The needle catheter broke off in the baby's blood vessel and has not been removed for 5 years

In December 2018, Bai Haihai's 5-month-old son was infected with nasolacrimal duct surgery in Xingyuan Hospital, Yulin City, and the 1.5cm long catheter at the tip of the needle was broken in the blood vessel when the indwelling needle was removed. More than 5 years passed, and the needle catheter location was found and flowed to the face. Surgery or not, there are risks. Xingyuan Hospital has been borrowing money to patients for medical treatment, and has lent 199,000 yuan so far.

>> Affair

The needle catheter is broken in the baby's head

At the end of 2018, Bai Haihai's youngest son Tongtong, who was just more than 5 months old, had a blocked nasolacrimal duct, and the couple took the child to Yulin Xingyuan Hospital for medical treatment. On December 28, 2018, when the nurse pulled out the needle, the indwelling needle catheter broke in the vein of the child's head. On the same day, Xingyuan Hospital confirmed that the position of the needle catheter was on the head through a B-ultrasound examination, "Their hospital couldn't solve it, so they organized an ambulance that night and assigned a nurse to transfer the child to Xi'an Children's Hospital to pick up the foreign body." "At Xi'an Children's Hospital, I also found a tubular echo under the skin of the head. However, on December 30, 2018, the needle catheter could not be found during the operation, and the doctor said that it may be due to a change in blood flow. After the operation, the needle catheter was never found.

More than five years have passed, and the needle catheter has not been removed. Since 2019, Bai Haihai and his wife have taken their children to seek medical treatment all over the country, Xi'an, Beijing, Shanghai, and Hohhot, but they have never found the exact location of the needle catheter. Until October 2023, after a month in Beijing, Beijing Children's Hospital affiliated to Capital Medical University finally found a needle catheter, which had flowed down the blood vessel to the left side of the neck, "I asked a lot of doctors, and basically said that they didn't dare to take it, there was no precedent, and the 6-year-old baby would be paralyzed once it touched the facial nerve, and there was a great risk of surgical injury." Bai Haihai said that there is also a risk if you don't take it, and the needle catheter flows down the line to the heart and lungs, and if something happens, there will be no time to rescue. It is difficult to say whether it will be adsorbed to the blood vessel wall or flow rapidly in the future.

In March this year, Bai Haihai took the child to Beijing Children's Hospital again, this time the B ultrasound, the needle catheter could not be found again, and it took a week to do CT scanning, and the child had been sick for a few days, but they returned to Yulin. On April 7, I did CT at Xingyuan Hospital in Yulin City, and this time I clearly saw that the 15.2mm foreign body was on the left side of the neck, "I couldn't find it in the past few years, and the hospital thought that we were difficult for them, but this time I found it, and the hospital had to admit it." ”

>> worried

The needle catheter drifts through the blood vessels

On December 28, 2018, the ultrasound examination of the Fourth (Xingyuan) Hospital of Yulin City showed that a thin tubular hyperecho with a diameter of about 0.8 mm and a length of about 15 mm was visible under the skin of the left temporal part of Tongtong, which was about 1.3 mm away from the epidermis. On the same day, Tongtong's inpatient revised diagnosis in the hospital showed: "1. Infection after nasolacrimal duct exploration. 2. Is a foreign body on the scalp suspicious?

The surgical records of Xi'an Children's Hospital showed that the scalp foreign body resection was to be performed, and the exploratory incision was extended to the side of the head and tail markers, and the foreign body was separated layer by layer, and no foreign body was found in the front of the ear and neck area along the venous ultrasound, and no foreign body was found in the heart and further exploration to the heart. If a foreign body is present, it may have drifted.

On October 16, 2023, the ultrasound diagnosis report of Beijing Children's Hospital affiliated to Capital Medical University showed that a tube-like structure was visible in the lumena of the inner and lower edge of the left parotid gland and the local external jugular vein branch (posterior mandibular vein), with a length of 1.7 cm, a thickness of 0.1 cm, and a local venous inner diameter of 0.27 cm. Tubular foreign body in the left posterior mandibular venous cavity (which can be matched with a cannula in combination with the medical history), and no thrombus is seen in the local venous lumen.

