My surgery today 3-18-2011

Discussion in 'Pilonidal Discussions' started by mike2011, Mar 18, 2011.

  1. Hound

    Hound Very Helpful

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    I shouldn't think it makes a difference to be honest, if the edges move around before it heals together you will still have a fresh and weak section of tissue when it does close, which takes quite a while to gain full strength. I think you just have to get on with life, just be sensible and don't sit on hard surfaces or bump down with too much force. The fresh tissue could split a little from going up stairs, bending down, getting in and out of the car, all sorts of things. I would expect some minor bleeding when it first heals over, it will be a few weeks before the wound starts to strengthen up. If it does split a little, new tissue will form between the edges which will put less tension on it next time. All part of it settling down.
     
  2. mike2011

    mike2011 Helpful

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    Ok that sounds right, Ive just been taking it easy and not setting down to put as less stress on the wound as possible
     
  3. mafiozo

    mafiozo Helpful

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    I sit all the time, even if hurts i cant lay down..
    Boring

    My doc was like.. You havent gone to school yet? :eek:
    I was like no?

    He was like omg wth?

    They think its easy..
    Also its so nice to be home :)
     
  4. Hound

    Hound Very Helpful

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    It does frustrate me the attitude of a lot of medical staff that wounds are no big deal. They are to us, why does a patient's experience rate so low on their list of concerns? Why the heck did they get into that career if they don't seem to care?
     
  5. mike2011

    mike2011 Helpful

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    It seems it has just became a 9 to 5 for most employees in the healthcare industry. No one really cares anymore, there are some that generally care but for the most part its just a job for most. US also has a terrible healthcare system financial wise. So many people going without medical insurance its so sad. Sure we have government medicare/medicaid, but the amount of people that get denied is amazing, and even if you do get accepted alot of doctors don't accept it. Hound I have also heard stories about the treatment from alot of doctors in the UK also. Is that true?
     
  6. Hound

    Hound Very Helpful

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    In my experience of our National Health Service the treatment by doctors and nursess is shockingly bad. In the UK we pay 12% of salary for something called 'National Insurance' on top of our 20% income tax, 20% sales tax, $2000 per year local government tax and other taxes like road tax, insurance tax, we are taxed all over the place. Two thirds of our earnings are taken in tax one way or another. This entitles us to 'free' treatment on the NHS.

    My pilo surgery was done in a private hospital where nothing is funded by this taxation system, and the care I got was completely different, they have been awesome, attentive, caring, more than I could ever have wished for. The cynic in me tells me that is because it is a very profitable venture for them, but to be honest I think it is just that they are not so overworked to get through as many patients as possible like the NHS situation. When I have been to public hospitals, it feels like being on a conveyor belt with them not caring what your feelings are, just wanting to be rid of you as soon as possible. You feel like an inconvenience to them. For what we pay for this 'free' service, value for money is terrible IMHO.

    At the private hospitals here, you fill out a surve after each visit, scoring the staff on how they looked after you. If their scores are not good enough, the hospital does not renew their contracts. I have never been asked for feedback by an NHS hospital!
     
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  7. mike2011

    mike2011 Helpful

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    Im curious about the canadian health care system, I think is something similar to UK
     
  8. Kizzy

    Kizzy Very Helpful

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    In defence of the NHS I found when I went in for drainage they were excellent. I think, from what I hear from all sorts of people from all over the UK with different illnesses it is very hit and miss.
     
  9. mike2011

    mike2011 Helpful

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    Today the home nurse came to change my aquacel packing and I took some more pics and there is hare down low that is laying over on its side in the wound bed :( They have not been shaving low enough I guess and the hair growing on the outer edges of the wound and laying over in the bed, I have no idea what to do, It's making so despressed. The wound care has been shaving just now low enough between the cheeks. Also at the very bottom of the wound right above the anus there is a lil tiny section a lil more deep then the rest of the wound. I uploaded a high res pic and posted in my thread in the picture forum
     
  10. itamar

    itamar Helpful

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    Mike, a cleft lift will close your wound and flatten your cleft so that you do not get a recurrence. I would strongly advise you to look into that.
     
