(Thanks to those who couldn’t wake up, kenny75, and the n for the monthly ticket encouragent)
The lunch was very rich. Wang Chao generously treated everyone to pig’s trotters.
For him, although he was a novice in fecal transplantation, there were many reference materials available and existing cases to study. This was an excellent opportunity to achieve significant results with less effort.
Of course, he also had his own thoughts. I can’t do it all by myself; I’ll definitely need help from my friends and colleagues. Especially Liu Banxia, he’s my steadfast moral support. And, of course, it would be even better if I could coax one or two interns into assisting .
His idea was nice, but the interns enjoyed the pig’s trotters without offering any help. They had many operations to observe and many patients to see. They didn’t have much ti to play with poop with him.
I guess I can do it myself. It just ans a bit more hard work and a few more complications, after all.
"President Liu, can’t you issue an administrative order for ?" Wang Chao asked helplessly.
"An administrative order? Are you kidding ?" Liu Banxia replied. "This has to be voluntary. Your patient load will be appropriately reduced for this period so you can focus on your research. As for the ti you lose, you can make it up slowly."
"This is as much convenience as I can offer. Later, I’ll look into it and see if I can contact our local military units to let you pick a donor."
Wang Chao nodded pitifully. He felt a mix of pain and happiness.
"Teacher Liu, there’s a patient here with paronychia. Could you take a look?" Xu Yino called out at this mont.
Liu Banxia nodded, put on a mask and gloves, and walked over.
"It’s the dial nail fold of her right big toe. The swelling looks quite severe, and it’s already suppurating. I was planning to take a sample from the patient for examination," said Xu Yino.
Liu Banxia glanced at the patient, a young woman in her twenties.
"The swelling is indeed quite severe. How did this happen?" Liu Banxia asked her.
"It just beca like this on its own. I took anti-inflammatory drugs at ho for a few days and wiped it with iodine, but it didn’t get any better," the patient said.
"Was there any trauma? Was it crushed or pierced? Or did you trim your toenails too aggressively?" Liu Banxia continued asking.
The patient shook her head. "Doctor, can it be fixed with just an incision and drainage? I still have so ads to shoot. Although they’re just minor ads, it’s my job."
"What kind of shoes do you usually wear? Flats or high heels?" Liu Banxia asked.
"Mostly high heels," the patient replied.
"It’s possible that the toe box of your high heels is too narrow and the heels are too high, causing pressure on your forefoot and big toe," Liu Banxia said.
"Moreover, your big toe is already suppurating. My personal suggestion is that even if you opt for incision and drainage, you shouldn’t put any more strain on it. How long has your toe been inflad like this? About a week?"
The patient nodded. "Yes, it’s been about nine days. It wasn’t this serious at first, but then two days ago, it suddenly swelled up like this."
"The suppuration is quite advanced; we should still do a pathological examination," Liu Banxia said.
"Doctor, will that take a lot of ti? I actually have another commitnt this afternoon. Can we do the drainage first?" the patient asked hesitantly.
"Your toe is already in this condition. It doesn’t an it will return to normal imdiately after drainage," Liu Banxia patiently explained.
"Let’s put it this way: if you continue to put stress on this toe, it will only cause recurrent inflammation. This could possibly destroy the growth matrix of your toenail and lead to other complications."
"Even if you have to work, see if you can choose a photoshoot where you can be seated. Have the photographer design it well. Otherwise, do you not want this toe anymore?"
"Doctor, will it really be like that? Surely not?" the patient asked, sowhat hesitantly.
"Didn’t our doctor just explain it to you? We’re not trying to scare you, nor are we trying to make extra money by suggesting a pathology exam. It’s because your toe is too swollen, and this is for your own good," Liu Banxia said.
The patient nodded. "Alright, let’s do it then. Does this an I can’t leave this afternoon?"
"In the hospital, your toe can at least rest a bit after the drainage. I would actually suggest you have a friend co pick you up. When you go ho, try to use a wheelchair, and do your best not to put any strain on the toe. Using crutches would also be good," Liu Banxia advised.
After saying this, he handed the patient over to Xu Yino for treatnt.
DING! Consultation complete.
Gained 30 Experience Points.
Incision and drainage wasn’t a very complicated procedure. The key was to see if the girl’s toe had any other bacterial infections. The goal was to provide targeted treatnt; otherwise, broad-spectrum antibiotics would take longer to work.
Actually, paronychia is very common in daily life. So people enjoy manicures and get them frequently, which can lead to chemical corrosion.
So people are accidentally pierced, leaving a foreign body behind. So cut their nails too deeply. And then there are those like this patient, who mistreat their toes with their footwear.
High-heeled shoes can make one appear taller, more beautiful, and more distinguished. However, when the heels are excessively high, the pressure on the forefoot is not to be underestimated.
Especially since the toe boxes of high heels are usually pointed, they naturally compress the toes.
