星期一, 11月 19, 2012

英國醫療人球事件?台灣媒體 vs. 英國媒體

前兩篇blog列舉了台灣媒體和英國媒體的報導


英國醫療人球事件?台灣媒體如是說;說醫院踢人球、醫院當人球


整理一下事情經過,大致如下:
  • 這位13歲小弟Robbie Appleby-Socket;禮拜三下午在學校玩耍時候,不小心把鉛筆插到手背。
    The pencil became stuck in the 13-year-old's hand during a playfight at his school in Doncaster, South Yorkshire, on Wednesday afternoon last week.
  • 這位小弟被送到Doncaster Royal Infirmary醫院的急診室(Accident and Emergency Department),醫師會診了骨科醫師。Robbie was seen by the A&E team, who were concerned and asked an orthopaedic surgeon to assess him.
  • 醫院預計隔天禮拜四早上幫這位小弟手術,同時開了些止痛藥,告訴他說可以回家休息,同時半夜之後開始禁食。“Robbie was listed for surgery the next morning and sent home with painkillers to rest and fast overnight in preparation.
  • 不幸的是,到了隔天早上,急診又突然來了許多受傷需要立即手術的病人,所以這位小弟的手術被延遲了“Unfortunately due to a number of very urgent cases requiring immediate trauma surgery Robbie’s operation was postponed.
  • 醫院再次告訴他回家等候電話通知手術。When he returned with mum Emma they were sent home again and told to wait for a phone call to reschedule the surgery.
  • 這位母親立刻帶他到20里外的醫院,那裏的醫院立即手術。
    She took Robbie 20 miles to Pinderfields Hospital in Wakefield where they operated immediately.
  • 之後他住院打了兩天抗生素。
    He was then put on an antibiotic drip for two days in case the wound had become infected.
英國媒體報導方式,值得我們思考
  1. 整篇報導都沒有出現醫護人員的姓名、照片、個人資料
    無論是家屬方的描述或是抱怨對象,記者採訪的醫院方面人員,沒有任何一個醫護人員的姓名出現;就連醫院的發言人,都沒有被寫出來是誰。
    如果是國內媒體,大概就是斗大的某某某醫師姓名和照片公布出來。可以參考民視、Ettoday、蘋果是怎麼報導亞東醫院急診事件的。
  2. 事件中醫療方是由醫院為單位來面對
    無論是新聞報導的對象,或是出來說明的代表,都是醫院,而不是個人。讓承受關注、檢討的對象,集中在醫院,這也代表醫療服務是由醫院整體來提供,並非是個人。
  3. 英國公醫制度,是如何運行?
    以台灣來說,如果遇到這樣案例,如果當下不能立即手術,有幾個選擇-醫院協助聯繫轉院,在急診或是住院之後等開刀;很少會從急診要病人回家等到隔天再來手術。

每日郵報網站引用英國網友的留言,我們可以稍微窺見英國的醫療制度,還有英國人的想法。大部分的人都認為是NHS的責任,是NHS經費越來越少,讓醫護人力越來越不足造成的!

  • I had a 3cm long splinter in my knee cap that had to be removed surgically. I got sent home with the order to be "nil by mouth" for 24 hours and that they would call me in the morning for my operation time. Well they didnt I had to call them after not eating for 30 hours to be told I had to wait another 5 days before they could "fit me in". Needless to say it was a little more than sore. When are they going to start spending more money on the NHS?
    - Libby182, Bournemouth, 15/11/2012 22:01
    這位英國鄉民說,他的膝蓋有個3公分的鋼板要手術移除,她被送回家被要求禁食24小時然後早上通知他手術,但是醫院在他已經整整30小時沒有吃東西後,才又告訴他還要等五天才排得進去…最後這位鄉民結論"什麼時候他們才願意花多點錢在NHS?"
  • My son broke a bone in his hand last Saturday....... He has been to the hospital every day this week and been told that they are "too busy" to re-set the bone.............................. So today, we try again.........PLEASE, wish us luck.............................................................- F H, Sad Britain..., 16/11/2012 15:38
    這位悲傷的英國人說,他兒子上個禮拜六摔斷手骨,這個禮拜他每天都到醫院報到,醫院每天都說太忙沒辦法幫他把骨頭復位,所以今天我還要帶他到醫院,請祝我們好運。
  • This the reality of over population...Cant blame the Hospital !

