Chapter 1513 Victory!

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 figures in this field.

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

Don't make a fuss, okay?

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

You say people are wrong, how old are you?

Well, it's okay to be wrong, where's the evidence?

What is the evidence?

Evidence is a high-level professional paper!

where do you find it?

too difficult!

Never think that social and academic positions are of little use.

It is only when the time comes that 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 answer the question?

Answer or not?

What if Chen Cang suddenly said, "I think it is correct?"

I don't know how to refute this!

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

What's wrong with you guys?

Are you shy before you even start?

This is not possible!

Of course, they didn't know how much psychological pressure was on the hearts of the people in the appraisal center at this time!

At this moment, Chen Cang got up and said:

"Hello everyone, I'm here to say two points, which are the main points of doubt during this treatment."

"First, the patients themselves were hospitalized with bleeding ulcers.

Generally, conservative treatment of ulcers can be cured, but some of them involve multiple large ulcers, and the effect of conservative treatment is not good, and they will be removed later.

The relevant theoretical basis is detailed in the "Guidelines for the Diagnosis and Treatment of Acute Non-variceal Upper Gastrointestinal Bleeding" and "Concord Emergency Rescue Manual". Therefore, the doctor, the attending physician 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, that is, the attending doctor Li Yue, clearly informed the patient that there was no bed and that he could not be admitted to the hospital. If the patient insisted, the patient would bear the consequences.

Moreover, Li Yue had communicated with the patient's family for elective surgery many times, but the family refused, and even asked to be sent to the ICU at that time, but the other party also refused, and the other party also signed the informed consent form, which is also recorded in the medical record. . "

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

The appraisal center saw that Chen Cang was useless.

Finally relieved.

If you use my opinion, there is really no need for this court hearing.

What do you think, the judge will be able to pronounce the sentence.

Actually, to be honest.

Are the judges willing to embarrass these presidents?

Can he guarantee that each of his three long and two shorts will suffer from major illnesses and minor illnesses?

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

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

The professionalism of the Medical Commission is not as good as that of the appraisal center. The appraisal center will help the patient to ask some questions for the patient's doubts, and try to let the hospital solve it.

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

That is, in the long-term process of patients and doctors, patients are actually weak bodies.

These two institutions are disguised to protect the legitimate rights and interests of patients.

It is also a reminder to medical institutions.

If it's really the patient's problem, the question they're asking doesn't hold true at all.

If it is really the hospital's problem, they will try their best to help patients safeguard their rights.

In fact, sometimes these institutions are set up with good intentions.

can only say……

It has been used as a profit-making tool by people with intentions.

The staff of the appraisal center also began to put forward a final reply:

"1. Anti-ulcer drug therapy is aimed at the treatment of duodenal ulcers. In this case, the duodenal ulcer has invaded the blood vessels, and the cause of massive bleeding is the damaged blood vessels. Preventing the damaged blood vessels from bleeding again is the only way to prevent massive bleeding. key to this case.

2. The patient had indications for surgery in the "stable period" at that time.

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

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

However, in fact, no one can see that the identification center can only try its best to give some suggestions for the hospital to answer.

The end has become more and more obvious.

The responsibility of the hospital continues to weaken.

This makes the patient's family more and more anxious.

At this time, Chen Cang formally testified in court as an expert assistant of the hospital:

"Hello everyone, for the question of the appraisal center, this is the case!

First, for patients with gastrointestinal bleeding, endoscopic treatment should be the main treatment, and then interventional therapy and surgical treatment should be considered if the effect of endoscopic treatment is not obvious. In the case of hemostasis after endoscopic treatment, secondary bleeding is a probabilistic event. There is no guideline to specify whether surgery is required and the time of surgery. The hospital cannot perform preventive surgery.

Second, performing surgery on a patient needs to consider both whether the patient needs surgery and whether the patient can tolerate surgery. In the case of patients suffering from serious autologous diseases, malnutrition, etc., the risks of surgery will be much higher than that of endoscopic treatment.

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

"To sum up, I think that the emergency department of the emergency center hospital and Dr. Li Yue made no mistakes in handling this incident."

The appraisal center also started to nod at this time: "Accept!"

Seeing the identification center like this, the patient's family was immediately blinded!

Didn't expect things to develop so far.

Shouldn't the hospital compromise?

How could this be?

Just at this time.

The final court judgment stated:

"According to the expert opinion, taking into account 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 caused by the outcome of his own disease, and also accepts 2% of the minor liability. Nothing wrong.

The doctor was ordered to compensate the patient for various losses of more than 20,000 yuan (10,000 yuan for mental damage relief), and to bear the appraisal fee and the expert's court appearance fee of 10,000 yuan. "

With the verdict!

Immediately it boiled down!

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 a positive attitude.

On the other hand, collect evidence in favor of doctors/patients, and try to convince experts and judges.

Anger, complaining, frustration, buck-passing, calming down won't solve any problem.

...

...

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

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

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

This thing, the veteran also witnessed when he participated in a doctor-patient conflict with his tutor during his postgraduate studies.

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

Hope you all understand.

I’m always writing cases, I’m afraid I’ll be bored, but I didn’t expect that I would have to check the data and make phone calls to write this, which would be even more boring…

Damn, continue tomorrow.