Great Medicine Without Borders

  Chapter 71 Out-of-home application

   Cheng Xiaohong distributed the copied documents to everyone. Yu Mo glanced at them. The patient's family members put forward several conditions. The two main ones are that the receiving doctor admits the misdiagnosis and apologizes to the patient in person.

Yu Mo had a headache, so she couldn't agree to this one. She admitted that she had made a mistake in diagnosis, but there was a reason for it. If the ultrasound report hadn't misled her, she wouldn't have made such a judgment, and the relevant indicators of laboratory tests does not support the judgment of ectopic pregnancy.

   At most, the diagnosis is a missed diagnosis. I also made suggestions to let her rest more, pay attention to observation, and come to the hospital for follow-up consultation immediately if there is any abnormality.

There is another one, requiring Changxing Hospital to refund all medical expenses, and to be responsible for all the expenses incurred by patients in the emergency operation of the Maternal and Child Health Hospital, as well as to bear the nutritional expenses and lost wages. , but the requirements for mental damages are a bit high, and the amount proposed by the patient is three million.

Yan Huiyi took a sip of tea and said: "Everyone will share their opinions after watching it. Zhao Xiaohui is the host of Dongzhou TV Station. She has a considerable reputation in the city and is a public figure. If this matter is exposed, it will cause a lot of trouble. The reputation of our Changxing cannot withstand repeated tossing and tossing."

Wang Zhaogang was secretly relieved when he found out that their department was not mentioned in the conditions put forward by the patient. He knew very well that it was impossible for them to take no responsibility for this matter. Before the 21st century, clinical departments and auxiliary departments There is no such a large distance between their income, and their auxiliary departments are rarely affected in doctor-patient disputes.

However, after entering the 21st century, with the reform of the distribution system in the hospital, the income of clinicians has been rising steadily, while their auxiliary departments have remained stagnant. The imbalance of income will soon show the imbalance of status. Endure, after all, the clinic is the core value creator of the hospital.

  The strange thing is that auxiliary departments are now facing more and more doctor-patient disputes, some of which are indeed their own reasons, but some of them are caused by patients targeting clinicians, who implicate them.

  Wang Zhaogang's attitude represents the general psychology of doctors in auxiliary departments today. Your income is so high, and our income is so low. Why do you ask everyone to bear the same responsibility?

  Yan Huiyi saw that no one took the initiative to speak, so he could only speak by name.

   The person who was named first was Yu Mo, who first popularized the common sense of ectopic pregnancy.

  Abnormal pregnancy process in which the pregnant egg implants and develops outside the uterine cavity. Also called ectopic pregnancy. Tubal pregnancy is the most common. The cause is often due to inflammation in or around the fallopian tube lumen, causing poor lumen patency, hindering the normal operation of the pregnant egg, making it stay, implant, and develop in the fallopian tube, resulting in miscarriage or rupture of fallopian tube pregnancy. There are often no obvious symptoms before abortion or rupture, and there may also be menopause, abdominal pain, and a small amount of bleeding.

The main auxiliary examinations are ultrasound and blood HCG. When the patient came to see her, neither of these two examinations could suggest the possibility of ectopic pregnancy. I made a judgment based on the patient's clinical manifestations and auxiliary examinations. Yu Mo Do not admit misdiagnosis, this incident is at most a missed diagnosis.

  She thinks that the patient's three million claim is unreasonable, and the patient's current situation is not directly caused by herself. No matter whether she came to Changxing for treatment or not, it could not change the fact of her ectopic pregnancy.

  Yan Huiyi nodded. In fact, everyone who participated in the discussion thought that the amount of compensation was unreasonable, and the patient's ectopic pregnancy was not caused by the hospital. The hospital just didn't give the correct diagnosis in time.

  Yu Mo said: "I dare say that even if she didn't come to Changxing at that time, if she went to any hospital in our city, based on these clinical symptoms and auxiliary examinations, it would be judged that she was early pregnancy in the uterus."

  Wang Zhaogang frowned, hearing that Yu Mo was shifting responsibility to them: "Director Yu, I don't agree with what you said. Why did the patient find out about ectopic pregnancy in the Maternal and Child Health Hospital?"

   "That's because she had an acute abdomen attack!" Yu Mo was obviously in a hurry.

   "Yu Mo is right, this ultrasound report shows early pregnancy in the uterus." Yan Huiyi has read the medical records at that time several times.

Wang Zhaogang said: "Since I was asked to participate in this discussion today, let me say a few words. Director Yu repeatedly emphasized that the ultrasound report misled her, saying that she made a misjudgment based on this report. Everyone You can take a closer look at this report, the conclusion given by the doctor is the sonographic manifestation of early pregnancy in the uterus, do you know what is sonographic manifestation?"

