November 22, Liu Lili's mother, Zhang Fengqin told upstream news reporter, her daughter because of the management of the health care organization chaos lost her young life. She told reporters that in the family repeatedly told Liu Lili has a history of allergy to cephalosporins, the doctor still injected cefepime. And after the injection, Liu Lili aggravated, the hospital did not timely treatment. In addition, the "ambulance" provided by the hospital to transfer Liu Lili did not obtain a license to practice as a medical institution. On the way to transfer, the "ambulance" stopped several times, and drove off the highway to add oxygen. Eventually, Liu Lili died in transit.
August 1, this year, Changchun Railway Transportation Court made a first-instance judgment, revoking the Changchun Municipal Health Commission made "on the content of Zhang Fengqin's complaint reply", requiring the effective date of the judgment within 30 days of the re-response. After the judgment of the first instance, Changchun Municipal Health Commission is not convinced, appealed to the Changchun Railway Transportation Intermediate Court.
▲August 2, 2020, Liu Lili was injected with cefepime. Image Source / Interviewee Contributed
Family members said their cephalosporin allergy is still being medicated
Zhang Fengqin introduced her daughter Liu Lili was born in 1988, the family Department of Inner Mongolia Hulunbeier City, after the family came to Changchun City, Jilin Province, to work and settle.
It is reported that Liu Lili has a history of polymyositis, has been hospitalized in Shenyang, Beijing, as well as Changchun. 2016 July, Liu Lili first came to Changchun City, Jilin Province, Jilin University Baiqiu'en the first hospital for medical treatment, hanging rheumatology doctor Zhao's number, this time, Liu Lili was hospitalized for 12 days because of the leg pain, cured and then discharged.
July 29, 2020, because of rheumatic pain in the right leg, Liu Lili came to the first hospital of Jilin University rheumatism for the second time. I thought it was as smooth as the previous experience of seeking medical treatment, however, this time, 32-year-old Liu Lili was separated from her family in heaven.
Zhang Fengqin recalled, to the hospital on the day of the visit, because his daughter's leg pain walking some difficulty, they will use a wheelchair to push her to see the doctor, once again hanging rheumatology doctor Zhao's number. This time Liu Lili was diagnosed with polymyositis and dermatomyositis, the doctor considered the Department of disease recurrence, recommended hospitalization.
According to the hospital's outpatient manual, July 29 of that year, Liu Lili visit "pushed in by a wheelchair, pale, edema around the body, breath sounds thick, diagnosed with polymyositis and dermatomyositis, considering the disease relapse, the doctor recommended admission to the hospital for systematic diagnosis and treatment." "The patient has a long history of disease, recurrent attacks, severe organ damage, the condition is more critical, considering the poor treatment effect, poor prognosis, short survival period, to the patient's family."
August 2, 2020, Liu Lili suddenly aggravated for some reason. Zhang Fengqin recalled that his daughter had a headache and vomiting, dyspnea, chest tightness and sweating, symptoms of accelerated heart rate, blood pressure has risen to 160.
Zhang Fengqin told reporters that on the morning of August 2, Liu Lili's attending doctor Zou gave her cefepime, which she suspected that this is the cephalosporin allergic reaction.
The reporter saw in the hospital a Liu Lili medication records, which does indicate that there is "injection of cefepime hydrochloride" 9 words, the use of "intravenous infusion", the time shows that on August 2, 10:46 am.
Zhang Fengqin said, the family had repeatedly told the doctor Liu Lili cephalosporin allergy, and the doctor had replied "can be used". 2 August this medication, the doctor did not communicate with the family, but the unauthorized use of cephalosporin to Liu Lili, resulting in the aggravation of the condition of Liu Lili with the drug.
According to the hospital on August 2, a "doctor-patient communication record sheet" shows that the doctor upgraded antibiotics, the patient or the family's opinion of "continue to use the original antibiotics", but the patient or the family signed a blank column. The next day, the doctor again for Liu Lili under the cefepime drug, in the family's obstruction eventually did not inject.
▲Family members said that after the injection of cephalosporin, Liu Lili was seriously ill and hospitalized in the respiratory intensive care unit. Photo credit / interviewer for the picture
Past medical records indicate cephalosporin allergy history
Zhang Fengqin introduced, Liu Lili has a history of polymyositis, the first onset of finger joints swollen and painful, weakness of the upper limbs, squatting, can not stand up after the symptoms. 2015, when working in Liaoning Province, Liu Lili came to Shenyang City, a hospital, was diagnosed with polymyositis. During the treatment, Liu Lili appeared uncomfortable symptoms: eyes upturned, body red rash, lying down convulsions. Since then, the family emergency transfer Liu Lili, sent to a hospital in Beijing rescue, after overnight rescue from life-threatening, transferred to the hospital rheumatology and immunology treatment, cure back to Changchun.
Publicly available information shows that polymyositis is one of the rheumatic immune diseases, autoimmune disorders lead to the body's immune system attack muscle, resulting in muscle inflammation caused by muscle weakness muscle pain as the main feature of the disease. Any age group of people can develop, which is more common in middle-aged people.
