165438+1On October 22nd, Liu Lili's mother, Zhang Fengqin, told the upstream journalist that her daughter had lost her young life because of the chaotic management of medical institutions. She told reporters that doctors still injected Liu Lili with cefepime, although her family told her many times that she had a history of allergic reactions to cephalosporins. However, after the injection, Liu Lili's condition deteriorated and the hospital did not treat him in time. In addition, the "ambulance" provided by the hospital to transport Liu Lili did not obtain the practice license of the medical institution. During the transshipment, the "ambulance" stopped several times and left at high speed to replenish oxygen. In the end, Liu Lili died in transit.
On August 1 this year, the Changchun Railway Transport Court made a first-instance judgment, revoking the Reply on the Contents of Complaints and Reports in Zhang Fengqin made by the Changchun Municipal Health and Health Commission, and demanding a new reply within 30 days from the effective date of the judgment. After the verdict was pronounced in the first instance, the Changchun Municipal Health and Wellness Committee refused to accept it and appealed to the Changchun Railway Transport Intermediate Court.
▲ On August 2, 2020, Liu Lili was injected with cefepime. Image source/interviewee for the picture
Family members said they were allergic to cephalosporin and were still taking medicine.
Zhang Fengqin introduced that her daughter Liu Lili was born in 1988, and her home is in Hulunbeier, Inner Mongolia. Later, her family came to work and settled in Changchun City, Jilin Province.
It is reported that Liu Lili has a history of polymyositis and has been hospitalized in Shenyang, Beijing and Changchun successively. On July 20 16, I went to the Bethune First Hospital of Jilin University in Changchun, Jilin for the first time, and registered as a rheumatologist Zhao. This time, Liu Lili was hospitalized for leg pain 12 days, and was discharged after being cured.
On July 29th, 2020, Liu Lili visited the Rheumatology Department of the First Hospital of Jida University for the second time because of rheumatic pain in his right leg. I thought it was as smooth as my previous medical experience, but this time, 32-year-old Liu Lili was separated from his family forever.
Recalling that on the day of going to the hospital, my daughter had some difficulty walking with leg pain, so she pushed her to a wheelchair to see a doctor and hung up the name of Zhao, a rheumatologist. Liu Lili was diagnosed with polymyositis and dermatomyositis this time. The doctor thinks that the disease has recurred and suggests hospitalization.
According to the outpatient manual of the hospital, on July 29th of that year, Liu Lili was "pushed by a wheelchair, pale, swollen and short of breath. He was diagnosed with polymyositis and dermatomyositis. Considering the recurrence of the disease, the doctor suggested that he be admitted to the hospital for systematic diagnosis and treatment. " "The patient has a long history, frequent illness, serious organ damage and is in critical condition. Considering the poor treatment effect, poor prognosis and short survival period, inform the patient's family. "
On August 2, 2020, Liu Lili's condition suddenly deteriorated for unknown reasons. Zhang Fengqin recalled that at that time, her daughter had symptoms such as headache and vomiting, dyspnea, chest tightness and sweating, her heart rate increased, and her blood pressure had risen to 160.
Tell the reporter that on the morning of August 2, Zou, our attending doctor, prescribed cefepime for her, and she suspected that she was allergic to cefepime.
The reporter saw in a medical record of Liu Lili in the hospital that the words "cefepime hydrochloride for injection" were indeed marked on it, and the usage was "intravenous drip", and the time was displayed as August 2 10: 46.
Zhang Fengqin said that his family had told the doctor many times that Liu Lili was allergic to cephalosporins, and the doctor replied "Yes". On August 2nd, the doctor gave Liu Lili cephalosporin without communicating with his family, which made Liu Lili's condition worse.
A Record Sheet of Doctor-patient Communication in the hospital on August 2nd showed that the opinion of patients or their families was "continue to use the original antibiotics" when doctors suggested to upgrade antibiotics, but the signature column of patients or their families was blank. The next day, the doctor injected Liu Lili with cefepime again, but he didn't do it because of his family's prevention.
▲ Family members said that after the injection of cephalosporin, Liu Lili was seriously ill and was admitted to the respiratory intensive care unit. Image source/interviewee for the picture
Previous medical records suggest a history of cephalosporin allergy.
Zhang Fengqin introduced that Liu Lili had a history of polymyositis, and at the first onset, he had symptoms such as swelling and pain of finger joints, weakness of upper limbs and inability to stand after squatting. 20 15, Liu Lili, who was working in Liaoning at that time, came to a hospital in Shenyang and was diagnosed with polymyositis. During the treatment, Liu Lili felt unwell, including upturned eyes, skin rash and convulsions lying on the ground. Later, his family urgently transferred Liu Lili to a hospital in Beijing for first aid. After being rescued overnight, he was transferred to the rheumatology immunology department of the hospital for treatment and returned to Changchun after being cured.
According to public information, polymyositis is one of the rheumatic immune diseases, which is caused by autoimmune disorder, causing the body's immune system to attack muscles, leading to muscle inflammation, manifested as muscle weakness and muscle pain. People of any age can get sick, especially middle-aged people.
