Hidden underground gold

　　“现在每治一天，就得花一两千块钱，起初会心疼上火，后来，就从习惯变成了麻木……”在我市一家治疗不孕不育的小型专科医院门前，现年51岁的崔桂华(化名)拉着记者从上午说到中午，如果不是护士几次三番催她去交钱，她还会继续说下去。

"Now each to one day,To take 12000 dollars,At first will love them,later,From habits become numb..."In the treatment of sterility a small college in front of the hospital,The 51-year-old cui guihua(alias)Took reporters from the morning to noon,If not nurse repeatedly urged her to make money,She also will continue to go on.

　　也许，对于农村家庭的她，一个月3万元的高额治疗费用和抱孙子的希望，让她面临着两难的选择。这其中她有太多的矛盾，她只是想找个人倾诉而已。

maybe,For the countryside family she,A month of 30000 yuan high treatment cost and the hope of grandchildren,Let her face dilemma choice.Which she has too many contradictions,She just want to find someone just talk.

　　然而，抱孙子的渺茫的希望，仍然不能免除她对治疗效果的担忧和花钱时的心疼。

however,The grandchildren slim hope,Still can't exempt from her treatment effect on worries about money and the love dearly.

　　

广告疗效太诱人…… Advertising effect is too attractive...

　　带着儿媳来这家小型专科医院治不孕不育时，崔桂华狠了狠心，带了家里仅有的一万元积蓄。“还得有吃住呢，宁可多带点，也别不够。”

With her daughter-in-law to the small hospitals for the sterility,Cui guihua hard cruel,Brought home the only ten thousand yuan savings."Also have eat to live it,Would rather take some of,Don't also not enough."

　　儿子结婚三年了没孩子。只要能让儿媳怀孕，崔桂华舍得花钱。

Son married for three years without children.As long as it can let her daughter-in-law pregnancy,Cui guihua willing to spend money.

　　治疗了三天后，崔桂华再也没有出门时的底气。提起带的钱数，她换了一种不好意思的语气，埋怨自己是农村人没见识：“都不好意思说我带了多少钱，反正几天就花光了。”

Treatment for three days,Cui guihua never go out of style.The amount of money a belt,She changed a kind of embarrassed tone,Blame yourself is the rural people didn't see:"Are embarrassed to say I have much money,Anyway, a few days spent."

　　崔桂华只上过小学，可她却记住了每一项检查的名称和费用——检查输卵管是否堵塞做输卵管造影，约2100元钱；消炎，约1400元钱；再做输卵管通水，约1700元钱；进行二次消炎，约1400元钱；做第二次输卵管通水，约1700元钱；做“光谱”，约620元；监测排卵，一天200多元钱；还有点滴、内服、外敷的各种药……治疗之前进行的妇科检查、验尿、抽血等，1000多元钱。

Cui guihua had taken only the primary school,Can she but remember every check's name and cost - check whether tubal blockage do tubal imaging,About 2100 yuan;Diminish inflammation,About 1400 yuan;To do hydrotubation,About 1700 yuan;In secondary diminish inflammation,About 1400 yuan;Do the second hydrotubation,About 1700 yuan;do"spectrum",About 620 yuan;Monitoring ovulation,One day 200 multivariate money;There are a bit/Internal and/All kinds of external medicine...Before the treatment of gynecological examination/urinalysis/phlebotomization,1000 multivariate money.

　　住院的第四天，崔桂华就让家里往这边汇钱。家里没有钱，就跟别人借，借来一点汇一点，维持着看病的费用。为了看病，崔桂华找了一家一天20块钱的旅馆，每天只吃三个馒头。“每治一天病，就得花一两千元，头两天直上火，后来，花着花着就习惯了……”

The fourth day of the hospital,Cui guihua let home to remit money here.Home no money,Like other people borrow,Borrowed a little by little,Maintain the consultation fee.In order to see a doctor,Cui guihua find a $20 a day of the hotel,Every eat only three steamed bread."For every day disease,To take 12000 yuan,The first two days straight suffer from excessive internal heat,later,HuaZhao HuaZhao become accustomed to..."

