2 years have passed, and Ms. Qiu is still regretting that her son was sent to the University Town Branch of Guangdong Provincial Hospital of Traditional Chinese Medicine (hereinafter referred to as University Town Hospital) for treatment. When he was admitted to the hospital, except for the brain injury caused by the fall, his son was normal, but now he has become a disabled person who cannot take care of himself.
"If we hadn't requested to be discharged automatically, and had a craniotomy and decompression hematoma removal and drainage surgery in other hospitals that night, my son would definitely die," Ms. Qiu asserted.
crine 15 days
As an anesthesiologist with decades of experience, Ms. Qiu sighed many times that she has never seen such a chaotic, bold and irregular hospital in the University Town Hospital.
On May 21, 2010, Ms. Qiu's son fell down in Sun Yat-sen University because of riding a bicycle. When Ms. Qiu found out, her son had been sent to the emergency room of the University Town Hospital by her classmates to the University Town Hospital. . During the 13 days in the intensive care unit of neurosurgery, "the son of had a fourth-degree brain hernia and three surgeries failed ," Ms. Qiu said. The admission records of the hospital at
showed that the patient's head CT result was a temporal fracture of the right , and a small amount of epidural hematoma in the right temporal area.
So at 19:50, the patient was admitted to the Department of Neurology Five for treatment. was clear at the time, and the answer was reasonable, and there were no physical convulsions.
But 2 hours later, the patient suddenly became unconscious and did not respond, and his limbs became stiff. CT showed a huge epidural hematoma of the right temporal temporal temporal brain hernia . The hospital immediately performed an epidural hematoma removal surgery for .
The surgery was completed and the results showed that there was a huge hematoma in the right frontal , so the second epidural hematoma removal of the frontal lateral was performed.
Ms. Qiu said that during the second operation, the family did not sign the surgical consent form or anesthesia consent form, and the doctor did not conduct safety checks on the operation.
consecutive days after the operation, the patients were in a coma. The CT of the head of No. 26 showed that the right temporal occipital top cerebral infarction , cerebral edema , and cerebral hernia was obvious. So the hospital performed the third craniotomy of , and the right temporal apex bone decompression surgery + tracheotomy surgery .
The patient remained unconscious after surgery.
After working as a doctor for many years, Ms. Qiu keenly discovered something was wrong. The treatment of her son's injury should be very simple, but she has not improved at the University Town Hospital and many operations have failed. So Ms. Qiu insisted on taking her son out of the hospital.
htmlOn June 3, the hospital's discharge diagnosis showed that in addition to the injuries that existed at the time of admission, the patients also had brain hernia, skull base fracture , subcutaneous hematoma (right frontal top), cerebral infarction (right occipital part), upper gastrointestinal bleeding ( stress ulcer is very likely), lung infection and other diseases.
On the day of discharge from the hospital, Ms. Qiu transferred her son to Foshan First People's Hospital . The CT scan of the hospital showed that the patient had a large number of scalp hematoma and cerebral hernia, so the hospital carried out the removal of epidural hematoma and necrotic substances. surgical records show that after the incision suture was removed, a large amount of bloody liquid surged out, accompanied by chylo-like necrotics.
Ms. Qiu believes that this is direct evidence of serious medical negligence in the University Town Hospital. "If you are a professional, you can understand how bad the University Town Hospital is and how serious the condition is." She feels that the unlicensed doctors in the university town hospital practice across the scope, and the intensive care unit doctors and nurses who leave their posts directly led to serious disability in the son.
Illustration: Ms. Qiu's son's multiple CT examinations
After Ms. Qiu took her son to multiple hospitals for treatment and rehabilitation, while protecting rights from the University Town Hospital .
Traditional medicine has undergone surgical operations in violation of regulations
After starting to protect its rights, Ms. Qiu took her son to perform twice medical damage identification . The first time was entrusted by her husband in 2011. The second time was after the prosecution of the court, the court commissioned the Guangdong Tongji Judicial Appraisal Center to conduct a re-appraisal in 2014.
Illustration: Guangdong Tongji Judicial Appraisal Center Medical Impairment Appraisal Commission
Two appraisals agreed that The medical behavior of the University Town Hospital caused damage to Ms. Qiu's son, and the hospital's diagnosis and treatment behavior was at fault. The hospital's fault participation rate determined by the first appraisal report was 60-80%, and the second time was above 80%.
Guangdong Tongji's appraisal report discloses the hospital's fault points in detail. University Town Hospital involves various violations such as traditional Chinese medicine surgery without a license, doctors' treatment errors, and tampering with medical records.
. The doctor went to work without a license and Chinese medicine did surgical operations in violation of regulations.
The identification report believes that Ms. Qiu's son was in a mild condition at the beginning of his injury, but later developed into a severe craniocerebral injury. It is a neurosurgery system disease and should be diagnosed, examined and treated by neurosurgery professionals.
However, Lin Hao, Zhang Yanting, Huang Shaofang, and Li Zhishang who treated Ms. Qiu's son were not neurosurgery, but traditional Chinese medicine, and the scope of practice of is also traditional Chinese medicine major .
