Chapter 1515: 1515
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This is also the reason why there are fewer medical disputes in the hospitals of Xiehe, Huaxi, Xiangya, etc.!
Because in these hospitals, there may be some of the top people in this field.
You told the director of Union Heart Surgery, Wang Tong, that your treatment plan is wrong?
Stop it, okay!
People themselves are the president of the Chinese Medical Association Heart Surgery Branch.
You say people are wrong, how old are you?
Okay, it’s wrong. Where is the evidence?
What is the evidence?
The evidence is a high-level paper!
Where are you looking?
too difficult!
Don't think that social positions and academic positions have little effect.
Only at the critical time can the hidden value of these positions be discovered.
With the emergence of Chen Cang, the staff of the appraisal center began to worry!
after all……
How to answer the question asked by Chen Cang?
Answer or not?
If Chen Cang suddenly said: "What do I think is correct?"
I don't know how to refute it at all!
Seeing the appraisal center like this, the patient's family suddenly froze.
What's wrong with you?
Did you counsel before you started?
This is not possible!
They certainly don't know how much psychological pressure the people in the appraisal center have at this time!
At this time, Chen Cang got up and said:
"Hello everyone, I will say two things here, that is, the main doubts about this treatment."
"First, the patient is hospitalized with ulcer bleeding.
Generally, conservative treatment of ulcers can be cured, but some of them involve multiple large ulcers. The conservative treatment is not effective and will be removed later.
Relevant theoretical basis can be found in the "Guide to the diagnosis and treatment of acute non-varicose upper gastrointestinal hemorrhage" and "Xiehe emergency rescue manual", so the medical side, the attending doctor Li Yue should operate the patient during the remission period.
There is no problem with this treatment.
Secondly, on the second day, the period of stay prescribed by the emergency department is 1-7 days.
At that time, the doctor, Li Yue, the doctor in charge, clearly told the patient that he had no bed and could not enter the hospital. The patient insisted that the patient would bear the consequences.
Moreover, Li Yue and the family of the patient had repeatedly passed elective surgery, but the family refused, and even backed up at the time, and asked to be sent to the ICU. The other party also refused. The other party also signed on the informed consent form, and there are also records in the medical record. . "
"So, according to these evidences, Li Yue and his doctor on duty did not make any mistakes in this treatment, and even did not appear to have unreliable professional skills."
The appraisal center saw that Chen Cang was useless.
Finally relieved.
If you use it, I really don't need to open this trial.
One sentence you think, the judge can pronounce the sentence.
In fact, say a conscience.
Is the judge willing to embarrass these presidents?
Can he guarantee that each of his three long and two short illnesses?
In fact, don't think that the appraisal center is the opposite.
The appraisal center needs to ask some questions, and let the hospital reply and explain, like the medical commission, focus on solving contradictions.
The Medical Commission is not as professional as the appraisal center. The appraisal center will help the patients to raise some questions and try to let the hospital solve them.
After all, in fact, many times, we cannot deny a fact.
That is, in the long-term process, patients and doctors are actually weak bodies.
These two institutions are in disguise to protect the legitimate rights and interests of patients.
It is also a urge to medical institutions.
If it is really a patient’s problem, the question they raised is simply not true.
If it is really a hospital problem, they will try their best to help patients maintain their rights.
In fact, sometimes the starting point for the establishment of these institutions is very good.
can only say……
It is used by interested individuals as a tool for profit.
The staff of the appraisal center also began to make a final reply:
"1. Anti-ulcer drug treatment is for duodenal ulcers and other treatments. In this case, the duodenal bulb ulcer has invaded the blood vessels, and the cause of the massive bleeding is the blood vessels damaged by the invasion. It is only to prevent the blood vessels damaged by the invasion from bleeding again. The key to this case.
2. The patient was instructed to have surgery during the "stable period".
3. According to medical records, the opinion of the surgical consultation believes that the operation risk is extremely high, the mortality rate is high, and the prognosis is extremely poor. Therefore, timely treatment of the etiology for the duodenal bulb ulcer and hemorrhage is the key. "
The other party still meant that the hospital did not actively organize surgical treatment.
However, in fact, no one can tell, now the identification center can only try to give some suggestions and let the hospital answer.
The end has become more and more obvious.
