On March 28, 2014, a post titled "Harbin Medical University Second Hospital Still Prescribes Drugs After The Death of Patients" detonated the Tianya Forum.
The poster, Mr. Jin, tearfully complained in the post: "My sister Jin Ying was admitted to the hospital for a cold, and after 13 days of treatment in the hospital, she was pronounced dead at noon on February 24, 2014, but it is puzzling that the hospital continued to prescribe 22,000 yuan of medical expenses after my sister's death." ”
Mr. Kim's post at Tianya
Mr. Kim also included several photos of the list of medical expenses in the post. According to these photos, Jin Ying's medical expenses during her hospitalization, coupled with the overcharged expenses after her death, totaled about 220,000 yuan.
This post instantly triggered people's discussion about hospital charges, random use of drugs, in recent years, about hospitals arbitrarily charged, random prescription of drugs news is indeed endless, can be for the dead to prescribe drugs, is the first time to see, what is the matter?
Wonders of the world: Prescribe medicine to the dead
On February 9, 2014, Mr. Jin's sister, 41, suddenly felt a tightness in her chest and headache. However, at first, Jin Ying did not care too much, took some medicine, and lay down to rest.
However, after Jin Ying woke up after resting, she found that the symptoms were not only not alleviated, but more serious. Not only that, she also began to cough, and then began to have a fever. After the family learned about it, they immediately took Jin Ying to a small hospital in Wuchang City for treatment.
Because Jin Ying's condition is very similar to that of suffering from common colds and fevers, this small hospital prescribes medicine according to the common cold. However, after two days of treatment in the hospital, Jin Ying's body not only did not improve, but became more and more serious. Seeing the situation, the doctor believed that Jin Ying should not have a common cold, so he proposed to Mr. Jin to be transferred to a large hospital for treatment.
Therefore, on February 11, 2014, Jin Ying was transferred from this hospital to the Respiratory Third Department of the Second Hospital of Harbin Medical University to continue treatment.
After the examination of the respiratory doctor of the Second Hospital of Harbin Medical University, as the previous hospital thought, Jin Ying did not suffer from a common cold, but severe pneumonia, acute kidney injury, the situation is more critical, it is recommended to transfer to the ICU for observation and treatment.
Mr. Jin looked at his sister's sick appearance, his heart was sour, and the safety of his sister Jin Ying was his biggest concern, so he immediately agreed to the doctor's advice. At the same time, in order not to delay the treatment, Mr. Jin immediately paid a high deposit of 248,000 yuan in advance.
Mr. Jin always pays attention to his sister's condition, he will visit Jin Ying almost every day, the hospital has also prescribed many medicines and used many methods for treatment, but Jin Ying's health is still getting worse and worse every day.
At noon on February 24, 2014, Jin Ying died due to ineffective rescue. Mr. Kim was deeply saddened, but he still held on and prepared to hold a funeral for his sister.
Since the hospital's regulations were that the discharge settlement could not be processed on the same day, Mr. Jin first transported his sister's body back to Wuchang City for mourning.
Network diagram: List of hospital expenses, not Jin Ying's list of hospital expenses
Soon, Jin Ying's "first seven" passed, and after the "first seven", Mr. Jin came to the Second Hospital of Harbin Medical University on March 3 to handle the discharge procedures and settlement fees. After Mr. Jin got the settlement fee, his content surprised him.
According to the list of hospitalization expenses, the content of jin Ying's charges when she was hospitalized was still relatively normal, but since February 18, there have been problems.
The list dated February 18 shows that eight items, including continuous respiratory function testing, intraarterial pressure monitoring, blood oxygen saturation monitoring, central venous pressure measurement, ventilator assisted breathing, continuous blood purification, noninvasive blood pressure pulse monitoring, and ECG monitoring, show that the number of charges is 25 hours. But there are only 24 hours a day, which extra hour, where does it come from?
The list on the 19th showed that the content was normal, but on the 20th, there was a problem, and the cost dated February 20 showed that Jin Ying's intravenous infusion on that day was 41 groups. If the doctor did prescribe 41 groups of intravenous fluids, but can a person really withstand such a large dose of medication in one day, is this reasonable?
Even more outrageous, even on Feb. 25, there was a list of expenses printed by the hospital. The list shows that there are still charges for arterial blood collection, intravenous fluids, pulse pressure measurement, nebulized inhalation and other treatment items on the same day.
However, Jin Ying had already been pronounced dead as early as February 24, and how could there be a treatment program on February 25. According to the list, the settlement on February 23 totaled 197,000 yuan, and with the addition of the expenses on February 25, the final statement showed that the total amount of expenses was 219,000 yuan, an additional 22,000 yuan.
Mr. Jin felt puzzled and angry: "Let's not talk about how other hospitals charge, but people are already dead, and the hospital still prescribes medicines?" Who uses it? Isn't that just random charging! ”
After the incident, Mr. Jin immediately went to the relevant supervisor of the hospital and expressed his question: Why is there 25 hours of 24/7 testing? Why do you prescribe 41 groups of intravenous injections a day, is this reasonable? Why is the hospital still charging after my sister's death?
However, the hospital did not give any specific response. Mr. Jin had to retreat to the second place, wanting to know how the hospital charged after Jin Ying's death.
