與家屬來一段無奈的對話

[brian1968]

當初指定你接生時是眉開眼笑
寶寶發生先天性代謝異常死亡時
一開口就是七百萬
雖然最後是七十萬
但我很難再相信病人及家屬會感受醫師的誠意及努力

(咦) (咦) (咦) 先天性代謝異常死亡干產科何事

連這也要鬧 (怕怕) (壓力) (打小人) (怒火中燒)

把標準降低吧,
雖然成功救人一命,
病家卻態度不佳,
但只要病家後續不來鬧,
就由他去吧!
想一想,
能成功救人一命,
還是頗有成就感的.
樓主寬心.

沒上法院就好 (壓力) (壓力) (壓力)

[netfox1971]

病人C/S後發生atony以致PPH
忙進忙出
輸代用血漿, 叫血輸血, 打收縮藥, 肛塞 cytotec
按摩子宮按到手在抖
好不容易stable

病人C/S後發生atony以致PPH

是不是 (從前??) 這種情形會直接把子宮切除 比較安全
尤其有兩個小孩了

婦產科忘光了

把子宮切除是一個徹底解決子宮收縮不良的手段
但也很容易是糾紛的開始
尤其是還想再生小孩的家屬不會放過你
他們事後會聽朋友說...奇摩知識家說...子宮收縮不良只要用藥就好
一定是醫師有問題, 比如子宮沒縫好推說子宮收縮不好
家屬會放過你嗎
以上也是一個實例, 只是主角不是我
後來糾紛是怎麼解的, 我就不清楚了
希望結論是家屬想通了

這次的個案手術中沒有流多少血
是在POR觀察半小時左右才突然發生大量流血
目前住院都很正常, 好像沒發生過什麼事似的
老天爺也太會開玩笑了吧

[image]

上帝造人的品管明明只有ｍａｄｅ　ｉｎ　Ｃｈｉｎａ的水準　外觀零件瑕疵一堆

可是台灣人好像都覺得自己是日本原裝的，豐田或ｓｏｎｙ級的，穩當可靠，百用不壞！　 (打小人)

[netfox1971]

當初指定你接生時是眉開眼笑
寶寶發生先天性代謝異常死亡時
一開口就是七百萬
雖然最後是七十萬
但我很難再相信病人及家屬會感受醫師的誠意及努力

(咦) (咦) (咦) 先天性代謝異常死亡干產科何事
連這也要鬧 (怕怕) (壓力) (打小人) (怒火中燒)

那是幾年前的事了, 談了幾次協調, 每次都來一堆黑衣部隊
雙手環抱胸前默不出聲
家屬每次還請不同的民代來談, 拍桌叫罵是一定有的
出示醫學中心的死亡證明 (先天性代謝異常)
就說醫學中心作假證明
過了幾年也不會忘記這些火爆無理對話的畫面
前一陣子有同業安胎失敗被包圍上新聞時, 深感同受
台灣人在享受物美價廉的醫療時
何時才會理解那是一群熱血醫師不計回報把它築起來的
看一次安胎門診你是付多少, 包圍醫師對醫師的傷害又是多大

[wipten]

上帝造人的品管明明只有ｍａｄｅ　ｉｎ　Ｃｈｉｎａ的水準　外觀零件瑕疵一堆

可是台灣人好像都覺得自己是日本原裝的，豐田或ｓｏｎｙ級的，穩當可靠，百用不壞！　 (打小人)

德製的 雙B 都問題一堆了 何況 MIC & MIT 的 ............

[WCLCWF]

阿彌陀佛!!! (阿彌陀猴) 唉!! 加油吧!! 問心無愧即可. (樂奔)

[sheepin]

婦產科醫師真偉大

[brian1968]

婦產科醫師真偉大

婦產科醫師真可怕 (壓力) (壓力) (壓力)

[鳴人]

婦產科醫師真偉大

婦產科醫師真可怕 (壓力) (壓力) (壓力)

婦產科醫師真可憐 (怕怕) (怕怕) (怕怕)

[areatw]

保護自己第一啦....

家屬找黑衣人, 醫師也可以找黑衣人ㄚ...輸人不輸陣...

現在醫生都馬要有第二專長...不唸法律的也要多多培養人脈... 知道嗎?!

[victorvictorvict]

病人C/S後發生atony以致PPH
忙進忙出
輸代用血漿, 叫血輸血, 打收縮藥, 肛塞 cytotec
按摩子宮按到手在抖
好不容易stable

家屬一付我欠她千萬的臉看著我
我　: 目前因為子宮收縮不良, 發生產後大出血
　　　給藥輸血後比較穩定了
　　　現今還要再觀察一段時間才行
家屬: 她又沒幾歲, 怎麼會子宮收縮不良?
我　: 這跟年齡沒有直接的關係, 年紀小也會發生
家屬: 可是她上一胎就沒事, 為什麼這一胎才會這樣?
我　: 這跟上一胎也沒有直接關聯
家屬又擺著一付臭臉, 好像是我是萬惡不赦的加害人

昨晚值班, 現在為了她搞到還在醫院加班沒回家
現在穩定了, "謝謝" 兩個字還是一種痴人的奢望, 永遠聽不到
越來越覺得自己上輩子一定欠了很多債
這輩子才會當醫師來還債

來診所ㄅ


不用值班







....

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