Chapter 12 2. Wrong cure and wrong cure: life is not an experiment

Gastric lavage and gastric rupture, blood transfusion stained with hepatitis C, "China Youth Daily" reported on October 22, 1998 a man who suffered a lot - Zhao Hongjun. On the morning of September 11, 1994, Zhao Hongjun, an employee of the Shandong Alcohol General Factory, who had just finished taking care of his mother's funeral, wanted to take a good rest to get rid of the grief of losing his loving mother, so he took out seven tablets of Trialazepam from the medicine bottle at home.At 8 o'clock that night, Zhao's eldest sister, Zhao Hongmei, found half a bottle of Galedin (100 tablets in a bottle) on Zhao Hongjun's bed. "Did Hongjun take too many sleeping pills?" The Red Army sent them to the nearby People's Hospital of Lixia District, Jinan City.Zhao Hongmei reflected that at 8:30 that night, Zhu, a doctor on duty in the emergency room of Lixia District Hospital, asked the nurse to perform gastric lavage on Zhao without doing a routine check-up, and then she left the scene.

When the nurse poured 10,000 milliliters of tap water into Zhao's stomach, only 300 to 400 milliliters of gastric lavage solution was drawn out. At this time, the patient developed cyanosis on his lips and face, breathlessness, nausea, abdominal distension, and vomited two mouthfuls of blood.As a nurse, Zhao Hongjun's second sister, Zhao Nan, hurriedly asked the nurse on duty if she had a ruptured stomach, and the nurse said no.The nurse went out to find Dr. Zhu, but she couldn't find him, but she continued to lavage Zhao Hongjun's stomach after returning. During the whole gastric lavage process, she poured nearly 20,000 milliliters of water into Zhao Hongjun, but only took out less than 5,000 milliliters of gastric lavage solution.At this time, Zhao Hongjun's abdomen was swollen, several times larger than before, and could not be pressed.Then Zhao vomited blood, and then had difficulty breathing, incontinence of urine and feces, and immediately fell into a state of shock.During this period, Zhao Nan suspected that gastric lavage had caused gastric rupture many times, and kept running to the second floor to find Zhu, who was doing needlework, to report.Zhu seemed extremely impatient. After going downstairs to see the patient, he first said that the patient's abdominal distension was flatulence caused by gastric lavage, and then that it was gastric mucosal bleeding, and then left.At this time, Zhao Hongjun was in a deep coma and was very dangerous.

In the next hour or so, the family begged and even kowtowed to save her, but the hospital never implemented rescue measures.In the end, the hospital consultation concluded that the patient was seriously poisoned, causing acute ulcers and gastrointestinal bleeding, and there was no cure. Zhao Nan and other family members couldn't understand that a very common gastric lavage operation would take the lives of their relatives.Therefore, despite the objection of the Lixia District Hospital, the Zhao family strongly demanded to be transferred. It was early morning the next day when Zhao Hongjun was transferred to the Affiliated Hospital of Shandong Medical University. The hospital diagnosed Zhao Hongjun as gastric lavage causing gastric dilatation and rupture.After more than 3 hours of rescue, Zhao Hongjun survived.

At noon on September 12, Zhao Hongjun, who had just escaped from danger, began to have black spots on his legs and arms.After consultation, it was confirmed that a large amount of gastric lavage fluid and gastric contents flowed into the abdominal cavity due to gastric rupture, which was absorbed by the tissue, causing DIC (systemic disseminated intravascular coagulation), ARDS (adult respiratory distress syndrome) and various organ failures.Among them, the cure rate of DIC and ARDS patients is extremely low.However, after more than 40 days of careful treatment, Zhao Hongjun's DIC and ARDS were miraculously cured.

Who knew that Zhao Hongjun had such a hard life that he came out of the abyss but suffered an accident. On December 23, 1994, Zhao Hongjun had a hepatitis C test at the Jinan Infectious Disease Hospital, and was diagnosed with hepatitis C. On February 27, 1995, Zhao Hongjun was forced to be transferred from Jinan Central Hospital to Jinan Infectious Disease Hospital for treatment, where he stayed for nearly 8 months. Although her life was saved, the accident destroyed Zhao Hongjun's health and youth: she was weak and incapable of working; she suffered from gastrointestinal illnesses and severe indigestion; she contracted hepatitis C and lost the right to be a mother.Zhao Hongjun has been in love with his lover for many years, and their relationship is very deep. "I became a useless person at a young age, how will I live in the future?" She insisted on divorcing her lover.