On April 7, a CT image taken by Xingyuan Hospital showed that a 15.2mm foreign body was visible on the left side of the neck.

On April 23, the medical department of Xingyuan Hospital issued a "statement on temporary loan treatment expenses" to the finance department, showing that the child Tongtong was admitted to the pediatric department of the hospital on December 26, 2018 with the complaint of "2 days after nasolacrimal duct exploration with fever for 1 day", and after the intravenous infusion of the child was completed on the 28th, after the nurse took out the indwelling needle, she found that the front end of the indwelling needle (polyperfluoroethylene propylene hose) was defective. On the 29th, the child was transferred to Xi'an Children's Hospital for diagnosis and treatment. On January 10, 2019, the patient's family came to the hospital to report that the child had undergone surgery at Xi'an Children's Hospital, but the defect at the tip of the indwelling needle was not found during the operation. Considering that the defect at the front end of the indwelling needle (polyperfluoroetylene hose) has not been removed, the child is young, and the follow-up treatment is complicated. The hospital is willing to work with family members to actively seek diagnosis and treatment, find needles, and eliminate potential risks. The child's family is in financial difficulties and has spent part of the cost of treatment at Xi'an Children's Hospital, and will be examined and treated in Beijing and other hospitals in the future.

>> regret it

The nasolacrimal duct was not cured and caused a catastrophe

On May 6, a reporter from Huashang Daily Gale News met Bai Haihai's family. "I regret it, if I had my current life experience at that time, I wouldn't have had nasolacrimal duct surgery for my son, and the nasolacrimal duct won't have much impact, at most there will be more tears." Speaking of the nasolacrimal duct surgery, Bai Haihai's wife, Ms. Li, said that the ophthalmology department of Xingyuan Hospital is better in Yulin, and she did nasolacrimal duct exploration on the same day, but she did not expect that it would bring such a big problem in the future.

The needle part of the indwelling needle is fixed to the child's left head with a large piece of adhesive tape, and when the nurse pulls out the needle, because the tape cannot be removed, the tape is shaved off in its entirety with a shaving clipper. "When the nurse left with the tape, I said you let me take a look, and when I looked at it, I found that there was no needle part of the indwelling needle, and the needle was broken in the blood vessel." Ms. Li said.

In the photographs of the time, it can be seen that the indwelling needle was glued with a large piece of adhesive tape, the front of the needle was mostly missing, and the tape was covered with broken hair.

Speaking of these, Ms. Li's eyes were red from time to time, and when she went to Xingyuan Hospital, the nasolacrimal duct was not passed, and the pus infection was particularly serious, and she left the needle catheter in the doll's veins, and did not take out a large incision on her head.

>> helpless

Went to kindergarten and signed a waiver agreement

Now Tongtong is almost 6 years old, in the kindergarten class, "before entering the kindergarten, we signed a waiver agreement with the school, what happened to the doll in the kindergarten, has nothing to do with the kindergarten." Ms. Li said.

In September this year, Tongtong will be in the first grade, and Bai Haihai is bent on taking out the needle catheter in the blood vessel before the child enters elementary school. She had a failed operation before, which also made Tongtong's mother more cautious about the next treatment plan. "Now that the needle catheter is located under the facial nerve, the risk must be minimized. As a mother, I can't allow and accept that I try and make mistakes with my son again. Ms. Li said that her son had nine stitches on his head when he was less than half a year old, and the wound was only five or six centimeters at that time, and the scar had grown to 10 centimeters after being measured a few days ago.

"When the operation was opened, I couldn't find the needle catheter, and I opened it up and down to find it, so the wound was big." Bai Haihai said that the operation was done for more than four hours, and in the end, it was not taken out, and the child was left with a large scar on his head, which was missing from the scalp and no longer growing hair.

>> changed

For the sake of the baby's business, I also left it

Barber shops and clothing stores are closed

Bai Haihai has the craft of hairdressing, opened his own barber shop in Yulin in 2013, met his wife, and the two worked together, bought the garage successively, and also had a daughter and a son.