　　每次站在医院的走廊里，崔桂华都站在医生的大照片和简历前看一遍，并且把医院里多年来“送子”的案例牢牢记住，以此来强化对这家医院专业医疗水平的认同。她还会与周围看病的人交流着这家医院让多少人怀孕的可喜数据，来说服自己所花的钱不冤枉。

Each station in the hospital corridor,Cui guihua stood on the doctor's big picture and resume former see it again,And in the hospital for many years"SongZi"Remember the case,In order to strengthen the hospital professional medical level of identity.She can and see a doctor around to communicate with the hospital let many people pregnant gratifying data,To persuade his own money to spend not wronged.

　　来自平度市的一名29岁的女患者已治了一个月。她说：“头期治疗花了3万多，目前是二期治疗，又花了1万多。”来自胶州的胡先生给他妻子拿药，治了一周，花了将近两万元。

From a total of 29 years old female patients have cure for a month.She said:"Head period treatment spent more than 30000,At present is the second phase of treatment,And spent more than 10000."From the JiaoZhou Mr Hu to his wife medicine,For a week,Spent nearly twenty thousand yuan.

　　“贵啊！”当她们站在一起的时候，很愿意互相交流治疗费用和体验。“来到这里，一个月花个三四万很正常。”

"expensive!"When they stood together of the time,Is willing to communicate with each other treatment costs and experience."Came here,A month spent a silk, very normal."

　　

治上就没回头路了…… Cure is no turnin back...

　　“贵也要治到底啊。如果不治了，前面的钱不全白花了吗？”在给儿媳看病的过程中，崔桂华多次想放弃，可最终，她让这样的心理给留下了。

"You also want to cure what ah.If you don't put the,Not all white flowers in front of the money?"In the process of the doctor to her daughter-in-law,Cui guihua many want to give up,But eventually,She let such psychological to left.

　　“如果来之前知道这里看不孕不育这么贵，我们不会来的。”崔桂华叹了口气，“治上就没回头路了。”

"If before know here to see sterility so expensive,We wouldn't have come here."Cui guihua sighed,"Cure is no turnin back."

　　记者曾多次以不同身份，通过网站与我市多家不孕不育医院的“在线医生”对话，想了解一下治疗费用，“医生”要么以“个体差异不同”来回答，要么以“视实际情况确定检查治疗项目”为由，避而不谈费用。但至于就诊需要带多少钱，“医生”却提醒说，可以带银行卡。

Reporter has repeatedly in different identity,Through the website and the city several sterility of the hospital"On-line doctor"dialogue,Want to know the treatment costs,"The doctor"or"Individual differences of different"To answer,or"Depending on the actual situation to determine inspection treatment project"for,Cast a veil over cost.But as for medical need to take how much,"The doctor"But warned,Can take bank card.

　　记者也多次以患者身份来到医院，向患者打听医治的费用，但都被医院的工作人员制止。“这是患者的隐私，我们不能让人骚扰患者。如果你不看病，就请出去。”

Reporters also many times to patients identity to the hospital,To inquire about the cost of patients healed,But the hospital staff to stop."This is the patient's privacy,We can't let people harassment patients.If you don't see a doctor,Please go out."

　　在网上搜索不孕不育医院，每一家医院的网站上都营造出一番患者众多的“繁荣景象”。记者与一家广告做得较多的医院 “在线医生”对话，“医生”表示，只要提前预约，到医院后便可以不用排队。

Search the web for sterility hospital,Every hospital website is to create a large number of patients"prosperity".Reporter and an advertising done more hospitals "On-line doctor"dialogue,"The doctor"said,As long as make reservations in advance,To the hospital after they don't have to queue.

　　记者以患者身份到这家小型专科医院就诊时看到，不但不用排队，甚至见不到有患者。在医生给记者开了一堆检查单后，有导医陪同去交费。记者表示钱没带够，导医说：“你可以先做几样检查，其余的明天再做。”

Reporter to patients identity to the small specialized subject hospital see when,Not only don't line up,Even see a patient.In the doctor gave reporters opened a pile of after the checklist,Have DaoYi was accompanied to pay.Reporters didn't bring enough money,DaoYi said:"You can first do a few sample inspection,The rest will do it tomorrow."

