Case discussions were held in the conference room of the Organ Transplantation Center of Sanbo Hospital.
When Yang Ping arrived, the conference room was already full of people. Yang Ping found a chair in an inconspicuous corner and sat down.
He glanced at the participants in the conference room and found many of them he didn't recognize.
These unknown experts must be experts from other academies. Yang Ping knew most of the Sanbo director-level experts who could attend such meetings.
When the medical office called to inform, they also said that there would be experts from other hospitals attending the meeting, but they didn't expect so many to be invited. It was probably the surface warrior who was trying his best. It was Tan Xiaowei's sponsor. Now that something happened to Tan Xiaowei, he had to appear active.
If you are a little bit negative, you will be scolded by netizens.
To carry out organ transplantation, one must obtain qualifications granted by the Ministry of Health. The institutions with the highest organ transplant qualifications in Nandu Province are Nandu Affiliated 1, 2 Affiliated and the Provincial People's Hospital. In addition to kidney, liver, pancreas and small intestine transplants, they also have heart and lung transplants.
Transplantation qualifications.
Sanbo Hospital currently has kidney, liver, pancreas and small intestine transplant qualifications.
The surgeries performed by Qin Xiaowei and Li Jun were liver transplants and kidney transplants, which were surgeries within the qualifications of Sanbo Hospital, and they were willing to operate at Sanbo Hospital. If their conditions were not complicated, Director Liu and Director Li would have to bear the pressure of public opinion and would not
As for making it so grand, more than a dozen experts from other colleges gathered together.
Director Zhao of the Medical Department must participate in such large-scale case discussions. In addition to chairing the meeting, he must also coordinate in all aspects.
Now Qin Xiaowei is a celebrity. Since his success in rock climbing, not only has the number of fans skyrocketed, but he has also dominated the search rankings for a long time.
The stock price of Surface Warrior, an outdoor sports brand, has doubled and is still rising. The hospital will naturally pay attention to patients like this who are widely concerned by the society.
It’s not that we don’t pay attention to other patients, but we don’t treat other patients with such grandness.
Whether solemnity is a good thing or a bad thing should be considered equally.
If the technical strength of the attending hospital is insufficient, the patient cannot be transported, and treatment encounters difficulties, then out-of-hospital consultations at this time can help make up for the shortcomings of the attending hospital, which is a good thing.
On the other hand, the main hospital has sufficient technical strength and the treatment is very smooth. At this time, too many expert consultations from outside hospitals will cause confusion.
So sometimes, this kind of attention is not a good thing, but a bad thing.
For example, a rich man was once admitted to the ICU in Nandu Affiliated One. After careful treatment, he was successfully transferred out of the ICU. His family members felt that since he was a rich man at the top of the rankings, he could not treat the doctor like ordinary people, which seemed unqualified, so he asked for a 30-year-old doctor.
Multiple domestic and foreign experts conducted multiple rounds of consultations.
As a result, everyone had different opinions, and no one dared to take responsibility and make the decision. The family members were also confused. Sometimes they listened to this expert, sometimes they listened to that expert, and finally they listened to the opinions of American experts and went to the United States for surgery. Unfortunately,
After the operation, stay on the operating table.
Sometimes, one expert is enough to treat a disease, but if there are too many experts, it is easy to make mistakes.
Just like in a war, there is only one commander, and there are more than a dozen commanders. One said to attack, one said to defend, and one said to retreat. They just put up an offensive posture, but received an order to retreat. Halfway through the retreat, a new order immediately said to attack, and the legion
We can only fight for our lives, so why fight?
Yang Ping had seen this kind of thing a lot.
Sometimes family members have to call in many experts, and the hospital has no choice.
As Qin Xiaowei's company, the surface warriors invited more than 20 experts, including those from the Imperial Capital, some from the Magic City, some from Nandu's First Affiliated City, and some from West China. They invited almost all the well-known experts in this field, so that
To show that he attaches great importance to Qin Xiaowei.
The chairman of Surface Warriors burst into tears in front of the media and almost knelt down after his legs gave out.
The oval conference table in the conference room is surrounded by experts, and many people are sitting on the periphery of the conference table. Yang Ping is sitting on the periphery now.
Director Zhao from the Medical Department had already arrived. He looked at his mobile phone on the conference table from time to time. The time was not up yet and he had to wait.
"The surface warriors invited more than 20 experts, but more than ten have not come. The next batch will arrive, and now only more than ten have arrived." A director next to him said softly to Yang Ping.
Yang Ping took a look and saw that it was Director Zha of the Department of Nephrology.
Yang Ping nodded and expressed his gratitude to Director Zha for the information.
"Director Cha, why don't you sit forward?" Yang Ping said that Nephrology is also the main department.