In September 2018, the couple opened another children's clothing store, thinking that life would get better and better, but then this happened to their son. "For the sake of the baby's business, I also left it, and I couldn't take care of my time and energy, and within a few months, both stores were closed."

Ms. Li said that at the beginning of this year, Bai Haihai proposed to sell the house, "I forced it to sell, and the house was sold and I really didn't even have a home." There are two elderly people to support in the family, two children to go to school, and there is no precedent for successful surgery in China with a similar condition. However, every time I went to the hospital to get money, I couldn't find anyone and couldn't speak. The health department coordinated, and also said that the hospital would simplify the process, and we hope that the hospital can compensate for the losses over the years, and can give a written explanation of how to deal with it, so that in the future, the baby will not have to run so hard to run all over the hospital. ”

>> "Borrowing"

Thinking that "borrowing money to see a doctor" is "reimbursement by ticket"

"borrowed" more than 100,000 yuan in five years

Bai Haihai said that now the main life is to take children to see a doctor and find a hospital to "borrow money". In 2018, the needle catheter was left in the child's body when the needle was removed, and the family members paid for the first time to see a doctor and take the child for surgery. In 2019, the hospital promised to lend money to Bai Haihai to treat the child "out of humanitarianism".

In the past few years, Bai Haihai's daily routine is to "borrow money" from the hospital to take the baby to see a doctor, and after the money is spent, he takes the medical, transportation, accommodation and other bills for the doctor, and then goes to the hospital to "borrow money" and then take the baby to see a doctor. And this "borrowing money", in Bai Haihai's eyes, has always been equivalent to "reimbursement" for the expenses incurred in seeing a doctor, and the hospital is responsible for it. Bai Haihai said that in the past few years, the hospital has at least "borrowed money" from him to let him take the baby for examination and treatment, and he has always wanted to make big things small. After returning from medical treatment in Beijing in March this year, he communicated with Xingyuan Hospital again to "borrow money" for examination, but was rejected by a vice president surnamed Wang. In April this year, after repeated communication, Xingyuan Hospital provided Bai Haihai with a description of the temporary loan treatment fee, and the last sentence said: "After the hospital decided to study and decide, it was agreed to temporarily borrow 20,000 yuan (20,000 yuan) from the patient for the child to go to the higher-level hospital for diagnosis and treatment." When the dispute is settled, this part of the cost will be resolved through legal means. Coupled with the unpleasant experience with Vice President Wang, Bai Haihai realized that borrowing money is different from reimbursement. Q: What will happen to this fee in the future? Bai Haihai was silent at first, "I don't know...... This time, the IOU has been paid before May Day, but the money has not been transferred to us after the holiday. If someone sues me, do I have to pay it back? He said that he is currently lending more than 100,000 yuan from the hospital.

On the evening of May 12, Bai Haihai said that he had not received the above-mentioned loan of 20,000 yuan.

>> Hospital

"If you look for the Health Bureau, then you will find a superior unit"

On the morning of May 7, a reporter from Huashang Daily Gale News and Bai Haihai and his wife came to Xingyuan Hospital in Yulin City and found the vice president surnamed Wang mentioned by Bai Haihai to inquire about the progress of the incident.

Vice President Wang: What results do you want?

Ms. Li: I would like a written report.

Vice President Wang: I want to make a written report to Director Zhang (the staff member who handles medical disputes) and tell me that I can't help it if you want to make unreasonable demands.

Bai Haihai: We're not asking for something unreasonable, are we?

Vice President Wang: I don't know what you're asking for. We have taken the responsibility before, you go to the health bureau, then you go to the superior unit, we can't deal with it for you.

Immediately afterwards, the vice president surnamed Wang made a phone call and left the office on the pretext that he had a meeting. At the elevator entrance, the reporter asked about the progress of the processing, and the vice president surnamed Wang said that it was inconvenient to disclose it, and he wanted to find the propaganda personnel in charge of the hospital office, "Now the superior unit has dealt with it." The reporter asked: "Then will the hospital no longer negotiate a solution?" The other person replied, "It is inconvenient for me to say this." ”

It's still undecided

But the indwelling needle product is fine

Subsequently, the Gale News reporter of Huashang Daily and Bai Haihai and his wife came to the "superior unit" in the mouth of Vice President Wang - Yuyang District Health Bureau.

