2365 The trouble of insensitive perception
It's an old problem." The old lady said to Zheng Ren with a smile, "It's okay."
How could this be fine? Zheng Ren quickly supported the old lady and helped her to sit down on the small stool on the side.
"Auntie, what's wrong with you?" Zheng Ren asked with a smile.
Zhao Wenhua and Gao Shaojie didn't think there was anything strange. This is a very common way of acting that stretches the distance between them and the patient's family. However, most of them are meticulous in the clinic doctors, but not many leaders of the medical team or department directors do this.
"Old, there are bone spurs. In addition, there were a few blisters on my feet before coming, so it hurts a little while walking, but nothing else." The old lady said with a smile.
“Are the blisters ground?”
"I was soaking my feet at night. I was thinking that the old man was coming for surgery. I didn't notice that the water was too hot, so I got two blisters."
Patients with diabetes have problems with peripheral sensation, which can occur in the early stages of diabetes. Its characteristics are symmetrical limb sensory disorders, more lower limbs than upper limbs, and abnormal sensory occurs earlier than pain.
The abnormality of the sensory content includes many points, and references it with the system panel. Zheng Ren vaguely understands in his heart that the patient's family's behavior should be insensitive to pain.
When soaking your feet, the water temperature is too high, and most people will lift their feet, which is an instinctive reaction.
Due to peripheral nerve sensory disorders, the patient's family's self-protection reflex becomes less sensitive.
Moreover, the symptoms of toe necrosis occur, and the patient's family can also limp, which proves this from another perspective.
"Auntie, I'll take a look." Zheng Ren said with a smile, "It's nothing to grind and blister. It's just right to see if you need to disinfect it."
Although the patient's family was a little puzzled, they saw that Professor Zhao, who had performed the operation on him, respectfully responded to the young doctor in front of him, and did not refute it. Instead, they sat down honestly and took off their socks.
As the socks were taken off, Zheng Ren's eyebrows tightened.
The patient's family was wrapped in gauze on their left foot, and a strange smell floated out of their toes.
Gao Shaojie was stunned for a moment. He didn't expect that Boss Zheng "just" found a patient's family member, and the situation was so serious.
The same is true for Zhao Wenhua. He had a little complaint before that Boss Zheng should not do what the bed doctor did. At this time, he saw the bandage on the feet of the patient's family, and he couldn't help but be stunned.
"Change the dressing bag." Zheng Ren took another stool and said in a deep voice.
The little doctor next to Zhao Wenhua quickly went to get the dressing bag, ran all the way, and returned to the ward.
"Auntie, I'll change the medicine for you." Zheng Ren said gently.
"Doctor, no trouble, I can do it myself."
"Your blister looks very heavy." Zheng Ren did not follow the patient's words and was troublesome, but instead got to the point with a little awkwardness.
Su Yun is not here, Zheng Ren is too lazy to consider more details. Gao Shaojie just came, and as for Zhao Wenhua... even if he has questions, what can he say.
Before he knew it, Zhao Wenhua had been ignored by Boss Zheng. The person who used to say that he had eaten more and took more food had long been dumped by Zheng Ren.
When Zheng Ren opened the bandage, he saw that the patient's family had scabs on their toes on both feet, among which the fourth toe on the left foot was red, swollen, and ulcerated, and a small amount of blood oozed out. The front end of the toe was black and purple, and some of the toes had been necrotic.
"Prepare to be hospitalized." Zheng Renke's systematic diagnosis of the big pig's hooves was accurate and sighed.
The patient's son was stupid. He didn't expect his mother to be so ill.
Not to mention anything else, the front of the toes was black and the charcoal-like color made him feel terrified. In addition, there was a peculiar smell, even if he was not a doctor, he could know that this was necrotic.
"There are already preliminary signs of gangrene." Zheng Ren said later.
"What?" The patient's son was stunned and did not hear Zheng Ren clearly.
"This toe has necrosis. Wet gangrene is caused by the necrotic tissue containing a lot of moisture, so the corrupt bacteria are seriously infected with severe local swelling, dark green or dirty black." Zheng Renxu pointed at the fourth toe of the old lady's left foot.
"The spoiled bacteria decompose proteins and produce indole, fecal odor, etc., causing foul odor. Because the lesions develop faster and the inflammation is spreading, there is no obvious dividing line between necrotic tissue and healthy tissue."
"..." The patient's son was really stunned this time.
When he got closer, he smelled a foul smell. It was not very strong, but he could indeed smell it when he got closer.
"doctor……"
"I'll go to the trauma surgery department for hospitalization, and I'll probably have to cut off my toes." Zheng Ren said, "Auntie, what other diseases do you have?"
The old lady knew her feet, but it didn't hurt much, and she kept holding on to the idea of how to get better. She was a little confused after Zheng Ren said this.
"I still have diabetes."
"Is blood sugar control good?" Zheng Ren asked.
"When you take insulin, your fasting blood sugar is 8.2."
"Your condition is fine, but the treatment is not timely." Zheng Ren said, "Don't worry about your lover's condition. He has already undergone the surgery and he will be discharged from the hospital soon."
This matter is so troublesome that patients can be discharged from the hospital and go home. It is estimated that the family of the patient who came to accompany them will be hospitalized for treatment. Moreover, her hospitalization time is much longer than her husband's hospitalization time.
For example, in the situation in front of you, you have to be attracted by negative pressure after cutting off the toe, sucking away all the inflammatory seepage and other substances. Zheng Ren has done these things during earthquake relief and disaster relief.
Necrosis is similar, but the causes are different.
"Professor Zhao." Zheng Ren said in a deep voice.
"Boss Zheng." Zhao Wenhua bent down slightly and stood beside Zheng Ren, respectfully.
"Send my aunt to the trauma department for hospitalization. If the family is too busy, please help contact a wife-protective."
Zheng Ren said, and briefly disinfected, cleaned, and then bandaged the old lady's toes.
"Stop wearing shoes, push them in a wheelchair."
Zheng Ren stood up, patted the old lady on the shoulder, and said gently: "Auntie, don't worry, the hospitalization surgery will get better soon."
"..." The old lady didn't expect that things would change so much. After suddenly hearing about the incident of cutting the toe, she could not accept it for a while.
Zheng Ren comforted him and turned around and left.
As a superior doctor, Zheng Ren is indeed no longer dealing with the patient's family. It is quite worry-free to have someone like Chang Yue under his command.
At least with heavy work and super high turnover, Chang Yue is still very concise in doing things without any mistakes.
The situation has been explained by myself and the solution has been explained. The rest is Zhao Wenhua’s communication and the choices of the patient’s family.
Chapter completed!