Chapter 906
Ling Ran stood up slowly, and under the gaze of a group of directors and deputy directors, he spoke calmly: "The patient was 37 years old... and felt fullness in his upper abdomen, acid reflux, vomiting, and did not pay attention to it... He performed a major gastrectomy + lymphatic dissection..."
The discussion of mdt was conducted by the relevant departments sitting together, centering on the patient, and speaking from one department to another. This model of Mayo carried forward is a labor-intensive approach. In order to save manpower as much as possible, Mayo Hospital even specially built a new multidisciplinary building...
There is no luxury in China as Mayo, and using the multidisciplinary comprehensive treatment collaboration model, it is naturally trembling.
Top regional hospitals like Yunyi want to embrace the future of world medical care on the one hand, and on the other hand, they think it takes too much time to sit together, so when doing specific operations, they always shake, like a dog licking. When giving you the opportunity to hug, your legs can't stand straight.
On the other hand, the domestic medical treatment costs are almost gone, so senior doctors from eight departments sit together to discuss the condition for an hour. The price shown on the bill is often not even 200 yuan. Including the hidden costs of inviting senior doctors from various departments, the mdt operation is often reverse-powered.
In hospitals like Yunyi, initiating md usually requires the doctor to promote it themselves, rather than programmatically.
This time, the mdt initiated by the emergency center, is even less popular with other departments. Most of them are in a step-by-step and mediocre manner, looking at Ling Ran's speech, and even too lazy to open the information in front of them to take a look.
Gastric cancer and liver metastasis are just some things. The directors and deputy directors present are familiar with each other. It is always very simple to say clichés.
A few minutes later, the deputy director of the imaging department, who was the second speaker, was even more tired and said in a low voice: "The patient's CT prompted that the gastric wall of the lower cardia was thickened... CT prompted that the low-density in the liver, combined with the tumor marker AFP, was not high, and the cea was considered as a metastatic nodule, and was diagnosed as gastric cancer liver metastasis..."
The deputy director of the imaging department said almost clichés and sat down after he said that such a meeting was really a waste of time. If it weren't for Lao Huo's sake, he wouldn't have been too lazy to come to the academic hall to read this report.
The deputy director of the Oncology Department coughed twice and was about to stand up.
Ling Ran said at this time: "The low-density shadow of liver ct? Is it okay to see this?"
The deputy director of the Oncology Department was shocked: Is it sprayed? Why did Ling Ran get sprayed?
Even Huo Congjun was shocked. Why did he start to spray the imaging department first? This is half a friendly army...
Huo Congjun then smoothed out and said, "We Dr. Ling sometimes are a little overly strict... Ling Ran, colleagues in the imaging department are indeed quite busy..."
"Have you seen the high-density shadow? There are high-density shadows walking along the side in the tumor, and there are even obvious liquid-liquid surface signs here..." Ling Ran shook his head: "The patient has made enhanced CT, and the slightly high-density shadow here indicates that metastatic tumors erode blood vessels. This symptom must be explained..."
The deputy director of the imaging department lowered his head and tried his best to search for the information.
He actually did psychological construction when attending the mdt discussion today. If an old troll like Huo Congjun accidentally swept him, he would be ready to pretend to be dead.
Anyway, the imaging department is an auxiliary department, and ordinary doctors will not keep an eye on it.
However, he did not expect that the first knife he had cut today was Ling Ran's swing, and he directly faced technical problems.
technology?!
You can’t pretend to be dead if you have technical problems!
Imaging departments also have bottom lines!
The deputy director yelled in his heart...
The status of auxiliary departments in the hospital is already low enough. For departments like the imaging department, they can get the average bonus of the hospital with technical support. Although they are not as good as me, they are actually not as good as me.
Therefore, challenging the technology of the imaging department is to fiddle with the reverse scales of the imaging department.
The deputy director of the Imaging Department quickly flipped through the information and was about to find a piece of it casually, and refuted Ling Ran first.
