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¡¾1183¡¿The difference between internal medicine and surgery

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    "The ventilator adjustment parameters first look at the four major parameters, including tidal volume, respiratory frequency, respiratory ratio, and peak airway pressure pip. Further adjusted parameters include airflow magic, inspired oxygen concentration, alarm settings, ventilator penalty sensitivity, and expiration  End positive pressure. These parameters need to be adjusted at any time according to the patient's weight, the patient's respiratory symptoms and causes, and changes in biochemical indicators such as blood gas analysis. Once the parameters are not adjusted properly and mechanical ventilation is improper, the ventilator is most likely to cause damage to the patient.  Barotrauma.¡±

    "Once an alarm is issued, you must first distinguish the alarm content of the ventilator, whether it is airway high pressure or low airway pressure, insufficient ventilation or hyperventilation, or even whether the patient is apnea or directly suffocated. Is the ventilator itself?  When something goes wrong, the alarm will be sent randomly. Some can be solved by checking whether the ventilator is operating normally and the pipes are smooth. Some can be solved by adjusting the parameters of the ventilator. Some require other treatment measures for the patient. Just using the ventilator is probably not enough.  Solve the problem."

    A group of people gathered at the door of the ward. There were nursing staff, patients and their family members walking around, other medical students who had come to work, and doctors who were passing by.  Everyone listened to the clear female voice talking in the ward, looked at Xie Wanying's face, and thought in unison: Is this person a teacher?  Teaching students?

    Xin Yanjun looked back and smiled when she saw the expressions of the people watching at the door.  I can only say that what the new student Xie said was really good, it was like giving a lecture in class.

    "Let's go. It's time for the shift meeting." Xin Yanjun took Xie Wanying's arm and walked back to the doctor's office. "When you have time later, I will ask you to adjust the ventilator parameters for the patient yourself."

    Teacher Xin let go of her so quickly.

    ¡° If such a talented student is placed as an intern in their department, don¡¯t think too much. The hospital leaders must want them to give her more opportunities to practice.  If you go to a large department, there will be too many students, and you may not be able to give him a chance to do it. After all, he is a surgical student.  Xin Yanjun and the doctors in the Department of Respiratory Medicine understood the plans of the hospital leaders very well, and they happened to have such plans themselves.

    Come here, a good student, why are you hiding in the snow?  Wouldn't you be an idiot if you don't appoint him well?

    The handover meeting in internal medicine is relatively more detailed than that in surgery.  Unlike surgery, there are no restrictions on surgical schedules during the day, so the meeting time can be relatively long.

    After the meeting, there is no surgery. If there is an old professor to guide, the internal medicine check ward sometimes checks for more than an hour or two is the norm.  Question the patient carefully, ask the students directly at the bedside, and the students answer and discuss.  Go back to the doctor's office to receive guidance from your superior doctor to prescribe medicine.  There is plenty of time to think over the patient's medical records.

    Compared with surgery, internal medicine is much more relaxed. Except for those on duty in the afternoon, if there are no departmental tasks, the teachers can arrange their own time freely.

    This slow-paced environment made Xie Wanying feel that her hand speed when typing on the department computer keyboard had slowed down.  Her hand unconsciously touched the stethoscope in her white coat pocket to make sure it was there.

    Internal medicine and surgery are different. Physicians often carry stethoscopes with them, which is considered standard equipment.  As for surgery, it depends on the specific department.  For example, Mr. Tan, who specializes in gastrointestinal surgery, doesn¡¯t use the stethoscope very much. If he needs to use it, he can¡¯t remember where it is. When he is in a hurry, he asks the person next to him to get it.  Senior Brother Tao is a non-hepatobiliary person. The stethoscope is crooked when it is stuffed in the pocket of his white coat. I don't often see him taking it out to put on and listen to.  Brother Cao, a neurosurgeon, seems to have a flashlight more important than a stethoscope.

    These specialist surgeons do not often use stethoscopes because they often have to do it themselves. For many specialist diseases, palpation is more effective than auscultation.

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