It's an old problem, "the old lady said with a smile." It's fine. "
How could she be fine? Zheng Ren quickly supported the old lady and helped her sit down on a small stool at the side.
"Auntie, what's wrong with you?" Zheng Ren asked with a smile.
Zhao Yunlong and Gao Shaojie did not feel that there was anything strange about it. This was a very common behavior to close the distance with the patient's family. However, most of the time, it was the doctors in charge who were meticulous. There were not many leaders or department directors in the medical group who did this.
"I'm old, I have bone spurs. Plus, I had a few blisters on my feet. It hurts a little when I walk, but I'm fine, "the old lady said with a smile.
"Blisters are made from rubbing?"
"When I soaked 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, and I got two blisters."
Patients with diabetes had problems with peripheral sensations, which could appear in the early stages of diabetes. It was characterized by symmetrical sensory disturbances in the limbs. The lower limbs were more sensitive than the upper limbs, and the sensory abnormalities appeared earlier than the pain.
Based on the System's panel, Zheng Ren vaguely understood that the patient's family members were not sensitive to pain.
When the temperature of the water was too high, most people would raise their feet. This was an instinctive reaction.
Due to the sensory impairment of the peripheral nerves, the patient's family members' self-protection reflexes became less sensitive.
Moreover, there were symptoms of toe necrosis. The fact that the patient's family members could still walk with a limp proved this point from another angle.
"Auntie, let me take a look." Zheng Ren smiled and said, "It's fine to have blisters. I can also see if I need to disinfect it."
Although the patient's family was puzzled, they did not refute Professor Zhao's words when they saw how respectful Professor Zhao was to the young doctor in front of them. Instead, he sat down obediently and took off his socks.
As he took off his socks, Zheng Ren's eyebrows furrowed.
The patient's family member's left foot was wrapped in gauze, and there was a strange smell coming from his toe.
Gao Shaojie was stunned for a moment. He did not expect Boss Zheng to "casually" find a patient's family member, and the situation was so serious.
It was the same for Zhao Yunlong. Previously, he had slightly criticized Boss Zheng for not doing what the doctor in charge did. When he saw the bandage on the patient's family member's leg, he could not help but be stunned.
"Change the medicine packet," Zheng Ren said in a deep voice as he grabbed another stool.
The young doctor beside Zhao Yunlong quickly went to get the dressing bag and ran all the way back to the ward.
"Auntie, let me change your dressing," Zheng Ren said gently.
"Doctor, it's no trouble. I can do it myself."
"Your blisters look very heavy." Zheng Ren did not follow along with the patient's words and focus on whether anesthesia was troublesome. Instead, he went straight to the point with a slightly awkward expression.
Su Yun was not around, so he could not be bothered to think about the details. Gao Shaojie had just arrived. As for Zhao Yunlong … even if he had doubts, what could he say?
Unknowingly, Zhao Yunlong had been ignored by Boss Zheng. The person who used to say that he took advantage of others had long been left behind by Zheng Ren.
After removing the bandages, he saw that the patient's family member's toes were scabbed. The fourth toe on the left foot was red, swollen, and ulcerated with a small amount of blood seeping out. The front of the toes were dark purple, and part of the toes had already died.
"Prepare to be hospitalized," Zheng Ren said with a sigh. The System's diagnosis of the System was accurate.
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 at the front of the toes made him feel terrified. In addition, there was a strange smell. Even if he was not a doctor, he could tell that it was necrosis.
"There are already preliminary signs of gangrene," Zheng Ren said.
"What?" The patient's son was stunned and did not hear Zheng Ren's words clearly.
"This toe has already shown signs of necrosis. Wet gangrene is because the necrotic tissue contains more water, so the infection is serious. The area is obviously swollen and is dark green or dirty black. "Zheng Ren pointed at the old lady's left fourth toe.
"Spoilage decomposes proteins to produce indole, fecal odor, and so on, causing a foul smell. Because the lesion develops faster and the inflammation is more diffuse, 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 was not very strong, but he could smell it when he got closer.
"Doctor …"
"Go to the trauma department for inpatient treatment. I think you'll have to amputate your toe," Zheng Ren said. "Auntie, do you have any other illnesses?"
The old lady knew the condition of her foot, but it did not hurt much. She had always held the thought that it would get better. Hearing Zheng Ren say that, she was slightly confused.
"I also have diabetes."
"Is your blood sugar control good?" Zheng Ren asked.
"I'm taking insulin. My fasting blood sugar is 8.2."
"Your condition is fine, but the treatment is not timely," Zheng Ren said. "Don't worry about your husband's condition. The surgery has already been completed. He will be discharged soon."
The patient could be discharged from the hospital and go home. The family members of the patient who came to accompany him would probably have to be hospitalized for treatment. Moreover, her hospitalization time was much longer than her husband's.
In the current situation, after amputation, there was still a negative pressure suction to suck away the inflammatory exudate and other substances. Zheng Ren had done all these things when he was fighting the earthquake and providing disaster relief.
The situation of necrosis was similar, but the cause was different.
"Professor Zhao," Zheng Ren said in a deep voice.
"Boss Zheng." Zhao Yunlong bowed slightly and stood beside Zheng Ren respectfully.
"Send Auntie to the trauma department to be hospitalized. If the family can't handle it, help me contact a nurse."
As Zheng Ren spoke, he disinfected and cleaned the old lady's toe before bandaging it.
"Don't wear shoes. Use a wheelchair to push her there."
Zheng Ren stood up and patted the old lady's shoulder. He said gently, "Auntie, don't worry. She'll recover very soon after being hospitalized for surgery."
"…" The old lady did not expect things to change so drastically. After suddenly hearing about the toe amputation, she could not accept it for a while.
After Zheng Ren comforted her, he turned around and left.
As a senior doctor, Zheng Ren did not deal with the patient's family anymore. With someone like Chang Yue in charge, it was still easier for him to worry.
At the very least, under the heavy work and high turnover, Chang Yue still did things in an orderly manner without any mistakes.
He had already explained the situation and the solution. All that was left was for Zhao Yunlong to communicate and for the patient's family to make their own choices.
Gao Shaojie followed behind Zheng Ren to the treatment room. Seeing Boss Zheng wash his hands, Gao Shaojie said, "Boss Zheng, you're really busy today."
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