    Hospitals are having to cut staff, trim budgets and treat more people. Blame the Government they are the ones cutting the costs. If that hospital could not do operation his mum did right to seek help elsewhere. Im with Lionheart on this one. Money spent on getting people out the country this year could have gone to Hospitals

    it's interesting how many are so quick to slate the NHS well you can't have it both ways people - do you want a cheap health service or one that actually works??? What will happen is that you will have less and less available free and have to pay for more and more of your health service. Blame yourselves for wanting it for free and yet still wanting state of the art, cutting edge healthcare.

    A&E closures and hospital staff reductions will lead to more and more non life threatening injuries such as this from being treated immediately. If the truth, the whole truth and nothing but the truth was known there would have been patients in that A&E whose lives were being saved by what few staff were available to operate. The government is responsible for this situation, not the NHS nor the understaffed A&E's and wards.

    這幾篇都是說NHS經費太少,只好讓醫療服務下降,所以
    是政府要負責!!不能責怪醫護人員。
  • When the NHS is allowed to be used and abused as it is by people from the third world we shouldnt really be too surprised that there is no money or time left for treating British people. - Ivan, Gotham City, United Kingdom, 15/11/2012 19:43

    Perhaps they were too busy operating on illegal immigrant extremist cleric to see a BRITISH subject?- Mary, Neuilly Sur Eure, 15/11/2012 19:44

    This is what you get when anyone from any country enters Britain and is entitled to free health care. Absolutely disgusting treatment of one of our own citizens. His wound must be at risk of serious infection too, and to make matters worse he is a child. Makes you wonder why we pay our NI & Taxes who is actually benefiting from them?- Annette, Birmingham, 15/11/2012 20:05

    好幾篇投書,都是說NHS被其他非法移民等等等消耗,所以沒有錢照顧英國人。台灣要不要考慮一下?

星期六, 11月 17, 2012

英國醫療人球事件?英國媒體如是說

既然如此,我們來看看英國媒體怎樣報導這樣的醫療事件。google找了太陽報每日鏡報;據說這兩家報紙是所謂八卦小報-引用自wiki-且看人家八卦小報和台灣的八卦大報有何不同。

先來看鏡報;這個大標題和小標題如下,台灣媒體說的人球兩個字在哪裡?

A write pain: Schoolboy with pencil stuck in hand sent home from hospital twice


He was left in agony after he got the pencil jammed in the back of his hand while playing with school pals
A schoolboy was sent home from hospital twice – even though he had a pencil embedded in his hand.
Robbie Appleby-Socket, 13, was left in agony after he got the pencil jammed in the back of his hand while playing with school pals.
He was taken to A&E in Doncaster, South Yorkshire, but was told he would need an operation the next day.
When he returned with mum Emma they were sent home again and told to wait for a phone call to reschedule the surgery.
She took Robbie 20 miles to Pinderfields Hospital in Wakefield where they operated immediately.
He was then put on an antibiotic drip for two days in case the wound had become infected.
Emma said: “The staff at Pinderfields were amazing. They couldn’t believe the pencil had just been left in his hand and neither could I.
“Staff at Doncaster just left the pencil in and put a bandage over it and told him he would have to come back.
"I was worried he would knock it and the pencil would go even further into his hand.
“I was disgusted. He could have lost his hand if it got infected.
“It was only when I asked about infection that they gave us the antibiotics.”
A Doncaster Royal Infirmary spokesman said: “Robbie was listed for surgery the next morning and sent home with painkillers to rest and fast overnight in preparation.
“Unfortunately due to a number of very urgent cases requiring immediate trauma surgery Robbie’s operation was postponed.
"We apologised and gave him further painkillers and antibiotics.” 