The reporter noted that in Liu Lili's medical records, two hospitals in Shenyang and Beijing indicated that patients were allergic to cephalosporins.
Zhang Fengqin told reporters that during the treatment of 20 15, her daughter almost died of cephalosporin allergy, which made her family firmly remember. Since then, they have been very cautious about using drugs in Liu Lili.
On July 4th, 20 16, the original medical record of Liu Lili in the First Hospital of Jida University showed that the patient was allergic to Liu Lili cephalosporin.
Zhang Fengqin said that at this time in August, 2020, she took Liu Lili's past medical records to consult a doctor and verbally told the doctor that her daughter was allergic to cephalosporins. She can't understand why doctors choose cephalosporins regardless of the patient's drug allergy history.
To this end, the upstream journalists repeatedly called the First Hospital of Jida University and failed to get an answer.
In the related materials of Jida Hospital in 2020, the column of "history of drug allergy" in Liu Lili is blank. In the "past history" of admission records, "denying the history of drug allergy" was written.
According to the documents issued by the Changchun Municipal Health and Health Commission, Zou Mou, the attending physician at that time, said in an investigation by the Changchun Municipal Health and Health Commission that when the patient was admitted to the hospital, he had asked about the history of drug allergy, but said that he had no history of drug allergy. Zou said that he had never seen the brought medical records in Beijing Hospital.
▲ The ambulance transferred from Liu Lili to Beijing that day was accused of not having relevant qualifications. Image source/interviewee for the picture
Died on the way to Beijing for transfer.
On August 3, 2020, Liu Lili's condition deteriorated and he had difficulty breathing. After consultation between family members and doctors, Liu Lili was transferred to the respiratory department of the hospital for treatment, and Liu Lili developed symptoms of drug fever. According to the records of respiratory department, the patient was clinically diagnosed as type I respiratory failure, and had a tendency of multiple organ function damage.
On August 4th and 5th of the same year, vomiting blood happened in Liu Lili. During this period, the doctor suggested transferring to another hospital. "On August 5, my daughter's condition deteriorated significantly, and the doctor still suggested referring her to a higher-level hospital for further treatment." Zhang Fengqin said. Because their daughter was successfully cured in a hospital in Beijing, they decided to transfer to Beijing for treatment. On the same day, Liu Lili was transferred by an ambulance provided by the First Hospital of Jida University.
It is reported that the painting of this ambulance in the First Hospital of Jida University is no different from that of an ordinary ambulance. The car body has the words "Bethune First Hospital of Jilin University", which is the license plate of Liaoning Province with the license plate number of Liaoning KXX 120. The staff on the bus, including two drivers and two ambulance personnel, all wore the tooling of the First Hospital of Jida University. The on-board staff informed the family that the cost was 6.5438 yuan +0.2 million yuan. After negotiation, Zhang Fengqin finally paid RMB 6.5438+RMB 0.00 million, and WeChat paid it to the private account.
On the morning of August 5th 10: 40, Liu Lili and his family set off for Beijing by bus from the First Hospital of Jida University. The journey is about 980 kilometers, and it takes about 1 1 to 12 hours.
What the family members didn't expect was that when the ambulance passed through Siping City, Jilin Province and Shenyang City, Liaoning Province, the staff said that there was no oxygen in the car and oxygen leaked. For this reason, the ambulance left the expressway twice at 1 afternoon and 3 o'clock respectively.
That day, Liu Lili looked very miserable. At 1 1: 20 that night, Liu Lili's heart rate dropped, and the medical staff on board pressed Liu Lili's chest for cardiopulmonary resuscitation. After a short rescue, Liu Lili died in an ambulance with a bloody nose. At this time, the ambulance has not yet arrived at a hospital in Beijing.
After the death of her daughter, the crew on board said that she could not issue a death certificate for Liu Lili; At the same time, he collected 3000 yuan from his family and brought Liu Lili back to Changchun. On the morning of August 6th, the ambulance returned to Changchun, and the family transferred Liu Lili to Fan Jiatun funeral home.
The family found the doctor on board, and the First Hospital of Jida University failed to issue a death certificate. Finally, Zhang Fengqin went to the local community to explain the situation, and the community health service center issued a death certificate. According to the medical certificate of residents' death, Liu Lili died in the First Hospital of Jida University 120 ambulance on the way out of Beijing.
▲ One year after the Liu Lili incident, Jilin Renkang First Aid Station was confiscated for "practicing without a medical institution license" and fined 1.3 million yuan. Image source/interviewee for the picture
Is it an ambulance or a car?
Zhang Fengqin believes that there is not enough medical equipment on the ambulance, and getting off the expressway twice delayed the treatment time. In addition, Zhang Fengqin asked why the ambulance in the First Hospital of Jida University (the third-class hospital in Jilin Province) was licensed by Liaoning Province. Afterwards, she learned that the ambulance her daughter took actually belonged to Jilin Renkang First Aid Station Co., Ltd.
