Fans and friends who know Mr. Lin know that Mr. Lin has clinical experience in interventional surgery, so he is more professional in dealing with medical disputes related to cardiovascular and cerebrovascular interventional surgery.
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1. Analyze the integrity of the video.
The interventional surgery video is a fragment, which is stepped on when the surgeon wants to keep the video, not a complete one-shot video, so it is very easy to delete, and the C-arm running software of most hospitals is DetecMicro® vascular interventional surgery planning software, which can set the number of video clips, so the easiest way to distinguish is to see if the number is continuous. But hospitals that want to delete video clips are not so stupid, and generally delete or modify the number and generation time of the video clips, and even adjust the size of the window so that you can't see the parts he doesn't want to see. Therefore, the reliable identification method is based on the surgical steps, if there are steps that must be there and steps that must be left in the picture, or if the surgical process can be restored relatively completely, it is generally a complete video.
2. Analyze the indications for surgery.
The indication for surgery is often the most common mistake in diagnosis and treatment in hospitals, because interventional surgery has great economic benefits, and cardiovascular medicine, neurology (surgery) and peripheral vascular departments are often the departments with better benefits in hospitals, so the analysis of surgical indications is the first content, such as whether the size, location, shape, symptoms and other information of intracranial aneurysm meet the indications for surgery, such as whether the degree of cerebral vascular stenosis is indicated for revascularization, such as whether coronary artery lesions are beneficial to patients through interventional treatment, and so on. In many dispute cases, if the patient does not find the problem that the hospital has an indication for surgery, it is difficult to claim compensation for complications, but once there is no indication for surgery, the hospital will bear the same or more responsibility for the surgical complications.
3. Analyze the operation process.
Most of the surgical complications are related to improper operation, or related to the doctor's technical level and inappropriate operation decisions, this link is often the most difficult to analyze, and it is necessary to carefully use DICOM software to review the video back and forth, not to let go of every detail, and compare it with the previous video, especially the contrast changes before and after the operation. Usually the hospital will delete the video with obvious fault, which requires careful analysis of some subtle points, not letting go of every frame of changes, because the hospital cannot cover up all the problems, unless all the videos are deleted after the operation.
Fourth, please consult a specialist for difficult problems.
Although Mr. Lin has experience in interventional surgery, he mainly understands the coronary artery and other aspects of interventional surgery, but he will definitely ask for specialist consultation for difficult places, especially for the surgical plan and the treatment of intraoperative complications, he will generally seek expert opinions to avoid misjudgment and bring unprofessional views to the parties' negotiations with the hospital or hearing statements.
5. If the patient does not understand, he will take a screenshot to explain.
The vast majority of patients and medical lawyers can't read the interventional surgery video, and they don't know which blood vessel is called or what its name is, and they don't know whether it is a guidewire, balloon, stent, coil, or thrombectomy stent that enters the blood vessel. Therefore, for the key clips, lesion locations, and images of complications, Mr. Lin will generally take screenshots and mark them with the patient's friends, so that he can understand the views given by Mr. Lin, so that he can have confidence in his views in the process of negotiation with the hospital or the statement at the hearing.
The above is the method of Mr. Lin to analyze the interventional surgery video for the patient's friend, if you have this need, please rest assured to entrust, not the most professional, but the most reliable.