Chapter 11 Chapter 4 The Tilting Red Cross

In 1986, Mr. Dou, a worker of Anshan Iron and Steel Co., Ltd. in his early 30s, was misdiagnosed as penile cancer by the hospital and underwent a penis excision. He lost his physical dignity since then.Due to the unbearable pain after the operation, the hospital injected him with pethidine. Since then, he became addicted to drugs and suffered inhuman mental and physical pain for more than ten years. At the beginning of 1997, the People's Court of Tiexi District, Anshan City opened a court hearing for the first case of "drug addicts suing the hospital" in the country. On December 21, 1998, the court made the first-instance judgment, ordering the defendant to compensate Mr. Dou for personal and mental damage The cost is 290,000 yuan...

According to the "Xi'an Evening News" report, at the beginning of April 1986, Dou felt faint pain in his lower body, so he went to Anshan Shuguang Hospital to check his condition. On April 26, Dou was transferred to Anshan Iron and Steel Lishan Hospital for treatment after being introduced by Anshan Iron and Steel Shuguang Hospital. On June 27, Anshan Iron and Steel Lishan Hospital performed a tumor resection operation on Dou, removing a soybean-sized tumor. On July 14, Dou went through the discharge procedures and was diagnosed with "penile fibroma, hospitalized for 74 days."

On February 14, 1987, Dou came to Anshan Iron and Steel Lishan Hospital for treatment for the second time due to the recurrence of the disease. On May 21, the second operation removed 3 cm of the cavernous body of the penis. The patient was hospitalized for 131 days for tumor recurrence after surgery.”Soon, Dou came to Anshan Iron and Steel Shuguang Hospital for treatment due to the onset of pain. The hospital injected him with Qiangtongding for nearly two months. On September 18, he was injected with pethidine for the first time. On December 8, 1987, the words "penile cancer" appeared for the first time in the medical records of Shuguang Hospital. On March 12, 1988, after consulting with Shuguang Hospital, Dou was diagnosed with "advanced recurrence of penile cancer after surgery", and he was given "Maka", which increased from one dose of pethidine per day to six until July. From October 1990 to March 10, 1993, Dou went to the Qidashan Hospital of Anshan Iron and Steel Mining Company to apply for "Maca", which increased from one dose of pethidine per day to four. On April 20, 1991, Dou was diagnosed with "inguinal metastasis of penile cancer" by Lishan Hospital, and he took a dose of pethidine every day until April 1992.During this period, Dou went to Beijing eight times to buy anti-cancer traditional Chinese medicine to treat his "cancer".

It was by chance that Mr. Dou learned that he did not suffer from cancer. On March 12, 1993, when he was seeing a doctor at Lishan Hospital, he saw his pathology report when he was hospitalized, which recorded that he was a lump on the penis.Dou was taken aback. It turned out that he was not a cancer patient. On May 25, 1993, after consultation with experts from China Medical University, Dou suffered from "peyronie's disease" and had no cancer at all. Dou broke free from the death line, feeling both excited and sad—the so-called penile cancer that tortured him physically and mentally for seven or eight years was actually a misdiagnosis!

With tears of grief and indignation, Dou said: "At that time, I was young and strong, but unexpectedly I got cancer, and the place where I got the disease was in that part. I lost my sexual function, was incontinent when I urinate, and walked with a limp. A man who has completely lost his martial arts. My wife and I were only married for a few years at that time. I happened to have this terminal illness and became addicted to drugs. , I don't have cancer at all!" Cancer free, Dou is determined to quit drugs.He knew that if he didn't quit drugs, he wouldn't have a new life without cancer. On May 25, 1993, he was unsuccessful in detoxification at Anshan Iron and Steel Xiaolingzi Hospital, and then went to Kunming Huangpo Detoxification Center for 18 days with a blood letter saying "Unsuccessful, I would rather die in Yunnan".

