Motilium (Domperidone)
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BRONCHOSCOPE FOR LUNGS EXAMINATION
If X-ray, like a shadow, proves the substance true, there are many who want to see the thing itself before they are convinced. This is now frequently accomplished, even in the recently inaccessible middle of the lungs. An instrument that is fearful to contemplate by one who is a candidate for its use, the bronchoscope, is, in clever hands, great for investigation as well as treatment. It is a rigid metal tube, about a foot long and large enough in caliber to hold a light and instruments with which the operator may perform innumerable cuttings and manipulating. Of necessity this tube must be straight. If you will study the anatomy of the head, neck, and chest of one of your acquaintances, I think you will be convinced that there is no straight line through the respiratory canal for this tube. But there is. The head has to be bent back more than one normally cares to hold it but once one resigns oneself to a physician’s bothersome ways his accomplishments may be surprising.
I imagine that the bronchoscope was developed originally for removing from the windpipe and large bronchi the peanuts, safety pins, and divers other things which children inhale. The removal of misplaced objects is no longer, however, the chief work of a bronchoscopist. His main concern is with the investigation and treatment of diseases of the lungs and bronchi. Lung .abscesses can be helpfully studied. Tumors of the lungs are now recognized as common and the majority is connected with the bronchi; they can be studied by direct vision, a piece removed for examination, or sometimes a whole tumor can be thus removed.
Tuberculosis of the lung is today treated, in many cases, by collapsing the lung in one of several ways. Before this is done, an examination is made with the bronchoscope to be sure that a bronchus is not blocked, which would interfere with its collapse.
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