Chapter 365: Medical disputes, look at the evidence rather than the curative effect

Style: Science Author: Riding a pig to dig a holeWords: 4420Update Time: 24/01/12 20:04:28
Kunming City, First People's Hospital.

Li Xuemin walked through the bustling crowd and arrived at the inpatient department.

The atmosphere in the hospital is rather depressing and heavy. Everyone in the crowd looks sad, and almost no one has a smile on their face.

While waiting for the elevator, he saw a sallow-looking patient with sloppy steps and obvious dark circles under his eyes. He was alone with no one around him.

"This patient must have his own story. It's really desolate to be hospitalized alone." Li Xuemin thought to himself and looked at the patient a few more times.

The elevator stopped at the oncology floor and the patient walked out.

"What a coincidence, he turned out to be a patient in our department, probably a newly admitted patient." Li Xuemin muttered in his heart, followed him, and walked out.

"You're here just in time, come here!" When the nurse saw the patient, she immediately waved and called.

The patient walked over numbly: "What's wrong? It's not time for infusion yet."

"It's not an infusion. The hospital has a new portable monitor. Come on, reach out and put it on for you." The nurse said with a smile.

The patient nodded and stretched out his hand without asking what the monitor was or what it was used for.

The nurse took out something that looked like a watch, put it on the patient's hand, and cut off the hospital barcode band on the wrist.

The patient looked at her blankly, asking no questions and letting the nurse do whatever she wanted.

Li Xuemin sighed inwardly. Logically speaking, cancer is not a terminal disease, and the patient would not be so desperate. However, this patient must have had great family conflicts, fell ill again, and had no one to take care of him. He must have been very gloomy inside and had lost interest in everything outside. .

After the monitor was put on, it began to activate with a beeping sound and began to monitor the patient's condition.

Li Xuemin thought of the portable monitor that had been making a lot of noise in the hospital recently. He felt moved and walked over.

He had just returned from vacation and had not seen this legendary product before, so he was immediately curious.

The nurse looked up and saw him and immediately greeted him warmly: "Dr. Li, long time no see. Are you back from vacation?"

Li Xuemin nodded and leaned over to look at the content displayed on the monitor screen.

The screen is not big and cannot display detailed data and curves. The body parameters are basically represented by numbers.

Body temperature 36.5, normal;

Blood oxygen 97%, normal;



Li Xuemin looked at the data and found that they were all normal. It seemed that the treatment was going well and the condition was under control, and he nodded secretly.

He looked at it for a while and then walked to his office.

As soon as I walked in and said hello to my colleague Dr. Shi, the phone on the table rang.

It turned out that the computer host on the nurse's side received the alarm signal from the portable monitor, indicating that the patient parameters in bed No. 4 were abnormal.

After receiving the notice, Dr. Shi made a few skillful operations on his computer, and quickly prescribed medicine and gave medical instructions.

The whole process only takes a few minutes.

It is very smooth from beginning to end, reducing the process of doctors going to the ward to read monitor data and saving doctors time.

Li Xuemin was stunned and asked in surprise: "Lao Shi, is this the portable monitor system you told me about?"

Dr. Shi nodded proudly: "Yes, this thing is very portable, and patients don't resist it at all. Unlike before, when they brought an ECG monitor, they thought there were too many series wires."

"We have been using it for almost a week. It is very easy to use. It can achieve 24-hour real-time monitoring without restricting the patient's activities. This allows us to obtain long-term data, which is convenient for us to analyze the condition, which greatly reduces the burden on doctors. It is really What a good thing.”

"Although the ward is nearby and you can walk there within a few steps, one patient is okay, but what if there are too many patients? How can you have time to take care of dozens or twenty patients at the same time. But with this thing, it is different. .”

"In the past, my step count exceeded 20,000 steps a day. I spent most of the time running around every day and was really too busy. Now that I use this, my workload has been reduced a lot, and I can take better care of each patient. Be careful."

Li Xuemin nodded thoughtfully, turned on his computer, and said, "Lao Shi, I just came back. Come and tell me how to use it."

While the two were talking, the nurse had already taken the prescription written by Dr. Shi, took the medicine from the prescription, and injected it into the patient.

Not long after, Dr. Shi looked at the examination results and physical data on the computer, and said to Li Xuemin with a smile.

"You see, after the patient takes the medicine, his physical parameters can be sent to the computer immediately, and then compared with the data before taking the medicine, and the data can be called up at any time to view the data. How convenient."

