Focus: doctor-patient dispute with in where?

Our reporter Pan Junjiang

July 31, 2015 07:50

Source: People's Daily - the People's Daily

In October 2014, a melancholy man, find out of People's Daily in shandong branch, pulled out a pile of material, sorrow and angrily complained: "because the doctor diagnosis and treatment of negligence, lead to my child cerebral palsy, but the hospital has been buck-passing, I have been cornered, hope you can help me!"

His wife is the Qingdao people, is the shandong LinQu people, work in zhejiang. He agreed to publicly reported, but not willing publicly to name, "I can still her parents, if parents know grandson cerebral palsy, will be crazy." So, let's just say he juner.

In the face of juner and helpless sorrow, we decided to investigate. This rectified, many journalists LinQu, weifang, jinan and other places, hope restore the truth and seek dispute break. However, it is not so easy as we think, until today, still put the dispute. We were pretty confused and helpless.

How can, autumn. Through the dispute, we found that runs along a gap, between the doctor-patient missing gaps a solid bridge - trust. And what is the key to build the bridge trust material?

Recently, the media revealed a lot of violent injury medical doctor-patient dispute. We dispute between anatomical juner and hospital, comb he walked past the road to "get", in order to offer some ideas to resolve the current doctor-patient contradiction.

Baby became a children

An occasion against into sorrow

August 22, 2013, for example, in the case of juner, this is the happy days of gestation - his wife, is about to delivery.

He that day, however, that more than a year long.

The day in the morning, the wife stay in linqu county people's hospital, in the second division for the delivery, pilot run more than 20 hours, has not been successful. "His wife during the delivery, because of the pain, exhaustion, asked the doctor request cesarean delivery." Juner said, the doctor said after the inspection, is suitable for natural birth.

On the evening of 22 when 15 points, his wife finally gave birth to a baby boy. Have choking phenomenon "hospital tell me baby, after the implementation of the rescue and recovery has been okay." Families juner said, at that time, the medical personnel in charge, put the baby to the new pediatric ward.

New pediatric doctor, juner recalls, when receiving the baby, he told family members, the infant's condition is more serious, not conditions for rescue and treatment of hospital must be transferred to higher level hospital. 23 in the morning, weifang maternity and child care ambulance away.

"Long time trial production failure, amniotic fluid contamination, fetal distress, although rescue come over, but due to cerebral palsy." Juner said sadly, "baby in the mother's belly, good prenatal do regularly, very healthy."

After the transfer, to cooperate with treatment, Liu Junceng linqu county people's hospital for medical record, but the hospital refuse to, "medical records not tidy up" repeatedly demanded still failed. Several days later, juner to linqu county health bureau call complaints, in under the intervention of the county bureau of health meter, medical records to seal. "In accordance with relevant provisions of the regulations on the medical accident treatment, because of rescuing patients with acute, failed to timely written records, the medical personnel shall, within 6 hours after the rescue, according to solid n, and indicate." Juner checked relevant provision, thinks records should not become a reason.

Juner, says he knows the condition in weifang maternity and child care hospital records, found that the above records: "produce suffocation, alzheimer's score 3 points, 1 minute follow-up rating is unknown". Linqu county people's hospital discharge records showed that "one minute review five points, sputum suction, oxygen". According to doctors, alzheimer's score is a clinical evaluation of the degree of neonatal asphyxia. 8-10 divided into normal, 4, 7 were divided into mild asphyxia, 0-3 into severe asphyxia.

Produce suffocation, two hospitals yiqing a heavy two kinds of results, for medical records repeatedly rejected, juner suspected tampering with linqu county people's hospital medical records.

Not only that, in the js mi ammy liu also is full of doubt. "The baby was born, is what we will let the baby from delivery to the pediatric ward new? Should not have dedicated staff holding up? The same hospital, why the two families, the doctor said is all right, new pediatric doctors say serious, suggest transfer?"

