一位51岁的母亲吸着氧气坐火车从千里之外的四川来广州市慈善医院治病，住院19天后，院方坚决要求其出院。出院仅三天，病情突然恶化，再次被送往该院抢救，但这一次，这位母亲没能活着离开医院———6天后因抢救无效死亡。广州中科院地化所在读博士生龚晓峰近日通过微博发问：谁该为他母亲的离去负责？

A 51-year-old mother sorption oxygen by train from faraway sichuan guangzhou charity hospital cure,19 days in hospital,The hospital insisted that its discharge.Discharge only three days,Condition worsened dramatically,Once again was sent to the hospital rescue,But this time,The mother didn't leave the hospital alive -- 6 days for rescue invalid death.Guangzhou localization of Chinese academy of sciences in reading doctoral GongXiaoFeng recently through the micro bo asking questions:Who should be responsible for his mother's leave?

事件 events

住院17天，必须办出院？ 17 days in hospital,Must do discharge?

　　“我们把困难告诉主治医生，并说明如果由于医保的限制，可以自费住院，但……还是坚持让我们出院，解释说这是医院规定，他们没有办法。”

"We tell the difficult doctor,And if that due to the limitation of medical insurance,Can at one's own expense in hospital,But...Still insist that we discharge,Explained that this is the hospital rules,They have no way."

　　龚晓峰告诉羊城晚报记者，母亲名叫雷素清，患风湿性心脏病已多年。龚母此前在四川做过两次手术，但病情并未彻底好转。“我在CNKI(专业学术期刊网)上搜索到，古中医疗法对这种病有效果。这篇文章是位于广州芳村区的广州市慈善医院医生写的。我了解到，该院有全国少有的中医治疗危急重症的科室。”于是，龚晓峰让母亲来广州治疗。

GongXiaoFeng told the yangcheng evening news reporter,Mother's name was LeiSuQing,With rheumatic heart disease has been going on for several years.Kung mother in sichuan had done two operations,But the condition has not completely turn for the better."I am in CNKI(Professional academic journal net)Search to the,Ancient Chinese medicine therapy for this disease have the effect.This article is FangCunOu in guangzhou guangzhou charity hospital doctors write.I learned that,The hospital has the rare traditional Chinese medicine treatment for emergency and severe cases in department."so,GongXiaoFeng let mother to guangzhou treatment.

　　2012年10月17日，龚母吸着氧气乘火车从四川遂宁来到广州，住进了广州市慈善医院的中医经典科。第一周的治疗令龚母很辛苦，一度想放弃。龚晓峰回忆，该院颜芳主任和黄臻医生解释：这是“黎明前的黑暗”。一周后，龚母的病情开始好转，脸色、胃口、下肢水肿情况均有改善，能被搀扶着下床轻度活动，但身体依然很虚弱。

October 17, 2012,Kung mother sorption oxygen by train from sichuan SuiNing came to guangzhou,Live in the guangzhou charity hospital of traditional Chinese medicine department of classics.In the first week of treatment to kung mother very hard,Once wanted to give up.GongXiaoFeng memories,The hospital YanFang director and HuangZhen doctor explained:This is"The darkest hour is nearest the dawn".After a week,Kung mother's illness took a turn for the better,face/appetite/Lower limb edema conditions are improving,Can be helped off the bed mild activities,But the body is still very weak.

　　住院19天后(2012年11月6日)，主治医生就要求龚母出院。“当时主治医生跟我说，因为你妈妈是医保病人，在我们医院一般只能住17天，之后就必须出院后再入院。”11月6日，由于医院停止开药，龚母不得不离开医院。据龚晓峰介绍，龚母入院后曾做过一次心脏彩超，其中EF值低至30℅(EF值即射血分数，医学上通常认为低于35%即随时有生命危险)，住院19天后龚母依旧不能平躺，大小便频繁，每天必须吸氧输液。龚晓峰认为，龚母当时完全不具备出院的条件。

19 days in hospital(On November 6, 2012),Attending physician requires kung mother hospital discharge."Doctor told me at that time,Because your mother is health care patients,In our hospital general can only live 17 days,Then must after discharge from hospital readmission."On November 6,,Due to the hospital to prescribe medicine to stop,Kung mother had to leave the hospital.According to GongXiaoFeng introduced,Kung mother after admission had a heart color dopplar ultrasound,The EF value low to 30 ℅(EF value namely ejection fraction,Medicine is usually less than 35% think that always have life risk),In 19 days kung mother still can't lie low,Relieve oneself often,Every day must oxygen infusion.GongXiaoFeng think,Kung mother was completely does not have the condition of the hospital.

　　“我们在广州没有亲戚，宾馆里也不能煲中药。另外我母亲由于心衰严重，需要睡得很高，宾馆肯定不具备这样的条件。我们把这些困难告诉主治医生，并说明如果由于医保的限制，我们可以自费住院，但黄臻医生请示科室主任后还是坚持让我们出院，解释说这是医院规定，他们没有办法。”龚晓峰说。

"We in guangzhou is not relatives,The hotel also can't in clay pot of traditional Chinese medicine (TCM).Also my mother because of serious heart failure,Need to sleep very high,The hotel must do not have such requirement.We put these difficulties tell attending physician,And if that due to the limitation of medical insurance,We can at one's own expense in hospital,But HuangZhen associate director of the department is insisted that we discharge,Explained that this is the hospital rules,They have no way."GongXiaoFeng said.

