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Kiên Giang: Giáo viên, công chức đi khám bệnh phải lăn tay vì không biết chữ

Bảo hiểm xã hội tỉnh Kiên Giang phát hiện một số trường hợp giáo viên, công chức khám bệnh nhưng không ký tên mà lại lăn tay do không biết chữ.

Theo ông Thái Văn Tính, Phó Giám đốc Bảo hiểm xã hội tỉnh Kiên Giang, trong thời gian dài, một số bệnh nhân, chủ yếu là ở thành phố Rạch Giá khám bệnh nhưng không ký được tên mà phải lăn tay, gạch thập do không biết chữ.

Kien Giang: Giao vien, cong chuc di kham benh phai lan tay vi… khong biet chu

Khám bảo hiểm y tế đang được nhiều người bệnh lựa chọn.

Ông Tính khẳng định đây là những chiêu rút ruột quỹ bảo hiểm y tế chứ không thể là bệnh án thật. Việc phát hiện những trường hợp này rất đơn giản khi giám định viên rà soát lại mã thẻ bảo hiểm y tế và vô cùng bất ngờ vì những bệnh nhân phải lăn tay lại là những giáo viên hoặc công chức nhà nước. Tổng số tiền bị lạm dụng khoảng 100 triệu đồng.

Trao đổi với Báo Phụ Nữ TP.HCM, ông Thái Văn Tính cho biết: Bảo hiểm xã hội tỉnh Kiên Giang sẵn sàng thanh toán cho những trường hợp già yếu, không biết chữ thật sự nên phải lăn tay, gạch thập. Còn lại khoảng 40 triệu đồng bị lạm dụng quỹ thì không được thanh toán.

Kết quả hình ảnh cho Kiên Giang: Giáo viên, công chức đi khám bệnh phải lăn tay vì không biết chữ

Ông Tính cho rằng: “Chúng tôi thấy rất lạ vì không hiểu sao lại có nhiều trường hợp bệnh nhân không biết chữ, phải lăn tay, gạch thập nhiều quá. Vì vậy, chúng tôi kiểm ra mã thẻ thì phát hiện một số trường hợp là mã thẻ bảo hiểm y tế bắt buộc của giáo viên, công chức. Làm gì giáo viên, cán bộ công chức mà lại không biết chữ, phải lăn tay? Đây là lạm dụng quỹ bảo hiểm”.

Kien Giang: Giao vien, cong chuc di kham benh phai lan tay vi… khong biet chu

Người dân khám chữa bệnh bảo hiểm y tế (Ảnh minh họa)

Theo ông Thái Văn Tính, những trường hợp lạm dụng quỹ bảo hiểm y tế này có thể là do chính nhân viên y tế của phòng khám hoặc bệnh viện thực hiện: “Có thể do nhân viên y tế lấy mã thẻ bảo hiểm y tế của bệnh nhân rồi làm hồ sơ khám bệnh giả, tự lăn tay hoặc gạch thập. Chính vì vậy, chúng tôi từ chối cấp mã thẻ cho một số cơ sở y tế ở tỉnh Kiên Giang vì sợ họ làm hồ sơ khám bệnh giả”.

Câu chuyện bi hài này được công bố vào sáng 16/10/2017 tại hội nghị đối thoại giữa bảo hiểm xã hội và ngành y tế về vướng mắc trong thanh toán bảo hiểm y tế. Bộ trưởng Bộ Y tế Nguyễn Thị Kim Tiến và Tổng giám đốc Bảo hiểm xã hội Việt Nam Nguyễn Thị Minh chủ trì hội nghị này.

Kien Giang: Giao vien, cong chuc di kham benh phai lan tay vi… khong biet chu

Theo Bảo hiểm xã hội Việt Nam, thời gian qua đã phát hiện một số trường hợp chính các nhân viên y tế đã trục lợi quỹ bảo hiểm y tế. Đối tượng là một bác sĩ của trung tâm y tế tại tỉnh Vĩnh Long lập khống 272 lượt khám chữa bệnh với số tiền đề nghị cơ quan bảo hiểm xã hội thanh toán là hơn 49 triệu đồng.

Một nhân viên y tế tại tỉnh Trà Vinh lập khống hồ sơ thanh toán để lấy thuốc bảo hiểm y tế với số tiền hơn 27 triệu đồng.

