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Medical dispute case of Yunfeng Hospital in Banqiao, Xuanwei Regarding Gao Cuiping's medical dispute case, please God.
Anecdotal news in the world-giving birth to a child with a broken sternum and ribs, the victim's family was sued by the hospital 2011-07-04 20:17 (classification: default classification) Anecdotal news in the world-giving birth to a child of 10 years old, bowing down to his mother-mom, yours. Having a baby, fractured sternum and ribs, the family of the deceased. I am Zhou Kaizhi, a villager from Jianshan, Banqiao, Xuanwei City, Yunnan Province. Now, with sincere and painful feelings, I will tell you the truth about my wife Gao Cuiping's childbirth death in Yunfeng Hospital, Xuanwei City, Yunnan Province, and the situation that the Medical Accident Appraisal Committee of Qujing Medical Association (hereinafter referred to as the Medical Appraisal Committee) violated the diagnosis and treatment norms, unreasonable appraisal procedures and violated the facts before and after the appraisal. I look forward to your support and help. 201165438+1October 6th, his wife Gao Cuiping came to the obstetrics department of Xuanwei Yunfeng Hospital with great expectation. After examination, the doctor said that the blood pressure was high and everything else was normal. Let's go through the admission formalities. The hospital did not carry out the basic examination of liver and kidney function and urine test (an index to measure the severity of pregnancy-induced hypertension). On June 7th, 65438, the doctor gave Gao Cuiping the medicine of induced labor, and her abdominal pain was intense (1-2 minutes, and the pain lasted for more than 30 seconds each time). On October 8th, 2006/kloc-0, Xu Qiong 'e, the director of obstetrics in this hospital, took the medicine of forced uterine contraction (without the knowledge of the patients and their families) We rushed in and did as the doctor said. Our hands drooped feebly, and we felt that something was wrong. We asked the doctor about Gao Cuiping's illness, but no one in the hospital told us the truth. Only the doctor loudly asked Gao Cuiping to give birth hard. 654381At 22: 55 on October 8th, Gao Cuiping gave birth to a baby girl naturally. The baby was severely suffocated at birth and was transferred to pediatrics for rescue. Gao Cuiping was bleeding heavily, and we were driven out of the delivery room by the doctor. The dead are gone, and everything has its merits and details. We are not importunate people, people who don't distinguish right from wrong. Our family just want to know the cause of death of Gao Cuiping. However, since Gao Cuiping's death, we haven't heard any sincere explanation from the hospital, nor have we seen or heard the face and handling opinions of the hospital's decision-making leaders (hospital chairman). Considering 20 10 years, many innocent patients died in the hospital (due to the hospital's diagnosis and treatment mistakes). The hospital has a poor attitude towards the first few things, is not honest, and always cheats, combining soft and hard. After the black forces threatened to suppress, they forcibly expelled the patients' families from the hospital and bullied the vulnerable groups by relying on the situation. We believe that the government and the relevant state administrative agencies will make decisions for the people, so we apply for autopsy and medical malpractice appraisal. After the autopsy, it was known that Gao Cuiping's sternum (the third rib was flat) was broken, three ribs were broken (the second, third and fourth ribs were broken), and there were two large cracks in the uterus (autopsy report), the lengths of which were 6 ㎝× 7 and 4 ㎝× 6 respectively. The hospital claims that this is a normal phenomenon. While waiting for the rest of the autopsy report, the relatives couldn't bear to delay and repeatedly negotiated with the hospital. Dean Huang and Vice President Cui conveyed the opinions of their chairman (Gao Cuiping's family had never seen him after his death, and his sister died of excessive blood loss after giving birth in the hospital), and the hospital was willing to pay 60,000 yuan for the funeral expenses of Gao Cuiping's family first, and the rest will be discussed later. Considering the situation of the deceased, we adopted the suggestion of the hospital and transported him back. The hospital asked for a burial fee of 30,000 yuan in advance, and then collected the balance after the body was shipped back. I didn't expect the hospital to cheat. After the body was shipped back, the hospital refused to pay the balance and told us that the baby was in critical condition and needed to be transferred to a higher hospital for treatment. Considering that the baby was in critical condition when he was born, his life was seriously threatened. From his mother's situation, we think that the quality of medical care in the hospital is extremely poor and we are very willing to transfer the child to a higher level hospital for treatment. We didn't expect that my family and I reluctantly handled Gao Cuiping's funeral after negotiations without a platform and sincerity. Considering that the child was born with severe asphyxia and repeated convulsions, in order to alleviate the sequelae of the child (the best treatment time for the child is 0-6 months), we requested that the child be transferred to a hospital with better medical conditions, and submitted oral and written transfer applications to the hospital and the supervision department of the Municipal