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This article reviews many past events. Is it necessary? Why?
Henry Seagris, a famous medical historian, once said that every medical action always involves two parties: doctors and patients, and medicine is nothing more than the multifaceted relationship between these two groups. From the behavioral point of view, whether it is "medicine" or "suffering", there is only one starting point-to make patients recover. This should have been a pair of "like-minded" people who cooperated with each other and had the same goal. It is also the two groups that should trust each other most. Why do they show irreconcilable opposition? How does the deadlock between doctors and patients break the ice, and is it enough to rebuild trust only by inner consciousness?

1. A doctor was assassinated in Shanghai Xinhua Hospital.

After the assassination of the doctor in Xinhua Hospital, the Shanghai Municipal Health Bureau initially characterized the incident as "an extremely bad incident that seriously injured innocent medical staff". With the further disclosure of the case, people began to question some details. After repeated questioning by the media, the Shanghai Public Security Bureau issued three "clear answers" to the questions of citizens and medical staff, which was quite different from the original press release issued by the Shanghai Municipal Health Bureau.

If patients adopt abnormal ways to solve medical disputes, hospitals usually call the police to ensure the normal order of the hospital and the safety of medical staff. Whatever the reason, the basic personal safety of both doctors and patients should be guaranteed. It is really puzzling that injuries still occur in the presence of * * *. In response to public queries, the police said that there was a "reason" for "not taking very strict enforcement measures". So can "everything happens for a reason" be a legitimate reason to hurt people? And does "there is no medical trouble, those people are family members" mean that family members can't call it "medical trouble" no matter what illegal means they take?

Three problems of medical staff:

Two days before the incident, the hospital reported the police. It happened in the hospital of * * * * * *. Why did such a wounding incident happen? Does it involve "professional medical trouble"? More than 20 family members participated, why only 6 people were arrested?

Three "clear answers" from Shanghai Public Security Bureau;

First, there is no medical trouble. Those people are family members.

Second, after receiving the alarm, the police rushed to the scene at the first time. After knowing the situation, they didn't take very drastic coercive measures, because we found that there was a reason. In the beginning, our role can only be to dissuade and mediate. Family members don't make trouble "for no reason", they are ordinary people. We must consider the positions of both sides and enforce the law humanely.

Third, what kind of harm has it caused? The easiest thing is to look at our exam records. It's not as serious as the outside world said.

A police officer of the Information Office of the Public Security Bureau said, "Maybe it's impolite of me to say this. Xinhua Hospital should find its own reasons. Why do family members do such extreme things? If you are really angels in white, no one can thank you. Why are you doing this? It is irrational for his family to have extreme emotions in their hearts. However, what is the reason behind this? " He revealed: "... I wonder if Xinhua Hospital has ever introduced why these family members are making trouble? It was because the patient didn't have enough money that Xinhua Hospital unilaterally stopped taking medicine for two days. "

With these questions, Doctor Daily interviewed Deng, director of the Legal Affairs Department of the Chinese Medical Doctor Association, to discuss the legal issues in these three replies.

Under no circumstances can medical personnel be harmed.

Doctor's Daily: Does "medical trouble" refer to an act or a kind of person? Can the family members involved be called "medical troubles"?

Deng: At present, the definition of "medical trouble" is still controversial, but it is generally understood that "medical trouble" means that after a medical dispute occurs, it is called "medical trouble" by various means in the hospital without taking normal channels to legally safeguard rights. And if someone makes a living by this and provokes the relationship between doctors and patients, it is called "professional medical trouble." The reply said that the troublemakers were family members, not "medical troubles", which made people puzzled.

No matter whether it is "medical trouble" or not, no matter whether it is family members or social personnel, no personal injury can be caused under any circumstances.

The police * * * triggered a violent incident under the nose.

Doctor's Daily: When a medical dispute occurs, does the public security organ have the right to intervene? Although it is based on "medical disputes", does the public security organ have the responsibility to stop violent incidents?