He hadn’t wanted to say too much earlier, but this girl’s heels were definitely high. Her toes were already slightly deford, and there were calluses rubbed on the edges. Wearing tight shoes, especially tight high-heeled shoes, one can only imagine how much her feet must suffer. Her paronychia was caused by her footwear. Even if it’s treated this ti, who knows when it might flare up again. Because toenails grow, and when constantly compressed, they can unknowingly embed into the flesh. This damages the skin’s natural barrier. Even a beautiful woman’s feet sweat, and shoes harbor a lot of bacteria, making infection easy.
"What are you doing? Why are you always staring at feet?" Zhou Li walked over while Liu Banxia was still pondering.
"Oh, nothing. We just had a patient with paronychia on her right big toe, caused by wearing high heels. I was just paying more attention, curious to see how many people coming to our hospital wear very high heels," Liu Banxia said.
"You’re always having so many thoughts. The ectopic pregnancy patient who was just sent to the ward said she plans to photocopy her dical records; you should quickly handle this from your end. According to her husband, she did indeed have a test for ectopic pregnancy during her prenatal check-ups," Zhou Li said.
"Ah... that complicates things," Liu Banxia sighed.
Based on his deduction, they probably saw the intrauterine fetus during the scan, so they weren’t as ticulous when examining other areas. The accuracy of an ultrasound depends on the examiner’s attention to detail; a slight lapse in concentration could lead to an oversight. However, this really had nothing to do with him. It was a matter between the patient’s husband and the other doctor involved, or between the husband and the hospital.
"Teacher Liu, please co here, there’s a situation."
At that mont, Xu Yino erged from the treatnt room, waving urgently at Liu Banxia.
Liu Banxia quickly ran over.
"What’s wrong?" Seeing that the patient wasn’t having an allergic reaction to the anesthetic as he had worried, he felt sowhat relieved.
"Teacher Liu, we’ve already administered 50 milligrams of lidocaine, but the patient says it still hurts a bit," Xu Yino said nervously.
"It still hurts even when you’re not touching the toe?" Liu Banxia asked with a frown.
The patient nodded. "Doctor, why is that? Wasn’t I given anesthesia? I don’t smoke or drink, so why isn’t the anesthetic working?"
"Xu Yino, draw so pus for a rapid pathology check, perform a tissue biopsy, take the patient’s temperature, and draw blood," Liu Banxia instructed. Then, he picked up the phone and called Wu Mingyu from orthopedics.
"President Liu, what’s up?" Wu Mingyu answered.
"Treatnt Room Two. There’s a patient with paronychia in her big toe. She still feels pain after local anesthesia, and the swelling is severe. Could you co and take a look?" Liu Banxia said urgently.
"Alright, two minutes," Wu Mingyu replied and quickly hung up.
"Doctor, what’s wrong with ? Why do I need a blood test?" the patient asked, starting to panic.
Even without dical knowledge, she knew sothing was wrong. Incision and drainage, right? But now they were taking her temperature, doing a blood test, calling an orthopedist, and everyone looked so tense.
"My current assessnt is that your infection might be quite severe. However, we still need to base everything on the test results," Liu Banxia said.
"Dr. Liu, her temperature is 37.7 degrees Celsius," the nurse reported after taking the patient’s temperature.
Liu Banxia nodded and looked at the patient again. "Do you feel pain anywhere else?"
"Only my toe hurts; nowhere else. Doctor, why does it still hurt after the anesthesia?" the patient asked, frowning.
"Hmm... I suspect the infection might have reached the bone, which is why you’re still feeling pain. Let’s wait for the orthopedic doctor. Try not to worry for now."
"President Liu, is this the patient?" Wu Mingyu asked as he walked in. "How does the toe feel now? If you press down with the ball of your foot, do you feel a throbbing or heavy pain?"
"She’s had anesthesia," Liu Banxia quickly reminded him.
"Too busy, I forgot. What’s her temperature?" Wu Mingyu asked.
"37.7, just taken. Blood has been drawn, and so pus has been sent to pathology," Liu Banxia reported.
"If she still feels pain after anesthesia, combined with the fever and such severe swelling, it’s highly possible the infection has reached the bone. The toe might need to be amputated," Wu Mingyu stated.
Hearing Wu Mingyu’s words, the patient froze. She just wanted an incision and drainage; how did it escalate to amputating her toe?
"The absence of systemic symptoms is actually fortunate for now. If it progresses further, it could beco necrotizing fasciitis," Wu Mingyu added.
"President Liu, wait for the test results. I have other patients. If surgery is needed, book an operating room for directly. I’ll head off now."
With that, Wu Mingyu left.
"That aligns with my initial assessnt. Let’s wait for the test results," Liu Banxia said.
The patient was truly stunned. She hadn’t misheard; there was a real chance she might lose her toe.
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