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走廊医生遭同事质疑:不上班骂医院反成英雄(图)

2014-03-17 08:22:05   新京报

节目播出后,院方说他们也想找这个科室和医生,以便处理。但兰越峰始终说不出具体医生是谁。

在对医院过度医疗的讨伐中,兰越峰提到的唯一实例是绵阳市人民医院给患者安装临时起搏器的案例。2009年5月中旬,兰越峰在给一位53岁的病人会诊时,发现临床医生已给这位病人开好了两个手术单:下肢血管手术和安装心脏临时起搏器。

兰越峰认为,患者心率较整齐且在60次以上,完全没必要安临时心脏起搏器。医院副院长、心外专家冯建军的解释是:做下肢静脉曲张手术前,对患者进行阿托品试验,患者心率60次远低于标准的90次,按流程必须安装临时起搏器。

兰越峰还坚称病人没必要手术,医院指责兰越峰干扰心血管医生下临床结论。

《心外传奇》作者、著名心脏外科医生李清晨也认可冯建军的说法,同时他认为,作为辅助科室的医生,干预临床医生下诊断结论,乃是一大忌。

绵阳市涪城区也成立了调查组,调查兰越峰反映的过度医疗的问题,结论是“均未证实绵阳市人民医院具体医疗行为存在违反诊疗规范和医疗卫生行业相关规定的情况。”

四川大学华西医院一名专家认为,许多医院都会或多或少地存在过度医疗,“但在什么情况下才算过度医疗,不好界定。”

在医患关系日益紧张的当下,兰越峰这一言论,获得网上舆论一边倒的支持,媒体称其为“业界良心”。

绵阳市人民医院肝胆外科主治医师、院长助理唐和平认为,舆论一边倒的支持,一个重要原因是人们对诊疗过程的不理解,而这种支持又加剧了医患对立。

令妇产中心产一科主任尹维为难的是,兰越峰对临床医生的诊断和意见,会拒绝执行。

尹维说,对怀孕早期的宫外孕检查,妇产科会让患者做阴道B超,但兰越峰往往不按临床医生的要求,只做腹部B超。“我们曾经多次交涉,她说需不需要做阴道B超,由她来定。”

兰的坚持导致了在2004年至2011年间,尹维只能让患者到附近的绵阳市中心医院单独做阴道B超检查,再回绵阳市人民医院治疗。“谁才是真正的过度医疗呢?”尹维说。

强势的“走廊医生

兰越峰要求不准同事朱丽萍担任中层职务,但医院领导认为这一要求“荒谬”,免去了兰越峰的职务

兰越峰的举报引发了媒体的关注,获得了舆论的广泛支持。而在医院,她的同事们却认为她的性格“过于强势”,“难以相处”。

曾有病人投诉兰越峰态度冷漠,医院老医务科科长张尧兴扣了兰越峰100块钱。兰越峰跑到张尧兴的办公室,将他的公章和笔记本扔到楼下。

一名与兰越峰共事十余年的超声科医生用“独裁”形容她。这位医生说,医院承接体检项目,需要超声科协助。兰越峰拒绝派本科室人员,“医院抽调我去,当月的奖金被她扣掉一半。”

兰越峰回应说,这是医院在编造过去的事件对她进行攻击,“十多年前的事情,说这个有用吗?”

医院一名纪检人士说,院方最无奈的时候,甚至还请来专科医院的精神科医师拿主意,“精神科医生说,偏执型性格的人一旦被惹怒,可能会穷其一生纠缠。”

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