Chapter 30 Defensive Medicine
1
"Didi-" The voice sounded continuously, this was the alarm sound of the heartbeat stopped, Director Jiang and Liang Bo knew that the situation was not good, they glanced at each other, and they couldn't care about the embarrassing situation now, and the two quickly withdrew to the screen of the hospital bed.
The family members outside the screen were also frightened by the sudden sound of dripping, and seeing the reaction of the two doctors, the grandfather and mother, who had been refusing to get up, also stood up and wanted to rush into the screen with the doctor, but were stopped outside by the nurse in time.
At this time, the family also understood that the current situation was not very good, and stood outside the screen at a loss. The whole atmosphere suddenly became very tense, and you could see the nurses nervously running out to carry various instruments, and you could also hear the doctors nervously rescuing the doctors inside the screen. I heard a doctor say loudly: "Defibrillation, prescribe to 200 joules!"
Inside the screen, "cardiac defibrillation shock, defibrillation for the first time, defibrillation twice......" All the medical staff held their breath and stared directly at the ECG monitor, waiting for the appearance of the fluctuation symbol in the ECG monitor, but there was no change.
"Turn on to 360 joules, defibrillate for the first time, and defibrillate for the second ......time" more and more times, and the power is higher and higher, but the ECG monitor still has no signs of fluctuation.
After several consecutive defibrillations, there is still no change, and medically, this situation can basically be determined to be dead. After the fourth defibrillation, the doctors did not continue, they slowly put down the instruments in their hands helplessly, and everyone quieted down.
"Write down the time, it's just right, 2:30 a.m. The pediatrician took off his mask.
The nurses on the side continued to bust themselves with what they had to do next, and everyone was calm, but everyone's expressions were solemn. Doctors often have to deal with death, and they have long been accustomed to it. However, they were also sad to witness the death of the patient, after all, he was a living person, especially a child who was so young today, who was declared dead only two hours after entering the hospital.
After a few seconds of silence, a nurse opened the screen, and the family members who had been waiting anxiously outside the screen could finally see the child, but what appeared in front of them was a corpse that was slowly covered by the nurse with a cold white cloth.
Seeing this scene, the three family members rushed to the hospital bed in an instant, and the child's mother was already crying, screaming hysterically, and slapping her son's hospital bed vigorously; the child's grandfather burst into tears and cried loudly: "Kaikai, it's all because grandpa didn't take you well! Grandpa is a sinner... You're leaving like this now, how can grandpa live!"
The calmer father of the child saw this irreparable situation, and also left the boy with tears that he did not flick.
At this time, Liang Bo looked at their endless sadness, thinking that they had expectant eyes when they first came in, as if they had experienced a catastrophe. Liang Bo and the doctors also hope to save the child, but in the face of many diseases, the existing medical development is still very low, and the current medical technology is pale in the face of many diseases, and the doctors are helpless, they all say that doctors save lives and help the injured, but most of the time they are powerless!
2
The last emergency class, after all, still left regrets.
The child was sent to the hospital in such a short period of time, and the hospital did not know what caused the child's disease, nor did they know what the disease was.
Since the hospital has not yet found out what the situation is, the death certificate is only issued based on the performance at the time of death, and the content is only written: respiratory and circulatory failure.
After all, in the current medical environment, what doctors are most afraid of and nervous about is the medical troubles of family members, Director Jiang deliberately rushed to the father of the only child who was more conscious at four or five o'clock in the morning to the doctor's duty room, comforted the family members as much as possible, and patiently analyzed and explained that the child's condition was already very critical when he entered the hospital, and that the child's death was not necessarily related to the hospital.
This appeasement work should have been done by Liang Bo, but Director Jiang bothered. Liang Bo listened on the sidelines, and he couldn't help much, he just had time to think deeply about this matter: the child's illness is an emergency, rescue time is life, if the patient can be sent over in time for treatment, check out the cause, make a diagnosis, and deal with it, the result is likely not to be like this.
In fact, it is not too late for the family to send the child to the hospital after the child's illness, even if it is sent to a hospital with insufficient treatment capacity, if the hospital can arrange an ambulance to escort the child to a capable hospital in time, after all, the ambulance is not only fast, but also has the corresponding medical equipment, which can also alleviate some of the patient's symptoms, and the child will not be delayed in diagnosis and treatment. But the family spent most of their time with their children on the way back and forth to several major hospitals, none of which had ambulances for the children.
Thinking of this, Liang Bo couldn't help but feel a little chilled, the child who could have been rescued and was still alive was caused by the shirking of responsibility of several hospitals, which was really sad. Then I think that this kind of thing is not an isolated case, not only because the hospital shirks its responsibility, but mainly because the doctor-patient relationship is too tense now, especially in pediatrics.
