调查 | 被罚5万!家属要开具诊断证明书,你还敢开吗?
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><a style="color: black;"><span style="color: black;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/BnPqMhCfRUvVfibOUQqoBXCcG83wEWm7QPd26BtWCSryLejMFcLholU9oLaLv5gaP0YYCEH2D5xhx6pVCkt8bjA/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></a></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“我只是写了一份完全合法合格的《诊断证明书》,法院竟对我处以罚款5万元,并使得我的名誉和声誉受到严重的损害!”</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">日前,厦门大学<span style="color: black;">附庸</span><span style="color: black;">第1</span>医院肿瘤内科<span style="color: black;">专家</span>医师徐彤给《医师报》记者发来了一封《致全国医师同行的公开信》,信中<span style="color: black;">仔细</span>记录了他的遭遇,以及对广大医师的提醒。</span></p><img src="https://mmbiz.qpic.cn/mmbiz_gif/BnPqMhCfRUvcsXhXiaMicYlTLj02smVJQDUJKiaOicWexH30Re6Jwou41XXrFmX0EK3KSiak3TU98m8wytSBW2PvcYQ/640?wx_fmt=gif&tp=webp&wxfrom=5&wx_lazy=1" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/BnPqMhCfRUvcsXhXiaMicYlTLj02smVJQDzadb5xiaz84TkZzEf6uqTDhc7VYvvMt7jVYgEV2dshRiazBT6YS73WAA/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">法院:</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">“医师<span style="color: black;">行径</span><span style="color: black;">形成</span>‘以其他<span style="color: black;">办法</span>阻碍法官执行职务的<span style="color: black;">行径</span>’”</span></strong></p><img src="https://mmbiz.qpic.cn/mmbiz_png/BnPqMhCfRUvcsXhXiaMicYlTLj02smVJQDOAoQVe2f7B2ue9AY9PKZb3ic4sTib5URu37pMVGmoY8ncmvYyjOE0bGQ/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">病人</span>林先生自<span style="color: black;">2012年2月被厦门大学<span style="color: black;">附庸</span><span style="color: black;">第1</span>医院肿瘤内科接收治入院,经徐彤多次面诊后,确诊为食管恶性肿瘤(Ⅲ期鳞癌)。从那以后,林先生大概每隔半年<span style="color: black;">上下</span>就会到肿瘤科住院治疗,前后达19次之多,其中18次的主诊医师都是徐彤。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2019年3月,林先生住院复查时,徐彤<span style="color: black;">发掘</span>,林先生肿瘤标志物SCCA<span style="color: black;">显著</span><span style="color: black;">上升</span>,故开出医嘱,<span style="color: black;">意见</span>其半年后再住院复查。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">同年11月27日,厦门市思明区法院(以下简<span style="color: black;">叫作</span>“法院”)因林先生<span style="color: black;">没</span>理阻挠司法执行,欲对其进行司法拘留。林先生声<span style="color: black;">叫作</span>自己为癌症重症<span style="color: black;">病人</span>,即将住院治疗。法院<span style="color: black;">需求</span>其出具《诊断证明书》,林先生随即<span style="color: black;">拜托</span>亲属来院找徐彤开具证明。不明就里的徐彤出具了“<span style="color: black;">意见</span>住院治疗”的《诊断证明书》,交给来人带走。但令他没想到的是,<span style="color: black;">次日</span>,他就被传讯到了法院。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“11月27日当天,法院看到徐彤开具的《诊断证明书》后,便将林先生带去其他医院急诊科重新<span style="color: black;">检测</span>,接诊医师并未<span style="color: black;">发掘</span>需住院治疗的症状,于是,法院认定徐彤的<span style="color: black;">行径</span>属于‘以其他<span style="color: black;">办法</span>阻碍法官执行职务的<span style="color: black;">行径</span>’。”徐彤的代理律师、国浩律师(大连)事务所梁剑兵说。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">厦门大学<span style="color: black;">附庸</span><span style="color: black;">第1</span>医院认为,徐彤医师此举欠妥,对他提出了严肃警告,并在科周会上通报批评。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">法院认为,2019年11月27日,徐彤在<span style="color: black;">无</span>对<span style="color: black;">病人</span>林先生进行亲自诊查的<span style="color: black;">状况</span>下,就开出诊断证明,违反了《中华人民共和国执业医师法》第二十三条<span style="color: black;">第1</span>款的规定(现《中华人民共和国医师法》第二十四条),客观上造<span style="color: black;">成为了</span>司法资源的浪费和妨碍执行的后果,<span style="color: black;">因此呢</span>于2019年12月16日作出(2019)闽0203司惩14号《决定书》:对徐彤处以罚款人民币5万元。</span></p><img src="https://mmbiz.qpic.cn/mmbiz_png/BnPqMhCfRUvcsXhXiaMicYlTLj02smVJQDzadb5xiaz84TkZzEf6uqTDhc7VYvvMt7jVYgEV2dshRiazBT6YS73WAA/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;"> 医师</span></strong><strong style="color: blue;"><span style="color: black;">:</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">“谁能<span style="color: black;">保准</span>简单重复的诊断证明100%当面开具给<span style="color: black;">病人</span>?”