Come on, Dr. Wu

Chapter 43 Amputation! (Ask for monthly ticket)
  Liu Wenyin smiled when she heard this. In the emergency room, you don't have to know other things, but there are two skills that you must know. One is to save lives, and the other is to seek consultation.

Sometimes, asking for a consultation is more important than saving a life, because you may not be able to save some lives. You can only ask for a consultation quickly and let the people who can save lives come.

Just like Sun Monkey causing trouble in the Heavenly Palace, no matter how powerful the Jade Emperor is, he still has to invite the Tathagata.

People from the Department of Hepatobiliary Surgery arrived quickly. Chief Liu from the company director's team came. Jia Yu followed behind and winked at Wu Xiaofu. It seemed that Yu Xiaoze was destined to stay alone in the empty room tonight.

"There is no need for surgery yet. Let's take some liver-protecting and anti-inflammatory medicine first. The key is to stop drinking."

The cause of the disease is actually alcohol. The patient is 46 years old and has been drinking for 36 years. He is addicted to alcohol. Alcohol dependence is actually very scary. At the beginning, the patient in front of him was just making noise and drinking with his friends. The drinking became more and more unstoppable. Sometimes I had to drink two taels when I got up early. Since I was working as an individual and there was no boss to care about me, sometimes I would drink wine as water while working.

Drinking like this, in fact, this patient, at this age and with this body, has already accumulated merit in his previous life.

Both the family members and the patient were relieved to hear that there was no need for surgery. After informing the family members, the liquid was already used. The body temperature has now dropped below 38 degrees. At least the patient is awake.

"What, quit drinking? No, doctor, anything is possible, just quit drinking. Please give me some medicine. I can take medicine first when I drink. I can't quit drinking."

When Wu Xiaofu said that he wanted to stop drinking, the patient immediately became excited. At this moment, his stomach no longer hurt.

Not to mention that the doctor was helpless in this situation, his wife was furious, "Either you quit drinking, or I quit, you choose one, the doctor says it all, but if you don't listen, you have to drink yourself to death."

"I had already quit, but last month, I asked you to escort me from the living room to the bedroom again."

The patient muttered in a low voice, but both Wu Xiaofu and the patient's wife heard it, especially the patient's wife, who blushed with embarrassment. Can this be said outside?

"Lin Gouzi, you are going to die!"

"Doctor, is there any other way? At most, I can just drink less from now on. How about changing three meals to two?"

Wu Xiaofu raised his eyebrows, thinking that this was a vegetable market to buy vegetables. You were drinking wine here and taking medicine there. Isn't it all in vain?

"Okay, you can't drink wine anymore. Just drink more water from now on. Just get used to it."

"Is the water 52 degrees? I usually don't even take a look at 42 degrees."

"The water is still a hundred degrees, do you want it?"

Alcohol dependence is not easy to stop. After seeing many patients in the emergency department for the first time, they will be seen again soon after. However, the first time they see them, they can still bring the medicine back. The first time may have to be in the inpatient department or the operating room. The third or fourth time, until you know the seriousness later, it will be too late to quit.

After all, the hospital is not an institution that forces alcohol abstinence. Sometimes, it can only explain the dangers clearly.

He took a brochure from the emergency room bulletin board and handed it to the patient, "It will be beneficial to read more of this."

The brochure promotes abstinence from alcohol, and Biwu Xiaofu's explanation is much more detailed. In the second half of the night, the number of people was always smaller than in the first half of the night, but it was still limited. Liu Wenyin asked Wu Xiaofu and Qu Ying to take turns to rest, and then call her when there were patients. However, Wu Xiaofu and Qu Ying rested for an hour or two, and Liu Wenyin It didn't work. Almost as soon as this patient left, that patient came, and Liu Wenyin was not allowed to rest.

At five o'clock in the morning, Wu Xiaofu was staring.

The nurse told me at the desk that an old lady would come over soon with bleeding from her right foot and she was already unconscious.

Wu Xiaofu's first reaction was trauma. After notifying Liu Wenyin, the patient came here not long after. The old lady was over seventy years old. Looking at her right foot that had been wrapped, Wu Xiaofu frowned. When the patient passed by Wu Xiaofu, Wu Xiaofu Wu Xiaofudang understood even if he could smell a foul smell.

This is diabetic foot!
  Foot-picking for ordinary people may be just a bad habit, but foot-picking for diabetics may be fatal.

In the emergency room, Wu Xiaofu took off the gauze on the patient's right foot, took a look, and shook his head. The patient's diabetic foot was already very serious, and two of his toes were completely broken. He would probably suffer from it at home. The dressing is often changed, but this time the bleeding occurred at the joint of the big toe and the second toe.

It is almost common for patients with diabetes to have itchy skin in the later stages. One is neuropathy caused by high blood sugar, which can cause sensory dysfunction and cause itchy skin. The other is less perspiration and the skin is much drier than normal people. There are also A person with low immunity is easily invaded by bacteria, leading to skin inflammation and itching.

Itching is the most difficult to deal with, because there are almost no medicines that can effectively relieve itching. The itching makes it annoying and makes it difficult to sleep. The mental condition gets worse day by day and the inability to sleep is simply torture. These are the worries of patients with advanced diabetes.

The old lady also felt that her toes were extremely itchy and she couldn't help but want to scratch them.

However, her skin condition was already poor, and her blood vessel condition was not good due to diabetes. This caused a problem. Although it was venous bleeding, the amount of bleeding was not small. At this time, the old lady was already He fell into a coma and his hemoglobin dropped to over 60. After arranging a blood transfusion, he urgently called the endocrinology department, interventional department, hematology department and orthopedics department for consultation.

Pressing to stop the bleeding can no longer control the bleeding, and combined with medication, the effect is not ideal.

Wu Xiaofu urgently drew blood and did a color Doppler ultrasound of the arteries and veins of both lower limbs. The left side was better, but there were many plaques and a lot of blockages. The right side was extremely bad. The arteries below the knee, such as the anterior tibial artery and the dorsalis pedis artery, were basically all damaged. It is already eighty or ninety percent blocked. To be honest, this foot is probably not safe.

The blood sugar level was 26. Fortunately, it did not cause ketosis. It should be that the severe infection of the diabetic foot caused difficulty in controlling blood sugar, and the infection indicators were also high.

"It has to be amputated."

After summarizing the opinions of several major departments, they came to the conclusion that the specific method of cutting would require at least the right foot, and more specifically, an angiogram would be required.

The patient's family couldn't help but fall silent when they heard this answer.

In fact, the patient is also a frequent visitor to the hospital. This is probably not the first time that these family members have heard of the amputation plan. They just thought about delaying it as long as they could, but unfortunately, it could not be delayed in the end.

Deadly? Want feet? Although it was difficult to accept, the choice had to be made after all. In the end, the patient was transferred to the orthopedics department and was preparing for amputation surgery in the near future.

Wu Xiaofu couldn't help but sigh as he looked at it. Life is really hard for modern people. They suffer from varicose veins after standing for a long time, hemorrhoids after sitting for a long time, and bedsores after lying for a long time. In addition, after thirty, you have to pay attention to blood pressure, blood sugar, and blood lipids. What's the point? The problem is a lifetime of troubles.

Look, after staying up all night again, Wu Xiaofu hurried back and brewed half a cup of wolfberry.

(End of this chapter)