It's not that the stethoscope is not used, it's just that it's not needed under normal circumstances. If the patient's heart and lung function is really problematic, the cardiology department and the cardiac surgery department will be directly consulted. In an emergency, the scalpel will be used.
Internal medicine doctors are often equipped with stethoscopes. There is no other way. It is also a clinical need. Surgery emphasizes quick results. Internal medicine doctors have more time to take care of patients in the ward than surgical doctors. They have to take care of the patient's overall physical and mental health. It is always right to listen to the cardiopulmonary function test.
The same difference applies to white coats. The surgical white coats are dirtier than those of the internal medicine department. On TV, white coats are portrayed as cool and beautiful windbreakers, but the purpose of white coats is to be like a chef's apron, to prevent dirt from being splashed onto the doctor's personal clothes.
When Xie Wanying was interning in surgery, she would basically bring an extra item to the department every day as a backup in case of an emergency. In internal medicine, she probably wouldn't need to prepare like this.
There are no wounds, no drainage, no blood spurting or splashing in the internal medicine department. The operation is similar to that of respiratory medicine, mainly prescribing medicine and writing medical records. Occasionally, a bronchoscopy is required in the afternoon. Large hospitals like the National Association are more particular. If the patient's condition is more serious, the doctor will directly wear a disposable surgical gown, which will not be too dirty.
Why don't surgical gowns? They are worn by surgeons as well, and they are worn when needed. However, most of the above operations involve dirty things, which wastes time and increases the cost of patient treatment. The cost of disposable surgical gowns and other consumables is charged to the patient.
In the afternoon, Xin Yanjun took Xie to the treatment room in the department.
After receiving the task notification, a nurse came here early in the morning to make relevant preoperative preparations.
After a while, the newly admitted patient in bed 3, a female patient in her fifties, was led to the treatment room by the ward nurse.
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We discussed this during the ward rounds this morning. The patient was examined in the outpatient clinic and suspected of having lung problems. He was admitted to the hospital for further examination. The patient had an X-ray, which showed shadows in the lungs. A CT scan was performed, which suspected lung abscess. This time, he will have to undergo another bronchoscopy after admission.
Some people may wonder, why do we need to do bronchoscopy after we have already done CT?
CT is an indirect examination. Unlike this laparoscope, it can directly grab the diseased tissue of the human body for pathology. Pathology is the gold standard for diagnosis. In clinical practice, there are cases like this. The CT examination suspected that the tumor was benign, but after the laparoscope, it was found to be malignant. If conditions permit, a fiberoptic bronchoscopy must be performed to exclude it.
Moreover, some very early-stage diseases cannot be detected by CT scans, but laparoscopy such as bronchoscopy can see and identify them.
Even if the lesions found by bronchoscopy are consistent with the CT results and are not malignant tumors, if the disease is caused by lung infection, the bronchoscopy can be used to grab specimens for laboratory analysis to determine the type of infection, guide clinical medication to be accurate and avoid abuse of antibiotics. The bronchoscopy can even be used to directly perform drug lavage treatments on tumors and infected lungs.
Fiberoptic bronchoscopes have many applications.
For example, if a patient on a ventilator has sputum blockage, the suction tube used by the nurse to suction the sputum is short and thick, and can only suck out secretions from the oral cavity, nasal cavity and the upper half of the human trachea. The secretions from the lower half can only be sucked out with a bronchoscope.
Here we keep talking about fiberoptic bronchoscopes. What are fiberoptic bronchoscopes? Fiberoptic bronchoscopes are a type of bronchoscope and are considered the most advanced bronchoscopes. Like choledochoscopes, bronchoscopes are divided into soft tubes and hard tubes. Soft tubes are less harmful to the human body. Undoubtedly, more advanced fiberoptic bronchoscopes are soft tubes and are expensive.
Therefore, the nurses who were preparing the equipment took extra care of these expensive medical devices, and were a little worried when they heard that Xin Yanjun was going to operate them with students who had just arrived on the first day.
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