Director Zha shook his head: "Now the organ transplant center plays the leading role. We are just a foil. Old Liu and Old Li are very active and want to do a two-way transplant. Things that could have been solved in the hospital have now become so complicated."
Director Lu from the Department of Urology was also nearby: "Surface Warriors and Video Platform are the driving forces behind this. Because of this incident, the stocks of the two companies are soaring. At such a critical juncture, they definitely don't want anything to happen to Tan Xiaowei. How long can they last?"
It only lasts as long as it takes, so we spend money to hire so many experts.”
After kidney transplantation was separated from the Department of Urology, this kind of kidney transplant patients have nothing to do with the Department of Urology. For Director Lu, he is also a role that comes to join in the fun. However, because of the close relationship between kidney transplantation and the Department of Urology, Director Lu has no interest in kidney transplantation.
Very professional and familiar.
"That's Professor Wang from the Organ Transplantation Center of Imperial Medical University. He's a very crazy person. He's the only one who speaks in every meeting. He doesn't know how to respect people." Director Lu is very familiar with Professor Wang.
Yang Ping glanced over and sat in the position with the best view of the projection screen. This position was the C position for case discussion.
This man is slightly fat, has a straight face, a relatively big mouth, wears glasses, and doesn't have much hair.
The time for the meeting has arrived. Director Zhao opened the case discussion with his baritone voice. After a skillful and routine opening remarks, the doctor in charge reported the medical records.
The medical records of Qin Xiaowei and Li Jun were projected on the screen, and everyone was staring at the screen to listen to the medical records report.
After the medical record report was completed, Director Liu and Director Li briefly explained their team's next treatment plan and the problems encountered, hoping that the experts would help.
Everyone stared at the screen, digesting the medical records they saw and heard, and asked questions about unclear details. Some of the test results were retrieved and read again in order to accurately and comprehensively understand the condition.
This chapter is not over yet, please click on the next page to continue reading! After a short deliberation, everyone began to prepare to speak.
Case discussion is also a time to show the skill of a doctor. Although surgeons can operate the knife and try not to talk, but in this kind of case discussion where experts from all over the country are gathered, they obviously have to use their mouth to show their skill.
Maybe the condition was really complicated, or maybe Professor Wang was present, and everyone was afraid of being criticized, so no one spoke for a long time, and everyone was in a wait-and-see state.
"This operation must not be performed. The risk is too high. Both of them are currently in poor condition. One has just stabilized and was transferred out of the ICU. He was on ECMO for so long and now his cardiopulmonary function is not very good. The other is just out of danger.
, triggering multiple organ failure at any time. If such a major surgery is performed, they will not be able to survive any complication. Surgery is not a gamble. Anyone who does this surgery is just to get angry. Anyway, if it were me, I would definitely not do it." From the Imperial Capital.
Professor Wang is very domineering. When everyone remained silent, he spoke first, got straight to the point, and expressed his views.
And the point of view is very clear, this kind of surgery can be avoided as much as possible, which is a thankless task.
Professor Wang likes this feeling. He talks endlessly, and the people next to him echo it, and then wave the flag and shout.
But Professor Pei from the Demon City who was present did not buy his account. Professor Pei was Professor Wang’s rival. They both performed liver transplantation and kidney transplantation and were both authorities in this field. Relatively speaking, Professor Wang had a higher academic status and belonged to the same group.
Brother, Professor Pei is the challenger, second brother level. The relationship between the two is similar to the relationship between Britain and Germany on the eve of World War II.
As long as they are required to participate in the usual academic meeting, it will definitely become a rivalry between the two.
"It's not that serious when you get angry. Doctors don't take risks. What kind of doctor do you want to do? Which surgery is risk-free? Surgery is just dancing on the tip of a knife. Seeking benefits from risks. Don't do this or that. What should the patient do?
Let’s do it, all the surgeries are done smoothly, how can there be so many surgeries that are safe? It’s hard to find risky patients and just wait to die?” Professor Pei from Shanghai Medical University did his part, and his words were spicy.
The case discussion started with the explosive atmosphere of professor from the imperial capital.
The academic circle is actually divided into factions, and no one who is engaged in technology is convinced by the other. It is common for everyone to argue in academic meetings, and sometimes there will be a rhythm of rolling up one's sleeves and going on stage to fight, which is very interesting.
These two factions have always been fighting openly and covertly, and there have been many fights in the academic society. Therefore, in this kind of situation, they will naturally not show weakness to each other, and they will stab each other when they meet.
"The operation was done beautifully, but the patient is gone. Do some doctors still do less of this?"
Professor Wang from the Imperial Capital sneered, obviously pointing out something.
