The patient should make the whole throat and excise the skill The doctor proposes notarizing and avoiding the dispute (Fig.)

The patient should make the whole throat and excise the skill The doctor proposes notarizing and avoiding the dispute (Fig.)
The patient should make the whole throat and excise the skill The doctor proposes notarizing and avoiding the dispute (Fig.)
A little more than a month ago, head of the department, young dictorial supervisor doctor Xu Wen cut the ear, nose and throat of Beijing Tongren Hospital the patient severely injuredly, lie on the sick bed so far. The ones that cause this doctors and patients' dispute " The throat excises the skill " Make color which numerous doctors smelt change at one time. So, Mr. Xu demands to go on voluntarily " the whole throat excises the skill " as the patient When, there are many Shanghai, Hangzhou the doctors of the hospitals' all after considering repeatedly the gentle words are refused, especially what organic disease does not Mr. Xu's throat have - -He damages and results in swallowing the function to lose, have to just think of excising the throat because of the nerve. After many wheels communicate, finally, ENT dept. of the People's Hospital of Zhejiang Province accepts Mr. Xu for medical treatment. However, make a decision to excise the whole throat, no matter to the patient or to the doctor, are all a difficult decision. For this reason, their both sides have " notarized before the skill" specially ,And invite the famous public service personage Zhu QiangRong as the third party eye-witness. He liking eating the meat, has lost and swallowed the function Mr. Xu is 48 years old this year, at the end of last year, he is made a definite diagnosis of and suffers from colloid tumour of brain, and a hospital has accepted operation of opening cranium in Shanghai. I had never expected, after the operation, tumour has been excised, but the nervus vagus of brain is damaged, having lost the basic swallowing function, " cover " of his throat department --Epiglottic cartilage - -Can not cover, eating anything will chock terribly. For swallowing the person with normal function, imagine how about it will be gentleman Xu, torment while being difficult very: Can't swallow normally, the thing in the entry will be gushed out from the nasal cavity, oral cavity, chock very far, even one's own saliva will be gushed out while speaking. Can't take food normally, Mr. Xu can only enter the food of liquid by the nastal feed tube, should use four or five packs of medicated napkin each day; Also want oxygen intake, breathe in the phlegm after chocking each time, it is a kind of torment for him, also let the wife who attends to him hold ladies very hard. Hold ladies and say, the husband likes eating the meat very much, " can't have a meal, he thinks that it is dull to be alive. " The whole throat is excised, can go with rice but can not utter a word So live on not so badly? Mr. Xu reaches many hospitals of Shanghai and Hangzhou after passing through many different places, even made the stomach and made basket operation, but to swallowing the recovery of the function unhelpful. The experts think unanimously: Solve and swallow the obstacle, only adopt " the whole throat excise the skill " . Say, but excise all throats, separate gullet from angry way, achieve the goal of eating briefly normally. But the operation implement on the intersection of laryngeal carcinoma and patient mainly originally, will lose, speak function while being postoperative. Because of worrying about the dispute of postoperative doctors and patients that may cause, many hospitals all refuse the operation of Mr. Xu politely to require. At the end of September this year, Mr. Xu saw a doctor to find head of the department Su LiZhong of ear, nose and throat of province the People's Hospital. Finally, doctor Su promises to carry on the operation for him. Doctor Su has worry - -The head of the department of ear, nose and throat of Beijing Tongren Hospital, gentle news cut slowly of young dictorial supervisor are still still on the ear - -He proposes notarizing, wants Mr. Xu to sign well <>. Wrote like this on the notarization: "Demand to go on and should perform the operation urgently, demand to bear all medical treatment and legal liability voluntarily, will not have any medical dispute with the hospital. " Notarize, they invite the intersection of public service and personage, Zhu QiangRong, mediator of people, also. Zhu QiangRong, as the person who witnesses third party, the course told before taking the skill with the camera, and provide a written " witness and pass " and prove the patient has totally civil capacity people, propose the operation requirement voluntarily, and understand postoperative all consequences that may be produced. On October 13, doctor Su carried on the whole throat to excise the skill for Mr. Xu. The operation is very smooth, since last Friday, Mr. Xu can take food normally. He is very happy, enjoy the fun of having a meal unseen for ages. Speak function, can rely on " electronic throat " Help partly realize. At present, Mr. Xu is carrying on relevantly to do exercises under the guidance of doctor Su. Notarize before the skill, awkward " satisfactory to both parties scheme " In fact, " the whole throat excises the skill " It is totally ripe to come to talk technically. The reason why doctors and patients both sides so act ceremoniously, all have one's own consideration. Mr. Xu's wife holds ladies and says: All of us have thought, think that to have a meal is more important than to speak, would like to bear the operation consequence. But we have asked many doctors to be all unwilling to do this operation. We understand the doctor's worry, would like to sign this to notarize. But doctor Su LiZhong says to reporters like this: Before operation, my pressure is very large, not because of operation technology, but thought of patient's life situation for the future more, go back on one's word again in situation that he will really face being be taken words out of the mouth afterwards that afraid There is no alternative, have just thought of notarizing this method. The reporter knows, such " notarize before the skill " ,In the fatherless example that Hang Cheng is not. Subject section chiefs, notaries Xu XiaoWei of the state-run domestic business four of notarial office of Hangzhou appraises like this: "Even through notarizing, can not exempt the medical responsibility that a doctor should bear either. " Lawyer Ming think dawn that and the partner of a lawyer's office of money of Zhejiang comes: "Consequence and risk that may be produced will be told patient and relative to perform the operation, and fix course and content told in form notarized, it is legal and effective. And the method which the third party witnesses, it is a kind of supplement of the notarization, under the reality with tense relationship between doctors and patients at present, can yet be regarded as the method of a kind of reduction conflict. But so undoubtedly reduced medical efficiency, has increased some cost. " Zhu QiangRong tells reporters, he has mediated a lot of doctors and patients' dispute, feel distressed as well as cannot help but thinks to mutual distrust tense, of both sides of relationship between doctors and patients presented in the society at present. "In any case, notarize, let the third party witness, can reduce the dispute that may appear after all before operation. " Notarize before the skill, how do you see? Welcome to dial the this newspaper hot line 96068 and say. (reporter yellow quick, win reporter Li Song /engrave / paint roof beam Tianjins gentle)


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