Chapter 12 quack

Strictly speaking, this is not a medical dispute, because the people who practice medicine do not have a doctor's license at all. In our country, this situation is called the crime of illegal medical practice, but this case has given me too much helplessness... Early that morning, a fellow forensic doctor in the county called and said that he needed help with a case, and he was quite familiar with it, so I agreed without saying anything. The scenery along the way is good, and the county where he is located is originally a national scenic spot. We chatted and laughed along the way, and we didn’t think it would take long to arrive. First, we got to know the files. This was a case transferred by the Health Bureau. A migrant worker went to a private clinic to deliver a baby to his wife because of financial problems. The child died after birth. The mother-in-law ran away without even cutting the umbilical cord when she saw this situation. Fortunately, the adults immediately transferred to the big hospital for rescue.

The migrant workers reported to the Health Bureau that night. The Health Bureau checked that they did not have a medical license, made an inquiry record for the migrant workers, and transferred the case to the Public Security Bureau early the next morning, because it may involve criminal offenses and the Health Bureau has no jurisdiction. When the police receive the report, of course, they will first conduct an appraisal to see if there is a causal connection between the medical treatment and the death result, and whether it constitutes a crime. If so, they will arrest the person immediately; Under the jurisdiction of the Ministry of Health.

(Are you dizzy? I am dizzy too! But there is no way, what if the law enforcement officers don’t act according to the law?) I sighed, all I can do is wait for time, do it now!The longer it is delayed, the farther this criminal will go! (The midwife ran away that night, and the police could not arrest or assist in the investigation without evidence.) This is really a very cute baby boy. His hair and nails have grown out, indicating that the child is developing well, and there is air in his lungs, which means that he has experienced the smell of the world before he died, and there is air in his stomach; There is no duodenum yet, which means that he has not had time to taste the taste of being a human being, and he passed away in less than half an hour after giving birth!I almost finished the autopsy with tears in my eyes.

I can only say: if the sky has love, the sky will also be old!I have to admit that I have a special affection for children. I am not afraid of amputated limbs and arms, because the more damage we have, the more evidence we will have, but every time the object of dissection is a cute child, I feel very uncomfortable. Therefore, some legal experts believe that cases of neonatal death should be given a lighter sentence than adults (in fact, this is sometimes the case), and I am not convinced!Since it is said that "everyone is equal before the law", isn't a newborn a human being?Calm down, I still regained my professional instincts.

In neonatal death cases, the cause of death varies widely, such as umbilical cord entanglement and amniotic fluid inhalation. Now that the "doctor" has run away and I can't ask about the condition, this is really time to test my true skills!Soon, I discovered a series of abnormalities. First, there was a round lump of about ten centimeters on the head. The obstetrics and gynecology department called it "tumor". It's caused by the fact that I just read the records of the Health Bureau and it is clear that the suction device was not used?what happened?Or the child has a lot of symptoms of suffocation, for example, the child's conjunctiva and oral mucosa have serious congestion and bleeding, and meconium also comes out (the feces of newborns are green, and mothers should know), just As we have seen in some strangulation cases, I immediately re-measured the umbilical cord, it was 49 centimeters, not too long, besides, there was no strangulation marks on the neck, it must not be the umbilical cord around the neck, what is going on? ?After opening the head, I found that the direct cause of the child's death was obviously intracranial hemorrhage.

However, if the conclusion of the appraisal says that death was caused by intracranial hemorrhage, I can make a difference, but this case still cannot be solved?Why did the intracranial hemorrhage occur, and whether the intracranial hemorrhage has anything to do with the "doctor"'s improper handling is the core of solving this case!I took off my gloves, carefully re-read the files of the Health Bureau and the Public Security Bureau, and fiddled with my laptop to search for information for about half an hour. The case finally became clear!It turns out that the crux of everything lies in the wrong medication! The "doctor" gave the mother intramuscular injection of oxytocin!The use of oxytocin is a common thing in obstetrics and gynecology. Generally, there are three routes of administration: nasal drops, intramuscular injection and intravenous drip, but intramuscular injection can only be used for postpartum hemorrhage. The speed of eight drops is carried out slowly, and the speed is adjusted according to the uterine contraction of the parturient. However, once the intramuscular injection is injected, there is no way to adjust it. It can only continuously enter the blood circulation of the parturient and continuously stimulate the uterus to contract. It caused the child to have a tumor, even if it had suffocated the child, even if it caused the child to have intracranial hemorrhage!This is tantamount to letting the biological mother kill the child, how cruel it is! ! !It is also for this reason that this woman "gives birth" in just one hour (multiparas will be faster, but the fastest can not be less than two hours), and a fresh child died due to the improper use of oxytocin by wild doctors. The child who died of intracranial hemorrhage!My heart is particularly heavy.

Every year, I have two or three cases of illegal medical practice in which patients die because of penicillin failure to perform skin tests, not to mention other more complicated cases. There are too many problems involved, the regular hospital charges are too high; the health department and traveling doctors fight guerrillas; the lack of basic health conditions; medical students would rather eat at home than work at the grassroots level or open a clinic... I am just a small forensic doctor , what can I fix?I can only face such human tragedies again and again!I can imagine this "doctor", I don't even know how many times she injected intramuscular oxytocin as a midwife, how many people survived by chance, and how many people are her ghosts, she ran away when something went wrong , anyway, her clinic house is rented, and the tables and benches are not worth much, so she will open again in another place!Every time I think of these, my heart is very heavy.