Chapter 2363 the Fault of Insensitive Perception

"It's an old problem." The old lady said to Zheng Ren with a smile, "It's fine."

How could it be all right? Zheng Ren quickly supported the old lady, and helped her to sit on a small stool beside her.

"Auntie, what's wrong with you?" Zheng Ren asked with a smile.

Zhao Wenhua and Gao Shaojie didn't think there was anything weird about it either. This is a very common behavior to increase the distance with the patient's family. However, most of the doctors in charge of the bed are meticulous, but not many leaders of the medical team or department directors do so.

"Old man, I have bone spurs. In addition, I had a few blisters on my feet before I came here. It hurts a little when I walk, but it's nothing else." The old lady said with a smile.

"Is the blister ground?"

"Soaking your feet at night, just thinking that the old man is going to have an operation, didn't notice that the water was too hot, so I got two blisters."

Diabetic patients have peripheral sensory problems, which can appear in the early stages of diabetes. It is characterized by symmetrical limb sensory disturbances, more lower extremities than upper extremities, and paresthesias appearing earlier than pain.

The paresthesia includes many points, 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 the water temperature is too high when soaking feet, most people will lift their feet up, which is an instinctive reaction.

However, the patient's family members are less sensitive to the body's self-protection reflex due to peripheral nerve sensory impairment.

Moreover, there are symptoms of toe necrosis, and the family members of the patients can still walk with a limp, which proves this from another angle.

"Auntie, let me take a look." Zheng Ren said with a smile, "There's nothing wrong with rubbing and blistering, just drop by to see if it needs to be disinfected."

Although the family members of the patient were a little puzzled, they saw that Professor Zhao, who performed the operation on him, was respectful to the young doctor in front of him and did not refute. Instead, he sat down obediently and took off his socks.

As the socks were taken off, Zheng Ren's eyebrows tightened.

The patient's family member's left foot was wrapped with gauze, there was leakage from the toe, and there was a faint strange smell wafting out.

Gao Shaojie was stunned for a moment, he didn't expect Boss Zheng to "casually" find a family member of the patient, and the situation was so serious.

The same is true for Zhao Wenhua, who had previously slandered Boss Zheng for not doing what the doctor in charge of the bed should do. At this time, seeing the bandages on the feet of the patient's family members, they couldn't help being startled.

"Medicine change kit." Zheng Ren took another stool and said in a deep voice.

The little doctor next to Zhao Wenhua hurried to get the dressing change kit, ran all the way back to the ward.

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

"Doctor, don't bother, I can do it myself."

"Your blisters look heavy." Zheng Ren didn't follow the patient's words to worry about numbness, but directly cut to the point with a little awkwardness.

With Su Yun not here, Zheng Ren didn't bother to think about more details. Gao Shaojie has just arrived, as for Zhao Wenhua... Even if he has doubts, what can he say.

Before he knew it, Zhao Wenhua had been ignored by Boss Zheng. The person who used to say eat more and take more has long since been dumped by Zheng Ren.

After unwrapping the bandage, Zheng Ren saw scabs on both toes of the patient's family members. Among them, the fourth toe of the left foot was red, swollen, and ulcerated, with a small amount of blood oozing out. The front end of the toes is black and purple, and some of the toes are necrotic.

"Prepare to be hospitalized." Zheng Ren checked the system diagnosis of the big pig's hooves, which was accurate, and said with a sigh.

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

Not to mention anything else, just the black, charcoal-like color of the toes made him feel horrible. Coupled with the smell, even a non-doctor can know that it is necrosis.

"There are already initial signs of gangrene." Zheng Ren said afterwards.

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

"This toe has already shown signs of necrosis. Wet gangrene is caused by the necrotic tissue containing more water, so it is severely infected by spoilage bacteria, and the local area is obviously swollen, showing dark green or dirty black." Zheng Renxu tapped the old lady's left foot fourth toe.

"The spoilage bacteria decompose proteins, produce indole, skatole, etc., and cause stench. 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. Not very strong, but you can really smell it when you get close.

"doctor……"

"Go to trauma surgery hospital for treatment, probably toe amputation." Zheng Ren said, "Auntie, what other illness do you have?"

The old lady knew the condition of her foot, but it didn't hurt too much, and she kept thinking that it would be better. Hearing what Zheng Ren said, she was a little confused.

"I still have diabetes."

"Is your blood sugar under control?" Zheng Ren asked.

"Insulin injection, 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. The operation has been completed and he will be discharged soon."

This incident is so troublesome that the patients can be discharged and go home. It is estimated that the family members of the patients who came to accompany them will have to be hospitalized for treatment. And her hospital stay was much longer than that of her husband.

In the current situation, after the amputation, negative pressure suction is needed to suck away the inflammatory exudate and other substances. Zheng Ren did all these things during the earthquake relief work.

The cases of necrosis are similar, but the causes are different.

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

"Boss Zheng." Zhao Wenhua bent slightly and stood beside Zheng Ren, respectful.

"Send my aunt to the trauma department. If the family is too busy, please contact a nurse."

While talking, Zheng Ren briefly disinfected and cleaned the old lady's toes, and then bandaged them.

"Don't wear shoes, just use a wheelchair to push."

Zheng Ren stood up, patted the old lady on the shoulder, and said gently: "Auntie, don't worry, you will recover soon after the hospital operation."

"..." The old lady didn't expect things to change so drastically. After hearing about the toe amputation, she couldn't accept it for a while.

After Zheng Ren comforted him, he turned and left.

As a superior doctor, Zheng Ren no longer deals with patients' families. It's more worry-free to have someone like Chang Yue in charge.

At the very least, with the heavy workload and super high turnover, Chang Yue still does things in an orderly manner, without any mistakes.

The situation has been explained by itself, and the solution has also been mentioned. The rest is Zhao Wenhua's communication and the choice of the patient's family.

Gao Shaojie followed Zheng Ren to the disposal room. Watching Boss Zheng wash his hands, Gao Shaojie said, "Boss Zheng, you've been really busy today."