There are projectors and curtains installed in the meeting room, but generally no one turns them on. Doctors are very busy, and no one has time to prepare ppt presentations for this kind of routine internal department meetings. What is more important when discussing a case is that each expresses his or her own thoughts on the case.
Unless there is a leader coming to inspect, everyone must prepare carefully.
"Let's get started." Shen Jinghui personally presided over the leading meeting, "Each group will take out the cases that need to be discussed. The 16th bed and 31st bed that died last week, the doctor in charge will explain the situation."
As the director of the second general surgery department, Shen Jinghui is more comfortable in his work. The meetings he controls are like surgery to cut key parts, and he doesn't want to waste everyone's time.
Discuss privately within each group. The doctors in charge of the 16-bed and 31-bed death cases spoke first.
"Bed 16 is a patient with advanced rectal cancer. He had undergone radical resection for rectal cancer in our hospital. Due to the advanced stage, he underwent palliative surgery. This time he came in three years later, and there was a lot of ascites after systemic metastasis."
This kind of patient has always been hopeless, and it can only alleviate the patient's final pain.
"Bed 31 came in from the emergency department. He had acute suppurative appendicitis and diffuse peritonitis. Emergency surgery was performed immediately after he came in. However, after the cavity was opened, it was found to be too serious, and the intestines were stuck everywhere. The patient in his thirties was delayed for too long. The operation was performed only after surgery, and he died of septic shock after the operation.”
This case sparked the thoughts of many doctors at the meeting.
"The mortality rate of appendicitis was very low. But this kind of case happens from time to time. There was also a case recently in the General Medical Center. Their case was an older woman in her fifties. It was too late to come. After it came The family members didn't take it seriously, saying that appendicitis can't kill people now, so how could they die?"
"Diffuse peritonitis is the scariest thing. You want to treat the infection conservatively without surgery at this time, as this kind of intestinal obstruction has already occurred, and there is no time for the doctor not to operate."
"At the stage of intestinal obstruction, suppurative infection, and then sepsis—speaking of which, Dr. Tan, did your group also admit an old lady with intestinal obstruction?"
Suddenly the topic turned to Tan Kelin. At the beginning of the discussion, the first and second groups were very quiet, because people in the first and second groups have always been less fond of expressing their opinions. Probably, Deputy Director Liu wanted to enliven the atmosphere of the whole department and moved the topic to the first and second groups.
When other people asked about this patient, Tan Kelin answered by the way: "There is no hospital bed, so I only admitted it on Wednesday. The examination needs to be completed before the operation. It is expected to be performed next Tuesday, and I want to communicate with the anesthesiology department on Monday."
"Is there an intestinal obstruction?"
"The tumor is relatively large, almost blocking the entire intestine, so at this stage, it is fasting, drainage and enema, and it is supported by nutrient solution."
"I heard that you are in the nineties?"
"Yes, I'm old, and my heart and lungs are not very good. The anesthesiology department has a lot of opinions. But my student said that it can be done."
Suddenly hearing Teacher Tan's last sentence, Xie Wanying was startled, she didn't expect the teacher to shake her out directly.
"Student Xie, please express your opinion." Sun Yubo turned his head and directed her.
In the departmental meeting, all doctors in the department are present, including the director of the professor, which is more complete than the shift meeting every morning. For example, Professor Li, who seldom comes to the department, is now retired and has gray hair. He is a highly respected veteran of the General Surgery Department of the National Association of China. Today he came to participate in the academic discussion of the department. He is an academic boss who is not seen at all on weekdays.