In addition to Gu Zhijie and the vice president in charge, the hospital also attended the meeting, including Sun Tao, director of the hepatobiliary department, Chang Jianguo, Chen Tianming and Zuo Li, directors of the Chinese medicine department. The other is the hospital's legal counsel, Mr. Dai.

The meeting rooms are equipped with modern projectors. The lecturer Chen Tianming operated the projector to display medical records and related materials, and explained the medical issues involved.

Chen Tianming said: "I can only explain from my personal understanding, and only represent my personal opinion. Because there was no consultation with other doctors in the hospital in advance, and there was no collective discussion, it does not represent the opinion of the hospital and is for reference only. ”

Gu Zhijie smiled and said, "You are the authority of our hospital, and your opinion can represent our hospital." ”

Chen Tianming nodded, not complacent and changed his words because of Gu Zhijie's praise for her, and still said calmly: "Let me tell you my personal opinion." ——One of the main questions raised by the patient's family is that the patient has undergone a whole liver transplant because of liver cancer, and the whole liver has been replaced, how can liver cancer recurrence occur? It is inferred that there was an error in the surgery, such as not completely removing the tissue invaded by the cancer cells, and the operation was not complete. In this regard, I reviewed all the records of the operation in detail, and I believe that the operation was successful and there were no traces of infection. ”

"But why does liver cancer still recur after whole liver transplantation? In response to this question, I consulted relevant medical papers at home and abroad, and obtained statistics on liver cancer recurrence after liver transplantation in many hospitals at home and abroad, and the liver cancer recurrence rate was displayed on the big screen at one year, three years and five years after transplantation. ”

"From the schematic diagram, we can see that about a quarter of patients with liver cancer at home and abroad will have liver cancer recurrence within five years of surgery, and about 20% of the recurrence will occur within one year after surgery. I have copied all the relevant papers and materials in support of this conclusion on CD-ROM, and I will provide you with them after the meeting if needed. ”

Chen Tianming's statistics are very convincing, indicating that the recurrence of liver cancer in patients is not a special case but has a certain probability of occurring, which is within a reasonable range. Even if surgery is done at its best, it is difficult to avoid it completely.

However, Zuo Li found that Lawyer Lu's face was calm and did not change in any way because of this powerful explanation, and he knew that Lawyer Lu was in her chest, and she must have more powerful killing moves.

Chen Tianming presented the abstracts of the most typical papers, and then said: "For patients with stage I and stage II liver cancer, liver transplantation is the best and most effective way to prevent tumor recurrence. However, if it is stage III and stage IV advanced liver cancer, even if a variety of measures are taken to prevent tumor recurrence, the probability of liver cancer recurrence after liver transplantation is still relatively large. ”

"There are even studies that believe that liver cancer at this stage will recur even after liver transplantation, but it is only a matter of time. Specifically, the patient has stage II liver cancer and is suitable for liver transplantation. However, this kind of liver transplantation does not mean that it can completely stop the recurrence of liver cancer. I've already explained why. ”

Gu Zhijie glanced at everyone: "What do you have to ask about this question?" ”

Sun Tao propped up the table with both hands, leaned forward, and said to Lawyer Lu in a heavy voice: "Your father has stage II liver cancer, and there is no problem with liver transplantation. As Director Chen said just now, statistics at home and abroad show that even liver transplantation for stage I and stage II liver cancer still has a certain probability of causing liver cancer to recur, which is currently beyond the control of medicine. Therefore, our hospital is not responsible for the recurrence and eventual death of your father's cancer. ”

"Really?" Lawyer Lu stared at him, his voice cold, "Aren't you responsible?" I ask you, have you told us about this possibility, have you told us that even if my dad transplants a new liver, there is still a certain probability that the cancer will return? ”

"Of course I did, why didn't I say it? The informed consent form for surgery is signed by you. ”

"Okay, please Director Chen put this informed consent form on the big screen, I want everyone to take a look."

Chen Tianming put the consent form on the projection screen.

Sun Tao immediately pointed to the big screen and said: "Look, the above about the accidents and complications that may occur after the operation, which is very clear: 'The tumor has the possibility of recurrence, progression and metastasis is not prognostic'." Isn't that a clear indication that the tumor is likely to recur, and what else can be explained? ”

Lawyer Lu said: "Then may I ask Director Sun, which of your doctors gave us a detailed explanation and told us what this passage means?" - I'm very familiar with the law, but I'm a layman in medicine. Have any of you explained to us in layman's terms what these medical terms mean? ”

Sun Tao was stunned and said: "Look at it for yourself, it's not that you can't read and write." ”

Lawyer Lu pointed to the big screen and said to Chen Tianming: "Please enlarge the fourth article of the same book." ”

The fourth clause was quickly highlighted on the screen, and everyone understood what Lawyer Lu meant.

Lawyer Lu read unhurriedly: "Article 4: 'The doctor will explain to you all the following contents in plain language. Do you see that? Director Sun, it is very clear that you should explain to our family in 'plain language', and you should explain it in words, not for us to see for ourselves. Excuse me, has anyone explained it to us in words? ”

"You didn't ask, why do you have to explain?" Sun Tao said with a roll of his eyes.

"It's your duty!" Lawyer Lu's voice raised, "Whether we ask for it or not, you are obliged to explain it to us in verbal language. - We don't know how to ask you, but you should explain, we don't ask you, you have to take the initiative and explain to us in plain language, which is the hospital's obligation to inform. If you don't understand, Director Sun, I would like to ask your legal counsel, Lawyer Dai, to tell you if your hospital has such an obligation? Is this clearly stated on the surgical informed consent form a joke or is it serious? ”

Sun Tao's face turned green, and he turned his head to look at Lawyer Dai.

Lawyer Dai nodded expressionlessly, indicating that what the other party said made sense.

Sun Tao refused to admit defeat, and said stubbornly: "The person who wrote this thing is not as sharp as your lawyer, but it was written by some nerd." Who is so idle and has nothing to do, they have to explain to people one by one, and they can't do anything? ”

"This means that Director Sun, you have never taken the initiative to orally explain this notice to your surgical patients or family members before?"

Sun Tao immediately felt that it was a pit, and immediately said, "This has nothing to do with your father's medical case, I don't need to answer your question." ”

"Then answer me now, have you told us these things about my father's medical records? Have you fulfilled this obligation? ”

Sun Tao said: "Maybe someone else told you. I'm so busy, how can I manage so many small details? This should be done by the head nurse or the nurse below. ”