The students sat in the second row, and the three undergraduate doctors sat in the first row, with Tan Kelin at the center.
The only deputy senior officer in the group and the most powerful person in the group, Tan Kelin's face was slightly lowered, while 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 inspection reports.
Liu Chengran spoke on behalf of his superior: "Let's get started."
The preoperative discussion began. The moderator was Dr. Xiao Sun, and the person in charge of recording was female doctoral student Luo Yanfen.
"Beds 3 and 8 will be operated on tomorrow," Sun Yubo said. "Bed 3 is scheduled to undergo laparoscopic gastric cancer exploration and radical resection. The operation is large and will take a long time. It is estimated that the operating room will arrange the first one tomorrow morning. What do you think?
You can express your opinions."
The so-called pre-operative discussion meeting is not about the chief surgeon speaking, because the deputy surgeon is too lazy to explain. The surgical plan can be guessed based on the name of the operation. The meeting is held because the chief surgeon wants to hear if other people have any additional opinions.
Students participate in order to improve students' academic abilities, and most of the opinions provided by students without clinical experience are of almost zero value.
"You guys talk first." Sun Yubo gave a few students in the back row a chance to perform. This is one of the students' learning tasks in the rotation.
The few 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 nurse sisters. It seemed that Teacher Tan, who had single eyelids, was really not easy to talk to.
"She just arrived today, why don't we let her talk first." Luo Yanfen pointed to Xie Wanying and said.
"The patient in bed 3 wants to undergo laparoscopic gastric cancer exploration first. It may be that the patient wants the surgical opening to be small. I personally think that there is no need to do such an exploration and it is better to open the abdomen directly." Xie Wanying believes that the surgical teacher has a cheerful personality and does not want to waste time and opens up
said.
A group of people around her were stunned after hearing what she said straight to the point.
"Dr. Sun, I don't think there is any need to record what she said?" Luo Yanfen asked the superior doctor for instructions: You are a rookie, you dare to completely subvert the deputy chief's surgical idea, how can you record this?
Sun Yubo couldn't make the decision, so he turned around and asked his superiors for instructions.
Tan Kelin only left the others with a cold silhouette focused on the medical records as always.
This person didn't say no, is that like letting people say it?
"Keep talking." Sun Yubo, who roughly understood his superior's temper, turned around and instructed classmate Xie Wanying.
The teacher actually asked this rookie to continue speaking? Luo Yanfen frowned and poked at the notebook with her pen, too lazy to remember another word Xie Wanying said.
The teacher asked, and Xie Wanying continued: "Judging from the patient's early examination results, the preoperative stage of gastric cancer should be T4, which is an advanced tumor that has invaded surrounding tissues and organs. I guess one reason is that the patient does not want to undergo major surgery, Tan
The teacher may have considered laparoscopy to perform palliative surgery after the investigation. Teacher Tan estimates that the patient's true condition is more serious than the current examination results."
"You said that Teacher Tan is going to have a palliative surgery? Teacher Tan would have written it down directly." Luo Yanfen suddenly raised her head and criticized her impatiently, "You just came here and you don't understand anything."
Suddenly the person across from me spoke in a very aggressive tone. Maybe the veteran thought that the newcomer was not qualified to offer opinions.
Xie Wanying saw that the teacher didn't tell her to stop talking, and finished her point of view: "Laparoscopic surgery for T4 advanced gastric cancer is not suitable. Even if the patient and the patient's family strongly request to try it, laparoscopy will definitely not be able to cut it clean. Teacher Tan
This plan should be based on the assumption that the patient cannot bear the laparotomy and cannot get off the operating table. Anyway, there may be recurrence after radical laparotomy."
