S***a
发帖数: 116 | 1 我妈妈目前在美国探亲，两个月前骑车摔下来，手骨骨折（Radius Fracture）。
找了骨科医生，医生没有做任何“徒手正位”就让护士给打了石膏，然后看X光片，建
议做手术，打钉子定形。
我们谨慎的把X光片发回国内的专家朋友，请教后，朋友告知，只是很轻微的错位，根
本不用做手术，只要自然愈合就可以了。而且两个在美国医疗系统工作的朋友也建议不
要全然采纳医生建议，因为这里很小很小的伤医生都会建议做手术。
我妈妈第二次去复查（两个星期后），告诉医生不打算做手术，医生警告手可能以后的
灵活性会打折扣。基于他的描述对妈妈来说可以接受，和国内医生的建议，我们坚持不
做手术。
五个星期后去拆石膏，医生告知骨头愈合，我们都很高兴，但紧接着发现妈妈手臂错位
，两只手不对称，而且受伤的手由于骨头错位根本不能扭转。
医生坚持是因为我们不做手术导致的结果，但我们询问国内医生，国内医生认为是美国
医生没有在上石膏前就“徒手正位”导致骨头长歪了。本来是很小的一个问题，因为缺
少最基本的步骤，现在却成了大问题。
我们原本就觉得很奇怪，上石膏前，医生什么都没做，甚至连碰都没碰一下妈妈的手，
只是看了片子就叫护士直接打石膏了。只是当时没有追问，现在后悔的不得了。我们想
知道，在美国，徒手正位（reduction)是不是必须的一个步骤，尤其是鉴于妈妈的骨折
情况并不严重。
如果骨头有轻微错位，按中国医生的疗法，是很容易正位和愈合的，但如果缺乏正位的
一步，骨头在愈合过程中长歪了，导致手近乎残废，这个是否可以追究美国医生的责任？
任何指教，拜谢！ | T******n
发帖数: 77 | 2 The doctor here did nothing wrong. You did not follow the advice of this
doctor, and this doctor warned you about the consequences. If you want to
charge anybody for medical malpractice, you should charge the one in China,
it is illegal to provide medical advices without actually examine the
patients. X ray is a 2-D picture and no doctor should give treatment
suggestions based on the x ray alone. The fault is on you and the doctor in
China.
A doctor may loose his license by treating a patient without actually
examine the patient | L*1
发帖数: 11537 | 3 Yes, the US doctor did nothing wrong -- he simply followed the standard
practice, although it may not be to the best interest of patient.
The doctor in China did nothing wrong either -- he was giving advice as a
friend, not a doctor. Besides, his advice was based on normal practice in
China and there was nothing wrong.
The best way to treat such cases (in Chinese term) is as LZ envisioned,
first 复位, then 固定。 No surgery is needed. However, after 固定, there
should be X-ray from different angles to make sure the position is correct. | S***a
发帖数: 116 | 4 谢谢Toothman和LC1。
我们理解医生给过我们警告我们没有采纳，这部分责任是在我们身上。但我们是基本什么都不懂，把事情看得太简单了。除了国内医生的建议，美国一些朋友也一致告诫我们美国医生常“黑”病人，一些很轻微的伤就建议手术。
我也觉得要追究责任是没法追究的，虽然我们还是相信，如果美国医生在上石膏前就先正位，妈妈的手应该会好许多......如果医疗条例中没有任何规定医生要尽力用最简单有效的方法来救助病人，那么岂不是
任何医生都可以对微小的病情建议用手术或更昂贵的方式来解决，这样病人如果接受了，医生赚到钱，如果病人不接受，病情恶化了，医生也没有任何责任，病人的权益如何得到保障？
【在 L*1 的大作中提到】
: Yes, the US doctor did nothing wrong -- he simply followed the standard
: practice, although it may not be to the best interest of patient.
: The doctor in China did nothing wrong either -- he was giving advice as a
: friend, not a doctor. Besides, his advice was based on normal practice in
: China and there was nothing wrong.
: The best way to treat such cases (in Chinese term) is as LZ envisioned,
: first 复位, then 固定。 No surgery is needed. However, after 固定, there
: should be X-ray from different angles to make sure the position is correct.
| y*****g
发帖数: 193 | 5 The doctor did nothing wrong. Aganist medical advice,you can't win the
case.
Either internal fixation or external fixation of those fracture pts I saw is
all done in OR, no reduction done preoperational at bedside.
It is the sad case, however, the doctor should not be the person to be
blamed. | T******n
发帖数: 77 | 6
This is a dumb argument. If LZ's description is accurate, the action of
this doctor in China at least partly contributed to the poor outcome of the
patient. He said that the patient did not need surgery while in fact she
did. Try argue that I was not a doctor but a friend when I gave the advice
in any court of law, be it in China or in US, you will give the jury a easy
time and be a laughing stock of the masses. If he is a well trained and
responsible doctor, he will not be giving treatment advice to any patient
without examining the patient. I practiced in China for 6 years and in US
for 12, I can categorically tell you that it is not a "normal practice" to
prescribe treatment advice without actually examine the patient in China or
in US, period.
【在 L*1 的大作中提到】
: Yes, the US doctor did nothing wrong -- he simply followed the standard
: practice, although it may not be to the best interest of patient.
: The doctor in China did nothing wrong either -- he was giving advice as a
: friend, not a doctor. Besides, his advice was based on normal practice in
: China and there was nothing wrong.
: The best way to treat such cases (in Chinese term) is as LZ envisioned,
: first 复位, then 固定。 No surgery is needed. However, after 固定, there
: should be X-ray from different angles to make sure the position is correct.
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