The students sat in the second row, and the three undergraduate doctors sat in the first row, with Tan Kelin as the center.
The only sub-senior in the group, and also the highest person in power in the group, Tan Kelin's face was slightly lowered, he flipped through the medical records with his fingertips and said nothing.
Xie Wanying thought: Compared with talking to people, it seems that Teacher Tan always prefers to communicate with the inspection report paper.
Liu Chengran spoke instead of his superior: "Let's get started."
The pre-operative discussion session started, the moderator was Dr. Xiao Sun, and female doctoral student Luo Yanfen was in charge of recording.
"Tomorrow, beds 3 and 8 will be operated on." Sun Yubo said, "bed 3 is going to undergo laparoscopic gastric cancer detection and radical surgery. The operation is large and the time is expected to be long. It is estimated that the operating room will be arranged for the first one tomorrow morning. What do you have? Opinions can be expressed."
The so-called preoperative discussion meeting was not for the chief surgeon to speak, because the deputy high was too lazy to explain. The operation plan can be guessed based on the name of the operation. The reason for the meeting is that the chief surgeon wants to hear if other people have any additional opinions.
Students participate in order to improve students' academic ability, and most of the opinions given by students without clinical experience are of almost zero value.
"You talk first." Sun Yubo gave a few students in the back row a chance to perform. This is one of the learning tasks of the students' rotation subjects.
Several doctoral students who came first made it clear that they did not want to speak first.
Xie Wanying looked at the hesitation of these people, and thought of the fear of the nurses, it seemed that the one-eyed teacher Tan was really not easy to talk to.
"She just came here today, why don't you let her talk about it first." Luo Yanfen pointed to Xie Wanying and said.
"The 3-bed patient wants to have laparoscopic gastric cancer detection first, probably because the patient wants a small surgical opening. Personally, I don't think it is necessary to do such a detection, it is better to have a direct laparotomy." Xie Wanying believes that the surgical teacher has a good personality and does not want to waste time. said.
After hearing her straight to the point, a group of people around were stunned.
"Doctor Sun, I don't think it's necessary to record what she said?" Luo Yanfen asked the superior doctor: "A rookie, how dare you completely subvert the Deputy High's surgical plan. How do you record it?"
Sun Yubo couldn't make up his mind, so he turned his head and asked his superiors with his eyes.
Tan Kelin only left the others with a high-cold silhouette who was still focused on the medical records.
The deputy high didn't say no, so it's like letting people say
"You continue to talk." Sun Yubo, who roughly understood the temper of his superiors, turned around and directed Xie Wanying to say.
The teacher actually let this rookie go on? Luo Yanfen, who was frowning, poked the tip of her pen into the notebook, not bothering to memorize another word Xie Wanying said.
The teacher asked, and Xie Wanying continued: "From the results of the patient's preliminary examination, the preoperative staging of gastric cancer should be T4, which is an advanced tumor that has invaded the surrounding tissues and organs. I guess the reason is that the patient does not want to undergo major surgery. Tan The teacher’s choice of laparoscopy may be to consider palliative surgery after the investigation. Teacher Tan estimated that the real condition of the patient is more serious than the existing examination results.”
"You said Teacher Tan is going to have a palliative operation? Teacher Tan will write it down." Luo Yanfen suddenly raised her head and criticized her impatiently, "You just came here, so you don't understand anything."
Suddenly, the person on the other side had a very aggressive tone. Maybe the veteran thinks that the newcomer is not qualified to give opinions.
Xie Wanying saw that the teacher did not tell her to stop talking, and finished her point of view: "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 is definitely not clean. Teacher Tan This plan should be based on speculation that the patient cannot bear the laparotomy and cannot get off the operating table. Anyway, there is a possibility of recurrence after laparotomy.”