Some time ago, we reported on the experience of Ms. Hu from Shaoxing. She reported that she did not have a mental illness, but she had nine outpatient medical records for mental illnesses under her name. Filled out by the doctor. Regarding the nine outpatient medical records and the prescribed drugs, we consulted experts in psychiatry, and the experts came to the conclusion: confusion.
1
Analysis of medical records list
Ask an expert for doubts
Let’s take a brief review. In January this year, Ms. Hu found that she had 9 more outpatient medical records under her name, showing that from 2019 to 2022, she was diagnosed with depression, obsessive-compulsive syndrome, and Alzheimer’s disease. and other mental illnesses,
Medications were also prescribed. These 9 outpatient medical records are all from the hands of a doctor Tian from the Seventh Hospital of Shaoxing. Ms. Hu said that she has no related mental illness, and she has not prescribed medicine to the Seventh Hospital of Shaoxing. She only consulted for family members with epilepsy in April 2019, and she was looking for that Dr. Tian at that time.
In response, the hospital provided a handwritten statement to the effect that Mr. Li, a family member of a patient, picked up Ms. Hu’s medical treatment card. Because his wife was mentally ill, he hid his ID card and medical treatment card. Up, making it impossible to see a doctor and prescribe medicine. Mr. Li took Ms. Hu’s self-pay card to prescribe medicine to his wife.
The fact sheet was fingerprinted and had a phone number, which was proven wrong on the spot. After verification, the reporter contacted Mr. Li. The other party said that his wife had been suffering from mental illness for nearly 30 years, but when the reporter further asked what kind of mental illness and commonly used drugs…
Mr. Li: It’s a mental medicine. (For example, what is there? You can give a few examples) Anyway, we take whatever medicine the doctor prescribes.
Mr. Li said that when he prescribed the medicine, he told Dr. Tian that the card was picked up. Dr. Tian told reporters that he did not know about it at the time.
Dr. Tian, Shaoxing Seventh People’s Hospital: Because he uses this card a lot, I thought this card belonged to him.
There are contradictions between the two sides, and the reporter carefully looked at the nine medical records themselves and found something puzzling.
We made a table of the time, chief complaint, diagnosis and prescribed drugs for the nine medical records.
Let’s look at the overall data first: there are 4 main complaints, namely less sleep and unhappiness for more than 3 months, less sleep and suspicion sometimes talking to myself for more than 3 months, less sleep and nervousness, more thinking and more thinking for more than 2 months, and memory loss; 4 The diagnosis results of this phenomenon are 5 kinds of diseases, namely depression, anxiety disorder, obsessive-compulsive syndrome, Alzheimer’s disease, dissociative disorder; a total of 9 kinds of drugs are prescribed for the 5 kinds of diseases.
Take the main complaint phenomenon as an example, the main complaint “less sleep, nervousness, more thinking and more thinking for more than 2 months” appeared 3 times, and two conclusions of anxiety disorder and obsessive-compulsive syndrome were drawn; “It also appeared 3 times, and came to the conclusion of both depression and dissociative disorder. Corresponding symptoms require corresponding drugs for treatment, and then analyze the diagnosis results. Depression was diagnosed three times, and different drugs were prescribed each time; Obsessive-compulsive syndrome was diagnosed twice, and different drugs were prescribed both times. Drug.
Will different diagnosis conclusions be drawn for the same main complaint symptoms? Will different drugs be prescribed for the same diagnosis? Dr. TianBoth Mr. Li and Mr. Li said the drugs were prescribed to Mr. Li’s wife. Is it possible that the same person suffers from 5 kinds of mental illnesses and is prescribed 9 kinds of drugs? We consulted senior experts in psychiatry in the province. Because we were with the doctor involved, we dealt with the expert’s identity and voice characteristics accordingly.
Senior expert in psychiatry: According to these drugs, it should be a drug for schizophrenia. Why is the drug prescribed like this? It is impossible to prescribe drugs for Alzheimer’s in the fifties, and it was schizophrenia back then, it is impossible The diagnosis of Alzheimer’s is very confusing, which also shows that the management of their hospital is very chaotic.
Senior expert in psychiatry: It seems that this drug is not taken by one person. If she has depression and obsessive-compulsive disorder, the family member makes it very clear. My family is a mental illness. These problems do not exist, so this drug is very confusing, and I guess it is not prescribed to one person.
Experts said that the management of psychotropic drugs is very strict, and there are strict requirements for dosage, real-name consultation and dispensing of patients, and the impact of this incident on Ms. Hu is not only the issue of insurance coverage.
Senior expert in psychiatry: As a doctor, you must be cautious when prescribing psychotropic drugs. It is okay for family members to dispense drugs, but you cannot use someone else’s name. That is a very serious problem. Second, Ms. Hu will talk about it later. Encountered a lot of trouble, for example, there will be a large-scale event in the future, these patients will be supervised, and the lady will have endless troubles.
