281. Court Battles
In anticipation of the public, Rende Hospital's medical malpractice lawsuit was finally heard again.
In court, as the lawyer, Bai Su first elaborated on the plaintiff's request, asking the other party, Rende Hospital and the attending doctor, Sun Lien, to pay homage and apologize to the deceased Luo Erer's portrait.
At the same time, Luo Er's parents were compensated for a total of 200,000 soft sister coins, on the grounds that Bai Su believed that the hospital's improper treatment caused the patient's death.
They have made slight changes in one aspect because the results of the medical malpractice appraisal have come out, according to the rumors that have been revealed.
Judging from the discussion of the expert group, it is very likely that these incidents will not be judged as medical malpractice, so Bai Su must take action from other aspects.
The first to appear in court was Hua Nancheng, an expert in charge of medical malpractice appraisal, who, as a member of the medical malpractice appraisal, testified in court as a witness and explained the situation of the deceased.
"Please Mr. Hua read out the appraisal results this time!" Bai Su said to Hua Nancheng, although this result may have a great impact on himself, and even affect the victory of his side, but he can only let him say it.
After all, this is evidence constructed from facts, and you have no way to deny him positively, but to save the country from other aspects.
Hua Nancheng nodded when he heard this, and then began his professional description: "Okay, let me talk about the clinical diagnosis first."
The deceased was bronchial asthma, obstructive emphysema, pulmonary kinetic grade 2, wheezing bronchitis with secondary infection.
Airway obstruction and obstructive interstitial emphysema form, mediastinal emphysema, subcutaneous emphysema of the neck, shoulders, face, and hemorrhagic foci in both lungs.
……
Pancreatic atrophy and foci appear.
The red blood cells in the blood vessels of the above organs have the phenomenon of gelatinization.
The lips, nail beds, and mucous membranes of the deceased were obviously cyanotic, showing severe hypoxia, scattered subcutaneous hemorrhage points could be seen in the forearm and two lower limbs, and subcutaneous hematoma formation around the injection pinhole could be seen in the left elbow.
The examinee's condition was aggravated due to bronchial asthma, cardiac insufficiency, and concurrent infection.
Severe breathing disorders are caused by emphysema, especially in interstitial lungs, and subcutaneous emphysema.
Due to the poor cardiac function before death, the patient dies in a state of hypoxia, and the hypoxia is chronic and aggravated, so there is a possibility of DI, which is an important factor contributing to his death.
During the autopsy, it was found that the deceased's own immune function and stress response were low, and the morphological manifestations were low......"
Bai Su felt that his head was big when he heard so many professional names, but Zhang Wei next to him seemed to listen to it with relish, and nodded from time to time.
Are you a law student or a medical student......
Bai Su estimated that Zhang Wei would have an ex-girlfriend who was a forensic doctor.
Bai Su finally couldn't bear it anymore when he heard half of it, and asked helplessly: "...... I would like to ask you to briefly explain whether the death of the deceased was a medical malpractice or was caused by other reasons. ”
Hearing this, Hua Nancheng replied affirmatively: "Since the cause of the patient's death is the result of the development of the disease, not due to medical deficiencies, this case does not constitute medical malpractice, which is our final judgment." ”
Zhang Wei heard the words of the forensic officer and immediately said: "Okay, I think the facts of this matter are obvious, and the appraisal results have given a very positive answer."
And according to the above in the medical record, the patient suffered from asthma bronchitis since childhood, recurred, and improved after treatment.
This time, due to the aggravation of asthma, I had several wheezing after being admitted to the hospital for a week with a low-grade fever, which was relieved after treatment.
As a result, he had another seizure and finally died after treatment failed. Postmortem autopsy confirmed that the main pathological changes were wheezing bronchitis, obstructive and interstitial emphysema, cor pulmonale, and mediastinal emphysema.
The immediate cause of death is status asthmaticus, which leads to mediastinal pneumopulmonary disease, not by the doctor's medications.
As for the other party's claim that the use of epinephrine is too much, it is even more nonsense, the patient is in status asthmaticus, no matter how you look at it, it is okay to use epinephrine.
This drug can relieve bronchospasm and achieve the purpose of treatment, because it has the effect of stimulating the heart, when the dosage is too large, it can cause a sudden rise in blood pressure, arrhythmia, and in severe cases, it can develop into ventricular fibrillation.
In this medical treatment, the medium dose of the drug was too large, but the deceased's blood pressure did not rise sharply and there was no clinical manifestation of ventricular fibrillation, so the drug was not the direct cause of the patient's death.
Whether it is the hospital's analysis opinion or the final medical malpractice appraisal results, it all illustrates this fact.
Now I think the facts are clear, because there is no responsibility for this incident in any way, and I ask the judge to give a fair and clear judgment. ”
When Bai Su heard this, he immediately retorted: "Wait a minute, the facts may not be clear now, we have already revised some of our opinions before the trial reopens.
We now believe that it was because of the ineffective treatment of the other party's doctors, who were passive and slack, which led to the failure to curb the development of the disease, which eventually led to the death of the patient. ”
Zhang Wei looked at Bai Su on the other side and said with a smile: "Defense lawyer, your behavior makes me have to suspect that you are messing around and blackmailing.
Your statement is too broad, isn't it that the hospital is responsible for the death of all patients who cannot be treated?"
Bai Su turned his head to the judge and said: "Everything I said is evidence, and I will be responsible for it."
First of all, the analysis opinions on the above medical malpractice appraisal report are: the measures taken by the doctors concerned in rescuing and treating patients are not comprehensive enough, the treatment experience is insufficient, the service attitude is not good enough, the opinions of the family members are not listened to carefully and the explanations are not done well, the management system of the health center is not sound enough, and the medical records are not perfect, and all these need to be improved.
All this is a good proof that there are various deficiencies in the hospital in some aspects, and because of this deficiency, patients who should have survived died.
And I have other evidence that the attending Dr. Sun had a problem that day, and I would now like to ask a witness to testify in court.
She can prove that Sun Lien may not have done his best when he was rescuing patients this day. ”
The judge nodded, "Agreed." ”
A woman in her 40s stood in the middle of the courtroom and said, "I'm a health worker at Rende Hospital, my name is Wang Hongmei. ”
Bai Su took his folder, walked to the witness Wang Hongmei, and asked while flipping through the documents: "Ms. Wang, I want to ask you, what kind of state was Dr. Sun Lien in on the day of the patient's accident?"