Among them, Li Zhishang and Huang Shaofang, during the medical treatment of Ms. Qiu's son, even has not obtained physician practice certificate , which is an unlicensed practice. Information disclosure of Guangdong Provincial Bureau of Traditional Chinese Medicine shows that Li Zhishang obtained a physician practice certificate on June 18, 2010, and Huang Shaofang was even later. He only obtained it in July 2012, and Ms. Qiu's son was discharged from the hospital on June 3, 2010.
There is another doctor, Xu Shaoqun, whose professional category is traditional Chinese medicine, and his scope of practice is the combination of traditional Chinese and Western medicine, but his identity in Ms. Qiu's son's medical record is anesthesiologist .
Article 14, Paragraph 1 of the " Practical Physician Law " stipulates: "After registering, doctors can practice in medical, prevention and health care institutions according to the registered place of practice, category of practice, and scope of practice, and engage in corresponding medical, prevention and health care business." The above doctors are beyond the scope and unlicensed practice. The appraisal report believes that the medical party violates the "Practical Physician Law" and " The relevant provisions of the Legal System for Practitioners stipulate that has obvious fault
. The hospital has obvious fault
Ms. Qiu's son underwent three craniotomy operations in just 5 days of admission to the hospital. The reason why the surgery is so frequent is that the identification report believes that the hospital has obvious fault in surgical treatment.
First, there was no bone flap decompression surgery for both craniotomy.
identification report quoted the surgical opinions in the seventh edition of "Surgery" of the textbooks of the national higher medical school. It believed that Ms. Qiu's son should have performed craniotomy decompression on the night of a sudden coma. However, the hospital did not have craniotomy decompression in the first two surgeries, but instead put the bone flap back on, resulting in the inability to relieve the craniotomy and the patient's cerebral edema was more serious. It was not until the third operation that the bone flap was decompressed.
Secondly, the hospital did not place an epidural drainage tube during the first two craniotomy surgeries.
identification report quotes "Neurosurgery". Standard surgery should place drainage tube drainage to drain the bloody exudate to relieve and alleviate the pressure of the fluid on the brain tissue. However, the hospital did not place an epidural drainage tube in the first two surgeries, "violating the foresight obligations that medical personnel should have."
. Many errors such as poor observation of patients, irregular medical records, and incomplete notification obligations
First of all, the second operation did not sign the informed consent form of the surgery, anesthesia consent form, etc.
Secondly, the anesthesiologist recorded the conflict in the third operation.There are two people in the anesthesia record, "Zhao Gaofeng and Xu Shaoqun", but there are only one person in the surgery record form, surgical safety check form, anesthesia informed consent form, etc.
identification report also believes that medical staff in the university town are not concerned about patients. The reason was that the doctor ordered the removal of various drainage tubes on May 27, but there were still records of epidural drainage tubes in the hospitalization course records on the 28th.
Comprehensive all the above, Guangdong Tongji Judicial Appraisal Center judged that the University Town Hospital accounted for more than 80% of the medical damage to Ms. Qiu's son. If the university town hospital can detect problems in a timely manner and solve them in a timely manner, Ms. Qiu's son's "has not the condition and should not have developed to the current level." What is the degree of
? Guangdong Tongji Judicial Appraisal Center also evaluated Ms. Qiu's son with disability. left limb hemiplegia level 3, mild intellectual damage level 7, and blindness level 8 in the right eye. " cannot live completely independently and requires frequent supervision of ".
Multiple questions outside of identification
In Ms. Qiu's view, University Town Hospital has more faults not mentioned in judicial identification.
For example, ironing treatment pillow therapy. She believes that this is the "culprit" that caused her son to fall into a coma after being admitted to the hospital, and it is a "deliberate medical injury that has caused a fatal blow to his son."
University Town Long-term medical order form showed that at 19:40 that night, the patient's Neurology Department Five of the University Town, the doctor gave a long-term medical order of "ironing treatment pillow therapy (Hualou pillow) 3 hours bid (2 times a day, 3 hours a day)".
Ms. Qiu provided a photo of the lively pillow. The label of the Activated Pillow shows that the ingredients are Chuanxiong , ephedra, Angelica , mugwort, Asarum . The main functions are to warm the meridians and activate the collaterals, relieve wind and dispel cold, and are used for stroke , headache, dizziness, etc. The adverse reactions and contraindications are "not yet clear", "and there is no sign that heating is prohibited for acute injury and bleeding," Ms. Qiu said.
Ms. Qiu believed that her son's condition at that time, "the ice cap should be cooled down, diuretic dehydration, and artificial hibernation should be used to reduce intracranial pressure. For patients with acute cerebral trauma hemorrhage, according to the routine diagnosis and treatment, it should be strictly prohibited to use hot compress ", but the hospital instead used the vivo pillow, "causing the patient's cerebral blood vessels to dilate, the bleeding intensifies, and the condition becomes critical. Within 2 hours, it is unexpectedly unconscious and involuntary to respond."
