110: Chapter 110 Young doctors need to remain humble.
The atmosphere in the Conference Room changed instantly.
Director Li Sen's eyes darkened slightly.
President Zeng Dayang did not speak.
Vice President Peng Zhao picked up his teacup and took a slow sip.
Lu Chen looked at Associate Chief Physician Chen Minghao.
"Director Chen, I did not promote anything, nor did I upload any videos."
Associate Chief Physician Chen Minghao looked at him.
"I am speaking of a phenomenon, not accusing you personally."
Lu Chen's tone remained unchanged.
"Then I will also speak of a phenomenon: when a patient's family spontaneously records the rescue process and expresses gratitude afterward, it is a rare piece of positive feedback in the doctor-patient relationship."
"If we assume there is packaging and hype behind it simply because the doctor is young, that is unfair to the clinician."
The venue went quiet.
Sun Ji almost slammed the table.
Shen Xiaoning's eyes lit up, and the corners of her mouth couldn't help but curl up.
Associate Chief Physician Chen Minghao looked at Lu Chen, his expression tightening slightly.
"Dr. Lu, I am not denying your efforts, but young doctors need to maintain humility more than ever."
Lu Chen nodded.
"I have always been very humble."
Sun Ji lowered his head, stifling his laughter until his shoulders shook.
Zhao Yaqin used her pen to cover her mouth.
Associate Chief Physician Chen Minghao frowned.
Lu Chen continued, "But humility does not mean I must admit to having problems just because someone questions me. If Associate Chief Physician Chen Minghao believes my operation was non-standard, you can point out the specific steps directly, and I will learn from it seriously."
With this sentence, the ball was back in Associate Chief Physician Chen Minghao's court.
Associate Chief Physician Chen Minghao was silent for a few seconds.
Of course, he wanted to find faults.
But the problem was that Lu Chen's operative process, from the imaging records, vital sign changes, and Puncture approach selection to the postoperative results, was completely sound.
Looking at it purely from a technical level, he could not find any hard flaws.
He could only say the risk was high, that it wasn't suitable for promotion, or that young doctors need to be standardized.
These words sounded reasonable, but they couldn't suppress Lu Chen.
Seeing that the momentum was wrong, Section Chief He Zhongfeng immediately stepped in to smooth things over.
"Academic discussions often have differing opinions, which is normal. Associate Chief Physician Chen Minghao emphasizes standardization, while Dr. Lu emphasizes the timeliness of the Emergency Department; in reality, both are for the safety of the patient."
Director Li Sen said indifferently, "Since this is an academic discussion, let's focus on the technical details rather than speaking in generalities."
The smile on Section Chief He Zhongfeng's face stiffened for a moment.
Vice President Peng Zhao spoke up at this moment.
"Director Li, don't be too sensitive. Associate Chief Physician Chen Minghao is a Puncture expert within the province; his offering opinions from a higher standard is a good thing for young doctors."
Director Li Sen glanced at Vice President Peng Zhao.
"I do not oppose high standards; I only oppose empty standards."
The venue became even quieter.
President Zeng Dayang finally spoke with a smile.
"The discussion is going very well, which shows that this case is indeed valuable."
"Lu Chen's paper has already been accepted by the Chinese Journal of Emergency Medicine."
"After it is published, we welcome Associate Chief Physician Chen Minghao to offer more systematic academic opinions."
When these words fell, Associate Chief Physician Chen Minghao's expression finally changed.
"The paper was accepted?"
President Zeng Dayang nodded.
"We just received the acceptance notice this morning."
Many doctors from the Provincial Peoples Hospital in the Conference Room looked toward Lu Chen.
A twenty-four-year-old Resident Physician, first author, accepted by the Chinese Journal of Emergency Medicine.
They understood the weight of this achievement very clearly.
Associate Chief Physician Chen Minghao's hand gripping the microphone tightened slightly.
Just yesterday, he was saying online that doctors should let their papers and academic achievements speak for themselves.
And yet today, someone else's paper was accepted.
This face-slapping was very quiet, but very solid.
Sun Ji said in a low voice, "Satisfying."
Shen Xiaoning was looking down at her phone by the wall, sending a message to Lu Chen.
[Shen Xiaoning: Dr. Lu, you were super cool just now!]
Lu Chen's phone vibrated, but he didn't look at it.
The meeting continued.
Originally, Section Chief He Zhongfeng intended to use the typical case discussion to suppress Lu Chen, but in the end, Lu Chen wasn't suppressed; instead, because of the paper acceptance, he stabilized the situation.
Although Associate Chief Physician Chen Minghao was stubborn, he couldn't keep harping on it.
Just as the meeting entered the next item, the door to the Conference Room was suddenly knocked.
