From the most difficult part of the throat at the beginning, to the rugged ridges composed of tracheal cartilage rings that need to be avoided, to the intricate bronchial passages that are connected like a maze. Each period 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.
Always support the patient's head with your hands, and then make some minor adjustments according to the teacher's instructions. Xie Wanying's movements were very gentle and careful. Make Teacher Xin's operation comfortable and the patient also feel comfortable. The female patient almost didn't notice that her head was being pressed by her hands, indicating that even if she was pressing her head, the patient found this position acceptable and comfortable.
It's 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After the examination, the tube was successfully withdrawn from the patient's airway.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 paralyzed throat was unable to 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 his hands in the pockets of his white coat, thinking about what to do, and said to the nurse: "Help me prepare, I am going to do a fluid extraction for bed 6."
Refers to thoracentesis to extract pleural effusion.
The nurse was surprised when she heard her instruction: "Dr. Xin, didn't you agree to let the cardiothoracic surgeon come down to do it?"
Thoracic puncture is a long-standing skill of cardiothoracic surgery. Respiratory medicine doctors 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 you are not very sure about it, should you invite someone who is open-minded to come over.
After all, it’s 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 too busy to come down to the respiratory medicine department to see patients in the evening. It is estimated that he was too busy in the past two days to come down for puncture. I don’t know how long I and the patient will have to wait. It is always inappropriate to call people from other departments.
Fortunately, a treasure surgical intern came today, and his outstanding performance confirmed the rumors. Xin Yanjun thought about it in her mind. 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 round discussion this morning.
The patient in bed 6 is a male patient. He is young, in his forties but very fat.
If you are obese 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, internal medicine asked surgery to do it.
Surgeons use knives to operate the human body every day, and their minds have a much clearer understanding of the internal structure of the human body than physicians. They can operate on the basis of experience without even touching it.
The nurse re-prepared the surgical items and pushed the treatment cart to the 6-bed ward.
Xin Yanjun put on a stethoscope, listened to the patient's lungs again, and directed the students to listen together.
Lung auscultation is the same as heart auscultation. There is a sequence.
The routine is from the front and sides of the chest to the back.
The heart hears heart sounds, and the lungs hear breath sounds. Breathing sounds, as the name suggests, are the sounds produced by vibrations caused by airflow in the respiratory tract and alveoli when a person breathes.
－－－－－－Digression－－－－－
Thank you for your support! ! ! Good night, dears~