The responsibilities of the hospital continue to weaken.
This makes the patients' families more and more anxious.
At this time, Chen Cang, as a hospital expert assistant, officially testified in court:
"Hello everyone, this is the problem with the appraisal center!
First, for patients with gastrointestinal hemorrhage, endoscopic treatment should be the first, and interventional treatment and surgical treatment should be considered after the endoscopic treatment effect is not obvious. When the endoscopic treatment has stopped bleeding, secondary bleeding is a probable event. There is no guideline that specifies whether surgery is required and when the surgery is performed. The hospital cannot perform preventive surgery.
Second, the operation of the patient needs to consider both the patient's need for surgery and whether the patient can tolerate the surgery. In the case of patients suffering from severe autonomic diseases and malnutrition, the risk of surgery is much higher than that of endoscopic treatment.
Third, the doctor should inform the patient and family about the patient's condition and treatment plan, but there is no requirement to notify in writing. The operation can only be performed if the patient and family agree to the operation and sign the operation informed consent! "
"In summary, I think that the Emergency Department of the Emergency Center Hospital and Dr. Li Yue made no mistakes in handling this matter."
The appraisal center also began to nod at this time: "Accept!"
Seeing the appraisal center like this, the patient's family was suddenly blinded!
Unexpectedly, things will develop to the present. UU reading www.uukanshu.com
Shouldn’t the hospital compromise?
How could this be?
Just at this time.
The final court judgment stated:
"According to the appraisal opinion, considering the patient's disease development process, surgical difficulty, survival rate and other factors, the court believes that the main cause of the patient's death should be due to the return of his own disease, and also accepts 2% minor liability. Nothing wrong.
Judged the medical side to compensate the affected party for losses of more than 20,000 yuan (mental damage comfort money of 10,000 yuan), and bear the appraisal fee and expert court costs of 10,000 yuan. "
With the sentencing result!
Suddenly boiled below!
This victory may really mean a transformation of the hospital in the doctor-patient relationship!
...
When faced with medical disputes, I hope that every doctor can take an active look at it. On the one hand, I will comprehensively analyze the diagnosis and treatment process, fill in the gaps and summarize the experience;
On the other hand, collect evidence in favor of doctors/patients, and strive to convince experts and judges.
Anger, complaining, frustration, shirking responsibilities, calming down can't solve any problems.
...
...
ps: It may not be very pleasant to write this story, but the veteran also hopes that everyone understands a way to deal with the doctor-patient court.
If you are a doctor, don't be afraid of things and collect evidence to solve the problem.
If it is a patient, use legal knowledge to protect their legal rights.
This thing was also witnessed by the veteran when he participated in the tutor's contradiction between doctor and patient during his graduate school.
This process can be regarded as a true restoration of the doctor-patient trial.
Hope everyone understands.
I always write cases, I am afraid that I will be bored. I did not expect to write this and I have to check the information, I have to call, and it will be more boring...
Harm, continue tomorrow.
Please report us if you find any errors so we can fix it asap!
This is also the reason why there are fewer medical disputes in the hospitals of Xiehe, Huaxi, Xiangya, etc.!
Because in these hospitals, there may be some of the top people in this field.
You told the director of Union Heart Surgery, Wang Tong, that your treatment plan is wrong?
Stop it, okay!
People themselves are the president of the Chinese Medical Association Heart Surgery Branch.
You say people are wrong, how old are you?
Okay, it’s wrong. Where is the evidence?
What is the evidence?
The evidence is a high-level paper!
Where are you looking?
too difficult!
Don't think that social positions and academic positions have little effect.
Only at the critical time can the hidden value of these positions be discovered.
With the emergence of Chen Cang, the staff of the appraisal center began to worry!
after all……
How to answer the question asked by Chen Cang?
Answer or not?
If Chen Cang suddenly said: "What do I think is correct?"
I don't know how to refute it at all!
Seeing the appraisal center like this, the patient's family suddenly froze.
What's wrong with you?
Did you counsel before you started?
This is not possible!
They certainly don't know how much psychological pressure the people in the appraisal center have at this time!
At this time, Chen Cang got up and said:
"Hello everyone, I will say two things here, that is, the main doubts about this treatment."
"First, the patient is hospitalized with ulcer bleeding.
