sutured infection

god-of-neurosyphilis  asked:

any good (other) medical blogs?

My absolute favourite is:

Other ones that I’d recommend are:

The list isn’t exhaustive and they’re not all necessarily active, but they’re the most obvious ones I could think of that I personally follow. Hope it helps!

So I think this story belongs with you guys.

Due to some genetics, I ended up with about eight more teeth than my mouth could hold, and my wisdom teeth were actually starting to push my back teeth out of my gums, as well as the roots growing down towards where they’d hook around my jaw. My dentist recommended I get the wisdom teeth removed, and referred me to an oral surgeon. The surgeon seemed competent and confident, and I went into the surgery perfectly comfortable that everything would be fine.

I was woken up about ten minutes after the end of the surgery, and the surgeon gives us a very hurried set of instructions on how to tend to the stitches so no infection occurs. I am too fuzzy from the anaesthesia to get much and the surgeon leaves before my mom can ask any questions. After about a week I go back, in serious pain and thinking I probably have a small infection.

I get into a check up room for the surgeon, and he takes one look inside my mouth before he starts shouting at me. The door is open and my back is to it, so the entire office can hear as he screams, calling me a retard, a moronic little ingrate, and a dipshit, among other things. He also implied that I must be too stupid to read if I let my sutures get infected. At some point another doctor in the clinic runs in and starts yelling at him, dragging him out of the room. I was in tears, and left before anyone else could talk to me.

I ended up going to my dentist to fix it. My dentist took that surgeon off their recommendation list, and called to chew on that surgeon for how he treated me.

Even when the local neurologists all decided I was a junky because their two anti-headache meds didn’t work, and told me to go find some other sap to prescribe me morphine, I have never been more disgusted and embarrassed than when that surgeon made my mistake the business of the entire fucking office. I left reviews, everywhere, but I am still upset. What gives him the right to do that to me, especially when HE didn’t explain how to take care of the sutures in any sort of understandable fashion AND wouldn’t answer questions?

Phalloplasty - 1 month post-op

May 25th, 2016

On April 25th, 2016 I had stage 1 RFF phalloplasty with Dr. Chen in San Francisco. This is part of a series of posts talking about my recovery from bottom surgery. For more information on the operation itself you can look through my “phalloplasty” tag and for posts specifically about my surgery you can look through my “gendercube phalloplasty” tag.

Keep reading

werewterrefgrin  asked:

You mentioned in a post that wounds shouldn't be stitched after 24 hours; why is that? Are there any exceptions?

You know, I can’t find a good resource on exactly why this can be detrimental?

My preliminary research goes like this: if a wound is going to become infected, that infection usually takes 24-72 hours to show up. Within that first 24-hour window, it’s safe to close the wound (sutures, liquid stitches, staples, whatever), because the bacteria haven’t taken hold (unless the wound is majorly contaminated). The very last thing we want is to suture a bacterial infection into a wound, underneath a closure, where the bacteria can just eat away at the tissue below. Limbs are lost doing things this way.

There doesn’t seem to have been a lot of research, but the best sources I can find say that most wounds can be safely closed in the first 18 hours (24h+ on the scalp).

If that timeframe has passed, the wound will be left open, dressed, and left for “secondary closure”–letting it heal on its own. For high-risk wounds (such as animal bites) that present, even within the 18 hour window, an approach called tertiary closure is used, where the wound is left open (secondary closure) for a few days to insure there’s no infection before stitching it closed (primary closure).

Wound care is an area that I’m embarrassingly weak in, actually. Believe it or not, the first goal I set up on the blog Patreon account is $200/month for textbooks (we’re 10% of the way there!), with wound care and orthopedics being my first-round-draft textbooks to nab.

HOWEVER, this ask is making me consider a post on different types of wound closures, which is good. It’s always nice to have inspiration now and again :)

Thanks for the question, @penstgrin . Good luck with your stories.

xoxo, Aunt Scripty


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