Deng: After medical disputes, both doctors and patients have legal channels and channels to claim their rights. The causes of medical disputes can be concluded with evidence effect according to law through appraisal, and claiming rights through legal channels is an inevitable requirement for safeguarding legal dignity. If you don't go through legal channels, you shouldn't give sympathy. The connivance of illegal acts is one of the reasons for the growing "medical troubles".

In the reply, the police said that "they are also ordinary people. We should consider the positions of both sides and enforce the law humanely." But the problem is that it is illegal for family members to engage in "medical troubles". As a judicial institution with public power, it should perform its duties after an incident that endangers public order and threatens personal safety, and cannot let the injury happen. If the injury incident is related to the police's inaction or inadequate measures, the relevant personnel should be held accountable for their inaction.

In the incident, the hospital called the police two days before the incident, and the incident itself was very serious after the incident. More importantly, medical staff should not be belittled as dereliction of duty. The excuse of * * * * * is to ensure the safety of people's lives and property. Before the incident, the police called the police, and some people were still injured. Shouldn't the police reflect on this?

Cognitive error is the root cause of police dereliction of duty.

Doctor's Daily: In a violent incident, can "justified" and the severity of one party's injury be used as reasons for "not taking compulsory measures"? What responsibility should the police bear in the hospital violence?

Deng: In the reply, it was said that "Xinhua Hospital should find its own reasons". In fact, hospitals should look for reasons for any medical disputes to prevent similar medical disputes. However, as a judicial institution, it is its due duty to prevent the occurrence of violent incidents and find out the causes of violent incidents. In the reply, if "why are these family members making trouble? Is it because Xinhua Hospital unilaterally stopped taking medicine for two days because there is not enough money? Is it the reason for the police to "humanize law enforcement"? Does it mean that violence should be allowed as long as there is a reason? Obviously, this logic cannot be established. This kind of inappropriate speech is not only detrimental to the dignity of doctors, but also a great irony to public power and public responsibility.

In 2007, the Ministry of Public Security and the Ministry of Health proposed the construction of Ping An Hospital, which was further strengthened in 2009. What's the effect? In the wave of building a safe hospital, there are also patients like Xinhua Hospital. If the police still understand the problem with the idea that "family members are not unreasonable", how can Ping An Hospital talk about "peace"? After the police are dispatched, if there is strong action, it will crack down on the arrogance of "medical trouble" and safeguard the order and dignity of the law. And negative actions will only encourage the arrogance of "medical troubles."

The tense doctor-patient relationship lasted for a long time. After the establishment of Ping 'an Hospital and the implementation of Tort Liability Law and People's Mediation Law, people's mediation committees have been established in various places under the comprehensive action of all parties. There is still a chance to solve medical disputes and violent incidents. However, the clarity of the system needs to be tested by the rigor of implementation. As the saying goes, the law cannot be implemented by itself, and the law enforcers must perform their duties in order to implement the law. This should be the public authority's understanding of the legal spirit, the embodiment of loyalty to their duties, and the proper balance of the interests of both doctors and patients.

Second, the "Bamaomen" incident ended in an apology and the doctor-patient reconciliation.

Event review:

Mr. Chen, who runs a dentist's office in Longgang, recently had a baby, but after his son was born, he found his stomach a little bulging. After taking more than a dozen X-rays, Shenzhen Children's Hospital asked for a major operation on this 6-day-old newborn. The cost of surgery may exceed 65,438+10,000. However, Mr. Chen, who is studying medicine, vaguely feels that something is wrong. He refused the operation and took the child to Guangzhou for treatment. As a result, the child's illness was cured with only 80 cents of medicine. On September 5, Mr. Chen and his family came to Shenzhen Children's Hospital to discuss.

Media follow-up:

On the afternoon of September 5th, 2065438+0/kloc-0, reporters from Shenzhen News Network and Shenzhen TV Station went to Children's Hospital and interviewed Mr. Chen and Dr. Liu from the Medical Department of Children's Hospital. That night 18:49, Shenzhen News Network reported for the first time the article "It takes hundreds of thousands of dollars to cure the operation in the hospital", which aroused widespread concern.