Generally, conservative treatment of ulcers can be cured, but some of them involve multiple large ulcers. The conservative treatment is not effective and will be removed later.
Relevant theoretical basis can be found in the "Guide to the diagnosis and treatment of acute non-varicose upper gastrointestinal hemorrhage" and "Xiehe emergency rescue manual", so the medical side, the attending doctor Li Yue should operate the patient during the remission period.
There is no problem with this treatment.
Secondly, on the second day, the period of stay prescribed by the emergency department is 1-7 days.
At that time, the doctor, Li Yue, the doctor in charge, clearly told the patient that he had no bed and could not enter the hospital. The patient insisted that the patient would bear the consequences.
Moreover, Li Yue and the family of the patient had repeatedly passed elective surgery, but the family refused, and even backed up at the time, and asked to be sent to the ICU. The other party also refused. The other party also signed on the informed consent form, and there are also records in the medical record. . "
"So, according to these evidences, Li Yue and his doctor on duty did not make any mistakes in this treatment, and even did not appear to have unreliable professional skills."
The appraisal center saw that Chen Cang was useless.
Finally relieved.
If you use it, I really don't need to open this trial.
One sentence you think, the judge can pronounce the sentence.
In fact, say a conscience.
Is the judge willing to embarrass these presidents?
Can he guarantee that each of his three long and two short illnesses?
In fact, don't think that the appraisal center is the opposite.
The appraisal center needs to ask some questions, and let the hospital reply and explain, like the medical commission, focus on solving contradictions.
The Medical Commission is not as professional as the appraisal center. The appraisal center will help the patients to raise some questions and try to let the hospital solve them.
After all, in fact, many times, we cannot deny a fact.
That is, in the long-term process, patients and doctors are actually weak bodies.
These two institutions are in disguise to protect the legitimate rights and interests of patients.
It is also a urge to medical institutions.
If it is really a patient’s problem, the question they raised is simply not true.
If it is really a hospital problem, they will try their best to help patients maintain their rights.
In fact, sometimes the starting point for the establishment of these institutions is very good.
can only say……
It is used by interested individuals as a tool for profit.
The staff of the appraisal center also began to make a final reply:
"1. Anti-ulcer drug treatment is for duodenal ulcers and other treatments. In this case, the duodenal bulb ulcer has invaded the blood vessels, and the cause of the massive bleeding is the blood vessels damaged by the invasion. It is only to prevent the blood vessels damaged by the invasion from bleeding again. The key to this case.
2. The patient was instructed to have surgery during the "stable period".
3. According to medical records, the opinion of the surgical consultation believes that the operation risk is extremely high, the mortality rate is high, and the prognosis is extremely poor. Therefore, timely treatment of the etiology for the duodenal bulb ulcer and hemorrhage is the key. "
The other party still meant that the hospital did not actively organize surgical treatment.
However, in fact, no one can tell, now the identification center can only try to give some suggestions and let the hospital answer.
The end has become more and more obvious.
The responsibilities of the hospital continue to weaken.
This makes the patients' families more and more anxious.
At this time, Chen Cang, as a hospital expert assistant, officially testified in court:
"Hello everyone, this is the problem with the appraisal center!
First, for patients with gastrointestinal hemorrhage, endoscopic treatment should be the first, and interventional treatment and surgical treatment should be considered after the endoscopic treatment effect is not obvious. When the endoscopic treatment has stopped bleeding, secondary bleeding is a probable event. There is no guideline that specifies whether surgery is required and when the surgery is performed. The hospital cannot perform preventive surgery.
Second, the operation of the patient needs to consider both the patient's need for surgery and whether the patient can tolerate the surgery. In the case of patients suffering from severe autonomic diseases and malnutrition, the risk of surgery is much higher than that of endoscopic treatment.
Third, the doctor should inform the patient and family about the patient's condition and treatment plan, but there is no requirement to notify in writing. The operation can only be performed if the patient and family agree to the operation and sign the operation informed consent! "
"In summary, I think that the Emergency Department of the Emergency Center Hospital and Dr. Li Yue made no mistakes in handling this matter."
The appraisal center also began to nod at this time: "Accept!"
Seeing the appraisal center like this, the patient's family was suddenly blinded!
Unexpectedly, things will develop to the present. UU reading www.uukanshu.com
Shouldn’t the hospital compromise?
How could this be?
Just at this time.
The final court judgment stated:
"According to the appraisal opinion, considering the patient's disease development process, surgical difficulty, survival rate and other factors, the court believes that the main cause of the patient's death should be due to the return of his own disease, and also accepts 2% minor liability. Nothing wrong.
Judged the medical side to compensate the affected party for losses of more than 20,000 yuan (mental damage comfort money of 10,000 yuan), and bear the appraisal fee and expert court costs of 10,000 yuan. "
With the sentencing result!
Suddenly boiled below!
This victory may really mean a transformation of the hospital in the doctor-patient relationship!
...
When faced with medical disputes, I hope that every doctor can take an active look at it. On the one hand, I will comprehensively analyze the diagnosis and treatment process, fill in the gaps and summarize the experience;
On the other hand, collect evidence in favor of doctors/patients, and strive to convince experts and judges.
Anger, complaining, frustration, shirking responsibilities, calming down can't solve any problems.
...
...
ps: It may not be very pleasant to write this story, but the veteran also hopes that everyone understands a way to deal with the doctor-patient court.
If you are a doctor, don't be afraid of things and collect evidence to solve the problem.
If it is a patient, use legal knowledge to protect their legal rights.
This thing was also witnessed by the veteran when he participated in the tutor's contradiction between doctor and patient during his graduate school.
This process can be regarded as a true restoration of the doctor-patient trial.
Hope everyone understands.
I always write cases, I am afraid that I will be bored. I did not expect to write this and I have to check the information, I have to call, and it will be more boring...
Harm, continue tomorrow.
This is also the reason why there are fewer medical disputes in the hospitals of Xiehe, Huaxi, Xiangya, etc.!Because in these hospitals, there may be some of the top people in this field.You told the director of Union Heart Surgery, Wang Tong, that your treatment plan is wrong?Stop it, okay!People themselves are the president of the Chinese Medical Association Heart Surgery Branch.You say people are wrong, how old are you?Okay, it's wrong. Where is the evidence?What is the evidence?The evidence is a high-level paper!Where are you looking?too difficult!Don't think that social positions and academic positions have little effect.Only at the critical time can the hidden value of these positions be discovered.With the emergence of Chen Cang, the staff of the appraisal center began to worry!after allHow to answer the question asked by Chen Cang?Answer or not?If Chen Cang suddenly said: "What do I think is correct?"I don't know how to refute it at all!Seeing the appraisal center like this, the patient's family suddenly froze.What's wrong with you?Did you counsel before you started?This is not possible!They certainly don't know how much psychological pressure the people in the appraisal center have at this time!At this time, Chen Cang got up and said:"Hello everyone, I will say two things here, that is, the main doubts about this treatment.""First, the patient is hospitalized with ulcer bleeding.Generally, conservative treatment of ulcers can be cured, but some of them involve multiple large ulcers. The conservative treatment is not effective and will be removed later.Relevant theoretical basis can be found in the "Guide to the diagnosis and treatment of acute non-varicose upper gastrointestinal hemorrhage" and "Xiehe emergency rescue manual", so the medical side, the attending doctor Li Yue should operate the patient during the remission period.There is no problem with this treatment.Secondly, on the second day, the period of stay prescribed by the emergency department is 1-7 days.At that time, the doctor, Li Yue, the doctor in charge, clearly told the patient that he had no bed and could not enter the hospital. The patient insisted that the patient would bear the consequences.Moreover, Li Yue and the family of the patient had repeatedly passed elective surgery, but the family refused, and even backed up at the time, and asked to be sent to the ICU. The other party also refused. The other party also signed on the informed consent form, and there are also records in the medical record. . ""So, according to these evidences, Li Yue and his doctor on duty did not make any mistakes in this treatment, and even did not appear to have unreliable professional skills."The appraisal center saw that Chen Cang was useless.Finally relieved.If you use it, I really don't need to open this trial.One sentence you think, the judge can pronounce the sentence.In fact, say a conscience.Is the judge willing to embarrass these presidents?Can he guarantee that each of his three long and two short illnesses?In fact, don't think that the appraisal center is the opposite.The appraisal center needs to ask some questions, and let the hospital reply and explain, like the medical commission, focus on solving contradictions.The Medical Commission is not as professional as the appraisal center. The appraisal center will help the patients to raise some