1183 The Difference Between Internal Medicine and Surgery

"The ventilator adjustment parameters first look at the four major parameters, including tidal volume, respiratory rate, respiratory ratio, and peak airway pressure PIP. Further adjustment parameters include airflow magic, inhaled oxygen concentration, alarm settings, ventilator penalty sensitivity, and exhalation End positive pressure. These parameters need to be adjusted at any time according to the patient's weight, the patient's respiratory symptoms and etiology, and changes in biochemical indicators such as blood gas analysis. Barotrauma."

"Once an alarm is issued, we must first distinguish the alarm content of the ventilator, whether it is airway high pressure or airway low pressure, whether it is hypoventilation or hyperventilation, or even whether the patient has apnea or suffocation directly. Is the ventilator itself If there is something wrong, call the police. Some can be solved by checking whether the ventilator is running normally and the pipeline is smooth. Solve the problem."

At some point, a group of people gathered around the door of the ward, including nurses, patients and their family members who came out for a walk, other medical students who had come to work, and doctors passing by. Listening to the clear female voice in the ward, looking at Xie Wanying's face, they all thought in unison: Is this person a teacher? Teaching students?

Xin Yanjun looked back, saw the expressions of the crowd at the door, and smiled. It can only be said that the new student Xie spoke really well, it was like giving a lecture in a classroom.

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

Teacher Xin let go of her very quickly.

Such a talented student is placed in their department for an internship. 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 are too many students, and I'm afraid it won't be the time 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 calculations of the leaders of the hospital very well, and it happened that they had such plans themselves.

Come on, good student, why hide in the snow? Wouldn't it be an idiot not to make good appointments.

The shift of internal medicine will be much more detailed than that of surgery. Unlike surgery, it is not subject to daytime surgical arrangements, and the meeting time can be relatively long.

After the meeting, there is no operation, and if there is an old professor to guide, sometimes it is normal for the internal medicine ward to check for more than one or two hours. Ask patients carefully, ask students directly at the bedside, students answer and discuss. Go back to the doctor's office to accept the guidance of the superior doctor to prescribe medicine. There is plenty of time to ponder over the patient's medical records.

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

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

Internal medicine is different from surgery. Physicians often carry a stethoscope on their body, which is considered standard equipment. For surgery, it depends on the specific department. Like Teacher Tan, general surgery is mainly used for gastrointestinal treatment, and the stethoscope is not very useful. If you need it, you can’t remember where it is. When you are in a hurry, you can ask the person next to you to get it. Brother Tao, the one with liver and gallbladder, the stethoscope is crooked in the pocket of the white coat, I don't often see him take it out and put it on to listen. Brother Cao's neurosurgery department is more important than a stethoscope like a flashlight.

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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