On September 5th, Shenzhen TV reported on the public channel * * * 18 that "a disease with 80 cents needs 65,438+10,000 knives".

On the evening of September 7, Shenzhen Children's Hospital held a news briefing to inform the media of the hospital investigation results. At 22: 37 on Shenzhen News Network, the reporter issued a press release "Shenzhen Children's Hospital: Our hospital diagnosed correctly and refused compensation".

On September 12, Bao Jing reported that "the baby with abdominal distension was admitted to hospital again for intestinal lavage".

On September 15, Bao Jing reported that "Shenzhen Children's Hospital issued an invitation to parents of" children with bamaomen "not to buy".

65438120, Bao Jing reported that "the child cured with 80 cents" had an operation in Wuhan, and the child was diagnosed as Hirschsprung's disease in pediatric surgery in tongji hospital, Wuhan.

65438+ 10 28 The headline of Shenzhen News Network reported that the patient's father apologized to Shenzhen Children's Hospital.

65438+1October 3 1 Shenzhen news network open letter: bamaomen, our fault and love.

Views of all Parties:

Anxiety and struggle about truth in Eight Hairy Men

■ Hot spot perspective

"Newborn Xiao Qiang (pseudonym) suffers from abdominal distension. Shenzhen Children's Hospital recommended 65,438+10,000 operations, while Li Chengchang, a doctor at Guangzhou Children's Hospital, cured the child's illness with only 80 cents. " His father, Mr. Chen, rushed to Shenzhen Children's Hospital on the 5th to discuss his views and made compensation of 65,438+10,000 yuan to Shenzhen Children's Hospital.

At present, the tense doctor-patient relationship and frequent medical disputes have always attracted public attention; The grievances in the hospital are, of course, the focus of attention of the people. The huge contrast between "654.38+ 10,000 yuan and 0.8 yuan" in the incident is undoubtedly a very dramatic plot, so the emotion that has been saved for a long time is ignited. The intervention of Weibo, the "Bo Zi Ge" (online nickname for Liao Xinbo, deputy director of Guangdong Provincial Health Department), further changed the situation.

In the blog post "How to Tell the Truth of 65438+ 100000:08" published by Liao Xinbo on this matter, he admitted that his initial judgment was "inferring from media reports that this was a technical misdiagnosis event", but later, with the development of concern, his thoughts changed again. He thought that "the camouflage paper was peeled off layer by layer, exposing the truth to everyone".

So, what is the truth? Liao Xinbo just "reminded relevant departments to pay close attention to the investigation. Tell the media the truth. " As a result, the public threw questions to the hospital, which was at the forefront. Shenzhen Children's Hospital said that after investigation by the hospital expert group, Mr. Chen's opinion seriously distorted the facts, and Xiao Qiang's treatment was completely in line with the norms, and they would not compensate. Public opinion and health supervision departments are welcome to supervise. Such a tit-for-tat attitude reflects that the incident is still entangled in the tug-of-war between truth excavation and official clearance. The public naturally expects the newly announced facts to give a relatively more acceptable explanation to this important event that is hotly debated in the country.

As far as this matter is concerned, whether the hospital's disposal and diagnosis and treatment are appropriate requires professional and credible judgment. However, the composition and methods of the investigation subjects of such disputes often cannot get rid of the problem of "closed-door investigation". How to bridge the gap between professional judgment and public knowledge is a problem worthy of consideration.

Jumping out of the event itself is not only a simple topic of doctors and patients, but also conveys extremely rich information behind it. The public is full of worries about the looming (or unclear) suspicion of "overtreatment" behind it, and then take some expressions as the only facts to express their feelings. Coupled with the long-term poor communication between doctors and patients, and even in a state of emotional opposition, the complex role of many factors eventually leads to the embarrassment that hospitals are often accused of. The remarks such as "whether the eight hairs are medical problems or medical ethics problems" are actually the vent of this anxiety.