　　一位曾在不孕不育医院就职的退休医生告诉记者：“实在干不下去了，任何一个有良知的医生都干不下去。”在小型专科医院，要吸引一个患者并不容易，所以，每去一个患者，都会把病情说得很重，治一段时间就告诉患者情况好转了一些，让患者在里面继续治疗。

A once in infertility in hospital retired doctor told reporters:"Really do not bottom go to,Any a conscience of the doctors do not go down."In small hospitals,To attract a patient is not easy,so,Each to a patient,Will the disease say very heavy,For a period of time will tell patients upturn some,Let the victim inside to continue treatment.

　　

过度治疗，怀孕更难 Excessive treatment,Pregnant harder to

　　一位多年未孕的女患者，到我市某家大型公立医院做输卵管造影检查时发现，两侧输卵管内有积水。经过询问得知，她曾在某小型专科医院治疗，按医生指导做过多次通水。

A years unfertilized female patients,To our city a large-scale public hospital for tubal imaging inspection found,On both sides of the fallopian tube has water.After asking that,She worked in a small specialized subject hospital for treatment,According to the guidance of a doctor to made many water.

　　青医附院生殖专科主任祁秀娟说，其实，一些患者并不适合做通水检查和治疗。现在，不孕不育患者因为“病急乱投医”，盲目花费时间、金钱、精力的案例很多。“不孕不育医院的数量多、广告多，也确实让患者难以选择。”

Green establishing affiliated hospital of medical college QiXiuJuan reproductive director said,In fact,Some patients is not suitable for water examination and treatment.now,Because sterility patients"Make rush decisions",Blind spend time/money/The case of a lot of energy."Sterility hospital quantity/Advertising more,Do let patients difficult to choose."

　　同时，还有“隐藏”于大街小巷中、只靠口口相传的“医生”。这些医生把自己打造成“送子观音”，在求子心切的不孕不育患者中有一定市场。市民于女士告诉记者，由于结婚五年没有孩子，她靠着朋友的推荐到一个 “治疗效果很好”的老中医那里。由于是“祖传秘方”，所以只能在这位老中医家里拿药。在把完脉之后，老中医给她开了两个疗程6000多元的中药。“我回家还没吃呢，就怀孕了。”

At the same time,and"hidden"In the high streets and back lanes/Only by the mouth"The doctor".These doctors itself into"SongZi goddess of mercy",For in desperately wants a child in sterility patients have certain market.Citizens in the lady told reporters,Due to get married for five years have no children,She recommended by friends to a "Treatment effect is very good"The old doctor of traditional Chinese medicine there.Because is"Ancestral secret recipe",So only in the old traditional Chinese medicine may or may not prescribe medicine for home.After the finish vein,The old doctor of traditional Chinese medicine gave her two treatment of traditional Chinese medicine 6000 yuan."I go home haven't eat it,Was pregnant."

　　吃中药治不孕并不便宜，这是很多患者都了解的情况。一位市民说，她去年吃了两万元的中药，没吃好。最后，只好又选择去公立医院治疗。

Eat Chinese traditional medicine to cure infertility is not cheap,This is a lot of patients are understood.A citizen said,Last year she had twenty thousand yuan of traditional Chinese medicine,Don't eat well.finally,Have to and choose to public hospital.

　　

专家解读不孕不育 Experts read sterility

　　青医附院生殖专科主任祁秀娟说，目前，怀孕困难的人越来越多，发病率达到约10%-12%，但如果到公立医院看病，很多患者都能查明不孕不育的原因。夫妻双方做全套检查最高费用不超过5000元。“我指的是最高的费用，一般情况下两三千元足以找到原因。”

Green establishing affiliated hospital of medical college QiXiuJuan reproductive director said,At present,More and more people are pregnant difficult,Incidence of a disease reach about 10% - 12%,But if the public hospital,Many people can find out the cause of infertility.Both sides of husband and wife do full set of check the highest cost no more than 5000 yuan."I mean the highest cost,Usually 23000 yuan is enough to find the reasons."

