At the beginning of October last year, Jiefang Daily and Shangguan News reported that a "medical care" gang was active near Shencheng Huashan Hospital and ENT Hospital. They usually lurk at the major exits of changshu road station Rail Transit and near hospitals, aiming at the foreign patients who come to Shanghai for medical treatment, deceiving them by playing different roles such as introducers, successful patients and patients, and finally tricking patients into the so-called "Ruijin Clinic" in Kunshan for so-called Chinese medicine treatment to defraud money.

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After the publication of the report, both Shanghai and Kunshan took rectification actions, and this medical care gang was restrained.However, the good times did not last long. Before Tomb-Sweeping Day this year, some citizens reported to Jiefang Daily Shangguan News that this medical care gang had made a comeback and was active near Huashan Hospital.

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Are these doctors still the same people at that time? Has the technique changed? Where will the patient be deceived this time? The reporters of Jiefang Daily Shangguan once again made unannounced visits for several days.

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Two old faces from last year seem to be the "backbone"

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When the reporter made an unannounced visit to the site last year, he found that the number of this medical care gang was as many as 30 to 40, mainly concentrated in the station hall and exit of changshu road station on Rail Transit Line 1, and the contact depended on WeChat group.Contact each other with slang words such as "point", "touch", "support" and "morning glory". This time, according to the public, because the road maps of nearby hospitals and the corresponding entrances and exits of rail transit are posted in the rail transit station, the foreign patients seeking medical treatment will no longer concentrate on the exit of Line 1, and the medical care providers are also scattered compared with last year. Their active scope has expanded to many entrances and exits of Rail Transit Line 1 and Line 7, as well as Fenyang Road near the hospital.

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Just after 8: 00 a.m. on April 11th, the reporter once again went to several entrances and exits of changshu road station Rail Transit to learn about the situation. Perhaps due to the light rain that day, the reporter found that the doctors who were active in the rail transit stations were not scattered at the entrances and exits of the rail transit stations, but concentrated at the No.1 entrance of changshu road station, Line 1, which was convenient for shelter from the rain. Roughly counting, there were about 10 medical staff on the scene that day, including 3 women.Carefully identifying these people, the reporter saw at a glance that two middle-aged men were the "old faces" of last year:Both of them are about 1.75 meters, one is slightly bald on the top of his head, and the other has a wooden head; Like last year, they still carry a black briefcase in their hands. While waiting for the target, several doctors talked and laughed, or smoked or chewed gum …

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How similar is the "routine": whenever a passenger who looks like a foreign patient leaves the station, a medical care provider who is responsible for "touching the department" (finding out the patient’s condition) takes the initiative to meet him. "Where to go?" "I know, I’ll take you there." Ask about the illness along the way, and sell the "magic doctor" … The medical care provider who is responsible for "loading" (playing the successful treatment) and "holding the cow" (playing the patient and deceiving the patient to the destination in the name of going to see the doctor together) follows behind, watching the gestures of the medical care provider in front, and deciding whether to go forward to cooperate with the acting.

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The medical care workers seemed to have a "poor record" that day. Until 9: 30, all the patients with five or six waves were fooled. During this period, the above-mentioned two old faces "directed" several medical care providers to go to the No.2 entrance of changshu road station on Line 1 and the entrance and exit of Line 7 respectively. The reporter speculated that these two old faces are now the "backbone" of this medical care gang.

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△ About 10 medical care providers occupy the entrance and exit of changshu road station No.1 of Rail Transit Line 1, and the two people pointed out by the arrow are "old faces" exposed in the news last year.

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△ Looking at the pictures of medical care taken by journalists last year, the two people circled on the left are the two people at the arrow in the previous picture.

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The "imperial doctor" is Professor Wu from Shanghai No.1 and No.3 Hospital.

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At 9: 45, the patient was "hooked".

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A man dressed as a migrant worker in a black jacket appeared at the entrance 1 of changshu road station on Line 1, carrying a plastic bag with a medical record faintly visible in it. Two men and one woman and three "keen" medical care immediately followed, chatting around the man and heading west along Huaihai Middle Road.

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△ After Mr. Li (middle) left the station, three doctors immediately surrounded him.

