Chapter 191 Little People Come to the End(3/4)
"As I said before, we consulted Academician Zeng's opinions and combined it with the patient's own wishes. Patients and their families carefully choose to undergo joint fusion based on their own family conditions and their own tolerance for the prognosis."
"They hope that they can sacrifice joint mobility in exchange for savings in medical expenses."
"Although I also know that the best treatment for patients is a win-win situation. But what kind of treatment is not decided by us doctors, but the patient's own choice."
"I believe that all the colleagues present here also have a deep understanding of this, right?"
Dong He's answer was very beautiful and diverted everyone's attention very well.
He moved the problem from the doctor to the patient!
Which doctor has not encountered strange cases?
It's even a bit excessive. Even the time to enter and leave the operating room must be discussed and determined with you. It is said that a fortune teller has been asked by a master to tell you when to go in and when to come out. It is absolutely safe and can be done.
Guaranteed wealth and wealth.
Then there are situations where the master gets hit in the afternoon...
After Dong He trembled and answered bravely.
Professor Liu Yiping added: "Thank you Professor Dong for your answer. I will be greedy and ask one more question today."
"I would like to ask Professor Dong, since you are only referring to it during the diagnosis and treatment process, which guideline did you refer to? Whose plan did you refer to, and when was the guideline? When was the plan?"
After Liu Yiping finished speaking, he put down the microphone and looked at Dong He quietly on the table without looking in the direction of Zhu Jinshan!
However, Professor Liu Yiping's words were like a sharp sword, reaching straight towards Professor Xu, Zhu Jinshan and other people from the Shonan University Affiliated Hospital!
It cannot be said that the consultation opinion of an academician is more credible than the general knowledge of everyone at the moment!
This is absolutely impossible?!
No academician has ever had such an idea.
No one would talk like that.
But, let me ask you, since academicians cannot act against the principles and guidelines? Then which guidelines should you refer to? Whose plan?
How can we effectively treat this complex knee joint infection at a low cost to the patient?
Combined with the last sentence of the previous question.
It is better to have no books than to have faith in books!
Think about it yourself?
You know, Dong He's lecture lasted only twenty minutes.
Fifteen minutes for sharing and five minutes for Q&A.
Before Liu Yiping stood up, Professor Zhu's words of praise and Professor Xu's words of encouragement were still lingering in everyone's ears:
"First of all, I'm not here to ask questions."
"Second, no matter what experts or academicians they are, they must have the most sufficient evidence before they can perform surgery."
"In your case, no matter what the situation is, joint cleaning and revision are the best options. Even if Academician Zeng is standing in front of me now, that's the truth."
Therefore, on the surface, it seems that Liu Yiping is targeting and embarrassing Dong He, but in fact, he is pointing his sword at other places.
Who wouldn't be able to criticize a mulberry tree and a huai tree at this venue?
Who can not understand?
After a few seconds, Dong He didn't answer Liu Yiping's question.
There was no way to answer, but Liu Yiping's eyes met him, and he could only bite the bullet and said: "Professor Liu, I really can't answer this question for you. Because before the operation, we went through all the guides.
All standardized treatment principles have not been found to have clear regulations on the situation in this case!"
"Our surgical plans and decisions are made on a temporary basis after extensive discussions in the department."
"If I have to give one guideline and principle, it would be individualized treatment. According to the patient's condition, be prepared to respond at any time. I wonder how Professor Liu would make a choice when encountering such a problem?"
Dong He threw the question back, begging for mercy in the song, should everyone just let this topic go?
Liu Yiping said: "Thank you Professor Dong for your answer. Regarding this patient's situation, I will try my best to consider social and economic factors and choose joint fusion and amputation!"
"Even if it's cruel!"
Professor Liu Yiping, after saying this, sat down again.
However, after Professor Liu Yiping sat down, Professor Xu, Professor Song, and Professor Kong all felt on pins and needles. They all raised their hands, as if they wanted to chase Dong He and continue to ask questions.
But in fact, everyone knows that their purpose is to answer Professor Liu Yiping's previous question.
When Dong He saw this scene, he suddenly felt like a catastrophe was coming!
