Vol 3 Chapter 2365: Perceived insensitivity

"I'm sick." The old lady smiled and said to Zheng Ren, "It's all right."
怎么 How can this be all right, Zheng Ren quickly supported the old lady and helped her to sit down on a small stool.
"Auntie, what is wrong with you?" Zheng Ren asked with a smile.
文 Zhao Wenhua and Gao Shaojie didn't find anything weird, this is a very common way to pull in the distance between patients and their families. However, most of them are meticulous doctors, but not many medical team leaders or department directors do this.
"Old man, there are bone spurs. In addition, there were a few blisters on my feet before walking, and it hurts a bit, but nothing else." The old lady said with a smile.
"Is the blister ground?"
"Soaking my feet at night, I was thinking that the old man was going to have an operation. I didn't notice that the water was too hot, so I was scalded with two blisters."
Patients with diabetes feel problematic at the periphery and can appear early in diabetes. It is characterized by sympathetic limb dysfunction, lower limbs than upper limbs, and paresthesia earlier than pain.
Sensory abnormalities include many points, and cross-referenced with the system panel. Zheng Ren vaguely understood that the performance of patients' families should be insensitive to pain.
When the feet are soaked with water, the average person will raise their feet. This is an instinctive reaction.
And the family members of patients suffer from peripheral nerve sensory disturbances, causing this body's self-protection reflex to become less acute.
Also, there are symptoms of toe necrosis, and the family members of the patients can walk with limping, which proves this from another angle.
"Auntie, let me have a look." Zheng Ren said with a smile, "It's fine to grind the foam, just by the way, see if you need to disinfect it."
Although the patient's family members were a little puzzled, they saw Professor Zhao who had performed the operation on himself in a respectful manner and did not refute the young doctor. Instead, sit down and take off your socks.
With the socks off, Zheng Ren's eyebrows tightened.
The family members of the patients were wrapped in gauze on their left feet, and the toes were exuding, and a strange smell came out.
Gao Shaojie stumbled a moment, he did not expect that Boss Zheng "randomly" found a family member of the patient, but the situation was so serious.
Zhao Wenhua is also the same. Before that, Boss Zheng was also slightly abrogated. He should not do what the bed doctor did. At this time, I saw the bandage on the patient's family's feet, and couldn't help it.
"Change the medicine pack." Zheng Ren took another stool and said Shen Sheng.
文 The little doctor beside Zhao Wenhua rushed to get the medicine bag, ran all the way, and returned to the ward.
"Auntie, I'll give you another medicine," Zheng Ren said gently.
"Doctor, no trouble, I'll do it myself."
"You look at the blisters very heavily." Zheng Ren did not follow the patient's words and was not bothered by the anesthesia, but went straight to the topic with a little awkwardness.
Yun Su Yun is not here, more details Zheng Ren can't bother to consider. Gao Shaojie just arrived. As for Zhao Wenhua ... even if in doubt, what can he say.
Unconsciously, Zhao Wenhua has been ignored by Boss Zheng. In the past, the person who said that he had eaten and occupied more had been disappeared by Zheng Ren.
The bandage was opened. Zheng Ren saw multiple crusts on the two toes of the patient's family. Among them, the fourth toe of the left foot was red, swollen, and ulcerated, and a small amount of blood leaked out. The front of the toes is dark purple, and some toes have been necrotic.
"Ready to be hospitalized." Zheng Ren said with a sigh of relief when he checked the systematic diagnosis of Big Hoof.
The patient's son was stupid. He didn't expect his mother to be so sick.
He said nothing else. The black color of the tip of his toes made him feel horrible. Coupled with the smell, even a doctor can know that it is necrotic.
"There are preliminary signs of gangrene," Zheng Ren said later.
"What?" The patient's son stumbled and didn't hear Zheng Ren's words clearly.
"This toe already shows signs of necrosis. Wet gangrene is because the necrotic tissue contains more water, so the spoilage bacteria are severely infected, and the area is obviously swollen, showing dark green or dirty black." Zheng Renxu nodded the old lady's left foot The fourth toe.
"The spoilage bacteria decomposes proteins and produces indole, skatole, etc., which cause malodor. Due to the rapid development of lesions and diffuse inflammation, there is no clear 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's not very rich, but you can smell it when you get closer.
"Doctor ..."
"It is estimated that I am going to be amputated for trauma surgery hospitalization." Zheng Rendao, "Auntie, what else do you have?"
The old lady knew the condition of her feet, but it didn't hurt too much, she always held good thoughts. After hearing what Zheng Ren said, she was slightly confused.
"I still have diabetes."
"How good is the blood sugar control?" Zheng Ren asked.
"What about insulin? Fasting blood glucose is 8.2."
"Your condition is okay, that is, the treatment is not timely." Zheng Rendao, "Don't worry about the condition of your lover. After the operation has been completed, he will be discharged soon."
的 This matter is troublesome, the patients can be discharged home, and it is estimated that the family members of the patients accompanying them have to be hospitalized ~ EbookFREE.me ~ and her hospital stay is much longer than the hospital stay of her wife.
This is like the situation in front of me. After amputation, I need to under negative pressure to out inflammatory exudation and other substances. Zheng Ren did all these things during the earthquake relief.
The situation of necrosis is similar, but the inducement is different.
"Professor Zhao." Zheng Renshen said.
"Boss Zheng." Zhao Wenhua stooped slightly, standing beside Zheng Ren, respectfully.
"Send my aunt to the trauma department and be hospitalized. If the family is too busy, please contact a nurse."
Zheng Ren said, while simply disinfecting and cleaning the old lady's toes, then bandaging.
别 "Don't wear shoes, push it in a wheelchair."
Zheng Ren stood up, patted the old lady's shoulder, and said gently, "Auntie, don't worry, the hospitalization operation will be better soon."
"..." The old lady didn't expect that things had changed so drastically. After hearing the ambiguous thing suddenly, she would not be able to accept it for a short while.
After Zheng Ren's reassurance, he turned and left.
As a senior doctor, Zheng Ren did not deal with the patients' families anymore. There are people like Changyue who are in charge, and it is quite worry-free.
At least the heavy work, under the super high turnover, Chang Yue still has a clever idea to do things, there is no trace of flaws.
The situation has been explained by himself, and the solution is also said. The rest is Zhao Wenhua's communication and the patient's family's own choice.
Gao Shaojie followed Zheng Ren to the treatment room, watching Boss Zheng washing his hands, Gao Shaojie said, "Boss Zheng, you are really busy this day."