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Severance Hospital emergency room refuses to accept patients due to resident departure

Patients said, “The surgery I had been waiting for since July of last year was canceled today,” and “The birth of twins was also postponed.”

Hospitals adjust surgery schedules to ‘minimum’ considering seriousness and emergency cases

Medical crisis becomes a reality

Medical crisis becomes a reality

(Seoul = Larose.VIP) Reporters Seong Seong-ho, Kim Jan-di, Oh Jin-song, and Kwon Ji-hyeon = “I was informed that admission to the emergency room today is not possible due to a shortage of doctors due to the strike.”

Mr. Park, who was receiving outpatient treatment at a hospital in Seongnam, said his condition worsened on the 19th, so he visited Severance Hospital, one of the ‘big five’ hospitals, and was informed that he could not be admitted.

It is reported that Severance Hospital has not been accepting additional applications since the morning because the emergency room was full.

A man suffering from cancer was unable to enter the hospital for about 10 minutes even after arriving at the emergency room this morning.

The guardian who accompanied him stamped his feet, saying, “My father came here urgently because his oxygen saturation had been dropping since last night, but he can’t go to the emergency room right now because he couldn’t make an appointment.”

Mr. Kim (55), who was riding a wheelchair on the second floor of the main building of Seoul St. Mary’s Hospital, said, “I was scheduled to have knee surgery on the 14th of next month.” He added, “It was a date set 7 months ago, but when I came back today after getting a pre-surgery examination, I was told that there was a strike.” “He said, ‘It may take longer, so why not adjust it to the 21st?’”

Ms. Kim (67), a guardian who visited Daejeon St. Mary’s Hospital in a wheelchair with her husband, a defoliant patient who participated in the Vietnam War, took off her husband’s mask, showed his swollen cheeks due to cancer, and said, “The blood keeps coming out, and this is a person who sacrificed himself for the country.” “It makes me really angry to think that my body has been ruined to this extent and that I can’t even receive proper treatment,” he said, shedding tears.

Mr. Park (65), a patient who visited Chonnam National University Hospital in Gwangju, said that Chonnam National University Hospital canceled the surgery scheduled for the 20th.

Mr. Park (65) said, “The surgery was scheduled for tomorrow, but I suddenly received notice of cancellation today.” He said, “I made a reservation and waited for the surgery since July of last year. How can this happen?”

Confusion in the medical field is becoming more serious across the country as interns, residents, and other residents are collectively resigning in protest against the government’s expansion of medical schools.

'Medical crisis' crisis due to submission of resignations by trainees across the country. What will be the impact on emergency medical services?

‘Medical crisis’ crisis due to submission of resignations by trainees across the country. What will be the impact on emergency medical services?

In particular, as residents who are responsible for essential medical care leave the hospital, there are increasing cases of urgent surgeries such as cancer surgery, childbirth, and disc surgery being canceled or postponed. The ‘medical crisis’ is becoming a reality.

According to the medical community on the 19th, all residents at the ‘Big 5’ hospitals, including Seoul National University, Severance, Samsung Seoul, Asan Seoul, and Seoul St. Mary’s Hospital, submitted their resignations by this day and decided to stop working as of 6 a.m. on the 20th.

Among these, it was reported that a significant number of residents at Severance Hospital left the medical field, including Park Dan, president of the Korean Medical Residents Association (Daejeon Association), who worked in the emergency medicine department, submitted a letter of resignation.

Accordingly, Severance Hospital has already started internally adjusting the surgery schedule, assuming a ‘general strike of residents’.

As many residents, not only at Severance Hospital but also at other hospitals, have already expressed their intention to resign, schedule adjustments are considered inevitable.

An official from Asan Medical Center in Seoul said, “Since the morning of the 20th, residents have announced group action and are adjusting treatment and surgery schedules to a minimum by taking into consideration the severity and emergency level of each department.”

Residents are joining the nationwide resignation parade from Seoul to Jeju for personal reasons, such as “I am resigning because it is difficult to work long hours due to chest pain due to an underlying disease.”

Residents, who make up 30 to 40 percent of the medical staff at tertiary general hospitals, are responsible for important tasks at each hospital, such as assisting professors with surgeries and medical treatments and checking the conditions of hospitalized patients.

There are already a series of cases where surgery schedules have been adjusted at major hospitals in Seoul.

