I Can See Health

  Chapter 72 Training in Virtual Space

   Regulation Peilou.

student dormitory.

  Lu Chen lay on the bed and closed his eyes.

   entered the system virtual space.

   Opened the pericardiocentesis skill book again!

   Actually, since 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, bone puncture), and its risk is much greater.

  If the puncture is too deep, it may puncture the atrium, ventricle, or puncture the coronary artery, resulting in massive accumulation of blood in the pericardial cavity.

   In clinical practice, if there is a patient with pericardial effusion, the superior doctor seldom allows the intern to personally participate.

  …

   Enter the system space.

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

   On the operating table, lies a simulated real patient.

   There is also an ultrasound machine beside 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.

   In front of him, a system prompt popped up.

   "After passing the theoretical assessment, you can start the training of pericardiocentesis skills!"

  Lu Chen was taken aback for a moment, do you still need a theoretical assessment?

   But on second thought, this is true.

  If you don’t even know the theoretical knowledge, even if you enter the operation room, you will not know anything.

   Start the theory assessment!

  The first question.

  What are the indications for pericardiocentesis?

  Lu Chen thought for a while, then answered:

   "There are four in total, determination of the nature of pericardial effusion, removal of pericardial tamponade, treatment of empyema, and preoperative judgment of pericardial fenestration."

   The second question.

  What are the contraindications of pericardiocentesis?

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

   "Secondly, 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 are ten questions in total, all of which are basic knowledge of pericardiocentesis. For Lu Chen, the difficulty is not high.

   "Congratulations, passed the theory test."

  Lu Chen felt a flash in front of his eyes, and he came to the console.

   on the console.

   The pericardiocentesis kit has been opened.

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

The first step of the    operation is ultrasound localization.

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

   The location of pericardiocentesis generally has two locations.

  The first location, the precordial puncture point.

  In the left fifth intercostal space, 1-2 cm inward from the left border of the cardiac dullness border, along the upper border of the sixth rib, the needle is inserted inward and backward toward the spine.

   The second location, the substernal puncture point.

   Take the left costal arch angle as the substernal puncture point. The angle of the puncture needle and the abdominal wall is 30 to 45 degrees, and the needle is punctured upward, backward, and inward, reaching 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 ultrasonic positioning of the system, he took every step of the operation carefully.

  Only during normal training, treat virtual patients as real patients.

   Then, in real operation, the chain will not fall.

  …

   It took about half an hour.

  Lu Chen basically mastered the entire process of pericardiocentesis, but the movements were jerky and not skilled enough.

   He was slowly groping for the piercing technique.

  This is also in the system space, there is such an opportunity for infinite practice.

   in real life.

   One month, if you can meet a patient with a pericardiocentesis, and you can do 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 completed 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 rate reaches 100%, he will withdraw from this space.

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

   All kinds of puncture operation skills are not isolated.

   If you can master one kind of puncture skillfully, then other puncture skills, such as chest piercing and abdominal piercing, as long as you find the puncture position, you can follow the operation of the gourd painting.

  …

   Continued to train 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 get tired.

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

  …

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

   slept for about four hours.

  My stomach growled.

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

   Ready to go to the cafeteria for food.

   picked up the phone and found a missed call from Sun Guoguo.

   Confused, Lu Chen called back.

   The phone "beeped" and got through.

   "Senior sister, what are you looking for from me?"

   "Junior Brother Lu, the document you sent me at noon is really useful! We asked the teachers in the School of Pharmacy and found that β-phenethylamine does have a similar application. And there is video testimony, so the family member can't deny it."

   "So shouldn't our department be held responsible?" Lu Chen asked tentatively.

"Hey, I want to have no responsibility at all, of course it's impossible!" Sun Guoguo said, "The hospital has paid a little money for humanitarian compensation. The handling of the matter is very satisfactory, Junior Brother, you are the first."

   "The department is fine." Lu Chen smiled.

   "Okay, junior brother, you have a good rest." Sun Guoguo smiled, "Mr. Li Yao said that if you have time, let's go out and have a good meal."

"it is good."

hang up the phone.

  Lu Chen lazily stretched his waist.

at this time.

   He suddenly received a prompt from the system.

   "Congratulations, +1 for receiving Sun Guoguo's thanks!"

   "Congratulations, +1 for receiving Li Yao's thanks!"

This is possible too?

  Lu Chen couldn't help but smile.

   solved this case.

   Although he did not receive thanks from his patients, he did receive thanks from his sisters and mentors.

   There are still 7 points of gratitude in the system panel.

   The system upgrade completion rate is 1%.

The skills that    already possess are:

   Basics of ECG (top), Basics of ECG (middle).

   Heart anatomical volume basis (top).

   Literature Reading Basics (Part 1).

  Pericardiocentesis.

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

   If he can become a chief physician before the age of forty according to the normal promotion rate, then he is considered a very powerful person.

   Like Director Cao Zhiying of Jinghua Second Hospital.

   When he took over at the age of thirty-eight, he defied public opinion and became the director of the Department of Cardiology!

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

  Cao Zhiying's resume can be described as a model draft for all top doctors in China. He can only become a chief physician at the age of 38.

  More doctors may be rated as deputy chief physicians when they are around forty years old.

   If you want to be rated as a chief physician, most doctors may spend most of their lives and fail to reach it.

  If there is no "plug-in", Lu Chen's resume can only reach the level of Director Cao Zhiying at most, and he is the best group of people.

but now.

  When the doctor prescribed a plug-in.

  The future can be expected!

   Night shift tonight, rest tomorrow.

   So today's update, tomorrow will be added.

   5 days and one night shift, all of which can only be changed occasionally.

   (end of this chapter)