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Medical Forum / General / General / July 2006I popped my stiches and my Dr. says it can't be re-stiched??
Hi All, I had a skin cancer cut off my shoulder 8 days ago. Everything was fine until lastnight when I ripped all 5 of my stiches open in my sleep. My wound is about 2" long and about 3/8" wide and my Dermatologist said that there is nothing that can be done and that my incision now has to heal by way of gradulation?? Does this sound right?? I can not believe that he couldn't just re-stich the incision, but he said that it can't and won't be done? So now I have this huge "divit" out of my shoulder and it hurts like hell. HELP!!!!!!!!!!!!! Darryl Posted via medical forums at http://medical.gr77.com > Hi All, > [quoted text clipped - 8 lines] > So now I have this huge "divit" out of my shoulder and it hurts like > hell. Leaving the wound open to heal by secondary intention or "granulation" is a valid way to treat a wound that pops open after 8 days. It's also possible to re-close such a wound, but depending on the wound, it's location and the patient, re-closing it may or may not have been a smart thing to do. Can't really say over the internet. HMc > Hi All, > [quoted text clipped - 10 lines] > > HELP!!!!!!!!!!!!! When in doubt, sue your Quack MD for everything that he has got. That is my advice. > Hi All, > [quoted text clipped - 12 lines] > > Darryl A new wound should have its raw surfaces brought together but a wound of 10 days will be partly healed and to suture the surfaces together in the circumstances may lead to problems later. I don't think the dermatologist is being difficult. If he agreed to your request he would not be acting in your best interests. > A new wound should have its raw surfaces brought together but a wound of > 10 days will be partly healed and to suture the surfaces together in the > circumstances may lead to problems later. The concept of delayed closure has been a classic concept in surgical wound management for many decades. What problems do you think closing the OP's wound at 8 days might lead to later? HMc > > Hi All, > > [quoted text clipped - 18 lines] > being difficult. If he agreed to your request he would not be acting in your > best interests. Call me old fashion, but shouldn't doctors protect their patients from popping their stitches open after an operation, and otherwise trying to kill themselves during the recovery period? And, why do some closures require the use of metal staples? > Call me old fashion, but shouldn't doctors protect their patients from > popping their stitches open after an operation, and otherwise trying to > kill themselves during the recovery period? And, why do some closures > require the use of metal staples? How is a doctor supposed to protect a patient from popping stitches? People move and skin tears. You can't keep someone in the hospital for recovery from minor surgery, and you can't keep most people bed-ridden all the time without risking pneumonia or blood clots, which is far worse than popped stitches. Doc John wrote: > Call me old fashion, but shouldn't doctors protect their patients from > popping their stitches open after an operation, and otherwise trying to > kill themselves during the recovery period? And, why do some closures > require the use of metal staples? How is a doctor supposed to protect a patient from popping stitches? People move and skin tears. You can't keep someone in the hospital for recovery from minor surgery, and you can't keep most people bed-ridden all the time without risking pneumonia or blood clots, which is far worse than popped stitches. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Marcia, Stop confusing people with facts. Are you trying to yank some chains by your use of common sense? LOL. Is it still true that most cases of hepatitis are the result of spending time in a hospital? Spending lots of time in a hospital can in some cases do more harm than good. Jason ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > Doc John wrote: > > Call me old fashion, but shouldn't doctors protect their patients from [quoted text clipped - 18 lines] > Jason > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Let's not forget our good friends, nosocomial (hospital-acquired) infections, that affect 10% of all hospital patients each year: Enterococcus spp. Escherichia coli Pseudomonas spp. Staphylococcus aureus Take your pick: healing by secondary intention or acquiring Staphylococcus aureus. Tough choice, huh? :) Jason Johnson wrote: > In article <1151765616.095049.197320@p79g2000cwp.googlegroups.com>, > "Marcia" <design1@insight.rr.com> wrote: [quoted text clipped - 21 lines] > Jason > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Let's not forget our good friends, nosocomial (hospital-acquired) infections, that affect 10% of all hospital patients each year: Enterococcus spp. Escherichia coli Pseudomonas spp. Staphylococcus aureus Take your pick: healing by secondary intention or acquiring Staphylococcus aureus. Tough choice, huh? :) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Marcia, Good points. Thank goodness for my "Dictionary of Medical Terms". Have you ever heard of a disorder called pseudocyeis (false pregnancy). The first time I heard about it, I guessed (incorrectly) that it was a psychological problem but later learned that it's usually linked to hormonal changes brought about by emotional stress. Jason ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > In article <1151769977.341250.145310@v61g2000cwv.googlegroups.com>, > [quoted text clipped - 6 lines] > Jason > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ LOL. Yes, I'd heard of it but didn't know the cause. I'm done with pregnancies--false or otherwise. ;) Jason Johnson wrote: > In article <1151769977.341250.145310@v61g2000cwv.googlegroups.com>, > [quoted text clipped - 6 lines] > Jason > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ LOL. Yes, I'd heard of it but didn't know the cause. I'm done with pregnancies--false or otherwise. ;) ~~~~~~~~~~~~~~~~~~~~~~~~ Marcia, I wonder what those women do after the 10th month and they still have not had the pseudobady--did I just make up a new medical term? Sorry--it's nothing to joke about. Imagine what it must be like for women that have that disorder. As you now know, regular pregnancy is bad enough--did you have major or minor problems with morning sickness? It's probably not much of a problem now that they have home pregnancy test kits. The women that have it can see for themselves (from the test results) that they are NOT really pregnant. The ultrasound would be confirmation. Psedocyeis was probably more common during those years prior to 1800. Jason ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > I wonder what those women do after the 10th month and they still have not > had the pseudobady--did I just make up a new medical term? Sorry--it's [quoted text clipped - 9 lines] > Jason > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ I imagine you're right about it being more common in past eras; I don't think it's seen much today, but I could be wrong. Most women have regular prenatal check-ups--or they're supposed to--so a false pregnancy would (or should) be caught looooooong before the (pseudo) baby's due. The first thing the doctor's office does is administer a more reliable pregnancy test, followed by an ultrasound, so I'd expect a false pregnancy would be caught almost immediately, except in rare cases (maybe). You know what's a little more common? Some women actually make it all the way into labor without ever realizing they're pregnant. What a surprise that would be! This seems to happen more with women who are very heavy, but it's still hard to imagine being pregnant and not knowing it. There's "minor" morning sickness? With all three pregnancies, I had it 24/7 until early in the second trimester, then felt great. My OB-GYN said morning sickness is a sign of a healthy pregnancy (probably a myth designed to keep us from whining), and most women get it, but I guess some don't. Jason Johnson wrote: > I wonder what those women do after the 10th month and they still have not > had the pseudobady--did I just make up a new medical term? Sorry--it's [quoted text clipped - 9 lines] > Jason > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ I imagine you're right about it being more common in past eras; I don't think it's seen much today, but I could be wrong. Most women have regular prenatal check-ups--or they're supposed to--so a false pregnancy would (or should) be caught looooooong before the (pseudo) baby's due. The first thing the doctor's office does is administer a more reliable pregnancy test, followed by an ultrasound, so I'd expect a false pregnancy would be caught almost immediately, except in rare cases (maybe). You know what's a little more common? Some women actually make it all the way into labor without ever realizing they're pregnant. What a surprise that would be! This seems to happen more with women who are very heavy, but it's still hard to imagine being pregnant and not knowing it. There's "minor" morning sickness? With all three pregnancies, I had it 24/7 until early in the second trimester, then felt great. My OB-GYN said morning sickness is a sign of a healthy pregnancy (probably a myth designed to keep us from whining), and most women get it, but I guess some don't. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Marcia, You may want to ask your women friends about it but I seem to recall learning that it's more a problem for some pregnant mothers than others. PMS is the same way. It's my guess that the women that are pregnant and don't know it have mental problems or really low levels of intelligent. I have had to deal with patients that were in a state of denial about various issues. I could easily understand how a young college student could be in a state of denial about her pregnancy--at least until the last 2 months. The obese women probably blame the morning sickness problems on other issues such as food poisoning. Jason ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > I imagine you're right about it being more common in past eras; I don't > think it's seen much today, but I could be wrong. [quoted text clipped - 32 lines] > Jason > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ LOL. Which "it" am I supposed to ask them about, Jason? You said: "You may want to ask your women friends about it but I seem to recall learning that it's more a problem for some pregnant mothers than others." What's more of a problem for some pregnant mothers than others? PMS is the same way as what? Clarify. :) Jason Johnson wrote: > I imagine you're right about it being more common in past eras; I don't > think it's seen much today, but I could be wrong. [quoted text clipped - 32 lines] > Jason > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ LOL. Which "it" am I supposed to ask them about, Jason? You said: "You may