From the most difficult throat at the beginning, to the ridges of tracheal cartilage rings that need to be avoided, to the intricate bronchial passages that are connected like a maze. Doctors need to overcome difficulties in each section.

The bronchoscope must continue to maintain its central position so that the teacher's work can be carried out smoothly.

She always supported the patient's head with her hands, and then made some minor adjustments according to the teacher's operation. Xie Wanying's movements were very gentle and careful. When Teacher Xin was comfortable with the operation, the patient would also feel comfortable. The female patient hardly noticed that her head was being pressed by her hands, which meant that even though she was pressing her head, the patient felt that this position was acceptable and quite comfortable.

It's amazing. The nurse glanced at Xie Wanying again, and there was no contempt in her eyes for the rookie.

The hose feels smooth and is easy to operate. The doctor quickly reaches the lesion and grabs the sample with forceps, ready to send it to the pathology department.

After the examination, the tube was successfully removed from the patient's airway.

After the operation, the patient's throat was paralyzed and he could hardly speak. He nodded to the doctor and said: I'm okay, I don't feel any discomfort.

When the patients are satisfied, the medical staff are the 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 something, and said to the nurse: "Help me prepare, I'm going to drain the fluid from bed 6."

...

...

It refers to thoracentesis to extract pleural fluid.

The nurse was surprised to hear her instructions: "Doctor Xin, didn't we say that we would let the cardiothoracic surgeon come down to do it?"

Thoracentesis is a traditional skill of cardiothoracic surgeons. Respiratory physicians can also perform 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 confident will they ask doctors outside the hospital to come over.

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

Xin Yanjun remembered that the doctor who came to consult with the cardiothoracic surgery department that day was busy until the evening before coming down to the respiratory medicine department to see patients. It was estimated that he was too busy these two days to come down to perform the puncture. She didn't know how long she and the patient would have to wait. It was not appropriate to call people from other departments to urge them.

As it happens, a treasure surgical intern came today, and his excellent performance confirmed the rumors. Xin Yanjun thought to herself that if this student helped, she could perform puncture on the patient in bed 6.

"Let's go to bed 6."

Teacher Xin waved and Xie Wanying followed, recalling the medical history of bed 6 and the discussion during the ward rounds this morning.

The patient in bed 6 is a male, not very old, in his forties, but very fat.

If the patient is fat and has thick fat, the doctor may not be able to feel the anatomical points of the bony prominences and find it difficult to determine the location of the operation. Because of this, the internal medicine department asked the surgical department to do it.

Surgeons use knives to operate on the human body every day. They have a much clearer understanding of the internal structure of the human body than internists, and can operate based on their experience even if they cannot feel it.

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

Xin Yanjun put on a stethoscope, listened to the patient's lungs again, and instructed the students to listen together.

Lung auscultation follows the same order as heart auscultation.

The general rule is from the front chest and sides 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 the vibration of airflow in the respiratory tract and alveoli when people breathe.