Health Bureau for many times. We don't expect the amount of compensation. We only hope that the children can get timely treatment, reduce the sequelae, and let the children manage to take care of themselves in the future. On March 2, 20 1 1, the hospital informed us to negotiate the transfer of children. After we went to the appointment on time, we found that the hospital had set up another scam: a deputy director of Xuanwei Health Bureau, the director of Banqiao Police Station and the leader of the village Committee had been invited to the hospital, and arranged videos to testify to the patients' families about the medical reaction. However, the hospital suddenly announced the autopsy results to us: the patient died of pulmonary amniotic fluid embolism, and said that amniotic fluid embolism is a hopeless disease. It is said that no one is perfect, and everyone will have shortcomings or deficiencies. We just want everyone to be honest with each other. Since the accident happened in the hospital, we should follow the principle of a satisfactory solution, hold a pious mind, and actively seek ways to negotiate and deal with it, just like ordinary people, so as to comfort the dead and the bleeding heart of the injured. Gao Cuiping did not die of natural causes, but was treated in the obstetrics department of the hospital to prevent the child from severe asphyxia, repeated convulsions, severe hypoxic-ischemic encephalopathy and intracranial hemorrhage. However, hospitals rely on their power to create momentum and deter vulnerable groups. The autopsy results were taken out of context, and the diagnosis and treatment process was not mentioned at all, in an attempt to shirk responsibility. We believe that justice is obvious and justice has its own. I hope that by applying for medical malpractice appraisal, we can be fair and accountable. What is even more surprising, however, is that the evaluation results are uncertain. On April 6, we suddenly received a summons from Xuanwei City Court, and the hospital sued the court: demanding that Gao Cuiping's family compensate the funeral expenses paid by the hospital for 30,000 yuan and bear the legal costs. It is really the wicked who complain first, immoral and inhuman! However, we believe that the medical association will make an independent, objective and fair appraisal according to law, expose the crimes of the perpetrators one by one, let them correct their mistakes, and reduce or prevent the rest of the families from following in our footsteps. However, when we received the appraisal report, our mood fell to the bottom again, not because our expectations were too high, but because the reality was really cruel and realistic. Medical Association Report: The cause of death of patients with amniotic fluid embolism is clear. Yunfeng Hospital in Xuanwei City found no illegal or negligent diagnosis and treatment behavior during the labor, delivery and rescue of Gao Cuiping, but the inspection and records were insufficient. Pulmonary amniotic fluid embolism is a serious obstetric complication with various clinical manifestations, which can lead to the death of patients. It is difficult for doctors to foresee and prevent, and there is no direct causal relationship with doctors' examination and records. According to Article 2 of the Regulations on Handling Medical Accidents, this case belongs to: it does not belong to medical accidents. This is an extremely frustrating and even suffocating appraisal report. We want to ask: 1. How is the cause of death clear? Where does the basis for this cause of death come from? If the pathological examination results of the Judicial Appraisal Center of Kunming Medical College are taken as the cause of death, why only mention the first reason: pulmonary amniotic fluid embolism, but not the second reason: incomplete rupture of the lower endometrium? "Inadequate inspection" itself is a medical fault that violates laws and regulations, and everyone should be responsible for his own fault. Why did Gao Cuiping die in Yunfeng Hospital, and her child's severe asphyxia, severe hypoxic-ischemic encephalopathy and intracranial hemorrhage had nothing to do with the hospital? 2. Why does Gao Cuiping's uterus have such two big tears? The causes of uterine rupture in Obstetrics and Gynecology published by People's Health Publishing House (the seventh edition of national advanced medical textbook) are as follows: ① Obstructive dystocia; ② Fear of uterus; ③ Improper medication for uterine contraction; ④ Obstetric operation injury (2 10-2 1 1 page). Is Gao Cuiping's uterine rupture one of the above reasons or several reasons? Why do hospitals and appraisal institutions avoid talking about the serious problem of Gao Cuiping's uterine rupture? 3. Why did Gao Cuiping have amniotic fluid embolism? Amniotic fluid embolism is caused by tangible substances (fetal hair, keratinized epithelium, fetal fat and meconium) in polluted amniotic fluid entering the maternal blood circulation. Increased pressure in amniotic cavity (excessive uterine contraction), rupture of fetal membrane, and opening of veins or blood sinuses at cervical or uterine body injury are the basic conditions leading to amniotic fluid embolism (page 208). Can it be considered that improper use of induced labor drugs in hospitals leads to excessive uterine contraction and uterine rupture leads to amniotic fluid embolism? Is the hospital really not responsible? 