After returning to Anshan from Kunming, Dou was determined to seek an explanation from the three hospitals that had caused him pain and disasters, and thus embarked on the road of petitioning and suing. On April 27, 1995, his travels were exchanged for an appraisal by the Anshan Medical Malpractice Technical Appraisal Committee, but this appraisal deemed it "not a medical malpractice".The appraisal stated that: Anshan Iron and Steel Lishan Hospital had a correct diagnosis, the choice of surgery was prudent, and the treatment did not violate the principles; Anshan Iron and Steel Shuguang Hospital, Lishan Hospital, and Qi Dashan Hospital diagnosed patients with advanced penile cancer and prescribed "Maka" and long-term use of pethidine. The use of narcotics and narcotics is not rigorous enough, and the work lacks scientificity and seriousness. Both doctors and patients bear certain responsibilities in the use of narcotics and narcotics.The conclusion of the appraisal is that it is not a medical malpractice.

Dou refused to accept, he was humiliated for eight years, but in exchange for such a paper appraisal.He continued to apply for provincial medical malpractice identification. In July 1996, the provincial appraisal concluded that the diagnosis was correct, the choice of surgery was prudent, and there was no principled error in the treatment (surgery); in the late stage of treatment, it is unfounded to treat a benign disease as an advanced tumor disease for a long period of time ; Anshan Shuguang Hospital, Lishan Hospital and Qidashan Hospital did not use narcotic drugs in strict accordance with the "Anaesthetic Drug Management Measures". Therefore, the three hospitals should bear certain responsibilities.The appraisal finally clearly pointed out that "this medical dispute does not constitute a medical malpractice".Dou refused to accept it and brought a lawsuit to the court.

In 1997, the People's Court of Tiexi District, Anshan City opened a court session to hear the case.After the judgment of the first instance, the defendant Anshan Iron and Steel Group Corporation and Anshan Mining Company of Anshan Iron and Steel Group compensated the plaintiff for a total of 292,000 yuan of mental damage. After the verdict was handed down, Mr. Dou burst into tears. After eight years of suffering from illness, he finally had an explanation.However, he didn't understand that he was treated as a cancer patient when he was obviously a benign patient, and he was operated on without surgery. How could it not constitute a medical malpractice?Dou decided to continue the appeal. On January 5, 1999, he submitted an appeal to the Intermediate People's Court of Anshan City. He appealed that due to certain errors in the operation and long-term injection of large doses of pethidine, he now has leg numbness, dizziness, irritability, Fear, nausea, vomiting, blurred vision and other sequelae, these symptoms must be treated promptly and adequately for a long time, otherwise his body will deteriorate due to these sequelae.In addition, due to the surgical removal of his penis by 3 cm, he has had no sex life since the age of 31, and sex life is the basis for maintaining a stable family, and it is very necessary to install a prosthesis. A reasonable request is supported.

In all fairness, doctors are not gods, and it is impossible for them to be free from errors and omissions. However, in this case, three hospitals misdiagnosed at the same time, and it took as long as eight years. Shouldn't we learn some lessons from it?Regardless of how the case is finally judged, this should serve as a lesson for medical staff. Coincidentally, 35-year-old Zhang Baolan also experienced the same experience.It was also due to a misdiagnosis by the hospital that he had his right testis and epididymis removed and his left vas deferens ligated. He lost his fertility and his sexual function was impaired.

According to the "China Youth Daily" report, on October 21, 1998, Zhang Baolan, a cadre of a bureau in Chengguan District, Lanzhou City, went to Chengguan District People's Hospital for swelling and pain in the right testis, and was diagnosed with right testicular epididymitis.The patient was hospitalized and was treated by Dr. Cai Mingzhi from the Department of Surgery.After a while, Cai asked Zhang Baolan to find Liu Guodong, a urologist at the Second Affiliated Hospital of Lanzhou Medical College, for an examination. After the examination, Liu wrote a note suggesting that the right testis should be examined with B-ultrasound, suspected to be right testicular tuberculosis.Dr. Cai read the note and said: "There is no need for that, don't believe what he said."

