Wu Hao, president of the Ninth Hospital, sat in the air consultation room
Smart medical care is moving towards new breakthroughs through the development of Internet hospitals. At noon today (29th), 36 experts from the MDT team of 4 incurable diseases of Shanghai Ninth People's Hospital took advantage of the lunch break (12:00-13:30) to sit in the air MDT (multidisciplinary consultation) clinic of the Internet Hospital of the Ninth Hospital and conduct multidisciplinary joint diagnosis for 9 patients in many parts of the country.
The MDT aerial clinic system of the Internet Hospital of the Ninth Hospital is composed of subsystems such as the patient-side MDT air clinic client, the doctor-side MDT workstation, and the family member client. Under the guidance of the attending doctor, the patient enters the air consultation room, and the expert team consults the patient online through graphics, audio and video, etc., and the patient's family can also enter the air consultation room at the same time to accompany the consultation.
The MDT multidisciplinary online consultation system of the Internet Hospital launched by the Ninth Hospital can realize the video consultation of 1 patient, 4 family members and 9 doctors from multiple disciplines at the same time.
Professor Wu Hao, President of Shanghai Ninth People's Hospital and Leader of the Department of Otolaryngology, participated in the free clinic as an expert of the MDT team of "Neurofibromatosis Type II". Wu Hao said that the construction of the MDT air clinic is one of the practical measures for the hospital to do practical things for the masses, with the purpose of breaking down the barriers of medical process, time, space and efficiency, upgrading the Internet hospital, and expanding the online scene of multidisciplinary consultation.
Wang Xudong sat in the air clinic
Professor Wang Xudong, Vice President of the Ninth Academy and Director of the Department of Oral and Maxillofacial Surgery, also participated in today's free consultation. As the vice president in charge of hospital information, he hopes that the MDT air clinic of the Ninth Hospital can use the Internet hospital platform to achieve more efficient, reasonable and convenient multidisciplinary consultation in terms of organization, process and operation, so that more patients with difficult diseases can more easily and effectively connect with MDT experts, consult and consult, and obtain consultation opinions.
The 4 MDT teams of "Severe Dental and Maxillofacial Deformity", "Neurofibromatosis Type II", "Hemangioma and Vascular Malformation" and "Thyroid Eye Disease" led by ace experts from the characteristic disciplines of the Ninth Hospital participated in the MDT aerial free clinic service at noon today.
The MDT team for Severe Dental and Maxillofacial Deformity consulted 2 patients with more specific conditions. A 7-year-old little girl, whose father is an engineer sent to Morocco, has just returned to Shanghai a few days ago, and is still in quarantine, and she cannot accompany her to the follow-up consultation with her mother. The little girl had a retracted jaw and had sleep snoring, and had previously seen craniomaxillofacial voice correction in the Ninth Hospital, and later suspended her hospital for treatment due to the epidemic. This aerial MDT free clinic allowed the little girl not only to be accompanied by her mother, but also to be accompanied by her father through the air clinic through mobile phone video, and to receive multidisciplinary expert consultation services.
Experts in the fields of maxillofacial surgery, otolaryngology, orthodontics, and pediatric oral medicine related to the condition participated in the consultation, and made several appointments for the children after one week, and agreed on a follow-up treatment plan.
Experts who had performed speech correction for children in the early stages of the epidemic also conducted speech assessments on children through the MDT aerial clinic.
Another special patient is Xiaoliang girl, 25 years old, Hunan, with nearly 1/2 mandible defect, who successfully underwent mandibular repair and reconstruction surgery in the Ninth Hospital in the early stage, and restored facial contour and teeth bite function after surgery. MDT Aerial Clinic allows Xiao Liang and his parents in Hunan to face-to-face video consultation with experts of various disciplines such as orthodontics, periodontal disease, oral implants, prosthodontics, and endodontics of the Nine Hospitals through the Internet.
Through consultation, the MDT team developed a comprehensive series of treatments for her to reconstruct implant prosthetics and oral care on her mandible.
