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9. Diabetic foot

"Okay, you sit next to me and I'll take a look at the wound."

Su Jie smiled and agreed, speeding up to deal with the previous items, and then focused on the old man's feet.

As soon as he entered the door, Su Jie noticed that the old man's left foot was wrapped with thick gauze. From the appearance of the bandage, he could tell that it was Dr. Jiang Wu's technique.

The system prompts that this is the task of the master-level dressing change technique, but it seems that the old man should be a patient undergoing routine dressing change, and it does not seem like a special emergency that requires special treatment.

In addition, yesterday, Dr. Guipei reminded himself not to come to the dressing room today. Is it also because of this old man?

Su Jie couldn't help but murmur in his heart. It was just a simple dressing change. Jiang Wu was confident that he, an intern who had just finished clinical work, would stay here. Is it possible that something else could come out?

There shouldn't be any big problem...

Doubtful, Su Jie peeled off the gauze on the old man's feet bit by bit.

The answer to the mystery slowly appeared before Su Jie's eyes.

stench!

Unbearable stench!

Just as Su Jie slowly removed the gauze, an indescribable stench suddenly gushes out from the wound. Su Jie was caught off guard and almost retched on the spot!

This was not an ordinary wound, it was very difficult... Realizing that the matter was not that simple, Su Jie calmed down and dealt with it carefully.

The gauze was peeled away little by little, revealing the wound that was bandaged inside. Although he had been prepared for it, when he saw the true appearance of the wound, Su Jie couldn't help but feel a huge trepidation in his heart.

There were three toes standing on the sole of one foot, and the other two toes were bare. Su Jie guessed that they had been amputated.

But the only three remaining toes don't look very optimistic at this time. They are black, gangrenous, and blistered. Similar symptoms also appear on the forefoot. It may be only a matter of time before they are all amputated.

The stench was emanating from the base of the toes, and there were two wounds the size of little fingers, glowing with water, which looked like signs of infection.

Diabetic foot...

Su Jie quickly diagnosed the old man's illness.

As if she understood Su Jie's inner monologue, the old lady said at this time: "I have been diabetic for more than 30 years, and my blood sugar has been uncontrollable. It was fine when I was young, but when I got old, my body was completely rotten. This foot depends on Dr. Jiang Wu every time."

Change the medicine twice a week, otherwise I wouldn’t be able to save it long ago. Young man... can you do it?"

Su Jie thought for a moment, weighed his level, and then said firmly: "Okay!"

The old lady glanced at Su Jie in surprise. She seemed to be subdued by his momentum and did not continue to say anything.

Su Jie began to prepare the supplies for diabetic foot dressing replacement.

At the same time, he quickly scanned some relevant knowledge about diabetic foot in his brain.

This is a type of foot pain, foot ulcers, foot gangrene and other diseases caused by nerve abnormalities in the distal lower limbs and peripheral vascular disease in the distal lower limbs.

Once the disease occurs, the course of the disease is quite long and the torture to the patient is unimaginable.

When Su Jie was in school, he heard his teacher say that for patients suffering from this disease, how to protect their feet has become a crucial part of their lives.

Due to the influence of diabetes and the insufficient blood supply and nutrition of the distal limbs, once the feet are injured, the result is often difficult to heal for a long time, followed by inevitable infection, and ultimately the fate of amputation.

The teacher was also a physician at Southeast Hospital, and he mentioned a real clinical patient.

The patient was almost eighty years old, had a history of diabetes for more than thirty years, and had diabetic foot. Because the water for soaking his feet in winter was too hot and the time was too long, he developed an inconspicuous blister on his toe.

The old man didn't take it seriously and let it go. But as time went by, the blisters were worn out by the shoes, but the wounds never healed. Instead, they got bigger and bigger, causing fever, ulceration, and pus... and finally got out of hand.

, he just remembered to go to the hospital.

When I got to the hospital, I showed it to the doctor. The doctor was dumbfounded.

It's already reached this point, there's nothing good to see. The physician can only shake his head and sigh, it's too late, go to the surgery and amputate!