"This patient has been wearing a portable monitor from the time he was admitted to the hospital. All his physical data are clearly visible without any omissions. From morning to night, before and after taking medicine, even before and after surgery, it can be displayed. Really It’s very easy to use and saves us a lot of trouble.”

Li Xuemin's eyes widened in surprise. The data displayed on the computer was indeed very detailed, and it also had built-in statistical and analysis functions. With this system, doctors and nurses could be freed from the repetitive work of transcribing patient monitoring data.

"Aren't there any shortcomings?" he couldn't help asking.

Doctor Shi shook his head: "I haven't found any shortcomings yet. As long as the monitor can meet the monitoring function, the important thing is that it can alarm us when changes occur and notify us in time. What's more, it is such a small one and we don't need to record data. I They all want to take it home and use it for themselves.”

He suddenly laughed happily: "I heard that this thing also has a positioning function. At night, the nurses used it to catch several patients who sneaked out. They were stopped by the security guards before they were discharged from the hospital. It was almost a catch. That’s right. Hahaha.”

Li Xuemin couldn't help but smile: "This is great. We no longer have to worry about patients sneaking away and being unable to be found."

Dr. Shi said with some regret: "This central monitoring system software is really easy to use, and it is given for free. It can only be installed on Sanqing monitors, and cannot be installed on other monitors. I guess it depends on this one." , this portable monitor will definitely sell well.”

"That's for sure. The free ones are usually the most expensive ones, otherwise why would they give them away for free?"

"Sanqing is really a magical company. Generally speaking, when new products are launched, there will be various problems in use, but their products are very easy to use and the user experience is first-class. Last time they People come over to research the product and ask us to make comments, but I can’t even do so.”

Li Xuemin didn't take it seriously: "Maybe the sample is too small. When more people use it, various problems will definitely arise."

"Well, that's true. There is no perfect product. As long as they can continue to improve it, it will be great."

Suddenly, there was a burst of noisy footsteps outside, and a nurse rushed in in a panic.

"Dr. Shi, Dr. Li, what's wrong, the patient's family is making a fuss at the door of the operating room."

"Ah? What's going on?" The two of them were immediately shocked and asked quickly.

Generally speaking, the biggest headache and fear for hospitals is that patients’ family members come to the hospital to make trouble. Regardless of whether the hospital is justified or not, they have to pay humanitarian compensation every time, and this money has to be deducted from the doctor’s bonus. The department is all in vain.

The nurse explained everything, and then the two of them knew what had happened.

It turned out that a man lost his footing and fell down a steep slope while climbing a mountain three days ago, and was missing for a day and a night.

After the family could not be contacted, they immediately called the police and called for rescue.

After receiving the request for help, the emergency center immediately arranged for rescuers and medical staff.

After a difficult trek, the man was finally found at the foot of the cliff.

It was raining heavily at that time, and the medical staff worked extremely hard to send the patient to the hospital and immediately rushed to the operating room for emergency treatment.

The operation was carried out nervously. Since the patient's vital signs were very weak, although the operation went smoothly and the internal organs were repaired, he did not wake up.

Then, the injured person was transferred directly to the ICU intensive care unit.

Unfortunately, the patient was too seriously injured and died after staying in the ICU for one day.

The family members were furious on the spot and expressed that they could not accept it. They started making a fuss in the operating room and almost beat up the doctor who performed the operation.

The nurse was so frightened that she hurriedly notified the doctors and nurses, telling everyone to hide and stop walking around to avoid being affected.

Li Xuemin rolled up his sleeves angrily: "Who are these people? How can they be so unreasonable? I will go over and support my brothers."

Dr. Shi was older and more mature. He pondered for a moment and said with twinkling eyes: "I'm afraid this matter will be difficult to handle. The patient has been transferred several times. No one knows how the injury was at the beginning."

"The medical staff sent by our hospital picked up the person but failed to save him. They were afraid that they would be caught and beaten hard by their family members."

Li Xuemin said unconvinced: "Maybe the patient was hopeless from the beginning, or his condition worsened on the way? We can't be blamed."

Dr. Shi spread his hands and said helplessly: "That's the problem. There is no evidence. He was not admitted to the hospital at the beginning. He has complete test data. He was in our ambulance all the way. The family is really messing around. no way."