On the other hand, the facts always roll out, and the excavation of the "truth" (or the information closest to the truth) always needs a process. As far as the current situation is concerned, perhaps many people think that the expression "Guangzhou has done everything" is too arbitrary, but through more comprehensive information mining and referring to relevant news reports, their impression of this case may be rewritten: in specific events, the doctor-patient relationship is not one-sided, so it no longer constitutes an accusation against the hospital with a clear theme.

Relieving public sentiment, returning to rational thinking and improving the negative image of medical institutions all depend on timely investigation and information release; And why are there even some exaggerated and sensational factors in the hot topics pursued by the media? This kind of topic is likely to become a new angle for follow-up thinking. (Source: Southern Metropolis Daily Author: Lin Zhe)

"Eight Maomen" doctors and patients make peace, and there is still a lack of media apology

The "Bamaomen" incident in Shenzhen, which has attracted much media attention, recently ended in an embarrassing way for the media. When the newborn is sick, parents take their children to Shenzhen Children's Hospital for medical treatment. The doctor diagnosed that the operation needed tens of thousands of yuan. After the parents refused, they transferred the child to another hospital, claiming that 80 cents cured the disease. This hospital was once the target of public criticism. Soon after, the child's condition deteriorated again, and parents took their children to a hospital in Wuhan. The diagnosis results are completely consistent with those of Shenzhen Children's Hospital, and the disposal methods are basically the same. Parents therefore publicly apologized to the hospital that was hit by public opinion.

Despite the twists and turns, the outcome looks good: the child recovered after the operation in time, the parents sincerely apologized, and the hospital accepted it, saying that "parents were eager to love their children and anxious at that time"-the scene of resolving contradictions and shaking hands between doctors and patients was very touching, but the extreme distrust between doctors and patients reflected by this incident and the rift between doctors and patients torn in the previous conflict could not be bridged by this understanding from a distance. When doctors and patients shake hands, the media cannot avoid the embarrassing role played by previous reports: there is no doubt that biased media reports have contributed to this conflict between doctors and patients.

In his public apology, Chen Gang, a parent, said: Shenzhen Children's Hospital was impacted by public opinion because of his ignorance and impulsiveness of professional knowledge-indeed, the first problem lies in parents' ignorance and impulsiveness, and the ignorant description of the facts misled the media, making the media preconceived this incident as a typical case of "hospitals exploiting patients with high fees".

However, in this case, the media can't pretend to be innocent victims and be deceived. Because of ignorance and impulsiveness, patients misjudged the hospital. As media, they should be a neutral third party between doctors and patients, objective recorders and impartial bystanders. When there is a conflict between doctors and patients, we should stand in a just and fair position, report the voices of both sides of the conflict with solid investigation instead of fictional news, instead of being led by one side by the nose and preconceived to stand in one side's interests. This is the problem. In this conflict, many media were basically led by Chen Gang who claimed that "80 cents cured the disease of 654.38+ 10,000 yuan", lacking professional reports and independent judgment: instinctively believing that he was a victim, while the hospital made a random diagnosis and charged fees, which was easily captured by the explosive and attractive false information that "80 cents cured the disease of 654.38+ 10,000 yuan".

If we keep a little alert to the exaggerated descriptions of patients, listen to the voices of hospitals, interview relevant experts about children's illness, and listen to the judgments of professionals, the news will not be so manipulated. However, the conflict of "80 cents to cure 654.38+ 10,000 yuan disease" is too tempting, so it conforms to the reporter's imagination of "medical chaos" and is suitable for making big news. Therefore, journalists who are eager to consume public sentiment have lost their objective rationality under the patient's one-sided words.

In similar conflicts, many media people have preconceived to attack hospitals on the side of patients, perhaps because one day everyone may become patients instead of doctors. The "eight-haired man" is the product of looking for news with this prejudice-it is precisely because we are going to the hospital one day, we have to entrust ourselves to the doctor, and we have to care for this doctor-patient relationship, instead of conniving at most violence of "we are all patients". Every industry has its own professional ethics. In the eyes of doctors, there is only the patient, and then the patient's treatment; Journalism professionalism requires journalists not to fall into the myth of identity when reporting. As journalists, they should only see facts and truth.