The old man in front of me paid great attention to protecting his feet. After problems occurred, he actively came to the hospital for treatment and changed the dressing at a fixed time every week.

However, the trend of diabetic foot deterioration is still very obvious, and in the end, amputation may still be inevitable.

An old man in his eighties, with this physical condition, he was probably not going to be around for a few years, and he had to undergo amputation before he left... Su Jie couldn't bear it, and wanted to try it himself to see if he could help.

After all, I am a bastard.

Su Jie calmly held a pair of tweezers and picked up a piece of iodophor cotton ball that was neither dry nor wet, and carefully began to disinfect the wound.

He knew very well that his strength had to be right. If it was too light, it would not have the effect of disinfection. If it was too heavy, it would easily damage the already fragile skin tissue and cause secondary damage.

Less than ten centimeters away from the wound, the foul smell hit his face. Su Jie could only hold his breath as much as possible and focus on disinfecting the wound.





Emergency department, first aid room.

"Adrenaline push one more! Come on, why are you dawdling!"

"Don't stop pressing, keep on! Keep on!"

"How's it going? Has the spontaneous heartbeat returned? After the compressions stopped for a while, I can't tell whether it's the spontaneous heartbeat when you press it like this, or whether it's the spontaneous heartbeat that you pressed... OK, OK, the automatic heartbeat is back, and I'm alive!"

Looking at the steady rise and fall of sinus rhythm on the monitor, a group of people breathed a sigh of relief, wiped the sweat from their foreheads, and felt relieved.

"What time is it now?" Dr. Jiang Wu, who had finished the rescue, suddenly remembered something, bumped the doctor next to him on the shoulder and asked.

"It's half past three, what's wrong?"

"No, there's an old patient coming to change his dressing. I forgot about it!" Jiang Wu slapped his thigh and said in annoyance.

"It's just a dressing change. Why are you in a hurry? You're sweating so much. Go back and change your clothes first. Don't catch a cold. Wait a moment."

This chapter is not over yet, please click on the next page to continue reading! "No, I'm going to the dressing room first. The patient is the father of the old dean. He is eighty-three years old this year. I don't dare to let him wait for me."

Jiang Wu said hurriedly, and before he finished speaking, he turned around and walked towards the dressing room.

Jiang Wu strode quickly to the triage table. Nurse Xiao Min, who was sitting in the triage table and answering the phone, saw him, but as if she had seen a ghost, she hurriedly stopped him and said, "Hey? Doctor Jiang, why are you here?"

Here, aren't you in the dressing room?"

"Who said I was in the dressing room? I have been in the emergency room just now, and there are patients being rescued." Jiang Wu frowned.

"ah?!"

Nurse Xiao Min blinked and said in confusion: "Who is in the dressing room? I thought you were in there, so I asked the second elder to go in and change the dressing room."

"What? The second elder has already gone in? How long have you been in there?"

Nurse Xiao Min looked back at the wall clock: "It's been at least a quarter of an hour."

"broken!"

Jiang Wu didn't have time to explain anything, and rushed towards the dressing room with long strides. His posture was almost the same as that of rescuing a dying patient in the emergency room.

Looking at the door of the dressing room getting closer and closer, Jiang Wu's intestines almost turned green at this moment.

I was so heartbroken that I dared to let an intern who had just finished his second day of clinical work be alone in the dressing room!

Every Wednesday, the fifth and second elder will come to change the dressing at around three o'clock in the afternoon. Even the training doctor in the department knows this. How could I forget this!

The old director personally told me before that I must try my best to save the old man's foot and never go to the step of amputation. Although it seems difficult to fulfill this promise now, as long as I insist on changing the dressing, it should be fine for more than half a year.

Jiang Wu finally held the door handle of the dressing room. At this moment, he felt that his heart was beating like a drum, and the thumping was unbearable.

Xiao Su, please don't change the old man's dressing in a moment of fever. With your three-legged cat dressing skills, all my previous efforts will be ruined as soon as you get started!

Ten million, ten million!
Chapter completed!
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