want to ask your women friends about it but I seem to recall learning that it's more a problem for some pregnant mothers than others." What's more of a problem for some pregnant mothers than others? PMS is the same way as what? Clarify. :) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Marcia, All women have problems with PMS and morning sickness--if they have ever been pregnant. My point is that all women are different. As a result, PMS and morning sickness may be a major problem for some women but PMS and morning sickness may only be a minor problem for other women. Feel free to disagree with me. I would not be offended if you disagreed with me. Jason ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > LOL. Which "it" am I supposed to ask them about, Jason? > [quoted text clipped - 17 lines] > Jason > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Oh, *that* it. ;) All the women I know who've been pregnant have had morning sickness to one degree or another (yes, we actually discuss pregnancy and childbirth when you menfolk aren't around...sometimes); but I don't think it's necessarily true that *all* women get morning sickness. Everyone is different and our bodies respond uniquely, so even what's true for most people isn't necessarily true for all. I just looked up the statistics, and the estimate was 70% get morning sickness. Granted, I don't know how those statistics were derived, so the specific figure may be meaningless, but it does seem to indicate not everyone experiences morning sickness. As to PMS, I suppose that depends on how you're defining it. Women's bodies undergo hormonal changes during the month, and those changes may affect our moods. If you mean all women become bitchy and have marked mood swings at a certain time each month because of hormones, I'm not sure I agree with that. I know a lot of women who do, and some who don't. I've never really had much of a problem with it. I'll tell you a secret, though (this isn't a secret to everyone), some women use "PMS" as an excuse for being obnoxious, when they really have more control than they'll admit. Jason Johnson wrote: > In article <1151791511.446590.119690@v61g2000cwv.googlegroups.com>, > "Marcia" <design1@insight.rr.com> wrote: [quoted text clipped - 19 lines] > Jason > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Oh, *that* it. ;) All the women I know who've been pregnant have had morning sickness to one degree or another (yes, we actually discuss pregnancy and childbirth when you menfolk aren't around...sometimes); but I don't think it's necessarily true that *all* women get morning sickness. Everyone is different and our bodies respond uniquely, so even what's true for most people isn't necessarily true for all. I just looked up the statistics, and the estimate was 70% get morning sickness. Granted, I don't know how those statistics were derived, so the specific figure may be meaningless, but it does seem to indicate not everyone experiences morning sickness. As to PMS, I suppose that depends on how you're defining it. Women's bodies undergo hormonal changes during the month, and those changes may affect our moods. If you mean all women become bitchy and have marked mood swings at a certain time each month because of hormones, I'm not sure I agree with that. I know a lot of women who do, and some who don't. I've never really had much of a problem with it. I'll tell you a secret, though (this isn't a secret to everyone), some women use "PMS" as an excuse for being obnoxious, when they really have more control than they'll admit. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Marcia, We are in agreement. "Degrees of severity" might be the medical term. On a scale from one to ten--some women would have a "one" score and some women would have a "ten" score. The majority of women would be nearer the middle. I was once a manager of a fast food restaurant before I got a higher paying job. Some of the young ladies would use PMS and morning sicknesses as reasons to call in sick. I never knew whether they were lying or telling the truth. Jason ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > Doc John wrote: > > Call me old fashion, but shouldn't doctors protect their patients from [quoted text clipped - 18 lines] > Jason > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ So, taping patients up at night with Athletic Tape in order to protect them from popping their stitches is beyond the capability of the conventional health care system? Ha, ... Hah, Hah! You clowns have my condolences. > So, taping patients up at night with Athletic Tape in order to protect > them from popping their stitches is beyond the capability of the [quoted text clipped - 3 lines] > > You clowns have my condolences. It's hard to take you seriously when you end all your posts with insults. You know, some wounds are closed with steri-strips (tape). What happens when you pull off the athletic tape? Some of that stuff has pretty strong adhesive. What happens if removing it tears the wound open? What happens if the athletic tape interfers with healing because it inhibits air circulation around the wound, or traps contaminant in the adhesive? What happens if certain areas of the body can't really be secured well with athletic tape? I don't know the answer to any of those questions, and I don't think you do, either. I suspect if the answer were as simple as that, they would already be implementing it. > I don't know the answer to any of those questions, and I don't