The reporter noted that Shenyang, Beijing, two hospitals in Liu Lili's medical records, are noted that the patient "allergic to cephalosporins".
Zhang Fengqin told reporters that in 2015, the rescue process, her daughter appeared cephalosporin allergy near death experience, so that the family firmly in mind. Since then, they have been very cautious when it comes to Liu Lili's medication.
July 4, 2016, Liu Lili in Jilin University Hospital, the original medical records show that the patient Liu Lili cephalosporin antibiotic allergy.
Zhang Fengqin said, August 2020 this visit to the doctor, she had carried Liu Lili's past medical records to the doctor to access, and verbally informed the doctor that his daughter cephalosporin allergy. She could not understand why the doctor ignored the patient's drug allergy history and chose to use cephalosporins.
To this end, the upstream news reporter has repeatedly called Jilin University Hospital, failed to get a reply.
Liu Lili 2020 in Jilin University Hospital on the relevant materials, "drug allergy history" column are blank. Admission records "past history", written "denial of drug allergy history".
According to a material issued by the Changchun Municipal Health Commission, Liu Lili's attending physician, Zou Mou, who was investigated by the Changchun Municipal Health Commission, said that the patient, Liu Lili, was admitted to the hospital, she had asked about the history of drug allergies, but Liu Lili said that there was no history of drug allergies. Zou said, also did not see Liu Lili brought over the medical records in a hospital in Beijing.
▲The ambulance that transported Liu Lili to Beijing that day was accused of having no relevant practicing qualifications. Photo Credit/Interviewee
Death on the way to Beijing
August 3, 2020, Liu Lili's condition worsened, breathing difficulties. In consultation with the family and doctors, Liu Lili was transferred to the hospital's respiratory RICU for treatment, Liu Lili's body showed symptoms of drug fever. According to respiratory records, the clinical diagnosis of the patient for type I respiratory failure, with a tendency to multi-organ functional impairment.
On August 4 and 5 of the same year, Liu Lili was vomiting blood. During this period, the doctor had made a recommendation to transfer to the hospital. "On August 5, the daughter's condition showed significant deterioration, the doctor still recommended referral to a higher hospital to continue treatment." Zhang Fengqin said. As their daughter had been successfully cured in a Beijing hospital, they decided to transfer to Beijing for treatment. On that day, Liu Lili was transferred to the hospital in an ambulance provided by JIU First Hospital.
It is reported that the ambulance of the Jilin University Hospital is painted with a normal ambulance, the body of the "Jilin University Baiqiu'en First Hospital", for the Liaoning Provincial license plate, license plate No. Liao KXX120. accompanying staff, including the two drivers, and two ambulance staff, are wearing Jilin University Hospital uniforms. The accompanying staff told the family, the cost of 12,000 yuan, after consultations Zhang Fengqin finally paid 10,000 yuan, WeChat payment to a private account.
August 5, 10:40 a.m., Liu Lili and her family took the car, from JIU hospital to Beijing, a distance of about 980 kilometers, about 11 to 12 hours.
What the family did not expect is that the ambulance passes through Siping City, Jilin Province, as well as the city of Shenyang, Liaoning Province, the staff said that the car lack of oxygen leakage, the ambulance were in the afternoon at 1:00 p.m. and more than 3:00 p.m., two times off the highway to add oxygen.
That day, Liu Lili looks very painful, 11:20 that night, Liu Lili heart rate dropped, the accompanying medical personnel to Liu Lili chest pressure, CPR; rescue a few moments later, Liu Lili nose and mouth bleeding, died in the ambulance. At this time, the ambulance has not yet arrived at a hospital in Beijing.
After the death of her daughter, the accompanying staff said that Liu Lili could not issue a death certificate; at the same time again charged the family 3,000 yuan, Liu Lili pulled back to Changchun. the morning of August 6, the ambulance returned to Changchun, the family will be transferred to the Fanjiatun Funeral Parlor Liu Lili.
Family members have to find the accompanying doctor and JIU hospital to request a death certificate unsuccessful, and finally Zhang Fengqin find the local community and explain the situation, and the community health service center issued a death certificate. "Resident death medical certificate" shows that Liu Lili in the "120 ambulance Jidai hospital to Beijing on the way to death".
▲Liu Lili incident a year later, Jilin Renkang emergency station for "not obtaining a medical institution license to practice without authorization" was confiscated illegal income, and fined 130,000 yuan. Photo Credit/Interviewee
Is it an ambulance or a car that kills
Zhang Fengqin believes that the ambulance did not have enough medical equipment, and the two times off the highway delayed the treatment time. In addition, Zhang Fengqin raised, Jilin Province, three hospitals JIU hospital ambulance why is the Liaoning Province license plate? Afterwards, she learned that her daughter took the ambulance, actually belongs to the company Jilin Renkang Emergency Station Co.