Renkang Company involved in the case stated in the explanation of the patient transport incident in Liu Lili that it was established on May 19 and 20 15, 2009, and was legally registered and allowed to operate the transport qualification, mainly providing transport services for discharged patients, excluding emergency medical treatment. It is a cooperative relationship with the First Hospital of Jida University, so the words "First Aid Center of the First Hospital of Jida University" are used. The company's transfer vehicles are equipped with standardized on-board medical equipment and medical instruments, and the on-board medical staff have qualification certificates, and they monitor patients during the transfer process according to the requirements of their families, but there is no first-aid measures.
The upstream journalist noticed that in the above-mentioned "explanation", Renkang Company said that on August 6, 2020, the company received a phone call from the family of patient Liu Lili. The staff introduced the related contents of the transfer agreement to the family members, such as the charging standard. The patient's condition worsened, worsened or died on the way, and the patient transfer center did not bear any medical responsibility. The family members have clearly understood and signed the agreement before starting the transshipment.
Zhang Fengqin said that after the family members agreed to be transferred to another hospital, several people who claimed to be ambulance workers from Jida Hospital came to the ward and advised the family members to take an ambulance from the hospital. Because the car was written as an ambulance in the First Hospital of Jida University, she always thought it was a hospital ambulance.
Zhang Fengqin, who had doubts, learned from Changchun 120 Emergency Center that the emergency center did not have this car. So in March of 20021year, she complained to the Chaoyang District Health Bureau of Changchun City.
According to an administrative license and administrative penalty announcement issued by Chaoyang District Health and Health Bureau of Changchun City, on September 26th, 2002 1, the bureau made a penalty decision, claiming that Renkang Company practiced without obtaining the Medical Institution Practice License, and confiscated its illegal income of 3 1 000 yuan, and imposed a fine of1,300 yuan.
"In other words, the hospital provided an unqualified' black ambulance' and undertook the long-distance transshipment of her daughter." Zhang Fengqin said.
▲ The first-instance judgment revoked Changchun Health and Health Commission's reply to Zhang Fengqin's complaint. Image source/interviewee for the picture
Refuse to accept the reply and sue the Health and Health Commission.
In addition to taking the "black ambulance", Liu Lili's parents also believe that her daughter suddenly became seriously ill during hospitalization, and her breathing difficulties were caused by allergies after injection of cephalosporins. At the same time, during hospitalization, there are still some problems in the hospital, such as some course records are inconsistent with the facts, doctors' signatures are confusing, and family members sign privately. Therefore, Zhang Fengqin complained to the Changchun Municipal Health and Wellness Committee about the First Hospital of Jida University.
On June 5438+1October 65438+August, 2022, Changchun Municipal Health and Health Commission issued the Reply on Zhang Fengqin's Complaints and Reports, responding to Zhang Fengqin's complaints. The reply said that the corresponding administrative punishment had been given to the irregular writing of medical records in the First Hospital of Jida University. Zhang Fengqin refused to accept it after receiving it, and maintained the original reply after filing an administrative reconsideration.
Subsequently, Mr. and Mrs. Zhang Fengqin filed an administrative lawsuit, demanding that the Changchun Municipal Health and Health Commission revoke the reply and make a specific administrative act again. Changchun Railway Transport Court accepted and filed the case on July 7, 2022.
According to the judgment of the first instance, the Changchun Municipal Health and Health Commission argued that the reply given by the bureau was clear in facts, conclusive in evidence, correct in application basis, legal in procedure and appropriate in content. As a third person, the First Hospital of Jida University indicated that there was no violation of laws and regulations, and requested the court to reject Zhang Fengqin's application.
On August 1 this year, the Changchun Railway Transport Court ruled in the first instance that the reply given by the Changchun Municipal Health and Wellness Committee was unclear, and decided to revoke the reply given by the Changchun Municipal Health and Wellness Committee on the contents of the complaint and report, requiring a new reply within 30 days from the date of the effective judgment.
After the verdict was pronounced in the first instance, the Changchun Municipal Health and Wellness Commission refused to accept the verdict and appealed to the Changchun Railway Transport Intermediate Court. The upstream journalist learned that the second trial of this case was held in June 10 and June 13 respectively, and no verdict has been pronounced yet.
In addition, Mr. and Mrs. Zhang Fengqin reported to the local police the crime of illegal operation of Renkang Company, which belongs to the black ambulance. 165438+1On October 22nd, Chaoyang Branch of Changchun Public Security Bureau issued the Notice of Not Filing a Case, stating that "our bureau decided not to file a case after examination that there was no criminal fact."
165438+122, Zhang Fengqin said in an interview that her daughter was seriously ill after being injected with allergic drugs when her family clearly told her that she was allergic to drugs, and then the doctor failed to rescue her in time, which delayed the rescue time. Ambulances are not qualified to practice without authorization, which eventually leads to the death of their daughters.
"This is a medical accident, and I will definitely give my daughter a statement." Zhang Fengqin said.
Upstream journalist Zhang Ying Editor: Zhu Liang