think > you do, either. I suspect if the answer were as simple as that, they > would already be implementing it. Oh! I know. Cotton gauze bandages applied before the athletic tape was not covered in Medical School. Ha, ... Hah, Ha! You have my condolences. > > I don't know the answer to any of those questions, and I don't think > > you do, either. I suspect if the answer were as simple as that, they [quoted text clipped - 6 lines] > > You have my condolences. Thanks. Your family has my condolences. ;) > Doc John wrote: > > Call me old fashion, but shouldn't doctors protect their patients from [quoted text clipped - 18 lines] > Jason > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ I've never heard that most cases of hepatitis are the result of spending time in the hospital. Maybe Howard or someone can field that one. There are different types of hepatitis (A, B, C, D, E, G), I believe, with different modes of transmission. I think hospital workers *may* be at greater risk than patients, but I could be wrong. Sharing dirty needles and having sex with an infected person are still high on the list of risk factors; some types can be transmitted by ingesting contaminated food or drugs (fecal-oral route), and certain drugs, such as isoniazid, methyldopa, nitrofurantoin, and acetaminophen can apparently cause hepatitis (non-viral), as well. I think a lot of cases are idiopathic (cause unknown). Thus endeth my limited knowledge of hepatitis (some of which was acquired within the last few minutes). ;) Jason Johnson wrote: > In article <1151765616.095049.197320@p79g2000cwp.googlegroups.com>, > "Marcia" <design1@insight.rr.com> wrote: [quoted text clipped - 21 lines] > Jason > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ I've never heard that most cases of hepatitis are the result of spending time in the hospital. Maybe Howard or someone can field that one. There are different types of hepatitis (A, B, C, D, E, G), I believe, with different modes of transmission. I think hospital workers *may* be at greater risk than patients, but I could be wrong. Sharing dirty needles and having sex with an infected person are still high on the list of risk factors; some types can be transmitted by ingesting contaminated food or drugs (fecal-oral route), and certain drugs, such as isoniazid, methyldopa, nitrofurantoin, and acetaminophen can apparently cause hepatitis (non-viral), as well. I think a lot of cases are idiopathic (cause unknown). Thus endeth my limited knowledge of hepatitis (some of which was acquired within the last few minutes). ;) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Marcia, Don't worry. If I am wrong, we both know that various medical experts will take turns letting everyone know that I am wrong. I don't know which type of hepatitis that patients are most likely to get while spending time in hospitals. I agree that hospital workers are more likely to get it than patients for the reasons you mentioned in your post. Hospital workers have to take special classes related to this subject at least once each year. I had to take such classes once each year. We even had put on a pair of latex gloves and the teacher sprayed shaving cream on our hands. We had to remove the gloves without getting any shaving cream on our hands. Some of the students had to do it two or more times before they were able to do it. I got lucky--I done it right the first time. Jason ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > In article <1151770844.038260.84970@m73g2000cwd.googlegroups.com>, > [quoted text clipped - 12 lines] > Jason > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ I think, if you want to bring the medical professionals out of the woodwork, you'd have to actually advise someone not to go to the hospital because they could contract hepatitis. They probably give very little attention to these side threads, or at most, roll their eyes and go on to the next topic. lol. Yeah, I got about halfway through nursing school before deciding I'd taken the wrong career path. The first thing they teach you--and constantly reinforce--is how to wash your hands properly and how to use standard precautions without contaminating yourself. We had to take 2 or 3 pre-nursing courses that dealt with all the basic stuff (creating a sterile field, changing a dressing, etc., etc.) Did you know that each time you wash your hands, you kill fewer germs? Thanks everybody for your time and replies. It just seemed real "weird" to not close up my gaping shoulder! I'm going to change the dressing 2 times a day and follow all of my Dr.'s instructions.........I'll post back with updates so people that search this forum will have an answer if they have the same problem. Thanks, Darryl Posted via medical forums at http://medical.gr77.com UPDATE 7/16/2006: Well it's been a couple of weeks now and it has been healing just as the Dr. said it would. I have been changing the dressing twice per day, washing it with hydrogen peroxide, and placing a "dab" of neosporin on the new non-stick dressing. It's not totally healed yet, but it is close. The only negative is that I'm going to have a [b:7ba39386de]huge[/b:7ba39386de] scar on my shoulder, but I'll live! I hope this eases somebody elses mind, Darryl Posted via medical forums at http://medical.gr77.com > UPDATE 7/16/2006: > [quoted text clipped - 11 lines] > > Darryl Thanks for the update. The scar will slowly shrink and fade, but will not disappear. |
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