Chapter 906: Reverse Scale

Ling Ran stood up slowly, and under the watchful eyes of a group of directors and deputy directors, he said calmly: "The patient is 37 years old... he felt fullness in his upper abdomen, acid regurgitation, vomiting, and ignored it... OK Subtotal gastrectomy + lymphadenectomy..."

The discussion of MDT is carried out by the relevant departments sitting together, centering on the patient, speaking and discussing one department after another. This model, carried forward by Mayo, is itself a labor-intensive approach. In order to save manpower as much as possible, Mayo Hospital even built a new multidisciplinary building...

There is no luxury of Mayo in China, and it is natural to tremble when using the model of multidisciplinary comprehensive treatment cooperation group.

Top hospitals in the region like Yunyi want to embrace the future of world medical care on the one hand, but on the other hand feel that it takes too much time for everyone to sit together, so when performing specific operations, they are always trembling, like licking a dog Yes, when I give you a chance to hug, my legs tremble and I can't stand up straight.

On the other hand, the cost of diagnosis and treatment in China is almost zero. If senior doctors from eight departments sit together to discuss the disease for an hour, the price shown on the bill is often not even 200 yuan, and the senior doctors from each department are invited. Because of their hidden costs, MDT operations are often counterdynamic.

In a hospital like Yunyi, the initiation of MD usually needs to be promoted by the doctors themselves, rather than programmed.

This time, the MDT initiated by the emergency center was even less welcomed by other departments. Most of the people were following the steps and muddling along, watching Ling Ran speak, and didn't even bother to look at the documents in front of them.

Liver metastases from stomach cancer are just such things anyway, the directors and deputy directors present are all familiar with it, so it's very easy to say some clichés and the like.

A few minutes later, the second deputy director of the imaging department who spoke was even more fatigued, and said in a moderate voice: "The patient's CT showed that the gastric wall was thickened on the lesser curvature of the gastric body under the cardia... CT showed that the liver Inner low-density shadow, combined with low tumor marker AFP, CEA considered as a metastatic nodule, diagnosed as liver metastases from gastric cancer..."

The deputy director of the Imaging Department talked almost routinely, and sat down after speaking. For him, such a meeting was really a waste of time. If it wasn't for Lao Huo's face, he wouldn't bother to come to the academic hall to study this report.

The deputy director of the medical oncology department coughed twice, and was about to stand up.

Ling Ran said at this time: "The low-density image of the liver CT? Seeing this, is it all right?"

The deputy director of the medical oncology department was startled: Is this a spray? Why did Ling Ran start spraying?

Even Huo Congjun was shocked, why did he spray the imaging department first? This is half an ally...

Huo Congjun then smoothed things over and said, "We, Dr. Ling, are sometimes a little too strict... Ling Ran, the colleagues in the imaging department are really busy..."

"Didn't you see the high-density shadow? There are high-density shadows running along the side of the tumor, and there are even obvious fluid-fluid level signs..." Ling Ran shook his head: "The patient has undergone enhanced CT. Density shadows suggest that metastases erode blood vessels, this symptom must be explained..."

The deputy director of the Imaging Department lowered his head and flicked through the documents desperately.

He participated in the MDT discussion meeting today, and he actually did psychological construction. If an old troll like Huo Congjun accidentally brushed him, he would just pretend to be dead.

Anyway, the Imaging Department is an auxiliary department.

Ordinary doctors will not stare at it.

However, he didn't expect that Ling Ran swung his first knife today, and he was directly faced with a technical problem.

technology? !

Technical problems can not play dead ah!

The imaging department also has a bottom line!

The deputy director roared inwardly...

The status of the auxiliary departments in the hospital is already low enough. Departments such as the imaging department can get the average bonus of the hospital, all relying on the support of technology. Although it doesn’t look like I can’t do it without me, in fact, I can’t do it without me. idea.

Therefore, to challenge the technology of the imaging department is to fiddle with the reverse scale of the imaging department.

The deputy director of the Imaging Department flipped through the materials quickly, preparing to find a piece of it at random, and first refute Ling Ran before talking.

