At around 10 o'clock in the morning, a patient was sent to 120. The "child" in her thirties pushed the old man in and shouted: "Doctor, my dad has a heart attack!"

Chen Cang hurriedly ran out, followed the 120-year-old doctor in the car and said, "It should not be a heart disease, the electrocardiogram is normal."

The man was obviously unhappy: "My dad is uncomfortable here, palpitations, and his back is radiating. It's a burst of time. What's not a heart disease? And I'm on Baidu. Sometimes the cardiogram of heart disease is normal, only when it occurs..."

The man Balabala said a lot, and he looked like I was very educated, so don’t lie to me.

Chen Cang walked forward: "Don't worry, that, Xiaolin pushed the patient to the emergency room first and brought the monitor."

120 followed Dr. Che, handed over the procedures with the nurse station, and then shook Chen Cang and left.

Chen Cang understood that look was to make him be careful of the patient's family, which was difficult to deal with.

The man was in his 30s and dressed in a normal manner and wore glasses. He saw Chen Cang: "Doctor, you must carefully consider my suggestions. Myocardial infarction is very dangerous and you cannot give a wrong diagnosis and treatment."

Chen Cang nodded: "Don't worry, leave it to us, you can go to the door to take a rest."

After saying that, Chen Cang pushed the door open and entered, while the man was walking around at the door, feeling very worried.

Kobayashi: "Doctor Chen, the electrocardiogram, blood pressure is normal, and the heart rate is a little fast."

Chen Cang pondered for a moment: "I urgently check for a blood routine, call the color ultrasound room, and urgently check for a color ultrasound on the abdomen next to the bed.

While waiting, Chen Cang took this opportunity to talk to his family about his medical history and learned that the other party's father did have a history of heart disease and had high blood pressure. He really couldn't rule out or ignore the heart problems, but... all kinds of signs indicate that it was not a heart disease, but more like a cholecystitis.

The color ultrasound room is very fast. I heard that the color ultrasound in the emergency room was urgently checked, but it came soon after.

When the patient's family saw that the color ultrasound was coming, they followed in calmly. When they saw that they wanted to do a abdominal color ultrasound, they were stunned for a moment and waved their hands: "What are you doing? My dad feels uncomfortable. What kind of belly checking? It's also a heart test! Isn't this a random thing? How expensive is a test! If you can do less, just do less!"

Chen Cang turned around and looked at the man: "Don't disturb the rescue of the patient, you can't enter the rescue room at will. Also... Your father may not be a heart problem, I suspect it's cholecystitis."

When the man heard Chen Cang's words, he stopped talking. He went out to pick up his phone and didn't know what he was doing. It seemed to be Baidu.

And taking this opportunity, the color ultrasound results have been shown!

The length and wide diameter of the gallbladder are slightly larger, and are oval in shape. The gallbladder wall is thicker, the outline is blurred, and it is a double ring shape, with a thickness greater than 3mm;

The permeability of the gallbladder contents is reduced, and echo light spots scattered in mist form appear; the enhancement effect on the lower edge of the gallbladder weakens or disappears.

Confirmed!

However, there was acute cholecystitis, and the blood routine of urgent examinations also returned. The total number of white blood cells and neutrophils increased.

There is no problem with qualitative cholecystitis now. If you wait for bilirubin and aminotransferase to come out, it will be more intuitive.

At this time, the man pushed the door and came in again: "Doctor, you are amazing! It's cholecystitis... Baidu said that cholecystitis does have radiation pain."

The man felt a little embarrassed and apologized to Chen Cang.

Chen Cang smiled and said nothing. It is normal for his family to worry, but care is messy after all.

However, Baidu cannot see a doctor because there is a lot of information on Baidu, which is not very comprehensive. A few days ago, a patient came and had bloody stools and said that he had intestinal cancer.

Such examples abound.

Moreover, gallbladder disease is a common disease in emergency rooms, and is often seen in clinical practice. Many diseases are very uncomfortable when they occur, such as acute cholecystitis, late-onset cholecystitis, cholelithiasis, etc.

Moreover, when this disease occurs, it is easy to be confused with myocardial infarction. The textbooks clearly state that it is such as upper abdominal pain, nausea, vomiting and fever, divergentness to the shoulder and back, and paroxysmal aggravation.

But disease is a stubborn person by nature. He never listens to textbooks every time he occurs. He always does whatever he wants when he gets sick. He often gets confused with myocardial infarction!

There are many such patients, and Chen Cang has long been used to seeing them.

In the past few days, there have been more patients sent to 120. Maybe the hospital has greeted 120 Emergency Center.

After the emergency operating room was opened, the operation arrangement became much more convenient.

I'm also brave enough to accept patients.

...

...

There are many patients in the emergency department these days, so there is no need to go to the operating room for scheduling surgery, and you can arrange your own. In this way, many patients will not be sent to the general public.

With your own operating room, the income from the emergency department can also increase a lot. For the emergency department, it seems that the severe winter is over and spring is coming.

However, Comrade Zhang Youfu, director of the General Foreign Affairs Department, was in a little depressed. According to previous years, in August and September, surgeons were overcrowded. You should know that this is the peak season for cholecystitis, appendicitis, and cholelithiasis. People's diet is uneven in summer, which can easily cause this digestive system disease.

And this year, the surgery department suddenly became deserted!

After all, these acute diseases are sent to the surgery department through the emergency department. After the emergency department was opened, there were a lot fewer patients in general.

The Second Provincial Hospital is not a top hospital, and it cannot reach the point where there is no shortage of patients. Patients who do a lot of general surgery still have minor illnesses.

And Li Baoshan made a move for Zhang Youfu in one go.

Zhang Youfu is also having trouble with itchy teeth. The department has to rely on him to operate it. What should I do?

It’s not OK to have no patients!

Zhang Youfu thought about it over and over again, picked up the phone and dialed Tan Liguo's phone number, and had to react to the situation.

After hearing this, Tan Liguo frowned slightly: "So serious?"

Zhang Youfu shook his head: "It's not very serious, but... if this continues for a long time, the department will definitely have fewer patients, and the department's benefits will be much worse. After all, there are still many mainstream patients."

Tan Liguo thought a little bit: "This way, you can slow down a little. I'm on Monday. I'll call the health column of Dongyang TV TV station to do a science popularization activity on diseases. Then you can promote your department... Be prepared and don't waste this opportunity."

When Zhang Youfu heard this, he was immediately happy. This is a good thing!

The health column is a good way to promote health. Although it is health publicity, if you promote general surgery yourself, the patient will naturally come to you.

"Then I'll trouble Secretary Tan!"

After hanging up the phone, Zhang Youfu called Duan Bo from the department directly: "That, Xiao Duan, come to my house and tell you something."

Duan Bo is Zhang Youfu's confidant, and Zhang Youfu treats him well.

After receiving the call, Duan Bo didn't ask why, and without saying a word, he got up and came to Zhang Youfu's house.

After the two sat down, Zhang Youfu said lightly: "Xiao Duan, I may have to last Dongyang Satellite TV Health Channel recently. You have sorted out my resume and honors recently, and my information is all there to you."

When Duan Bo heard this, he flattered and said, "The director is amazing! He is going to be on TV, and the ratings of Dongyang TV are quite high!"

Zhang Youfu smiled mysteriously, and the clouds were calm and gentle, as if he didn't care about the TV: "By the way, I'm not going to go up and say something. What do you think we're promoting this time is better?"
Chapter completed!