The Renkang company involved in the incident said in the "About the patient Liu Lili transfer incident situation statement", the company was established on May 15, 2019, is legally registered to allow the operation of the transfer qualification of the company, mainly to carry out the transfer of patients discharged from the hospital service, does not include the scope of emergency medical care. It has a cooperative business relationship with JIU First Hospital, thus using the words JIU First Hospital Emergency Center. The company's transfer vehicles are equipped with standardized on-board medical equipment and medicines and instruments, and the accompanying medical personnel have licenses and follow the patient's family's request to monitor the patient's oxygen intake on the way to the transfer, but do not have first aid measures.
The upstream news reporter noted that in the above "situation statement", RenKang company said, August 6, 2020, the company received the patient LiuLiLi family called the transfer demand phone. The staff introduced the family to the relevant contents of the transfer agreement: such as the charges, the patient's condition on the way to aggravation, deterioration or death, the patient transfer center does not bear any medical responsibility. The family has a clear understanding and signed the agreement before the start of the transfer.
Zhang Fengqin said in this regard, in the family agreed to transfer, several people claiming to be the ambulance staff of Jilin University Hospital came to the ward, advised the family to take the hospital's ambulance. As the car is written on the ambulance of the first hospital of Jilin University, she has also been assumed to be the hospital's ambulance.
Doubtful Zhang Fengqin learned from the Changchun 120 emergency center, the emergency center does not have this car. So in March 2021, she complained to the Changchun Chaoyang District Health Bureau.
According to a public notice of administrative licenses and administrative penalties from the Changchun Chaoyang District Health and Wellness Bureau, the bureau issued a penalty decision on Sept. 26, 2021, saying that Renkang had practiced without obtaining a license to practice as a healthcare institution, and that it had been confiscated more than 31,000 yuan in illegal income and fined more than 130,000 yuan.
"In other words, the hospital provided an unqualified 'black ambulance' to undertake the long-distance transfer of her daughter." Zhang Fengqin said.
▲The first-instance judgment revoked the Changchun Municipal Health Commission's response to Zhang Fengqin's complaint about the content of the report. Photo Credit/Interviewed
Dissatisfied with the response to sue the Health Commission
In addition to taking the "black ambulance", Liu Lili's parents also believe that their daughter was hospitalized during the sudden serious illness, respiratory difficulties caused by an allergic injection of cephalosporin drugs. At the same time, during the hospitalization, the hospital also exists part of the course of the record and the facts do not match, the doctor's signature confusion, without permission on behalf of the family to sign and so on. For this reason, Zhang Fengqin will be the first hospital of Jilin University complained to the Changchun Municipal Health Commission.
January 18, 2022, Changchun Municipal Health Commission issued "on the content of Zhang Fengqin complaint report reply", Zhang Fengqin complaints made in response. The reply states that the irregularities in the writing of medical records at JIU First Hospital have been given the appropriate administrative penalties in accordance with the law. Zhang Fengqin received after the dissatisfaction, filed an administrative reconsideration was maintained after the original response.
Subsequently, Zhang Fengqin husband and wife filed an administrative lawsuit, requesting the Changchun Municipal Health Commission to revoke the reply, and to make specific administrative actions. The Changchun Railway Transportation Court accepted the case and on July 7, 2022, filed the case.
According to the first-instance judgment, the Changchun Municipal Health Commission argued that the reply made by the bureau found the facts to be clear, the evidence was solid, the basis of application was correct, the procedure was legal, and the content was appropriate. Jilin University Hospital as a third party stated that the hospital does not have illegal behavior, requesting the court to reject Zhang Fengqin's petition.
August 1 this year, the Changchun Railway Transportation Court of First Instance, that the Changchun Municipal Health Commission made a reply, etc., the facts are not clear, the judgment revoked the Changchun Municipal Health Commission made the "on the content of Zhang Fengqin's complaint report response", requiring the judgment to enter into force within 30 days of the date of the reply.
After the verdict of the first trial, Changchun Municipal Health Commission did not accept the verdict, appealed to Changchun Railway Transportation Intermediate Court. Upstream News reporter learned that the second trial of the case has been held on October 13, and the verdict has not yet been announced.
In addition, Zhang Fengqin couple to black ambulance belonging to RenKang company suspected of illegal business crime, reported to the local police. on November 22, Changchun City Public Security Bureau Chaoyang District Branch issued a "notification of not filing a case," said, "I Bureau after examination that there are no facts of the crime, the decision is not to file a case."
November 22, Zhang Fengqin said in an interview with reporters, in the case of family members clearly informed of their daughter's drug allergy, still be injected with allergy drugs leading to her daughter's serious illness, and since then the doctor has not been timely resuscitation, delayed resuscitation time. And the ambulance does not have the qualification of unauthorized practice, ultimately leading to the death of her daughter.
"This is a medical malpractice, I will definitely get a statement for my daughter." Zhang Fengqin said.
Upstream News reporter Zhang Ying edited by Zhu Liang
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