Severance Hospital announced on the 16th that it would like to discuss adjusting surgery schedules for each department in preparation for resident vacancies, and is not ruling out the possibility of reducing surgeries by more than half due to the absence of anesthesiology residents.

Severance Hospital performs about 200 surgeries a day and 1,600 surgeries a week. This means that the schedule for these surgeries is cut in half.

Anesthesiology residents assist the anesthesiology professor with anesthesia work during surgery and monitor the patient’s condition.

Deepening legislative conflict, concerns over medical crisis

Deepening legislative conflict, concerns over medical crisis

Seoul National University Hospital, Seoul Asan Medical Center, and Samsung Seoul Hospital are also discussing from various angles how to adjust surgeries and hospitalizations and how to deploy replacement personnel to prevent further confusion when mass resignation of residents becomes a reality.

At Samsung Seoul Hospital, which performs 200 to 220 surgeries a day, 20 surgeries, or about 10%, were postponed on this day. The hospital predicted that about 70 surgeries would be postponed on the 20th.

At Samsung Seoul Hospital, as of this morning, about 30 to 40 percent of the 525 residents had submitted resignation letters.

Most hospitals believe that available manpower will be limited and are prioritizing emergency and critical surgeries.

Seoul St. Mary’s Hospital is also preparing to inform patients that surgery and hospitalization schedules may be adjusted depending on emergency and severity due to the collective resignation and general strike of residents.

As the mass resignation of medical residents becomes a reality, inquiries from patients are pouring in, asking, “Can I still undergo surgery?”

A cancer patient who was scheduled for surgery on the 21st at Big 5 Hospital posted on an online community of patients, “I didn’t receive a text message informing me of hospitalization, so I called and they told me to wait, saying they wouldn’t know for sure until Monday (19th).” “I heard that the surgery may be canceled, but I don’t know what to do.”

The story of a patient was also reported who was scheduled to give birth to twins by caesarean section at Seoul National University Hospital, but was notified of the postponement a day before the surgery.

There are also cases such as a guardian complaining that she is embarrassed that her parents’ long-awaited cervical disc surgery has been postponed indefinitely, and a pregnant woman who is about to go into labor and has been informed that painless injections during childbirth will not be possible.

Employee held in the hands of a major

Employee held in the hands of a major

Even the National Cancer Center, a medical institution under the Ministry of Health and Welfare, appears to be adjusting its surgery schedule as mass resignations of residents become visible.

Guardians are testifying that they scheduled surgery at the National Cancer Center for ovarian cancer, but it was postponed indefinitely, or that they were hospitalized ahead of the surgery but were discharged within a day because it was pushed back by a month.

However, the National Cancer Center announced that there were no cases in which surgery was officially postponed until the previous day.

As residents leave, not only are planned hospitalizations and surgeries delayed, but it is also difficult to care for patients who are already hospitalized.

According to the Health and Medical Workers’ Union, there are a growing number of cases in which tasks previously performed by medical residents, such as collecting blood, inserting urethral tubes, and verifying patients’ signatures on consent forms prior to surgery, are being entrusted to nurses.

It is known that some hospitals are recruiting ‘Physician Assistant (PA) nurses’.

Each hospital is most concerned about the situation where the gap between medical residents is prolonged.

Moreover, if ‘full-time doctors’, called clinical instructors, fellows, etc., join in, the situation may deteriorate into something unmanageable. Full-time doctors are doctors who remain at the hospital to learn their specific specialty after completing the residency program and obtaining a specialty.

As even seriously ill patients had difficulty receiving appropriate medical treatment and emergency treatment, patients and their families began appealing to “please do not neglect the patients.”

Lee Kun-ju, president of the Korean Lung Cancer Patients Association, who is a terminally ill lung cancer patient, said, “Patients are still desperately waiting for treatment at the end of their lives,” and added, “I hope that an adjustment can be made through negotiations.”

Six seriously ill patient groups, including the Korea Multiple Myeloma Patients Association, also responded to the residents’ notice of resignation by urging, “The government and medical groups that are confronting each other with the lives of seriously ill patients as collateral must immediately stop this situation and seek dialogue and solutions.” did.

soho@yna.co.kr

Report to KakaoTalk okjebo 2024/02/19 21:59 Sent

The executive branch said no.
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