一场获医患同意的手术，为何仍会引发致命的纠葛

Core Viewpoint - The article discusses the tragic case of Dr. Shao, a gynecologist who committed suicide after enduring severe online harassment stemming from medical disputes, highlighting the systemic issues in doctor-patient relationships and the pressures faced by medical professionals in high-stakes situations [3][6][31]. Group 1: Medical Disputes and Online Harassment - Dr. Shao faced three significant medical disputes that led to online harassment, with the most notable case involving a patient who suffered from amniotic fluid embolism, resulting in a hysterectomy [5][11]. - The online harassment included false accusations and coordinated attacks from the families involved in the disputes, leading to over a million views on related videos [5][12]. - The systemic failure to protect medical professionals from such harassment raises questions about the responsibilities of hospitals and the healthcare system [6][31]. Group 2: Clinical Decision-Making Under Pressure - The decision to perform a hysterectomy during an amniotic fluid embolism is complex and depends on the severity of the condition, with the primary goal being to save the patient's life [12][14]. - Amniotic fluid embolism has a high mortality rate, and timely intervention is critical, often requiring the mobilization of extensive medical resources [14][15]. - The unpredictability of childbirth and the potential for rapid deterioration in patient conditions create immense pressure on healthcare providers [19][20]. Group 3: Systemic Issues in Doctor-Patient Relationships - The article highlights the increasing tension in doctor-patient relationships, particularly since the early 2000s, exacerbated by the COVID-19 pandemic [26]. - Medical disputes often lead to a perception of doctors as solely responsible for negative outcomes, creating a sense of isolation among healthcare professionals [26][28]. - The current system places a heavy burden on doctors to prove their lack of fault in disputes, which can lead to defensive medical practices and increased healthcare costs [30][31]. Group 4: Hospital Responsibilities and Preventive Measures - Hospitals are expected to have mechanisms in place to address medical disputes and protect their staff, including the establishment of grievance offices [31][32]. - Effective communication before procedures, such as recording risk discussions, can help mitigate misunderstandings and reduce the likelihood of disputes [33]. - The article emphasizes the need for hospitals to actively manage online reputations and intervene in cases of online harassment to protect their staff [32][33].