"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 be handsome!"

"It's really that exaggerating?"

"It's even more exaggerating than this. We asked more than 20 questions yesterday, but we didn't ask them any questions. We know everything! I just think that Chen Cang is a great deal when talking about chest puncture!"

"I'm obedient, Chen Cang has no match yet!"

"He is a member of the Second Provincial College of the Provincial People's Republic of China. Now he is sent to graduate school. He is handsome, has a good unit and a good person. Come on!"

...

A few girls who were trained in regular training had a lot of fun. They were not as good as those who came to the training today. They just came here to continue listening. This was just like in college. Which teacher is good at speaking, handsome, and attracted fans. There were so many people who came to listen to the lecture!

In fact, many of the people who came to participate in the regular training were already graduate students, but after graduation, they did not obtain the regular training certificate.

Nowadays, when you are a doctor, you need to have a regular training certificate, which is as important as the qualification of a practicing physician. You cannot advance to an intermediate professional title without a regular training certificate.

To put it bluntly, if you don’t have a regular training certificate, you won’t be evaluated as the attending physician.

So many people come to participate in the training.

But at this time, it was obvious that the ratio of men and women of medical students was coming.

Among the ten people, there are seven girls and three men.

So in medical schools, it is relatively easy for boys to find a partner.

...

After the group pushed the door and entered the chest-piercing room, they suddenly saw a man standing inside.

This man... wants to cover up the reality of baldness, and the new white clothes want to stop the raised belly, which looks very greasy...

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

This person should... not Chen Cang, right?

"Is this Chen Cang? So... abstract?"

Even the few people who came yesterday were stunned: "No! I don't know Chen Cang and my classmate yet, how could this be Chen Cang?"

Several people signed reluctantly, looking at Shi Qi with curiosity.

I've come here, can't leave?

Shi Qi saw that everyone was almost here, and smiled and opened the ppt, posing like Daniel Wu: "Well, welcome everyone to the Second Provincial Hospital. I am Shi Qi. Today I will tell you about the operation and precautions for chest puncture."

"Maybe everyone doesn't know much about me, but I'll get familiar with it over time. I used to be the director of the thoracic surgery department of our hospital. Later, I continued to reform and went to the breast surgery department. So when it comes to the explanation of thoracic puncture, I think I should be the most suitable one in the Provincial Second Hospital, right?"

Speaking of this, Shi Qi smiled humorously.

"Chest puncture is used a lot in clinical practice 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 very busy, but after receiving the invitation from the Regulatory Training Center, I still think this matter is more important, so I came and start now..."

Shi Qi's information was left by Li Shijian at that time. At that time, Li Shijian, who was outside the chest, often trained with Chen Cang, so all the information was prepared.

Shi Qi is now preparing to be a director at the Regulatory Training Center. Because the old director of the Breast Department is not retired, he can't go to the hospital at all, and... he doesn't want to do it now.

I have been the director of the thoracic surgery department for three years, and I have been doing such a hard life?

Being a director in the Regulatory Training Center, in charge of hundreds of students, is comfortable and comfortable.

What Shi Qi said... is just like the scoring standards, very standardized and official.

Everyone can hear it.

However, those who heard Chen Cang's explanation yesterday suddenly felt a little overwhelmed.

There is no difference without comparison. Sometimes, the level of a clinical doctor can be seen from the explanation of things. Some people say something, while others are dry and dry.

However, when people think that they are the former director of the chest, they still think they should be quite good at explaining. Maybe they are just not good at explaining.

So he listened patiently. After finishing the talk, Shi Qi looked at everyone: "Is there any other problem?"

At this time, a person asked: "Teacher Shi, the 2010 British Chest Association's pleural disease guideline pointed out: For malignant chest fluid, the amount of fluid drawn for therapeutic chest should be determined according to the patient's symptoms at the time. The amount of fluid drawn for a single time should not be >1500ml. What you just said was that the first time should not exceed 700ml, and the future should not exceed 1000ml. Concorde Respiratory Medicine believes that the first time should not exceed 600ml, and the future should not exceed 1000ml. The first time should not exceed 1000ml. Why is this?"

This question comes out!

Most of the people present were confused!

This question is awesome!

I heard it was a master!

Because the five, six, seven or eight versions of internal medicine are written in the first time that the number does not exceed 700, and in the future, it does not exceed 1,000, but it seems that no one really asks this question why!

Shi Qi was stunned. The question was asked well. He pointed to a girl in front of him and asked, "What do you think of this question?"

The girl hesitated: "I use... the eighth edition of "Internal Medicine" to read..."

As soon as these words were said, everyone around was stunned and then laughed.

Shi Qi also smiled and said, "Because too much and too fast, re-extension of pulmonary edema will occur, so we are relatively more conservative than abroad."

The girl was stunned: "Will you not be afraid of 1500 for the first time abroad? The reason for the difference between us and abroad is because we have conservative ideas?"

Shi Qi was stunned for a moment: "Every guide is a theory that has been specially understood through evidence-based medical research with a large number of case experiences. I think we should respect the guide."

At this time, a girl suddenly raised her hand and said, "Teacher Shi, this value actually has a source, and it is not a dead value."

"Physiology tells us that the average total lung volume of adult men is 5,000ml, of which the lung capacity is 3,500ml + the residual volume is 1,500ml. In this way, we speculate that the volume of the chest cavity should be about 5,000ml, so the unilateral chest cavity is about 2,500ml.

For a patient with a large amount of pleural effusion, we unilaterally extracted 1000ml, 2/5 of the amount, which is quite large. If 1500ml (unilaterally) is drawn, it will be 3/5 of the unilateral chest volume, which is basically an insurmountable gap."

"And evidence-based medical statistics show that it is an indisputable fact that Europeans and Americans have tall bodies. Correspondingly, their chest volume is larger than ours, so they can understand that their single-shot upper limit is larger than ours."

"The real meaning of the guide is not to emphasize this value, but this is just a critical value. In fact, in our clinical practice, this "ml" cannot be unchanged, because each patient's age, body shape, and condition are different. We cannot use these two numbers dead. More importantly, we observe the patient's condition at any time. At the same time, the same is true for foreign countries. Guidelines are a relatively broad range. As every doctor, we should observe the patient at any time and adjust the dosage."

The girl was not loud, but it calmed down everyone in the audience.

All these words were thorough and clearly stated the meaning of the value of the breast fluid extraction, which instantly made the audience understand and suddenly felt a sudden realization.

I see!

Even Shi Qi suddenly felt enlightened. It was so good that it was like that.

Shi Qi couldn't help asking: "This classmate is so good! He understands it well."

The girl actually didn't want to say anything, but she couldn't help but say it. Naturally, she didn't expect such a big response. She looked at the people around her and looked at her with a look of blushing.

"Actually... this is not what I said, it is what Teacher Chen said." The girl said with a look of embarrassment, and then pointed at the classmates around her, "If you ask them, they know too!"

Several students nodded one after another: "That's right, Teacher Chen has said it."

Everyone was stunned!

Who is Teacher Chen?

That Teacher Chen?
Chapter completed!