this day.

Early in the morning.

Many attending physicians from various departments of Southeast Hospital gathered in the internal medicine conference room. They are all front-line clinical warriors, doctors in the treatment team who deal with the most patients, and second-line contractors in the department...

Thinning hair and a precarious hairline are the most distinctive signs of their group.

"Thank you very much for taking time out of your busy schedule to participate in the first hospital-wide discussion of difficult and complicated cases. According to Mr. Wei, we will hold such a meeting at least once a month in the future to discuss difficult cases in all departments of the hospital.

Patients with miscellaneous diseases should be diagnosed and treated jointly by multiple disciplines."

"Of course, if each department has temporary needs, you can also contact the MDT team of the emergency department, and we will coordinate, contact the corresponding department, or directly participate in joint diagnosis and treatment."

Li Minghui sat on the podium, and the loudspeaker carried his voice throughout the venue. Everyone cheered up a little and tried their best to pretend to be 'listening carefully'.

Despite Mr. Wei's support and the great success of joint orthopedic diagnosis and treatment, MDT's popularity in the hospital is still low.

A new treatment model that has only been implemented for more than a month has only 'proven' itself in a mature and comprehensive ace department.

These results are still not enough to convince everyone.

If it weren't for the pressure from the directors of various departments, many attending physicians wouldn't even bother to come here to attend the meeting.

Li Minghui obviously understood this, so he did not want to increase everyone's resistance. He went through the process quickly, and then invited the attending doctors from each department to briefly talk about the difficult cases in the department, while he hardly participated in the evaluation.

The MDT of the emergency department is only responsible for setting up a platform for everyone to present difficult cases and speak freely... It was with this idea that Li Minghui held this meeting.

Therefore, the whole meeting went very quickly, and the atmosphere in the venue was relatively free. As long as you have ideas, no matter which department you are in, you can speak and express your own opinions.

This was Su Jie's first time to participate in such a hospital-wide case discussion. Listening to the discussions among doctors from various departments, his horizons suddenly opened up.

A lot of content that I had memorized in books before and was hard to understand, but after they casually said a few words, I suddenly felt enlightened.

In clinical practice, experience is king!

At this time, a female doctor with sleek short hair walked up to the podium, took the microphone from Li Minghui's hand, and said in a high-pitched voice:

"What our obstetrics and gynecology department wants to discuss this time is a caesarean section for an AIDS patient."

Su Jie looked at her in surprise, thinking that he had guessed correctly. The obstetrics and gynecology department actually brought Wenwen's case to discuss?

However, he is just an AIDS patient, and the caesarean section operation itself is not complicated. As for bringing it here for a full discussion?

Many doctors in the venue were also curious about this case and couldn't help but ask:

"How is the effect of highly active antiretroviral treatment on this patient? Was he artificially inseminated?"

The female obstetrician and gynecologist replied: "The effect is very good, the viral load has reached the standard, but it is not artificial insemination."

"In this case... the risk is very high. The risk of infection during the production process is very high!"

Some of the doctors from various departments below had a good understanding of this disease, and some only knew a little about it. After everyone talked with each other, most of them started to shake their heads, feeling that this operation was too risky for both the fetus and the surgeon.

.

"Yes, but our department has received many AIDS mothers in recent years. The bloodless caesarean section technique used is very safe, but the problem is..."

"This patient not only has the problem of AIDS production, he also has acute polyhydramnios."

"Is there a possibility of postpartum hemorrhage?" A doctor immediately asked.

The obstetrician and gynecologist nodded and said with a serious face: "In fact, we have been in contact with this patient for a long time and learned that she has been actively receiving highly effective antiretroviral treatment with good results. At the same time, her HIV infection situation is quite special.

She is a young girl from an ordinary family, but she was accidentally infected."

"Out of personal emotions, most doctors in our department are still willing to take the risk of professional exposure to fulfill her dream of becoming a mother."

"But at 23 weeks of pregnancy, we suddenly discovered that this patient's amniotic fluid had symptoms of acute increase. The amniotic fluid index was currently greater than 18cm, and polyhydramnios was diagnosed."

"This has led to a significant increase in the risk of postpartum hemorrhage, and at the same time, the risk of infection in the baby has also further increased, so I brought this case out today and hope that everyone can discuss it and give us some suggestions and help."

After finishing speaking, a lively discussion began in the venue.

Coagulation function, anesthesia medication, surgical methods... everyone has a different perspective. This may be the purpose of convening hospital-wide discussions. Each department has its own characteristics and expertise. When we brainstorm, we often have unexpected gains.

However, this time seems to be an exception.

After intense discussions, there was basically no meaningful conclusion.

One doctor sighed and concluded:

"First of all, this patient is a pregnant woman, which means that many methods that ordinary patients can use are taboo for her."

"Secondly, she is still an HIV carrier, which adds to the difficulty. This operation... is too risky."

The female obstetrician and gynecologist actually didn't hold out much hope. When she heard the result, she nodded lightly, stood up and prepared to step down.

At this time, Su Jie suddenly said to Li Minghui beside him: "Can our emergency department participate in this operation?"

"You want to get on this stage? The risks of occupational exposure during surgery for AIDS patients are no joke." Li Minghui said in surprise.

"I know this patient, he is..."

Su Jie paused for a moment, not daring to tell the truth. He wanted to perform a caesarean section on his partner's best friend. This sounded like it was immoral...

This chapter is not over yet, please click on the next page to continue reading! "He is a friend of a friend of mine, a very close relationship. Our emergency department has quite a lot of experience in hemostasis, so he should be able to help." Su Jie tried to argue.

road.

To be honest, Su Jie felt that his reason was too far-fetched. Hemostasis in the emergency department and hemostasis during caesarean section were completely different.

What's more, Li Minghui has never been in the obstetrics and gynecology department. When two obstetrics and gynecology novices come on stage, are they going to cause trouble or help? It is really doubtful.

Unexpectedly, Li Minghui thought for a moment, nodded, and said: "AIDS caesarean section, strictly speaking, this should be the simplest operation discussed today. The risk is indeed very high, but purely from a surgical perspective

, quite introductory.”

"The first hospital-wide discussion organized by MDT should have made some achievements. There is no suitable platform for orthopedics today, so choose the platform for obstetrics and gynecology!"

Su Jie was stunned and said in surprise: "Teacher Li, will you still go to the obstetrics and gynecology department?"

Li Minghui looked insulted: "What are you talking about? How could I, a grown man, have ever worked in the obstetrics and gynecology department?"

"Then...then you want me to go to the obstetrics and gynecology department alone?" Su Jie said not confidently.

"How is that possible? Mr. Wei said that for the MDT to jointly come to power, at least one doctor with a mid-level professional title must be present. You certainly can't go to other departments alone."

"What?" Su Jie was confused.

Li Minghui laughed, and his smile was a little sinister: "Although I promised others not to expose his background, it is for work now, and we can't affect our normal work because of this promise, right?"

"Jiang Wu... has worked in the obstetrics and gynecology department before. He can take you to the obstetrics and gynecology department with you."

"Jiang Wu...doctor?!"

Su Jie looked at the smiling Li Minghui in shock. An extremely depressed face appeared in his mind, as if he had no interest in the world. His nasolabial lines were as deep as if they were carved into them...

Dr. Jiang Wu actually worked in the obstetrics and gynecology department?!

Male obstetrician and gynecologist?

Delivering a baby for others with a happy face, watching the baby cry for the first time, and gently saying to the mother: "Come, look at the baby, yo, it looks like you."

Are you such a Dr. Jiang Wu?!
Chapter completed!