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Chapter 345 [345] Lessons from Death Cases

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    There are projectors and screens installed in the conference room, but generally no one turns them on.  Doctors are very busy, and no one has time to prepare ppt presentations for routine meetings within the department.  What is more important when discussing a case is that everyone clearly expresses their thoughts on the case.

    Unless a leader comes to inspect, everyone must prepare carefully.

    "Let's get started." Shen Jinghui personally presided over the meeting. "Each group will come up with the cases that need to be discussed. The doctor in charge will explain the situation of the 16 and 31 beds that died last week."

    Shen Jinghui is more comfortable working as the director of General Surgery II. The meetings he controls are like surgery to remove key parts, and he doesn¡¯t want to waste everyone¡¯s time.

    Each group discusses privately and quietly.  The doctors in charge of the death cases in beds 16 and 31 spoke first.

    "Bed 16 is a patient with advanced rectal cancer. They originally had a radical resection for rectal cancer in our hospital. Due to the advanced stage, they underwent palliative surgery. This time they came in three years later and had a large amount of ascites after systemic metastasis."

    There is always no way to save this kind of patients. The only way to alleviate the patient's final pain is to relieve them.

    "Bed 31 came in from the emergency department with acute suppurative appendicitis and diffuse peritonitis. Emergency surgery was performed immediately after coming in. However, after opening the cavity, it was found that it was too serious and the intestines were adhering in all directions. The patient in his thirties had been delayed for too long.  The surgery was performed only after the surgery was over, and he died of septic shock after the operation."

    This case triggered the thoughts of many doctors at the meeting.

    "Originally, the mortality rate of appendicitis is very low. But this kind of cases happen from time to time. There was also a case in the general surgery department recently. Their case was an older woman, a woman in her fifties, who also came too late. After she came,  The family members didn¡¯t take it seriously and said that appendicitis doesn¡¯t kill people now, so how could it happen?¡±

    "Diffuse peritonitis is the most terrifying thing. At this time, you want to treat the infection conservatively without surgery. If you have intestinal obstruction like this, there is no time for the doctor to not operate."

    "When it reaches the stage of intestinal obstruction, purulent infection, and then sepsis - speaking of it, Dr. Tan, did your team also admit an old lady with intestinal obstruction?"

    Suddenly the topic turned to Tan Kelin.  When the discussion first started, Groups 1 and 2 were very quiet, because people in Groups 1 and 2 have always been less likely to express their opinions.  Probably Deputy Director Liu wanted to liven up the atmosphere in the entire department, so he moved the topic to groups one and two.

    When other people asked about this patient, Tan Kelin answered by the way: "There is no hospital bed, so we will admit him on Wednesday. All the examinations need to be completed before the operation. It is expected to be done next Tuesday, and I want to communicate with the anesthesiology department on the phone again on Monday."

    "Intestinal obstruction?"

    ¡°The tumor is relatively large and has almost blocked the entire intestinal tract, so at this stage, we are fasting, draining and enema, and relying on nutrient solution for support.¡±

    "I heard you are in your nineties?"

    "Yes, I am old and my heart and lungs are not very good. The anesthesiology department has a strong opinion. But my student said that it can be done."

    Suddenly hearing Teacher Tan¡¯s last words, Xie Wanying was startled, but the teacher shook her out without thinking.

    "Xiao Xie, please express your opinion." Sun Yubo turned to instruct her.

    In the department meeting, all doctors in the department are present, including the professor and director, which is more complete than the shift meeting every morning.  For example, Professor Li, who rarely comes to the department, is now retired and has gray hair. He is considered a highly respected veteran of the General Surgery Department of the Chinese Association. Today he came to participate in the academic discussion of the department.  He is an academic master who is not seen at all on weekdays.  (Remember the website address: www.hlnovel.com
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