Medical Forum / General / General / May 2006
my cut is not healing
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mihai - 18 May 2006 21:28 GMT I have had a cut in my palm for over a year. I use scotch tape to keep the cut closed. At first it shortened a little, but now it seems to have stopped healing. If I remove the scotch tape it opens like a canal. I have been putting a moisturizer named Cicalfate on it for over a week but it doesn't seem to heal more.
I would like to know if there is a chance that it heals and whether there is anything I can do to help it heal.
Jason Johnson - 19 May 2006 00:01 GMT I have had a cut in my palm for over a year. I use scotch tape to keep the cut closed. At first it shortened a little, but now it seems to have stopped healing. If I remove the scotch tape it opens like a canal. I have been putting a moisturizer named Cicalfate on it for over a week but it doesn't seem to heal more. I would like to know if there is a chance that it heals and whether there is anything I can do to help it heal.
Have you asked your doctor to take a look at it? If so, what did the doctor tell you? You should have a doctor examine the cut. The cut should have healed after a couple of weeks. Do you have any diseases? Jason
mihai - 19 May 2006 11:30 GMT I have a thrombophlebitis in my right arm for which I am taking an aspirin per day.
When I went to the family unit at the hospital, the nurse said that it was not necessary to see a doctor for that (my cut), that it had scarred like this and that there is nothing more to be done, and to put a moisturizer on it .
There is no blood any more. With scotch tape it is only a line but if I remove the scotch tape it opens into a v-shaped canal. On the right side of the v it looks like skin with normal wrinkle pattern and on the left side of the v it is redder scar-tissue-like.
Jason Johnson - 19 May 2006 15:09 GMT I have a thrombophlebitis in my right arm for which I am taking an aspirin per day. When I went to the family unit at the hospital, the nurse said that it was not necessary to see a doctor for that (my cut), that it had scarred like this and that there is nothing more to be done, and to put a moisturizer on it . There is no blood any more. With scotch tape it is only a line but if I remove the scotch tape it opens into a v-shaped canal. On the right side of the v it looks like skin with normal wrinkle pattern and on the left side of the v it is redder scar-tissue-like.
I suggest that you revisit the family unit and ask the nurse to refer you to a doctor. You should explain to the doctor that the cut that you show him or her has not healed in over one year. Also, tell the doctor about the thrombophlebitis just in case it's not recorded in your medical file. That could be one of the reasons the cut has not healed. The doctor might want to arrange for a Hypercoagulation Panel. If not, request it. Jason
Howard McCollister - 19 May 2006 15:42 GMT ----- Original Message ----- From: "Jason Johnson" <jason@nospam.com> Newsgroups: sci.med Sent: Friday, May 19, 2006 9:09 AM Subject: Re: my cut is not healing
< "mihai" wrote:
> Also, tell the doctor about > the thrombophlebitis just in case it's not recorded in your medical file. > That could be one of the reasons the cut has not healed. How do you figure that, Jason? What do you think the relationship is between thrombophlebitis of the arm and delayed healing of a cut on the palm?
> The doctor might > want to arrange for a Hypercoagulation Panel. If not, request it. What is a "Hypercoagulation Panel" ?
HMc
Jason Johnson - 19 May 2006 16:04 GMT ----- Original Message ----- From: "Jason Johnson" <jason@nospam.com> Newsgroups: sci.med Sent: Friday, May 19, 2006 9:09 AM Subject: Re: my cut is not healing < "mihai" wrote:
> Also, tell the doctor about > the thrombophlebitis just in case it's not recorded in your medical file. > That could be one of the reasons the cut has not healed. How do you figure that, Jason? What do you think the relationship is between thrombophlebitis of the arm and delayed healing of a cut on the palm?
> The doctor might > want to arrange for a Hypercoagulation Panel. If not, request it. What is a "Hypercoagulation Panel" ? HMc
Do a google search or check a laboratory test handbook. The snynonyms: Screen for Hypercoagulation Thrombophilia Panel Thrombotic Disease Screen
I stated that it "could be one of the reasons"--I did not state that I was sure that it was the reason. I noted that you did not offer any advice. Are you one of the people that rarely ever provides advice but instead spend your time criticizing people that do provide advice. I refer to such people at "net cops". Please use your medical knowledge to help people. Also--look up the term "hypercoagulation" Jason
Pete - 19 May 2006 17:50 GMT > ----- Original Message ----- > From: "Jason Johnson" <jason@nospam.com> [quoted text clipped - 33 lines] > Also--look up the term "hypercoagulation" > Jason MY MY Jason...Are you the same Jason that I thought was friends with Doc McCollister. It looks like you have changed your logo from "Jason" to "Jason Johnson" (true?).