The nurse suddenly said: "I seem to have heard that the rescue doctor used a portable monitor for the patient from the beginning. In this case, there should be monitoring data along the way. I just don't know if it will be bumpy and rainy on the way. have a great impact."

Dr. Shi's eyes suddenly lit up and he immediately started operating on the computer.

"What was the name of the deceased?"

"Liu Chunyang."

"Come on, I found it. The name is indeed in the system, and the time and place are correct."

Li Xuemin immediately came closer to watch and couldn't help but marvel.

"Looking at the time, it should be that as soon as the person was found, he was put on a portable monitor."

"This is the patient's body parameter information after coming down the mountain and before getting into the ambulance. This vital sign is already very weak."

"After simple treatment, it calmed down a little. It should have been in the ambulance, driving from the mountainous area. The road was very bumpy, but its parameters are still very accurate."

"I remember it was raining heavily that day. The patient may have been caught in the rain. You can see that the body temperature here has begun to drop."

"In the ambulance, the patient's condition was not very good. He kept struggling on the lifeline. I guess the patient was already dead. When he went to the hospital, he only had a flashback. It was 80% impossible to save him."

"I finally made it to the hospital. Now I'm entering the operating room."

"It should be connected to the central monitoring system in the operating room, and all monitoring parameters are uploaded for expert analysis."

"Unfortunately, given the patient's condition, there is no way to save him."

"I've basically finished reading it. When the patient was first received, his vital signs were very weak. Then he got caught in the rain on the road, caught a cold, and his body temperature dropped. When he arrived at the hospital, he was almost burping."

"We were able to complete the operation only for the sake of his last breath. Whether he can recover or not really depends on his fate."

"Unfortunately, the miracle did not happen. The patient lived for one more day in the ICU and died immediately."

Dr. Shi read all the monitoring data along the way and made a summary.

Li Xuemin nodded in agreement and said: "With these physical parameters, even the gods can't save him. Our hospital has done its best to be benevolent."

"You can't just watch the patient breathe his last breath and do nothing. At least you have to clean up the patient's internal bleeding and suture the wound."

"If we take out this monitoring data, we won't be afraid of a lawsuit or a medical evaluation."

"Yes, I was originally worried that there was no relevant data along the way to prove that the patient was critically ill, but with this detailed data, I am definitely not afraid of the family members making nonsense."

"The family members are still agitated right now. Let's talk about it after they calm down. You said this person didn't stay at home, why would he climb a wild mountain? He would have lost his life by climbing. Alas~"

Li Xuemin shook his head and sighed, expressing his deep incomprehension.

"Who knows, some people may just like excitement and can't stand a dull life."

"Then let him become a doctor. It's so exciting. He witnesses birth, old age, sickness and death every day, as well as all kinds of medical troubles. Life is definitely not dull."

"Haha, that makes sense."

The two looked at each other and smiled, their hearts immediately relieved.

As long as it is proven that the patient was already hopeless before arriving at the hospital and it was not the hospital's fault, then everything will be fine and the doctor will not be in trouble.

Even if the family members really make a big fuss, if they want to mediate in the end, at least the doctor will not be punished.

that's enough.

Afterwards, things developed just as they expected. After seeing the detailed evidence, the family members had nothing to say and had to quietly accept the result.

In fact, they knew it before, but they just couldn't accept such a result. Now faced with the evidence, they had no choice but to face the bloody truth and accept the fact.

Generally speaking, if there is no evidence for something like this, it is easy to fall into a quarrel. Both sides hold their own opinions, and no one can convince the other.

But with the full monitoring data, the reality becomes obvious.

The hospital easily resolved a medical dispute and was pleasantly surprised when it discovered a new use for the portable monitor.

The dean immediately decided to purchase a batch of portable monitors at the speed of light, requiring every patient to be armed.

After other hospitals heard about this, they were also a little ready to take action.

After all, not every hospital is so organized and can slap all the evidence on the table like a lawyer when encountering a dispute.

Many times, a slight negligence and failure to preserve evidence can easily be caught by family members.

Now with this portable monitor, coupled with ubiquitous surveillance cameras, it’s easy to track every move of a patient.

If there are any problems, we can respond quickly and take measures to deal with them.

At the same time, there is sufficient data support, which is simply an artifact.

In short, all the doctors and nurses in the hospitals who have tried it are full of praise for this portable monitor.

Soon, a large number of orders were flying towards Sanqing like snowflakes.