Because according to the treatment list, the cost of the 20th and 21st is more than 11,000 yuan, and the 22nd and 23rd is more than 8,000 yuan, when the cost is gradually reduced, the medical expenses on the 24th and 25th suddenly increase. When Mr. Jin asked the hospital for a detailed list of medicines for the 24th, the hospital refused.
In this regard, Mr. Jin could not help but say: "We will not be worse at all the money that should be spent, and we will not be able to charge more fees than we should." The high deposit paid in advance is not for the hospital to deduct at will, if the deposit is insufficient, will there be a problem of overpayment? ”
But in the face of Mr. Jin's questioning, the hospital was just silent. Therefore, Mr. Jin, who was full of anger in his heart, published the post "The Second Hospital of Harbin Medical University Still Prescribes Medicine after the Death of Patients" on the website of Tianya.
In the post, Mr. Jin reiterated: "We do not blackmail the hospital, and the money that should be spent will not be less than a penny, but the indiscriminate prescription of drugs and charges for patients with a clear conscience must be investigated." ”
The hospital's response
The post quickly fermented on the Internet, and many people followed it, telling about their similar experience with Mr. Jin, and soon after, reporters began to follow up on the matter.
With the fermentation of this matter on the Internet, the black history of the Second Hospital of Harbin Medical University has also been dug up: according to the data, as early as November 2005, the Second Hospital of Harbin Medical University charged a sky-high data fee of 5 million yuan for a patient who was hospitalized for 67 days.
What a concept of 5 million yuan in 2005, the house can buy several sets! As a result, this matter also became the most influential medical dispute case in 2005.
At that time, the Central Commission for Discipline Inspection, the Ministry of Supervision, the Ministry of Health, and the Heilongjiang Provincial Commission for Discipline Inspection were all involved in the medical dispute case. After their joint investigation, they confirmed that in this medical dispute case, the hospital had problems such as arbitrary collection of fees in violation of regulations, forgery and alteration of medical documents in violation of laws and regulations, chaotic management of some departments, and improper handling of complaints against family members.
In response to these problems, the joint investigation team punished the Second Hospital of Harbin Medical University with one year of revocation of the qualifications of the third class, and at the same time, a number of staff members, including the president, were also dismissed.
Combined with the black history of Harbin Medical University, to look at the fact that they now prescribe medicine to the "dead", some netizens sarcastically said that after many years, the Second Hospital of Harbin Medical University has returned to its old business.
Even when the reporter contacted the Second Hospital of Harbin Medical University, the staff also tried to resign, one moment saying that the leader was not there, and the other time saying that there was an interview, please contact the relevant person in charge of the hospital. Seeing this negative attitude of the hospital, Mr. Jin also felt very aggrieved, he just wanted a truth, how could it be so difficult?
However, under the influence of public opinion, the Second Hospital of Harbin Medical University still responded to this incident. The head of the hospital's publicity department said that there was indeed a problem. Subsequently, the hospital found Mr. Jin, checked the cost together, and confirmed that there was an extra 18,000 yuan, and according to the extra 18,000 yuan, the hospital organized relevant personnel to find the cause.
Finally, on April 3, 2014, the Second Hospital of Harbin Medical University issued a statement on its official website. According to the hospital statement, the reason why there will be an extra 18,000 yuan is because when Jin Ying transferred, the computer malfunctioned, so that when Jin Ying was transferred from the department of respiratory medicine to the ICU (intensive care) ward, the costs incurred in the ICU on the day of the transfer were mistakenly calculated into the department of respiratory medicine.
This led to the death of Jin Ying in the ICU ward, when the ICU ward handled Jin Ying's discharge checkout, it found that the ward had an uncollected fee, so it was collected, that is, there would be an overcharging of 18,000 yuan because the hospital miscalculated and mischarged.
However, after the statement was issued, there were still many other voices, because the Second Hospital of Harbin Medical University avoided many questions, such as why there were 25 hours of 25 hours of testing around the clock, and whether it was reasonable to use 41 groups of intravenous fluids a day. And these are the key questions, and if they are all answered, they will not be difficult to convince the public.
At the same time, in response to the news that people will "mischarge" the incident and the "sky-high medical expenses" incident in 2005, the person in charge of the hospital said that the two events are actually different in nature, and I hope that everyone will not associate them at will. But that being said, what the hospital hopes for may be a little difficult to achieve.
The final result
After the results of the hospital's investigation came out, the hospital contacted Mr. Jin. The hospital refunded the overcharged fee to Mr. Jin and apologized, Mr. Jin just wanted to find out the beginning and end of the problem, and after getting the hospital's explanation and apology, he also recognized the result of this "computer failure", which was a settlement with the hospital.
The whole thing will make people feel strange and angry, the hospital is indeed doing wrong, if not handled properly, not only will the hospital fall into the center of the whirlpool, more seriously, it will also intensify the already contradictory doctor-patient relationship, resulting in the interests of both doctors and patients, are damaged.
As we all know, the doctor-patient problem is a stubborn disease that is difficult to solve in modern society, and to eliminate the tension between doctors and patients and resolve contradictions, it also requires the participation of the whole society. Only when the whole society participates and works together, such as the strange incident of the Harbin Second Hospital prescribing medicine for the dead, will it disappear, and the doctor-patient contradiction will be resolved.