Jason Johnson - 19 May 2006 20:36 GMT Jason Johnson wrote:
> In article <446dd8d3$0$74463$bb4e3ad8@newscene.com>, "Howard > McCollister" <nospam@nospam.net> wrote: [quoted text clipped - 36 lines] > Also--look up the term "hypercoagulation" > Jason MY MY Jason...Are you the same Jason that I thought was friends with Doc McCollister. It looks like you have changed your logo from "Jason" to "Jason Johnson" (true?).
Yes, I had to change it since someone else was also posting as Jason (jason@nospam.com).
Robert CLS, MT(ASCP) - 20 May 2006 02:47 GMT >> The doctor might >> want to arrange for a Hypercoagulation Panel. If not, request it. There is no such thing as a hypercoagulation panel. It is not Medicare approved as a *panel*. If a doctor were to write "hypercoagulation" panel on a note, message, or prescription then I would get called and I would tell the doctor who ordered it that there is no such thing. End of story.
There used to be a coagulation panel that was Medicare approved composed of two simple tests, PT and PTT. No more. Over billing, redundancy and fraud got most of the panels thrown out.
If a doctor needs a specific test then he must specify that specific test(s). If he doesn't know what they are then we can't help him. We can not generate our own business by making suggestions on what he should order. It can make things harder at times but if one looks at the logic then one understands. We did to have a DIC panel comprised of a CBC, PT,PTT, fibrinogen, D-Dimer, FSP, and blood smear morphology of red cells. Sometimes preliminary testing would reveal abnormalities and then they would order the complete panel, thus repeating some of the same tests over again. They would get billed for two CBC's or anything else because it was included in the panel. Thus no more DIC panel.
> What is a "Hypercoagulation Panel" ? It has never existed.
> HMc
> Do a google search or check a laboratory test handbook. The snynonyms: > Screen for Hypercoagulation > Thrombophilia Panel > Thrombotic Disease Screen Those are dependent on the clinical situation at hand and a few tests mainly directed at detecting congenital defects.
"Venous thromboembolism results in more than 50,000 deaths annually in the United States. There are many predisposing conditions to thrombosis that are acquired, such as trauma, pregnancy, oral contraceptives, surgery, obesity, immobility, and malignancy. Clinical laboratory testing does not identify most of these conditions. There are a number of contributory factors to thrombosis that are diagnosed by laboratory testing, however, many of which are inherited."
Testing in detecting hypercoagulable states is still poor although improving.
Howard McCollister - 19 May 2006 22:18 GMT > I stated that it "could be one of the reasons"--I did not state that > I was sure that it was the reason. I noted that you did not offer any [quoted text clipped - 4 lines] > Please use your medical knowledge to help people. > Also--look up the term "hypercoagulation" Jason, I try to post only about things where I have some knowledge. For me to advise people about coagulation problems would be unwise and would do them a disservice. You obviously have no such compunctions - the sheer magnitude of the ignorance about the medical problems for which you provide anonymous medical advice on this newsgroup is mind boggling to me. The alarming part is that there are people posting questions here who might actually take your generally laughable "advice" seriously.
> Are you one of the people that rarely ever provides advice but > instead > spend your time criticizing people that do provide advice. I refer to such > people at "net cops". You've been here long enough that you already know the answer to that question? You may label me "net cop" if you wish...perhaps you can guess how I would label somebody who gets their internet jollies, some kind of sense of self-importance from playing doctor on Usenet.
I don't criticize people who provide reasonable advice here, but I do feel free to criticize non-medical people who provide stupid, pointless or just plain wrong medical advice. I would advise the OP about hypercoagulation if my particular medical specialty gave me some expertise there, but it doesn't. That doesn't seem to stop you, who has NO medical specialty at all.
You ought to find another hobby, Jason. Why don't you subscribe to alt.nuclear-physics, or alt.rocket-science, where you can go to post your advice without hurting anyone?
HMc
Pete - 19 May 2006 22:57 GMT >> I stated that it "could be one of the reasons"--I did not state that >> I was sure that it was the reason. I noted that you did not offer any [quoted text clipped - 35 lines] > > HMc Howard...I don't always agree with you on everything, but I think you will agree that I am pretty careful not to make medical comments without having a fair degree of confidence that what I am saying is reasonable (or I won't say it). This applies to this group and even more to the heartburn group, which both of us frequented a lot in the last few months.
But I have to agree with you on this whole heartedly. Jason tends to jump the gun a little bit before he understands enough, or does enough research, and he tends to make diagnoses and suggestions (playing doctor as you said) based on his limited experience and quick Internet searches (sorry Jason - I say this recognizing we have had good discussions in the BPH ng, which you joined recently).
I don't like doctor's in general as you know, and we have discussed this several times (and I have a vast amount of bad experiences going to doctors), but I try not to play doctor, unless I really feel I have a valid and reasonable comment (and then it is just a comment - and I often will say I am not a doctor).
