This doctor has a system

Chapter 13 13. The Trouble in the Bronchoscopy Room
To be honest, Gao Feng in the bronchoscopy room has never been there before and knows nothing about it.But with 16 skill points in hand, he didn't panic at all.

When he entered the door, he had already spent four skill points, and now his bronchoscopy skill was advanced.The system divides the inspection into five levels: entry level, primary level, intermediate level, advanced level, and mastery.

Originally, I wanted to add it to the top all at once, but the system prompts that only when I have my own unique insights into this inspection and master it well, can I unlock the fifth level.

High level should be enough, maybe only those masters can reach the mastery level, Gao Feng thought.

Bronchoscopic cryotherapy is a method that uses ultra-low temperature to destroy abnormal tissues. The extremely low temperature dehydrates the crystals inside and outside of local tissue cells, denatures cell proteins, and causes soft tissue ischemia and necrosis.

Xie Yupeng's chili pepper has stayed in the lungs for a long time, and the long-term stimulation has caused inflammation in the surrounding tissues, and a lot of inflammatory granulation tissue has grown around it, which needs to be cleaned up.

At this time, the nurse had already pushed the cryotherapy device over. Gao Feng looked at the brand name, it was Erbe Cryotherapy Device from Germany, it could be seen that it was a few years old, but the price of this thing is not cheap.

Teacher Liang operated a few times, "Come on, you also freeze twice", Teacher Liang called Gao Feng over.The risk of this cryotherapy is not big, as long as you pay attention not to freeze it for too long each time, it is very safe.

The first time I touched a bronchoscope, Gao Feng twisted it left and right a few times, and I felt familiar. The current bronchoscopes of Provincial Doctor are all from Olympus, and this model is called BQ260.

Olympus was founded in 1919. In 1920, RB successfully commercialized the microscope, and the endoscope, which plays an extremely important role in the field of cancer prevention, was developed by Olympus for the first time in the world in 1950.

So far, Olympus Corporation has become one of the representative companies of RB and even the world in precision and optical technology, and its business fields include three major business fields of medical, imaging, and life science industries.

In HN province, many large hospitals purchase digestive endoscopes and bronchoscopes from this company.In recent years, some domestic brands have gradually emerged, but the clarity of domestic mirrors is not good, and they are easy to break, and the after-sales service is also mediocre.

Teacher Liang found that the boy's tracheal endoscopy was of a good level, and he held the mirror very steadily. The lens was walking in the center of the trachea, rarely touching the wall of the trachea, and it looked very smooth.

"You spent a lot of time in the bronchoscopy room. Your basic skills are better than most people!" Mr. Liang boasted.

"It's okay, I'm a graduate student in Gastroenterology, and I often do gastrointestinal endoscopy with my teacher." "How much can we do in a day?" Gao Feng chatted while freezing.

"It's definitely not as good as digestive endoscopy. We estimate that there are only more than 30 of them in one day, and the gastroenteroscopy next door does more than 200 a day."

Indeed, people are now more accepting of gastrointestinal endoscopy, and many high-end physical examinations include gastrointestinal endoscopy.

"Teacher Liang, hurry up, come to Room 3, this patient is bleeding profusely!" A voice shouted.

Teacher Liang ran away, and one of the two nurses next to him also left.

Gao Feng stared at Hu Jiaran, who immediately trotted to Room No. [-], "Stand back, don't delay the rescue!" Gao Feng warned.

After 5 or 6 minutes, Hu Jiaran came back, "A male patient, who was undergoing a biopsy, suddenly bled heavily and took a lot of hemostatic drugs. Teacher Liang contacted the critical care department and asked them to come and pick him up."

"It's room 3 again, if you're not good at it, don't do it, really!" The nurse next to her whispered.

Hu Jiaran came up and said to Gao Feng in a low voice: "I heard that Director Tu in Room 3 suffered from two hemorrhages this month. This is the third one. The Director will come soon."

The director Hu Jiaran mentioned was the head of the Department of Respiratory Medicine, surnamed Shen, who was the head of the Department of Respiratory Medicine. Director Zhao was only the director of a subspecialty, one of the three small heads of the Department of Respiratory Medicine.

The freeze was almost done, Gao Feng signaled the nurse to finish.

"There's another one, you should do it too, it's a routine examination patient in the Department of Thoracic Surgery, no biopsy is required." The nurse went to call the next patient.

"The list says local anesthesia, can you do it?" The nurse ran in to make sure.

"no problem."

It was also a middle-aged male patient, and the patient was a little nervous, "Doctor, is the local anesthesia uncomfortable? If not, give me anesthesia too."

Wang Mingtang was a little scared. Just now a patient who was undergoing local anesthesia went out and told his family that he almost died inside.

"Don't be afraid, if you can't bear it after a while, just raise your right arm." Gao Feng comforted him.

For this kind of local anesthesia patients, the operation must be fast, stable and accurate, so as to reduce the pain of the patients. For beginners, it is a big difficulty to enter the glottis smoothly.The feeling of being roughly stimulated to the glottis is similar to being choked on pepper water. Many patients feel uncomfortable because of this reason.

Not everyone can achieve advanced bronchoscopy skills, and Mr. Liang, who has been immersed for many years, is nothing more than this level.

Before Wang Mingtang felt any special discomfort, the nurse had already started to unplug the oxygen tube for him, "Okay, okay, wait at the door for a while, and just give it to your doctor after receiving the report."

