Around 10 a.m., 120 sent a patient. The "child" in his thirties pushed the old man in and shouted, "doctor, my father has a heart attack!"

    Chen Cang hurriedly ran out. The 120 little doctor who followed the car came up and said, "it should not be a heart disease. The ECG is normal."

    The man was obviously unhappy: "my father is uncomfortable here, flustered, and there is pain in the back around him. It''s not heart disease for a while. What''s it? And I''m Baidu. Sometimes the ECG of heart disease is normal, only when it happens..."

    Man Balabala said a lot. I have a lot of culture. Don''t lie to me.

    Chen Cang stepped forward and said, "don''t worry. Xiao Lin first pushed the patient to the emergency room and took the monitor."

    120 came over with doctor Che, handed over the formalities to the nurse station, winked at Chen Cang and left.

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

    A man in his 30s, dressed up in good order and wearing glasses, saw Chen Cang: "doctor, you must carefully consider my suggestion. Myocardial infarction is very dangerous and you can''t give wrong diagnosis and treatment."

    Chen Cang nodded: "don''t worry, give it to us, you go to the door and have a rest."

    With that, Chen Cang pushed the door in, and the man paced around the door, very worried.

    Xiao Lin: "Dr. Chen, the ECG and blood pressure are normal, and the heart rate is a little fast."

    Chen Cang pondered for a moment: "urgently check a blood routine, call the color Doppler ultrasound room, and urgently check the abdominal color Doppler ultrasound beside the bed.

    While waiting, Chen Cang took this opportunity to chat with his family about his current medical history. He learned that the other father did have a history of heart disease and high blood pressure. It really can''t rule out and ignore the heart problem, but... Various signs show that it''s not a heart disease, but more like cholecystitis.

    The speed of the color Doppler ultrasound room is very fast. I heard that the emergency department urgently checked the color Doppler ultrasound of the abdomen. It didn''t take long to come.

    When the patient''s family saw the color Doppler ultrasound coming, they quietly followed in. When they saw that they were going to do abdominal color Doppler ultrasound, they were stunned and quickly waved their hands: "what are you doing? My father''s heart is uncomfortable. What are you doing for your stomach? It''s also doing for your heart! Isn''t this a mess? How expensive a check is! If you can do one less, you can do one less!"

    Chen Cang turned and looked at the man: "don''t disturb the rescue of patients. You can''t enter the rescue room casually. Also... Your father doesn''t have to have a heart problem. I suspect it''s cholecystitis."

    As soon as the man listened to Chen Cang''s words, he didn''t say a word. He went out and picked up his mobile phone. He didn''t know what he was doing. It seemed to be Baidu.

    Taking this opportunity, the color Doppler ultrasound results have been displayed!

    The long diameter and wide diameter of the gallbladder are slightly larger, oval, the gallbladder wall is thickened, the outline is fuzzy, double ring, and its thickness is greater than 3mm;

    The sound permeability of the contents of the gallbladder decreased, and fog scattered echo light spots appeared; the enhancement effect of the lower edge of the gallbladder weakened or disappeared.

    Confirmed!

    However, there was acute cholecystitis, and the blood routine examination came back. The total number of leukocytes and neutrophils were about 80%. The leukocyte count of patients increased.

    Now there is no problem with qualitative cholecystitis. If bilirubin and transaminase come out, it will be more intuitive.

    At this time, the man pushed the door and came in: "doctor, you''re God! It''s cholecystitis... Baidu said that cholecystitis does have radiation pain."

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

    Chen Cang smiled and didn''t say anything. It''s normal for his family to worry. After all, care is chaos.

    But Baidu can''t see a doctor, because Baidu''s information is not comprehensive. A few days ago, a patient came with bloody stool and said he was colorectal cancer.

    Such examples abound.

    Moreover, gallbladder disease is a common and frequently occurring disease in emergency, which is common in clinic, and many diseases are very uncomfortable, such as acute cholecystitis, delayed cholecystitis, cholelithiasis and so on.

    Moreover, the key to this disease is that when it is done, it is easy to be confused with myocardial infarction. What is written in the textbook is clear: epigastric pain, nausea, vomiting and fever, divergence to the shoulder and back, and paroxysmal exacerbation.

    But the disease is stubborn by nature. Every attack never listens to the textbook. Every time you get sick, you always want what you want. Many times, you often get confused with myocardial infarction!

    Such patients are not a few, and Chen Cang has long been used to them.

    These days, 120 sent more patients. Maybe the hospital said hello to 120 emergency center.

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

    It''s also brave to accept patients.

    ……

    ……

    There are many patients in the emergency department these days. There is no need to go to the operating room to arrange the operation. In this way, many patients will not be sent to the general hospital.

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

    Comrade Zhang Youfu, director of the general foreign affairs department, was in a low mood. According to previous years, surgery was overcrowded in August and September. You should know that this is a high incidence season of cholecystitis, appendicitis and cholelithiasis. In summer, people''s diet is uneven, which is easy to cause this digestive system disease.

    This year, surgery was suddenly deserted!

    After all, these acute diseases are sent to surgery through the emergency department. After the emergency department is opened, there are many fewer patients in general surgery.

    The second provincial hospital is not a top-level hospital. It can''t reach the point that there is no shortage of patients. The patients who do more in general surgery are still those minor diseases.

    And Li Baoshan gave Zhang Youfu a direct blow.

    Zhang Youqi''s teeth are itchy. There''s no way. The operation of the Department still depends on him. What should I do?

    Not without a patient!

    Zhang Youfu thought about it. He picked up the phone and dialed Tan Liguo. He 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 it goes on like this for a long time, there will be many fewer patients in the Department, and the efficiency of the Department will be much worse. After all, there are still many mainstream patients."

    Tan Liguo thought a little: "well, you''re a little slow. I''ll call the health column of Dongyang satellite TV on Monday to do a popular science activity for diseases. Then you''ll publicize your department... You''re ready. Don''t waste this opportunity."

    As soon as Zhang Youfu heard it, he was immediately happy. This is a good thing!

    The health column is a good way of publicity. Although it is health publicity, when you advocate general surgery, the patient naturally comes to the door.

    "Then trouble Secretary Tan!"

    After hanging up, Zhang Youfu directly called duanbo in the Department: "well, Xiaoduan, come to my house and tell you something."

    Duan Bo is Zhang Youfu''s confidant, and Zhang Youfu is not mean to him.

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

    After the two sat down, Zhang Youfu said faintly, "Duan, I may have to go to Dongyang satellite TV health channel recently. You recently sorted out my resume and honor, and all my information is with you."

    Upon hearing this, Duan Bo flattered: "the director is awesome! He''s going to be on TV. The ratings of Dongyang satellite TV are not low!"

    Zhang Youfu smiled unfathomably. The clouds were light and the wind was light. It seemed that he didn''t care about being on TV: "by the way, I''m not ready to talk about anything. What do you think we should promote this time?"

    After thinking for a while, Duan Bo said seriously, "nature is the most common disease in this season, the disease of gallbladder system!"