Một nhân viên y tế của Bệnh viện Hồng Lĩnh (tỉnh Hà Tĩnh) lập khống hồ sơ để trục lợi trên 26 triệu đồng. Nhân viên y tế của Trạm y tế xã Pùng Tra và xã Bó Mười, huyện Thuận Châu, tỉnh Sơn La lập hồ sơ khống để lấy thuốc bảo hiểm y tế.

Theo : http://phunuonline.com.vn/suc-khoe/kien-giang-giao-vien-cong-chuc-di-kham-benh-phai-lan-tay-vi-khong-biet-chu-114015/

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  1. PCT For Testosterone Cycle: Your Guide To Reclaiming Natural Levels

    A post-cycle therapy (PCT) is essential after
    a testosterone cycle to help your body recover and restore natural hormone production. This guide outlines the
    necessary steps and supplements for a effective PCT involving Test Prop, Enanthate, and Cypionate.

    Components of PCT

    Arimidex: Used to suppress estrogen production during the cycle, preventing
    gynecomastia and supporting natural testosterone recovery.

    Dosage: 0.5mg daily for 4-6 weeks.

    Nolvadex: An essential supplement to support testosterone recovery by inhibiting the conversion of DHT to Dihydroestrogen.
    Dosage: 20-50mg daily, divided into 2-3 doses, for 4-6 weeks.

    Clomiphene/Clen: Often combined with Nolvadex to enhance effectiveness.
    Dosage: 25-100mg every other day, depending on individual response.

    HGH (Somatropinlaq: May be used in advanced cases to aid recovery and
    growth factors. Dosage: 1-2IU (international units) subcutaneously 3-5 times per week for 4-6
    weeks.

    PCT Protocol

    Follow this protocol for optimal results:

    Weeks 1-4: Test Prop, Enanthate, or Cypionate Cycle

    Weeks 5-9: PCT Supplements

    Arimidex as described above

    Nolvadex as described above

    Clomiphene or HGH (if needed)

    Weeks 10 onwards: Monitoring and Natural Recovery

    Monitor blood work to ensure hormone levels return to normal.
    Avoid steroid use until natural production is fully restored, typically within 6-8 months post-cycle.

    Example Cycles

    Test E 400mg/500mg: Commonly used in cycles combined with
    Test Prop for varying effects.

    Test Prop Only: Shorter esters require more frequent injections but may offer
    benefits like faster recovery times.

    Final Thoughts

    Patience is key during PCT. Your body needs time to heal, and deviating from the protocol can hinder recovery.
    Always consult with a healthcare professional before
    starting any new supplement regimen.

    PCT for Testosterone Cycle: Your Guide to Reclaiming Natural Levels

    A post-cycle therapy (PCT) is essential after completing a testosterone cycle to
    help your body restore its natural hormone production. Testosterone cycles, which involve the use of anabolic steroids like Test Prop,
    Enanthate, or Cypionate, can suppress your body’s ability
    to produce hormones naturally. Without a proper PCT, you risk
    long-term hormonal imbalances and potential health issues.

    Key Takeaways:
    – Testosterone suppression is inevitable after a cycle due to the nature of
    anabolic steroid use.
    – A well-designed PCT helps reset your endocrine system and restore natural hormone production.
    – Without PCT, you may experience testicular
    atrophy, infertility, or other health complications.

    Why Does Testosterone Need a Post Cycle Therapy?

    Testosterone is a crucial hormone for overall health, muscle growth, and
    reproductive function. Anabolic steroid use disrupts the body’s natural hormone production by suppressing your pituitary gland’s ability to release gonadotropins, which
    stimulate testicular hormone production. Over time, this suppression can lead
    to permanent damage to the endocrine system if not addressed with
    PCT.

    – Testosterone cycles suppress your body’s natural hormone
    production.
    – Without intervention, you risk long-term hormonal imbalances and health issues.

    – PCT is necessary to restore your body’s ability to produce hormones naturally.

    How Does PCT Work?

    PCT works by administering specific medications or
    supplements that stimulate the pituitary gland
    to release more gonadotropins, which in turn stimulate testicular hormone production. The most common compounds used in testosterone PCT include:

    – **SERMs (Selective Estrogen receptor modulators):** These drugs prevent estrogen from binding to
    receptors in muscle tissue, promoting a more anabolic
    environment.
    – **HCG (Human Chorionic Gonadotropin):** This hormone mimics natural luteinizing hormone (LH), stimulating testicular production of testosterone and
    inhibiting estrogen production.
    – **AI (Aromatase Inhibitors):** These inhibit the conversion of androgens to estrogens, which can help reduce estrogen-induced side effects during PCT.