</span></strong></p><img src="https://mmbiz.qpic.cn/mmbiz_png/BnPqMhCfRUvcsXhXiaMicYlTLj02smVJQDOAoQVe2f7B2ue9AY9PKZb3ic4sTib5URu37pMVGmoY8ncmvYyjOE0bGQ/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“我早在<span style="color: black;">2019年3月就下达医嘱,<span style="color: black;">需求</span>林先生半年后住院治疗。11月27日写的《诊断证明书》,<span style="color: black;">不外</span>是在以往历次亲自诊疗<span style="color: black;">基本</span>上的简单重复<span style="color: black;">罢了</span>!”<span style="color: black;">因为</span>不服处罚决定,徐彤向厦门市中级人民法院申请复议,</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2019<span style="color: black;">年12月27日,厦门市中级人民法院作出了(2019)闽02司惩复17号《复议决定书》:驳回徐彤的复议申请,维持原决定。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“据事后<span style="color: black;">认识</span>,11月27日,法官带林先生去其他医院<span style="color: black;">检测</span>时,接诊的科室是急诊科,而非肿瘤科。并且,<span style="color: black;">亦</span>并<span style="color: black;">无</span>为林先生实施食管癌方面的任何<span style="color: black;">检测</span>。”徐彤认为,两审法院均<span style="color: black;">按照</span>急诊科医师的诊断意见,认定林先生<span style="color: black;">没</span>需住院治疗,继而认定自己“<span style="color: black;">意见</span>住院治疗”的意见违规,显然是错误的。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“徐彤之前曾多次对<span style="color: black;">病人</span>进行亲自诊查,此次未经亲自诊查便开具《诊断证明书》,是基于他对林先<span style="color: black;">患病</span>情的深度<span style="color: black;">认识</span>。更为<span style="color: black;">要紧</span>的是,他在出具《诊断证明书》时,既<span style="color: black;">没</span>利益驱使,<span style="color: black;">亦</span><span style="color: black;">没</span>主观恶意。”梁剑兵<span style="color: black;">暗示</span>,《中华人民共和<span style="color: black;">百姓</span>事诉讼法》<span style="color: black;">第1</span>百一十一条的规定,<span style="color: black;">仅有</span>在<span style="color: black;">行径</span>人基于主观恶意直接实施<span style="color: black;">关联</span>阻挡<span style="color: black;">行径</span>时,法院<span style="color: black;">才可</span>适用该条款给予罚款。但在本案中,徐彤在出具<span style="color: black;">疾患</span>诊断证明书时,不<span style="color: black;">晓得</span>林先生被法院拘留的事实,更不会料到林先生会利用《诊断证明书》逃避法院的处罚,在主观上<span style="color: black;">无</span>要阻碍法官执行职务的恶意,在客观上<span style="color: black;">亦</span><span style="color: black;">基本</span><span style="color: black;">无</span>实施任何阻挡<span style="color: black;">行径</span>。<span style="color: black;">另一</span>,梁剑兵还认为,在法院查明林先生确系癌症<span style="color: black;">病人</span>的<span style="color: black;">状况</span>下,理应变更司法处罚的种类和方式,以<span style="color: black;">表现</span>人道主义,而<span style="color: black;">不该</span>对正常履行医师职务的<span style="color: black;">大夫</span>进行处罚。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“亲爱的医师同仁,有谁能<span style="color: black;">保准</span>自己在写这种简单重复的《诊断证明书》时,100%是当面开具给<span style="color: black;">病人</span><span style="color: black;">自己</span>的?而<span style="color: black;">倘若</span>您曾有过将《诊断证明书》交给<span style="color: black;">病人</span>指定亲属的<span style="color: black;">行径</span>,我的遭遇<span style="color: black;">亦</span>有可能在您身上重演。”徐彤在《致全国医师同行的公开信》中写道。</span></p><img src="https://mmbiz.qpic.cn/mmbiz_gif/BnPqMhCfRUvcsXhXiaMicYlTLj02smVJQD3wopJJ30XvAwR6LmEFdF6OMnycdfyjicxlFM53QCPC9XzPgAp6tHIKw/640?wx_fmt=gif&tp=webp&wxfrom=5&wx_lazy=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">后记</span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;"><img src="https://mmbiz.qpic.cn/mmbiz_png/BnPqMhCfRUvcsXhXiaMicYlTLj02smVJQDtJ9OP2jfKNIYEHnBadV55kozW0sugIcdibPlgNOmTlXFicURBENHeDRg/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2022年3月16日,徐彤向厦门市人民检察院递交了《检察监督申请书》,<span style="color: black;">期盼</span>检察院依法召集听证会,邀请福建省医师协会以及厦门市医师协会的<span style="color: black;">表率</span><span style="color: black;">做为</span>听证员进行听证,依法进行监督,并<span style="color: black;">意见</span>撤销两审法院的错误决定。</span></p><img src="https://mmbiz.qpic.cn/mmbiz_gif/BnPqMhCfRUvcsXhXiaMicYlTLj02smVJQDUJKiaOicWexH30Re6Jwou41XXrFmX0EK3KSiak3TU98m8wytSBW2PvcYQ/640?wx_fmt=gif&tp=webp&wxfrom=5&wx_lazy=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">排版:王璐</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">编辑:尹晗</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">审核:陈惠</p>
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