两年来,为治疗妻子的白内障,邢台沙河市綦村镇纸房村村民秦增恒不知跑了多少路,医院要么告知没有能力,要么是研究研究再定手术方案。这一切都因为,他的妻子是输血感染艾滋病毒携带者,人见人怕。
经过两年漫漫求医路,夫妻俩最近总算看到一些希望,经多方协调,到邢台眼科医院后总算可以就诊,医院表示请专家会诊后再确定是否做手术。
■想到姐姐刘入妮(左)的遭遇都是输血感染艾滋病毒后出现的,当年介绍姐姐去医院输血的妹妹愧疚不已
病发
艾滋病患者又患白内障
昨日,秦增恒带着妻子刘入妮,乘三轮车、倒公交车,几经周折再次来到邢台市,去医院咨询什么时间能为刘入妮进行白内障手术治疗。
刘入妮今年60岁,是邢台沙河市因输血感染艾滋病的现存者之一,也是年龄最大的一人。
2005年2月28日,沙河市孔庄办事处卫生院按照沙河市卫生局(2004)8号文件要求,对辖区既往有偿供血(浆)和有受血(浆)史人群进行艾滋病抗体筛查,刘入妮曾在邢台矿业(集团)有限责任公司总医院显德汪医院(以下简称显德汪医院)输过血。
河北省艾滋病检测中心对刘入妮的《HIV抗体检测确认报告》,证明她系感染HIV-1抗体阳性(艾滋病)。
秦增恒说,1996年,刘入妮走路晕倒,经医院检查严重贫血,后经人介绍到显德汪医院治疗并输了四磅血。自此,刘入妮被艾滋病毒缠上了身。“这种孬病,一直伴随我至今无法根除。”刘入妮说,她不但受着罪,还连累了整个家庭。
2008年,刘入妮开始出现视力模糊,沙河市人民医院诊断为双眼患老年性白内障,并建议到上级医院进一步诊治。
沙河市人民医院表示治不了这病,而后找到该市卫生局进行协调也一直未果。开始,刘入妮视力虽模糊,但还有感光。今年1月份,刘入妮的眼睛啥也看不清了,走路都得由人牵引着。
困境
求医两年难做白内障手术
秦增恒说,老伴的艾滋病没有办法根治,但再也不能眼睁睁看着妻子被白内障疾病缠身而失明,原本一门心思为妻子输血感染艾滋病维权的秦增恒,不得不分散出精力四处求医。
秦增恒称,沙河市卫生局局长王占斌告诉他,刘入妮治疗白内障疾病有两条路可走,一是等残联有了免费指标再手术,二是自费治疗,将来可从新型农村合作医疗中报销部分医药费。王占斌还告诉他,沙河市内的医院无能力做这种手术,只能联系到邢台眼科医院进行治疗。
昨日,秦增恒拿着刘入妮2008年11月1日在沙河市人民医院的诊断证明书说:“医院有眼科为何就做不了白内障手术,而且,我打听到沙河市白塔镇卫生院都能为患者做白内障手术。”
秦增恒怀疑,医院是在歧视艾滋病毒感染者。
昨日,沙河市卫生局局长王占斌表示,沙河市人民医院眼科仅有门诊部,根本不具备白内障手术的能力,并非像秦增恒想的那样“歧视艾滋病患者”。
王占斌说:“从今年4月份才接到秦增恒反映刘入妮患白内障要求做手术,以前,秦并未给我说过此事。对于刘入妮的家庭我一直很同情,她的事情我们一直在积极协调。”
丈夫发愁学会了吸闷烟
秦增恒本不会吸烟,自刘入妮被确诊为艾滋病毒携带者后,为了妻子的维权官司,他在思考问题时染上了烟瘾。
2006年10月12日,秦增恒一纸诉状将显德汪医院推向被告席,要求被告承担原告各项损失30万元。
官司一打四年,从一审打到二审,再到省高级人民法院裁定发回重审,几经波折至今还没有一个结果。
最近,老秦又因妻子患白内障疾病四处求医处处碰壁而苦恼。谈话间,老秦一根接一根地吸着1元钱一包的“金丝猴”牌香烟。
“这几年打官司,全靠儿子在建筑队干苦力活,每月挣的1000多元钱补贴家里,其他再无经济来源。”秦增恒说,这段时间为妻子做手术的事又发愁了,每天都要从村里小卖部花2元钱买两包烟。
老秦眼见着妻子的气色一天不如一天好,心事也一天比一天沉重。
进展
多位专家今日将进行会诊
今年7月27日,秦增恒和女儿秦军叶来到邢台眼科医院,咨询刘入妮白内障疾病能否入院进行手术治疗,秦军叶坦言母亲是艾滋病毒感染者。该院感染科护士长高志英接待后表示可先挂号进行诊治。
医院没有拒绝他们,秦增恒感到妻子的白内障手术有了希望,于是当日下午便将妻子从家里接到邢台眼科医院。
挂号后带刘入妮去眼科门诊部就医时,秦军叶被医生和护士叫住。秦军叶说,医生了解到她与刘入妮关系后告知,刘入妮的病不是一般的病,白内障疾病可先拿些药回家治疗,让她留下联系方式。
7月31日,秦军叶接到邢台眼科医院感染科赵主任的电话,表示关于刘入妮的手术事宜正在预约相关专家,但建议等天气凉爽了再进行治疗。秦军叶说,母亲的病情不能再等了,越快做手术越好。
昨日,邢台眼科医院副院长李瑞峰表示,已预约好邢台第二医院(传染病医院)专家、邢台市卫生局、疾控中心人员,今日16时,将对刘入妮病情进行全面会诊,通过会诊结论最终确定是否适宜手术。
邢台眼科医院已从沙河市卫生局调取了刘入妮每季度艾滋病毒检测结果,为专家会诊做好了相应的数据资料准备。
李瑞峰表示,经专家论证,如刘入妮具备白内障手术条件,医院将着手准备下一步手术方案。艾滋病目前还不能治愈,而此种手术在该院实在是没有相关经验,从前期准备流程上要确保万无一失,既要考虑到患者的安危情况,也要考虑到医护人员的安全。
专家观点
按规操作 医护人员感染概率小
针对艾滋病毒携带者进行白内障手术,究竟手术难度有多大、医护人员面临感染的风险有多大一事,昨日,记者连线国内对艾滋病毒携带者治疗相对成熟的北京佑安医院。该院传染病科副主任医师张可长期从事艾滋病临床治疗和研究工作,擅长针对艾滋病抗病毒治疗和机会性感染的治疗,解决各种艾滋病疑难问题。
张可认为,目前,医疗机构歧视艾滋病毒携带者就医是一个全国性的问题,并不仅仅局限于一个地方的医疗机构。对艾滋病毒携带者进行白内障手术,并不需要什么特殊的防护、隔离措施,只要按照医疗操作规范、规程执行,医护人员感染的概率几乎没有。
■文并摄/本报记者李强
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HIV patients with cataract surgery ye so hard to do
After two years of free medical treatment results around a hospital in Xingtai, said experts will be asked to determine whether surgery consultation for patients
* 2010-08-04 03:39:52 * Source: Hebei Youth Daily