  11. mike2011

    mike2011 Helpful

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    Im more than familiar with cleft lift, Im still in the healing it has not even been 8 weeks yet, I just wish i would of known they were not shaving between the cheeks, so now some of the tips of the hair are stuck in the wound bed, and the real low part of the wound is scaring me a lil but im sure it will heal. Also my excision was fairly wide up top, and I was reading Bascoms documents and it looks like he was unable to perform cleft lifts on some patients when there previous ops were wide. Anyway im sure mine will heal as long as they get the crap shaved correctly and get the tips of the hair out of the wound bed
     
  12. mike2011

    mike2011 Helpful

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    As I said before the tips of the hair on the outside of the wound are laying down and sticking in the wound. The wound care refuses to see me until friday, they said the hair will not cause a problem at all, but everywhere else i read other wise, I made an apointment with the surgeon today to look at it, however they will not shave me or pull the tips of the hair from the wound. This is pissing me off so bad
     
  13. Kizzy

    Kizzy Very Helpful

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    Mike I really wouldn't panic too much. Research shows hair found inside the abscesses is NOT from the bottom or back, but the back of the head! I think given the amount of women that suffer from this too (like me!) this makes perfect sense.
     
  14. itamar

    itamar Helpful

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    Hey mike, I don't mean to freak you out in any way, but I had an open wound about 2 inches from my anus, in fact I did not even know it was there for quite a while, as my scar had opened up gradually from my first surgery. It became infected and that's how I noticed - I went to a surgeon and he pulled out clumps of hair, growing from around the wound and INTO my wound, an inch deep. You don't want hair growing into your wound, I learned the hard way. Intelligent practitioners should not be facilitating this occurrence. You said the Bascoms have had trouble with wide excisions on the top of the crack, but I just want to suggest that you email them anyway. My pilonidal story was absolutely awful like I said, a cleft-lift surgeon where I'm from in Boston even said no one would or should do surgery again on me since my wound was so close to my anus. The bascoms took one look (I emailed them pictures) and asked when I could fly to Oregon to see them. I understand flights are not cheap. But then again, neither is our physical, and by extension our mental, well-being. For a year I could not sit without pain. I think the Bascoms may be of more help than we realize.
     
  15. mike2011

    mike2011 Helpful

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    The surgeon shaved my wound today and said everything looked good, My wound is still in the process of healing, its not a old scar that has opened up. It still has not even been 8 weeks. Im sure my wound will heal correctly.

    I realize the clift lift is the best option, however this is my first surgery and still in the healing process, so it not a failure and im sure it will heal. I was mainly just posting up info and let everyone know whats goin on. The surgeon shaved the area for me today, the would care should of been doing that in the first place.

    Oh Kizzy I was not refering to hair from other body parts, I was refering the the hair that was growing in my crack and the tips of the hair were touching and sticking to the wound and I did not want the wound to heal around them
     
  16. Hound

    Hound Very Helpful

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    Even so, hair shafts propel themselves towards the direction of the root. They only burrow when they are loose. The direction of the scales on them stop them burrowing tipwatds, they can only grow in that direction and can be pulled out easily. Ingrowing hair will get in the way of healing and should be dealt with as part of wound maintenance but they will not cause a recurrence as such unless they shed and borrow root first.
     
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  17. mike2011

    mike2011 Helpful

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    Thanks for the reply hound, If any hair does shed and attempt to burrow im sure it will be seen during packing changes, and can be pulled out easily correct?

    I posted some pics of my wound at day 54 on my thread/post in the picture forum incase anyone wants to see the progress.
     
  18. Hound

    Hound Very Helpful

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    Well the hair that you ned to worry about will have a broad end where it was rooted and that should make it easy to see so yes I would imagine they would spot them. I have to say your wound looks to be healing well. Would be nice for it to be just a healthy pink scar of course, but considering where you were a few weeks ago I think it's fantastic progress.
     
  19. mike2011

    mike2011 Helpful

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    Yeah always tell the home nurse and my mother to make sure there is no hairs in the wound and I always take a high resolution pictures to make sure they didnt miss any hair. I would imagine they are easy to spot and the nurse doesnt miss any.

    Im sure the top part of the wound would be a healthy pink scar by now but they have burnt it back with silver nitrate a few times so the can get the entire wound to heal even
     
  20. mike2011

    mike2011 Helpful

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    Today is day 56 and im still healing, there is still that one spot closest to my rectum that is healing a lil slower then the rest, its still bleeding some down there, however the wound care, and my surgeon said it was ok. From the wound care documents I have read online says that bleeding to the touch indicates infection. The wound is not sore or anything like that. As I stated a few days ago the surgeon shaved down in the cleft which is good. However the wound care don't seem to think it's to important to shave down there, and pretty much refuse or try to avoid shaving me down there. I'm sure my wound will heal I just wish more wound care clinics were more well versed in pilonidal excision cavity wounds.
     

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