事件记录
面试官: Oh, you stubbed your toe and you're having a hard time walking around and it hurts really bad. 你应该去急诊室吗 or not? We're going to find out next on 范围.
播音员: Is it bad enough to go to the 急诊室，不是吗? You're listening to "ER or Not" on 范围.
面试官: So there are probably about a million different ways you can do this, but a stubbed toe. I mean, I'm talking about a stubbed toe that hurts really badly, maybe you can't even walk on it. Is that a reason to go to the ER or not? Dr. 特洛伊马德森 is an 急诊室 physician at University of Utah Health. 脚趾伤：是不是急诊室?
Is It Twisted or Deformed?
Dr. 马德森: 好吧. I'm just going to put this out there, and I'm speaking as someone who went through this exact experience last summer, and I'm going to say: don't go to the ER. 为什么不呢? 好吧, you may have broken something but the reality is if your toe looks fine, it's not deformed looking, 这并不奇怪, we're not going to do anything for it if it's broken. What we're going to do for it, 本质上, is tape it to the other toe and 给它一两个月 to heal.
This is exactly what I did. I was walking around the house last summer without shoes on, I jammed my toe on a corner in the house. It hurt like crazy, I said a few choice words. Yeah, I actually heard a crack as I did it and I said, "I know it's broken." It was black and blue; it hurt like crazy. But as I looked at it, it lined up fine with all the other toes, I had normal sensation in it. You know, blood was flowing to it fine, I hadn't done any major damage to it.
面试官: Like wasn't swollen terribly? I mean, is that something you'd look at?
Dr. 马德森: Yeah, you'd look at it, but it was swollen. But I knew I broke it, there was no question in my mind. But I said, "What's the point of going to an 紧急护理 or to an ER, getting an X-ray, and having them say, 'Yes, it's broken. Here's some tape, tape it to the other toe, and give it two months.'"
面试官: Yeah, when you can just go to your closet and get out some tape.
脚趾骨折治疗
Dr. 马德森: Yeah, and that's exactly what I did. I said, "It's broken," I taped it, I gave it two months. It hurt for two months, and now it's fine. So this is one of those things . . . of course, I'm speaking as someone who . . . I might tell you, "Oh maybe go to the ER because you may want a doctor to look at it." But the reality is if I look at it and it's broken, 我来告诉你, "Tape it to the other toe, 给它一两个月, and it should heal up fine."
面试官: And if you're super concerned, maybe just make an appointment with your regular physician to go in and have them take a look at it.
Dr. 马德森: 完全正确. It's not an emergeny thing where you have to get it checked out right at that moment because, 再一次。, if it's not something that needs to be twisted back into place where it's twisted really weird . . . or you know, if you have other issues, let's say, like 糖尿病, that becomes more concerning because you have less sensation, 经常, 在你的脚下, people with advanced 糖尿病, so they can then develop sores and chronic issues there. So that's another situation entirely.
But for the average person you stub your toe, it hurts, tape it to the other toe. 这就支持了, 给它时间, wear some hard-soled shoes, something that's going to give your foot some support where your toe's not moving around a lot and you'll be fine with that.
面试官: 好吧. When are you guys going to find out a better way to fix my toe than tape?
Dr. 马德森: 嘿，磁带很棒. Duct tape fixes everything.
面试官: 好吧.
播音员: Have a question about a medical procedure? Want to learn more about a health condition? 大于2,000 interviews with our physicians and specialists, there’s a pretty good chance you’ll find what you want to know. Check it out at TheScopeRadio.com.
更新日期：2018年8月24日
originally published: June 1, 2016