4. How should the hospital rescue patients with blood loss? Gao Cuiping suffered from massive hemorrhage, with vaginal bleeding of 3000ml. 65438100:00 on October 9, no heartbeat breathing (medical record). According to medical records, Gao Cuiping is 82㎏, and her blood should be around 5800-6500ml. Will Gao Cuiping have no heartbeat? By 0: 00 on October 9, 65438/kloc-0, the hospital only opened a group of veins, rehydration 1000 ml. Is this to save the patient? And at 00:30 on October 9th, 65438/KLOC-0, the hospital told us that Gao Cuiping had massive vaginal bleeding and needed blood transfusion, and the blood volume in the hospital was very small. They have borrowed blood from Xuanwei People's Hospital and Xuanwei Traditional Chinese Medicine Hospital, and Gao Cuiping may need to have her uterus removed. What kind of hospital is this? No medical family members are involved in rescuing patients, and critically ill patients are waiting for blood rescue to remove the uterus for the dead. This is really a miracle of the world. 5. How to treat amniotic fluid embolism caused by uterine rupture? Obstetric treatment of uterine rupture and amniotic fluid embolism is to quickly open multiple groups of venous channels, expand capacity, replenish water, transfuse blood, supplement coagulation factors, and cut off the bleeding source after hysterectomy. What are the measures of the hospital? 6. How to perform cardiopulmonary resuscitation? National examination standard for professional doctors: CPR compression position is at the middle line of the middle and lower sternum junction 1/3 or 2.5-5㎝ above xiphoid process, parallel to the 5th-7th rib. Why did Gao Cuiping fracture the third rib and the second, third and fourth ribs? This is completely evidence that the doctor did not master the basic skills of cardiopulmonary resuscitation, behaved rudely, and the resuscitation site was incorrect. The assessment scale is tilted. The appraisal book is contradictory and full of loopholes. Article 29, Chapter 6 of the Interim Measures for Technical Appraisal of Medical Accidents: "The number of participants in the technical appraisal of medical accidents shall not exceed 3." 2011At the appraisal meeting held at 2: 30 pm on April 27th, three patients made statements, but the person in charge of the hospital was Cui Maocan, vice president. Why did the medical appraisal institution openly let one more person into the hospital? 2. Article 29 of Chapter VI of the Interim Measures for Technical Appraisal of Medical Accidents clearly stipulates: "The Medical Association shall notify both parties in writing of the time, place and requirements of the technical appraisal of medical accidents seven days ago. Both parties shall participate in the appraisal according to the time, place and requirements of the notice. " The patient called 1 165438 at 0: 00 am on April 27th, and needed to go to Qujing from Xuanwei to attend the appraisal meeting before 2: 30 pm that day. However, the hospital received a notice from the Medical Association on April 22nd. 3. In the "Diagnosis and Treatment Summary" of medical malpractice technical appraisal, it is mentioned that "intravenous misoprostol 20mg" does not exist in the medical records copied to us by the hospital. There is no such medicine in the national pharmacopoeia. 4. The "Appraisal Letter" and "Related Materials Provided by Patients" read "Qujing Public Security Science and Technology Appraisal Letter 1", but the patient has never provided this material. 5. The "Entrusting Matters" in the appraisal book reads ① Entrusting Qujing Medical Association 20 1, 2065438+0; ② The description of the appraisal process reads: "Received from Qujing City on March 22nd, 20 10 ..."; (3) It also says: "April 22nd, 20 10, convening notice ..." It was sent to both parties. In fact, Gao Cuiping is still alive and well at 20 10. 6. Item 6 "Diagnosis and Treatment Summary" of the appraisal book reads "Conclusion of Judicial Appraisal Center of Kunming Medical College: 1. Pulmonary amniotic fluid embolism; 2. Incomplete rupture of the lower endometrium. " Autopsy conclusion in the eighth Analysis Opinion: Death due to pulmonary amniotic fluid embolism. There are two problems in the above contents: ①. How is it that Gao Cuiping died of endometrial rupture in a short time after delivery? ② Endometrium and endometrial surface are two completely different concepts. Why do medical institutions deliberately change endometrial surface rupture into endometrial rupture? If the uterus is compared to a room, the surface of the endometrium is equivalent to the wall, and the endometrium is only equivalent to the imitation porcelain on the wall. The damage to the main structure of the room wall and the damage to the wall imitation porcelain are two completely different concepts, and the consequences of the damage to the wall and the damage to the wall imitation porcelain are definitely different. I hope that just people will uphold justice for the disadvantaged groups and uphold justice. The dead are gone and irreversible. I only hope that the hospital can admit what it has done, take responsibility, make up for the mistakes, let the children get the treatment they deserve and comfort their mothers. At the same time, I hope that the power of public opinion can supervise the hospital to strengthen management, so that the hospital can truly shoulder the sacred mission of saving lives, develop itself and benefit the people. We will always believe that the relevant state organs will uphold justice and uphold justice for us. Salute! Husband of the deceased: Zhou Kaizhi 2011June 12.
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