The students sat in the second row, and the three doctors in the department sat in the first row, with Tan Kelin at the center.
As the only deputy senior member of the group and also the person with the highest authority in the group, Tan Kelin lowered his head slightly, flipping through the medical records with his fingertips without saying a word.
Xie Wanying thought: It seems that Teacher Tan always prefers to communicate with inspection report papers rather than talking to people.
Liu Chengran spoke on behalf of his superior: "Let's get started."
The preoperative discussion began. The moderator was Dr. Xiao Sun and the person in charge of taking notes was female doctoral student Luo Yanfen.
"Beds 3 and 8 are going to have surgery tomorrow," said Sun Yubo. "Bed 3 is going to have laparoscopic exploration and radical resection of gastric cancer. The operation is big and expected to take a long time. It will probably be the first one in the operating room tomorrow morning. If you have any opinions, please share them."
The so-called preoperative discussion meeting was not for the chief surgeon to speak, because the associate senior surgeon was too lazy to explain. The surgical plan could be guessed from the name of the operation, and the reason for the meeting was that the chief surgeon wanted to hear if others had any additional opinions.
Students participate in order to improve their academic abilities, and most of the opinions they provide without clinical experience are of almost zero value.
"You go first." Sun Yubo gave the students in the back a chance to perform. This was one of the learning tasks for the students.
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...
The few doctoral students who arrived earlier made it clear that they did not want to speak first.
Xie Wanying looked at these people's hesitation and thought of the nurses' fear. It seemed that the single-eyed teacher Tan was really difficult to talk to.
"She just arrived today, why don't you let her speak first?" Luo Yanfen said, pointing at Xie Wanying.
"The patient in bed 3 wants to undergo laparoscopic exploration for gastric cancer first. It may be that the patient hopes that the surgical incision will be smaller. I personally think that there is no need to do such an exploration. It is better to directly open the abdomen." Xie Wanying thought that the surgical teacher had a good personality and would not want to waste time, so she spoke frankly.
After hearing her straightforward statement, the people around were stunned.
"Doctor Sun, I think we don't need to record what she said, right?" Luo Yanfen asked her superior doctor: What a rookie, she actually dared to completely overturn the deputy senior doctor's surgical plan, how can we record her words.
Sun Yubo couldn't make the decision, so he turned around and looked at his superior for instructions.
To others, Tan Kelin only left a cold and aloof profile, as always focused on medical records.
The deputy chief didn't say no, so what does that mean he's asking others to say it?
"You continue." Knowing his superior's temper, Sun Yubo turned around and instructed Xie Wanying.
The teacher actually let this rookie continue? Luo Yanfen frowned and poked the tip of her pen into her notebook, too lazy to write down a single word Xie Wanying said.
The teacher asked Xie Wanying to continue, "Based on the patient's previous examination results, the preoperative stage of gastric cancer should be T4, which is an advanced stage where the tumor has invaded surrounding tissues and organs. I guess one reason is that the patient does not want to undergo a major operation. Teacher Tan may have chosen laparoscopy because he was considering performing a palliative operation after the investigation. Teacher Tan estimated that the patient's actual condition is more serious than the existing examination results."
"You said that Teacher Tan wanted to perform a palliative surgery? Teacher Tan would have written it down directly." Luo Yanfen suddenly raised her head and retorted impatiently, "You just got here and you don't know anything."
Suddenly, the person opposite him spoke in an aggressive tone. Perhaps the senior person thought that the newcomer was not qualified to give suggestions.
Xie Wanying looked at the teacher and saw that the teacher didn't ask her to stop talking, so she finished her opinion: "Laparoscopic surgery is not suitable for T4 advanced gastric cancer. Even if the patient and the patient's family strongly request to try it, laparoscopy will definitely not be able to cut it cleanly. Teacher Tan made this plan because he speculated that the patient could not bear the open surgery and could not get off the operating table. Anyway, there is a possibility of recurrence after open radical surgery."
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