Ling Ran stood up slowly. Under the gaze of a group of chief physicians and associate chief physicians, he said calmly, "The patient is thirty-seven years old … felt bloated in his upper abdomen, nausea, and vomiting. He did not pay attention to it … Subtotal gastrectomy and lymphadenectomy were performed …"
The discussion of MDT was conducted by the relevant departments sitting together with the patient as the center. Each department would speak and discuss with the patient as the center. This model, which was developed by Mayo Clinic, was a very labor-intensive method. To save as much manpower as possible, Mayo Hospital even specially built a new multi-disciplinary building …
The country did not have the luxury of Mayo Clinic, so it was only natural for them to tremble when they used the multi-disciplinary comprehensive treatment collaboration model.
Top hospitals like Yun Hua Hospital wanted to embrace the future of global medicine, but they also felt that it was too time-consuming for everyone to sit together. Therefore, when it came to the specific operation, they always trembled like dogs. When they gave you a chance to hug them, your legs would tremble so much that you could not even stand straight.
On the other hand, the cost of treatment in the country was almost zero. If senior doctors from eight departments sat together to discuss a patient's condition for an hour, the bill shown on the bill was usually less than two hundred RMB. Coupled with the hidden cost of inviting senior doctors from various departments, the operation of MDT was often carried out in the opposite direction.
In a hospital like Yun Hua Hospital, the initiation of MDT usually required the doctors themselves, and it was not a procedure.
This time, the MDT initiated by the Emergency Medical Center was even less welcomed by the other departments. Most of them had the mentality of muddling through and doing things step by step. As they watched Ling Ran speak, they did not even bother to open the information in front of them to take a look.
Anyway, liver metastasis from gastric cancer was the same thing. The chief physicians and associate chief physicians present were familiar with it, so it was very easy for them to say some polite words.
A few minutes later, the second person to speak was the associate chief physician of the Medical Imaging Department. He looked even more tired, and he said in a voice that was neither loud nor soft, "The patient's CT shows that the wall of the lesser curvature of the stomach under the cardia is thickened … CT shows that there is low-density shadow in the liver. Combined with the tumor marker AFP is not high, CEA is considered to be metastatic nodules, and the diagnosis is liver metastasis from gastric cancer …"
The associate chief physician of the Medical Imaging Department said some polite words and sat down after he finished speaking. For him, such a meeting was really a waste of time. If it were not for Old Huo, he would not even bother to come to the academic hall to read this report.
The associate chief physician of the Oncology Department coughed and prepared to stand up.
At this time, Ling Ran said, "Low-density shadow in the liver CT? Is it enough for you to see this? "
The associate chief physician of the Department of Oncology was shocked. 'He's spewing it out just like that? Why was Ling Ran the one who started it?
Even Huo Congjun was shocked. 'Why is the Medical Imaging Department the first thing you do?' He could be considered as half an ally …
Huo Congjun tried to smooth things over and said, "Doctor Ling is sometimes a little too strict … Ling Ran, the colleagues in the Medical Imaging Department are indeed quite busy …"
"Can't you see the High-Density Shadow? There are high-density shadows moving along the edge of the tumor, and there are even obvious liquid-liquid signs here … "Ling Ran shook his head." The patient had an enhanced CT scan. The slightly high-density shadows here indicate that the metastatic tumor has invaded the blood vessels. This symptom must be explained … "
The associate chief physician of the Medical Imaging Department lowered his head and frantically flipped through the information.
When he joined the MDT seminar today, he had actually mentally prepared himself. If an old hatchet man like Huo Congjun accidentally glanced at him, he was prepared to play dead.
After all, the Medical Imaging Department was just an auxiliary department, and normal doctors would not keep a close eye on it.
However, he did not expect that Ling Ran would be the one who dealt the first blow to him today, and it was a technical problem.
Technology?!
You can't play dead on a technical issue!
The Medical Imaging Department also has a bottom line!
The associate chief physician roared in his heart …
The status of an auxiliary department in a hospital was already very low. For a department like the Medical Imaging Department, it could get the average bonus of the hospital because of its technical support. Although it was not to the extent of saying that the Medical Imaging Department could not do without me, in fact, it could not do without me.
Therefore, challenging the skills of the Medical Imaging Department was equivalent to messing with the Medical Imaging Department's reverse scale.
The associate chief physician of the Medical Imaging Department quickly flipped through the information. He was prepared to randomly find a section to refute Ling Ran first.