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Among the three people, the person carrying the black briefcase is responsible for "touching the department". The reporter followed behind and vaguely heard the conversation. The man claimed to be Li (hereinafter referred to as Mr. Li) and came to Shanghai for medical treatment to treat his insomnia, headache and inability to sleep. The man immediately enthusiastically said that he knew Professor Wu Yingzhi, a Chinese medicine doctor in a 3A hospital in Shencheng, who specializes in this intractable disease, and solemnly said that his disease was not well treated by western medicine … A woman with an umbrella was in charge of "consigning" and immediately agreed that she had suffered from insomnia, and finally she was able to recover thanks to Professor Wu’s treatment. ""What day is it today? " Tuesday! You are so lucky. Professor Wu is sitting outside today. You can go directly to him … "

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At this point, the black cotton-padded jacket man who plays the patient and is responsible for "Petunia" also began to respond, saying that he also has a headache and insomnia. He was going to Huashan Hospital for a reexamination that day, but now he is not going to see Chinese medicine. The three of them exchanged words, and Mr. Li was quickly taken in and immediately expressed his desire to try. The doctor who carried the bag immediately took out a pen and paper, wrote down the address and telephone number of Professor Wu, and then turned away with a doctor who was holding an umbrella.

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△ Medical care providers are fooling Mr. Li.

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At the scene, only Mr. Li and the medical assistant who played the patient were left. In order to convince Mr. Li, the medical assistant suggested that Mr. Li call Professor Wu, ask about the situation first, and listen to whether it is reliable or not. If it is reliable, the two will go to see a doctor together. Mr. Li then called Professor Wu …

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Kunshan again! This time it turned out to be a pharmacy.

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During the half-hour flicker, the reporter felt that the medical care providers were much more cautious than last year. Three people cheated before, and two "backbones" actually hid not far away to observe, which surprised the reporter who pretended to be passers-by around without noticing at first.

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At 10: 15, Mr. Li, who had finished the phone call, had fully believed this "Professor Wu". The black cotton-padded jacket medical nurse who plays the patient called Mr. Li to set out to find this wonderful doctor. The two returned to changshu road station No.3 of Rail Transit Line 1, then stopped to buy tickets and got on the train in the direction of Xinzhuang. At Xujiahui Station, the two changed to take the train on Line 11 in the direction of Huaqiao.

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△ Mr. Li (left) and the medical care (right) disguised as patients are waiting for the train to Huaqiao.

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Along the way, Mr. Li, who calmed down, felt something was wrong. He repeatedly asked the "patient friend" medical care beside him. Why did he meet the two people who learned the information of Professor Wu at the subway entrance? Unexpectedly, the "patient friend" also took out a piece of paper with Professor Wu’s information from his pocket, pretending that he also happened to meet at the subway entrance. "I don’t know if these two people have any problems." When the garage arrived in Jiading, the position on the car increased, and the medical care simply sat opposite Mr. Li to avoid too much conversation.It is somewhat "funny" that, perhaps tired, the "patient friend" actually fell asleep in the shaking of the train. After waking up again, Mr. Li was surprised and asked him, "Don’t you also have a headache and insomnia?" The "sick friend" was embarrassed and quickly said that he had a headache and could not sleep at night, but he could still sleep during the day.

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After the train left Shanghai and entered Kunshan, they still didn’t get off. Is this time going to Kunshan "Ruijin Clinic"?

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After more than an hour’s drive, the two finally got off at Guangming Road Station, not Zhaofeng Road Station where they got off last year.The reporter followed closely. After getting off the bus, the two went straight to the bus stop on the side of Guangming Road in Kunshan, and then took the "Huaqiao Area 222 Road". After four stops, they got off at the bus stop "Music city Mall" and then crossed the road to Chuntian Avenue. Not far from the intersection, the two walked into a big pharmacy called "Xiangyun Health". It happens to be located at the junction of Kunshan and Baihe Town in Qingpu District.

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△ The two arrived at Huaqiao Spring Avenue in Kunshan.

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△ The patient was eventually deceived to this Xiangyun Health Pharmacy.

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I took a pulse and prescribed 2638 yuan of Chinese medicine.

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Seen from a distance, this Xiangyun Health Pharmacy has two floors. In addition to the brand of pharmacy, there is also a brand of "Chinese medicine" hanging at the door, which reads the words "famous doctors treat all kinds of chronic diseases professionally". Seen from the door glass, the ground floor is the medicine selling area. I saw that after the medical care and Mr. Li walked into the pharmacy, they then went to the inside.

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The female boss of a canteen next to her confirmed to the reporter that there was indeed a Chinese medicine doctor in this pharmacy, and her family had seen a doctor and was equipped with more than 800 yuan of Chinese medicine. "After eating a few stickers, there is no effect at all, and it feels deceptive!"

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Seeing the reporter hanging around the door of the pharmacy, the man at the cashier on the ground floor of the pharmacy looked alert and immediately came out and stared at the reporter. Wherever the reporter goes, he follows. In desperation, the reporter can only go to the Greenland Avenue far away and observe it from a distance.

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At 12: 15, a couple walked out of the pharmacy. When the two approached, the reporter asked. The couple told reporters that they are from Ningde, Fujian, and their wife, Ms. Lin, suffers from pituitary adenoma. I came to Shanghai for medical treatment a few days ago. After seeing a doctor in a hospital, the doctor suggested that they go to the ENT hospital for a second diagnosis. But on Fenyang Road at the entrance of ENT Hospital, they were fooled by the same group of doctors and came to this big pharmacy. According to the couple, the so-called Professor Wu just took the pulse and prescribed three courses of Chinese medicine for 21 days in one breath, totaling 2,638 yuan. The couple paid more than 2,000 yuan in cash, without any treatment certificate or even medicine. "Where are the medical records and prescriptions?" "Didn’t give it to us." What about the payment voucher? "There is no receipt and no invoice." What about Chinese medicine? "The pharmacy said it would be delivered to Fujian by express delivery" …

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The reporter told them that they were fooled, and the couple suddenly wanted to cry without tears. I cried that I had spent all my savings at home when I saw a doctor, but I didn’t expect to be cheated when I went to Shanghai. It sounds so sad.

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When is this medical care gang going to tolerate it?

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At the entrance and exit of changshu road station on Rail Transit Line 1, the owner of a newsstand told reporters that the medical care in this area is like "psoriasis". If you manage it well, it will regain its vitality if you relax a little, and it has never been completely cured.

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After the Liberation Daily reported on the news last year, the rail transit police took some rectification measures. But only a few months later, this medical care group changed to a cooperative organization and revived.

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In the hall of changshu road station Railway Station, the rail transit police are checking the ID cards of passing passengers. I don’t know if the rail transit police know about the deception of medical care beyond a few steps.

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The reporter saw in the "12345" citizen service hotline that since the end of March, some citizens have called the hotline to report complaints about medical care in this area, which seems to have not attracted the attention of relevant departments.

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I hope that this time, the public security, health and other relevant departments in Shencheng can pay serious attention to this phenomenon, rectify the surrounding areas of Huashan Hospital and ENT Hospital, and take effective and long-term measures to effectively ban this stubborn medical care gang. At the same time, it is also hoped that the relevant departments in Kunshan will immediately take action to severely investigate and deal with the illegal diagnosis and treatment behavior of Xiangyun Health Pharmacy and the fraud of patients.

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The pictures in this article are provided by the author.

　　According to the monthly climate report released by the National Oceanic and Atmospheric Administration on September 14th, according to the data so far this year, there is a 93.42% probability that 2023 will become the hottest year on record.

　　For many people, this summer seems to be particularly long and unbearable. In the past few months, rare high temperatures above 40℃ have continued to appear in many places in China, followed by heavy rainfall and floods; Globally, many countries in South Asia and Southeast Asia ushered in extreme heat waves early in April-May; Mountain fires raged in Canada and Hawaii in the United States, and the casualties were the highest on record; The abnormal warming of seawater around Britain and Ireland threatens the survival of fish … …

　　However, this summer’s extreme weather may be just a preview of the future. In fact, the summer in the northern hemisphere is indeed extending. A study published in Geophysical Research Letters shows that if no measures are taken to curb global warming, by 2100, the northern hemisphere will spend more than half of its time in summer every year. The extended summer will not only bring longer high temperature, but also witness more extreme weather events such as rainstorm and mountain fire, which will also bring severe tests to phenology and agriculture.

　　"If the trend of global warming is not contained, the climate model forecast shows that there is the possibility that winter will disappear at some time in the future." Guan Yuping, a professor at south china sea institute of oceanology, told The Paper, "It’s hard to imagine what the earth will be like then!"

　　"Arrive early and leave late" in summer

　　Guan Yuping and his collaborators did this research by accident and curiosity, but the "unexpected" discovery attracted the attention of the whole world.

　　In this study, they analyzed the climate data of the northern hemisphere from 1952 to 2011 and found that the average length of summer has increased from 78 days to 95 days under the influence of global warming. If no measures are taken under the current greenhouse gas emission, by 2100, the summer in the northern hemisphere will be as long as six months, and the length of the other three seasons will be shortened.

　　And this summer’s high temperature "early arrival and late departure" is confirming this trend.

　　As early as the beginning of April, record extreme high temperatures appeared in Southeast Asia and South Asia. At the end of April, the temperature in southwest Europe and North Africa was 20℃ higher than the normal level in the same period of last year, reaching the high temperature level that is usually only available in July and August. Subsequently, new records of high temperature emerged one after another, and many authoritative organizations announced that July this year has become the hottest month on record on earth.

　　Until the end of August, 28 provinces in France still issued orange heat wave warnings, the temperature in some parts of the Middle East exceeded 50℃, and the high temperature record in central America was still being refreshed … …

　　In addition to the high temperature, this summer’s unusual extreme weather events such as hurricanes, mountain fires and droughts have also brought unprecedented damage.

　　This summer, after the continuous extreme high temperature in North China, the Haihe River Basin experienced the heaviest rainfall and the biggest flood in 60 years. The rapid transformation of drought and flood has not only broken people’s conventional understanding of the weather, but also made disaster prevention and emergency prevention more complicated.

　　In May, the first residents in Canada were forced to evacuate due to mountain fires. As of August 19th, there were still more than 1,000 mountain fires burning continuously, and they suffered the "worst" forest fire season in history. In the middle and late July, more than a thousand wildfires occurred in many places in Greece, causing air pollution equivalent to consuming 2.3 million barrels of oil; On August 15th, a mountain fire swept through Maui, Hawaii, USA. The worst mountain fire in the United States for more than a century caused 114 deaths and thousands of people lost contact, and the historic town of Lahaina was reduced to ashes … …

　　Premature continuous high temperature may be disastrous for human beings, animals and plants. The latest assessment of the United Nations Intergovernmental Panel on Climate Change (IPCC) shows that compared with before the industrial revolution, global warming of 1.5℃ will bring irreversible impacts on human beings and natural systems. As the global average temperature continues to rise, summer will start earlier and last longer, and the frequency of extreme weather events will also increase.

　　Phenology: biological rhythm that is no longer punctual

　　Abnormal seasonal changes and temperature changes also have a direct impact on biological rhythm. Flowering, Reproduction and Migration … … Everything in nature operates in an orderly way according to phenology, and climate change is disrupting this biological clock that has been calibrated in the past centuries of biological evolution.

　　The United Nations Environment Programme’s Frontier Report 2022: Noise, Fire and Phenology Mismatch points out that under climate change, not all species can evolve in the same direction and at the same rate. It is this mismatch that has a profound impact on the survival of species, and many species will become extinct.

　　A study published in the Proceedings of the National Academy of Sciences shows that global warming is making the spring in North America start earlier and earlier. Birds can’t keep up with this change, and if they deviate from the best breeding time, they will miss the most abundant opportunity in their habitat, resulting in fewer young birds.

　　In America and the Middle East, record warm winters disrupt the hibernation cycle of bears. Walking in the forest in winter, they not only face food shortage, but also pose a threat to the safety of surrounding residents and forestry workers.

　　The extension of summer caused by global warming has also contributed to the spread of infectious diseases. Studies have shown that when the water temperature rises, the time from egg to adult can be shortened from two weeks to one week; When the temperature reaches 26℃ to 31℃, the replication of Japanese encephalitis virus and dengue virus in mosquitoes increases compared with 20℃, and their infectivity is enhanced.

　　In fact, this effect is already happening. So far this year, more than 3 million cases of dengue fever have been reported in America alone. Dengue fever is spreading to areas where Aedes aegypti would not have entered. In 2015, Mexico City at an altitude of 2,240 meters recorded the invasion of Aedes aegypti for the first time.

　　The damage of sewage system and the interruption of drinking water caused by extreme weather events such as hurricanes, rainstorms and floods will also increase the risk of various pathogens. At present, driven by the unusually warm ocean, the hurricane season in the Atlantic Ocean has just begun to "wake up". On August 20th, California, usually unaffected by hurricanes, issued its first hurricane warning in 84 years.

　　Agriculture: Race against Climate Change

　　"Many farmers have reported that it is getting hotter and hotter now, or it is very hot early in the morning." Feng Qihua, a researcher on the impact of climate change on ecological small farmers, told The Paper, "For example, farmers in Pinggu, Beijing, had to cover themselves with quilts in the mountains at the beginning of June last year, but it was already too hot in June this year."

　　In order to investigate the impact of climate change and the accompanying abnormal weather, Feng Qihua and his colleagues visited 18 farms in Beijing, Tianjin and Hebei and South China from May 2022, and interviewed 28 ecological small farmers.

　　During her visit, she learned that due to the extreme high temperature in summer, many farmers had to change their working hours and go to work in the fields before 8 am and after 5 or 6 pm.

　　"(We) are racing against the speed of climate change now." She described it.

　　In addition, some farmers found that when winter is too warm or short, the base of overwintering pests increases, and abnormal temperature or precipitation changes break the population balance of pests and beneficial insects in the soil, so crops will be more susceptible to pests and diseases in spring.

　　However, in Feng Qihua’s view, the greatest impact on agricultural production is not the high temperature and summer extension itself, but the high uncertainty of seasonal change and extreme weather events. "The biggest problem with climate change is that the speed of warming is beyond the range that some systems can bear."

　　This not only means that it is difficult for farmers to arrange production according to the original traditional solar terms and phenological signals, but also means that crops are more likely to reduce production or commodity.

　　"If it is a natural climate change, time will usually happen slowly in hundreds of thousands of years, and animals and plants can often adapt to the environment or move to places suitable for survival, but now the speed of climate change caused by human beings is more than 100 years, which makes them far away ‘ Can’t keep up with the pace ’ 。” She said.