There is a passage that is widely circulated among doctors
Surgeons go to work for three things: rounds, surgery, and scolding the media
Physicians go to work for three things: rounds, cases, and scolding the media
Obstetricians work for three things: delivering babies, surgeries, and cursing the media
Pediatricians work three things: baby watching, communicating, and scolding xx
Hospital three precautions, fire prevention, anti-theft, anti-jz.
Because the media always breaks out some loopholes every five minutes to clearly violate common sense, not to mention the tea urine test, slit, gauze door and other obvious malicious denigration of medical personnel, even if it seems to positively promote the noble and great news reports of our medical staff, they are full of false positive energy, through the miracle in the eyes of media workers, seemingly positive propaganda, but in fact, it distorts the essence of medicine, but it further pushes patients and doctors into the abyss.
Recently, there have been two reports that have exploded on the Internet, and they have caused a shock in our medical group, one by one, they are not calm, and they have jumped out to explain the truth. Let's first look at these two reports full of "positive energy"
Image from the web
When I saw this headline, it was suddenly messy, is it high-tech to this extent? If the heartbeat does not recover for more than 5 minutes, the patient can cause different degrees of brain damage, more than 10 minutes is almost impossible to survive, even if the lucky survival is also a vegetative state, more than 30 minutes, you can declare death. In actual work, patients with diseases, drowning, serious trauma, etc., when they are sent to the hospital, they are actually in a state of brain death, that is to say, death is already irreversible, and the rescue of doctors is actually not so much rescue as a "ritual" for the deceased to declare death. I can responsibly say that patients who have not undergone CPR and whose heartbeat has stopped beating for more than 10 minutes and sent to the hospital have never been successfully treated.
What is the situation with these 72-hour successful patients? The original patient is a 26-year-old young woman, in the process of hospital treatment, due to explosive myocarditis, sudden cardiac arrest, the doctor gave cardiopulmonary resuscitation for the first time, after 20 minutes of heartbeat is still not restored, the family asked for rescue at all costs, the doctor finally started the ecmo system for treatment (ecmo: extracorporeal membrane oxygenation, can be said to be the top equipment of today's critical medicine, can completely replace cardiopulmonary function, interested netizens can "Baidu"). So from a medical point of view, the patient is not in the absolute sense of the heart stop, but the artificial heart and lung has been supporting and maintaining her life, although the patient does not have a heartbeat, but has been relying on the machine to maintain the circulation of the important organs, despite this, the patient's prognosis is also extremely unsatisfactory. To add another point, the use of ecmo starts at 300,000 yuan and is not capped.
It is unscientific and misleading to count the time it takes for ecmo to maintain circulation as a time when the heart stops beating. The accurate expression should be that the heart stops beating, and the artificial circulation is maintained with chest compressions and ecmo devices, but who would be interested in such a report?
After 3 days of treatment, the patient's heartbeat gradually recovered, and the fourth day of consciousness was slowly restored, but could not speak, the limbs could not move, the fingers could be slightly moved, the treatment was still not over, on the surface, it was indeed revived, but the prognosis was still unknown. Although the patient was saved, he could not speak, and only his fingers could move, so what was the significance of this success? And what will it bring to this family?
The routine of this report is basically the same as the above, saying that a patient with acute myocardial infarction, in the process of hospital diagnosis and treatment, sudden cardiac arrest, medical staff gave CPR for the first time, continuous treatment for 150 minutes, the reporter responsibly counted a total of "15,000 times", but the doctor did not give up hope, and finally rescued the patient from the death line.
Of course, it is the ultimate goal of all our medical staff to be able to rescue patients, and we are certainly pleased with the positive media reports, but the question is, can you explain the specific treatment process more professionally? Why do doctors insist on not giving up for such a long time, the reason is that in the process of patient resuscitation, the heart has appeared electrical activity, that is, the patient has always had a weak heartbeat, and it does not meet the standard of declaring death, so the doctors continue to rescue unremittingly. Why is it not clear that such an important point is not made clear?
The above two positive energy that appear to be positive on the surface are actually the so-called "miracle culture", and these examples are just a special case of thousands of deaths, just like a person jumping from the 10th floor without falling to his death, you can't say that jumping from the 10th floor is "safe". We doctors never give up easily, but when it is time to give up, giving up at the right time is a relief for life and family.
We are now full of "miracle culture" and "digging propaganda"! For example, brain death patients return to normal, paralyzed patients can get out of bed to move, malignant tumor patients home remedies and so on propaganda, these unscientific propaganda, is nothing more than to give patients meaningless aerial pavilion hope, extremely cruel hope, the most desperate thing in this world is to give you the "hope" that can never be reached.
The miracle culture not only greatly affects the people's view of medicine, spends meaningless huge amounts of money, and ends up with empty money, and the unreasonable expectations brought about are the fuse of the contradiction between doctors and patients. Such "digging hole propaganda" creates incorrect cognitive premises, the normal logic of the doctor-patient relationship is trampled on, trust is lost to each other, and it is doctors and patients who are ultimately harmed.
I personally believe that the rescue of cardiac arrest patients must be a matter of seconds, correctly publicize the time of cardiac arrest, popularize the knowledge of cardiopulmonary resuscitation, do a good job in on-site rescue, out-of-hospital rescue, shorten the time of heart "strike", is the key to improving the success rate of rescue.
It is not by relying on the over-rendering of this "miracle culture" that the heartbeat stops for 72 hours of successful treatment (far from successful), and the success of 15,000 compressions to publicize and brush traffic. This is a naked "moral kidnapping", whether it is for patients, families, hospitals, is irresponsible, we advocate standardized and reasonable treatment, and will never support unlimited unlimited and meaningless treatment. I hope that society can have more comprehensive talents with consciousness, knowledge, culture, medicine, and humanities to correctly report medical events, so that this impetuous world can see a little warm light.
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