Is it over? ? !Wang Mingtang was at a loss.

"You are better than many old doctors." The nurse looked at the tall and handsome Gao Feng and couldn't help but praise, "It's lunch time, you can leave after eating."

"Okay, thank you sister." After saving another meal, Hu Jiaran thought to himself.

"Director Shen will be here soon, please tidy up your things and put on your hats and masks." The head nurse of the bronchoscopy room came over to remind everyone.

Director Shen is in her early 50s and is a middle-aged woman with a bit of a fierce look. At this moment, with a stinking face, she led a group of people in aggressively, including Director Zhao and Li Youliang.

"Director Tu, tell me what's going on?" Director Shen's tone was very gloomy.

"It was very sudden. It was supposed to be over. I was thinking of pinching another piece. Who knew it would bleed." Director Tu felt that he had been unlucky recently.

This director Tu, relying on his doctorate degree from studying abroad, thinks of himself as a noble person. During this period of time, he has given her a lot of trouble, a typical example of high grades and low ability.

Director Shen has persuaded him several times, asking him to do scientific research and write articles, so that the leaders of the institute are also happy.

But this Director Tu insists on clinical practice, in the name of spreading advanced foreign medical knowledge to everyone.As a result, seeing a doctor was not very good, and no subordinate doctor was willing to follow him.

Director Shen sent him to the bronchoscopy room, who knew that he regarded himself as the person in charge of the bronchoscopy room as soon as he arrived, which made everyone complain.

"If this continues, I will be implicated by him!" Director Shen made up his mind. "Director Tu, you will take a few days off from today, and the scientific research work in the department will depend on you in the future. You have a background in studying abroad, and everyone wants to ask you for advice on publishing articles."

"Director Zhao, you will be in charge of the bronchoscopy room in the future, and Liang Congyue can take care of the specific affairs." Director Shen quickly cut through the mess.

Director Tu was obviously reluctant, and Director Shen gave him a few cold glances.

"Forget it, let's do scientific research. It seems that I am really not suitable to be a clinical doctor." Director Tu suddenly felt relieved.When he was about to return to China, his German doctoral supervisor said to him earnestly: "Tu, listen to me, it's better to go back and do scientific research. There is nothing good about being a doctor."

I didn't take it seriously at the time, did the teacher already see it?

"Gao Feng, why are you here?" Director Zhao saw Gao Feng.

"This is the regular training student you mentioned?" Director Shen glanced at Gao Feng. "Yes, a very good child." Director Zhao called Gao Feng over.

"Hello Director! Hello Director Zhao! I just helped with the bronchoscopy." Gao Feng walked over quickly.

"You know how to do bronchoscopy?" Director Zhao felt that he had found a baby boy.Director Shen also took another look at Gao Feng.

"A graduate student who just graduated from the Department of Gastroenterology said that he can do bronchoscopy, which is really brazen. Do you know how to hold a mirror?" A discordant voice rang out.

"Director Zhao, you don't want to recruit all kinds of crooked melons and cracked dates into the department, let alone Li Youliang, at least he is a seven-year undergraduate and master's student."

"What is this regular training? Is there something wrong with our provincial hospital that has never seen a talented person? My students are also very good. I think it is more suitable to stay in the hospital." The person who spoke was a middle-aged man wearing gold-rimmed glasses. know.

"Director Yang, please be more polite, don't attack personally when you come up." Director Zhao was angry.

Where there are people, there are fights. Yang Guoding, a man with gold-rimmed glasses, is also the chief physician of the Department of Respiratory Medicine. The relationship between the two is actually not bad.

This year, Yang Guoding also has two graduate students who are graduating. One is determined to continue his Ph.D., and the other is worried about his work.

He also knows that provincial doctors are not easy to get into, but he has to try.He went to Director Shen first, but Director Shen didn't let go, so he went to inquire about respiratory sub-severe disease, and Lao Yan told him that there was no target for this year.

Director Yang dragged him to drink, but Director Yan was helpless, so he told him about Gao Feng, "Brother, it's not that I won't help you, Director Zhao has already said hello in advance, you wait for next year, and I will definitely give it to you next year." Leave one blank."

Bah, I would be a fool if I believed you, Director Yang thought, and at the same time he remembered Gao Feng's name.

Gao Feng was not angry at all, it seemed that this was the villain of today.

The voice of the system rang: Use your strength to tell everyone present that you are different.The system will distribute skill points according to the degree of completion.

Oh, there is another mission!

"Gao Feng's bronchoscopy is indeed done well, and the foundation seems to be quite solid." Teacher Liang stood up and said something.

Yang Guoding suddenly yelled in his heart, Liang Congyue is an old man in the bronchoscopy room, his hometown is Shandong, and he has a straightforward and down-to-earth personality.

"Then let him try it!" Yang Guoding was a bit unwilling to give up. With so many people watching, if Gao Feng got nervous, he would have an excuse to make trouble.

"We have no grievances or enmities, and it's not that I insist on targeting you. The competition is too fierce." Lao Yang felt a little guilty towards Gao Feng.

"There are not many bronchoscopes today, and there is only one left in room 1, which is just an EBUS." Liang Congyue reported to Director Shen.

EBUS is also called ultrasound-guided bronchoscopy. This is properly equipped in large tertiary hospitals. 95% of respiratory physicians can touch this machine during their training.

(End of this chapter)