　　据业内人士介绍，所谓“医保定额”限制，是由各地医保管理部门制定的一些常见病种的规定费用额度，超出部分由医院负责支付。例如阑尾炎手术，医保规定只负担6000元，如病人实际费用超过该额度，则超出部分一般由医院负担。

Introduce according to the personage inside course,The so-called"Medical insurance rating"limit,Is the medical insurance management department to make all over some of the common diseases of the provisions of the kind of cost line,Beyond the hospital responsible for part of the payment.Such as appendicitis surgical operation,Medical insurance provisions burden only 6000 yuan,If the patient is the actual cost more than the limit,It is beyond section is composed of hospital burden.

一周后“回炉”，先交住院费？ After a week"down",To make hospitalization expenses?

　　在办理出院结账的同一天内，就已经预收了龚母“下一次”住院保证金3000元。但随后又让龚晓峰家人退钱、出院，一周后再来。

In handling the hospital bill within the same day,Has been deferred the kung mother"The next"Hospital security deposit of 3000 yuan.But then let GongXiaoFeng family money back/discharge,Come again after a week.

　　据龚晓峰回忆，事实上，当时院方原本是想给龚母办一个“假出院”手续：在办理出院结账的同一天内，就已经预收了龚母“下一次”住院保证金3000元。11月6日，龚父在结清之前1.7万元住院费的同时，立即缴纳了3000元的入院费，准备继续住院。“我父亲银行卡上有记录，可以对证。”龚晓峰说。不过，现场的医生却表示：医院有新规，住院一般不超过17天，且出院一周后才能重新入院，所以让龚晓峰家人退钱、出院。医生随后通过门诊挂号开出一周的药，让龚母一周以后再来入院。

According to GongXiaoFeng memories,In fact,At that time the hospital was to give kung mother do a"False discharge"procedures:In handling the hospital bill within the same day,Has been deferred the kung mother"The next"Hospital security deposit of 3000 yuan.On November 6,,In the settlement of GongFu before hospitalization expenses 17000 yuan at the same time,Immediately pay 3000 yuan of admission fee,Ready to hospital."My father's bank card record,Can verify."GongXiaoFeng said.but,The doctor has said:Hospital have new gauge,In general not more than 17 days,And the hospital a week later to go back to the hospital,So let GongXiaoFeng family money back/discharge.The doctor and then through the clinic registered open a week of medicine,A week later to kung mother come back to the hospital.

　　问题随即出现：由于龚晓峰只是一个在广州读博士学位的学生，龚母出院后只能住在中科院地化所的专家公寓里。按照龚晓峰的判断，由于出院后护理条件相当有限，龚母的病情在出院后62个小时之内就发生了恶化———出院不到三天，龚母就高烧到了39℃，11月9日凌晨，心急如焚的龚晓峰推着轮椅把母亲送回到了广州慈善医院，当天早上转到中医经典科重症室。

Problems appear immediately:Because GongXiaoFeng just one in guangzhou read doctoral students,Kung mother after discharge can only live in the Chinese academy of sciences geochemical expert apartment.According to the GongXiaoFeng judgment,Because after leaving hospital care condition is rather limited,Kung mother's illness in 62 hours after discharge occurs worsening -- discharge less than three days,Kung mother is high fever was 39 ℃,Early November 9,,The worried GongXiaoFeng push the wheelchair mother back to guangzhou charity hospital,On the morning turned to the doctor of traditional Chinese medicine classics department severe chamber.

　　一番折腾之后的龚母却再也没有好转过来———“11月11日凌晨4点，我母亲在第5次大便以后心跳居高不下，仍有发烧现象。11月12日，我母亲重度肺炎感染，诱发心衰，随时可能出现生命危险，转到ICU，之后又转到中医经典科重症室。11月17日凌晨1点开始，病情持续恶化并于当日下午3点抢救无效宣布死亡。” 龚晓峰说。死亡的原因并非风湿性心脏病，而是重度肺炎感染诱发心衰、全身脏器衰竭。

A flounder after kung mother never better come -- -"November 11, at 4 am,My mother in the fifth after defecate high heart rate,Still have a fever phenomenon.On November 12,,My mother severe pneumonia infection,Induced heart failure,Possible risk of life at any time,Turned to ICU,Then he turned to the doctor of traditional Chinese medicine classics department severe chamber.On November 17 at 1 PM,Condition continued to worsen in the afternoon at 3 o 'clock rescue invalid death announced." GongXiaoFeng said.The cause of death is not rheumatic heart disease,But severe pneumonia infection induced heart failure/Systemic organ failure.

　　“如果医院没有强制我母亲出院、没有这一番折腾，她的病情可能会好转一点，活下来的几率也就会更大一些。”“如果我母亲不是医保病人，是不是医院就不会强迫我们出院？”面对母亲的死亡，龚晓峰在接受羊城晚报记者采访时不断重复这个疑问。(记者 杨桂荣 杨辉 通讯员 邓乐仁 实习生 李静 范晓玲)

"If no forced my mother hospital discharge/Without this a flounder,Her illness may be a little better,Chances of survival will have more.""If my mother's health care patients,Is the hospital won't compelled us to discharge?"In the face of the mother's death,GongXiaoFeng in accepting the yangcheng evening news reporter to interview to repeat this question.(Reporter YangGuiRong Yang hui DengLeRen intern reporter li FanXiaoLing)