It’s not that the stethoscope is not used, but it is not needed in general. If the patient has any cardiopulmonary function, he will directly ask the cardiology and cardiac surgery to consult and get up and use the scalpel.

Internal medicine doctors often use stethoscopes, but there is no way, it is a clinical need. Surgery emphasizes quick battles and decisions. For internal medicine, taking care of patients in the ward on weekdays is more time than surgery, and it is necessary to take into account the patient's comprehensive physical and mental health. It is correct to listen to the cardiopulmonary function.

The same is true for white coats. The white coats in surgery are dirty compared to those in internal medicine. The white coats are photographed as windbreakers that are handsome and beautiful on TV, but the purpose of the white coat is to prevent stolen goods from being thrown onto the doctor's personal clothes.

When Xie Wanying was internship in surgery, she basically brought one more item to the department every day to prepare for accidents. In internal medicine, it is estimated that this kind of preparation is not needed.

There are no wounds in the internal medicine, no drainage fluid, and no blood spray. In terms of operations, such as respiratory medicine, prescription and medical records are mainly used. Occasionally, bronchoscopy is required in the afternoon. Large hospitals like the National Association are more particular. If the patient's condition is serious, the doctor will wear disposable surgical gowns directly, so it will not be dirty.

Why don’t you wear surgery? You wear it the same as surgery and you need it. But usually the above mentioned operations involve dirty operations, putting on and taking off everything, wasting time, increasing the cost of treatment for patients, and all the consumables such as one-time surgical gowns are calculated to the patient’s account.

In the afternoon, Xin Yanjun took Xie to the treatment room in the department.

After receiving the task notification, a nurse made preoperative preparations here early in the morning.

No, a newly admitted 3-bedroom patient, a female patient in her fifties, was taken to the treatment room by the ward nurse.

It was discussed during rounds this morning. The patient had an examination in the outpatient clinic. He suspected that there was a problem with his lungs and then went to the hospital for further examination. The patient had X-rays, which showed that there was a shadow in the lungs. After ct, he suspected that there was a lung abscess. This time he was admitted to the hospital, he had to do another branoscope.

Some people may have questions, aren’t they doing CT? Why do they need to do fiber support mirrors?

CT is considered an indirect examination. Unlike this kind of laparoscopy, which can directly grasp the human lesion tissue for pathology, pathology is the gold standard for diagnosis. In clinical practice, there are some cases of this kind. The CT examination is suspected to be benign, but after the laparoscopy, it is found that it is malignant. If conditions permit, another fiber clamp lens must be used to rule out.

Moreover, some very early diseases cannot be reflected, but laminoscopes such as fiber clamps can be seen and found.

Even if the lesions found by the fibroscopy are consistent with the CT results, and if it is a disease caused by lung infection, the specimen can be captured by the fibroscopy to analyze the infection, and guide the clinical accurate use of drugs to avoid the abuse of antibiotics. The fibroscopy can even directly treat perfusion and lavage of tumors and infected lungs.

There are many applications for fiber support mirrors.

For example, if a patient on a ventilator on a bed 21 has a blockage of sputum, the nurse uses to inhale sputum to suction, and can only suck secretions in the oral cavity and nasal cavity and the upper half of the human trachea, and can only suck secretions in the lower half of the secretions with a fiber clamp lens.

Here we have always talked about fiber clamping mirrors. What is fiber clamping mirror? Fiber clamping mirrors are one of the bronchoscopes and are considered the most advanced bronchoscope. Like cholangoscopes, bronchoscopes are divided into hoses and hard tubes. Hoses are less harmful to the human body. Undoubtedly, more advanced fiber clamping mirrors are hoses and are expensive.
Chapter completed!