When a doctor opened a plug-in

This is also the reason why there are fewer medical disputes in hospitals such as Xiehe, Huaxi, Xiangya, etc.!

Because in these hospitals, there may be some of the top figures in this field.

You told the director of Xiehe Heart Surgery, that is, Wang Tong that your treatment plan was wrong?

Stop it, okay!

He himself is the president of the Cardiac Surgery Branch of the Chinese Medical Association.

You say they are wrong, how old are you?

Okay, it's okay, where is the evidence?

What is evidence?

Evidence is a highly professional paper!

Where are you looking for?

too difficult!

Don't think that social and academic positions have little effect.

Only at a critical time, the hidden value of these positions can be discovered.

With the appearance of Chen Cang, the staff of the appraisal center began to worry!

after all……

How should Chen Cang's questions be answered?

Do not answer?

If Chen Cang suddenly said: "What do I think is correct?"

I don't know how to refute it at all!

Seeing what the appraisal center looked like, the patient's family was stunned.

What's wrong with you?

Didn't you start yet?

This can't be done!

Of course, they don't know how much psychological pressure is in the hearts of the appraisal center at this time!

At this moment, Chen Cang got up and said:

"Hello everyone, I'm here to say two points, that is, about the main doubts during this treatment."

"First, the patient was hospitalized with ulcer bleeding.

Generally, conservative treatment of ulcers can be cured, but some of them involve multiple large ulcers, and conservative treatment is not effective. Later, they will choose to remove them.

For the relevant theoretical basis, please refer to the "Guidelines for the Diagnosis and Treatment of Acute Non-Varicose Upper Gastrointestinal Bleeding" and the "Concord Emergency Handbook". Therefore, the doctor and the attending doctor Li Yue should perform surgery on the patient during the remission period.

There is no problem with this treatment.

Secondly, on the second day, the observation period stipulated by the emergency department is 1-7 days.

At that time, the doctor Li Yue, the attending doctor, clearly told the patient that there was no bed and could not be admitted to the hospital, and the patient would bear the consequences if the patient insisted.

Moreover, Li Yue had communicated with the patient’s family through elective surgery many times, but the family refused, and even asked to be sent to the ICU at that time. The other party also refused. The other party also signed the informed consent form, and the medical record also has records. ."

"So, according to these evidences, Li Yue and the doctor on duty in this treatment did not have any treatment negligence, and did not even have unreliable professional skills."

The appraisal center saw Chen Cang useless.

Finally relieved.

If you use it, I think there is no need for this trial.

You just say what you think, the judge can pronounce the sentence.

In fact, to speak of conscience.

Will the judge embarrass these presidents?

He can guarantee that he will suffer from three long and two shortcomings?

In fact, don't think that the appraisal center is singing the opposite.

The appraisal center needs to ask some questions for the hospital to answer and explain. Just like the medical commission, it focuses on resolving conflicts.

The medical investigation committee is not as professional as the appraisal center. The appraisal center will help patients raise some questions in response to patients' doubts, and try to get the hospital to solve them.

After all, in fact, many times, we cannot deny a fact.

That is, in the long-term process of the patient and the doctor, the patient is actually a vulnerable body.

These two institutions protect the legitimate rights and interests of patients in disguise.

It is also a supervision of medical institutions.

If it is really the patient's problem, the problem they raised is simply not valid.

If it is really a hospital’s problem, they will try to help patients safeguard their rights.

In fact, sometimes, the starting point for the establishment of these institutions is very good.

can only say……

Used by those who are interested in it as a tool for profit.

The staff of the appraisal center also began to give a final answer:

"1. Anti-ulcer drug treatment is aimed at treatments such as duodenal ulcers. In this case, the duodenal ulcer has invaded the blood vessels. The cause of massive bleeding is the blood vessels damaged by the invasion. It is necessary to prevent the blood vessels damaged by the invasion from bleeding again. The key to this case.

2. The patient was indicated for surgery in the "stable period".

3. According to the medical records, the opinion of the surgical consultation considers that the operation risk is extremely high, the mortality rate is high, and the prognosis is extremely poor.Therefore, timely treatment for the cause of duodenal ulcer hemorrhage in stable period is the key."

The other party still meant that the hospital did not actively organize surgical treatment.

But, in fact, no one can tell that the appraisal center can only try its best to give some suggestions for the hospital to answer.

The ending has become more and more obvious.

The responsibility of the hospital is constantly weakening.

This makes the patients' families increasingly anxious.

At this time, Chen Cang appeared in court as a hospital expert assistant to formally testify:

"Hello everyone, this is the case for the appraisal 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 effect of endoscopic treatment is not obvious.In the case that endoscopic treatment has stopped bleeding, secondary bleeding is a probabilistic event. There is no guideline for whether or not surgery is required at this time and the time for surgery. The hospital cannot perform preventive surgery.

Second, performing surgery on a patient needs to consider two factors, whether the patient needs surgery and whether the patient can tolerate surgery.In the case of patients suffering from heavier own diseases, malnutrition, etc., the risk of surgery is much higher than that of endoscopic treatment.

Third, doctors should inform patients and their family members of the patient's condition and treatment plan, but there is no requirement that they must be notified in writing. The operation can only be performed when the patient and family members agree to the operation and sign an informed consent for the operation!"

"To sum up, 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 nodded at this time: "Accept!"

Seeing the appraisal center like this, the family members of the patients were suddenly confused!

Unexpectedly, things will develop to now.

Shouldn't the hospital compromise?

How could this be?

Just at this time.

The final court judgment stated:

"According to the appraisal opinion and considering the patient’s disease development process, surgical difficulty, survival rate and other factors, the court held that the main cause of the patient’s death should be due to the outcome of his own disease. It also recognized that it should bear 2% of minor liability. Nothing wrong.

It was judged that the doctor compensated the patient for various losses of more than 20,000 yuan (mental damages of 10,000 yuan), and paid 10,000 yuan for appraisal fees and expert appearance."

With the judgment result!

Suddenly the bottom is boiling!

This victory may really mean a transformation in the hospital's doctor-patient relationship!

...

When faced with medical disputes, I hope that every doctor can take a positive view, on the one hand, comprehensively analyze the diagnosis and treatment process, make up for the gaps and sum up experience;

On the other hand, collect evidence that is beneficial to medical patients and try to persuade experts and judges.

Anger, complaining, frustration, shirking responsibility, and calming things down cannot solve any problems.

...

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ps: It may not be very refreshing to write this story, but the veteran's meaning is to hope that everyone understands a way of handling when a doctor-patient court occurs.

If you are a doctor, don't be afraid of things and collect evidence to solve the problem.

If you are a patient, use legal knowledge to protect your legal rights.

This thing, the veteran was also witnessed by his own eyes when he participated in a doctor-patient conflict during the graduate school.

This process can be regarded as a true restoration of the doctor-patient trial.

Hope everyone understands.

I always write cases, I'm afraid it will be boring, but I didn’t expect to write this, I would have to check the information and call, which would be even more boring...

Harm, continue tomorrow.