It’s not that the stethoscope is not used, it’s that it is not used under normal circumstances. If the patient really has a problem with his or her cardiopulmonary function, directly call the cardiology department and cardiac surgery department for consultation. If it becomes urgent, a scalpel will be performed.
Physicians are always equipped with stethoscopes. There is nothing they can do about it. It is also a clinical need. Surgery is about quick decisions. For internal medicine, there is more time to take care of patients in the ward than surgery. The patient's overall physical and mental health must be taken into consideration. Cardiopulmonary function is always true.
of.
The same difference is between white coats. White coats in surgery are dirtier than those in internal medicine. On TV, white coats are filmed as cool and beautiful windbreakers, but the purpose of white coats is as a chef's apron to prevent stolen goods from spilling on the doctor's personal clothes.
superior.
When Xie Wanying was interning in surgery, she basically had to bring an extra piece to the department every day as a backup in case of accidents. In internal medicine, she probably wouldn't need to prepare like this.
There are no wounds, no drainage, and no blood spatters in the Department of Internal Medicine. The operation is like the Department of Respiratory Medicine, which mainly prescribes medicine and writes medical records. Occasionally, bronchoscopy is done in the afternoon. Large hospitals like the National Association are more particular about it. If the patient's condition is more serious
, doctors wear disposable surgical gowns directly and they won’t get dirty.
Why don't you wear surgical clothes? You wear them all the same in surgery, and you can wear them again when necessary. But most of them are the above-mentioned operations that involve dirt. Putting on and taking off everything, which wastes time and increases the cost of patient treatment. Disposable surgical gowns and other consumables are all expensive.
Calculated to 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 preparations for the operation.
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
Abscess. This time after being admitted to the hospital, another fiberoptic bronchoscopy will be performed.
Some people may have questions, why should we do fiber bronchoscopy if we didn’t have a CT scan?
CT is an indirect examination. Unlike this kind of laparoscopy, which can directly capture human diseased tissues for pathology. Pathology is the gold standard for diagnosis. There are many clinical cases where the CT examination is suspected to be benign, but after laparoscopy, it is found to be malignant.
.If conditions permit, we will definitely need to do another fiberoptic bronchoscope to rule out the problem.
Moreover, some very early diseases cannot be detected by CT, but endoscopic examinations such as fiberoptic bronchoscopy 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 pulmonary infection, specimens can be captured through fiberoptic bronchoscopy to analyze the type of infection to guide accurate clinical medication and avoid abuse of antibiotics. Fiber bronchoscopy
The scope can even be used to directly inject drugs into lavage treatments for tumors and infected lungs.
Fiberoptic bronchoscopy has many applications.
For example, if a patient on a ventilator on bed 21 has sputum blockage, the nurse uses a short and thick suction tube to suction sputum. It can only suck secretions from the oral and nasal cavities 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.
Fiber bronchoscopes are always mentioned here. What is fiber bronchoscopes? Fiber bronchoscopes are a type of bronchoscope and are considered the most advanced bronchoscopes. Like choledochoscopes, bronchoscopes are divided into flexible tubes and hard tubes. Flexible bronchoscopes
Tubes are less harmful to the human body. There is no doubt that the more advanced fiberoptic bronchoscopes are flexible tubes 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.