medical road high rise

Chapter 225 Discussion on Surgical Plan

Chapter 225 Discussion on the Surgical Plan

In fact, Qin Feng can contact Mr. He, but Qin Feng thinks that he is specialized in surgery, maybe this patient will make Mr. He feel troublesome, and finally transfer it to others, which is equivalent to wasting a favor.

It would be better to give this favor to the Second Courtyard to be wasted, while Qin Feng keeps it himself.

This consultation meeting was directly convened by the dean.

The [-]-centimeter tumor had never been seen by the dean himself. After getting the news, the dean could only hold a meeting in person as the moderator.

"Is everyone here?" the dean asked.

"It's all here." Director Dong replied.

"Then let's start the meeting." The dean nodded, and sat down on the head seat, waiting for everyone's answer.

Director Dong took the lead in calling Qin Feng's name, but the first sentence Qin Feng said when he stood up was not to introduce his condition.

"Dean, I think it is better to let patients participate in the meeting. We need to let patients understand the difficulty of this operation, so as to reduce the conflict between doctors and patients." Qin Feng said.

Qin Feng also had his own considerations when he said these words. Due to the rapid development of medical technology in recent years, many people have too high expectations for domestic medicine. They think that as long as they have money, they can cure any disease.

In fact, this idea is wrong. Domestic medical technology has not reached the point where all operations can be 100% successful, and all operations are risky.

In recent years, there have been more and more contradictions in this type of risk surgery. Once the operation fails or after a seminar, telling the patient that the hospital cannot perform the operation will cause bad effects, and may even turn into a medical trouble.

Please don't think that medical troubles occur only when the operation fails and the person dies. You can encounter all kinds of strange things in the hospital.

This also led to a large number of medical trouble cases, doctors lost the lawsuit, the remaining doctors became less and less courageous, and the trained doctors were also less and less courageous.

Even if there are young cows who are not afraid of tigers, as a teacher, they will instill in them the idea of ​​being cautious first, do the operation if it can be done, and push it away if it can't be done, but don't try to be brave.

This is why, one of the characteristics of today's hospitals is the constant transfer of hospitals, completely ignoring the situation of patients' families.

The patient is miserable, and so is the patient's family.

This is a vicious circle. The level of doctors in municipal hospitals will never improve, and the final growth opportunities are given to national hospitals.

Another point is that this meeting will be held online with professors, so it will be more effective for professors to see patients more directly.

Pregnant women just have a big belly and no external or internal injuries. There is no problem in participating in the meeting.

The dean was stunned for a moment, then looked at Director Ding on the big screen.

Director Ding on the screen nodded and said, "Let the patients participate."

Director Dong arranged for nurses to call the pregnant women and their mothers, and Qin Feng then began to explain the patient's situation.

"What diagnosis has your hospital made for the patient?" Director Ding asked.

"The tests we have done have already ruled out liver cirrhosis and gastrointestinal tumors. At present, it may be uterine fibroids or ovarian cysts." Qin Feng said.

"Have you done ultrasound and double-enhanced MRI?" Director Ding continued to ask.

Ultrasound is the most common auxiliary diagnostic method for tumors. It can show the enlargement of the uterus, irregular shape, number, location, and size of fibroids, etc.

Double-enhanced MRI is for the convenience of subsequent CT reconstruction. After the location is determined, the tumor can be found more intuitively through CT reconstruction.

Director Ding nodded, quite satisfied with Qin Feng's foresight.

After all, the patient's tumor was too large, and the examinations that Qin Feng arranged for were all with low radiation, and no interventional examinations were done.

"I'll take a look at the patient's film first."

Director Ding turned on the computer and looked at the videos of pregnant women, his expression gradually became serious.

He finally understood why the dean of the Second Academy contacted him.

The director of the oncology department was also looking at the film, "I think no matter where the tumor is, the patient must undergo surgery, otherwise there is only a dead end."

"I agree. The patient's condition can only be treated with surgery, not conservative treatment at all." Director Ding said.

Qin Feng looked at the director of the oncology department and Director Ding with some surprise, and he really looked down upon these two people.

Originally, Qin Feng thought that he would have to use his tongue a little bit to convince the two directors. After all, as long as one of them chooses conservative treatment, the operation will be stuck.

The choices made by the two senior doctors in the oncology department were much braver than Qin Feng imagined.

The two doctors did not consider the conflict between doctors and patients at all, and simply looked at the patient's life from the perspective of doctors and patients.

Only 5 minutes into the opening, the content of the meeting was finalized.

Patients, no matter what, will need surgery.

Qin Feng also breathed a sigh of relief. Now that the doctor has approved the surgical plan, the only thing left is to discuss the surgery with the pregnant patient. At the same time, full cooperation from the anesthesiology department is required.

Pregnant women who are six months pregnant generally cannot take anesthetics, otherwise it will have a bad effect on the fetus.

Therefore, the anesthetist has a great responsibility, and the dose must be small. While ensuring anesthesia for pregnant women, it is also necessary to avoid affecting the fetus. It is also a challenging thing for anesthesiologists.

As for the operation, Director Ding participated in the entire process. Although he was not present, he could remotely direct the operation. This was also the reason why the operation plan was passed so quickly.

"Dean, the patient's test results are out." The nurse pushed in and reported.

The dean sent a copy of the file to Director Ding, and then asked Director Dong to operate it, and try to project it next to Director Ding's video.

Everyone gasped when they saw the unfolded CT image.

Fibroids!

Apart from the dean and director Dong, Qin Feng and the director of the oncology department were present, and the tumor CT results could be seen at a glance.

Fortunately, there is good news, that is, uterine fibroids are the most common benign tumors of the female reproductive organs.

But there is also bad news, that is, the tumor is too large and has seriously affected the patient's ureter.

"Hey, it's a bit difficult to simply remove the patient's tumor." Director Ding said, "If you blindly perform uterine tumor removal, it may be that the endometrial layer is not clear during the removal, which makes it impossible to follow the tumor. Membrane detachment, bleeding occurs."

You must know that it cannot be separated, but fibroids are closely connected with blood vessels, and if you are not careful, it will cause damage to nearby organs.

Moreover, the patient's tumor is so large that it is close to the rectum, ureter, bladder, etc. In addition, the tumor will affect the surgical field. In CT, the patient's ureter is hidden under the tumor, which means that if the surgery If the operator is not careful in operation, it is very likely to cause accidental injury.

(End of this chapter)