Unfortunately...the information is limited and the preparation is insufficient.
Xin Yiheng, deputy director of the Imaging Department, captured the original film directly and started watching it on the spot.
He has also been a man who has been reading the film for 30 years. Even if some key parts on the film are blurred and mosaiced, he can still explore real images through layers of appearance!
"The center of the small lesion is slightly enhanced. From this point of view, it is related to blood supply to the hepatic artery..." The deputy director could not let everyone wait. If you see a little, just pretend first and say it slowly, as if it was very important.
Ling Ran was a little disappointed and said, "That's it?"
"Point-shaped enhancement in the center of small lesions is relatively rare, so the doctor below..."
"It's useless to see it or not." Ling Ran interrupted him indifferently and said, "What you should pay attention to now is the calcification point of the lesion, here..." Ling Ran walked directly to the table, pointed to the film in front of the deputy director, and tapped it with his hands twice.
The deputy director wore glasses and turned the film away, and only then did he see the small dots that Ling Ran knew.
"Did you see it?" Ling Ran asked.
"Well... multiple fine dot-like calcifications are characteristic manifestations of liver metastases..." The deputy director of the imaging department's voice was slightly weak.
It’s not that he can’t see it, but he just didn’t look it carefully before.
The imaging department has to watch movies for the entire hospital. There are countless movies I watch every day, and even the deputy director may not be able to contact ordinary movies.
However, he came to attend the mdt meeting and said that he had not watched the movie, which was unreasonable.
Looking at Ling Ran's serious expression, the deputy director was as obedient as a cat.
He is actually used to being criticized by a big boss, but Ling Ran is young and he is a little uncomfortable. However, as long as he adjusts his mentality and treats others as a big boss, it will not be so difficult to accept being criticized.
Surgeons are not very good at tempering, and they often criticize others. They are used to the things they are used to, and those who are not used to being scolded too much, and they can only spit on their faces and feel wronged.
Those who can be the deputy director are used to being third grandsons. At this time, the deputy director smiled shyly, as free and easy as a middle-aged thief who was identified on the bus - everyone thinks he should be embarrassed, only he doesn't think so.
"Let's go on." Huo Congjun saw signs of the other party pretending to be dead and reminded Ling Ran not to waste his energy on him.
At the same time, Huo Congjun couldn't help but examine Ling Ran from a new perspective.
It’s nothing to spray a deputy director of an auxiliary department. Huo Congjun has sprayed it many times. However, from a technical perspective, this is more powerful.
In Huo Congjun's impression, departments like videos, when talking about technology, they are always slippery and like meat from hobs. Now, seeing the other party being chopped into meat paste by Ling Ran using technology, there is another kind of pleasure.
"Next, what's in the gastrosurgery department?" Huo Congjun looked at the doctor on the right, which was the position facing away from the door. Another weak chicken who couldn't even choose a position.
The person from the Department of Gastroenterology was also a deputy director, and he felt as if he was a thief for the first time.
Everyone understands that Lao Huo is criticized in a fancy way, but if someone catches technical problems, it will be embarrassing. At least, it should be embarrassing, right?
The deputy director of the Department of Gastroenterology looked at Ling Ran and recalled the gastrectomy he had in his mind. He felt that his stomach was tightening. He couldn't help but complain: This guy's gastrectomy was better than mine. What is the significance of my appearance at today's meeting? Why didn't I prepare well?
"Director Ding?" Ling Ran didn't want to waste his time and urged him again.
"Or... let Director He of the Department of Hepatobiliary Surgery say first..." Director Ding of the Department of Gastroenterology was trying to induce the flood to the east like a primary school student who was not memorizing the text.
He Yuanzheng, who was already a little nervous, jumped up as if his buttocks were ignited by someone, and said, "Why did I tell you first? This is a patient of the general waiter, the general waiter will say first."
Chapter completed!