Wake up（224）

 

224

 

When Chai Jianhua first arrived in Hong Kong, the biggest impression was the tea restaurants that can be seen everywhere here. The emergence of Hong Kong tea restaurants is due to the influence of Western culture. After World War II, some western-style high-end restaurants gradually appeared in Hong Kong, but they were not very popular with the public because of their high fees. In order to allow ordinary citizens to enjoy Western-style food, restaurants such as ice houses and tea restaurants have sprung up in Hong Kong to enjoy Western-style food at a low price, and they are gradually welcomed by Hong Kong people.

Speaking of the special features of Hong Kong-style tea restaurants, it not only contains the imprint of Western food under the influence of British culture, but also retains the essence of Lingnan food culture, which has been a place of gourmet food since ancient times. Non-Chinese, non-western, non-foreign, non-local, cheap and good, and suitable for all ages. There are many delicacies in tea restaurants, including "silk stocking milk tea", which is fragrant, smooth, and thick; "egg tarts", which are crispy, smooth and sweet. As the code name of public restaurants, tea restaurants have witnessed the changes of Hong Kong for more than half a century. It is full of common people's atmosphere, carrying local culture, and giving people a kind of "neighborhood" intimacy.

The dinner welcoming veteran Chinese medicine Chai Jianhua to Hong Kong was held in an ordinary tea restaurant. On the menu of tea restaurants, most of the Chinese dishes are porridge, noodles, and rice, and most of the Western dishes are risotto, macaroni, and pasta. A large bowl of porridge is served with meat or seafood. For example, Jidi porridge contains offal such as pork liver and pork loin, and boat porridge contains seafood. If it is noodles or noodles, in terms of portion size, the noodles will be the main ones, followed by the meat. Generally, there are only two pitiful vegetables, just as a foil. There are many types of rice, usually roast meat rice or risotto, that is, cut roast meat or fried vegetables are put on a plate of rice.

Another very important feature of a tea restaurant is its tea. Hong Kong people especially like to drink milk tea, and tea restaurants usually offer set meals, which include a cup of milk tea, lemon tea or other beverages.

When Hong Kong people eat, they must have the habit of sugary drinks with every meal. The chief doctor of the clinic, Dr. Bai Bingqing, ordered a cup of silk stocking milk tea for Chai Jianhua, which was a drink with added sugar. Chai Jianhua just tasted it, and stopped drinking after two sips. Because he was worried about his impaired glucose tolerance.

The "tea restaurant" failed to appeal to Chai Jianhua's taste buds. What he focused on was the topic of chatting, which was about the "medical trouble" in mainland China. These things are rarely discussed in domestic media reports.

Medical trouble, referring to those who obtain illegal benefits by hyping up medical disputes, is a hot word in the medical field in mainland China. The instigators of medical troubles may be patients, relatives of patients, organizations or individuals employed by patients for illegal profit. According to survey reports, medical troubles initiated by medical trouble organizations account for about 50% of the incidents. The medical rioters put pressure on the hospital in the form of seriously hindering the medical order, expanding the situation, and causing negative effects on the hospital by various means.

Common methods used by medical troublemakers include setting up mourning halls in hospitals, mortuaries in violation of regulations, burning paper money, placing wreaths, setting up obstacles to prevent patients from seeking medical treatment, smashing property, or beating medical staff, tracking medical staff, or in consulting rooms, doctors' offices, leaders Staying in the office, etc. A group of people who specialize in profiting by making trouble in hospitals. Usually employed by the patient, they use various slapstick tactics to put pressure on the hospital and demand high compensation for the patient.

A "medical trouble" gang ranges from a few to dozens or hundreds of people. Most of them are unemployed and vagrants. They entrenched outside the hospital all the year round, inquiring about the contradictions and disputes between patients and the hospital, claiming to help Solve the problem, ask for compensation, and then make all kinds of "trouble".

Bai Bingqing told Chai Jianhua: Ms. Yang, a patient in the obstetrics and gynecology department of Peking University Third Hospital, died of preeclampsia due to rupture of aortic dissection. Dozens of Ms. Yang's family members claimed 10 million yuan and stayed in the hospital, which affected the daily operation of the hospital. Ms. Yang's unit, the Chinese Academy of Sciences, issued two official letters to put pressure on the hospital. In Lanzhou, a female doctor was stabbed to death by a cancer patient in a hospital. A doctor at a hospital in Tianjin was stabbed to death by three men. A doctor in Anhui province was also stabbed to death in previous months after an argument with the husband of a patient. The word "medical trouble" - Yi Nao, has entered the PubMed database, which is currently the world's most utilized online free database for searching medical literature, which includes more than 4,600 important biomedical journals from more than 70 countries and regions abstract and partial full text. The term "medical trouble" has become a "Chinese innovation".