Two years for the treatment of his wife's cataract, Shahe City, Xingtai Qi Qin Zengheng Village town house of paper I do not know the number of road running, the hospital or can not afford this, or is re-scheduled surgery program of study. All this because his wife is infected with HIV-positive blood transfusion, feared.
After two years of medical treatment long way, the couple recently finally see some hope, after-ordination, to finally be in Xingtai Eye Hospital for treatment, the hospital said that after the expert consultation to determine whether surgery.
■ think of my sister into the Ni Liu (left) of the encounter are infected with HIV after blood transfusion, and then introduced to the hospital transfusion sister sister endless guilt
Disease
AIDS has cataract
Yesterday, his wife Liu Qin Zengheng into Ni, by tricycle, bus back, after twists and turns once again to Xingtai City, what time to go to the hospital for consultation into the Ni Liu cataract surgery.
Into the Ni Liu, 60, is Shahe City, Xingtai AIDS through blood transfusion, one of the existing and also the oldest one.
February 28, 2005, Shahe Shahe hole village office Institutes of Health in accordance with the Municipal Health Bureau (2004) 8, the requirements of the area past paid blood (plasma) and by the blood (plasma) HIV antibody screening history of populations Liu into Ni in Xingtai Mining (Group) Co., Ltd. General Hospital Xiandewang Hospital (hereinafter referred to Xiandewang hospital) blood transfusion.
AIDS testing center in Hebei Province into the Ni Liu's "HIV antibody test to confirm the report," to prove her HIV-1 antibody system infection positive (AIDS).
Qinzeng Heng said that in 1996, Liu Ni walk into the collapsed hospital after severe anemia, the latter was introduced to Xiandewang hospital and lost four pounds of blood. Since then, Liu has been living with HIV into the Ni wrap the body. "This Nao disease has been associated with since I can not eradicate." Into the Ni Liu said she is not only suffering from crime, also implicated the entire family.
In 2008, Liu began to appear blurred into Ni, Shahe City People's Hospital diagnosed as suffering from cataract eyes, and recommended to the higher level hospitals for further treatment.
Shahe City People's Hospital said it can not cure disease, then find the city's Health Department has been unsuccessful coordination. Start into the Ni Liu vision though vague, but there are sensitive. In January of this year, Liu's eyes into the ni 啥 also not clear, and had to walk by the person pulling the.
Dilemma
Two years of difficult cataract surgery doctor
Qinzeng Heng said that his wife's no way to cure AIDS, but can no longer be watched while his wife was sick of cataract blindness, was originally obsessed with blood transfusion for his wife's Qin Zengheng AIDS activists had dispersed out of energy around medical treatment.