Unfortunately … the information was limited, and the preparation was not sufficient.
The associate chief physician of the Medical Imaging Department made up his mind. He directly grabbed the original scan and began to look at it live.
He was also a man who had read scans for thirty years. Even if some important parts of the scan were blurred as if they were mosaics, he could still look through the layers of images and explore the real image!
"There is a dot enhancement in the center of the small lesion. From this aspect, it is related to the blood supply of the hepatic artery …" The associate chief physician could not let everyone wait and watch. Once he showed a little, he would first pretend and say it slowly as if it was very important.
Ling Ran was slightly disappointed and said, "That's it?"
"The dot enhancement in the center of the small lesion is still relatively rare, so the doctors below …"
"It doesn't matter whether you can see it or not." Ling Ran interrupted him indifferently and said, "What you should be paying attention to now is the calcification of the lesion. Here …" Ling Ran walked directly to the table, pointed at the scan in front of the associate chief physician, and pointed at it twice.
The associate chief physician wore a pair of glasses and zoomed in on the scan. Only then did he see the small spot that Ling Ran was talking about.
"Can you see it?" Ling Ran asked.
"Yes … multiple fine dot calcification, this is the characteristic of liver metastases …" The associate chief physician of the Medical Imaging Department's voice was slightly soft.
It was not that he could not see it, it was just that he had not looked carefully before.
The Medical Imaging Department had to read the scans for the entire hospital, and they read countless scans every day. Even the associate chief physician might not have access to ordinary scans.
However, he had come to the MDT meeting. It would not be right for him to say that he did not read the scans.
Looking at Ling Ran's serious expression, the associate chief physician was as obedient as a cat.
He was actually used to being scolded by big shots, but Ling Ran was still young, so he was still a little unused to it. However, as long as he adjusted his mentality and treated Ling Ran as a big shot, it would not be so hard to accept being scolded.
Surgeons did not have a good temper, and scolding people was also a common occurrence. Those who worked in the auxiliary department were used to it, and those who were not used to it were scolded too many times. They could only swallow their pride and feel aggrieved.
Those who could become associate chief physicians were also used to being the third generation's grandson. At this moment, the associate chief physician smiled bashfully, and he looked as carefree as a middle-aged thief who was identified on the bus. Everyone thought that he should be embarrassed, but he was the only one who did not think so.
"Let's continue." Huo Congjun saw that the associate chief physician was pretending to be dead and reminded Ling Ran not to waste his energy on him.
At the same time, Huo Congjun could not help but look at Ling Ran from a new perspective.
Scolding an associate chief physician of an auxiliary department was nothing. Huo Congjun had scolded him countless times. However, scolding him from a technical point of view was more impressive.
In Huo Congjun's impression, departments such as the Medical Imaging Surgery Department were as slippery as knives when it came to technical skills. Now that he saw the associate chief physician being chopped into pieces by Ling Ran's skills, he felt a different kind of pleasure.
"Next, the one from the Digestive Surgery Department?" Huo Congjun looked to the right, which was the doctor whose back was facing the door. It was another weakling who did not even know how to choose his position.
The one who came from the Digestive Surgery Department was also an associate chief physician. At this moment, he was panicking as if he was a thief for the first time.
Everyone could understand being scolded by Old Huo, but it would be awkward if someone found out that there was a technical problem. At least, they should feel awkward, right?
The associate chief physician of the Digestive Surgery Department looked at Ling Ran, and he instantly recalled the gastrectomy Ling Ran performed. He felt his stomach tighten, and he could not help but grumble in his heart. 'This guy's gastrectomy is better than mine. What's the point of me appearing in today's meeting? Why didn't I prepare well? '
"Associate Chief Physician Ding?" Ling Ran did not want to waste time, so he urged him again.
"Why don't we … let Department Director He from the Department of Hepatobiliary and Pancreatic Surgery speak first …" Associate Chief Physician Ding from the Digestive Surgery Department was like a primary school student who had not memorized his textbooks.
He Yuanzheng, who was originally a little anxious, immediately jumped up and said, "Why do you want me to speak first? This is a patient from the General Surgery Department, right? The patient from the General Surgery Department should speak first."
Wei Qing, who had been unyielding before the meeting, looked at Ling Ran and could not help but recall the way Ling Ran performed surgeries. He could not help but say, "This is not a patient from the General Surgery Department …"
You've already exceeded your reading limit for today. If you want to read more, please log in.
Login
Select text and click 'Report' to let us know about any bad translation.
