醫聲論壇

nephrologist 都看過新版的透析治療患者重大傷病證明申請了嗎
再次申請中
"是否曾嘗試在周密的照顧下停止透析？"-->停止透析出事誰負責?
"停止透析後是否產生危急生命的臨床狀況？或因明顯之尿毒症狀嚴重危害生活品質？"-->那不就是醫糾嗎?
"停止透析後是否反而因各種無法處理的緊急狀況而頻繁出入醫院與急診"
"請詳細記錄以上狀況作為再次申請說服審核醫師同意發給永久重大傷病卡之證據"
-->鐵證如山的醫糾嗎?


太扯了!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

訂出這個規定的不知道是誰?

透析病患大部分是DM nephropathy, CKD progress to ESRD
由於審查嚴格
故重大常只給三個月
故有所謂再次申請
透析病患每個月都在驗血
難道腎功能改善醫師護士都不知
個人經驗中
都是creatinine<6
被刪成1周透析2次
之後病患就開始跑急診!
除了極少數RPGN患者
腎功能偶有恢復
DM nephropathy未有恢復的案例
初次透析時已malnutrition, pulmonary edema, respiratory failure on MV or hyperkalemia with arrhythmia or OHCA不會罕見
試問好不容易靠規則透析救活的患者
誰忍心再去試不透析會怎樣!

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