After learning about the situation in the morning, the staff who was responsible for handling and coordinating the matter immediately contacted Yulin Xingyuan Hospital to inquire about the progress of the processing: "You can't just write materials, but the actual problems need to be solved." You can't push it out, you can't have such an attitude, how to deal with it, what you said at the last meeting, you can't go back on your word. ”

The staff said that this matter has been coordinated several times, because the time is long, it is really difficult to deal with, the family can first put forward a short-term treatment plan, and then put forward the long-term goal, and at the same time let the hospital come up with a process plan. "The most important thing at the moment is to take things out first." The staff said that as for the loan, there will definitely be a way to deal with it in the end, "The hospital admitted that there is no dispute about this matter, and the final payment is not a problem." ”

The staff said that the nature of the incident has not yet been determined, and whether it was an accident has not yet been determined. At present, the location of the needle catheter has been found, and now it is the core problem to take it out, "The reason why the indwelling needle catheter remains in the blood vessel has been a long time now, but the investigation of the indwelling needle product is no problem, not a three-no product." Whether it is human or not is not clear. ”

Four questions

1. Why do nurses use faders when removing needles?

After the coordination of the Yuyang District Health Bureau, the reporter of Huashang Daily Gale News and Bai Haihai and his wife came to Yulin Xingyuan Hospital again. The reporter found Director Zhang mentioned by Vice President Wang, and Director Zhang said that the current location of the needle catheter is the mandibular vein, and the specific situation was introduced by the person in charge of the hospital.

The person in charge said, first, this is not left over from surgery; second, it's not a needle, it's a hose; Thirdly, the patient was less than 1 year old at the time, and now he is almost 6 years old, and the hose has no effect on his growth and health. "Whether it's the quality or the nurse's operation, it can only be said to be an accident."

Why does the nurse push the needle with an electric clipper when she pulls out the needle, and is this operation in line with the norms? "I don't know about this." The person in charge said.

2. Why is it a form of borrowing money to see a doctor?

The person in charge said that in recent years, the hospital has given 199,000 yuan to the family in the form of a loan for the child to see a doctor, "This is a medical accident, but we have to think about the patient!" It has already happened in our hospital, and we can only take responsibility for it to the end. ”

Since the hospital is responsible, why is the medical expenses for the family members in the form of "borrowing money and making IOUs"? "There is a conflict between the hospital and the patient, and a third party is needed for judicial appraisal, and the family is unwilling to go through this procedure and mediate with a third party. When you take care of the disease and take out the tube, it will be clear who is right and who is wrong. The person in charge said.

3. What is the next step?

The person in charge said that it is now recommended that the family remove the needle catheter for the child as soon as possible. "It has been found in Beijing Children's Hospital in November 2023 that there are risks associated with any surgery, and now the family is unwilling to take this risk. The point of conflict between parents is here, and it has little impact on the doll now, but it is risky to take this. He said that the National Health Commission organized two discussions, "Now the family is asking for compensation for lost work, even if they want money, they must have a fair judicial appraisal to determine whose responsibility is." Some of the requirements made by the family members to the hospital could not be met, so they were stuck here. ”

Will you continue to borrow money to see patients in the future? The person in charge said that now that the catheter has been found, "either it will be taken surgically or not, and the family must have an attitude." Our hospital could also do surgery, but after this incident, the family did not trust us. On May 9, the person in charge contacted reporters and said that the hospital had contacted two hospitals in Beijing to operate on the child, but the contact information of the two hospitals could not be provided.

4. What are the effects of the needle catheter in the body?

"The last time a patient found a needle was in our hospital for a CT. It may move around as the blood washes away. The person in charge of the above-mentioned Xingyuan Hospital said that the needle catheter is now in the vein, from the vein to the heart, and finally to the end of the artery, it will stop, no matter where it goes, it will not be blocked, which is equivalent to a thin tube in the thick tube, including the heart blood supply, etc., "Now this thing is actually left in his body, and it will not have any effect on him." Huashang Daily Gale News reporter She Xin/Wen Qiangjun/Picture