On October 27, 1994, Zhao's relatives filed an application for identification of medical malpractice to the Health Bureau of Lixia District, Jinan City. On November 4th of the same year, the Lixia District Medical Accident Technical Appraisal Committee made a conclusion on this dispute: Zhao Hongjun was poisoned by sleeping pills (moderate to severe) due to taking "Garoladin", and the gastric rupture was caused by "esophageal-cardiac mucosal tearing". Syndrome", this incident is not a medical accident. On December 16, the Jinan Medical Malpractice Appraisal Committee made the appraisal conclusion of "a third-level medical technical accident".The Zhao family still has objections to this conclusion. They believe that this is a serious medical liability accident rather than a technical accident, but this is finally an argument.

On September 8, 1995, Zhao Hongjun, who was still in the hospital, claimed that her stomach ruptured during gastric lavage at the People's Hospital of Lixia District, DIC, ARDS and various organ failures were caused by a large amount of gastric lavage fluid flowing into the abdominal cavity, and she was infected. On the grounds of hepatitis C, he sued Lixia District Hospital, demanding compensation of 450,000 yuan for various expenses including the treatment of hepatitis C and the resulting loss.The Jinan Intermediate People's Court designated the Shizhong District People's Court to accept the case.

On June 29, 1998, Zhao Hongjun, who had been in the hospital for almost four years, finally came to the verdict: the defendant Jinan Lixia District People’s Hospital compensated Zhao Hongjun for medical expenses, compensation for mental damage, lost work and transportation expenses, Disability subsidies and other expenses totaled 167,800 yuan. Zhao Hongjun said that 160,000 can never compensate her youth and love, and she will appeal because she has lost too much. Zhang Silian, a female worker on sick leave in Hengyang City, Hunan Province, suddenly became a "news figure".But this "news figure" did not bring her glory, but brought pain: 23 years ago, Zhang Silian took the initiative to undergo abortion and ligation, but unexpectedly encountered a medical accident, the lower body continued to bleed, and she had nine curettages. In the end, the hospital forcibly removed her hysterus. She kept suing and petitioning, and kept running and shouting, but the hospital that caused the accident has not given her a fair explanation so far.

In the summer of 1998, she came to a specialized hospital because of a cold and cough that could not be cured for a long time. She was diagnosed with type VII pulmonary tuberculosis.She was stunned, crying and fainted again and again, she hated why fate was so unfair to her?The original medical dispute has not yet been settled, so why sprinkle another handful of salt on her wound? According to a report published by Reader Weekend, Zhang Silian is 51 years old this year. At the end of November 1975, the Party and the government called for a family planning campaign, and Zhang Silian, who was at the forefront of everything in the factory, was the first to sign up.On the second day, accompanied by the director of the factory woman, she took the accounting slips from the factory to the obstetrics and gynecology department of a hospital in Hengyang City at that time for various examinations. Everything was normal. Started to bleed profusely.She was a little scared, and asked the doctor if she could still perform ligation, and the doctor said no problem.On the third day of the ligation, Zhang Silian felt that something was wrong, so she asked the doctor why it was still not recovering, and the doctor always said that it would be soon.More than an hour later, when Zhang Silian got off the operating table, her lower body was bleeding profusely. She asked other people in the same ward, and they all said that she hadn't bled.She panicked, and hurried to ask the doctor. The doctor said: "Some people will bleed after vasectomy, and some people won't. Your situation is different. I will clean the palace for you in a few days. I am afraid that there will be residues in it. If there is any A little leftover will cause bleeding." Zhang Silian nodded with a half understanding.

A few days later, the doctor cleaned her palace again. She gritted her teeth and frowned, feeling as if she was going to die.After clearing the palace, she started to have a fever, her lower abdominal pain was unbearable, and the amount of bleeding increased. The doctor gave her infusions and injections every day, but the symptoms did not relieve at all. At this time, Chen, the director of obstetrics and gynecology, mobilized her to have a hysterectomy, but she disagreed. Dr. Chen said: "If you don't cut it, it will cause choriocarcinoma, and you won't be able to do it if you don't." She was scared and ran away When she went to the District People's Hospital, a doctor surnamed Zeng from the Department of Obstetrics and Gynecology performed a biopsy on her, and it was confirmed that it was only inflammation. Anti-inflammatory treatment was recommended. She then went to the 415 Hospital of the Ministry of Nuclear Industry. After the examination, Dr. Qiu asked her: "You How many times have you scraped the uterus?" She said that she had scraped nine times, and Dr. Qiu said in shock: "How can this be? No wonder your uterine wall is as thin as a piece of paper. You have to eliminate the inflammation quickly, or something serious will happen. " Zhang Silian said: "Since that hospital can't cure you, I want to come to you for hospitalization." Doctor Qiu said embarrassingly: "This is already a medical accident. How can we admit you to hospital now? You still have to find Until that hospital cures you." Zhang Silian did not give up, and went to several well-known large hospitals in the province and city, all of them were diagnosed as "endometritis caused by improper operation".

