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I had worked in Chinese hospital more than 10 years and have work in Canadian hospital almost 5 years now. I have to say, compare to Chinese health system, the Canadian health system is far more advanced even some flaws. I am sorry for the author's lost but I believe most of paramed staffs are very professional and well trained. Since every thing in Ontario health system is paid by government. So, the healthcare provider be asked to follow very strict procedure. They handle patients base on the good practice standard not patient or patient's family 's request, since this could prevent many unnecessary cost. This could be understood as very cool or stubborn by people from different healthcare system such as China since most patients in there come to hospital and tell their doctors what they want. But think about how many patients in China have to give up treatment because they can not affort the fee. I still prefer here. Although it is not perfect.
In this case, generally, the paramed have a check list for the diagonsis of stroke. If the author's mother meet the criteria while the paramed hadn't sent her to stroke centre, definitely, you can sue the EMS and get compensation. If you can't affort lawyer fee, apply for some non-profit organization's help. They always provide some law assistant for free. On the other hand, if the author's mother doesn't meet the criteria at the begining, even later be proved had "stroke". It is not malpractice. The EMS doesn't need to take any responsibility.
Same as the use of tPA. It doesn't matter how many hours it could be use in China or it is just several minutes more than the standard. If the standard say 4 hours, it is 4 hours. May be it sound ridiculous, but in Canada, we can only follow the canadian's route. Just to make it clear, in this case, the doctor didn't do any thing unethical or unprofessional that can make patient or family against he or she for refusing the Medication, but if he or she use tPA and patient had some accident (no treatment could be 100% safe). The family could sue the doctor as malpractice, and have 100% chance to win--the judge will not say it is family ask for the medication, the judge will only say: as a trained professional, you didn't make right judgement and didn't follow the procedure.
tPA is an effective medication for stroke but not 100% effective or safe. It is impossible to "have an injection, then you will be OK" There always some complications after stroke, depend on the site and size. As the other speaker said afterward physiotherapy or rehabilitation are very important. tPA sometime can cause severe complication as secondary bleeding.
I know most of Chinese parent's have nature of candle, sacrify themself as much as they could to support their kids. They don't want their kid to worry, they say nothing even they feel uncomfortable. They can't speak English and they can't drive, but they don't want to ask their kids to take one day off to see the doctor with them. They just tolerate, tolerate, tolerate..... until they can not tolerate any more. I saw several such cases in the past several years. I believe all those kids love their parents as much as their parents love them. I saw a daughter almost callopsed when her mother died from heart attack in the emergency room. I also saw some kids accompanied their parents doing rehabilitation after the accident. But why wait this moment? Canada has very good although not prefect healthcare system. taking your parent to see family doctor regularly ( once every 3 months), find the hiding risk factor and follow the doctor's instruction to decrease the risks. Help they check blood sugar or blood pressure if they have such problems. Sit down with them may be just 10-20 minutes a day, ask them what they feel in the day. And remember, our parents almost run out of their energy to take care of us. It is time for them to settle down and relaxed. Don't put too much expectation on them to helping us. Ask yourself sometime, it is too much for them? even they say it is OK, we need to know when to tell ourself it is NOT OK.
zhen2005 发表于 2010-8-30 16:26 http://bbs.51.ca/images/common/back.gif
后面一段说的很有道理，值得许多人深思。 |
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楼主: 乡干部
狗仔卡
发表于 2010-8-30 17:04:19
显身卡
楼主