A Nurse walked in hurriedly, looking somewhat nervous.
"Director Li, a patient was just sent to the Emergency Department Red Zone."
"The condition is very serious: chest pain, difficulty breathing, and hypotension."
"Bedside ultrasound indicates massive pericardial effusion, and the Cardiology Department asked you to come over and take a look."
Director Li Sen stood up immediately.
"What is the situation?"
"The patient is female, thirty-six years old, three months postpartum, with a history of systemic lupus erythematosus."
"She suddenly developed chest tightness and shortness of breath today. When she arrived, her blood pressure was in the 70s and heart rate was 140. She has been put on oxygen, and Zhao Yaqin has already had her pushed into the Resuscitation Room."
He Wenbin also stood up.
"A lupus patient? Massive pericardial effusion? It could be acute pericarditis complicated by cardiac tamponade."
Director Li Sen looked at everyone in the Conference Room.
"Apologies, there is a rescue in the Emergency Department, I will go over first."
Associate Chief Physician Chen Minghao suddenly spoke.
"Since today's exchange topic is Pericardiocentesis, why don't we go over and take a look together? If needed, I can assist."
Section Chief He Zhongfeng's eyes lit up.
The opportunity had arrived.
He immediately said, "This is a rare opportunity for on-site teaching. Of course, patient treatment comes first. If Director Li Sen agrees, Associate Chief Physician Chen Minghao can provide on-site guidance to our Hospital doctors."
Director Li Sen frowned slightly.
Emergency rescues are not performances.
But now the patient needs treatment, and Associate Chief Physician Chen Minghao is himself an Associate Chief Physician in the Cardiology Department at the Provincial Peoples Hospital. It is a relevant specialty, so refusing directly would seem inappropriate.
Lu Chen also stood up.
"Director, I will go with you."
Director Li Sen nodded.
"Let's go."
The group quickly rushed to the Emergency Department Red Zone.
The original academic meeting instantly turned into an on-site rescue observation.
This scene made many young doctors perk up.
While walking, Sun Ji said in a low voice, "Why do I feel like something isn't right?"
Wu Fan said in a deep voice, "Talk less, look at the patient first."
Shen Xiaoning had already run back to the Red Zone to prepare the rescue cart.
In the Red Zone Resuscitation Room, the patient was lying on the bed, pale, breathing rapidly, with sweat all over her forehead.
On the monitor, blood pressure was 72/46, heart rate 148, blood oxygen 90, and respiratory rate 32 breaths per minute.
Zhao Yaqin was doing a rapid assessment by the bedside.
"The patient is still conscious, complains of significant chest tightness, orthopnea, jugular vein distension, muffled heart sounds, and cold, clammy limbs. Two intravenous lines have been established, fluid resuscitation is in progress, and norepinephrine micro-pump is being prepared."
Shen Xiaoning handed over the ultrasound probe.
"Dr. Lu, the ultrasound is ready."
Director Li Sen took the probe and scanned quickly.
On the screen, a massive hypoechoic area within the pericardial cavity was clearly visible.
But a problem appeared quickly.
The patient's pericardial effusion was not a simple circumferential effusion.
There were multiple fibrous septations inside; the fluid cavity near the anterior wall of the right ventricle and the apex region was cut off by septal bands, making the effusion distribution extremely uneven.
What was more troublesome was that the patient's thoracic structure was narrow, the left lung had a large range of motion, and the subxiphoid window was very poor.
Director Li Sen scanned it a few times, and his expression sank.
"The window is bad."
He Wenbin also leaned over to look.
"Cannot enter subxiphoid, the left parasternal lung obstruction is obvious, and there are septations at the apex; the difficulty is very high."
The patient suddenly grabbed the bedsheet and said with difficulty, "Doctor, I can't breathe..."
Her husband stood by, his face deathly pale.
"Doctor, please save her, her baby is only three months old!"
Associate Chief Physician Chen Minghao stood to the side, his gaze fixed on the ultrasound screen.
He had been countered by Lu Chen in the Conference Room just moments ago and overshadowed by the news of the paper acceptance, so he was already holding back a breath of frustration.
Now, this case happened to be a Pericardiocentesis.
And it was a high-difficulty Pericardiocentesis.
If he could complete this operation in front of everyone at Jiangcheng City Central Hospital, he could regain his standing.
Associate Chief Physician Chen Minghao spoke.
"Director Li Sen, this case is indeed difficult, but it is not impossible to do."
Director Li Sen looked at him.
"Associate Chief Physician Chen Minghao, are you confident?"
Associate Chief Physician Chen Minghao's tone was steady.
"I have performed similar cases. I can attempt a left parasternal short-axis approach, avoiding the lung tissue, entering from the fluid cavity in front of the right ventricle to first relieve the tamponade."