Chapter 1189 [1189] Further Challenges

Including the most uncomfortable throat at the beginning, to the rugged ridge formed by the tracheal cartilage ring that needs to be avoided, and then to the intricate bronchial passages connected like a maze. Each section requires doctors to overcome difficulties.

The bronchoscope must be kept in the middle position, so that the teacher's work can be carried out smoothly.

Always support the patient's head with the hand, and then make some minor adjustments according to the teacher's operation. Xie Wanying's movements were gentle and careful. Let Teacher Xin operate comfortably, and patients can also feel comfortable. The female patient hardly noticed that her head was held down by her hand, which means that even if she pressed her head, the patient felt that this position was acceptable and quite comfortable.

It's amazing. The nurse glanced at Xie Wanying again, and she no longer looked down on the rookie.

It feels smooth and easy to operate. The hose operated by the doctor quickly reaches the lesion, grabs the sample 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After the examination, the tube was successfully withdrawn from the patient's airway.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 was unable to speak aloud due to his paralyzed throat, so he nodded to the doctor: "It's okay, there's nothing wrong with it."

When the patient is satisfied, the medical staff are the happiest.

Asking the nurse to send the 3-bed patient back to the ward, Xin Yanjun put both hands in the pockets of the white coat, thinking about something, and said to the nurse: "Help me get ready, I'm going to do a fluid extraction for the 6-bed."

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 careless come down to do it?"

Thoracentesis is an established skill in cardiothoracic surgery. Respiratory physicians can also do it, but they are definitely not as good as surgery.

When encountering patients who are easier to operate, respiratory physicians generally do it themselves. Only when it is difficult, and I am not very sure, do I invite my heart to come over.

After all, it is not easy to wait for doctors from other departments to come and do this job for you. You need to wait until the other party has time.

Xin Yanjun remembered that the doctor who came to the cardiothoracic department for consultation that day was so busy that he came down to the Department of Respiratory Medicine to see patients that day. It is estimated that he was too busy these two days to come down for the puncture. I don't know how long I and my patients will have to wait. It is not appropriate to call to urge people from other departments.

It just so happened that a treasure surgery intern came today, and his excellent performance proved the rumors to be true. Xin Yanjun thought about it in her heart, if she had this student's help, she would be able to perform puncture on the 6-bed patient.

"Go, go to bed 6."

Teacher Xin beckoned, and Xie Wanying followed, recalling the medical records of Bed 6 and the rounds discussion this morning in her mind.

The 6-bed patient is a male patient, young, in his forties but very fat.

Fat, thick fat, if you want to do a puncture, the doctor may not even be able to touch the anatomical points of the bony protrusions, and it is difficult to judge where to start. Because of this, internal medicine turned to surgery.

Surgeons touch the human body with knives every day, and the internal structure of the human body is far clearer in their minds than physicians.

The nurse prepared the surgical items again and pushed the treatment cart to the 6-bed ward.

Xin Yanjun put on a stethoscope, listened to the patient's lungs again, and instructed 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 sides of the chest to the back.

The heart listens to heart sounds, and the lungs listen to breath sounds. Breath sound, as the name suggests, is the sound produced by the airflow in the respiratory tract and alveoli when a person breathes.

Thank you for your support! ! ! good night dears~