Chen Gang, the founder of "Eight Mao Men", apologized. I think those media and media people who were led by the nose in this incident and caused harm to the hospital should also stand up and apologize-for their ignorance, recklessness, prejudice, superficiality and impetuousness, misleading public opinion and saying sorry for the harm caused to the hospital. Repairing the tense doctor-patient relationship is inseparable from responsible media. (Source: China Youth Daily Author: Cao Lin)

"Eight Mao Men": Period and Question Mark

10 year 10 on 28th, the children of "bamaomen" recovered and were discharged from hospital in Wuhan. Chen Gang, the parents of the parties concerned, also issued a written letter of apology, acknowledging that Shenzhen Children's Hospital had made a correct diagnosis before, and said "I'm sorry, please forgive me" to the doctors and nurses in Shenzhen Children's Hospital. (Guangzhou Daily1October 29th 10)

"Eight Mao Men" is full of twists and turns. After the dazzling changes, the parents of the children ended the incident with their own letters of apology, and the reverberation left a question mark.

What is the perfect period?

The letter of apology finally cleared the Shenzhen hospital. Looking back on the development and changes of the "Bamaomen" incident, it is probably that Shenzhen Children's Hospital was put on the exposure platform and experienced criticism again and again. Shenzhen Children's Hospital, which has no problem in diagnosing children, was suddenly placed at the forefront of public opinion and fell into an irrefutable dilemma. Now, the original diagnosis has been verified, and the apology of the children's parents has also led to the wind and rain, and the clouds have dispersed.

The letter of apology not only gives the society a responsible explanation, but also shows the parents' own conscience. Recalling the origin of the "Bamaomen" incident, it began with the parents' lack of factual speculation, and then it began to ferment with the help of the media, reaching its climax through social concern and many gossip. But the truth of the matter, after all, does not depend on people's speculation and discussion. With the subsequent development and changes of the child's condition and treatment, the diagnosis of Shenzhen Children's Hospital was confirmed step by step, and the family members of the "Bamaomen" child finally made a responsible explanation to the society and the involved hospitals in the form of an apology letter. The short six words "I'm sorry, please forgive me" show the society the moral courage and conscience that a modern citizen should have. Although the original unprovoked speculation caused irreparable harm to the reputation of the hospital and the hearts of medical staff, it finally returned to rationality. It's good to know your mistakes and correct them!

What is the question mark left by "Eight Mao Men"?

First of all, why can the media be misled by a patient's parents who misunderstood the truth, and then arouse public opinion all over the world? As a case, "Eight Maomen" ended in a way that surprised many people, but we should not stop exploring the deep reasons behind it. Obviously, under the situation that the crisis of trust between doctors and patients cannot be fundamentally overcome, the "eight-hair door" has been closed, and it is difficult to guarantee that there will be no such "five-hair door" and "six-hair door" quietly opened.

Secondly, looking back at the evolution of the incident, although the truth is in hand, Shenzhen Children's Hospital was in an awkward state of aphasia for a period of time. Even if it spoke, it was instantly submerged in the sea of Wang Yang where netizens were drooling. It is conceivable that today, if the parents of patients avoid reality and talk about it, will they believe it, and those who don't believe it will never believe it? Then, in similar medical incidents, how medical institutions interact with relevant parties, including patients and the media, and how to use their right to speak to reveal the truth to the society is a problem that must be paid attention to.

In addition, what is the biggest warning provided by parents' letters of apology to the society? The media's expectation of meaning and the audience's onlookers' speculation have caused many general events to heat up rapidly after being reported by the media and become social hot events whose truth is misinterpreted, thus causing adverse consequences. What's the end of the matter? There is no winner! In the current era of information explosion, what kind of responsibility should the relevant departments bear in satisfying the social right to know? How can citizens keep their rational judgment under the stimulation of all kinds of information? These are problems that cannot be ignored. If public opinion can only be guided in the right direction by the contradictory party or even one person's conscience, and if the truth of the matter can only be revealed to the world by one person's moral courage, where can we start to establish a healthy public opinion guidance mechanism? How fragile is the foundation of social stability? ! (People's Network-Viewpoint Channel Wang Xiuhua)

CCTV comments: "Eight-Haired Man" turned out to be just the "truth" we hoped for.

