This is also why dical disputes are relatively rare in top-level hospitals like Xiehe, Huaxi, Xiangya, and so on!
Because within these hospitals, so of the top figures in the field may be present.
Are you saying to the head of cardiac surgery at Xiehe, naly Wang Tong, that your treatnt plan is wrong?
Co on, don’t joke!
The person is the president of the Cardiac Surgery Branch of the Chinese dical Association.
How can you say they are wrong, who do you think you are?
Fine, let’s say they are wrong, where is the evidence?
What is evidence?
Evidence is high-level professional papers!
Where are you going to find them?
It’s too hard!
Don’t ever think that social positions and academic positions are not influential.
Only in critical monts does the hidden value of these positions beco apparent.
With the appearance of Chen Cang, the staff at the appraisal center started to worry!
After all...
How should they answer Chen Cang’s questions?
Should they answer or not?
If Chen Cang suddenly says, "I believe it is correct," what then?
There’s really no way to refute that!
Seeing the appraisal center in this state, the patient’s family was stunned.
What’s wrong with you all?
Are you chickening out before it even starts?
That can’t happen!
They simply did not know the psychological pressure weighing on the appraisal center staff at that mont!
At this mont, Chen Cang stood up and said:
"Hello everyone, I’d like to address two points regarding the main questions during this treatnt process."
"First, the patient was originally hospitalized for ulcer bleeding.
Generally, conservative treatnt can cure ulcers, but for cases involving multiple large ulcers, conservative treatnt may not be effective, and surgery may be chosen later on.
Relevant theoretical foundations can be found in the "Guidelines for Diagnosis and Treatnt of Acute Nonvariceal Upper Gastrointestinal Bleeding" and the "Xiehe Ergency Rescue Manual", thus, the attending physician, Li Yue, should have perford surgery during the recovery period for the patient.
There were no issues with this aspect of the treatnt.
Secondly, the observation period in ergency regulations is 1-7 days.
At that ti, the attending physician, Li Yue, explicitly inford the patient that there were no beds available, and if the patient insisted, they would bear the consequences.
Moreover, Li Yue communicated with the patient’s family several tis about elective surgery, but the family refused, even retreating to demand ICU admission, which was also refused; they signed inford consent on this, and it’s recorded in the dical records."
"According to this basis, Li Yue and his duty doctors did not commit any treatnt faults in this case, nor did they demonstrate unprofessional levels of skill."
The appraisal center felt a sense of relief seeing that Chen Cang didn’t use "I think" logic.
If you use "I think", there’s really no need for the trial.
Once you say "you think", the judge could give a verdict.
Honestly speaking.
Do judges like to make things difficult for presidents like these?
Can they guarantee they won’t face any serious illnesses?
Actually, don’t think of the appraisal center as the opposing party.
The appraisal center needs to raise questions and let the hospital respond and explain, just like dical diation committees, focusing on resolving conflicts.
The dical diation committee is not as professional as the appraisal center; the appraisal center will address the patient’s doubts, help them raise questions, and try to let the hospital solve them.
After all, many tis, we cannot deny one fact.
That is, in the long process between patients and doctors, the patient is actually the vulnerable party.
These two agencies are indirectly protecting the patient’s legal rights.
They also serve as a form of supervision over dical institutions.
If it’s truly a patient’s issue, the questions they raise won’t stand.
If it’s truly a hospital’s issue, they will try to help the patient protect their rights.
Sotis, the intention behind establishing these agencies is very positive.
It can only be said...
That it was exploited as a tool for profit by interested parties.
The appraisal center’s staff then gave their final response:
"1. Anti-ulcer drug treatnt targets duodenal ulcers, among other things. In this case, the duodenal bulb ulcer had invaded the blood vessels, and the cause of massive bleeding was the invaded and damaged blood vessels. The key is to prevent the invaded and damaged blood vessels from bleeding again.
2. The patient had surgical indications during the ’stable period’.
3. According to the dical records, surgical consultation opinions noted that the surgery was extrely high-risk, had high mortality rates, and poor prognosis. Therefore, in the ’stable period’ for duodenal bulb ulcer massive bleeding, addressing the cause of treatnt in a tily manner is crucial."
The other party is suggesting that the hospital did not actively organize surgical treatnt.
However, it’s evident now that the appraisal center is simply doing its best to provide suggestions and allow the hospital to respond.
The outco is becoming increasingly clear.
The responsibility of the hospital is continuously diminishing.
This made the patient’s family grow more anxious.
At this ti, Chen Cang appeared in court as a hospital expert assistant to testify formally:
"Hello everyone, regarding the issues raised by the appraisal center, it’s like this!
First, for patients with gastrointestinal bleeding, endoscopic treatnt should be prioritized; if it proves ineffective, then interventional and surgical treatnts should be considered. When endoscopic treatnt already stops the bleeding, rebleeding is a probability event, and no guideline specifies the need for surgery or the timing to perform surgery then; the hospital cannot perform preventive surgery.
Second, when considering surgery for a patient, both the necessity of surgery and the patient’s ability to withstand it must be considered. In cases of severe underlying conditions or malnutrition, surgical risks will be much higher than with endoscopic treatnt.
Third, the patient’s condition and treatnt plans should be communicated to the patient and their family, but written communication is not mandatory. Surgery can only proceed with the patient’s and family’s consent, accompanied by signed surgical inford consent."
"In summary, I believe that the ergency departnt of the Ergency Central Hospital and Dr. Li Yue made no errors in handling this matter."
The appraisal center began nodding: "Accepted!"
Seeing the appraisal center acting this way, the patient’s family was bewildered!
They did not expect things to develop this way.
Wasn’t the hospital supposed to compromise?
How did it co to this?
At this mont.
The final court judgnt stated:
"Based on the appraisal opinion, after comprehensively considering the patient’s condition progression, surgical difficulty, survival rates, and other factors, the court believes the primary reason for the patient’s death was due to their disease progression; acknowledging a 2% minor liability, the court finds no fault.
The court orders the dical party to compensate the patient party for various losses totaling over 20,000 yuan (10,000 yuan for ntal distress compensation), and to cover appraisal fees and expert witness fees of 10,000 yuan."
With the announcent of the judgnt results!
The audience erupted in an uproar!
This victory may truly signify a transformation in hospital-patient relationships!
...
When facing dical disputes, it is hoped all doctors can take a positive view, to thoroughly analyze the diagnostic and treatnt process, to identify and address deficiencies and summarize experiences;
On the other hand, to gather evidence beneficial to the dical side/patient, striving to persuade appraisal experts and the judge.
Anger, complaint, frustration, avoidance, and appeasent cannot solve any problems.
...
...
PS: Writing this story may not be very gratifying, but the veteran’s intention is for everyone to understand one form of handling in dical-legal courtroom situations.
If you are a doctor, don’t be afraid of issues; gather evidence to solve problems.
If you are a patient, use legal knowledge to protect your legal rights.
The veteran also witnessed such a dical conflict during his graduate studies while participating with his ntor.
This process can be seen as a true recreation of a dical trial.
It is hoped everyone understands this.
Always writing about case studies could be boring; I didn’t expect to get bored myself by checking materials and making phone calls while writing this...
Sigh, continuing tomorrow.
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