2364 The trouble caused by a lack of keen perception
“It’s an old problem. ” The old lady chuckled and said to Zheng Ren,”it’s alright.”
“How can she be fine?” Zheng Ren quickly helped the old lady to a small stool at the side and sat her down.
“Auntie, what’s wrong with you?” Zheng Ren asked with a smile.
Zhao Wenhua and Gao Shaojie didn’t find it strange. This was a very common way of distancing themselves from the patient’s family. However, most of the time, it was the doctors in charge who did everything meticulously. The leaders of the medical teams or department directors did not do this much.
“I’m old and have bone spikes. In addition, I had a few blisters on my feet before I came. It’s a little painful to walk, but nothing else. ” The old lady said with a smile.
“Is the water bubble caused by grinding?”
“I soaked my feet in the water at night. I was thinking that the old man was coming for surgery, but I didn’t notice that the water was too hot, so I got two blisters.”
Diabetes patients had problems with their peripheral senses, which could appear in the early stages of diabetes. It was characterized by symmetrical limb sensory disorders, with more lower limbs than upper limbs, and abnormal sensations appeared before pain.
There were many points in the feeling of abnormality. By referring to the system panel, Zheng Ren vaguely understood that the patient’s family should not be sensitive to pain.
When the water temperature was too high, most people would lift their feet. This was an instinctive reaction.
The patient’s family members, on the other hand, had peripheral nerve sensory disorders, causing the body’s self-protection reflex to become less sensitive.
Moreover, all of them had symptoms of toe necrosis, and the family members of the patients could still walk with a limp, which also proved this point from another angle.
“Auntie, let me take a look.” Zheng Ren smiled and said,”it’s fine if you blister it. It’s a good opportunity to see if you need disinfection.”
Although the patient’s family members were a little confused, they did not refute when they saw how respectful professor Zhao, who performed the surgery for them, was to the young doctor in front of them. Instead, he sat down and took off his socks.
Zheng Ren’s brows furrowed as he took off his socks.
The patient’s family member’s left foot was wrapped in gauze, and there was something oozing out from his toes. There was a faint strange smell coming out.
Gao Shaojie was stunned for a moment. He didn’t expect that the patient’s family member whom boss Zheng had “randomly” found would be in such a serious condition.
Zhao Wenhua was the same. He had even criticized boss Zheng for doing what the resident doctor did. When he saw the bandage on the patient’s leg, he could not help but be stunned.
“Change the medicine bag.” Zheng Ren took another stool and said in a deep voice.
The young doctor beside Zhao Wenhua quickly went to get the medicine bag and ran back to the ward.
“Auntie, let me change your dressing.” Zheng Ren said gently.
“Doctor, it’s no trouble at all. I can do it myself.”
“Your water bubble looks very heavy.” Zheng Ren did not go along with the patient’s words and get tangled up in whether the anesthesia was troublesome or not. Instead, he cut straight to the point, feeling a little awkward.
Since Su Yun was not around, Zheng Ren could not be bothered to think about the details. Gao Shaojie had just arrived. As for Zhao Wenhua … Even if he had some questions, he couldn’t say anything.
Unknowingly, boss Zheng had already ignored Zhao Wenhua. The person who used to say that he would eat more had long been left behind by Zheng Ren.
After removing the bandage, Zheng Ren saw that the patient’s family member’s toes had scabbed. The fourth toe of his left foot was red, swollen, and broken, with a small amount of blood oozing out. The tip of the toe was black and purple, and some of the toes were already dead.
“Get ready to be hospitalized.” Zheng Ren checked the system’s diagnosis of the big pig’s trotter, and it was accurate. He sighed.
The patient’s son was dumbfounded. He did not expect his mother’s illness to be so serious.
Not to mention anything else, just the black, charcoal-like color of the tip of his toes was enough to make him feel terrified. In addition, there was a strange smell. Even if one wasn’t a doctor, they would know that it was necrosis.
“There are already initial signs of gangrene.” Zheng Ren said.
“What?” The patient’s son was so stunned that he did not hear Zheng Ren’s words clearly.
“This toe already shows signs of necrosis. Damp gangrene is caused by the fact that the necrotic tissue contains more water, so the infection is serious, and the local area is obviously swollen, dark green or black. ” Zheng renxu tapped the fourth toe on the old lady’s left foot.
“The decaying bacteria breaks down protein, producing indolol, skumatin, and so on, causing a foul smell. Due to the rapid development of the lesion, the inflammation is more pervasive, so there is no clear boundary between the necrotic tissue and the healthy tissue. “
“…” The patient’s son was really stunned this time.
When he got closer, he smelled a foul smell. It wasn’t very rich, but he could smell it when he got close.
“Doctor …”
“He’s going to the trauma care department for hospitalization. He’ll probably have to amputate his toes. ” Zheng Ren asked,”Auntie, what other illnesses do you have?”
The old lady knew the condition of her foot, but it didn’t hurt too much. She had been hoping that it would recover. She was slightly confused when she heard Zheng Ren say that.
“I also have diabetes.”
“Is your blood sugar well controlled?” Zheng Ren asked.
“She’s taking insulin, and her voracious blood sugar level is 8.2. “
“Your condition is fine. It’s just that you didn’t receive treatment in time.” Zheng Ren said,”don’t worry about your husband’s condition. The surgery has been completed and he will be discharged very soon.”
The patient was discharged from the hospital and went home, but the family members of the patient who came to accompany him would probably have to be hospitalized. Moreover, her stay in the hospital was much longer than her husband ‘s.
For example, in the current situation, negative pressure suction was needed after the toes were amputated to suck away the inflammatory oozing and other substances. Zheng Ren had done all these things during the earthquake relief.
The situation of necrosis was similar, but the cause of it was different.
“Professor Zhao,” Zheng Ren said in a deep voice.
“Boss Zheng,” Zhao Wenhua bowed slightly and stood beside Zheng Ren respectfully.
“Send Auntie to the traumatic injury Department. If you’re too busy at home, help me contact a caretaker.”
As Zheng Ren spoke, he simply disinfected and cleaned the old lady’s toes, then bandaged them.
“Don’t wear your shoes, use the wheelchair to push it. “
Zheng Ren stood up and patted the old lady’s shoulder. He said gently,””Auntie, don’t worry. He’ll recover very quickly after the hospitalization surgery.”
“…” The old lady didn’t expect things to change so drastically. After suddenly hearing about the severed toes, she couldn’t accept it for a while.
Zheng Ren consoled her and turned to leave.
As a senior doctor, Zheng Ren indeed no longer had any contact with the patients ‘family members. Having someone like Chang Yue to take charge of his subordinates was a lot less worrying.
At the very least, with the heavy workload and the high turnover rate, Chang Yue still did things methodically without any mistakes.
He had already explained the situation and the solution. All that was left was for Zhao Wenhua to communicate with the patient and the family to make their own choices.
Gao Shaojie followed Zheng Ren to the treatment room. Seeing boss Zheng wash his hands, Gao Shaojie said,”boss Zheng, you’ve been really busy today.”