"8 Mao Men" has been rising recently. On September 14, Nanfang Daily reported that during the Mid-Autumn Festival, Mr. Chen took his children to Guangzhou for a follow-up visit, and his condition was also serious. This news quickly fermented on the Internet, and netizens quickly confirmed that the child now lives in bed 54 of neonatal surgery in Guangzhou Children's Hospital.

How's the baby? At present, the media has not confirmed it further. However, one thing is certain. The reason why Mr. Chen emphasized that taking his children to Guangzhou was "mainly to learn how to wash intestines" rather than "the child's condition is getting worse and worse" was because he told the media that "the disease of 654.38 million yuan was cured with 80 cents". In this incident, the child became a "pawn" in the game between Mr. Chen and the hospital.

"Cure the disease of 654.38+ 10,000 yuan with 80 cents". When this incident was spread by the media and caused netizens to watch, the social sentiment of distrust of the hospital was behind the onlookers. Under the realistic background that the hospital pursues profits, the income of doctors is generally linked to the income of departments, and the disputes between doctors and patients continue, curing the disease of 654.38+10,000 yuan with 80 cents just proves that the hospital is "unscrupulous". But at present, "treating 65438+ 10,000 yuan diseases with 80 cents" is not a "truth", but only a "truth" that meets the expectations of the public. When the news of the child's illness getting worse and returning to the clinic spread, the public had mixed feelings about Mr. Chen's previous "persistence". But in any case, children's health is the first. Neither Mr. Chen nor the onlookers should conceal his illness at the expense of health, so as to "confirm" the "truth" we want to see.

Due to the spread of the "80 cents cure" incident, when the doctor suggested surgery, the parents of newborns with similar conditions chose to refuse, because many parents believed that "80 cents cured the disease of 654.38+10,000 yuan", so they no longer trusted the doctor. But now it seems that "8 cents cure" is just a sentence from Mr. Chen. Mr. Chen's child is indeed hospitalized again. It can be seen that "8 cents cure" is just our "fantasy". Under the realistic background of tense doctor-patient relationship, some doctors did "immoral" things, but in do or die, should we still trust doctors and professional judgments instead of making so-called moral judgments easily to delay the illness?

Of course, we should not use moral judgment to evaluate the parents of children who delay their illness in order to safeguard justice. Parents' refusal reflects their distrust of the hospital, and where does this distrust come from? It is nothing more than the evil result of the long-term "immorality" of the hospital. But to a certain extent, "medical ethics belongs to medical ethics, and science belongs to science". We can't completely distrust doctors' professional judgment on the condition because of the decline of medical ethics.

When the news spread that "80 cents cured the disease of 6.5438+10,000 yuan", it aggravated the fracture of the trust chain between patients and doctors, and as a result, more parents of children began to resist the doctor's advice. When we found that "80 cents treatment" was just a wishful "fantasy" and Mr. Chen's children had to continue to be hospitalized for follow-up, this unfortunate stick in reality seemed to set up a chain of distrust between doctors and patients to some extent. When more parents see what Mr. Chen is experiencing now, they may no longer resist the doctor's income advice as they did at the beginning, but may be more inclined to the doctor's professional advice.

However, in any case, this is not a doctor's victory. What tears the chain of trust between doctors and patients is the decline of medical ethics and the desire of hospitals to seek profits excessively. Therefore, in order to repair this trust chain, we can only start with repairing medical ethics and reshaping hospital public welfare. We can't expect to rely on "misjudgment" to alleviate the contradiction between doctors and patients like Teacher Chen. From this point of view, "treating 65438+ 10,000 yuan diseases with 80 cents" is only a case of "truth" that we hope, and it also has certain specimen value. (