Chapter 710: A doctor without an outpatient clinic is an incomplete doctor! (Because there is a hole in the sky 6!)
Several people came one after another in the afternoon.
A young high school student who came to vent his emotions.
An old man who has no place to work in and sit for a while.
An aunt who couldn't line up and asked Chen Cang to issue a checklist.
There was also a big girl who looked at Chen Cang as handsome as she wanted to flirt with him.
...
Chen Cang first discovered that the outpatient clinic was not as fun as the emergency department.
It was as if the long outpatient clinic was about to end.
Finally a decent patient came!
At least it's really uncomfortable.
An aunt is nearly sixty years old.
After an afternoon of experience, Chen Cang had already become calm. Although he had heard that there were many strange outpatient clinics, he finally gained knowledge today. No wonder people say that doctors who do not go out of the clinic are incomplete doctors.
After swiping the medical card, the aunt's message appeared on the computer screen.
The aunt was holding a large transparent bag in her hand, full of all kinds of examination and medical books.
After the aunt sat down, she couldn't help but cough.
After a while, it calmed down!
After the old aunt coughed, she was quite embarrassed!
"Doctor, I'm really embarrassed. I can't control my cough!"
Chen Cang smiled and said, "It's okay. If you feel comfortable everywhere, you won't come to the hospital. Auntie, why are you feeling uncomfortable?"
The aunt is thin and polite. When she heard Chen Cang speak, she couldn't help but smile: "I have been coughing dryly recently, it's been more than a month."
Chen Cang nodded and looked at the information about this aunt. He was a teacher from Wan'an County, Dongyang Province.
Wan'an County is not close to this place, and it takes about one or three hours to drive. It is a national poverty-stricken county.
Dongyang Province is generally dry and cold in winter, and it is normal to have a cold and cough, so Chen Cang didn't care.
While talking, the aunt took out a lot of examinations and medical records from the bag and handed them to Chen Cang.
"Doctor, look, these are all the tests I did recently in the outpatient clinic. Here are chest x-rays, lung ct, and these test sheets."
Chen Cang was stunned when he saw such a lot of movies.
"Have you done so many tests? Why don't you get a hospitalization and have a detailed examination?"
Dongyang Province has average economic development, but medical insurance will only reimburse hospitalization expenses, and outpatient expenses are generally self-paid.
So Chen Cang must have spent a lot of money when he saw so many inspections, so he also reminded him with kindness.
The old aunt smiled: "I am leading a key class. The children are about to prepare for the college entrance examination. I don't dare to rest at all. I just took time on Saturdays and Sundays, so I quickly took a look at the disease."
"But I have been watching Wan'an County for a long time but it has not improved. Now I can't find out the reason, so I can only come to the province to take a look."
"It happened to be Friday this afternoon, and there was no class, so I asked my son to take me to the provincial capital to see it, but I have finished reading Dean Qin's expert number, and I can't get it now."
"I think I will wait until the number is released tomorrow morning and register early. My son is filial. Where will he wait for the number tonight to wait for the number to be released!"
Chen Cang nodded.
Qin Xiaoyuan is a master of internal medicine, an expert in subsidies from the State Council, and a famous doctor in the country!
The internal medicine department of the Second Provincial Hospital of the Provincial Hospital has developed very well in the province, especially the internal medicine departments of the Department of Gastroenterology of Oncology.
Qin Xiaoyuan's number is not easy to hang. Although a number is only fifty yuan, it is limited to 100 numbers, so it is difficult for ordinary people to hang it.
And to be honest.
The registration of the hospital is already complicated. For example, Qin Xiaoyuan has 100 numbers, and only about 30 may be distributed online, and then queuing up to distribute about 50. There are still 20 more, and the registration office will handle it themselves.
You can't control these things at all, and Qin Xiaoyuan has no choice. There are policies from above and countermeasures from below.
But he turned a blind eye.
At least it can ensure that the people can hang out to more than 80.
As for the more than 20 numbers, they were not all given to scalpers, and they also gave favors to the hospital's internal employees.
You can't control these things at all.
Even Qin Xiaoyuan couldn't do anything, so he could only add more outpatient clinics every day, usually around 120.
Therefore, many patients from other places basically have to queue up all night in the registration room of the emergency hall.
This is more common in any hospital with specialized characteristics.
This is Qin Xiaoyuan's amazing. He shows 100 patients a day, and many powerful doctors and experts limit 20 numbers a day, so you can't even get rid of it.
Otherwise, what about hard work?
When Chen Cang heard the aunt's words, he didn't say 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.
Chen Cang picked up the chest xx and the ct on his chest and started to look at it.
Fortunately, Chen Cang has a professional interpretation of chest imaging results.
After seeing the chest x-ray and chest ct, Chen Cang breathed a sigh of relief. It was normal and there was nothing wrong with it.
Basically, the possibility of lung lesions such as pneumonia and lung cancer can be ruled out.
I also read the test form once, and Chen Cang became more and more shocked the more he looked.
normal!
normal!
All are normal!
Is this a bit unreasonable?
Is all coughing normally in a person?
No wonder the local hospital cannot see it.
After reading several medical records in a row, Chen Cang became even 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, you have hypertension before?"
The old aunt nodded: "Well, I have been taking high blood pressure for more than ten years, and I have been taking Anne really lowers my blood pressure."
When Chen Cang heard An Neizhen, he immediately frowned.
The regulations are now very clear!
The patient has no respiratory disease, gastroesophageal reflux disease, abdominal distension, acid reflux history, no side effects of antihypertensive drugs that may cause dry cough, and the cause of dry cough is unknown.
What the hell is going on?
Thinking of this, Chen Cang said, "I'll tell you about the lungs."
Speaking of this, Chen Cang picked up the stethoscope, listened to the front and back lungs, and listened to the breathing sounds again.
Suddenly, at this moment, Chen Cang got closer and found something was wrong!
He suddenly asked, "Auntie, did you have hyperthyroidism before? Or thyroid disease?"
The aunt was also an intellectual and knew about these things. After hearing Chen Cang’s problem, she immediately shook her head: “No!”
When Chen Cang heard this, he immediately said, "I'll do a palpation of the thyroid for you!"
Thinking of this, Chen Cang started to check the thyroid with both hands.
During this inspection, Chen Cang immediately frowned!
"Bilateral goiter, 1 degree swollen on the left and 3 degree swollen on the right, multiple nodules can be paved, and about 2cm nodules can be paved on the right, which is hard."
At this moment, Chen Cang suddenly realized!
Perhaps the reason was found: "Auntie, I suggest you do a thyroid color ultrasound. When you haven't gotten off work now, hurry up and do it."
"Your thyroid gland is enlarged and you can touch the nodules. I suspect it may be caused by invasion of the nerves and causing dry cough!"
Chen Cang didn't say anything, he suspected that it was thyroid cancer!
...
Chapter completed!