272. First half
The first court session.
"We have already stated in the indictment that this incident is completely a medical malpractice caused by the doctor's improper medication.
The patient's mother had seen her own child in a similar situation before, and had managed to pull her child back from the brink of death last time.
So ask the doctor to use the same method to treat your child.
However, in order to assert his authority, the doctor did not listen to the patient's advice at all, and did not consider the specific situation, which led to the death of the patient, which can be said to be an absolute medical malpractice.
Therefore, we demanded that the hospital compensate for the accident and punish the doctors involved. ”
Bai Su said eloquently, in his mouth, this incident was completely a medical accident, because of the doctor's arrogance and inaction, which led to the death of the patient.
Therefore, they demanded that the hospital compensate the doctor and punish the doctor in accordance with the law.
"There are a few points that I disagree with the opposing lawyer's point of view.
First of all, he said that the doctors in the hospital did not take into account the actual situation to help the patient, but the actual situation was completely opposite. ”
Zhang Wei pulled out a document and said: "The indictment says that the patient's death is related to the use of epinephrine, but it is clear that this claim is contrary to science."
According to the provisions of the Chinese Pharmacopoeia (1977 edition), epinephrine is used for anaphylactic shock, bronchial asthma and other diseases, and the usual amount is 05~10 mg subcutaneously injected once.
The "Handbook of Internal Medicine" (edited by the Second Medical College of Modu) records that bronchial asthma is treated with epinephrine with 0~05~mg subcutaneous injection each time, and repeated once every 10-15 minutes if necessary.
These have fully explained the problem, and according to years of clinical experience and medical theories, the industry believes that epinephrine is an effective drug for the treatment of asthma under the branch tube.
Therefore, the use of epinephrine treatment on the patient is symptomatic, there is no problem, and it is definitely not as the defense claims, that the patient's death was caused by improper medication. ”
The judge nodded: "Is there anything wrong with the plaintiff's agent?"
Bai Su stood up and looked at the document in his hand and said, "Yes, according to what the other party said, the use of adrenaline is indeed the right medicine, and there is no problem."
But the problem is that the attending doctor has a short time interval between several injections, so what is the difference between this method and the injection at once?
That's why I said that this was the death of the patient due to improper medication, and the other party did not combine the actual situation, and there was a mistake in the medication, resulting in the death of the patient, which is a medical accident!"
The judge turned to look at the dock: "Do you have any questions?"
When Zhang Wei heard this, he stood up and said, "I'm afraid the facts are not what the defense lawyer said, according to the medical records of the hospital, the interval between the several injections given to the patient by Dr. Sun Lien is normal."
The indictment, on the other hand, falsely claims that the interval between the use of adrenaline is very short, compared to the original normal time, which is a typical fabricated fact.
The time of the patient's medication in this medical treatment is well documented, and there are medical records as evidence, and we have submitted the records as evidence.
There is also what the defense lawyer said, saying that the doctors in our hospital do not take into account the specific actual situation of the patient in the specific treatment, but in fact, it should be the other party's mother who really does not take into account the actual situation.
There is an allusion in our country called Hua Tuo, the same disease and different treatment.
Hua Tuo is a famous doctor in the Eastern Han Dynasty, everyone must know that once the officials Ni Xun and Li Yan both felt a headache and fever and looked for Hua Tuo to see a doctor.
After Hua Tuo diagnosed the condition, he prescribed laxatives to Ni Xun and sweating medicine to Li Yan.
The two felt strange when they saw their prescription and asked Hua Tuo why they used different medicines for the same condition.
Hua Tuo heard this question and said: "Ni Xun's illness is caused by internal injuries, and Li Yan is caused by a cold from the outside.
Because the cause of the two people is different, the treatment is also different. ”
After listening to Hua Tuo's words, they went back and took the medicine according to the prescription, and the next day they were all cured.
This is also the origin of the famous idiom, the right medicine.
Whether it is ancient Chinese medicine or modern medicine, it is impossible to judge only from the surface, but to find the root cause of the disease.
From the patient's mother, her daughter's condition was the same from the outside, but she did not know what the actual situation was, but she asked for the same treatment.
Can the doctor agree to this?
No matter what industry it is, the most taboo is for the layman to guide the insider, although there is a saying that the folk have a good doctor for a long time, but if this is really true, there is no need for the existence of a doctor, and it is just to treat yourself yourself. ”
Bai Su was stunned for a moment when he heard this, but quickly said, "Wait a minute, I have reason to question the authenticity of the medical records of the hospital itself."
It is suspected that the hospital itself tampered with the timing of drug injections in order to protect their doctors and protect the reputation of their hospital. ”
When Zhang Wei heard this, he immediately replied: "This is impossible! What age is it now?"
Nowadays, in addition to the medical records in books, there are also online records in patients' medical records.
If it is tampered with, it will definitely leave traces, so basically there is no possibility of forgery, this is an ironclad fact. ”
Bai Su was a little anxious when he saw that the things he had prepared were overturned one after another: "But this time the client's daughter has always been in good health before, and this time she is only suffering from a slight external sensation, no matter how it is, it should not lead to death."
But in the end, he died inexplicably in the hospital, isn't this a medical malpractice in the hospital?"
According to the medical records, the patient has been sick with a low-grade fever and cough for decades.
In this hospitalization, there were severe cough and wheezing with paroxysmal chest tightness, wheezing, dyspnea, and severe symptoms such as vomiting, irritability, and inability to lie flat.
These manifestations are all from the patient's chief complaint and the introduction of the family, and the medical records are all recorded, and it is by no means as the defense lawyer said, "I have always been in good health", and "this time I just suffered from mild external sensations".
What the defense lawyer said is a bit distorted, right?"
Bai Su thought for a moment and said: "We apply for a temporary adjournment, and wait for the results of the dismissal of the patient's body to be held again, and we will also present new evidence." ”
The judge nodded: "This seat agrees, and this trial is over." ”
When Zhang Wei heard this, he looked at Bai Su on the opposite side a little strangely.
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