Patients discussed during the Ex-vMDT meeting system pilot study
| Case | Summary of MDT | Outcome |
|---|---|---|
| Medical inpatient with pre-existing chronic pelvic pain admitted with medically unexplained paraplegia and sensory deficits | MDT involving clinicians across three hospitals: gynaecologist, general physician and physiotherapist; psychiatrist provided input before the meeting via email | Consensus diagnosis of somatisation illness made and coordinated follow-up plan agreed |
| Complex outpatient with background of chronic liver and kidney disease under review for nonresolving pulmonary mass | MDT involving infectious diseases physician, two respiratory physicians and radiologist | Joint agreement to treat for tuberculosis and coordinated plan for follow-up after 3 months |
| Acute kidney injury because of suspected microangiopathy following diarrhoeal illness and unexplained ascites requiring recurrent paracentesis | MDT meeting involving nephrologist, hepatologist, haematologist and histopathologist | MDT concluded unlikely underlying microangiopathy; agreed joint plan for further investigation; referral to gastroenterologist to exclude protein-losing enteropathy |
| 6-month inpatient stay with acute cerebellar disorder of unknown cause complicated by recurrent aspiration pneumonia and intra-abdominal sepsis | MDT meeting involving representatives from neurology, immunology, general surgery and clinical pharmacology | Targeted investigations to confirm and refute various differential diagnoses; clarification of prognosis and plans for discharge; discharged 10 days after MDT |
| Chronic dysphagia, vomiting and malnutrition. Recurrent admissions with complications related to gastrostomy feeding and parenteral nutrition | MDT meeting involving gastroenterologist, nurse consultant in nutrition, dieticians at tertiary unit, surgeon and psychiatrist at referring hospital, and GP | Discussion revealed significant premorbid psychological issues; agreed joint plan for investigation and management across sites |
Ex-vMDT = extraordinary virtual multidisciplinary team; MDT = multidisciplinary team