It's a pity...the information is limited, and the preparations are not sufficient.

Xin Yiheng, deputy director of the imaging department, directly grabbed the original film and started to watch it live.

He is also a man who has been reading films for 30 years. Even if some key parts of the film are blurred like a mosaic, he can still explore the real image through layers of appearances!

"The center of the small lesion has a dot-like enhancement. From' this point of view, it is related to the blood supply of the hepatic artery..." The deputy director couldn't keep everyone waiting. Come out, as if it is important.

Ling Ran was slightly disappointed, and said, "That's it?"

"Punctate enhancement in the center of small lesions is relatively rare, so the doctor below..."

"It doesn't matter whether you can see it or not." Ling Ran interrupted him indifferently, and said, "What you should pay attention to now is the calcification of the lesion, here..." Ling Ran walked directly to the table and pointed at the deputy director. I tapped twice with my hand.

The deputy director wore glasses and zoomed the film far away, only to see the dots Ling Ran knew.

"Did you see it?" Ling Ran asked.

"Mm... multiple fine point-shaped calcifications, this is a characteristic manifestation of liver metastases..." the deputy director of the imaging department said in a slightly soft voice.

It's not that he can't see it, it's just that he didn't look carefully before.

The Imaging Department has to show films to the whole hospital, and they watch countless films every day, and the deputy director may not even have access to ordinary films.

However, he came to attend the MDT meeting and said that he did not watch the film, which is also unreasonable.

Looking at Ling Ran's serious expression, the deputy director is as obedient as a cat.

He is actually used to being sprayed by big bosses, but Ling Ran is still young, and he is still a little unaccustomed to it. However, as long as the mentality is adjusted and people are regarded as big bosses, it will not be so difficult to accept being sprayed.

The tempers of surgeons are not much better, and they often slander others. As an auxiliary department, those who are used to it have long been used to it, and those who are not used to it are scolded a lot, so they can only do it on their own, feeling wronged in their hearts.

Those who can be the deputy director are also used to being the third grandson. At this time, the deputy director smiled shyly, like a middle-aged old thief who was identified on the bus-everyone thought he should be embarrassed , only he himself does not think so.

"Let's continue." Huo Congjun saw signs that the other party was pretending to be dead, and reminded Ling Ran not to waste his energy on him.

At the same time, Huo Congjun couldn't help looking at Ling Ran from a new perspective.

It's nothing to spray the deputy director of an auxiliary department, Huo Congjun has already sprayed a lot. However, from a technical point of view, this is more powerful.

In Huo Congjun's impression, when it comes to technology, departments such as video are as slick as hob meat. Now watching the other party being chopped into meat by Ling Ran using technology, there is something else A refreshing.

"Next, from the digestive surgery department?" Huo Congjun looked to the right side, that is, the doctor with his back to the door. Another weak chicken who can't even choose a position.

The person from the Department of Gastroenterology is also a deputy director. At this time, he was flustered as if he was a thief for the first time.

Everyone understands being sprayed by Lao Huo fancy, but if the technical problem is caught out, it will be embarrassing, at least, it should be embarrassing, right?

The deputy director of the digestive surgery department looked at Ling Ran, and instantly recalled the gastrectomy he had performed in his mind. He felt his stomach tightening, and could not help complaining: This guy's gastrectomy is better than mine , what is the significance of my presence at today's meeting? Why didn't I prepare well?

"Director Ding?" Ling Ran urged again, not wanting to waste time.

"How about... let Director He from the Department of Hepatobiliary Surgery speak first..." Director Ding from the Department of Gastroenterology, like a primary school student who hasn't memorized the text, tried to make trouble.

He Yuanzheng, who was already a little apprehensive, jumped up immediately, as if the fat in his buttocks had been ignited, and said, "Why don't you let me talk about it first? This is a general surgery patient, so let me talk about it first."

Before the meeting, Wei Qing, who had always had a tough attitude, looked at Ling Ran and couldn't help but recall how he was undergoing surgery, and couldn't help but say, "This is not our general surgery patient..."

The genius remembers the address of this site in a second: Mobile version reading URL: