转发:美国男子盲肠炎手术误割结肠 暴瘦40磅 靠人工肛门排泄

m
mouton
楼主 (北美华人网)
虽说是个例,看病还是找口碑好的医生,庸医害人。
美媒11月3日称,美国华盛顿州( State of Washington )湖森林公园市( Lake Forest Park,暂译)一名男子2022年12月6日到医院接受盲肠炎手术时遭误割部分结肠。他其后暴瘦40磅,须靠人工肛门排泄。他正控告涉事医生。 美国哥伦比亚广播公司( CBS )旗下电视台KIRO7于11月3日称,72岁的皮亚诺( George Piano ) 2022年12月6日因腹痛前往华盛顿大学医疗中心-西北( University of Washington Medical Center – Northwest,暂译),确诊为盲肠炎( Appendicitis )。他因此接受盲肠炎手术,切除阑尾。但他翌日发现腹痛情况比入院前更严重。 根据法庭档,皮亚诺腹痛加剧的原因是医生在手术期间切除他一部分结肠,留下发炎的阑尾,也刺穿结肠。加州( California )外科专家哈里斯( Hobart Harris )分析这个案,指他相信为皮亚诺做手术的外科医生将乙状结肠误认成阑尾,并在尝试分开阑尾底部时刺穿乙状结肠。 皮亚诺表示,他其后须再接受4次手术,须靠人工肛门和造口袋排泄,同时承受剧烈的疼痛。他指在这近一年期间,他暴瘦40磅,留院53天,出现焦虑以及短期记忆丧失的问题。他更要推迟接受癌症治疗。 他说:“这是地狱般的一年。”

Man almost died after surgeons who ‘couldn’t find’ his appendix removed the wrong organ
NZ Herald 8 Nov, 2023 07:45 PM
George Piano, who had surgery for an urgent appendix removal learned his surgeons removed a different organ instead, leading to four more surgeries and chronic pain that has lasted for nearly a year. Photo / KIRO A US man almost died after two surgeons who were supposed to operate on his appendix accidentally removed the wrong organ, leaving him with a lifetime of medical problems. George Piano arrived with extreme stomach pain at the University of Washington Medical Centre’s emergency room in Seattle on December 6, 2022, he was diagnosed with appendicitis and underwent what was supposed to be an appendectomy operation. But he is now suing the University of Washington Hospital after the surgeons removed part of his colon instead. Piano’s stomach pain worsened after the procedure and two days later, the medical centre told him his appendix was still inside his body, the complaint says.
That’s when he received the devastating news that surgeons had actually removed part of his colon, which was what was making his medical situation even worse. “When I woke up and came out of the drugs, I was in serious pain. Much worse than I had been in when I went to the hospital,” he told local media. According to the lawsuit, Piano’s surgeon then told him he needed an additional procedure to repair a new issue — a “leaky colon” — as a result of the first surgery. “I was suffering from a leaking colon that created sepsis and infection,” Piano told KIRO 7 News in an interview. “And I almost died from it.
“I’m not the same person I was when this started.” George Piano and his wife Elizabeth Piano before his botched surgery. Photo / Facebook
He then needed follow up surgery to remove his appendix that was still inside his body. Piano has been left with “numerous medical problems” and needed an ileostomy bag installed “where [his] intestine protruded from the abdomen so that all waste would be expelled into the bag”, according to the complaint. He spent 53 days in hospital and claims he had an open wound in his abdomen for months that led to intense pain. During his time in hospital he claimed he lost around 18kg. According to the lawsuit, the surgeon who performed “the alleged botched appendectomy” did not address the situation until more than a week later. Piano and his family reportedly did not want to file the lawsuit but they felt it was necessary after they did not get a response from the hospital. UW Medicine media relations director Susan Gregg said in a statement on November 7 that “we are unable to comment on the specifics of the case”. “UW Medicine strives to provide the best possible care to all of our patients; their safety and wellbeing is deeply important to us,” Gregg added. The lawsuit also claims Piano had to delay seeking cancer treatment because of the botched surgery. His marital life also became strained because of the surgical error, explaining that his wife had to delay and reschedule her own medical appointments to care for her husband, which included tending to his wounds and emptying his ileostomy bag. “To watch someone you love, your family member go through that kind of trauma. It’s horrifying, it is,” Elizabeth Piano told KIRO 7 News. The lawsuit seeks to have a judgment issued against the defendants and hopes to recover relief “as the court deems appropriate”, the complaint says.
l
lovejames
太倒霉了
m
mouton
太倒霉了
lovejames 发表于 2023-11-12 00:12

可不是呀,一个小小的盲肠炎手术,外科医生的入门基础,竟然错的离谱。
Q
QQ.com
This guy definitely has a case in the courtroom.
a
aneklb34
如何避免这个惨剧发生?手术前,跟医生确认一下,行么?反正我现在去看牙医都是再说一次,用手指给他们看。
h
hualihu
黄人估计就死医院了。 白人还抢救。
参见斯坦福的Jonathan zhao
人间小清醒
可怕😱,这个世界上怎么会有这么多可怕的事
m
mtwash
我曾经远程逮到某人把病人治疗计划里的supine和prone体位标错了,结结实实的挽救了这哥们的职业生涯
系统本来有非常可靠的防止错误机制,以及故障导致安全的措施,但扛不住有人自信满满override一切
g
gokgs
医学院的学生估计也有整天逃课的。
m
mouton
This guy definitely has a case in the courtroom.
QQ.com 发表于 2023-11-12 01:08

