I Can See Health

Lu Chen stood on the podium of the demonstration classroom and looked around at the trainees below.

Everyone looked at the question on the blackboard and remained silent for a long time, but still no one could answer the question.

This issue involves differences in body position and angle.

Lu Chen had experienced the National Medical Skills Competition, so he was naturally familiar with these operations, and he also understood these skills at a deeper level.

But these students are different. Everyone is confused about many things when they first enter clinical practice.

Being able to do the hepatojugular reflux sign is already good.

"There is still some time, you can read the book, or go to the clinic to practice it." Lu Chen smiled, "I will ask you this question again when we get off work."

Lu Chen gave up.

He allowed all trainees to move around the department on their own, asking patients about their medical history and checking medical records in the office.

…

The team leader of the trainee first came to the ward and tried to perform a physical examination on the patient and performed a hepatojugular reflux sign.

Several other trainees took out their mobile phones and started searching the Internet for answers to Lu Chen's questions.

However, after searching for a long time, no one found the answer to this question.

In the ward, the team leader couldn't answer this question even though he had done the hepatojugular reflux sign.

"Why is the patient in a semi-recumbent position at 30-40° when performing the hepatojugular reflux sign? It cannot be in a recumbent position at 60° or other angles?"

With this question, the team leader found Cheng Peng.

Of course, they asked in a low voice to prevent Lu Chen from hearing it again.

"Ah? What's the problem?" Cheng Peng's fat face frowned, "The patient is in a semi-recumbent position at 30-40°? Can't he be in a recumbent position at 60° or other angles? Is there any difference?"

Cheng Peng had never heard of such a strange problem.

The group leader was also quite surprised. Even the graduate students didn’t know the answer to this question?

"How about asking other teachers?"

The team leader approached Yin Xinhua with another question.

Yin Xinhua just finished his work.

Seeing a trainee coming to ask her a question, she smiled and said she would be happy to answer it.

However, when she heard this question, the smile on her face froze.

When the team leader saw Yin Xinhua's expression, he knew that she might not know either.

"Ah...is this question so difficult?"

…

It’s finally almost time to get off work.

A group of trainees stood beside Lu Chen, waiting for him to announce his final answer.

"You haven't found the final answer yet?" Lu Chen smiled.

The team leader stood up in front of Lu Chen and shook his head quickly: "I checked all the information, but still can't find it."

At this time, Cheng Peng also quietly leaned his head over.

He was also curious about this issue.

"As for this question, I will draw a picture so that you can understand it better." Lu Chen took out a blank A4 paper and said, "The central venous pressure of a normal person is 5-12 cm water column."

"When lying down, the jugular vein is parallel to the right atrium, and jugular vein filling will occur, but the filling level is limited to the lower 2/3 of the distance from the upper edge of the clavicle to the angle of the mandible."

"In the semi-recumbent position, the vertical distance between the jugular vein and the junction of the upper and lower cavities and the right atrium is about 15-20 water columns. Insufficiency of the right heart will cause systemic congestion, leading to an increase in central venous pressure. If it is greater than 20 cm water columns, there will be Jugular venous distension (jugular vein filling exceeds 2/3 of the distance from the upper edge of the clavicle to the angle of the mandible."

"In the 60° recumbent position, the vertical distance between the jugular vein and the junction of the upper and lower cavities and the right atrium may be greater than 20cm of water column. At this time, it is not easy to identify cardiac insufficiency."

So this is ah!

If Lu Chen's words were just spoken, people might not understand them.

But Lu Chen also drew the patient's position on the paper.

It’s clear at a glance!

Most of the trainees understand the principle.

This sudden feeling of enlightenment impressed everyone on the jugular venous reflux sign.

"Holy shit, it turns out that's what it is!" Fatty Cheng exclaimed, "You are indeed Lu Chen!"

At this time, Lu Chen also received a series of system prompts.

"Congratulations, I received a +1 thank you from Cheng Peng!"

"Congratulations, I received a +1 thank you from Ye Qian!"

"Congratulations, I received a +1 thank you from Su Cai!"

"..."

Lu Chen looked overjoyed and received more than ten gratitude points.

This time I’m taking care of the trainees, so I don’t have a white belt!

…

During work today, as long as Lu Chen finished his work, he would try to help the junior brothers and junior sisters in the department solve problems.

While continuously gaining gratitude points, Lu Chen also gained a good reputation in the eyes of the interns.

When I returned to the dormitory at night, the total gratitude value on the system panel reached 126!

When Lu Chen saw the gratitude value clearly, he was also a little surprised.

This speed is too fast!

However, Lu Chen also knew that the job of leading trainees like today could only be done once or twice occasionally.

In addition, teaching juniors and junior sisters in the department should be done in moderation.

If there is too much wool, they may suspect Lu Chen's intentions.

Especially those junior sisters, if Lu Chen is too enthusiastic, others may misunderstand him.

…

After eating in the cafeteria, Lu Chen thought of Wang Zihao, who was hospitalized in the general surgery department.

He bought some fruit at the supermarket inside the hospital and then went directly to the general surgery ward.

It was around seven o'clock in the evening.

The entire general surgery ward was relatively quiet.

Lu Chen carried the fruit and came to bed No. 12 where Wang Zihao was.

When she opened the door to the ward, she saw him half leaning on the bed, holding a laptop in his hand.

And his sister Wang Ruoxi was not in the ward.

"Lu Chen, why are you here?" Wang Zihao felt someone coming in. He looked up and saw that it was Lu Chen, and his face lit up.

"You are hospitalized, of course I have to come over." Lu Chenxiao put the fruit basket on the table, "Do you feel better now?"

Wang Zihao smiled and nodded: "It's much better. I'll have surgery tomorrow morning. Lao Gu came just now."

Lu Chen sat beside the bed and saw Wang Zihao still checking documents on the computer.

"Reading a paper?" Lu Chen asked.

"Yes." Wang Zihao nodded, "About my own project."

In his opinion, Lu Chen, who is in the same dormitory, is so powerful, and he must try his best to keep up with Lu Chen's pace.

Only then did Lu Chen remember that he had promised Wang Zihao to help him check the data.

"Zihao, I have to prepare for the electrocardiogram competition these days, so it may take some time before I can help you check the data."

"There's no rush." ​​Wang Zihao said with a smile, "Just help me get it done when you have time."

Lu Chen chatted with Wang Zihao for a while.

Wang Zihao suddenly said: "By the way, Lu Chen, have you known my sister before?"

Lu Chen was slightly startled, UU Reading www.uukanshu.net "I didn't know him before. We just met him for the first time yesterday. What's wrong?"

Wang Zihao was a little strange.

"My sister has been asking you about things since she came back from the dormitory this morning."

"Ask me something?" Lu Chen didn't know why.

"Yeah, I thought she knew you before." Wang Zihao said.

Lu Chen thought of Wang Ruoxi this morning. There must have been no conflict between the two.

Maybe just out of curiosity?

After sitting in the ward for more than ten minutes, Lu Chen returned to the dormitory.

Although he gained a lot of thank you points today, there is still a certain gap between him and the 300 mark!

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