That being the case, Zhang Silian had no choice but to keep looking for the leaders of the hospital, asking them to cure her illness as soon as possible.In the beginning, the attitudes of both parties were quite good. One side kept complaining, and the other side actively sought solutions.It wasn't until the Mid-Autumn Festival in 1976 that Zhang Silian really got angry.That day, she came to the office of a certain leader of the hospital and was talking about her condition. The blood from her lower body could no longer be caught by the toilet paper, and flowed down the trousers to the ground. A certain leader came over and pushed her to the ground. , said: "You lack morals!" The more she thought about it, the angrier she became, and she cried, "You made me like this and said I lack morals. Do you have any humanity?" She snatched a cup from the table. , suddenly fell to the ground, and began her accusation career. One day in March 1977, the doctor in that hospital gave Zhang Silian another injection after performing several examinations. She obeyed the doctor's instructions and walked into the operating room by herself.It was around 8 o'clock in the morning, and I didn't wake up until around 9 o'clock the next day.She opened her eyes and saw that there were many people standing around, and a person in the same ward told her: "Your uterus has been cut out." She smiled and said, "You are making an international joke!" She did not realize that this was not an international joke, But it's a real medical joke. During Zhang Silian's hospitalization for more than a year, Zhou Hongwen basically fulfilled the duties of a husband.Although the salaries of the two are not high, there are seniors and juniors, and his wife needs money for hospitalization, but he has no complaints and manages it inside and out.Hearing that his wife's uterus had been removed, Zhou Hongwen couldn't believe it: For such a major operation, someone must sign it. I didn't sign it, she didn't sign it, and both parties didn't sign it. The hospital just cut it off?He asked the obstetrician and gynecologist, who did the doctor say made the rumor?He was even more convinced.Zhang Silian's lower body stopped bleeding. She asked the doctor why, and the doctor comforted her and said, "You're already cured, so of course you won't bleed." She was very happy when she heard that, and said, "When I leave the hospital, I'll kill two old hens." For you to eat." When they finally understood the truth, Zhang Silian fainted and Zhou Hongwen fainted. They went to the leader of the hospital, and the leader said plausibly: "You can sign or not. Our hospital has the right to do so." Zhou Hongwen couldn't say no. They simply left, leaving their wives alone in the hospital.Zhang Silian cried and made noises, but to no avail, and the hospital ignored them.After a period of time, the hospital arranged for Zhang Silian to be discharged from the hospital, and only issued a sick note to her, which said: Due to bleeding without endometrial displacement, hysterectomy is recommended to rest for half a year and take care of light work. During Zhang Silian’s hospitalization, someone in the hospital said she had cancer, so the factory did not treat her according to her family planning status, but only treated her according to her general condition. She was paid 60% of her salary after 6 months, and she was only allowed to reimburse her for medical treatment at the affiliated hospital. fee.In order to stop the bleeding, she sought medical advice everywhere, causing her husband and children to suffer with her. She only has a monthly salary of more than ten yuan, not even enough to buy toilet paper, and she has to get the whole family from her husband's salary of 47 yuan. living expenses.She hasn't eaten breakfast for more than a year, and she eats Chinese food at the lowest price in the hospital, either cabbage for 5 cents or seaweed soup for 6 cents.In the past, a woman who was physically strong enough to hold up to a male worker is now a sick patient who drags her legs and walks. Zhou Hongwen, who originally disapproved of her abortion and sterilization, added fuel to the flames now. A happy and harmonious family fell into a world war. At the end of 1979, the two finally divorced.Because the house belonged to Zhou Hongwen's unit, Zhang Silian took her son and left the house with only a change of clothes and a debt of more than 6,000 yuan, and rented a room in the suburban countryside.At first, there was no bed, so the mother and son had to sleep on the ground with their clothes on. The biting cold wind came in through the crack of the door, and the mother and son were so cold that they huddled together and couldn't sleep at all.The son said directly: "Mom, I'm cold, I'm cold." The mother said: "Hold Mom tight, Mom will be warmer, and you won't be cold with Mom around." Radish, a catty of kelp and a salted fish.The son looked at other people's children wearing new clothes, eating snacks, and setting off firecrackers, drooling with envy.She dragged her son into the house, and the mother and son cried together.Later, a classmate learned of her experience and lent her 200 yuan.The educated youth sisters who went to the countryside also reached out to help her gather some usable household items.The landlord felt sorry for her, and