　　据了解，治疗不孕不育，对于公立医院国家有详细的收费标准和规定：县级、地市级、省级在子宫输卵管造影检查的费用上所规定的收费标准基本是一样的，比如说子宫输卵管造影费96元；一次性子宫导管费一般为10元左右；另外还有造影剂的费用，一般为15元左右。而在小型专科医院，这个规定对他们似乎没有什么约束力。

It is understood,Treatment of sterility,For public hospital countries have detailed fee standards and regulations:At or above the county level shall/prefecture-level/Provincial in the fallopian tube charges on imaging stipulated fees basic is the same,For example the fallopian tube imaging fee is 96 yuan;One-time uterine catheter fee is generally 10 yuan;In addition to the cost of the contrast,The general is 15 yuan.In the small hospitals,The rules for them seems to have no binding force.

　　祁秀娟告诉记者，不孕不育与精神紧张有关。“谁有心理压力从外表根本看不出来。”对此很多人费解，但不少不孕不育症患者有此体会，特别想要小孩时总也要不上，放弃了反而怀上了。

QiXiuJuan told reporters,Sterility and nervous about."Who has the psychological pressure from the appearance of fundamental look not to come out."To understand a lot of people,But many infertility patients have this experience,Special want a child on the total also otherwise,Give up but was pregnant with.

　　这种情况在医生眼里也比较普遍。“很多人放弃治疗，或是刚领养了一个孩子，马上就会怀孕。”对于一些不孕不育夫妇，特别是一些农村不孕不育夫妇而言，想要一个孩子是 “天大的事”，这种急迫心理被一些职业道德不高的医疗机构所利用，就会出现“漫天要价”的现象，使患者平添许多痛苦。

This kind of situation in the eyes of doctor is also common."Many people give up treatment,Or just adopted a child,'ll be pregnant."For some infertility couples,Especially some rural couples in infertility,Want a child is "Big big thing",This urgent psychological by some professional ethics is not high used by medical institutions,There will be a"On wild speculations"phenomenon,Make a patient smooth add a lot of pain.

　　然而，不可否认的是，公立医院的拥挤，让很多患者选择了小型专科医院。“我们平时一天的接待量在150多人左右，有时候能达到250多人，其中很多的是复诊的患者。”祁秀娟表示，不少人尤其是偏远郊区的人，因为公立医院拥挤、挂号难等原因，选择了小型专科医院。“还有就是小型专科医院到处打广告，这对于郊区的患者来说，无疑是有吸引力的。”

however,There is no denying that,The crowded public hospital,Let a lot of patients to choose the small hospitals."We usually receive a day in more than 150 or so,Sometimes can reach more than 250 people,Many of them is return visit of the patients."QiXiuJuan said,Many people especially remote suburb of people,Because of public hospital crowded/Registered difficult to wait for a reason,Choose the small hospitals."There is a small specialized subject hospital advertise everywhere,The suburbs for patients,Undoubtedly is attractive."

　　记者曾以患者身份随机采访了几位到小型专科医院治疗的患者，除了广告的疗效、求子心切之外，一种“导向”也将很多患者尤其是农村患者推向了小型专科医院。市民付先生和妻子在我市某公立医院做检查时，就被一位医生以某小型专科医院“有个公立医院退休的知名专家”推荐到了某小型专科医院，在花费了大量的金钱和精力后，最终回到公立医院做了试管婴儿。(记者 贾 臻)

Journalists have to patients identity random interviewed several to small specialized subject hospital for treatment of patients,In addition to the effect of advertising/For outside desperately wants a child,a"guide"Will a lot of patients, especially rural patients to the small hospitals.People pay a gentleman and his wife in our city a public hospital for inspection,Is a doctor in a small hospitals"There is a public hospital retirement of famous experts"Recommend to a small hospitals,In has spent a lot of money and energy after,Eventually return to public hospital to do the test tube babies.(Reporter jia become)