Pediatric medical troubles are all too common, and news reports are common. Many hospitals saw that the child was already very serious when it was brought in, and they did not dare to admit it for fear that if it was not cured, there would be medical trouble. Anyway, as long as you don't accept it, there won't be too much trouble, and even if there is a lawsuit later, there is no fault in law, and at most you admit secondary reasons such as poor medical skills and insufficient beds. However, once a dispute occurs, it will be difficult for the hospital and doctors to deal with the aftermath, and any slight mistake will be infinitely magnified by the family or the media.
In the final analysis, the reason for this situation is that in the current medical environment, when doctors admit patients, they will invisibly have a sense of defensive treatment, and the tense doctor-patient relationship is the fundamental reason why these hospitals do not admit patients.
In the current medical environment, doctors admit patients with a sense of defensive treatment. Defensive medicine is a doctor's response to a strained doctor-patient relationship, and in the case of the patient, there is a risk of not being admitted, which in turn delays the treatment and causes tragedy.
The doctor-patient incident that Director Fan encountered seems to verify this point, Director Fan treated the fellow because of his kindness, but was relied on by his rogue son, and finally lost a lot of unjust money to settle the incident. The nonsensical medical incident and today's incident of not admitting patients to several hospitals are actually one cause and one effect. The current doctor-patient relationship is becoming more and more strained, and if it is not effectively alleviated, it will only make defensive medical treatment more and more serious. Such a vicious circle is very unfavorable to the medical cause and to the general public, and even in the long run, doctors are no longer angels in white who save lives and help the wounded, but self-defenders wearing body armor; patients may become fish on the board to be slaughtered by others, and they can be treated if they want to be treated, and they can be treated if they do not want to be treated. At that point, the health care system will collapse completely.
3
Fortunately, there are always people in our society who not only discover good and evil, but also make efforts to lead the right path.
This family is kind and simple in nature, and after Director Jiang's careful analysis, they seem to have accepted the established facts and did not make a big fuss. In the morning, before the shift was handed over, the family took the child home and calmly completed the relevant procedures.
After the shift, Liang Bo walked alone on the road to the hospital, and suddenly felt a cold air hitting people, in the south in early winter, the temperature change was also very large, the cold wind blew the trees on the road rustling, the pedestrians in the hospital were still the same, everyone was in a hurry, Liang Bo suddenly received a text message, it was an unfamiliar number.
Sms:
Dr. Liang, hello, I am Zhang Xin, the daughter of your previous bed 19 patient, my dad left today, he walked very peacefully, my mother said let me send you a text message, thank you for your hard work in the past few months to answer the problems we encountered, thank you very much!
This information made Liang Bo's heart even colder, bed 19 is Liang Bo's first patient in charge of the bed as a doctor of Guipei, and it can be regarded as the patient with the deepest feelings, after he was discharged from the hospital, Aunt Wang would still call to ask Liang Bo, Liang Bo was a very positive answer, but he still couldn't escape the arrangement of fate.
This day made Liang Bo feel the loneliness in the cold, not all cold will make people disappointed, and today's wind made Liang Bo completely feel its refreshing spleen.
4
Liang Bo thought that this was the end of the death of the child due to defensive medical treatment, but on the third day, the newspaper published an article about the incident by the family, but fortunately, the article did not blame the hospital where Liang Bo was staying, but complained about the problem of defensive medical care. Of course, from the patient's point of view, defensive medicine is hateful, but from the doctor's point of view, it is also a helpless approach. At the same time, this incident has also caused a major repercussion in the society, and more people have begun to pay attention to the embarrassing situation of the doctor-patient relationship and analyze the reasons for its occurrence. In other words, this incident has served as a wake-up call to the world, which can be regarded as a good thing.
As for the rights and wrongs of this incident, leave it to history to comment, for our protagonist Liang Bo, it is now another relief, because he can leave the emergency room completely.
After only two months in the emergency room where he lived on the tip of a knife, Liang Bo experienced thrilling rescue scenes, exhausted night shifts, and tense doctor-patient confrontations...... Liang Bo couldn't help but sigh with emotion: Here, every rescue effort will consume a huge amount of energy from medical personnel; every strange patient hides a bizarre story; and every medical dispute is a doctor's reflection on his career.
The days in the emergency room have been a long time ago, but every time Liang Bo thinks of this, he shudders involuntarily! I didn't want to recall these stories again, but I didn't expect that the "tense doctor-patient confrontation" he had experienced would happen to Xie Pengfei again, and it would be even more unexpectedly ferocious and tyrannical.