often gave them some vegetables to eat.Her monthly salary is only about 40 yuan, and besides the rent, there is only more than ten yuan left. Plus she is sick, how can she live like this?She has helped people take care of children, knitted sweaters for others, and fed pigs and cattle for others.During the rest time, she went to the entrance of the cinema to sell melon seeds, tea, and insoles she made. In order to solve the medical malpractice caused by abortion and ligation, Zhang Silian has never stopped petitioning and appealing.But everyone was playing football, and no one cared about this miserable woman. Some people even said she was "playing tricks" and called her a "crazy dog". In November 1984, the Hengyang City Family Planning Technical Guidance Group and the Hengyang City Health Bureau finally made a preliminary appraisal opinion: 1. Continuous vaginal bleeding after miscarriage, and a hysterectomy was performed. This is a complication of miscarriage. Take care of light work, exempt from night shift; 2. The leave of hospitalization from November 1975 to May 1977 is treated as family planning. But Zhang Silian disagreed with this appraisal opinion. She believed that her serious sequelae were caused by the extreme irresponsibility of the hospital. Without the signature and consent of her family members, she forcibly removed her uterus. How could she use "family planning" to Cover up the essence of medical malpractice?She strongly demanded that the relevant persons be held accountable and compensate her for the loss of her body. In the summer of 1986, she appealed to the Provincial Health Department and the Provincial Family Planning Office in a fit of anger, and then, with the help of kind people, she went to Beijing alone to appeal to the Ministry of Health and the National Family Planning Commission. After they read the original materials she brought They wrote letters and made phone calls to the Hunan side, urging the relevant departments to resolve this medical dispute as soon as possible, and to give Zhang Silian a fair treatment.Subsequently, the Labor Safety Supervision Department agreed to classify her as a work-related injury, and sent her back home early due to illness, while arranging her son to replace her in the factory. The most difficult time seems to be over.A smile began to appear on Zhang Silian's face. Unexpectedly, once, while helping a colleague, his son died in a car accident.Zhang Silian fell ill completely and lay in bed for a whole year. She is not yet 50 years old and looks like an old woman. On June 3, 1998, she came to a specialized hospital in Hengyang City because of a cold and cough that could not be cured for a long time. A female doctor in the outpatient department asked Zhang Silian about her condition and ordered a blood test and photos.Later, the outpatient doctor said to Zhang Silian: "You suffer from pulmonary tuberculosis, and it is type VII pulmonary tuberculosis. It has been perforated and needs to be hospitalized." Zhang Silian had to borrow money from people everywhere and was hospitalized for ten days. Due to the high cost of hospitalization, at her strong request, the hospital gave her medicines for half a year at a time (Remifen, Rifampicin, Jinshuibao, Muscle, etc.) Glycoside tablets, multivitamins, etc.). After taking these medicines, she retched non-stop at first, felt like vomiting after eating, then her face turned blue, her hands and feet were numb, she was weak all over, her waist was sore and her bones ached, and her weight dropped from 47 kg to 40.5 kg.She went to the hospital again, and the doctor said it was a normal reaction and nothing to do with it.After hearing this, she never went to see a doctor again, and still insisted on taking medicine every day.She couldn't take it anymore, so she went to another hospital for a checkup and found out that she didn't have tuberculosis at all. One afternoon, she came to the hospital with unfinished medicine, explained the situation to the director, and asked him if he could return the unfinished medicine, and the director agreed. At this time, two other officials of the hospital She slapped the table, stared at her eyes, and shouted loudly: "How could such a strange thing happen? You want to return the unfinished medicine? Do you treat our hospital as a seller of side dishes? How can we explain to other patients in the future?" Zhang Silian felt aggrieved He explained: "People's hospitals have diagnosed that I don't have tuberculosis. You obviously misdiagnosed me. I won't look for you if I returned these medicines. I'll forget about taking the medicine myself." The two slapped the table and yelled: "They His diagnosis is bullshit! We are a specialist, do you understand? Which hospital in Hengyang can compare to us?" After receiving Zhang Silian's complaint, the Medical Affairs Division of the Municipal Health Bureau organized experts to conduct a consultation, and determined that Zhang Silian did not suffer from tuberculosis, and the hospital simply misdiagnosed it. At present, Zhang Silian is going to sell the only valuable refrigerator in the seller, to seek justice from the two hospitals that caused her pain and disaster, and to "stick a pain-relieving plaster" on her 23 years of suffering. A group of journalists from Hunan has stepped forward.Peng