Liu Hanyu, the deputy director of the clinic, said to Chai Jianhua: The conflict between doctors and patients in China is very serious. In the event of doctor-patient disputes or medical accidents, patients and their families are often unwilling to protect their rights through normal legal means, but hire "medical troublemakers" to coerce the hospital to pay compensation. Investigating the mentality of "medical troublemakers", patients consider themselves weak, have no confidence in judicial relief, and have no way to complain. They will find that medical disputes must be pretended to be strong by "making trouble". But the actual situation is like this, the hospital often has a lot of patients, the doctors are busy with work, and they don't have the energy to deal with the "medical trouble". "Medical trouble" intensified.

Why has "medical trouble" become a Chinese characteristic? Female nurse Qu Ting interjected: More than a hundred years ago, American hospitals also encountered the same problems that Chinese medical institutions are facing today. With the continuous popularization of the "patient-centered" concept, the American medical industry and hospitals have made great progress. In my opinion, on a global scale, the problem of "medical trouble" in China is very prominent, which reflects that the most urgent need for improvement in China's medical institutions is the aspect of "patient experience". Healthcare professionals have long engaged in a rote model of treatment that treats patients more as illnesses than as people who need to be heard and understood.

Since the end of 2015 in China, the "Criminal Law Amendment (9)" has been officially implemented, and "medical trouble" has been officially included in the scope of criminal law sanctions, and the maximum sentence is seven years in prison.

After September 2018, after more than three years of rectification of medical troubles in various ways, the phenomenon still cannot be eradicated. In addition to the establishment of the National Medical Security Bureau, the country has raised medical troubles to the central level to formulate countermeasures to improve the working environment of medical personnel. On October 16, the "Memorandum of Cooperation on the Implementation of Joint Punishment of Persons Responsible for Untrustworthy Behaviors That Seriously Harm the Normal Medical Order" was issued. The National Development and Reform Commission, Health and Health Commission, Ministry of Public Security, Banking and Insurance Regulatory Commission, China Securities Regulatory Commission, Railway Corporation, Ministry of Human Resources and Social Security, Ministry of Commerce and other 28 national ministries and commissions jointly signed and participated, covering almost all aspects of a people's life. Formulate a heavy-handed administrative penalty that is second only to the criminal law, and its punishment consequences are even higher than some criminal laws.

From 2018 onwards, the official definition of the behavior of making medical troubles:

 

Intentionally injuring medical personnel or damaging public or private property in a medical institution

Disturbing the medical order, including reselling the queuing number plate

Illegally restricting the personal freedom of medical personnel

insulting and intimidating medical staff

Illegally carrying guns, ammunition, controlled instruments or dangerous items into medical institutions

Instigating others or committing medical-related crimes in the name of being entrusted by others

The main content of the punishment is to implement joint punishment for those who participate in medical troubles. The implementation period is calculated from the date when the perpetrator is punished by public security or criminal punishment, and ends at the end of five years.

In December 2019, the Standing Committee of the National People's Congress passed the "Basic Medical and Health Promotion Law of the People's Republic of China", formally protecting the personal safety of medical and health personnel at the legal level and punishing those who endanger personal safety.

The Standing Committee of China's National People's Congress voted to pass the "Basic Medical Sanitation and Health Promotion Law", which will take effect on June 1, 2020. But violent killings of doctors are still common. Yang Wen, a doctor at Beijing Civil Aviation General Hospital, was attacked by a man with a knife while he was on duty in the emergency department.

The Hong Kong media pointed out that "criminalization of medical troubles" may have a deterrent effect, but it is still unknown how much change China can bring in the current environment where the application of judicial standards is vague and law enforcement is lax.

Chai Jianhua talked a lot about Chinese medical treatment with this group of Hong Kong medical friends. They are all in their 50s, 70s and 90s. This special medical staff group has experienced different ages, but they have a Common understanding: There is a big problem with China's medical system and medical education. But they failed to find a key factor for these problems.