What is the experience of an intern who always fails to do a puncture?

I'll tell you about a memorable failure...When I was interning in the Department of Neurology, a patient came to the outpatient clinic to do lumbar puncture, and at that time, the lumbar puncture had been wrapped by our intern partners, and he thought he was skilled, so our group of three friends performed lumbar puncture in the clinic. However, no intervertebral space can be found, and neither touching nor trying to insert the needle can be successful. For the first time, we experienced the panic of the unknown, and hurriedly called the squad leader upstairs (who had finished a one-month internship and was relatively more proficient), and the squad leader was also confused.

So called the treating physician, it was a senior sister, she asked for a detailed medical history and learned that the patient had spinal tuberculosis, the mobility was very poor, the intervertebral space was very narrow, she couldn't do it, called the total hospitalization, not yet, and finally called the associate professor, and finally the associate professor completed the lumbar puncture with great effort, about three hours before and after, the patient was pierced with at least ten stitches, and the local subcutaneous was swollen by lidocaine.

It's been more than a year since I got sick, and I've done almost twenty bone threads, some of them are very smooth, some of them are not so smooth, the bone marrow can't be pulled out for half a day, and it coagulates as soon as it is pulled out, etc....In fact, as a patient, I support you to practice with me, but don't say it when you fail, I can tolerate the pain, but when I hear that I have to add anesthetic or take a bone bag, I will be under a lot of psychological pressure...Don't have any pressure, practice hard, and strive to get out as soon as possible.

Interns like to compare the success rate of the operation, and I would say that it is useless at all. During the clinical internship, I only stayed in one department for a month, and the practice of operation skills was only in the single digits, and this level of practice could not be said to master a certain operation technique. Whether the operation itself is successful or not is not the focus of learning at all, nor does it affect the growth of the future job.

I don't feel good about this failure, I'm very afraid of being angry, and I'm also afraid of being criticized.

My own trick is that when you puncture, don't just stare at the needle insertion point, it's just a reference, you have to "look" at the tip of your needle. Why do you have to put quotation marks when reading words? Because in reality you can't see it, but you can imagine the position of the tip of the needle, which is probably similar to the VR that is very popular now.

I feel that I can't do anything well, and I feel inferior and aggrieved, because I have really worked hard.

When you encounter a problem that you don't know, you can ask someone who will lower your posture and ask more, and study other people's methods or something.

In that case, you will feel very scared because other people are also in pain.

I think it's normal for novices to make mistakes, and don't be afraid, practice makes perfect to do everything better

Is there any director who didn't come from an intern?

There is no feeling.

During the needle biopsy, local anesthesia is given to the puncture point, and the patient generally does not feel uncomfortable, and the needle biopsy is a very commonly used method to obtain pathological tissues in clinical practice, and this examination method is required in the diagnosis of many diseases. A tissue sample of the lesion is obtained by inserting a biopsy needle into the lesion tissue and then making a cut.

Needle biopsy has the advantages of small trauma, reliable material collection, and simple operation. Therefore, it has become a major method of pathological biopsy, which is usually performed under CT or ultrasound guidance.

Precautions for doing punctures.

You can't drink alcohol 3-5 days before the puncture to prevent the alcohol from having adverse reactions with the anesthetic used, and you need to take a shower before the puncture, because it may be about 1 week after the puncture, and the puncture site can not be wet.

It is best not to eat or drink water 6-8 hours before the puncture to prevent the side effects of anesthetic causing nausea and vomiting, and reduce the activity of the puncture site after the puncture to prevent bleeding.

6 hours after puncture, you can drink a small amount of water and eat light food with the permission of the doctor, do not do too strenuous exercise, increase rest appropriately, and eat some fish, shrimp, fresh green vegetables, etc., to promote the healing of the wound, and other precautions need to be consulted and communicated with the attending physician.