Jie, a well-known lawyer across the country, has provided legal assistance to Zhang Silian, and Sanxiang and Sishui are paying attention to this "Dou E's injustice" in the 20th century. On New Year's Day of 1998, Yang Maosheng received the "Forensic Medical Appraisal Certificate" from the Henan Provincial Higher People's Court.He ran to a secluded place in Luoyang City Wangcheng Park, hugging his head and crying loudly. According to "China Quality Miles" No. 6 report in 1998: On March 6, 1997, Yang Maosheng's mother, Ji Fengxiang, suffered from stomach pains and was diagnosed with a gastric malignant tumor by gastroscopy at Luoyang Zhongxin Heavy Machinery Hospital. On March 10, he was admitted to the Affiliated Hospital of Luoyang Medical College for treatment, and underwent surgery on March 13.According to the chief surgeon, the operation was very successful. A few days after the operation, the patient was in a good state of mind. On March 21, the patient continued to vomit. On the afternoon of March 31, the Oncology Department of the hospital invited experts from the No. 1, No. 2 and No. 4 Hospitals of Luoyang City for consultation. It was determined that it was intestinal adhesion and a second operation was required.A laparotomy to release gastrointestinal adhesions was performed that night.On the third day after the operation, he could not eat and vomited again. The family members of the patient asked the director of the oncology department and other doctors many times to report. On April 18, Yang Maosheng asked for expert consultation again. In this case, experts from the oncology department and neurology department of the hospital made another consultation.The result of the consultation was a mental effect, a psychological effect, and it was hysteria. On April 22, experts from the No. 1, No. 2, and No. 4 hospitals conducted another consultation. The conclusion was still that it was caused by mental and psychological effects. They believed that Ji Fengxiang was no longer within the scope of oncology treatment. He had to either transfer to a psychiatric department for treatment or go home slowly. Take it easy. On the morning of April 24, the patient began to urinate blood.Four "+" signs were tested for urine sugar.Yang Maosheng took the test results to the director of the oncology department, and the director said: "At present, the expert consultations in the first, second, and fourth hospitals have already said that they are not in the scope of my treatment. I don't care. Don't come to me." In the afternoon, the medical department of the hospital convened an expert consultation of the hospital. Two professors mentioned that it might be diabetes, and blood sugar should be checked as soon as possible.However, blood glucose tests were not performed afterwards. At around 3:00 am on April 26, the director of the department issued a blood sugar test sheet, and the blood sugar test result was 23 millimoles (normal blood sugar is 5).The director of the department said that the patient was suffering from "diabetic hyperosmolar non-ketotic coma" and needed immediate rescue.At around 8 o'clock in the morning, the doctor performed another tracheotomy because the patient had difficulty breathing. On April 27, the old man who suffered from pain and pain finally passed away.The on-duty doctor Yang issued a "Resident Death Notice". The cause of death was diabetic hyperosmolar nonketotic coma. After his mother died, Yang Maosheng successively consulted medical experts in Weifang, Jinan and Luoyang.The answer I received was: the first operation was successful, but the second operation was caused irresponsibly due to lack of blood potassium supplementation.Moreover, after being diagnosed as "diabetic hyperosmolar nonketotic coma" on April 26, the patient was still infused with 10% or even 50% hyperosmolar sugar four times, which was the main cause of the patient's death. On December 31, the Higher People's Court of Henan Province officially issued the "Forensic Medical Appraisal".According to the appraisal opinion, misdiagnosis and mistreatment at the beginning are objective and related to the experience of the treating clinicians.Especially at 7:00 am on April 26, 1997, the internal medicine consultation proposed to test the blood sugar. The blood sugar in the emergency check that day increased significantly. At this time, the disease has developed to an advanced stage. The treatment plan should be adjusted in time, but the result is that it is very wrong to continue to infuse 50% and 10% glucose. Giving hypertonic glucose to diabetic patients will undoubtedly promote the deterioration of the disease and even lead to death. From this perspective, the wrong infusion of glucose in this case has nothing to do with There is a causal relationship between the death of the two patients.After receiving the "Forensic Medical Appraisal Certificate" from the Provincial High Court, the People's Court of Jianxi District, Luoyang City immediately put Yang Maosheng's lawsuit on file. Vice President Song Jinliang personally approved Yang Maosheng's postponement of payment of litigation fees, and handed it over to the Changchun Road Court for trial. . At present, although Yang Maosheng has not yet sought an explanation, he believes that the people's court will give him justice.