    PCT compounds work by stimulating hormone production and reducing estrogen levels,
    creating a favorable environment for natural testosterone recovery.

    How To Design Your PCT?

    Designing an effective PCT requires careful consideration of your body’s unique needs and the specific compounds you used during your cycle.
    A standard PCT typically lasts 4-6 weeks, with
    doses decreasing over time to prevent sudden drops in hormone
    levels. Key steps include:
    1. **Blood Work:** Obtain a full blood panel before and after
    your cycle to monitor hormone levels, cholesterol,
    and kidney function.
    2. **Choose the Right Compounds:** Based on your cycle history, select compounds like HCG, Tamoxifen, or AI to support recovery.

    3. **Supplement Support:** Use supplements like Glutathione to aid liver health and protect hormone production during PCT.

    Designing a PCT requires tailoring it to your specific needs and monitoring your progress closely to avoid complications.

    Full Blood Panel – Hormones, Cholesterol, and Kidneys

    Before starting PCT, it’s crucial to obtain a comprehensive blood panel to
    assess your current health status. This includes checking hormone levels (testosterone, estrogen, LH), cholesterol, and kidney function. These tests help identify potential issues and guide the
    design of your PCT protocol.

    Blood work is essential for monitoring health during and after
    steroid use.

    LetsGetChecked

    LetsGetChecked is a trusted online laboratory that provides affordable
    and accurate lab testing services. They offer a wide
    range of tests, including hormone panels, cholesterol screening, and kidney function assessments.
    LetsGetChecked makes it easy to monitor your health and ensure you’re ready
    for PCT after your cycle.

    LetsGetChecked offers reliable and convenient lab testing services for bodybuilders
    and athletes.

    PCT for Testosterone

    PCT for testosterone is a critical step in restoring your body’s natural hormone production after a cycle.
    Without proper PCT, you risk permanent hormonal imbalances
    and health complications. By using compounds like HCG and SERMs, you can safely
    stimulate hormone recovery and reduce estrogen levels, promoting a
    healthy return to natural testosterone levels.

    PCT for testosterone is essential to restore natural
    hormone production and maintain long-term health.

    How to build a PCT for Testosterone

    Building a PCT for testosterone involves selecting the right compounds and doses based on your
    cycle history and current health status. Below are some
    guidelines:
    – **Start with HCG:** Administer 500-1000 IU daily for the first 2 weeks, then reduce dosage
    weekly until you reach 250 IU.
    – **Add Tamoxifen or AI:** Use SERMs like Tamoxifen Liquid (50mg daily) or AI like Exemestane Liquid (25-50mg daily).

    – **Monitor Blood Work:** Regularly check hormone levels and
    adjust your protocol as needed.

    Building a PCT requires careful planning and monitoring to ensure safe and effective
    hormone recovery.

    Health-Related PCT Supplements

    In addition to medications, certain supplements can support your PCT and overall health:
    – **Amino Asylum – Glutathione Spray:** Supports liver
    health and hormone production during PCT.
    – **Pregnancy Protocol:** Not applicable for post-cycle therapy but can be used as a general
    health supplement.

    Health-related supplements can enhance your PCT experience and protect your
    body during hormone recovery.

    Will My Testosterone Levels Return to Normal after Testosterone Cycle?

    After a well-designed PCT, your testosterone levels should return to their natural production levels.
    However, this can take 4-6 weeks for suppression to subside and up to several months for full recovery.
    Factors like cycle duration, steroid used, and individual health status also influence
    recovery time.

    Your testosterone levels should return to normal after PCT, provided you follow a proper protocol and maintain good health practices.

    Who Should Use a PCT?

    Anyone who has completed a testosterone cycle should consider
    using PCT. This includes:
    – Bodybuilders and athletes using anabolic steroids for performance enhancement.

    – Individuals using TRT (Testosterone Replacement Therapy) to maintain hormone levels.

    – Anyone concerned about long-term hormonal health after
    steroid use.

    PCT is recommended for anyone who has used anabolic steroids or TRT, regardless of their goals or experience level.

    How to keep gains after a Testosterone cycle?

    While PCT helps restore natural hormone production,
    maintaining your muscle gains and progress requires focus on diet,
    training, and recovery. Prioritize protein intake, adequate sleep, and stress management to preserve your hard-earned muscle mass and strength.

    To keep your gains after a testosterone cycle, focus on diet, training,
    and recovery in addition to PCT.

