Several people came one after another in the afternoon.


    A high school boy to vent his emotions.


    An old man who has no place to sit in.


    An aunt who couldn''t line up to let Chen Cang open the checklist.


    There is also a big girl who looks at Chen Cang and wants to tease him.


    ……


    Chen Cang first found that the outpatient department was not fun at all.


    Seeing the long clinic coming to an end.


    Finally a decent patient came!


    At least it''s really uncomfortable.


    An aunt, nearly 60 years old.


    After one afternoon''s experience, Chen Cang has long been light. Although he has long heard that there are many wonderful flowers in the clinic, he has finally gained insight today. No wonder people say that doctors who don''t go out of the clinic are incomplete doctors.


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


    Aunt is holding a big transparent bag, which is full of all kinds of examination and medical books.


    After aunt sat down, she still coughed uncontrollably.


    After a while, it eased down!


    After the old aunt coughed, she was very embarrassed!


    "Doctor, I''m really sorry. I can''t control my cough!"


    Chen Cang smiled: "it''s all right. If you''re comfortable everywhere, you won''t come to the hospital. Aunt, why are you uncomfortable?"


    My aunt was thin and polite. She couldn''t help laughing when she heard Chen Cang speak: "I''ve been coughing for more than a month."


    Chen Cang nodded and looked at the aunt''s information. She was a teacher in Wan''an County, Dongyang province.


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


    Dongyang province is generally dry and cold in winter. It''s normal to catch a cold and cough, and Chen Cang doesn''t care.


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


    "Doctor, look, these are the tests I have done in the clinic recently. Here are chest X-rays, here are lung CT, and these test sheets."


    Chen Cang was stunned to see so many films.


    "Why don''t you go to hospital and have a detailed examination?"


    Dongyang province has a general economic development. For medical insurance, only hospitalization expenses will be reimbursed, and outpatient expenses are generally at their own expense.


    Therefore, looking at so many inspections, Chen Cang must have spent a lot of money, so he kindly reminded him.


    The old aunt smiled: "I''m taking the key class. The children are preparing for the college entrance examination. I don''t dare to rest at all. I''ll see a doctor on Saturday and Sunday."


    "But I haven''t seen any improvement in Wan''an County for a long time. Now the reason can''t be found out. I can only come to the province."


    "Just this afternoon on Friday, there was no class, so I asked my son to take me to the provincial capital to have a look, but I think the expert number of President Qin has been hung up, and I can''t hang up now."


    "I want to register early when the number is released tomorrow morning. My son is filial. Where is he waiting in line all night tonight?"


    Chen Cang nodded.


    Qin Xiaoyuan is a big man in internal medicine, an allowance expert of the State Council and a national famous doctor!


    The internal medicine of the second provincial hospital has developed very rapidly in the province, especially the internal medicine of oncology and digestive department.


    Qin Xiaoyuan''s number is not easy to hang. Although a number is only 50 yuan, it is limited to 100 numbers, which is difficult for ordinary people to hang.


    And to be honest.


    The registration of the hospital is complicated. For example, Qin Xiaoyuan has 100 numbers. Only about 30 numbers may be distributed online, and then about 50 numbers will be distributed in line. Another 20 numbers will be handled by the registration office itself.


    You can''t manage these things at all. Qin Xiaoyuan has no way. There are policies and countermeasures.


    But it''s also turning a blind eye.


    At least it can ensure that people can hang more than 80.


    As for the more than 20 numbers, not all of them were dealt with by scalpers, but also by the internal staff of the hospital.


    You can''t control these things at all.


    Even Qin Xiaoyuan can''t just drop. He can only add more outpatient services every day, usually about 120.


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


    This is common in any hospital with specialized characteristics.


    This is Qin Xiaoyuan''s powerful. He shows 100 patients a day. Many famous doctors and experts are limited to 20 a day. You can''t hang up at all.


    Or is it hard?


    Hearing his aunt''s words, Chen Cang didn''t talk much and took the initiative to ask for a number or something.


    After all, hospitals also have hospital rules.


    Chen Cang can''t control everyone.


    Chen Cang picked up the chest film and chest CT and looked at it.


    Fortunately, Chen Cang''s interpretation of chest image results is more professional.


    After watching the chest film and chest CT, Chen Cang breathed a sigh of relief. Everything was normal and nothing happened.


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


    After reading the test sheet, Chen Cang was more and more frightened.


    Normal!


    Normal!


    All normal!


    Is that a little unreasonable?


    A person coughs normally?


    No wonder the local hospital can''t see it.


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


    All the diagnostic opinions are: to be checked, unknown!


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


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


    The old aunt nodded: "well, hypertension has been eating for more than ten years. Ann really depresses blood pressure."


    Chen Cang immediately frowned at an neizhen.


    Now the regulations are very clear!


    The patient had no history of respiratory disease, gastroesophageal reflux disease, abdominal distention and acid reflux, and did not use antihypertensive drugs that may cause dry cough side effects. The etiology of dry cough was unknown.


    What the hell is going on?


    Thinking of this, Chen Cang said, "let me listen to your lungs."


    Speaking of this, Chen Cang picked up the stethoscope, listened to it in his front and rear lungs, and listened to the breathing sound.


    Suddenly, at this time, Chen Cang approached and found something wrong!


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


    Aunt is also an intellectual. She also knows these things. After hearing Chen Cang''s questions, she immediately shook her head: "no!"


    As soon as Chen Cang heard this, he immediately said, "let me give you a palpation of the thyroid gland!"


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


    This inspection, Chen Cang immediately frowned!


    "Bilateral goiter, 1 degree swelling on the left and 3 degrees swelling on the right, multiple nodules can be touched, and a 2cm nodule can be touched on the right, which is hard."


    All of a sudden, Chen Cang suddenly realized!


    Perhaps the reason has been found: "aunt, I suggest you do a thyroid color Doppler ultrasound. While you''re not off work, hurry to do it."


    "Your thyroid gland is swollen and you can touch nodules. I suspect it may invade nerves and cause dry cough!"


    Chen Cang didn''t say a word. He suspected it was thyroid cancer!


    ……


    PS: ask for a monthly ticket and be caught up... Panic!