I was surprised to see what Jason said earlier when he referred to you as a "net cop", and I didn't think he was like that, and thought it was disrespectful to you (as a medical professional), and inappropriate.
I hope this stops soon, or I feel we will lose your medical expertise and the time that you volunteer in the ng's, which would be a shame.
Pete
Jason Johnson - 20 May 2006 00:42 GMT "Jason Johnson" <jason@nospam.com> wrote in message news:jason-1905060804140001@66-52-22-68.lsan.pw-dia.impulse.net...
> I stated that it "could be one of the reasons"--I did not state that > I was sure that it was the reason. I noted that you did not offer any [quoted text clipped - 4 lines] > Please use your medical knowledge to help people. > Also--look up the term "hypercoagulation" Jason, I try to post only about things where I have some knowledge. For me to advise people about coagulation problems would be unwise and would do them a disservice. You obviously have no such compunctions - the sheer magnitude of the ignorance about the medical problems for which you provide anonymous medical advice on this newsgroup is mind boggling to me. The alarming part is that there are people posting questions here who might actually take your generally laughable "advice" seriously.
> Are you one of the people that rarely ever provides advice but > instead > spend your time criticizing people that do provide advice. I refer to such > people at "net cops". You've been here long enough that you already know the answer to that question? You may label me "net cop" if you wish...perhaps you can guess how I would label somebody who gets their internet jollies, some kind of sense of self-importance from playing doctor on Usenet. I don't criticize people who provide reasonable advice here, but I do feel free to criticize non-medical people who provide stupid, pointless or just plain wrong medical advice. I would advise the OP about hypercoagulation if my particular medical specialty gave me some expertise there, but it doesn't. That doesn't seem to stop you, who has NO medical specialty at all. You ought to find another hobby, Jason. Why don't you subscribe to alt.nuclear-physics, or alt.rocket-science, where you can go to post your advice without hurting anyone? HMc
HMc, You are performing a great job as a net cop. Keep up the great work. You also need to find another hobby. You should consider making use of your knowledge of medical issues to help people that ask for advice instead of spending your time attacking those of us that do provide advice. If you re-read my post, I advised the poster to see a doctor about the cut that was not healing. I stand by the advice that I gave to the poster. Jason
Howard McCollister - 20 May 2006 01:02 GMT > You are performing a great job as a net cop. Keep up the great work. > You also need to find another hobby. You should consider making use [quoted text clipped - 3 lines] > my post, I advised the poster to see a doctor about the cut that was > not healing. I stand by the advice that I gave to the poster. You should do the same. Oh...that's right, you HAVE no medical expertise. Just a "doctor wannabe". Sort of like going to the costume store and buying a police officer's uniform and going around pulling people over. Except here you're not breaking any laws..just common sense. It strikes me as pretty pathetic.
Hey, how's that? "Jason Wannabe, MD"...I like it....it has the makings of a TV pilot.
HMc
J - 20 May 2006 01:10 GMT > I have a thrombophlebitis in my right arm for which I am taking an aspirin per day. > > When I went to the family unit at the hospital, the nurse said that it was not necessary to see a doctor for that (my cut), that it had scarred like this and that there is nothing more to be done, and to put a moisturizer on it . > > There is no blood any more. With scotch tape it is only a line but if I remove the scotch tape it opens into a v-shaped canal. On the right side of the v it looks like skin with normal wrinkle pattern and on the left side of the v it is redder scar-tissue-like. Well, I fell off a ladder and a rusty fence made a 5" long (and deep) cut in my thigh. It probably took some years but it filled in eventually. Yours is healed and scarring. If you're concerned it'll open up again, why not just put a bandage on it, protect your hand (from sharp things) and quit worrying about it? J
mihai - 20 May 2006 21:31 GMT J, if your cut has filled in over some years, you think that my cut shall fill in too over the next years?
I am not afraid about my cut bleeding again but I put a scotch tape on it. The cosmetician at the pharmacy said that if I put Cicalfate over it once or twice a day it shall resorb.
bae@cs.toronto.no-uce.edu - 20 May 2006 13:35 GMT >When I went to the family unit at the hospital, the nurse said that it >was not necessary to see a doctor for that (my cut), that it had [quoted text clipped - 5 lines] >side of the v it looks like skin with normal wrinkle pattern and on the >left side of the v it is redder scar-tissue-like. Yes, it's healed, with scarring. If you had had it stitched or otherwise held together when it was a fresh wound, there would have been less scarring. The scotch tape is not going to do anything now. The red color will fade to white with time.
If it really bothers you, a plastic surgeon can remove the scar so it will heal again with less scarring, but what you are observing is the normal healing of a wound that hasn't been allowed to close.
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