Chapter 906： Inverse scale

Ling Ran slowly stood up, calmly speaking under the watchful eye of a group of directors and deputy directors: "The patient is 37 years old ... he feels full abdominal abdomen fullness, acid regurgitation, vomiting, not paying attention ... OK Major gastrectomy + lymphadenectomy ... "

The discussion of MDT was carried out by the relevant departments sitting together, with the patient as the center, one department and one department. This model, carried forward by Mayo, is itself a labor-intensive practice. In order to save manpower as much as possible, Mayo Hospital even built a new multidisciplinary building ...

Without the luxury of Mayo in China, using the model of multidisciplinary comprehensive treatment cooperation group naturally inevitably trembles.

Regional top hospitals such as Yunyi, on the one hand, want to embrace the future of medical care in the world, and on the other hand, they feel that it is too time-consuming for everyone to sit together, so they always tremble when they are operating, just like licking a dog Yes, when I give you a chance to hug, my legs can't stand upright.

On the other hand, the cost of diagnosis and treatment in China is almost non-existent, and senior doctors in eight departments sit together to discuss the condition for an hour. The price shown on the bill is often not even 200 yuan, and the senior doctors in each department are counted. Their hidden costs make MDT operations often reverse-powered.

In a hospital like Yunyi, initiating an MD usually requires a doctor to promote it, rather than being programmatic.

This time, the MDT initiated by the emergency center is even less affected by other departments. Most of them are holding the step by step and passing the mentality, watching Ling Ran speak, and even too lazy to look at the information in front of them.

Stomach cancer and liver metastasis are just such things anyway. The director and deputy director who are present are familiar with it. It is easy to say a few things.

A few minutes later, the second deputy director of the imaging department was even more tired, and his voice was not high or low: "The patient's CT showed that the gastric wall thickened on the small curved side of the gastric body under the cardia ... CT showed that the liver Low density imaging, combined with tumor marker AFP is not high, CEA considers metastatic nodules, diagnosed as gastric cancer liver metastasis ... "

The deputy director of the imaging department said almost a set of words, and sat down after speaking. For him, such a meeting is really a waste of time. If it was not for Lao Huo's face, he would be too lazy to read in the academic hall. This report.

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

Ling Ran said at this time: "Low density image of liver CT? Is it okay to see here?"

副 The deputy director of oncology was startled: This is spraying? Why did Ling Ran spray?

从 Even Huo Chong was shocked. Why did he start with the imaging department first? This counts half of allies ...

Wu Huojun then rounded the field and said, "Our Dr. Ling is sometimes overly strict ... Ling Ran, my colleagues in the imaging department are really busy ..."

"Did you not see the high-density shadows? There are high-density shadows walking along the edge of the tumor, and even obvious liquid-liquid surface signs appear here ..." Ling Ran shook her head: "The patient did enhanced CT, which is slightly higher Density shadows suggest that metastases erode blood vessels. This symptom must be explained ... "

副 The deputy director of the imaging department lowered his head and desperately looked through the information.

参加 Attending the MDT discussion today, he actually did psychological construction. If Huo Congjun, an old sprayer, accidentally sweeps himself, he is ready to pretend to die.

Anyway, the imaging department is an auxiliary department, and most doctors don't stare.

However, he did not expect that Ling Ran would be the first to cut himself today, and he was directly facing technical problems.

Technology? !!

Technical issues cannot be pretended to be dead!

The imaging department also has a bottom line!

Deputy Director Roar roared ...

The status of auxiliary departments in the hospital is already low enough. Departments such as imaging department can get the average bonus of the hospital and rely on technology to support them. Although it is not impossible for me, it is actually impossible for me. idea.

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

副 The deputy director of the Department of Imaging quickly flipped through the information, ready to find it out, and refuted Ling Ran first.

What a pity ... the information is limited and the preparation is inadequate.

副 Xin Yiheng, the deputy director of the imaging department, grabbed the original film and started to watch it on the spot.

He is also a man who has been filming for 30 years. Even if some key parts of the film are blurred like mosaics, he can still explore the real images through the layers of appearance!

"The center of the small lesion is a little bit enhanced. From the perspective of \ ', it is related to the blood supply of the hepatic artery ..." The deputy director can't let everyone wait. If you see something, just install it first, slowly Speaking out, it seems very important.

Wu Lingran was slightly disappointed and said, "That's it?"

"Spot enhancement in the center of small lesions is still relatively rare, so the doctors below ..."

"It's useless to see." Ling Ran interrupted him indifferently. "You should focus on the calcification of the lesion, here ..." Ling Ran walked directly to the table, pointing to the deputy director. Film, clicked twice with his hands.

Deputy Director Xun wore glasses and moved the film far away, only to see the small points that Ling Ran knew.

"Did you see it?" Ling Ran asked.

"Well ... multiple, fine-spotted calcifications, which is a characteristic manifestation of liver metastases ..." The deputy director of the imaging department was slightly quieter.

He didn't even see it, but he hadn't watched it carefully before.

The Department of Imaging should show the whole hospital a lot of videos. Every day, ordinary directors may not be able to get in touch.

However, he came to the MDT meeting and said that he didn't watch the film, and he couldn't justify it.

Look at Ling Ran's serious expression, the deputy director looks like a cat.

I was sprayed by a big guy. He was actually used to it, but Ling Ran was young and he was a little bit unaccustomed. However, as long as the mentality is adjusted and people are treated as big brothers, it will not be so difficult to accept being sprayed.

The surgeon's temper is not much better, and spraying is also frequent. As an assistant department, I have been used to it for a long time, and have been accused of not being used.

Those who can do the deputy director are also used to being three grandchildren. At this time, the deputy director smiled with a smirk, like a middle-aged old thief identified in the bus-everyone thought he should be embarrassed Only he didn't think so.

"Let's go on." Huo Congjun saw signs of the other person pretending to be dead, reminding Ling Ran not to spend effort on him.

At the same time, Huo Congjun could not help looking at Ling Ran from a new perspective.

It's nothing to spurt a deputy director of an auxiliary department, Huo Congjun has sprayed and don't know how much. However, from the technical point of view, this is more powerful.

In the impression of Huo Congjun, departments such as video, when talking about technology, are slippery without leaving hands as hob meat, now watching the other side was chopped into meat by Ling Ran using technology ~ www.novelhall. com ~ there is another refreshing.

"Next, digestive surgery?" Huo Congjun looked to the doctor on the right, back to door. Another weak chicken who can't even choose a position.

The digestive surgery came from a deputy director. At this moment, my heart was panicked like a thief for the first time.

Being sprayed with old Huo fancy, everyone understands it, but if technical issues are caught, it will be awkward, at least, should it feel awkward?

The deputy director of gastroenterology looked at Ling Ran, and instantly remembered the gastrectomy he had done, only to feel that his stomach was tightened, and he could not help complaining: this guy's gastrectomy was better than me What is the significance of my presence at today's meeting? Why didn't I prepare well?

"Director Ding?" Ling Ran didn't want to waste time and urged again.

"Or ... let Director He of Hepatobiliary Surgery first ..." Director Ding of Gastroenterology Surgery, at this time, was like a primary school student who did not recite the text, trying to provoke trouble.

He Yuanzheng, who was a little hesitant at first, seemed to be ignited by hip fat, and immediately jumped up and said, "Why let me say this first, this is a general patient, first general."

Before the meeting, Wei Qing was tough. Looking at Ling Ran at this time, he couldn't help recalling how he had performed the operation. He couldn't help saying: "This is not our patient ..."

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