This is also the reason why there are few medical disputes in Xiehe, Huaxi, Xiangya and other hospitals!
Because some of these hospitals may be the top figures in this field.
Did you tell Wang Tong, the director of Xiehe cardiac surgery, that your treatment plan was wrong?
Stop it, will you!
He himself is the president of the cardiac surgery branch of the Chinese Medical Association.
Who are you when you say people are wrong?
OK, it''s OK to be wrong. Where''s the evidence?
What is evidence?
The evidence is a paper with high professional level!
Where are you looking?
it''s too hard!
Don''t think that social and academic positions play little role.
Only at a critical time can the hidden value of these positions be discovered.
With the emergence of Chen Cang, the staff of the identification center began to worry!
After all
How to answer Chen Cang''s question?
Answer or not?
What if Chen Cang suddenly said, "I think it''s right?"
I don''t know how to refute!
Seeing the identification center like this, the patient''s family was stunned.
What''s the matter with you?
Have you counselled before you started?
That can''t be!
Of course, they don''t know how much psychological pressure people in the identification center have at this time!
At this time, Chen Cang got up and said:
"Hello everyone, I''m here to say two points, that is, the main doubts in the process of this treatment."
"First, the patient is hospitalized with ulcer bleeding.
General ulcer can be cured by conservative treatment, but some of them involve multiple large ulcers. The effect of conservative treatment is not good, and resection will be selected in the later stage.
The relevant theoretical basis is detailed in the guidelines for the diagnosis and treatment of acute non variceal upper gastrointestinal bleeding and the Xiehe emergency rescue manual. Therefore, the doctor and attending doctor Li Yue should operate on the patient during the remission period.
There is no problem with this treatment.
Secondly, the next day, the observation period stipulated by the emergency department is 1-7 days.
At that time, Li Yue, the doctor in charge, clearly told the patient that there was no bed and he could not live in the hospital. If the patient insisted, the patient should bear the consequences.
Moreover, Li Yue and the patient''s family members have had selective surgery for many times, but the family refused, and even asked to be sent to ICU at that time. The other party also refused. These were also signed on the informed consent form and recorded in the medical record. "
"Therefore, according to these bases, Li Yue and his doctor on duty did not make any treatment mistakes or even unreliable professional skills in this treatment."
The identification center saw Chen Cang and felt it was useless.
Finally relieved.
If you use it, I don''t think it''s necessary to open this trial.
If you say one word, you think the judge can pronounce a sentence.
In fact, a word of conscience.
Is the judge willing to embarrass these presidents?
Can he ensure that every major disease and minor patient?
In fact, don''t think that the identification center is singing the opposite.
The identification center needs to ask some questions for the hospital to answer and explain. Like the medical adjustment Commission, it focuses on solving contradictions.
The medical adjustment Commission is not as professional as the identification center. The identification center will help patients put forward some questions and try to let the hospital solve them.
After all, in fact, many times, we can''t deny a fact.
That is, in the long-term process, patients and doctors are actually weak bodies.
These two institutions are disguised to protect the legitimate rights and interests of patients.
It is also a supervision of medical institutions.
If it is really a patient''s problem, the problem they raised is not tenable at all.
If it is really a hospital problem, they will try their best to help patients safeguard their rights and interests.
In fact, sometimes the starting point for the establishment of these institutions is very good.
I can only say
It has been used by people with intentions as a tool for profit.
The staff of the appraisal center also began to give their final reply:
"1. Anti ulcer drug treatment is aimed at duodenal ulcer. In this case, duodenal ulcer has invaded blood vessels, and the cause of massive bleeding is the invaded and damaged blood vessels. The key to this case is to prevent the invaded and damaged blood vessels from bleeding again.
2. The patient had surgical indications in the "stable period" at that time.
3. According to the medical records, the surgical consultation opinions believe that the operation risk is very high, the mortality is high and the prognosis is very poor. Therefore, timely treatment according to the etiology is the key in the stable period of massive hemorrhage of duodenal ulcer. "
What the other party meant was that the hospital did not actively organize surgical treatment.
However, in fact, no one can see that now the identification center can only try its best to give some suggestions for the hospital to answer.
The outcome has become more and more obvious.
The responsibility of hospitals is weakening.
This makes the patient''s family more and more anxious.
At this time, Chen Cang officially testified in court as an expert assistant of the hospital:
"Hello, everyone. This is the problem of the identification center!
First, for patients with gastrointestinal bleeding, endoscopic treatment should be the first priority, and interventional treatment and surgical treatment should be considered after the endoscopic treatment effect is not obvious. When endoscopic treatment has stopped bleeding, secondary bleeding is a probability event. There are no guidelines on whether surgery is needed and the time of surgery, and the hospital cannot implement preventive surgery.
Second, when performing surgery on patients, we need to consider whether the patients need surgery and whether the patients can tolerate surgery. When the patients themselves suffer from severe self diseases and malnutrition, the risk of surgery will be much higher than that of endoscopic treatment.
Third, the doctor should inform the patient and his family about the patient''s condition and treatment plan, but there is no provision that he must inform them in writing. The operation can be carried out only when the patient and his family agree to the operation and sign the informed consent for the operation! "
"To sum up, I think the emergency department of the emergency center hospital and Dr. Li Yue made no mistakes in dealing with this matter."
At this time, the identification center also began to nod: "accept!"
Seeing the identification center like this, the patient''s family immediately got confused!
I didn''t expect things to go so far.
Shouldn''t the hospital compromise?
How did this happen?
At this time.
The final court judgment stated:
"According to the expert opinion, taking into account the patient''s condition development process, operation difficulty, survival rate and other factors, the court held that the main cause of the patient''s death should be the outcome of his own disease, and also recognized that he should bear 2% minor responsibility. The court held that it was not inappropriate.
The doctor was ordered to compensate the patient for all losses of more than 20000 yuan (10000 yuan for mental damage), and bear the appraisal fee and 10000 yuan for expert appearance. "
With the verdict!
Suddenly, it boils down!
This victory may really mean a transformation of the hospital in the doctor-patient relationship!
……
In the face of medical disputes, I hope every doctor can take a positive view. On the one hand, we can comprehensively analyze the diagnosis and treatment process, make up gaps and sum up experience;
On the other hand, collect evidence in favor of doctors and patients, and strive to persuade experts and judges.
Anger, complaint, depression, shirking responsibility and calming down can''t solve any problems.
……
……
PS: it may not be easy to write this story, but the veteran also means that I hope you can understand a way to deal with the doctor-patient court.
If you are a doctor, don''t be afraid of things, collect evidence and solve the problem.
If it is a patient, use legal knowledge to safeguard their legitimate rights and interests.
This thing was witnessed by an old hand when he participated in a doctor-patient conflict with his mentor during his postgraduate study.
This process can be regarded as a real restoration of the doctor-patient trial.
I hope you understand.
I''m afraid I''ll be bored if I always write cases. I didn''t expect to write this. I have to check the information and call. It will be more boring
No, continue tomorrow.