After carefully checking the medical records of her son one by one, Ms. Qiu also found that the working hours of the ICU nurse in the university town were seriously exceeded. She suspected that "the essence was that many nurses without a license were working, and the certified nurses later replaced the signature."
She did the calculations, taking the nurse signed as "Yi Ling" as an example, on the temporary medical order form in the university town, from 16:21 on May 23, 2010 to 21:45 on May 26, for more than 77 hours, she has been signing and executing the temporary medical order for .
How can a person work for 3 days?
Illustration: The temporary medical order form of the University Town Hospital
What made Ms. Qiu feel uneasy is also the University Town
1 rights protection road and the first Xinglin
Since entrusting a lawyer to seal the medical records in 2011, Ms. Qiu has been protecting her rights for 11 years.
At the beginning, she thought about mediating with the hospital, but the mediation journey was not smooth.
Ms. Qiu’s indictment shows that in 2011, Ms. Qiu entrusted a lawyer to send a letter to the hospital, hoping to negotiate compensation with the hospital. The hospital stated that Ms. Qiu had no evidence to prove that her diagnosis and treatment was at fault. After the first appraisal results came out, Ms. Qiu's lawyer sent a letter to inform the hospital of the appraisal conclusion, and once again stated that it was necessary to negotiate how to compensate, but the hospital refused again.
So Ms. Qiu decided to sue the hospital. Ms. Qiu's lawyer told the author that the lawsuit was almost verified and the probability of winning was high, but Ms. Qiu quietly withdrew the lawsuit before the verdict was announced.
Ms. Qiu's explanation was that the hospital privately opened the medical records and did not comply with the legal procedures. In addition, her son's depression worsened due to injury, so she was excited and withdrew her lawsuit.
But Ms. Qiu did not expect it to end. She submits a lawyer's letter to the hospital every year to extend the legal period of the lawsuit, and reserves the right to pursue the lawsuit. But sometimes the hospital refuses to sign for it.
In 2018, Ms. Qiu's husband, accompanied by a lawyer, personally sent a lawyer's letter to the hospital to extend the legal period of the lawsuit. The other party refused to sign for it, and the two parties also had a conflict. Ms. Qiu said four people in the hospital beat her husband up until the police came to stop. The Public Security Bureau's injury assessment shows that Ms. Qiu's husband had three ribs fractures and had a second-degree minor injury.
In April this year, Ms. Qiu filed a lawsuit against the University Town Hospital again. The indictment shows that Ms. Qiu's side requested the court to compensate 13 items including medical expenses, disability compensation, , and a total of 3466,903.06 yuan. The attorney acting in
said that he is still trying to negotiate and mediate with the court, but the court does not recognize the amount of compensation. The hospital has also refused to approve of medical injury appraisal and has once again proposed a re-evaluation. However, Ms. Qiu and her attorney both believed that the second appraisal was commissioned by the court, the procedures were legal, and the appraisal results were legally effective.
"The probability of winning the case is still very high, and it is highly likely that the hospital will be responsible. The hospital has the responsibility of the negligence of diagnosis and treatment, but it is said that the proportion of the responsibility is uncertain," said the attorney.
Regarding Ms. Qiu’s son’s medical experience, the author called Guangdong Provincial Hospital of Traditional Chinese Medicine many times to verify. The Medical Office of the Guangdong Provincial Hospital of Traditional Chinese Medicine said that he would contact the Propaganda Department. The Propaganda Department said that he was not aware of the situation first and needed to understand the situation. Later, he replied that the dispute had entered the judicial process and to learn more about the situation, he needed to send a letter first. The author also tried to find the doctor involved. The official website of Guangdong Provincial Hospital of Traditional Chinese Medicine shows that Zhang Yanting and Dr. Lin Hao are still in the hospital. The author called the corresponding department to look for it. The operator said "there is no such person" and suspected that it might be in another department. The author called another department, but still couldn't find the doctor.
Illustration: Guangdong Provincial Hospital of Traditional Chinese Medicine Official Website Lin Hao Introduction to
Illustration: Guangdong Provincial Hospital of Traditional Chinese Medicine Official Website Zhang Yanting Introduction to
Guangdong Provincial Hospital of Traditional Chinese Medicine Official Website Introduction to
Guangdong Provincial Hospital of Traditional Chinese Medicine Official Website: Guangdong Provincial Hospital of Traditional Chinese Medicine was founded in 1933 and is one of the earliest traditional Chinese medicine hospitals in modern history in my country. It is known as the "first Xinglin in South Guangdong". At present, the hospital has 6 campuses, including the University Town Branch. In 2007, the University Town Branch was put into use.
Since becoming the first Grade A Class Traditional Chinese Medicine Hospital in the country in 1992, Guangdong Province Traditional Chinese Medicine Hospital has been honored and has served annually for more than 20 consecutive years, ranking first in the country's traditional Chinese medicine hospitals. In 2021, 6.84 million outpatients and more than 150,000 inpatients.
But remembering the day my son fell and injured more than 10 years ago, Ms. Qiu regretted that her ambulance sent her son to the University Town Hospital. She wanted too much the result of a hospital and a doctor being punished.
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