From the most difficult part of the throat at the beginning, to the rugged ridge composed of tracheal cartilage rings that need to be avoided, to the intricate bronchial passages that are connected like a maze. Each section requires doctors to overcome difficulties.
The fiberoptic bronchoscope must continue to be maintained in the neutral position so that the teacher's work can proceed smoothly.
She always supported the patient's head with her hand, and then made some minor adjustments according to the teacher's operation. Xie Wanying's movements were very gentle and careful. This made Teacher Xin's operation comfortable and the patient also comfortable. The female patient almost did not notice her head.
Being held down by her hands shows that even if she presses his head, the patient finds this position acceptable and comfortable.
It was amazing. The nurse glanced at Xie Wanying again, and her eyes no longer looked down upon the newcomer.
It feels smooth and can be operated easily. The hose operated by the doctor quickly reaches the lesion, and the sample is grabbed with forceps and is ready to be sent to pathology.
After the examination, the tube was successfully withdrawn from the patient's airway.
After the operation, the patient's throat was paralyzed and he could not speak loudly. He nodded to the doctor and said: It's okay, there is no discomfort.
When patients are satisfied, medical staff are happiest.
Asking the nurse to send the patient in bed 3 back to the ward, Xin Yanjun put her hands in the pockets of her white coat, thinking about what to do, and said to the nurse: "Help me prepare, I'm going to do a fluid extraction for bed 6."
Refers to thoracentesis to extract pleural effusion.
The nurse was surprised when she heard this instruction: "Dr. Xin, didn't you agree to have the cardiothoracic surgeon come down and do it?"
Thoracentesis is a specialty of cardiothoracic surgery. Respiratory physicians can also do it, but they are definitely not as good as surgeons.
When encountering patients who are relatively easy to operate, respiratory physicians usually do it themselves. Only when it is difficult and they are not very sure about it, they will ask outsiders to come over.
After all, it is not easy to wait for doctors from other departments to come and help you with this task. You need to wait until they have time.
Xin Yanjun remembered that the doctor who came for cardiothoracic consultation that day was busy until the evening before coming down to see the patient in the Department of Respiratory Medicine. It was estimated that he had been too busy in the past two days to come down for the puncture. She didn’t know how long she and the patient had to wait. She called to urge others.
People in the field of science are always not suitable.
It just so happened that a treasure surgical intern came today, and his outstanding performance confirmed that the rumors were correct. Xin Yanjun thought about it in her mind, and if she had this student's help, she could perform punctures on 6 beds of patients.
"Let's go to bed 6."
Teacher Xin waved, and Xie Wanying followed, recalling the medical records of bed 6 and the ward rounds discussion this morning.
The patient in bed 6 is a male patient. He is young, in his forties but very fat.
If you are fat and have thick fat, if you want to do a puncture, the doctor may not even be able to touch the anatomical points of the bony prominences, making it difficult to judge where to start. Because of this, the internal medicine department has hired a surgery department to do it.
Surgeons use knives to operate the human body every day, and their internal structures of the human body are much clearer in their minds than physicians. They can even operate on the basis of experience without being able to touch them.
The nurse re-prepared the surgical items and pushed the treatment cart to the 6-bed ward.
Xin Yanjun put on the stethoscope, listened to the patient's lungs again, and directed the students to listen together.
Lung auscultation is the same as heart auscultation, and there is a sequence.
The routine is from the front and side of the chest to the back.
The heart listens to heart sounds, and the lungs listen to breath sounds. Breath sounds, as the name suggests, are the sounds produced by vibrations caused by airflow in the respiratory tract and alveoli when a person breathes.