  Wang Zhaogang looked around at the crowd, but no one said a word. Xu Chunliang didn't understand ultrasound, but he could read people's hearts. Facing responsibility, Yu Mo and Wang Zhaogang began to shirk each other, trying to clear themselves.

  Wang Zhaogang pointed to the bottom of the report: "Please pay attention to the small print below the report. This report is for clinical reference only."

  Yu Mo said: "Director Wang, what you said is meaningless. Do you want to say that you have nothing to do with anything that happens in the clinic? You will not bear any responsibility."

   "I don't mean that, I'm just talking about the facts."

"Okay, I'll just discuss the matter. May I ask Director Wang, on what basis did your ultrasound doctor give the conclusion of the sonogram of early pregnancy in the uterus? Did you see a clear yolk sac? Isn't it possible for the auxiliary department to stay out of the matter? Each of your reports is extremely important to our clinical diagnosis, and it does not mean that all the responsibilities can be placed on us just for clinical reference."

   "Yu Mo, tell me clearly, who is shirking responsibility?"

  Yu Mo refused to budge: "It's not that I don't understand ultrasound. Your ultrasound reports are becoming more and more ambiguous. In order to avoid risks, you never give a clear conclusion, and every report is sent out vaguely."

"If you know ultrasound, you won't say such things! Do you know what an imaging examination is? It would be unscientific and irresponsible if we gave accurate judgments in every report. If we can make a definite diagnosis What do you doctors need?"

   Seeing the escalating dispute, Yan Huiyi had no choice but to intervene. The teacup in his hand rested heavily on the table, and there was a muffled bang: "What's the matter!"

  Yu Mo and Wang Zhaogang stopped their quarrel at the same time.

Yan Huiyi looked at the two of them and nodded: "Now we are not discussing how much responsibility you should bear, but how to respond to the patient's appeal. I will ask you a question. Do you think you are responsible for Zhao Xiaohui? Is there anything wrong? If there is nothing wrong, I can immediately reject her condition."

  Yu Mo and Wang Zhaogang glanced at each other, neither of them dared to say that there was no mistake in this matter, and they did not need to bear any responsibility.

"If you don't say anything, it proves that you all know that you should take responsibility for this matter. Since you are responsible, Changxing has to compensate the patient accordingly. It's just the three million..." Yan Huiyi looked at Xu Chunliang, who had been silent all this time. Go: "Xiao Xu, isn't it a bit too tall?"

  Xu Chunliang smiled: "We have seen even more outrageous asking prices."

  Medical claims are similar to doing business. Patients ask for prices, and hospitals make counter-offers.

  Huang Lide thought this was an opportunity to show off, and said impassionedly: "The price of three million is too outrageous, how much is the compensation for only one person who dies, and her ectopic pregnancy was not caused by us."

Xu Chunliang rolled his eyes and stopped talking. This idiot really likes to show his presence. Although the two who just came here are not very good birds, Yang Zhengang is obviously honest after being educated by him. In comparison, Huang Lide hates it even more .

  Yan replied: "Director Huang, I think you will be responsible for this matter, and try to negotiate with the patient for an amount that everyone can accept."

  Huang Lide nodded, Director Huang was very helpful to the voice. Although Yan Huiyi is currently in an awkward position in the hospital, he is a vice president after all.

  Yan Huiyi said again: "Zhao Xiaohui is still hospitalized in the Maternal and Child Health Hospital. I think our hospital should show some attitude as soon as possible. Xiao Cheng, you go to visit on behalf of the hospital and test her intentions by the way."

   "Okay, Dean Yan."

Yan Huiyi did not arrange specific work for Xu Chunliang, because he could feel that Xu Chunliang was slack in this matter. In fact, even he didn't know what kind of chess Zhao Feiyang was playing, and he publicly declared that Xu Chunliang was in charge of medical affairs The work of the department, but the organization department has not officially followed up.

  Now the medical department has added two members at a time. Although Huang Lide and Yang Zhengang have poor reputations, their qualifications are far superior to Xu Chunliang.

  Yan Huiyi thinks that the position of director of the medical department, which has been vacant for many days, will most likely fall on Huang Lide's head. In fact, he doesn't care whoever is the director of the medical department. What he cares about most now is his own future.

   After announcing the adjournment of the meeting, Xu Chunliang approached him and submitted an application. The provincial capital Nanjiang will have a short-term training course on the relationship between doctors and patients in the new era next week. Xu Chunliang wants to learn.

  Yan Huiyi has also worked as a deputy in Changxing for many years. After doing management work for a long time, he has a deeper understanding of human nature. Xu Chunliang must have lost his temper.

  In fact, this kind of out-of-school training does not need to be signed by oneself at all, and the medical department can solve it internally. However, the medical department has not clearly defined the position of director, so it is normal for Xu Chunliang to find him as a superior leader.

  Yan Huiyi did not create any obstacles, and helped Xu Chunliang sign.

  (end of this chapter)