There is a projector and a screen installed in the conference room, but no one usually turns them on. Doctors are very busy, and no one has time to prepare PPT presentations for routine meetings within the department. What is more important when discussing a case is for each person to clearly express his or her own thoughts on the case.
Unless a leader comes to inspect, everyone must prepare carefully.
"Let's get started." Shen Jinghui personally presided over the meeting. "Each group should bring out the cases that need to be discussed. The doctors in charge of beds 16 and 31 who died last week, please tell us about the situation."
As the director of the Second Department of General Surgery, Shen Jinghui feels more comfortable doing his job. He controls meetings like performing surgery to cut into key parts and does not want to waste everyone's time.
Each group discussed privately and quietly. The doctors in charge of the death cases in beds 16 and 31 spoke first.
"Bed 16 is a patient with advanced rectal cancer. He had undergone radical resection of rectal cancer in our hospital before, but because it was in the advanced stage, he had palliative surgery. This time he came in three years later, with a large amount of ascites after the cancer metastasized throughout his body."
There is no hope for this kind of patient, and we can only alleviate his final suffering.
"Patient 31 was admitted as an emergency patient with acute suppurative appendicitis and diffuse peritonitis. He underwent emergency surgery immediately after he was admitted. However, after opening the abdomen, we found that his condition was too serious. The intestines were adhered everywhere. The patient was in his thirties and it took too long to have surgery. He died of septic shock after the surgery."
This case sparked thoughts among many doctors at the conference.
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"Originally, the mortality rate of appendicitis is very low. But such cases happen from time to time. There was a case in the General Surgery Department recently. The patient was an older woman in her 50s. She also came too late. After she came, her family members did not take it seriously, saying that appendicitis would not kill people nowadays, so how could she die?"
"Diffuse peritonitis is the most terrible. If you want to avoid surgery and try conservative treatment to fight infection, but in this case, you already have intestinal obstruction, and there is no time limit for doctors to avoid surgery."
"At the stage of intestinal obstruction, purulent infection, and then sepsis - speaking of which, Doctor Tan, did your group also admit an old lady with intestinal obstruction?"
Suddenly the topic turned to Tan Kelin. When the discussion just started, one group was very quiet because people in that group generally don’t like to express their opinions. Perhaps Deputy Director Liu wanted to liven up the atmosphere of the entire department, so he moved the topic to Group 1.
When others asked about this patient, Tan Kelin answered casually: "There is no bed, so he was admitted on Wednesday. All the examinations need to be completed before the operation. It is expected to be done next Tuesday. I want to communicate with the anesthesiology department by phone on Monday."
"Intestinal obstruction?"
"The tumor is quite large and almost blocks the entire intestine, so at this stage, I am fasting, draining and enema, and relying on nutrient solution for support."
"I heard you are over ninety years old?"
"Yes, he is old and his heart and lungs are not in good condition. The anesthesiology department is quite opposed to it. But my student said it can be done."
When Xie Wanying suddenly heard Teacher Tan’s last sentence, she was stunned. She didn’t expect the teacher to expose her directly.
"Xiao Xie, please express your opinion." Sun Yubo turned around and instructed her.
At the department meeting, all the doctors in the department, including professors and directors, were present, and the attendance was more complete than the handover meeting every morning. For example, Professor Li, who seldom comes to the department, is now retired and has gray hair. He is considered a very respected senior in the Department of General Surgery of the Chinese Association. Today he came to participate in the academic discussion of the department. He is an academic giant that you rarely see in daily life.
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