At present, the Seventh People’s Hospital of Shaoxing City has dealt with Dr. Tian, and said that the medical records of mental illnesses under Ms. Hu’s name have been deleted. But Ms. Hu has one more request, hoping that Dr. Tian and Mr. Li will publicly apologize to her.
Ms. Hu later contacted the reporter, and Shaoxing Seventh Hospital made an appointment with her to meet with Dr. Tian and Mr. Li on the afternoon of the 2nd. She hoped that the reporter could be there to be a witness, and she also wanted to clarify some questions that existed before.
2
Agree to a public apology
“Public” also has conditions?
Ms. Hu: Because I myself asked for two things. The first one is to eliminate the bad influence, and the second one is to make a public apology.
Why did the 9 outpatient medical records appear in the name of Ms. Hu? Do 5 diseases and 9 drugs really correspond to the same patient? Ms. Hu did not agree with the previous replies of Mr. Li and Dr. Tian, and felt that their statements could not stand up to scrutiny.
Ms. Hu: They said that the card was picked up by Mr. Li and used by his family. How could there be so many different diseases? What is the explanation for this? When Dr. Tian called me, he clearly told me this. Zhang card has always been in his hand. He used it for his friends. During the interview, it became the card that Mr. Li picked up on me. Why should they be held accountable? One of the preconditions is to hope to restore the truth to the greatest extent.
Having doubts, Ms. Hu came to the Seventh People’s Hospital of Shaoxing City as scheduled, and first met the Deputy Director Chen of the Party Construction Office of the hospital.
Deputy Director Chen of the Party Construction Office of the Seventh People’s Hospital of Shaoxing: We are not very convenient for reporters to come forward (why is it inconvenient?) (Ms. Hu: Isn’t the apology meant to apologize in person?) You didn’t say that reporters should come. (What she has always said is a public apology) (Ms. Hu: Yes, my request is a public apology) (and we still have a lot of questions that we haven’t figured out yet) There are reporters, too.
Deputy Director Chen had been on the phone and kept reminding the other party that the reporter was also there. After that, Deputy Director Chen arranged for the reporter and Ms. Hu to rest in an office and expressed that they would communicate with each other again. After a while, she came back and reported the communication results.
Deputy Director Chen of the Party Construction Office of the Seventh People’s Hospital of Shaoxing City: We can explain Ms. Hu and her questions to her face to face, because we have been in touch before. The time for negotiation will come.
Ms. Hu: That is to say, what she said is that the interview and the apology are two separate steps. (Chen Deputy Director of the Party Construction Office of the Seventh People’s Hospital of Shaoxing City: Yes) Then we can interview first, there is still a lot of time.
Deputy Director Chen of the Party Construction Office of the Seventh People’s Hospital of Shaoxing City: We do not accept interviews, but we will explain the questions raised by Ms. Hu to her face to face. (Dr. Tian and Mr. Li have different and contradictory statements. We think that since both of them have come here, we should ask the situation clearly and give an explanation to the public. Your hospital is open here for many people. As for the doctor, it’s not like giving Ms. Hu an explanation) We’ll explainThere will be many ways. (Which? How to explain?) The hospital will issue an opinion. (We hope to be able to ask the question clearly.) Whether it is a communication agreement with Ms. Hu, including the opinions of negotiation, we hope that it will be directly fed back to her.
Deputy Director Chen of the Party Construction Office of the Seventh People’s Hospital of Shaoxing: (Why don’t you want to make it public? What’s the problem?) What do you need to know now? The last interview was very clear. (I don’t know, there are many questions that are unclear. The first one, he said that those medicines are all prescribed to one person. We also consulted relevant professionals. This medicine should not be prescribed to one person, and the above Symptoms, some depression, some Alzheimer’s disease) We will not explain too much. (Why not explain too much?) We only explain to Ms. Hu herself (your hospital has responsibilities and obligations to the public).
Ms. Hu: First of all, give me an explanation, but also give an explanation to the masses. This situation is not just for me. Since the first report, I have been asking for a public apology, and Dr. Tian clearly told me, He can accept a public apology.
Deputy Director Chen of the Party Construction Office of the Seventh People’s Hospital of Shaoxing: (Are you rejecting the interview for Dr. Tian? Or for your hospital) Our hospital. (Then you can ask Dr. Tian to come over and refuse the interview) Because we did not have a reporter interviewing this part of the previous negotiation. (What she always mentions is a public apology, what is public?) There are many ways to be public, (for example) you don’t need to set me up (then why don’t you, you have to open your mobile phone and start a live broadcast , can you?) We can accept Ms. Hu’s recording, but we do not accept media interviews.
Ms. Hu said the recording was acceptable, but she wanted the reporter to be with her when she apologized and asked questions. Deputy Director Chen went out to call again and reported the situation to the person on the other end of the phone.
Deputy Director Chen of the Party Construction Office of the Seventh People’s Hospital of Shaoxing City: No, no, (why can’t I be there? I also have questions) No, (many people and many viewers also have questions) If you have any questions, you can leave them to Ms. Hu, Let her ask. (Your hospital is also responsible for responding to public opinion.) I’m sorry. (Ms. Hu: I just want to restore the truth) (The client also took a step back) Ms. Hu asked for the recording, and she recorded it herself. (We will also publish her recordings) Anyway, we just don’t accept media interviews.
