Chapter 230: 【230】Preoperative discussion
Chapter 230 [230] Preoperative Discussion
Students sit in the second row, and three undergraduate doctors sit in the first row, with Tan Kelin as the center.
The only deputy high-ranking officer in the group and the highest authority in the group at the same time, Tan Kelin's face was slightly low, and his fingertips turned over the medical records and did not speak.
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 in place of his superior: "Let's start."
The preoperative discussion session started. The host was Dr. Xiao Sun, and the female doctoral student Luo Yanfen was in charge of recording.
"Tomorrow will be operated on 3 beds and 8 beds." Sun Yubo said, "3 beds are planned for laparoscopic gastric cancer exploration and radical resection. 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. Opinions can be said."
The so-called preoperative discussion is not the chief surgeon talking, because the deputy senior is too lazy to explain. The operation plan can be guessed based on the name of the operation. Everyone has a meeting because the chief surgeon wants to hear if other people have any additional opinions.
Students are involved in order to improve their academic ability, and most of the opinions provided by students without clinical experience are of near zero value.
"You talk first." Sun Yubo gave some students in the back row a chance to perform. This is one of the learning tasks of the students' round 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 and sisters. It seemed that Teacher Tan with single eyelid was really not very good at speaking.
"She just came 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 undergo laparoscopic gastric cancer exploration first, probably because the patient wants a small opening for surgery. I personally don't think it is necessary to do such an exploration. It is better to open the abdomen directly." 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.
"Dr. Sun, I don't think she needs to record what she said, right?" Luo Yanfen asked the superior doctor: "Rookie, you dare to completely subvert the vice-high's surgical plan, how to record this.
Sun Yubo couldn't be the master, so he turned his head and asked his superiors with his eyes.
Tan Kelin only left other people a cold silhouette who was always focused on medical records.
This pair of highs didn't say no, so it's like making people say?
"Continue talking." Having a general understanding of the superior's temper, Sun Yubo turned around and instructed Xie Wanying.
Teacher actually let this rookie go on? Luo Yanfen, who frowned, poked at the notebook, too lazy to remember another word Xie Wanying said.
Teacher Rang said, Xie Wanying continued: "Judging from the patient's early examination results, the preoperative staging of gastric cancer should be t4, which is an advanced tumor that has invaded surrounding tissues and organs. I guess that one reason is that the patient does not want to undergo major surgery. Tan When the teacher chooses laparoscopy, he may consider palliative surgery after the investigation. Mr. Tan estimates that the real condition of the patient is more serious than the existing test results. "
"You said that Mr. Tan is going to have palliative surgery? Mr. Tan will write it directly." Luo Yanfen raised her head suddenly and rebuked her impatiently, "You just came here, and you don't understand anything."
Suddenly, the tone of the person on the opposite side is very aggressive, maybe the veteran thinks that the newcomer is not qualified to give opinions.
Xie Wanying saw that the teacher didn't ask her to stop talking, and finished her opinion: "Laparoscopic surgery for advanced gastric cancer in t4 is not suitable. Even if the patient and the patient's family strongly request to try it, laparoscopy is definitely not clean. Mr. Tan The reason for this plan should be to speculate that the patient can't bear the open surgery and can't get off the operating table. Anyway, there is a possibility of recurrence after radical open surgery."
(end of this chapter)
