The hospital where I was invited to visit and study, Beth Israel Medical Center, is located in Manhattan, the most prosperous area of New York. It is a large general hospital with a history of more than 100 years and is the teaching hospital of Albert Einstein College of Medicine in New York. The hospital is known for its orthopedics and urology programs. The hospital’s inpatient department is located on First Avenue, and all wards, operating rooms and related departments are located in different areas of the building. The orthopedic wards are located on the 4th floor of the silver building. The wards are all two-person rooms, with restrooms and amenities, and food, fruits, and beverages are provided free of charge during your stay. It should be noted that there is also a VIP room in this hospital, the room is designed and decorated as a star hotel, the patient needs to pay$200 per day for hospitalization, which will not be reimbursed by the insurance company. Usually the patient is discharged after 2-3 days of hospitalization. If the patient is hospitalized for more days, the hospital will lose a lot of money. You may not believe it, but most of the public hospitals in the US are in the red and often rely on donations from the community. The reason for this is that the cost of health care in the United States is very high, and the paychecks for doctors and nurses are exceptionally high. An average nurse earns$70,000 to$80,000 a year, and big-name doctors earn over a million dollars a year. The operating room is on the 3rd floor of the main building, and the outside of the operating room is adjacent to the waking room, so patients are often stabilized in the waking room before being transferred to the ward after surgery. Doctors’ changing rooms and rest halls are on the first floor. There are two fixed operating rooms for orthopedic joints, as both are laminar flow rooms. The room immediately adjacent to the operating room is where commonly used instruments and prostheses are stored, and all kinds of commonly used things are always available and updated daily. Thus providing great convenience for surgery. The outpatient and ward blocks of the hospital are 5 blocks apart. The orthopedic clinic is on the 3rd floor and the outpatient operating room is on the 4th floor. The outpatient procedure has already been described in “How to see a doctor in the USA”. Outpatient surgeries are mainly arthroscopic surgeries, which often require hospitalization in China because there are no anesthesiologists on duty in the outpatient clinic. Here, the patient does all the tests in the outpatient clinic, comes to the outpatient surgery room at the scheduled appointment time to sign in, and is then led to the surgery room by a nurse. General anesthesia is generally used, the anesthesiologist and the patient talking soon let the patient fall asleep, most of the use of laryngeal mask does not require tracheal intubation, now in Qilu Hospital is also done, the advantage of this is that the patient’s airway stimulation is very small, wake up and feel more comfortable.Beth Israel Medical Center Outpatient Building Beth Israel Medical Center Inpatient Department Beth Beth Israel Medical Center VIP Ward Before Surgery Begins