This is also the reason why there are fewer medical disputes in hospitals such as Union Hospital, West China, Xiangya, etc.!

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

Are you wrong with the director of the Department of Cardiac Surgery of Union Medical College, that is, Wang Tong, telling you that your treatment plan is wrong?

Stop making trouble, okay!

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

You said that they were wrong, who are you?

OK, it's okay if you're wrong, where is the evidence?

What is evidence?

The evidence is a paper with a high professional level!

Where are you looking for it?

Too difficult!

Never think that social positions and academic positions are not very effective.

Only when the critical moment can the hidden value of these positions be discovered.

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

after all……

How should I answer the question asked by Chen Cang?

Answer or not?

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

I don't know how to refute this!

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

What's wrong with you?

Are you scared before you even started?

This is not possible!

Of course they don’t know how much psychological pressure the people in the appraisal center are at this time!

At this moment, Chen Cang stood up and said:

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

"First, the patient is hospitalized for ulcer bleeding.

Generally, conservative treatment of ulcers can be cured, but some involve multiple large ulcers. Conservative treatment is not effective and removal will be chosen in the later stage.

For details of the relevant theoretical basis, please refer to the "Guidelines for Diagnosis and Treatment of Acute Non-Varicocele Upper Gastrointestinal Hemorrhage" and the "Concord Emergency Rescue Manual". Therefore, the medical prescription and attending physician Li Yue should perform surgery on the patient during the remission period.

There is no problem with this treatment.

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

At that time, the doctor, that is, the attending physician Li Yue, clearly informed the patient that there was no bed and 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 many times to pass elective surgery, but the family refused. He even asked to send him to the ICU at the time, but the other party refused. The other party also signed the informed consent form and recorded it in the medical record."

"So, according to these reasons, Li Yue and his doctor on duty did not have any treatment faults during this treatment, and even did not have any unreliable professional skills."

The appraisal center felt useless when it saw Chen Cang.

Finally breathed a sigh of relief.

If you use it, I think there is no need to hold the trial.

You think the judge can pronounce the verdict.

Actually, to be honest.

Will the judge make things difficult for these presidents?

Can he guarantee that he will have three or two shorts of serious illnesses and minor illnesses?

In fact, don’t think that the appraisal center is just an opposite.

The appraisal center needs to ask some questions to let the hospital respond and explain, just like the Medical Mediation Committee, focus on resolving conflicts.

The medical tutoring committee is not as professional as the appraisal center. The appraisal center will help patients 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, the patient is actually a weak body.

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

It is also an urge to medical institutions.

If it is really a patient's problem, the problem they raised is not valid at all.

If it is really a problem with the hospital, they will try their best to help patients protect their rights.

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

All I can say is...

It is used by those who are interested in it as a tool for profit.

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

"1. Anti-ulcer drugs are used to treat duodenal ulcers and other treatments. In this case, the ulcer of the duodenal bulb has invaded the blood vessels. The cause of major 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 has surgical indications during the "stability period" at that time.

3. According to the medical records, the surgical consultation opinions believe that the operation risk is extremely high, the mortality rate is high, and the prognosis is extremely poor. Therefore, it is key to treat the cause in a timely manner during the stable period of heavy bleeding of the duodenal bulb ulcer."

The other party’s intention was that the hospital did not actively organize surgical treatment.

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

The ending has become increasingly obvious.

The hospital's responsibilities are constantly weakening.

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

At this moment, Chen Cang appeared in court as an auxiliary hospital expert and testified officially:

"Hello everyone, this is the case with the problem of the appraisal center!

First, for patients with gastrointestinal bleeding, endoscopic treatment should be the main focus. Interventional treatment and surgical treatment should be considered after the endoscopic treatment is not obvious. If the endoscopic treatment has stopped hemotherapy, secondary bleeding is a probabilistic event. There is no guideline for whether surgical surgery is required and the time for surgical surgery to be performed at this time. Hospitals cannot perform preventive surgery.

Second, the patient's surgery requires consideration of the two factors: whether the patient needs surgery and whether the patient can tolerate the surgery. When the patient suffers from severe self-diseases, malnutrition, etc., the risk of surgical surgery is 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 requirement that the patient must inform him in writing. The operation can only be performed if the patient and his family agree to the operation and sign the informed consent form of the surgery!”

"To sum up, I think that the emergency department of the Emergency Center Hospital and Dr. Li Yue did not make any mistakes in handling this matter."

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

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

I didn't expect things to develop to this day.

Shouldn't the hospital compromise?

how so?

It was at this time.

The final court judgment states:

"According to the identification opinions, taking into account the patient's condition development process, difficulty of surgery, survival rate and other factors, the court believes that the main cause of the patient's death should be due to the consequences of his own disease, and also recognizes that he bears a slight responsibility of 2%. The court believes that there is nothing wrong with it.

The doctor was ordered to compensate the patient for all losses of more than 20,000 yuan (10,000 yuan in mental damage compensation), and bear the appraisal fee and the expert appearance cost of 10,000 yuan."

Accompanied by the verdict!

Suddenly, the lower part boiled!

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

...

When facing medical disputes, I hope every doctor can take a positive look at them. On the one hand, they can comprehensively analyze the diagnosis and treatment process, make up for the gaps and summarize experiences;

On the other hand, collect evidence that is beneficial to the doctor/patient and strive to convince the identification experts and judges.

Anger, complain, frustration, shirk responsibility, and ease the matter and cannot solve any problem.

...

...

ps: It may not be very refreshing to write this story, but the veteran means that I hope everyone can understand a way to deal with it 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 it is a patient, use legal knowledge to protect his or her legitimate rights and interests.

This is something veteran also witnessed by his own eyes when he participated in a doctor-patient conflict between the tutor during his postgraduate study.

This process can be regarded as a real reduction in the trial of the doctor and patient.

I hope everyone has some understanding.

I always write cases, and I am afraid I will be bored. I didn’t expect that I would have to check the information and call me to write this, which would be even more boring...
Chapter completed!