I Can See Health

Guipei Building.

student dormitory.

Lu Chen lay on the bed and closed his eyes.

Entered the system virtual space.

The pericardiocentesis skill book has been opened again!

In fact, from Lu Chen's internship until now, he has never performed pericardiocentesis independently.

Pericardiocentesis is different from the other four major punctures (thoracic puncture, lumbar puncture, abdominal puncture, and bone puncture), and its risk is much greater.

If the puncture is too deep, it may puncture the atria, ventricles, or coronary arteries, causing massive hemorrhage in the pericardial cavity.

In clinical practice, if there is a patient with pericardial effusion, superior doctors rarely allow interns to participate in person.

…

Enter the system space.

What appeared in front of Lu Chen's eyes was an operating console.

Lying on the operating table is a simulated real patient.

There is an ultrasound machine next to him.

Next to the ultrasound machine, there are also various puncture kits.

Lu Chen wanted to walk into the console, but found that there seemed to be an invisible wall in front of him, preventing him from moving forward.

Sudden.

A system prompt popped up in front of his eyes.

"If you pass the theoretical assessment, you can start training on pericardiocentesis skills!"

Lu Chen was stunned. Do you still need a theoretical assessment?

But then I thought about it, this is true.

If you don't even know theoretical knowledge, even if you enter the operation room, you won't know anything.

Start the theoretical assessment!

The first question.

What are the indications for pericardiocentesis?

Lu Chen thought for a while and then answered:

"There are four in total, including determining the nature of pericardial effusion, relieving cardiac tamponade, treatment of pericardial empyema, and preoperative judgment of pericardial fenestration."

The second question.

What are the contraindications to pericardiocentesis?

"First, bleeding disorders, severe thrombocytopenia, and those receiving anticoagulant therapy are relative contraindications."

"Second, there is an infection at the puncture site or a person with bacteremia or sepsis."

"Third, patients who cannot cooperate well with surgical procedures."

…

There were ten questions in total, all covering the basic knowledge of pericardiocentesis. For Lu Chen, they were not all that difficult.

"Congratulations, you passed the theoretical assessment."

Lu Chen felt his eyes flash and he came to the operating table.

On the operating table.

The pericardiocentesis kit has been opened.

Lu Chen put on his gloves and silently reviewed the steps of pericardiocentesis.

The first step in the operation is ultrasonic positioning.

Under the system ultrasound machine, find the deepest pericardial effusion and the best location for puncture.

There are generally two locations for pericardiocentesis.

The first location is the precordium puncture point.

In the left fifth intercostal space, 1 to 2 cm inward from the left edge of the heart dullness boundary, insert the needle inward and backward along the upper edge of the sixth rib, pointing toward the spine.

The second location is the substernal puncture point.

Take the left costal arch angle as the substernal puncture point. The angle between the puncture needle and the abdominal wall is 30 to 45 degrees. The needle is inserted upward, backward and inward to reach the bottom of the pericardial cavity.

…

Even though there was a virtual patient in front of him, Lu Chen was still very careful.

Starting from the ultrasound positioning of the system, he performed every step carefully.

Only during normal training, virtual patients are treated as real patients.

Then, in actual operation, there will be no mistakes.

…

It took about half an hour.

Lu Chen basically mastered the entire process of pericardiocentesis, but his movements were awkward and unskilled.

He was slowly figuring out his piercing technique.

This is also the opportunity for unlimited practice in the system space.

Put it in real life.

In a month, if you can meet a patient with pericardiocentesis and be able to practice it yourself, that would be great!

Another half hour passed.

Lu Chen has been able to perform a complete pericardiocentesis operation under ultrasound guidance.

The system panel immediately popped up a prompt.

"Pericardiocentesis completion rate 18%!"

After a full hour of hard work, the completion rate is only 18%.

It seems that there is a long way to go!

However, Lu Chen was not in a hurry.

If it is said that if the skill completion reaches 100%, he will exit this space.

Then he would rather stay for a while and make good use of the system's virtual space to improve his operating skills.

Various puncture operation skills are not isolated.

If you can master one skill skillfully, you can follow the same procedure for other puncture skills, such as chest puncture and abdominal puncture, as long as you find the puncture position correctly.

…

I continued training for another hour.

Lu Chen was a little tired.

This system space will not replenish his energy, and he will still feel tired.

After all, he worked a night shift last night and he was starting to feel tired.

Exit the virtual space of the system and slowly enter dreamland.

…

When Lu Chen woke up, it was already six o'clock in the afternoon.

I slept for about four hours.

My stomach growled.

Rubbing his sleepy eyes, Lu Chen climbed out of bed.

Get ready to go to the cafeteria for food.

Picking up the phone, I found a missed call from Sun Guoguo.

In doubt, Lu Chen called back.

The phone beeped once and the call was connected.

"Senior sister, what do you want from me?"

"Junior Brother Lu, the document you sent me at noon is so useful! We asked the teachers in the School of Pharmacy, and β-phenylethylamine does have similar uses. And there is video evidence, so the family member cannot deny it."

"So our department should have no responsibility?" Lu Chen asked tentatively.

"Hey, it's impossible to have no responsibility at all!" Sun Guoguo said, "The hospital compensated a little money humanitarianally, and the family member knew that they were in the wrong and stopped making trouble. The hospital leaders are very satisfied with the handling of this matter. Junior Brother, you are the first to contribute."

"It's good that the department is fine." Lu Chen smiled.

"Okay, Junior Brother, you have a good rest." Sun Guoguo smiled, "Teacher Li Yao said that if we have time, let's go out and have a good meal together."

"Okay."

Hang up the phone.

Lu Chen stretched lazily.

Just then.

He suddenly received a system prompt. ＵＵReading www.uukanshu． net

"Congratulations, received Sun Guoguo's gratitude value +1!"

"Congratulations, received Li Yao's gratitude value +1!"

Is this okay?

Lu Chen couldn't help but smile.

He solved this case.

Although he didn't receive the gratitude value from the patient, he received the gratitude value from his senior sister and mentor.

Currently, there are 7 points of gratitude in the system panel.

The system upgrade completion rate is 1%.

The skills he already has are:

Basics of electrocardiogram (upper), basics of electrocardiogram (middle).

Basics of cardiac anatomy (upper).

Basics of literature reading (upper).

Pericardiocentesis.

The system was not activated for a long time, but Lu Chen felt that the knowledge reserves in his mind had more than doubled.

If he could become a chief physician before the age of 40 according to the normal promotion speed, he would be a very powerful person.

Like Director Cao Zhiying of Jinghua Second Hospital.

He took over at the age of 38 and became the director of the Department of Cardiology against all odds!

After more than ten years of hard work, he developed the Department of Cardiology of Jinghua Second Hospital into a nationally renowned key specialty.

Cao Zhiying's resume is a model for all the top doctors in China. He could only become a chief physician at the age of 38.

More doctors may be promoted to deputy chief physicians at around 40 years old.

Most doctors may not be able to achieve the title of chief physician even after spending most of their lives.

If there were no "plug-ins", Lu Chen's resume would at most be as good as that of Director Cao Zhiying, who would be one of the most outstanding people.

But now.

When a doctor uses a plug-in.

The future is promising!