Doctor Started a Plug-in

You can search for “when the doctor opened the plug-in wonderful pen novel novel network (imiaobige.com)” in 100 degrees to find the latest chapter!

“I tell you, Chen Cang is very good. I have heard others talk about chest puncture before, but it is far worse than Chen Cang!”

“The most important thing is to look handsome!”

“Really exaggerated?”

“It’s more exaggerated than this. We asked more than 20 people yesterday, and we didn’t even ask anyone. Whatever! I feel that when talking about chest puncture, Chen Cang is a must!”

“I am obedient, Chen Cang has no lover yet!”

“People are qualified by Provincial Second Hospital, and now they are sent out to study in Post-Graduate. They look handsome, have good units, and people are not bad. Come on!”

……

A few little girls who were trained had a lot of fun, but they didn’t come to training today. They came over and listened to it again. This is the same as the class in college. Which teacher speaks well, looks good, and sucks powder. There are so many people coming to the class!

In fact, many of them came to participate in the regulation training, but many of them were already Post-Graduate, but only after they graduated from Post-Graduate at that time, they did not obtain the regulation certificate.

Now, as a Doctor, all require certification, which is as important as the qualification of a practicing doctor. Without a certification, there is no way to advance to the Intermediate Level title.

To put it bluntly, if you don’t have a certification, you can’t be regarded as a doctor.

So many people come to participate in training.

But at this time, it can be seen that the male to female ratio of medical students is coming.

Among the ten people, there are 7 girls and 3 men.

Therefore, in Medical College, male children are relatively easy to find lover.

……

After the entire group pushed the door into the chest wear room, I suddenly saw a man standing inside.

This man… the oil head wants to cover up the reality of baldness, the new white clothed wants to block the raised belly, looks very greasy…

Suddenly, the person who was preparing to sign in, hesitated!

This person should…not Chen Cang, right?

“This is Chen Cang? So… abstract?”

Even a few people who came yesterday were dumbfounded: “No! Chen Cang I don’t know my classmates yet, where is Chen Cang?”

Several people, ester and chirp, signed reluctantly, and each and everyone looked at Shi Qi curiously.

Come all come, can’t go?

Seeing that everyone is coming, Shi Qi opened the ppt with a smile and smiled like Wu Yanzu: “Well, welcome everyone to Provincial Second Hospital, this is Shi Qi. Today I will tell you about the operation of chest puncture And considerations.”

“Maybe people don’t know me well, but they have become familiar with it after a long time. I used to be the director of our Hospital Department of Thoracic Surgery. Later I have been reforming. I went to breast surgery, so I talked about the explanation of thoracentesis. I think I should be the most suitable?”

Speaking of which, Shi Qi considers laughed as humorous.

“Chest puncture is used a lot in the clinic and is very important for medical workers. Everyone is a future doctor, so it is really necessary to master such a skill.”

“I’m usually busy, but after receiving the invitation from the Regulation Center, I still feel that this matter is more important, so I’m here, now…”

Shi Qi’s materials were left by Li Shijian at the time. At that time, Li Shijian on the chest often trained with Chen Cang, so all the materials were prepared.

Shi Qi is now going to be a director in the regulation training center, because the breast director, the old director does not retire, he does not go at all, and… clinically, he does not want to do it now.

3 years as director of Department of Thoracic Surgery, 3 years of salted fish, where did you live such a hard life?

Becoming a director in the regulation training center, in charge of a few 100 students, is comfortable.

Shi Qi talked about… quite satisfactory, just like the scoring standard, very standard and official.

It’s okay for everyone to listen.

But people who heard Chen Cang’s explanation yesterday suddenly felt that it was not too addictive.

There is no gap without comparison. Sometimes, the clinical Doctor level can be seen from the explanation. Some people are what they say, and some people are dry.

But thinking that people are the original chest director, everyone still thinks it should be quite level, maybe just not good at explaining that’s all.