再怎么打官司,受罪的是自己
m
mouton
如何避免这个惨剧发生?手术前,跟医生确认一下,行么?反正我现在去看牙医都是再说一次,用手指给他们看。
aneklb34 发表于 2023-11-12 01:09

手术前尽量查或打听主刀医生案例成功率,当然再牛的人也有马失前蹄,真遭遇也没辙。
珠箔飘灯
不论哪里,尽量不得病尽量不治疗也许应该。是药三分毒啊
m
mouton
不论哪里,尽量不得病尽量不治疗也许应该。是药三分毒啊
珠箔飘灯 发表于 2023-11-12 09:13

年轻好说,年纪大了,得不得病有时真不是自己能掌控得。
大青椒
我曾经远程逮到某人把病人治疗计划里的supine和prone体位标错了,结结实实的挽救了这哥们的职业生涯
系统本来有非常可靠的防止错误机制,以及故障导致安全的措施,但扛不住有人自信满满override一切
mtwash 发表于 2023-11-12 01:25

你这洗地的水平,装的完全不像专业人士。 要知道本国每年医疗事故致死25万人, Medical errors third-leading cause of death in America (cnbc.com) A recent Johns Hopkins study claims more than 250,000 people in the U.S. die every year from medical errors. 这已经要感谢不杀之恩啦!
孔雀翎
盲肠和结肠还能分不清。。。。。。。。这是盲割的吗?
大青椒
你这洗地的水平,装的完全不像专业人士。 要知道本国每年医疗事故致死25万人, Medical errors third-leading cause of death in America (cnbc.com) A recent Johns Hopkins study claims more than 250,000 people in the U.S. die every year from medical errors. 这已经要感谢不杀之恩啦!
大青椒 发表于 2023-11-12 09:36

该不该像禁枪一样禁掉医生? 这个致死数显然超过枪案死亡几十倍! 所以美国医生的水平,显然不值他们的工资! 可以把他们的工资降到$1!
h
happykim
这是开错了边?本该开右侧腹部却划开了左侧?居然还没人发现?麻醉师、助手、器械护士和巡回护士一个人都没发现异常吗?太可怕了!
w
waer
我曾经远程逮到某人把病人治疗计划里的supine和prone体位标错了,结结实实的挽救了这哥们的职业生涯
系统本来有非常可靠的防止错误机制,以及故障导致安全的措施,但扛不住有人自信满满override一切
mtwash 发表于 2023-11-12 01:25

我在国内实习的时候记得当时通报了一起开刀开错腿的医疗事故,那段时间医生都提前进手术室在病人麻醉前把腿标记好,生怕再发生开错腿的事故。
p
priority
听起来是找错大肠头了?要找一头的小尾巴,结果给另一头来了一刀
M
Melaniejj9991
曾经指导过一个医学院学生,笨得让人目瞪口呆。希望他最后没有毕业成为医生…
m
mouton
这是开错了边?本该开右侧腹部却划开了左侧?居然还没人发现?麻醉师、助手、器械护士和巡回护士一个人都没发现异常吗?太可怕了!
happykim 发表于 2023-11-12 09:48

也觉得奇怪,每台手术都不是主刀一人,助手护士都有,也都是经过专业训练,一般不是先标记手术位置,难道核查的人没发现错误?会不会盖上灭菌手术巾后,该手术的部位在正中,很难看清左右位置?
不管怎样,理解不了如何出如此低级错误
l
laohua001
https://huaren.us/showtopic.html?topicid=2956609

回复 1楼mouton的帖子
update, 两个学生给了非常差的review
10个学生,8个给了接近满分,2个给了最低分1分, 其中一个说如果有0分的话他会给我0分。原因是上课present作业,我不让他们使用计算机。 googel不了,他们的presentation是一塌糊涂, 连垂体-性腺轴都画不出来。 我就奇怪了,难道把病人肚子拉开,然后再google解剖结构么? 美国的学生难道不要求背解剖结构么? 准备找course director 战斗了
v
vincentyim14
乙状结肠在左边,盲肠在右边,这是怎么毕业的?
b
bluebluerain
美国有些医生超级烂 好的很好 烂的超级烂
孔雀翎
虽然不是医生,但也大概知道解剖结构,如果说是把回肠误认成盲肠, 或者还有可能, 乙状结肠差的不是一点半点。再说不是割阑尾吗,要说是发炎造成乙状结肠穿孔, 也是可能的,但怎么可能割错了?
又送春归去
梁启超不就是透视出右肾有散在的黑点,就被确诊肾癌,只能切除。最后发现切除了左肾,于是三年内梁启超就没了
又送春归去
回复 25楼孔雀翎的帖子
有人就是左右盲,你不服不行的
m
minijing
如何避免这个惨剧发生?手术前,跟医生确认一下,行么?反正我现在去看牙医都是再说一次,用手指给他们看。
aneklb34 发表于 2023-11-12 01:09

这种低级错误每年都有,毕竟是人在操作,是人就不会百分百不犯错误,所以系统性的防止各类错误的发生一直都是医疗界的重中之重,有各种各样的措施规则,比如:The universal protocol was designed by the Joint Commission to reduce the occurrence of wrong-site, wrong-procedure, and wrong-person surgery. According to the protocol, organizations must conduct a “time-out” before the start of any surgical procedure. During the time-out, the entire operating room team reviews the patient’s identity, the procedure, and the surgical site before surgical incision or the start of the procedure. The time-out is also a time designated for team members to voice any concerns about the patient’s safety or the procedure. 但即使如此,还是不能杜绝。