Chapter 2365

"Old trouble." The old lady smiled and said to Zheng Ren, "it's okay."

How can it be all right? Zheng Ren quickly held the old lady and helped her to one side of the small stool to sit down.

"Aunt, what's the matter with you?" Zheng Ren asked with a smile.

Zhao Wenhua and Gao Shaojie don't think it's weird. This is a very common way to pull in the distance from the patient's family. However, most of them are bed doctors who do everything, but not many leaders of the medical group or department directors do so.

"I'm old. I have bone spurs. In addition, there are several blisters on my feet before I add them. It hurts a little when I walk, but there's nothing else." The old lady said with a smile.

"Are blisters ground?"

"I soaked my feet at night. I just thought that the old man would come for surgery. I didn't notice that the water was too hot, so I got two blisters."

Diabetic patients feel at the end of the problem and can appear in the early stage of diabetes. It is characterized by symmetrical limb sensory impairment, lower limbs are more than upper limbs, and sensory abnormalities occur earlier than pain.

Sensory abnormalities include many points, which are cross referenced with the system panel. Zheng Ren vaguely understands that the performance of the patient's family members should be insensitive to pain.

When soaking feet, the water temperature is too high. Most people will lift their feet, which is an instinctive reaction.

The patient's family members are not so keen because of peripheral nerve sensory impairment.

Moreover, there are symptoms of toe necrosis, and the patient's family members can limp, which is also proved from another angle.

"Aunt, let me have a look." Zheng Ren said with a smile, "there's nothing wrong with grinding bubbles. Just look by the way to see if you need to disinfect."

Although the patient's family members were a little puzzled, they saw that Professor Zhao, who operated on him, was respectful to the young doctor in front of them and did not refute it. Instead, sit down and take off your socks.

With the socks off, Zheng Ren's eyebrows tightened.

The left foot of the patient's family was wrapped with gauze. There was exudation at the toe, and a strange smell floated out.

Gao Shaojie was stunned. He didn't expect that boss Zheng "casually" found a patient's family, but the situation was so serious.

Zhao Wenhua is the same. He had a little abdominal Fei before. Boss Zheng shouldn't do what bed doctors do. At this time, I was stunned to see the bandage on the patient's family's feet.

"Change the medicine bag." Zheng Ren took another stool and said in a deep voice.

The little doctor beside Zhao Wenhua hurried to get the medicine bag, ran all the way and returned to the ward.

"Aunt, I'll change your medicine." Zheng Ren said gently.

"No trouble, doctor. I'll do it myself."

"Your blister looks very heavy." Zheng Ren didn't follow the patient's words and was tangled in numbness. It was not troublesome, but he cut into the subject directly.

In the absence of Su Yun, Zheng Ren is too lazy to consider more details. Gao Shaojie has just arrived. As for Zhao Wenhua... Even if he has questions, what can he say.

Unconsciously, Zhao Wenhua has been ignored by boss Zheng. The man who once said that he ate more and occupied more has long been dumped by Zheng Ren.

When the bandage was opened, Zheng Renjian's family members had scabs on both toes, of which the fourth toe of the left foot was red, swollen, broken, and a small amount of blood exuded. The front end of the toe is black purple, and some toes have been necrotic.

"Prepare for hospitalization." Zheng Ren checked the systematic diagnosis of the pig's hoof and said with a sigh.

The patient's son was stupid. He didn't expect his mother to be so ill.

Among other things, the black, charcoal like color at the front of his toes made him feel terrible. In addition, there is a peculiar smell. Even if it is not a doctor, it can know that it is necrosis.

"There are preliminary signs of gangrene." Zheng Ren then said.

"What?" The patient's son was stunned and didn't hear Zheng Ren clearly.

"This toe has been necrotic. Wet gangrene is because the necrotic tissue contains more water, so the putrefactive bacteria infection is serious, and the local area is obviously swollen, dark green or dirty black." Zheng renxu nodded the fourth toe of the old lady's left foot.

"Putrefactive bacteria decompose proteins and produce indole, septic, etc., resulting in malodor. Due to the rapid development of lesions and diffuse inflammation, there is no obvious boundary between necrotic tissue and healthy tissue."

"..." the patient's son was really stunned this time.

When he got close, he smelled a foul smell. Not very strong, but I can smell it close.

"Doctor..."

"To go to trauma surgery for hospitalization, it is estimated that the toe should be amputated." Zheng Ren said, "aunt, what else do you have?"

The old lady knew the condition of her feet, but it didn't hurt very much. She always held the idea of being good. Hearing Zheng Ren say so, she is a little confused.

"I still have diabetes."

"Is blood sugar control good?" Zheng Ren asked.

"Insulin, fasting blood glucose is 8.2."

"Your condition is OK, but the treatment is not timely." Zheng Ren said, "don't worry about your lover. He has finished the operation and will be discharged soon."

This matter makes trouble. All patients can leave the hospital and go home. It is estimated that the family members of the patients who come to accompany them will have to be hospitalized. And her hospital stay is much longer than that of her wife.

In this case, after toe amputation, negative pressure suction is also needed to suck away substances such as inflammatory exudation. Zheng Ren did all these things during the earthquake relief.

The situation of necrosis is similar, but the inducement is different.

"Professor Zhao." Zheng Ren said in a deep voice.

"Boss Zheng." Zhao Wenhua stooped slightly and stood on Zheng Ren's side, respectful.

"Send your aunt to the trauma department for hospitalization. If you are too busy at home, please contact a nursing sister-in-law."

Zheng Ren said, simply disinfecting and cleaning the old lady's toes, and then bandaging them.

"Don't put on your shoes. Push it in a wheelchair."

Zheng Ren stood up, patted the old lady on the shoulder and said gently, "aunt, don't worry, the hospital operation will get better soon."

"..." the old lady didn't expect that things had changed so much. After suddenly hearing the amputation, she couldn't accept it for a moment and a half.

Zheng Ren comforted and turned away.

As a superior doctor, Zheng Ren does not deal with the patient's family now. It's easy to have Chang Yue in charge.

At least, with heavy work and ultra-high turnover, Chang Yue still does things methodically without any mistakes.

The situation has been explained and the solution has been said. What remains is Zhao Wenhua's communication and the patient's family's own choice.

Gao Shaojie followed Zheng Ren to the disposal room and saw boss Zheng wash his hands. Gao Shaojie said, "boss Zheng, you are really busy this day."