接下來看看太陽報的報導,太陽報的用詞就比較強烈了,雖然圖片和內文有說"without proper treatment TWICE""Disgrace"等字眼,還是有提到醫師too busy。同樣的,台霉說的人球這兩個字在哪邊?
A BOY was left with a pencil stuck in his hand for TWO days - after a hospital sent him home without proper treatment TWICE.
Robbie Appleby-Socket, 13, was in agony when turned away and told to take mild painkillers at home by docs too busy to end his ordeal. His livid mum Emma Appleby fears the teen could have lost his hand if she had not taken him to another hospital 20 miles away.
The pencil became stuck in the 13-year-old's hand during a playfight at his school in Doncaster, South Yorkshire, on Wednesday afternoon last week. Staff at Doncaster Royal Infirmary's (DRI's) A&E saw Robbie but told him he would have to return the following morning for an op.He was sent away with the pencil still embedded in his hand - with just a bandage for protection.
When Robbie and his mum returned last Thursday, they were told he would have to go home again and wait for a phone call over the weekend. Robbie's horrendous 48-hour ordeal finally came to an end when he was treated in Pinderfields Hospital, Wakefield, West Yorkshire last Friday afternoon.
Emma, 33, said: "The staff at Doncaster Royal Infirmary (DRI) just left the pencil in and put a bandage over it and told him he would have to come back.
"I couldn't believe it. I was disgusted. He could've lost his hand. I was worried he would knock the pencil and it would go in even further.
"They asked me if I had paracetamol at home, which I did, so they sent us away.
"I was so shocked they didn't even think about the idea that Robbie could have rolled onto his hand while he slept and injured it even more.
"I didn't sleep a wink, I kept getting up to check on Robbie in case he was in pain."
Emma was even more staggered when she returned the following day.She said: "I was absolutely outraged. Robbie was there with that pencil still in his hand, and it was starting to look sore around the point of the pencil.
"They didn't even check the wound. It was only when I asked about infection that they gave us some antibiotics.
"We've still not heard from them so as far as they know Robbie still has the pencil in his hand.
"The staff at Pinderfields Hospital in Wakefield were amazing. They couldn't believe that the pencil had just been left in his hand."
Robbie was kept awake during his 90-minute op in Wakefield, watching docs remove the pencil on a TV monitor. He has been left with a five-inch scar and has not yet returned to school. Emma said of the freak accident which led to the injury: "From what he's told me, he was play-fighting with a friend at home time.
"Robbie punched out at him and unfortunately the friend had a pencil in his hand so Robbie had punched the pencil - which then got stuck in his hand.
"He was in a lot of pain obviously. He was very pale and looked like he was going to faint."
A DRI spokesman yesterday apologised to Robbie for his ordeal.
He added: "Robbie was seen by the A&E team, who were concerned and asked an orthopaedic surgeon to assess him.
"Robbie was then listed for surgery the next morning. Unfortunately, due to a number of very urgent cases requiring immediate trauma surgery, Robbie's operation was postponed."

英國醫療人球事件?台灣媒體如是說

先來看看台灣媒體的報導;Nownews和蘋果兩家媒體都說是被醫院當人球,甚至Nownews還用踢這個動詞。

蘋果日報表示:
6吋鉛筆插入手 男童被醫院當人球
2012年11月16日16:20    
英國13歲男童索克特(Robbie Appleby-Socket),日前在學校跟同學嬉鬧時,被六吋長(約16公分)的尖鉛筆插入手背,痛入心扉,媽媽立即送他到醫院求醫,心想只是取出鉛筆的小手術,應該不是太難,但院方卻告訴他們明天再回來做手術。
離譜的是,母子倆隔天再到醫院時,院方又說沒有相關就診紀錄,又再安排他隔天做手術。手背插着鉛筆等2天,媽媽無法忍受兒子還要再受苦,也怕傷口感染產生其他問題,飛車帶他到較遠的醫院求助,醫生立即替他取出鉛筆。
Nownews 表示:
英男童手遭16公分鉛筆刺入 醫院踢人球:明天再來!
 林依伶 2012年11月16日 17:59  國際中心/綜合報導
英國一名13歲男童索克特(Robbie Appleby-Socket)在學校和同學打鬧,不料手背竟遭一支6吋長(約16公分)的木鉛筆狠狠插入手背,痛到受不了。索克特的媽媽連忙將兒子送醫急救,但沒想到院方卻要他們「明天再來」,母子倆傻眼無助。
據外媒報導,索克特的右手背被一支筆頭削得尖銳的木鉛筆刺入,母親心疼送兒子到醫院,心想只是要取出鉛筆,非動什麼大手術應該很快就能處理,沒想到院方給了止痛藥後,要求手仍插著鉛筆的索克特先回家,明天再來動手術。
更誇張的是,隔天索克特挨痛護著受傷的手到醫院看診,院方竟回答:「無相關就診紀錄」,要男童另預約時間才能動手術。索克特的母親再也無法忍受兒子深受皮肉之苦,更擔心傷口感染引發其他症狀,開車到32公里外的另一間醫院就診,當地醫生二話不說動刀替索克特取出鉛筆。 

星期五, 11月 16, 2012

英國布里斯托爾皇家兒童醫院Bristol Children's Hospital接連兩起醫療事件



復活節放假病房沒醫護人員 7歲病童慘死


三月下旬,7歲大的詹金(Luke Jenkins)在英國布里斯托兒童醫院(Bristol Children's Hospital)進行了一次矯正手術,術後恢復看來一切正常,轉進小兒專科病房休養,爸媽只要有空都會在病房陪他。

約一星期後的4月6日,是「耶穌受難日」(Good Friday),也是復活節假期的開始,晚上詹金的爸媽都在病床旁陪他,爸爸先發現不對,詹金的臉色發白,似乎有點沒力,他想找個醫護人員看一下,卻發現找不到人,沒多久,詹金失去了意識,倒在媽媽的懷中,他們發現小孩心跳都停了,急著找人救命,但找不到半個人幫忙,第一個醫謢人員出現時,詹金的心跳已經停了43分鐘,醫生再也沒辦法救醒他。

事後,醫院表示,心跳停止這麼久,腦部已經受損,其實在醫護人員趕到時,詹金早已死亡。但讓這對父母不能理解的是,當天是星期五,晚上時段整個病房沒有半個醫療人員,等於是把病患放著等死,院方事後在接受調查時也坦承,當天因為是復活節假期,人手真的短缺,「但醫院其他單位還有人值班,只是他們並不知道搶救儀器放在哪裡,幫不上忙」。詹金的父親認為,這樣的調查報告根本就是個「侮辱」(insult),決定要和醫院周旋到底。
英國BBC報導

最近又報導了同一家醫院的另一個事件,是在八月發生的
 全天量營養液1小時輸入 1周大女嬰心臟病夭折
 
英國布里斯托爾皇家兒童醫院,一名1周大女嬰梅茜野沃特斯(Maisie Waters),有先天性心漏症,等候做手術時,護士錯誤調校了靜脈注射營養液儀器,將本應是全日的份量,在1小時內全部輸送給女嬰,結果導致女嬰心臟病發,醫生搶救了45分鐘,都未能將她救活。
沃特斯的母親向法庭作證時指出,在女兒出事前,她已發現負責的護士邊工作邊跟同事嬉笑,顯示沒有專心工作。
英國BBC報導 

1. 九月的事件有可能是人力短缺。
2. 上班時間,最好還是不要聊天嘻笑被看到。