Qinzeng Heng said that the Secretary of Health and Aesthetics in Shahe City, told him, Liu Ni cataract disease into two paths, one other indicator CDPF with free re-operation, and second, the treatment at their own expense, in the future from the new rural cooperative medical in partial reimbursement of medical expenses. And Aesthetics also told him that the hospital can not afford Shahe city to do this surgery, only linked to the Xingtai Eye Hospital for treatment.
Yesterday, Qinzeng Heng Liu took into ni November 1, 2008 in Shahe City People's Hospital certificate of diagnosis, said: "Why hospitals are not doing cataract eye surgery, and I find out that all hospitals in the town of Shahe City, Baita doing cataract surgery for patients. "
Qin Zengheng suspected, the hospital is in the discrimination against HIV-infected.
Yesterday, Secretary of Health and Aesthetics Shahe City, said, Shahe City People's Hospital of the only clinics, cataract surgery does not have the ability, not as Qin Zengheng to as "discrimination against AIDS patients."
Zhan-Bin Wang said: "From April this year, Liu was received into the Ni Qin Zengheng reflect the requirements cataract surgery in the past, Qin said the issue was not addressed to me. For the Liu family into the Ni I have always been sympathetic, she's something we have been In the active coordination. "
Worried about boring her husband learned to smoke cigarettes
Qin Zengheng this will not be smoking, self-Ni Liu income people living with HIV was diagnosed after the case for his wife's Rights, to think when he contracted the habit of smoking.
October 12, 2006, Qin Zengheng 一纸诉状将 Xiandewang hospitals into the dock, the plaintiff requested the defendant to bear the loss of 300,000 yuan.
Case a dozen years, hit the second trial from the first instance, to the Provincial Higher People's Court ruled that remand, after several twists and turns still no results.
Recently, the Lao Qin disease because of his wife, four medical treatment of cataracts being blocked and frustration. Talked, Laoqin a pick one to suck a dollar a pack of "golden monkey" brand cigarettes.
"This is a lawsuit a few years, thanks to the son of coolies in the construction team dry live, earn more than 1000 yuan monthly subsidy money home, no other source of income." Qinzeng Heng said the surgery for his wife during this time something has to worry about, every day from the village canteen spend 2 dollars for two packs of cigarettes.
Laoqin saw the day his wife's color as good a day, every day is also a heavy mind.
Progress
Experts will conduct consultation today
This year on July 27, Qinzeng Heng Qin Ye and daughter came to Xingtai Eye Hospital, the Advisory Liu admitted into the Ni cataract surgery can treat diseases, Qin Ye admitted that the mother is infected with HIV. Department of Infectious Diseases hospital, said after reception nurse Gao Zhiying be the first registered diagnosis and treatment.
Hospital did not refuse them, Qin Zengheng was the wife of cataract surgery with hope, then the afternoon Bian Jiang received his wife from his home in Xingtai Eye Hospital.
After registration with Liu to eye clinic for treatment into the Ni, the Qin Dr. Ye Bei and nurses stopped. Qin Ye said, the doctor that her relationship with Liu, she told into the Nicole Liu Nicole's illness was not into the general disease, cataract disease, some drugs can acquire a home treatment, so she left contact information.
July 31, Qin Ye received the Department of Infectious Diseases Director Zhao Xingtai Eye Hospital telephone, said the operation on Liu Ni into the reservation-related issues is an expert, but suggested that the weather is cool and the further treatment. Qin Ye said, the mother's condition can not wait, the sooner the better surgery.
Yesterday, Xingtai Eye Hospital vice president of the LI Rui-feng said, had appointment with the second hospital in Xingtai (Infectious Diseases Hospital) experts, Xingtai City Health Bureau, the CDC staff, today, 16:00, Lau will conduct a comprehensive consultation into the Ni illness, through consultation to determine suitability for surgery the final conclusion.
Shahe City, Xingtai Eye Hospital from the Health Department for the transfer into the Ni Liu HIV test results each quarter, do a good job for the expert consultation to prepare the corresponding data.
LI Rui-feng said that after discussion by experts, such as Ni Liu entry conditions have cataract surgery, the hospital will begin preparations for next surgery program. AIDS is currently incurable, but such surgery in the hospital is no relevant experience, from the preparation process to ensure that everything goes on, it is necessary to take into account the patient's safety situation, should also take into account the safety of health care workers.
Expert opinion
Health care workers infected by regulating the operation of small probability
People living with HIV for cataract surgery, whether surgery how difficult the task, the risk of infection faced by health care workers regarding the extent of yesterday, reporters connect the domestic treatment of HIV carriers is relatively mature in Beijing You'an Hospital. Associate Director of the hospital infectious diseases physicians Zhang engaged in AIDS clinical and research work, good anti-viral treatment for HIV and opportunistic infections treatment for solutions to difficult problems of AIDS.
Zhang believes that the current medical establishments to discriminate against people living with HIV medical care is a national issue, not confined to a local medical institutions. People living with HIV for cataract surgery does not require any special protection, quarantine measures, as long as the health care operations in accordance with the specifications and implementation, health care workers have little probability of infection.
■ text and photo / reporter Li Qiang