Once the bronchoscope touches this area, it can easily trigger severe symptoms in the patient, such as vomiting, discomfort, and intense resistance, leading to the failure of the doctor’s procedure.
Below the epiglottis lies the glottis, which is also a troubleso area for doctors. The glottis functions like a gate, opening and closing to produce sound. If a patient unconsciously holds their breath and tightly closes the gate, the doctor and bronchoscope can lose their way. Without passing through the glottis, the bronchoscope cannot enter the trachea.
The monitor continues to display, and suddenly the bronchoscope slips through the lower nasal passage. After ensuring its graceful position, it’s evident that the pathway is hollow.
What does "hollow" an? It’s like shooting a basketball directly through the center of the hoop without touching the rim—silent and seamless, an unparalleled perfection.
It is about to reach the pharyngeal region.
Following standard protocol, in this location, doctors typically administer Lidocaine to anesthetize the epiglottis and glottis to prevent inducing nausea in the patient. This ensures the patient relaxes their glottis, opening the "gate" for the bronchoscope to pass smoothly.
However, Xin Yanjun didn’t have ti to apply the anesthetic. The monitor simultaneously displayed that the bronchoscope suddenly slipped past the epiglottis without touching it, effortlessly gliding like a snake through the widest part below the glottis.
Brilliant. The nurse watching this masterful operation was montarily dumbfounded.
It dawned on her that Xin Yanjun hadn’t even instructed the patient to take a deep breath. How did the patient manage to coordinate their glottis so deftly, allowing the bronchoscope to pass through smoothly? Countless questions exploded in the minds of the observers.
Unable to comprehend, they could only marvel at the nearly divine skill.
During the procedure, Xin Yanjun felt an unprecedented sense of comfort, freedom, and fluidity in her hands, filling her heart with delight.
Out of the corner of her eye, she glanced at Xie Wanying, who was supporting the patient’s head.
As the teacher performing the operation, she understood better than the nurse that everything was due to Xie Wanying’s efforts.
Moreover, Xie Wanying’s adjustnts weren’t just to help the bronchoscope pass through these checkpoints smoothly.
Operating the bronchoscope is akin to maneuvering a rope through a cave. To freely explore deeper, the rope must be kept in the ideal position throughout. As long as the tube remains hollow in the patient’s airways without causing irritation, the patient will remain still, making it significantly easier for the doctor to extend the bronchoscope further into the trachea to explore its depths.
Xie Wanying’s strategy was akin to opening up the cave’s entrance wide for the rope to pass freely and effortlessly.
Sure enough, Xie Wanying had been observing the patient’s nostrils for a long ti—not rely examining the nostrils but simultaneously analyzing and mapping out the relevant anatomical structures. As rumored, this student’s brain could visualize anatomical images that were beyond the imagination of ordinary people.
Xin Yanjun’s lips curled upward into a smile.
As a teacher, encountering a student with exceptional talents is the greatest joy, as it significantly enhances the opportunities for the teacher to excel. Regardless of the specialty—internal dicine or surgery—it’s extraordinarily rare to et a hands-on, gifted dical student who masters operations. Truly a treasure.
To have this student by her side brought her boundless delight.
The teacher said nothing, but her gaze conveyed everything to Xie Wanying. Teacher Xin had high expectations for her, which made her heart tighten a little. Her focused eyes locked onto the monitor connected to the bronchoscope, not daring to shift her gaze, her mind wholly concentrated, not allowing a single mont of laxity.
It was her first day of internship here, and leaving a good impression on her teacher was crucial.
What she just accomplished was rely the first step in assisting Teacher Xin. After the bronchoscope enters the patient’s airway, there are still as many as 28 checkpoints for the doctor to examine.
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