When a doctor opened a plug-in

Several people came one after another in the afternoon.

A young high school student to vent his emotions.

An old man who has no place to come in and sit for a while.

An aunt who couldn't get in the line to ask Chen Cang to open the checklist.

There was also a big girl who looked at Chen Cang as handsome and wanted to tease him.

...

Chen Cang first discovered that the outpatient clinic was not fun at all in the emergency department.

Seeing the long outpatient clinic is about to end.

Finally came a decent patient!

At least it is really uncomfortable.

An aunt, nearly sixty years old.

Chen Cang, who had been practicing for the whole afternoon, had long been calm and calm. Although he had heard that there were many outpatient clinics, he finally gained a lot of knowledge today. No wonder people say that doctors who do not go out to the clinic are incomplete doctors.

After swiping the medical card, the aunt's information appeared on the computer screen.

Auntie holds a large transparent bag in her hand, which contains various examination and medical books.

After the aunt sat down, she couldn't help but coughed.

After a while, it eased down!

After the old aunt finished coughing, she was quite embarrassed!

"Doctor, I'm so sorry, I can't help my cough!"

Chen Cang smiled: "It's okay, if you feel comfortable everywhere, you won't come to the hospital, aunt, why are you uncomfortable?"

The aunt is thin and polite, and she can't help but smile when she hears Chen Cang's words: "I have been coughing dry recently. It's been over a month."

Chen Cang nodded and looked at this aunt's message that she was a teacher in Wan'an County, Dongyang Province.

Wan'an County is not close to here, and it takes about one to three hours to drive. It is a poor county in the country.

The winter in Dongyang Province is generally dry and cold, and it is normal to catch a cold and cough, and Chen Cang did not care.

While talking, the aunt took out a lot of examination and medical records from the bag and handed them to Chen Cang.

"Doctor, take a look. These are all the examinations I did in the recent outpatient clinic. This is a chest radiograph, this is a lung CT, and these laboratory tests."

Chen Cang was also taken aback by watching such a large number of films.

"You have done so many inspections? Why don't you do a hospitalization for detailed inspections?"

The economic development of Dongyang Province is average. In terms of medical insurance, only hospitalization expenses are reimbursed, and outpatient expenses are generally self-paid.

So Chen Cang must have spent a lot of money watching so many inspections, so he reminded him kindly.

The old aunt smiled: "I'm taking a key class, and the children are about to prepare for the college entrance examination. I don't dare to rest at all. I just take time on Saturdays and Sundays, so I'll take a quick look."

"But after watching it in Wan'an County for a long time, it didn't improve. Now I can't find out the cause. I can only come to the province to see it."

"It just happened to be Friday this afternoon. There was no class, so I asked my son to take me to the provincial capital for a look, but I have finished seeing Dean Qin's expert account, and I can't hang it now."

"I want to wait for the number to be released tomorrow morning, and register early, my son is filial, where will he line up all night to wait for the number!"

Chen Cang nodded.

Qin Xiaoyuan is an internal medicine chief, a State Council subsidy expert, and a famous doctor in the country!

The Department of Internal Medicine of the Second Provincial Hospital has developed very well in the province, especially the Department of Oncology and Gastroenterology.

Qin Xiaoyuan’s account is not easy to hang. Although one account only costs fifty yuan, it is limited to 100. It is difficult for ordinary people to hang up.

And to be honest.

The hospital registration is inherently complicated. For example, Qin Xiaoyuan’s 100 accounts may only be issued about 30 online, and then queued to issue about 50, and the other 20 were processed by the registration office.

You can't manage these things at all, and Qin Xiaoyuan can't do anything about it. There are policies and countermeasures.

But also open one eye and close one eye.

At least it is enough to ensure that the people can hang up to more than 80.

As for the more than 20 accounts, not all of them were given to the scalpers, but also to the internal staff of the hospital.

You can't control these things at all.

Even Qin Xiaoyuan couldn't just drop it anyway. He could only add more to the outpatient clinic every day, usually around 120.

Therefore, many patients from other places basically have to line up all night in the emergency hall registration room.

This is more common in any hospital with more specialized characteristics.

This is still Qin Xiaoyuan's great, he can see 100 patients a day, and many famous doctors and experts have a limit of 20 numbers a day. You can't get it.

How about hard work?

Hearing what the aunt said, Chen Cang didn't talk too much, and took the initiative to ask for a number or something.

After all, hospitals also have hospital rules.

Chen Cang couldn't control everyone either.

Chen Cang picked up the chest X-ray and chest CT and looked at it.

Fortunately, Chen Cang is more professional in the interpretation of chest imaging results.

After seeing the chest radiograph and chest CT, Chen Cang breathed a sigh of relief, everything was normal, nothing happened.

Basically, the possibility of lung diseases such as pneumonia and lung cancer can be ruled out.

After reading the test sheet again, Chen Cang became a little frightened as he looked at it.

normal!

normal!

All normal!

Isn't this unreasonable?

Does one cough normally?

No wonder the local hospital can't see it.

After reading several medical records in a row, Chen Cang became more curious.

All diagnostic opinions are: to be investigated, unknown!

But when he saw the past history, he had high blood pressure.

Chen Cang suddenly asked thoughtfully: "Auntie, did you have high blood pressure before?"

The old aunt nodded: "Well, high blood pressure for more than ten years, I have been eating Annei really reduces blood pressure."

Chen Cang frowned when he heard An Neizhen.

The regulations are now very clear!

The patient has no history of respiratory disease, gastroesophageal reflux disease, abdominal distension, and acid reflux, and no antihypertensive drugs that may cause dry cough side effects, and the cause of dry cough is unknown.

What is going on?

Thinking of this, Chen Cang said: "I will show you the lungs."

Having said this, Chen Cang picked up the stethoscope, listened to the lungs in the front and back, and listened to breathing sounds again.

Suddenly, at this moment, Chen Cang approached only to realize that something was wrong!

He suddenly asked: "Auntie, did you have hyperthyroidism before? Or thyroid disease?"

Auntie is also considered an intellectual, and she also understands this. After hearing Chen Cang's question, she immediately shook her head: "No!"

When Chen Cang heard this, he immediately said, "I will palpate your thyroid gland!"

Thinking of this, Chen Cang started to check his thyroid with both hands.

During this inspection, Chen Cang suddenly frowned!

"Bilateral thyroid enlargement, 1 degree swelling on the left side, 3 degree swelling on the right side, multiple nodules can be palpable, and a nodule about 2 cm on the right side, which is hard."

At this moment, Chen Cang suddenly realized!

Perhaps the reason has been found: "Auntie, I suggest you go for a thyroid color Doppler ultrasound, and do it as soon as you are not off work now."

"Your thyroid gland is swollen and you can feel nodules. I suspect that it may be a dry cough caused by nerve infringement!"

Chen Cang didn't say a word, he suspected it was thyroid cancer!

...

ps: I asked for a monthly pass, and I was caught up... panicked!