Chapter 91 Comrade Blessed Is Going to Be on TV
At about ten in the morning, 120 sent a patient. The "child" in his thirties pushed the old man in, shouting, "Doctor, my dad has a heart attack!"
Chen Cang ran out quickly, and the 120-year-old doctor who followed the car came up and said, "It shouldn't be a heart attack, the electrocardiogram is normal."
The man was obviously unhappy: "My dad is uncomfortable here, flustered, and there is a pain in the back that radiates around, after a while, is it not a heart attack? And I have Baidu, and sometimes the heart EKG is normal, It's only when it happens..."
The man Barabara said a lot, saying that I am very literate, don't lie to me.
Chen Cang stepped forward: "Don't worry, that, Xiao Lin will push the patient to the emergency room first, and bring a monitor."
120 came over with Doctor Che, and after handing over the procedures to the nurse station, gave Chen Cang a wink and left.
Chen Cang understood that look, it was to make him be careful of the patient's family, it was difficult to deal with.
The man in his 30s, dressed well and wearing glasses, saw Chen Cang: "Doctor, you must carefully consider my advice. Myocardial infarction is very dangerous, and you can't give wrong diagnosis and treatment."
Chen Cang nodded: "Don't worry, leave it to us, you can rest at the door."
After finishing speaking, Chen Cang pushed open the door and entered, but the man was pacing at the door, walking around, very worried.
Xiaolin: "Doctor Chen, the electrocardiogram and blood pressure are normal, and the heart rate is a bit fast."
Chen Cang pondered for a moment: "Urgently check a blood routine, call the color ultrasound room, and urgently check the abdominal ultrasound at the bedside.
During the waiting period, Chen Cang took this opportunity to chat with his family about the history of the current illness, and learned that the father of the other party did have a history of heart disease and high blood pressure. It is true that the heart problem cannot be ruled out and ignored, but... various signs indicate that Not a heart attack, but more like a cholecystitis.
The speed of the color ultrasound room is very fast. I heard that the emergency abdominal ultrasound was urgently checked, and it didn't take long for it to come.
The family members of the patient saw the color Doppler ultrasound coming, and followed them calmly. When they saw the abdominal color Doppler Doppler ultrasound, they were stunned and waved their hands quickly: "What are you doing? My dad's heart is not feeling well, what kind of stomach do you want to do? It's also doing the heart! Isn't this a mess? How expensive is an examination! If you can do one less, just do one less!"
Chen Cang turned around and looked at the man: "Don't disturb the rescue of the patient, you cannot enter the emergency room casually. Also... your father may not have a heart problem, I suspect it is cholecystitis."
When the man heard Chen Cang's words, he didn't say a word. He went out and picked up the phone, not knowing what he was doing, but it seemed to be Baidu.
And taking this opportunity, the color Doppler results have been shown!
The long and wide diameters of the gallbladder are slightly larger, oval in shape, the gallbladder wall is thickened, the outline is blurred, and it is double annular, and its thickness is greater than 3 mm;
The sound permeability of the gallbladder contents was reduced, and mist-like scattered echo light spots appeared; the enhancement effect of the lower edge of the gallbladder was weakened or disappeared.
proved!
However, there was acute cholecystitis, and the blood routine of the emergency investigation was also returned. The total number of white blood cells and neutrophils increased in about 80% of the patients.
Now that there is no problem with qualitative cholecystitis, it is more intuitive to wait for bilirubin and transaminase to come out.
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 radiating pain."
The man was a little embarrassed and apologized to Chen Cang.
Chen Cang smiled and said nothing. It is normal for family members to be worried, after all, concern is chaos.
However, Baidu is not allowed to see a doctor, because a lot of information on Baidu is not comprehensive. A patient came a few days ago with blood in the stool and said that he had bowel cancer.
Examples of this abound.
Moreover, gallbladder disease is a common and frequently-occurring disease in the emergency department.
Moreover, the key point is that when this disease occurs, it is easy to be confused with myocardial infarction. It is clearly written in the textbook that epigastric pain, nausea, vomiting and fever spread to the shoulders and back, and the paroxysmal aggravation.
But disease is a stubborn thing by nature, never listen to textbooks every time I have an attack, and always do whatever I want every time I get sick, and it is often confused with myocardial infarction!
There are not a few patients like this, and Chen Cang has long been used to it.
In the past few days, 120 has sent more patients. It may be that the hospital greeted the 120 emergency center.
After the emergency operating room is opened, the surgical arrangement is much more convenient.
Accepting patients is also courageous.
...
...
There are a lot of patients in the emergency department these days, and there is no need to go to the operating room to arrange an operation.
With its own operating room, the income of the emergency department can also increase a lot. For the emergency department, it seems that the severe winter has passed and the spring is coming.
However, Comrade Zhang Youfu, director of general affairs, was in a low mood. According to previous years, in August and September, the surgical department was overcrowded. You must know that this is the season of high incidence of cholecystitis, appendicitis, and cholelithiasis. Digestive system diseases.
And this year, surgery has been deserted all of a sudden!
After all, these acute diseases are all sent to the surgery through the emergency department. After the emergency was opened, the number of general patients suddenly decreased a lot.
The Second Provincial Hospital is not a top-level hospital. It cannot reach the point where there is no shortage of patients. The patients who do more general surgery are those with minor illnesses.
And Li Baoshan gave Zhang Youfu a line all of a sudden.
Zhang Youfu is also helpless because of itchy teeth. The operation of the department has to rely on him. What should I do?
No patient can't do it!
Zhang Youfu thought about it, picked up the phone and dialed Tan Liguo's number, he had to react to the situation.
After listening to Tan Liguo, he frowned slightly: "So serious?"
Zhang Youfu shook his head: "It's not very serious, but ... if it goes on like this for a long time, there will definitely be many fewer patients in the department, and the efficiency of the department will also be a lot worse. After all, there are still many mainstream patients."
Tan Liguo thought for a while: "Well, take it easy, I'm on Monday, I'll call the health column of Dongyang Satellite TV, and do a science popularization activity about diseases, and then you can publicize your department...you prepare well. Prepare, don't waste this opportunity."
When Zhang Youfu heard this, he immediately became happy, this is a good thing!
Health column is a good way of publicity, although it is health promotion, but when the time comes to advocate general surgery, patients will naturally come to the door.
"Then trouble Secretary Tan!"
After hanging up, Zhang Youfu directly called Duan Bo in the department: "Well, Xiao Duan, come to my house and talk to you about something."
Duan Bo is Zhang Youfu's confidant, and Zhang Youfu treats him well.
After receiving the call, Duan Bo didn't ask why, got up without saying a word and went to Zhang Youfu's house.
After the two sat down, Zhang Youfu said lightly: "Xiao Duan, I may have to go to the Dongyang Satellite TV Health Channel recently. You have recently organized my resume and honors, and all my information is with you."
As soon as Duan Bo heard it, a flatterer came over: "Director is amazing! It's going to be on TV, and the ratings of Dongyang Satellite TV are not low!"
Zhang Youfu smiled incomprehensibly, calmly and calmly, as if he didn't care about being on TV at all: "By the way, I'm not going to talk about anything, what do you think is better for us to promote this time?"
After thinking about it, Duan Bo said seriously: "Naturally it is the most common disease this season, the disease of the gallbladder system!"