In early December, Zhang Baolan's right testicle turned red and swollen, and Dr. Cai concluded that the disease had recovered.After being discharged from the hospital, the patient still felt uncomfortable. On December 11, he went to the Second Hospital of Lanzhou Medical University for an examination. The clinical diagnosis was tuberculosis of the right epididymis and testis, and the B-ultrasound examination confirmed the doctor's diagnosis. On December 15, the patient was admitted to Chengguan District People's Hospital again, but at this time the patient's condition had deteriorated, and after consultation with experts, it was decided to remove the epididymis. During the operation on December 30, the doctor found that the patient's testicle had been severely infected and could not be preserved.The chief surgeon proposed to the patient on the operating table that the right testis and epididymis must be removed, and the vas deferens of the left testis must be ligated.The family members signed with tears, and the patient was forced to agree. After the operation, the patient and his family asked the hospital to deal with Dr. Cai, who had seriously neglected his duties, and to compensate for all losses.The hospital only admitted that it was a "serious error" caused by a misdiagnosis.Based on this, a decision was made: give administrative demerit to Dr. Cai Zhizhi, disregard job promotion within the year, and suspend the half-year bonus; pay the patient a one-time compensation of 5,000 yuan.Zhang Baolan flatly refused.As for the reason for the "misdiagnosis", the hospital said: on the one hand, the medical staff's sense of responsibility is not strong, and on the other hand, the hospital's technical conditions are limited.The reason for insisting that it was a "serious error" was that the hospital reasoned that the testis was not an important organ, and that the surgical resection was on one side of the lesion, which had no effect on its "physiological function". The standard is "injury to the main organs of the patient, resulting in functional impairment, can be designated as a third-degree medical malpractice." Of course, compared with vital organs such as the heart, liver, and kidneys, sexual organs may not be as important, but for a living person, it is absolutely important for the quality of life of a person.When Zhang Baolan was interviewed by reporters, she said painfully: After the operation, the genitals have never been erected again.For this reason, he was very depressed, and sometimes felt that life was really boring.Some experts also believe that the right testis and epididymis are resected, and the left vasectomy has obvious consequences for the patient. The first is the loss of fertility, and the second is that the sexual function is affected. Zhang Baolan filed an application to the Chengguan District Health Bureau of Lanzhou City for the identification of the responsibility for this matter.Chengguan District Medical Accident Technical Appraisal Committee issued an appraisal opinion on March 16, 1998, affirming the misdiagnosis of the chief physician Cai Mingzhi, but the final conclusion is that it does not constitute a medical accident and is a serious medical error. There are both technical errors and responsible errors. . "China Youth Daily" pointed out bluntly when publishing the above-mentioned report that the "standard" was flawed. Compared with the grading standard of the Ministry of Health, Zhang Baolan was neither single nor married without children, so it could not be regarded as a second-class accident. .The right testicle and epididymis were cut, and the vas deferens of the left testicle was tied. The function of the genitals naturally declined, but the testicles were not counted as the main organs. Therefore, Zhang Baolan’s incident was not even a third-degree medical accident. Obviously it doesn't match.Huang Rongchang, a lawyer from Junxin Law Firm in Gansu Province, told reporters on this matter that according to the "General Principles of Civil Law", both Dr. Cai and the hospital should bear civil liability, and the current medical disputes should be dealt with according to the medical accident level standard ten years ago. The flaws are obvious. The author does not discuss the value of human sexual organs here. The citation of this example is just to illustrate that any misdiagnosis by medical staff, whether it constitutes a medical malpractice or not, is an irreparable pain for the patient.We cannot measure the quality of medical work by the standard of medical malpractice, let alone an old standard ten years ago. Some misdiagnoses are due to the lack of responsibility of the medical staff, negligence, and indiscriminate diagnosis without careful and meticulous examination; "Murdering money and harming people" has reduced noble medical behaviors to a means of earning black-hearted money.According to the "Tonight News" report, a patient developed a ringworm on his genitals. After seven years of seeking treatment, he was diagnosed as an STD by nine "STD experts" and made a fortune from it.Finally, a pathological examination revealed that it was just psoriasis. Perhaps for these "STD experts", this would not constitute medical malpractice, but for patients, it is definitely a sad tragedy, an accident that cannot be recalled!Pushing patients into the abyss of pain in order to make money for themselves, is it just a misdiagnosis that can be justified? ! Without a clear diagnosis, scrub typhus has become a fatal disease.In order to seek an "explanation" for her husband's death, Shi