Professor Pei from Shanghai Municipality did not show any weakness: "It sounds like someone has a 100% success rate in organ transplantation. I have never seen anyone who often walks by the river without getting his shoes wet."
"If you don't understand the indications for surgery, just go back and read the book carefully. Surgeons do not strictly control the indications for surgery. They operate for the sake of surgery. They are no different from butchers. These two patients will basically have a narrow escape from death if they undergo such a major surgery at this time. If they do it again,
Take it easy, give him conservative treatment first, and you can still survive for a while." Professor Wang really had a bad temper and even used the word "butcher".
Professor Pei looked unconcerned: "There are absolute indications and relative indications. It is better to follow the book than to have no book at all. If we all follow the book, why do so many doctors discuss it? Anyway, follow this book for treatment."
That’s fine. In my opinion, doctors who hide away from difficulties and risks are cowards. If doctors are treated like cowards, the hospital should just close down.”
Seeing that the fire is getting stronger and stronger, Professor Yao from Nandu Affiliated One is worried that the situation is getting out of control. As the leader of the medical community in Nandu Province, this is his own territory and he has the responsibility to maintain order.
So Professor Yao immediately put out the fire:
"These two patients are really conflicted. If you do it, the risk is very high. If you don't do it, I'm afraid there will be no chance in the future. You see, the effect of Qin Xiaowei's use of artificial liver has not been good. If he does not perform transplantation, it may cause chain reactions in the future and many problems will occur.
Organ failure leads to kidney failure. Not only is his life in danger, but he cannot donate a kidney to Li Jun. If Li Jun's fistula cannot be saved this time, and there is no place to make a fistula next time, how can he do dialysis? It's impossible not to do it, but to do it.
The risk is very high, so we invited major experts to consult and discuss it to see if we could come up with a way to get the best of both worlds. The more advantageous thing is that both patients are willing to take the risk of surgery, and their financial conditions are also very good, so they can afford it.
force."
Professor Yao has been to Sanbo Hospital several times to discuss the medical conditions of Qin Xiaowei and Li Jun with Director Li and Director Liu. He has a good personal relationship with Sanbo Hospital.
The academic circle of Nandu Medical University has always been self-contained, and it feels that it is no worse than the Imperial Capital, so it is considered a corner of the national academic triangle.
If you include the west, that's one side of the academic quadrilateral.
Now two professors from the Imperial Capital are opening fire on their own turf, and they don't take anyone's words in the field of organ transplantation in Nandu Province seriously.
Therefore, Professor Yao must come forward, not only to mediate, but also to warn. This is my territory. Don’t be so angry and give me some face.
Professor Yao from the First Affiliated School of Nandu relieved the atmosphere, while the professors from the Imperial Capital and Magic City glared at each other and then managed to suppress their anger.
A cultured person is a cultured person after all, and he can still control his emotions.
In fact, quarrels at academic meetings are not a bad thing, but a good thing, which means that everyone can speak freely. When Yang Ping was at the Municipal People's Hospital, the case discussions were very quiet.
As long as Director Wu spoke, everyone would either be silent or receive enthusiastic praise.
Yang Ping clearly remembers a case discussion. A fifty-year-old male patient suffered a fracture of the left femoral neck, which was incomplete and without any displacement. The conventional treatment was three hollow nails to solve the problem. At that time, everyone thought this way.
But Director Wu wants to perform a total hip replacement on the patient, and he also needs to use the latest ceramic artificial joint. The cost of the artificial joint alone is hundreds of thousands.
As soon as Director Wu opened his mouth, Director Fu was the first to echo: "Director Wu's opinions gave us a sudden enlightenment and made things clear. We still need to strengthen our study, and we don't have a pure heart to serve patients wholeheartedly, so our thinking is limited to a few nails.
"
At that time, a doctor retorted: Such a young patient, a patient classified as GARDEN type 1, must not have an artificial joint replaced. The fracture must be internally fixed first. If it fails, joint replacement will be considered. This failure rate is very low, and the success rate is close to 100%.
Even without surgery, the success rate is still very high with conservative treatment.
Soon after, the doctor was brutally eliminated because he did not meet the job requirements. Gradually, the atmosphere of the case discussion became very friendly. After Director Wu spoke, he was silent except for agreement.
So when I see a case discussion like this today, it is full of gunpowder, which shows that no matter what, this is a real expert and this is a real discussion.
"Everyone expresses his or her own opinion and speaks freely. Discussions are meant to argue. Professors, do you have any other opinions? You can express your opinions directly." Director Zhao encouraged the two professors to argue in order to avoid chaos.
The winner has not yet been decided. How can we do it half-heartedly? We still have to have a good debate.
