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In two months, the "net celebrity" Xiao Ran liposuction infection still ended in tragedy.
On July 15, the Hangzhou Municipal Health Commission reported that on May 2 this year, Dai went to Huayan Medical Aesthetic Hospital for liposuction and other medical aesthetic operations. He developed septic shock after the operation and passed through the Greentown Hospital and Zhejiang No. 2 Hospital. The hospital did its best to treat him and died on July 13th.
According to the report, after the assessment by experts organized by the Municipal Medical Association, this is a medical accident. Huayan Medical Aesthetic Hospital has such faults as lack of knowledge before surgery, improper operation during surgery, and delay in postoperative observation and treatment. There is a causal relationship with the death of the patient. Full responsibility and compensation has been made. At the same time, the Xihu District Health Bureau issued warnings and fines to the hospitals involved, and ordered them to suspend business for rectification, and the responsible medical staff will be further dealt with.
In recent years, medical and aesthetic chaos is not uncommon, and now another accident has cost lives, pushing this topic to the forefront again. A reporter from the Beijing News Shell Finance and Economics found that the hospital involved received five administrative penalties in two years. The reasons included incomplete medical records, illegal implantation techniques, and illegal advertisements.
On July 15, a reporter from Shell Finance and Economics consulted nearly 20 medical and aesthetic institutions about liposuction projects. Some staff members said that five to eight liposuction operations can be arranged a day. This is a routine operation in the medical and aesthetic industry. The charge is due to the high and low rates of liposuction. The difference is "5800 yuan for calf" and 29800 for thigh and waist and abdomen of Weisu Liposuction."
However, on the day of the reporter's consultation, major institutions were reluctant to mention the risks of liposuction too much. When the reporter asked about the post-event response measures, the staff failed to give a specific protection plan.
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The beauty hospital involved was established for 3 years and fined 5 times in 2 years
Public information shows that Hangzhou Huayan Medical Beauty Hospital Co., Ltd. was established in June 2018. The legal representative is Zhang Zhiyuan with a registered capital of 10 million yuan. This company is jointly held by Hangzhou Yueyan Medical Technology Co., Ltd. and Hangzhou Liyan Medical Technology Co., Ltd. The business scope of the company includes medical aesthetics, cosmetic surgery, and cosmetic dermatology.
According to the National Enterprise Credit Information Publicity System, from 2019 to 2020, Hangzhou Huayan Medical Aesthetic Hospital Co., Ltd. has been subject to 5 administrative penalties by the health bureau, market supervision bureau and public security bureau where the company is located, 4 of which were concentrated in 2020. The most recent punishment was on September 23 last year. The punishment information showed that the patient's medical records were incomplete and the behavior of not seeing the doctor's signature was warned, and he was fined 20,000 yuan. In addition, a fine of 30,000 yuan was imposed for illegally developing oral implant technology.
In June 2020, he was also fined for publishing medical advertisements. Punishment information shows that "Hangzhou Huayan Medical Beauty Anniversary Celebration", "880 yuan full face picosecond freckle removal", "French Filorga: 780 yuan/full face, face-lifting needle: 499 yuan/100 units" and other advertisements, after verification, Failure to apply for the "Certificate of Medical Advertisement Review." It is recommended to order the parties to immediately stop publishing illegal advertisements and impose a fine of 1,000 yuan.
According to media reports and online surgical care sheets, the surgeon who performed liposuction for Xiao Ran is Gao Qiang. Xiao Ran's surgical projects include waist and abdomen liposuction repair, double upper arm liposuction and autologous fat secondary breast augmentation.
On July 15, the Shell Finance reporter found a person named Gao Qiang through the medical registration information of the National Health Commission. The doctor's level is a practicing doctor, and the scope of his practice is surgery. The main practice institution is Hangzhou Huayan Medical Beauty Hospital.
The Shell Finance reporter noted that Gao Qiang also has record information in Hangzhou Qunying Plastic Surgery Clinic, which is valid until April 2022. On the same day, the reporter called the outpatient department of Hangzhou Qunying Plastic Surgery. The operator first said to inquire, and then said that there was no such doctor in the outpatient department.
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After the reporter registered, he was "bombeded" by the plastic surgery hospital, and a variety of factors determined the quotation
On July 15th, a reporter from Shell Finance and Economics searched for plastic surgery information and simply filled in the consultation item, the city where he wanted to perform the operation, and the contact information on a "National Plastic Surgery Hospital Doctor Information Self-Inquiry System". Within half an hour, nearly Staff from 20 medical and aesthetic institutions contacted reporters and introduced liposuction projects.
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"This kind of systemic fat accumulation problem is a very routine project here. Three to five and five to eight operations are scheduled every day." A staff member of a plastic surgery hospital in Beijing said.
The reporter learned from the consultation that the prices quoted by different medical institutions vary greatly with regard to the cost of aspiration surgery.
"Large parts such as thighs, waist and abdomen are 8,800 yuan, and calves are 5,800 yuan."
"Negative pressure hydrodynamic liposuction is 16,800 yuan for thigh and waist and abdomen, 9999 yuan for calf and upper arm, 29,800 yuan for Waso liposuction thigh and waist and abdomen, and 23,800 yuan for calf and upper arm." The staff of the two institutions told reporters. Offer.
Faced with reporters’ questions about the wide disparity in price, the institution with the higher offer stated that it was mainly because of the difference between the doctor’s technique and the liposuction equipment. "Our quotation is the overall quotation. Some institutions can draw several parts of the thigh when doing it on site. It seems that the price of a single part is low, but there are many parts drawn, and the total is not low."