So Patience listened, and after finishing the talk, Shi Qi looked at everyone: “Is there any problem?”

At this time, a person asked: “Teacher Shi, the United Kingdom Thoracic Association’s pleural disease guidelines in 2010 pointed out that for malignant pleural fluid, the amount of fluid drawn through the therapeutic chest should depend on the symptoms of the Patient at the time, a single The pumping volume should not be 1500ml, and what you just said is not more than 700ml for the first time, and no more than 1000ml in the future, and Peking Union Medical College Respiratory Medicine believes that it should not exceed 600ml for the first time, and no more than 1000ml in the future. The domestic first time volume is more conservative ,Why is that?”

This question is exported!

Most of the people present were blinded!

Awesome asked by this question!

It’s expert when you hear it!

Because the 5 6 7 8 version of internal medicine wrote no more than 700 for the first time, and no more than 1000 in the future, but it seems that no one really asks why this question is!

Shi Qi was taken aback, this question was well asked, he pointed to a girl in front and asked, “What do you think of this question?”

girl hesitated: “I use… the 8th edition of “Internal Medicine” to see…”

As soon as this remark came out, all around me was dumbfounded, and then laughed heartily.

Shi Qi is also laughed and said: “Because too much fluid is drawn too quickly, expansive pulmonary edema will occur, so we are relatively more conservative than foreign countries.”

girl stunned: “Aren’t you afraid of 1500 for the first time abroad? Is the reason for the difference between our country and abroad because of our conservative concept?”

Shi Qi froze for a moment: “Every guideline has a specific understanding of the theory that has been derived from evidence-based medical research through a large number of case experiences. I think we should respect the guideline.”

At this time, a girl suddenly raised her hand and said: “Teacher Shi, in fact, this value has a source, and it is not a dead value.”

“Physiology tells us that the average total lung volume of an adult male is 5000ml, of which the vital capacity is 3500ml + residual volume 1500ml. From this we speculate that the volume of the chest cavity should also be about 5000ml, then the unilateral chest cavity is about 2500ml.

For a patient with a large amount of pleural effusion, we can withdraw 1000ml at one time, and the amount of 25 is quite large. If 1500ml (one side) is withdrawn at one time, it is 35 for the capacity of the unilateral pleural cavity, which is basically insurmountable. The chasm is gone. “

“Evidence-based medical statistics show that tall human bodies in Europe and the United States are indisputable facts. Their corresponding chest volume is also larger than ours, so their upper limit of single pumping volume is larger than ours.”

“And the true meaning of the guidelines is not to emphasize this value, but this is only a critical value. In fact, we are clinically, in fact, this “700ml, 1000ml” impossible is unchanged, because each patient’s age, body type, and condition are not In the same way, we impossible use these two numbers, and it is more important to observe the patient’s situation at any time, and it is also the same abroad. The guide is a relatively wide range. As every Doctor, you should always observe the Patient and adjust the dosage.”

girl’s voice is not loud, but it made the audience quiet.

These remarks were thorough and perfectly clear, and the meaning of the chest-pumped liquid pumping value was spoken out at once, which instantly made the audience understand, and suddenly there was a feeling of sudden enlightenment.

So that’s how it is !

Even Shi Qi had a sudden and cheerful feeling. It was really good to say that it was like this.

Shi Qi unable to bear asked: “This classmate, it’s really good! The understanding is in place.”

The girl didn’t actually want to say it, but one couldn’t help saying it, and naturally didn’t expect that there would be such a big response, and everyone around me looked at her with a wow, and suddenly blushed.

“Actually… this is not what I said, this is what Teacher Chen said.” The girl said sorry, and then pointed at the classmates around her, “You ask them, they also know!”

Several students nodded one after another: “Yes, Teacher Chen has talked about it.”

Everyone was dumbfounded!

Who is a Teacher Chen?

That Teacher Chen?

Even Shi Qi is dazed, who is Teacher Chen? It looks so familiar.