If, today, old-timers like Professor Liu Yiping and Professor Song were fighting, then he would be standing on the knife's edge, at the forefront of the storm, with no one around him. He already regrets taking out this case. His original intention was not
so……
Professor Zhu Jinshan also had the same thoughts as Liu Yiping.
He was also in high spirits, so he fell into Dong He's pit. Fortunately, Professor Xu helped him, but now?
It seems that Professor Xu also fell into the trap because of his "excitement".
Now, there is no winner in this invisible struggle!
If Liu Yiping wins in the end, several old professors will think that Liu Yiping is being aggressive and is here to cause trouble! At this age, they have long stopped working in clinical practice and just want to spend the rest of their lives safely.
When you come to an academic conference, you come to support the occasion, not to compete for fame or fortune.
But not here to cause filth.
Old people have the same name!~
But if a few old professors win in the end and have to argue over whether Academician Zeng Diwei’s consultation opinion is right or wrong, then Mr. Zeng may not personally take the case to the Department of Orthopedics half a month later.
Talking about it at the annual meeting.
Let comrades across the country comment on what is right and wrong!
By then, it will be even more difficult for this matter to end. Although this possibility is very low, it is not ruled out.
As the chairman of the conference, Zhu Jinshan's scalp was slightly numb, so he asked: "Professor Kang, the case brought by Professor Dong today is still very impactful, but due to time constraints, how about we discuss the academic case
Should the matter be placed during the tea breaks of the first and second quarters of the second half of the conference?"
Although Zhu Jinshan interrupted, Professor Xu still stood up and asked the staff for a microphone.
The staff was helpless and looked at Zhu Jinshan. In the end, they could only hand the microphone to Professor Xu!
After Professor Xu took the microphone, he looked directly at Professor Liu Yiping: "Professor Liu, regarding the question you just asked, I still have some questions to ask you."
"Individualized treatment is a common topic in all medical disciplines, and that's right."
"In fact, I can say without shame that the guidelines we think of now are 100% wrong. None of them are right. Even the indications and contraindications for surgery we currently follow are actually wrong."
"Then can we disobey it?"
"The cases we encounter in reality are not written according to textbooks and guidelines, so is our arbitrary treatment desirable and correct?"
"If all treatments are understood in terms of individualized treatment, then who will ultimately guarantee the patient's rights and interests?"
"If there is no objective criterion, will we doctors be wrong at any time in the process of practicing medicine?"
"Our medical laws stipulate that we have the right and obligation to provide patients with the best medical resources and the best medical advice. We must ensure the lives and health of the people!"
"Then we don't need to refer to it?"
“If we don’t have the same guide, why don’t we refer to the existing guide?”
"Joint infection, even a complicated infection, is not an absolute indication for joint fusion, is it?"
Mr. Xu knew that Professor Liu Yiping's words were aimed at him, so he fought back one by one.
It even brought the topic to a very high level all at once. If there are no guidelines, can we not follow the guidelines?
If it is better to believe in books than to have no books at all, then why not read them?
…
When Mr. Xu asked back, Zhou Chengcheng noticed that Luo Yun's brows were furrowed, as if he was thinking about how to reply.
Because Professor Xu's question left many pitfalls, he didn't know if Liu Yiping noticed it.
Luo Yun looked at Liu Yiping's movements with a little worry, as if he was worried that Liu Yiping would raise his hand immediately. This question actually needs to be thought about a little more carefully.
Seeing Luo Yun's troubled expression, Zhou Cheng whispered in Luo Yun's ear for a while.
After Luo Yun heard this, he immediately looked at Zhou Cheng in surprise: "Is that appropriate?"
Zhou Cheng then said: "Teacher Luo, if this doesn't calm down, it won't do any good if we get into a fight. It's actually just a misunderstanding. We can only calm things down first, and then we can talk slowly later."
When Luo Yun heard this, he stood up directly and waved to the staff holding the microphone.
But the staff, all graduate students, walked towards Luo Yun, but did not dare to hand the microphone to Luo Yun. They just looked at Zhu Jinshan next to Luo Yun, waiting for his instructions and orders!
Zhu Jinshan's head was spinning at the moment. First it was Liu Yiping, which brought the topic of Dong He's provocation to an explosive point, and now there's Luo Yun.
Moreover, these two happened to be Zeng Diwei's students. You can't even call them him, they are simply big-headed.
To be continued...