In this regard, a nurse in the Plastic Surgery Department of the First Affiliated Hospital of Zhengzhou University told reporters that different hospitals, doctors of different levels perform surgery, suction different parts, different levels of suction and many other factors will cause different prices.
On the day of the consultation, in the reporter's WeChat account, the staff of the medical and aesthetic institutions kept sending pictures of “outstanding” cases. The fat and wrinkled belly, thighs, and arms were smoothed after the liposuction operation. As for whether liposuction is suitable for liposuction, the effect in the case can be achieved by taking several times. The staff of the medical and aesthetic institutions generally said: "Usually it needs to be pumped twice."
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Before and after liposuction photos from the salesperson.
"Specifically which part can be pumped and how much it can be pumped requires specific communication with the surgeon. The amount of fat in each part of each person is different." The nurse stated that the biggest risk of liposuction surgery is infection. If the process is aseptic If it is not in place, infection may occur, increasing the chance of scarring after liposuction, and severe infection may cause shock.
However, in the face of inquiries about the safety of surgery and post-operative protection, the staff of these medical and aesthetic institutions did not respond positively to specific protection plans, and most of them only emphasized the brilliant resources of the institution.
On the same day, Shell Finance reporters randomly visited several plastic surgery hospitals. After entering the door, the reception staff will assign one-to-one consultation according to the project that the customer wants to do. The content mainly includes the introduction of the specific treatment process and price of the project.
The reporter visited and learned that doctors of different levels charge differently, and the dean’s treatment costs are the highest. The consultant will make recommendations based on the customer’s own situation. After more than 10 minutes of communication between the reporter and the consultant, the consultant arranged a face-to-face consultation with the attending doctor according to the customer's choice to determine the specific treatment plan and specific price.
Since then, the reporter visited the top three hospitals again, and the specific procedures are similar to those of the doctor on weekdays-registration, appointment, and face-to-face consultation with doctors. In the meantime, the doctor said that the risk of liposuction surgery is relatively small. Excessive waist and abdomen liposuction may be life-threatening, but major accidents are generally rare, so you must choose a professional hospital.
During the visit, when the reporter mentioned that the fee was not enough, some organizations said that they could provide installment payment services, and said that they mainly cooperate with banks to make installment payments through credit cards. The specific interest rate varies according to the different loan platforms that consumers choose. Generally, a hospital has several different loan platforms, which can be divided into 12 installments.
According to the customer service of the hospital, the operation fee is about 10,000 yuan, which is 12 months in installments, and the monthly repayment is about eight or nine hundred yuan.
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The amount of liposuction limits the qualifications of institutions, and there have been more than 100 disputes
Is this "conventional" surgery described by the staff of medical and aesthetic institutions a high-risk area that causes disputes?
As far as liposuction projects are concerned, the regulatory authorities also have detailed requirements for the institutions implementing the projects. According to the "Medical Cosmetic Project Classification Management Catalogue" formulated by the former Ministry of Health, the liposuction volume is less than 1000ml belongs to the first-level cosmetic surgery project, and the liposuction volume is less than 1000ml
A reporter from Shell Finance and Economics searched for "Liposuction" on the Judgment Document Network, and the results showed that there were 252 documents, most of which were medical service contract disputes and medical damage liability disputes. Many judgment documents show that the unevenness of the liposuction area is a common complication of this type of surgery. To determine whether the clinic is liable, the focus is to clarify whether the clinic is at fault in the diagnosis and treatment behavior, and whether the result constitutes damage to the patient Causal relationship. In previous cases, many patients have problems such as infections and scars.
Analyzed from the perspective of medical institutions, the main factors leading to disputes are that the doctor performing the operation is not qualified to practice, the medical behavior is at fault, and the medical beauty behavior is carried out beyond the scope of the registered medical treatment subject.
A case judged by the Harbin Intermediate People’s Court in December 2020 showed that in May 2017, Chu performed waist and abdomen liposuction and facial autologous fat filling at the Harbin Megana Medical Plastic Surgery Institution. Korean doctor Cui Junying performed related operations Hou Chu had problems such as left lower abdomen infection, facial infection, scarring and so on.
The court found that the Korean doctors hired by Megana Clinic had not been approved and registered by my country's health department during the operation and did not have the qualifications to practice. In addition, after the appraisal agency identified that the medical behavior was at fault, the outpatient department should be liable for Chu's damage. Regarding the issue of the proportion of liability, although the cause of Chu’s damage in the outpatient department of Megana is only 60% in medicine, because the diagnosis and treatment behavior itself is not legal, the consequences of Chu’s damage should not have occurred, so Megana’s The outpatient department has all faults for the occurrence and consequences of Chu's medical treatment.
On July 15, Ma Guie, director of the Body Sculpture Liposuction Center of the Plastic Surgery Hospital of the Chinese Academy of Medical Sciences (Badachu Plastic Surgery Hospital), said in an interview with Shell Finance reporter that in general, liposuction is a relatively mature and widely used surgical cosmetic surgery. Surgery, "it is relatively safe, (died after liposuction infection) this situation is quite special."
Regarding the risk of liposuction surgery, Ma Guie said that it is necessary to strictly control every link before, during and after surgery. “Strictly grasp the indications before surgery and do it in a large range at a time. Increase. Make a plan before the operation. According to the specific situation of the patient, arrange the plan reasonably and do it step by step. It is necessary to do a preoperative inspection to determine whether it is suitable for the operation. During the operation, strictly perform aseptic operations. After the operation, it is necessary Observe the patient's condition closely and deal with it in time. For example, if the patient has a special infection, if it can be detected and treated as soon as possible, the consequences will not be so serious."
Beijing News Shell Finance reporter Xi Lili Ma Rong Editor Wang Jinyu Proofread Xue Jingning