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¡¾1184¡¿Contact internal medicine operation

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    It¡¯s not that you don¡¯t need a stethoscope, it¡¯s that you don¡¯t need it under normal circumstances.  If there is really something wrong with the patient's cardiopulmonary function, call the cardiology department and cardiac surgery department directly for consultation.  I got anxious and needed a scalpel.

    Physicians often wear stethoscopes. There is no other way. It is still a clinical necessity.  Surgery is all about quick results.  For internal medicine, we have more time to take care of patients in the ward than surgery. We need to take into account the patient's overall physical and mental health.  Cardiopulmonary function is always true.

    The difference is the same as the white coat.  The white coats of the surgical department are dirtier than those of the internal medicine department.  On TV, the white coat is photographed as a cool and beautiful windbreaker, but the purpose of the white coat is to serve as a chef's apron to prevent stolen goods from spilling on the doctor's personal clothes.

    When Xie Wanying was in the surgical internship, she basically had to bring an extra piece to the department every day as a backup in case of accidents.  In internal medicine, I probably don¡¯t need to prepare like this.

    There are no wounds, no drainage, and no blood spurting in the internal medicine department.  The operation is like respiratory medicine, which mainly prescribes medicine and writes medical records.  Occasionally, bronchoscopy is performed in the afternoon. Large hospitals like the National Association are more particular. If the patient's condition is more serious, the doctor will just wear a disposable surgical gown and it will not get dirty.

    Why don¡¯t you wear surgery clothes?  Wear it just like surgery, wear it again if necessary.  But most of the above-mentioned operations involve dirty things, putting them on and taking them off, wasting time, and increasing the cost of patient treatment. The cost of disposable surgical gowns and other consumables are all calculated on the patient's account.

    In the afternoon, Xin Yanjun took Xie to the treatment room in the department.

    After receiving the mission notification, a nurse was here early in the morning to make pre-operative preparations.

    After a while, a newly admitted third-bed patient, a female patient in her fifties, was led to the treatment room by the ward nurse.

    We discussed during the ward rounds this morning that the patient was suspected of having a lung problem during the outpatient examination and was admitted to the hospital for further examination.  The patient had an X-ray, which showed shadows on the lungs.  A CT scan was performed and lung abscess was suspected.  This time after being admitted to the hospital, another fiberoptic bronchoscopy was required.

    Some people may have questions, why should we do bronchoscopy if we didn¡¯t have a CT scan?

    CT is an indirect examination.  Unlike this kind of laparoscope, which can directly capture human diseased tissues for pathology.  Pathology is the gold standard for diagnosis.  Clinically, there are many cases of this kind, which were suspected to be benign by CT examination, but were found to be malignant after laparoscopic examination.  If possible, another fiberoptic bronchoscopy must be performed to rule out the problem.

    ????????????????????? Some very early diseases cannot be detected by CT, but endoscopic examinations such as bronchoscopes can detect them.

    Even if the lesions found by fiberoptic bronchoscopy are consistent with the CT results and are not malignant tumors, if they are caused by lung infection, specimens can be captured through fiberoptic bronchoscopy to analyze the type of infection and guide accurate clinical medication use to avoid abuse of antibiotics.  Fiberoptic bronchoscopy can even directly inject drugs into lavage treatment of tumors and infected lungs.

    Fiberoptic bronchoscopy has many applications.

    For example, if a patient on a ventilator on the 21 bed has sputum blockage, the nurse uses a short and thick suction tube to suction sputum. It can only suck secretions from the oral cavity, nasal cavity and the upper half of the human trachea. The secretions from the lower half can only be sucked with a fiberoptic bronchoscope.  Come and suck.

    ?Here we keep talking about bronchoscopy, bronchoscopy, what is bronchoscopy?  Fiberoptic bronchoscopy is a type of bronchoscope and is considered the most advanced bronchoscope.  Like choledochoscopes, bronchoscopes are divided into flexible tubes and rigid tubes.  Hoses are less harmful to the human body. There is no doubt that the more advanced fiberoptic scopes are hoses and are expensive.

    Therefore, the nurse who prepared the things took great care of these expensive medical equipment. When she heard that Xin Yanjun was going to operate it with the students who had just arrived on the first day, she was a little worried.  (Remember the website address: www.hlnovel.com
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