Core Viewpoint - The case of Zhang Xiaoling highlights significant concerns regarding the reliability of commercial health check-up services, particularly in cancer detection, raising questions about the effectiveness of routine screenings and the potential for misdiagnosis [2][4][27]. Group 1: Company and Service Reliability - Zhang Xiaoling underwent annual health check-ups at Aikang Guobin for ten years without being informed of any cancer risks, despite her eventual diagnosis of advanced kidney cancer [2][8]. - Aikang Guobin stated that they had reviewed Zhang's medical records and found no flaws in their kidney examinations, asserting their lack of responsibility in her case [3][7]. - The incident has sparked public debate about the trustworthiness of commercial health check-up institutions and the adequacy of cancer screening methods [4][27]. Group 2: Screening Limitations - Experts suggest that routine health check-ups primarily identify chronic diseases like hypertension and diabetes, with limited effectiveness in cancer detection [5][29]. - Various screening methods, such as ultrasound and CT scans, have inherent limitations, and a combination of different tests is recommended for more accurate results [5][19]. - The common use of tumor markers like CEA in screenings is criticized, as they are not reliable for early detection of certain cancers, including kidney cancer [11][12][14]. Group 3: Patient Experience and Misdiagnosis - Zhang's experience reflects a broader issue where patients report instances of missed cancer diagnoses despite normal results from commercial health check-ups [6][27]. - Misinterpretation of test results and inadequate communication from health check-up providers can lead to delayed diagnoses and treatment [16][18]. - The case emphasizes the need for better patient education regarding the significance of test results and the importance of follow-up examinations when abnormalities are detected [8][19]. Group 4: Recommendations for Improvement - Medical professionals recommend that individuals, especially those at higher risk, should seek more comprehensive evaluations, including advanced imaging techniques like CT or MRI, rather than relying solely on routine check-ups [30][31]. - Regular health screenings should be tailored to individual health profiles, considering factors such as age, family history, and existing health conditions [30][36]. - The importance of maintaining personal health records and undergoing early cancer screenings is emphasized to improve early detection rates and treatment outcomes [35][36].

新华社武汉6月16日电 题：黄石博仕肛肠医院过度医疗问题追踪 新华社"新华视点"记者徐海波、宋立崑 125份抽查病例中，113份存在过度医疗行为；就诊患者手术率超90%，远超当地平均水平……翻开 卫健部门对黄石博仕肛肠医院的调查卷宗，被查出的过度医疗违法行为令人触目惊心。 根据卫健部门提供的线索，湖北省黄石市人民检察院对此立案并提起公益诉讼。之后，法院判处医 院向当地公益损害赔偿金账户支付涉案金额3倍的惩罚性赔偿金，共计53万余元。截至今年5月底，本案 惩罚性赔偿金已支付完毕。 这家医院是如何误导患者过度医疗的？"新华视点"记者进行了调查。 ——中途更换高价耗材。记者查阅医院案件材料看到，多名医生被查出在手术过程中擅自增加或更 换价格更贵的耗材及药品，以收取更高的医疗费用。"如果患者术后问起，就以手术情况紧急、原方案 器械不适合等理由搪塞过去。"一名涉案医生说。 过度医疗行为缘何屡屡发生 相关资料显示，涉案的黄石博仕肛肠医院成立于2015年12月，是一家民营医院，设有内科、外科、 中医科等7个科室，拥有80张床位，年均诊疗手术患者超1500人。 类似的患者，在黄石博仕肛肠医院还有不少。黄石市卫生健康委员会20 ...

ADHD被过度确诊了 近期，几则医疗事故再度将医疗安全推向舆论风暴眼。 中日友好医院胸外科副主任医师肖某出轨6名女性，并致多人怀孕。更有爆料称，去年7月5日，肖某与出轨对象董 某一同做手术，无故离开岗位，致使病人麻醉昏迷40分钟后才又回归岗位开始手术。经核查，举报材料反映的肖 某个人问题基本属实。医院现已开除肖某党籍，并解除聘用关系。 4月26日，一名30岁男子在南昌市生殖医院做手术后次日身亡。据堂姐邓女士称，弟弟新婚两个月，为生孩子才到 该院做小手术。同样，今年3月10日，汕头22岁的卢女士在广东省第二人民医院接受输卵管堵塞微创手术后，被推 入复苏室等待全麻苏醒，却因医护人员操作不规范，长时间缺氧导致脑死亡，至今已昏迷近50天。 2月11日，安徽亳州张女士反映，父亲春节前在亳州市中医院肝脏手术中，一枚15毫米针头竟遗留体内，专家会诊 后建议不取出。涉事医院称针头为"滑落"，器械供应商与家属因赔偿金额分歧仍协商未果。 在标准化流程严密的现代手术室，医务人员竟能无故离岗40分钟，微创手术却暗藏医疗隐患，一根针头仍能逃脱 层层清点。医疗系统的确定性外壳下，仍有许多的"随机性"隐于暗处。 一台手术的安全，不仅取决于 ...