    Final Verdict

    A well-planned and executed PCT is critical for maintaining hormonal balance and long-term health after a testosterone cycle.
    By selecting the right compounds, monitoring your progress,
    and supporting your body with quality supplements,
    you can safely restore your natural hormone production and keep your gains intact.

    PCT is not just about recovery – it’s about protecting your
    health and ensuring long-term success in your fitness journey.

    When should I take my PCT?

    You should start your PCT as soon as you complete your testosterone cycle, ideally within 2-4 weeks
    post-cycle. Early intervention is key to preventing hormone imbalances
    and health complications.

    Start your PCT as soon as possible after completing your cycle to maximize its effectiveness.

    How long should my PCT be?

    A standard PCT typically lasts 4-6 weeks, but the duration can vary based on your individual needs
    and recovery time. Some individuals may benefit from a shorter or longer
    protocol, so always consult with a healthcare professional to determine the best approach for
    you.

    The duration of your PCT should be tailored to your specific needs and health status.

    How long does it take for Testosterone levels to return to normal after a
    cycle?

    Testosterone levels can take 4-6 weeks to return to normal after completing a cycle,
    provided you follow a proper PCT protocol. However,
    full recovery may take several months due to the suppression effects of
    anabolic steroid use.

    Your testosterone levels will return to normal within a few weeks to a
    couple of months after a well-designed PCT.

    What is the Best Post Cycle Therapy?

    The best post cycle therapy depends on your individual
    needs and cycle history. Common recommendations include:
    – **HCG (Amino Asylum – HCG 5000):** For stimulating natural
    hormone production and managing estrogen levels.
    – **SERMs (Pure Rawz – Exemestane Liquid):** To maintain an anabolic environment during recovery.

    – **Glutathione Spray (Amino Asylum):** For liver support and overall health during PCT.

    The best PCT compounds vary based on your specific situation,
    so always consult with a healthcare professional before
    starting any protocol.

    Comments and questions?

    If you have comments or questions about this
    article or PCT in general, feel free to share them below! We’d be happy to help clarify any points or discuss
    further.

    Comments and questions are welcome! Let’s discuss PCT and testosterone cycles together.

    Best Cycle Support – Liver, Kidney, Cholesterol Support

    Supporting your liver, kidneys, and cholesterol levels is essential during
    and after a steroid cycle. Products like Amino Asylum –
    Glutathione Spray can help protect your health while your body recovers.

    Best cycle support includes supplements that protect your liver, kidneys,
    and cardiovascular health during recovery.

    Most Dangerous Anabolic Steroids

    While Test Prop, Enanthate, and Cypionate are commonly used in testosterone cycles, they carry risks when misused or abused.
    The most dangerous anabolic steroids require extreme caution due to their potential for severe side
    effects and health complications.

    Testosterone cycles involve some of the most dangerous anabolic steroids, which must be used with caution.

    Arimistane Review

    Arimistane is a popular SERM used during and after steroid cycles to manage estrogen levels and promote
    muscle growth. It can also be used in PCT to help restore natural hormone production.

    Arimistane is an effective tool for managing estrogen levels and supporting recovery during PCT.

    Best Prohormone Companies

    When choosing a prohormone company, prioritize those with a strong reputation for quality and safety.
    Look for companies that use third-party testing and have positive reviews from customers in the fitness community.

    Choose best prohormone companies wisely to ensure you’re using safe and effective
    products.

    Turkesterone vs Ecdysterone

    Turkesterone and Ecdysterone are both natural steroid derivatives that can support muscle growth and recovery.
    While they have similar benefits, they work differently in the body, so you may want to try one or both to see which works best for you.

    Turkesterone vs Ecdysterone: Both natural steroids
    offer unique benefits, so try them to find what works
    best for your goals.

    Best Ecdysterone Supplements

    When selecting an ecdysterone supplement, look for
    high-quality products from reputable brands. Ensure the product contains pure ecdysterone and meets
    strict safety standards.

    Choose best ecdysterone supplements carefully to maximize your results
    and ensure safety.

    Contributors

    **Daniel Louwrens BSc PT Writer**
    Daniel is a certified personal trainer with a
    passion for fitness and health. He specializes
    in hormone optimization, nutrition, and overall
    wellness. Daniel has extensive experience working
    with athletes and bodybuilders, helping them achieve their goals through science-based strategies.

    Contributors: Daniel Louwrens brings expertise in hormone optimization and
    wellness to this article.

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