Liankou, a primary school teacher of Guangzhou Railway, took the Guangzhou Railway Central Hospital to court a few days ago, demanding to confirm that the hospital's diagnosis and treatment of her husband constituted a medical malpractice, and to apologize to her and compensate the elderly in the family , child support and the plaintiff's mental damage costs totaled 800,000 yuan.At present, this high-profile medical dispute case has been accepted and opened in the Dongshan District Court. Nanfang Daily reported on February 1, 1999 that the plaintiff, Shi Liankou, claimed that on October 14, 1997, Tian Wei, an assistant statistician of the Guangzhou Railway (Group) Company, went to the outpatient department of the Guangzhou Railway Central Hospital of the system due to physical discomfort. See a doctor.After some examinations, Dr. Wang diagnosed Tian Wei as suffering from upper respiratory tract inflammation, so he treated the patient with penicillin and Qingkailing intravenous infusion.Three days later, because the high fever persisted, the patient went to the hospital for a follow-up visit. The doctor treated him with penicillin and ribavirin intravenously. On October 23, Tian Wei still had a high fever, and the patient was admitted to the hospital for treatment in the Department of Respiratory Medicine. The plaintiff stated that after her husband was hospitalized, the receiving doctor, the physician in charge and the director of the respiratory department all found that the patient had skin "eschar" in the abdomen, but they did not pay attention to it, and they were still treated as acute upper respiratory tract inflammation and bilateral pneumonia.When the patient's condition worsened sharply and the family members repeatedly reminded the patient of the possibility of infectious diseases, the doctor was still self-righteous and did not urgently consult the infectious disease department. The diagnosis was not confirmed until the patient was discharged, which made the patient's condition irreversible and complicated with organ damage. , resulting in the patient's unfortunate death on November 6 after being transferred to another hospital due to delays in timing. Shi Liankou said that some medical staff in the hospital not only took an indifferent attitude towards Tian Wei's condition, but also ridiculed and ridiculed his painful symptoms.In view of the doctor’s attitude and the fact that the patient’s condition has not improved and the hospital has not made a clear diagnosis, the family members transferred their request to another hospital on the 27th after being rejected. They were diagnosed with scrub typhus on the same day. After all-out rescue, he finally died.The death of her husband, who was still in his prime, brought great pain to Shi Liankou's family. The patient's father-in-law and mother-in-law died and became paralyzed respectively after learning the sad news.Afterwards, in order to show sympathy for the family of the deceased, the hospital gave the family of the deceased a one-time subsidy of 100,000 yuan. However, Shi Liankou did not agree with this result and filed a lawsuit in the court, demanding that Guangzhou Railway Central Hospital bear the responsibility for the medical accident. Facing the accusation of the plaintiff, the hospital did not admit that it was a medical malpractice.The defendant's lawyer believed in the attorney's statement that the medical staff of the hospital did their best to diagnose and treat the patients, and there was no negligence.On the contrary, the patient concealed the history of fishing and eschar during the hospitalization. When the doctor checked the patient's abdomen for a scar, Tian Wei replied: "This is scabies, and it will be cured after applying iodine." Diagnosis and treatment of scrub typhus is very disadvantageous. If Tian Wei and his family members cooperate with the diagnosis and treatment and do not leave the hospital without authorization, they may not necessarily die.In addition, scrub typhus is only a preliminary clinical diagnosis, and the cause of death is not clear. Without an autopsy, scrub typhus cannot be considered the final diagnosis.He asked rhetorically, what reason and basis are there to believe that the defendant's behavior directly caused the patient's death? According to the reporter from Nanfang Daily, due to the interference of the higher-level group company, the hospital had reported to the higher-level company about the diagnosis and treatment process of patient Tian Wei in the hospital, saying that the hospital held a special meeting of the medical safety committee to conduct serious discussion.The final discussion was that the patient Tian Wei had "tsutsugamushi disease with multiple organ damage", and the diagnosis of the cause of death was clear.The reason why a clear diagnosis was not made during the hospital’s diagnosis and treatment was that the doctor found out about the patient’s skin eschar, but the internist was not familiar with scrub typhus and lacked knowledge and experience, which led to the inability to make a clear diagnosis. medical malpractice.However, the hospital also admitted that a small number of medical staff did not do what the patients were anxious about and thought about what the patients thought, and there were deficiencies in their service attitudes; in clinical work, for patients with unclear diagnoses, they did not promptly ask Relevant experts consulted and jointly clarified the diagnosis. Whether this case constitutes a medical malpractice remains to be determined by law.What the author