questions and try to let the hospital solve them.After all, in fact, many times, we cannot deny a fact.That is, in the long-term process, patients and doctors are actually weak bodies.These two institutions are in disguise to protect the legitimate rights and interests of patients.It is also a urge to medical institutions.If it is really a patient's problem, the question they raised is simply not true.If it is really a hospital problem, they will try their best to help patients maintain their rights.In fact, sometimes the starting point for the establishment of these institutions is very good.can only sayIt is used by interested individuals as a tool for profit.The staff of the appraisal center also began to make a final reply:"1. Anti-ulcer drug treatment is for duodenal ulcers and other treatments. In this case, the duodenal bulb ulcer has invaded the blood vessels, and the cause of the massive bleeding is the blood vessels damaged by the invasion. It is only to prevent the blood vessels damaged by the invasion from bleeding again. The key to this case.2. The patient was instructed to have surgery during the "stable period".3. According to medical records, the opinion of the surgical consultation believes that the operation risk is extremely high, the mortality rate is high, and the prognosis is extremely poor. Therefore, timely treatment of the etiology for the duodenal bulb ulcer and hemorrhage is the key. "The other party still meant that the hospital did not actively organize surgical treatment.However, in fact, no one can tell, now the identification center can only try to give some suggestions and let the hospital answer.The end has become more and more obvious.The responsibilities of the hospital continue to weaken.This makes the patients' families more and more anxious.At this time, Chen Cang, as a hospital expert assistant, officially testified in court:"Hello everyone, this is the problem with the appraisal center!First, for patients with gastrointestinal hemorrhage, endoscopic treatment should be the first, and interventional treatment and surgical treatment should be considered after the endoscopic treatment effect is not obvious. When the endoscopic treatment has stopped bleeding, secondary bleeding is a probable event. There is no guideline that specifies whether surgery is required and when the surgery is performed. The hospital cannot perform preventive surgery.Second, the operation of the patient needs to consider both the patient's need for surgery and whether the patient can tolerate the surgery. In the case of patients suffering from severe autonomic diseases and malnutrition, the risk of surgery is much higher than that of endoscopic treatment.Third, the doctor should inform the patient and family about the patient's condition and treatment plan, but there is no requirement to notify in writing. The operation can only be performed if the patient and family agree to the operation and sign the operation informed consent! ""In summary, I think that the Emergency Department of the Emergency Center Hospital and Dr. Li Yue made no mistakes in handling this matter."The appraisal center also began to nod at this time: "Accept!"Seeing the appraisal center like this, the patient's family was suddenly blinded!Unexpectedly, things will develop to the present. UU reading www.uukanshu.comShouldn't the hospital compromise?How could this be?Just at this time.The final court judgment stated:"According to the appraisal opinion, considering the patient's disease development process, surgical difficulty, survival rate and other factors, the court believes that the main cause of the patient's death should be due to the return of his own disease, and also accepts 2% minor liability. Nothing wrong.Judged the medical side to compensate the affected party for losses of more than 20,000 yuan mental damage comfort money of 10,000 yuan, and bear the appraisal fee and expert court costs of 10,000 yuan. "With the sentencing result!Suddenly boiled below!This victory may really mean a transformation of the hospital in the doctor-patient relationship!...When faced with medical disputes, I hope that every doctor can take an active look at it. On the one hand, I will comprehensively analyze the diagnosis and treatment process, fill in the gaps and summarize the experience;On the other hand, collect evidence in favor of doctors/patients, and strive to convince experts and judges.Anger, complaining, frustration, shirking responsibilities, calming down can't solve any problems.......ps: It may not be very pleasant to write this story, but the veteran also hopes that everyone understands a way to deal with the doctor-patient court.If you are a doctor, don't be afraid of things and collect evidence to solve the problem.If it is a patient, use legal knowledge to protect their legal rights.This thing was also witnessed by the veteran when he participated in the tutor's contradiction between doctor and patient during his graduate school.This process can be regarded as a true restoration of the doctor-patient trial.Hope everyone understands.I always write cases, I am afraid that I will be bored. I did not expect to write this and I have to check the information, I have to call, and it will be more boring...Harm, continue tomorrow.