Although the so-called “public” apology has been added with conditions such as asking reporters to evade and only recording, but in order to further clarify the situation. After discussing with the reporter, Ms. Hu plans to go to the meeting alone. Just then, she suddenly noticed a situation.
3
“Public apology” and explanation
Can I clear my doubts?
Ms. Hu pointed to the corner of the office, then handed a piece of paper to the reporter to write questions on, and she would ask questions on the spot.
Our main question is: Did Dr. Tian know that Mr. Li used Ms. Hu’s card to prescribe medicine to his wife? There are a total of five diseases and nine drugs on the medical record. The corresponding diseases and drugs do not match. How many people are these prescribed? Why use the name of Ms. Hu to prescribe medicine? Ms. Hu took the note to find out the situation with the other party, and the reporter continued to wait in the office.
As night falls, people should be heading home on the road. The hospital provided a box lunch, but the reporter did not eat it. After waiting for about an hour, Ms. Hu came back. The reporter listened to her recorded conversation as a whole. In general, Ms. Hu spoke more time, and Dr. Tian and Mr. Li spoke relatively less. On several key issues, the dialogue between the two sides is like this.
Recording provided by Ms. Hu: (he told you that he picked up this card and asked you to prescribe him medicine, you know about it, right?) If you know about it, it was that day, but later I will just forgot. (The medicines he prescribed were all different medicines and had different symptoms. What kind of disease did his family get?) Our mental illness is based on symptoms, ah, this, based on clinical manifestations. (I understand, this is very professional. Is it possible that Dr. Natian prescribed 100 pills of medicine on November 11th, and then came to prescribe medicine again on November 13th a day later? What is the situation?) For example, I had a cough and a cold this morning, and I took a little bezoar detoxification tablet. (This psychoactive drug is completely different from what we usually call a cold, fever, cough, and upper respiratory tract infection. Then you can’t be in your fifties. People, let her get Alzheimer’s disease) and Alzheimer’s disease (Alzheimer’s is Alzheimer’s disease, you are not taking the same medicine, you are giving her Alzheimer’s disease) If you have a bad memory, we will Prescribe this medicine.
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In the recording, Dr. Tian confirmed that these medical records and medicines were prescribed by Mr. Li’s wife alone. Ms. Hu does not approve. She mentioned a detail in this communication. At first, only Dr. Tian was at the scene. Mr. Li came behind and was accompanied by a man to enter the door. At that time, Deputy Director Chen specially introduced to Dr. Tian that this was Li, the family member of the patient. gentlemen.
Recording provided by Ms. Hu: Mr. Li, this is our family member.
Ms. Hu was puzzled. Since Mr. Li and Dr. Tian have known each other for many years, why does he need someone to introduce him? Mr. Li also apologized to her after entering the door and explained it.
Recording provided by Ms. Hu: My wife, she won’t give me the card or anything, I can’t help it. (Then why don’t you use your own ID card to open a card?) This me… (Why do you use mine?) This… (Can you think of me, can you not think of yourself? It is your own closest person Ah) let me tell you (do you know how much influence you have on me now) I didn’t think about it at the time, because I don’t know who this card is, (but it’s a fact that you used my identity) Fake identity, this is what I think, this lady (my surname is Hu, you still don’t know who to apologize to, how many diseases does your wife have?) Now, now is (not now, but over the years) How many diseases have there been since I used this card to prescribe medicine?) (Deputy Director Chen of the Party Construction Office of the Seventh People’s Hospital of Shaoxing: This involves his personal privacy) (His privacy, he has now violated I have a right, I have this right, how many diseases do I have in total?) He also has privacy, but he doesn’t talk about it (Is my privacy not privacy? Is my identity information not privacy?) Now it’s also privacy, right wrong.
The recording provided by Ms. Hu: Mainly this problem happened, there are some bad effects, how can we help solve it, (This is not you helping me, you are correcting, you are not helping me, I am not wrong, this is It’s your one-sided mistake, it’s not a misunderstanding. You have expressed acceptance of public apology many times, do you admit it? Why don’t you accept it today?) There is also a way of public apology, (Okay, I want to ask, you can accept it What is the form of the public apology?) Today (this is not public, there are only four people in total) four people and five people are public, ah.
Ms. Hu said that after the final discussion, Dr. Tian and Mr. Li said that they could publicly apologize to her by publishing in a newspaper, but they have not yet negotiated when and in which newspaper. Ms. Hu still has many questions. Whether the Mr. Li who was present is really Mr. Li, and her identity has not been proved to her. Whether the wife of Mr. Li has really been treated by Dr. Tian in the Seventh Hospital of Shaoxing for a long time. She also did not show the corresponding proof.
Ms. Hu: I don’t think this explanation makes sense.
Ms. Hu said that the legal responsibility involved in this matter will continue to be investigated.
(1818 Golden Eye)