Chapter 1183: 【1183】The difference between medicine and surgery

  Chapter 1183 [1183] The difference between internal medicine and surgery

"The ventilator adjustment parameters first look at the four parameters, including tidal volume, respiratory rate, respiratory ratio, and peak airway pressure (PIP). The parameters that are further adjusted include airflow magic, inhaled oxygen concentration, alarm settings, sensitive ventilator punishment, and exhalation. Final 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. Once the parameters are not adjusted properly, improper mechanical ventilation will most likely cause damage to the patient. Barotrauma."

"Once an alarm is issued, first of all, it is necessary to distinguish the alarm content of the ventilator, whether it is high airway pressure or low airway pressure, insufficient ventilation or hyperventilation, or even whether the patient has apnea and directly suffocated. Is the ventilator itself? If something goes wrong, call the police. Some can be solved by checking whether the ventilator is running normally and the pipeline is smooth, some can be solved by adjusting the parameters of the ventilator, and some need to give the patient other treatment measures. Solve the problem."

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

   Xin Yanjun looked back, saw the expressions of the onlookers at the door, and smiled. I can only say that the new student Xie said it well, it was like lecturing in class.

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

   Teacher Xin let go of her so quickly.

   Such a talented student is put into practice in their department, don't think too much, the hospital leaders definitely want them to give her more opportunities to practice. If you go to a large department, there are too many students, and I am afraid that it will not be possible to give him a chance to do it. After all, this is a surgical student. Xin Yanjun and the doctor in the Department of Respiratory Medicine knew very well the calculus of the hospital leaders, and it just so happened that they themselves had such a plan.

  A good student, why hide it in the snow? Wouldn't it be an idiot to not use it well.

   Internal medicine is much more detailed than surgery. It is not constrained by surgical arrangements during the day like surgery, and the meeting time can be relatively long.

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

   Compared with surgery, internal medicine is much more leisurely. In the afternoon, if there is no department task except on duty in the afternoon, teachers can freely arrange their own time.

   This slow-paced environment made Xie Wanying feel that her hand speed when typing on the computer keyboard in the department became slower. Her hand unconsciously touched the stethoscope in the pocket of the white coat, making sure it was there.

  Internal medicine is different from surgery. Physicians often carry stethoscopes on their bodies, which are standard. On the surgical side, it depends on the specific department. Like Mr. Tan, general surgery is mainly used for gastrointestinal surgery. The stethoscope is not very useful. If you use it, you can't remember where it is. When you are in a hurry, take it to the person next to you. Brother Tao, the stethoscope is crooked when stuffed in the pocket of the white coat. He is often seen to wear it and listen to it. Brother Cao's neurosurgery is more important than a stethoscope, like a flashlight.

  These specialist surgeons do not use stethoscopes because they often have to use them by themselves. For many specialist diseases, palpation is more effective than auscultation.

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

  

  

   (end of this chapter)