This patient is the biggest problem Liu Miqiao has encountered since he mastered debridement and suturing.
Ulcers caused by diabetes can rarely be treated with ordinary debridement and suturing in the advanced stages, and most require amputation.
And the amputations are higher and higher, first a toe, and later the entire foot, calf, and higher.
There is no way, the healing ability of diabetic patients is very poor, and its complications cause vascular disease and insufficient blood supply, so amputation can only be used to control infection and necrosis.
Liu Miqiao just wanted to play with the wound, but who knows, Director Ma gave him a big BOSS. This is the most difficult, complicated, and hopeless wound Liu Miqiao has ever seen.
Just when he was about to give up, the ancient prescription book in his mind lit up, and several ancient prescriptions flickered like stars. He quickly checked it out, oh, there is hope.
There are 3 ancient prescriptions that can treat refractory ulcers.
These three prescriptions have a common feature, they all contain: raw astragalus, Houttuynia cordata, paeoniae, red peony root, platycodon, trichosanthes, and raw rhubarb.
Liu Muqiao thought, the incidence rate of diabetes is very high, and the common complications in the late stage, ulceration, are problems that other hospitals are difficult to solve.
Why not work on this?
Now, the wound department of Antai Hospital is placed together with the general surgery department. It seems that it is necessary to establish a separate wound department.
This patient is a good benchmark patient. If this patient's rotten foot is cured, there will probably be no wounds that cannot be cured.
"I have a solution for your wound, but it can't be cured in a day or two. It can take as long as half a year, or as short as 3 months. If you must keep this leg, you can come to our Antai Hospital and stay there for a few days."
Month, as for the cost, we can waive part of it. What do you think?"
The patient looked at Liu Miqiao with some doubts.
"Are you sure?"
Liu Muqiao smiled and said: "Let's put it this way, before I met you, I treated more than 600 patients with non-healing wounds. Some of the wounds had been rotten for more than 20 years, but they were all cured. Only the patient with the longest hospital stay was
1 month. But, to be honest, your wound stumps me."
"No hope?"
"There is hope. I suddenly thought of a good idea and I want to try it on you."
"Are you experimenting on me?"
"You can say that."
"No, no, I'm not a guinea pig."
Liu Muqiao grinned, "Then you can have your leg amputated."
"I won't amputate!"
"Then you come to our Antai Hospital for hospitalization."
"I don't!"
"Haha, there are two roads, there are only two roads, you can choose."
The patient was silent.
Liu Muqiao was in a very relaxed mood and said: "This experiment is not an ordinary experiment, but I have a good method that I haven't used yet. I just want to try it on you. The big deal is that it won't be cured, so why should you worry about it?"
?I will help you change your dressing and give you Chinese medicine at the same time."
When Director Ma saw this, he also wanted the patient to leave as soon as possible, so he quickly said: "Just go and try it. The worst is that it won't work, and you won't lose anything."
Another doctor was more direct, "Let me tell you, I don't think anyone will admit you in other hospitals, even in Shanghai and Beijing. Even if you are hospitalized, you won't be able to be cured. Why don't you go to Antai Hospital and give it a try?"
The patient pondered for a while and said: "Okay, then I will go with you tomorrow."
Liu Muqiao shook his head and said, "That won't work. Your wound smells so bad and it's infected by anaerobic bacteria. If you don't eliminate the smell, you won't be able to get on the plane."
He turned to Director Ma and said: "Rinse with hydrogen peroxide for a few days, and then intravenously give some anti-anaerobic ceftriaxone III and metronidazole."
Wounds that smell bad are usually caused by anaerobic bacteria infection.
Anaerobic bacteria are different from aerobic bacteria and facultative anaerobic bacteria. Many antibiotics are not sensitive to them and require special antibiotics.
Metronidazole is a type of medicine that has special effects.
Most gum infections are caused by anaerobic bacteria, so dentists like to prescribe drugs such as metronidazole.
Similar drugs include tinidazole and ornidazole. The side effects of these two are relatively small.
Metronidazole is also called metronidazole.
Special medicine against trichomonas.
The patient agreed to stay here for a few days before going to Qingjiang City.
Liu Muqiao said: "Come, let me change the medicine for you and get rid of the smell first."
Previously, the diabetes specialist and now the neurology department were not good at wound treatment and dressing change. Liu Miqiao wanted to demonstrate and help patients get rid of the stench temporarily.
After opening the wound, Liu Miqiao vigorously flushed the wound with hydrogen peroxide. The people watching were frightened and a large number of bubbles rolled over the wound.
A large number of oxygen atoms are released in hydrogen peroxide, which has a strong bactericidal effect on anaerobic bacteria but has no effect on normal tissues.
Liu Muqiao rinsed for more than ten minutes and then said to Director Ma next to him: "I want ten tablets of metronidazole."
Soon, he brought metronidazole, crushed it, sprinkled it evenly on the wound, and then wrapped the wound with a layer of gauze.
It is not tightly wrapped and maintains a certain degree of breathability.
Dr. Zou turned on the fan and opened the window. Soon, the stench was reduced a lot.
Coming out of the ward, Director Ma's father-in-law was next.
First, an MRI was performed. Liu Miqiao looked at it for a while, then his expression changed slightly and he asked Director Ma to send his father-in-law to the hospital bed.
"Is there any problem?" Director Ma noticed Liu Miqiao's expression and guessed that there was a problem.
"Parkinson's disease is no problem. I can treat it in a few minutes. The problem is that there is a small lesion in his parietal lobe, which is probably glioblastoma. I am going to do a biopsy for him. If it is confirmed to be cancer,
, the effect of Gamma Knife will be good."
"Really?"
Director Ma is a little skeptical.
How could you, a neurologist, find a lesion that no radiologist has discovered?
Liu Miqiao said: "Yes, that's right. Based on my experience, 90% of them are malignant. However, they are now super small, less than the size of a soybean, and the gamma knife effect is very good."
Director Ma still didn't believe it. He didn't ask any more questions, but made a phone call and asked the director of the radiology department to come for consultation.
The director of radiology is here.
I picked up the film and watched it for a long time, then shook my head and said, "I didn't find anything unusual."
This was within Liu Muqiao's expectation.
Lesions of a few millimeters are difficult to detect without a master-level MRI.
"Where? You said there is a lesion, where?"
Liu Miqiao pointed to the parietal lobe and said, "Small lesions here are generally easy to ignore."
The director of the radiology department looked at it carefully for a while, shook his head and said: "It's hard to say, I can't be sure."
Liu Muqiao said: "It doesn't matter, just do a biopsy, it's quick."
Director Ma is now in a dilemma.
It was difficult for him to decide whether to listen to Liu Miqiao or not.
It stands to reason that the director of the radiology department must have better reading ability than ordinary doctors. However, this Dr. Liu was invited by himself to perform epilepsy and Parkinson's disease surgeries. He should be a very powerful person.
Is he very good at imaging diagnosis?
Seeing the confusion on his face, Zou Qingxiang couldn't stand it anymore.
He said: "I'm telling you, it's better to listen to Dr. Liu. Have you heard of Hopkins Hospital? When Dr. Liu was consulting at Hopkins Hospital, none of their top imaging professors were allowed to do so.
I don’t admire Dr. Liu’s ability to read images. So far, I have not seen anyone who can surpass Dr. Liu in imaging.”
Liu Muqiao also smiled slightly and said, "Don't brag. But, Director Ma, don't worry. I've done a biopsy and it will soon be proven that my judgment is correct."
The director of the radiology department nodded and said, "Let's try it. I'm not sure either. It's just right. I want to take a look too."
This chapter has been completed!