wants to say is that it is important to distinguish responsibilities, but it is even more necessary to learn lessons—the dead are dead and cannot be brought back to life, and what we have to face are more living people. I can no longer die without knowing why! Many medical accidents are caused by misdiagnosis and mistreatment.The reason for misdiagnosis and mistreatment is not only partly due to the lack of medical technology, but also due to the lack of responsibility of medical staff.Some medical staff do not listen carefully to the patient's complaints during the diagnosis, the examination is not comprehensive, or they rely too much on laboratory examinations, and their thinking methods are subjective, one-sided and blind; Assumptions, self-assertion, drug abuse, so as to aggravate the condition, damage tissues and organs, cause dysfunction and other adverse consequences. A patient went to a hospital for treatment due to chest tightness, vomiting, sweating, and dizziness.The patient reported that she had sprayed organophosphorus pesticides the day before. She did not wear a mask or gloves at that time, and the liquid spilled onto her hands.The receiving doctor did not attach great importance to such an important medical history, and was admitted to the hospital with "acute gastritis, heat stroke, and mild organophosphorus pesticide poisoning to be ruled out".After being admitted to the hospital, he did not receive any anti-organophosphorus pesticide poisoning treatment, but was treated according to acute gastritis. Finally, due to the delay in the rescue time, he died of cardiac arrest a few hours later.This is a clinician with nearly ten years of experience in diagnosis and treatment, but he is blindly confident, does not respect science, and does not respect facts.When the country doctor explained to him that he had an obvious history of exposure to organophosphorus pesticides and he had symptoms of organophosphorus pesticide poisoning, instead of examining the patient immediately, he taught the country doctor a lesson, saying: "Don't give the patient lightly." The conclusion of organophosphorus poisoning, not to mention the abuse of atropine, causing atropine poisoning." He quoted ancient theories and made a big deal, which took a total of 30 minutes.At that time, the family members were very anxious and asked him to check and deal with the patient immediately, but he still checked the patient slowly and calmly. Is this just a misdiagnosis? Medical personnel, as messengers to protect human life, have a unique status and prestige in people's minds, and have always been respected and loved by people.It is precisely because of this that medical staff have become the embodiment of authority, and their words and deeds are unquestionable imperial decrees.It is clear that the doctor's diagnosis does not match your own illness, how many of us dare to doubt it?Obviously taking the medicine prescribed by the doctor and feeling unwell, and even feeling the threat of death, how many of us dare to overthrow it? We can't just blame patients for their blind trust. Due to the complexity and particularity of medical diagnosis and treatment, how can ordinary people dare to discuss medicine with authoritative medical staff?They can only cast their trusting eyes on the medical staff and entrust their lives and health to the hospital.This once again shows that medical work is a job that needs to be particularly serious, responsible, careful and meticulous. Any carelessness or carelessness of medical staff will pay a heavy price and lead to irreparable mistakes. Not long ago, a female student of a technical secondary school asked "Democracy and the Legal System" for help: "I went to a certain hospital for treatment because of menstrual bleeding, and the doctor diagnosed it as 'incomplete abortion' without any laboratory tests. , and forced me to admit that I had sexual relations, otherwise the bleeding would not be stopped. I was afraid of bleeding to death, so I confessed against my will, and the doctor stopped the bleeding for me. After the bleeding was stopped, I immediately went to another major hospital for serious tests Examination, the diagnosis was 'adolescent menstrual disorder' and 'dysfunctional uterine bleeding'. A certain hospital immediately sent a certificate of 'incomplete abortion' to our school, and the school expelled me indiscriminately. Now, I Her reputation has been ruined, and she has no other way out, and she just wants to prove her innocence with death." The girl's appeal for help has attracted the attention of all walks of life, and the innocent grievances have been cleared. Obviously a misdiagnosis occurred. In order to maintain their authority, they not only refused to admit it, but also deliberately spread rumors. The professional ethics of these medical staff have fallen to the point of darkness!Someone dissected the case, and the girl's rights were seriously damaged by the medical staff.First of all, it damages the girl's right to life and health: the patient seeks medical treatment for bleeding, and the doctor should stop the patient's bleeding as soon as possible after a reasonable examination and diagnosis; second, it damages the girl's right to privacy: the girl has the right to ask the doctor not to share her blood Tell others about the condition, and the hospital is also obliged to keep the girl's condition confidential, but a certain hospital told the patient's school about the diagnosis (and it was still wrong) without the girl's consent. ——How many people have been misdiagnosed!