"To the baby's health, we would rather believe it, hurriedly contact transfer." Juner said. "but why wait weifang maternity and child care ambulance to pull people, not arrange an ambulance to send the past?" Juner think this period is delayed treatment.

With these questions, juner began his way hospital for up to two years of negotiations.

With questions about medical records

The hospital insists no wrong

"We can't tamper with the medical record, on the evening of the 23rd sequestration, some haven't had time to write the contents of medical records." In view of the question juner, linqu county people's hospital, director of the two families, DouJinLing said.

In sealed records on the date of juner different versions, hospitals, county health bureau. "Medical records is a baby after presenting several genius seal." Juner said, this several days, the hospital has the time to medical record tampered with. Nine months later, in May 2014, juner contact the county health bureau, ask seal medical record date. The staff said, it is 23 night received complaints immediately sealed.

Hearing the answer, juner some excitement. "How can you speak lie?" Call juner said, 23, I have no complaints, how did you who plan bureau initiative to seal the medical records? ", the date of the complaint telephone inquiry call records to telecommunications company."

Juner provide reporters with that with the county health bureau staff when recording, still excited. The normal application of sealing medical records is, he said, if the doctor-patient conflict on both sides, with request hospital seal records, are both doctors and health meter, under three witness storing records. "I don't call, who plan bureau are not going to go to medical records."

Linqu county bureau of health meter offer, according to a survey on September 29, 2013, due to the need of juner copying medical records, in the county people's hospital, juner relatives and health bureau staff, the presence of three parties are opening the copy after sealed again today.

Juner don't understand is, storage of medical records again, why first sealed case of time, and put the envelope to have no? Reporters found county health bureau, the interpretation of the staff, once opened, records bag should be replaced before, there should be a time of sealing for the first time, and before the may be related to medical records and sealing together in the new bag.

So far, three parties are still in the medical records on the date of did not agree. This strengthened juner before judgment: hospital to tamper with the records, from responsibility.

For the doctor to let family members holding the baby to the pediatric ward new questions, DouJinLing, said doctors followed by just arrived.

Questions about the rescue and courtyard, conclusion: the hospital two families, and the frequency of in children with rescue process, relevant departments in accordance with the requirements of the green life channel, close cooperation, rescue measures. Linqu county people's hospital, director of the medical department the original after all, said yoon, newborn is special transfer must have special ambulance, ordinary ambulance children do not have a dedicated rescue equipment, this just let weifang maternity and child care to pull.

Juner still disagree with the statement, to continue with the hospital.

Yin once after all involved with the doctor-patient dispute handling. In his memory, so far, six juner have been to the hospital. Yin said after all, ever active about juner twice, Liu Junlai find the hospital 4 times. "We also want to solve disputes as soon as possible."

"Two years, I want to work already, and to give the child cure, communicate with the hospital cost is high." Juner said, their child in her arms, jinan, Beijing, Shanghai and other places, and has spent hundreds of thousands of yuan, exhaustion of body and mind, spirit and economic pressure are very big, hospitals are never visit children.

Linqu county people's hospital, vice President of the new Xu Xiao admitted: "since transfer, we have never seen a child, what is the situation, we don't know."

These two years, the two sides also interviewed repeatedly, and keep the telephone communication. However, with every time. "After the breakdown, sometimes I more think more gas, very anxious and they desperately. But I fought back, in addition to said some difficult obedient, is rational." Juner said.

Many times communication, the hospital still insist on his own investigation conclusion: after the hospital check list and analysis of two families, handled well, reasonable, does not exist problems such as improper disposal; Diagnosis and treatment process without fault, shall not be liable; Advice through the way such as, judicial appraisal of technical appraisal for medical accidents, by professional organizations find out the facts, distinguish responsibility, issue the authoritative conclusion, and then to dispose. "If authoritative conclusion, it is the responsibility of the hospital, we will compensate according to the rules." Yin said after all.