The MDT team of "Neurofibromatosis Type II" of the Ninth Hospital brought together experts from 8 different disciplines, including neurocranial floor surgery, hearing center, neurosurgery, orthopedics, ophthalmology, imaging, anesthesiology, and genetic inheritance of the Institute of Otology, and two joint cases.
Among them, a 38-year-old female patient in Zhejiang had hearing loss on the right side for more than 20 years and a left side hearing loss for more than 1 year. Imaging shows: intracranial bilateral acoustic neuroma. Audiology shows total deafness in the right ear and lower-middle level of hearing in the left ear. Previously, this patient had obtained a diagnosis and treatment plan in the MDT joint clinic of "neurofibromatosis type II" of the Ninth Hospital, that is, the first step was to take the treatment method of full implantation of the right cochlear cord tumor and assisted by the left hearing aid. After the operation, the patient's auditory speech was restored. In 2018, the patient went to the Ninth Hospital for re-examination, and after discussion, the second step was implanted with a left cochlear cochlear tumor, and the operation was smooth. After the operation, the patient regularly went to the Hearing Center of the Ninth Hospital for follow-up.
At noon today, the patient underwent a third follow-up visit through the MDT clinic in the air and was given the next treatment plan formulated by the MDT team.
Professor Wu Hao also put forward a detail after participating in the discussion of the "neurofibromatosis type II" MDT case: in the future, in the process of carrying out online MDT diagnosis and treatment services, attention should be paid to caring for hearing impaired patients, and it is hoped that the technology platform can realize the real-time voice synchronous translation subtitles of the diagnosis and treatment scene to facilitate doctor-patient communication.
Also participating in the free consultation was the MDT team of "Thyroid Eye Disease", and the experts consulted two special patients and formulated the next step of the diagnosis and treatment plan.
One of them, Mr. Gu Lao, was paralyzed on his left side many years ago due to cerebral hemorrhage, and his mobility was incapacitated for a long time, and his whole body was in poor condition. Two years ago, thyroid tumors and thyroid eye disease appeared, and vision was almost lost. In January 2019, the MDT team of Thyroid Ophthalmology of the Ninth Hospital, including the Department of Ophthalmology, General Surgery and Anesthesiology, performed a joint operation for Mr. Gu Lao, saved his eyeballs, and removed the thyroid tumor. However, Mr. Gu has been bedridden for a long time, coupled with the epidemic situation, it is very inconvenient to follow up the diagnosis, and further surgery has been stranded. I heard that the Ninth Hospital held a multidisciplinary consultation in the air clinic today, so I discussed with my daughter to participate in this new type of cloud follow-up clinic.
The MDT team on "Hemangiomas and Vascular Malformations" conducted a cloud consultation for three patients in today's free consultation service. Among them, a 50-year-old female patient, who was born with a large area of erythema on both sides, with the upper lip mucosa and gums involved, increased with age, the proportion of lesions increased, the color deepened, about 30 years old, the lesions rapidly increased. At present, the lesion has affected the upper respiratory tract, affecting breathing and urgently needing surgery. At the same time, the patient also has right glaucoma and no vision in the right eye. Today, multidisciplinary specialists in orthodontics, ophthalmology, otolaryngology, orthodontics participate in consultations to discuss the timing of treatment interventions, measures and sequence treatment options such as surgery.
The Sichuan young man who was surgically relieved of severe diseases of arteriovenous malformations in the Ninth Hospital in 2020 also received remote follow-up from the expert team through the MDT clinic in the air at noon today.
Based on the continuous upgrading of Internet hospitals, the Ninth Hospital will also launch intelligent service measures such as "Outpatient Assistant Wisdom Crutch", "Internet Follow-up of Discharged Patients", "Main Knife Doctor Online Diagnosis", etc., to truly realize the "Internet + Medical" service model that allows more information and less running for patients, and continuously improves the sense of medical access and convenience of patients.
Author: Tang Wenjia Xu Ying
Editor: Tang Wenjia
Source: Xi Rongpei