Tag Archives: wound dressing

A really long day!

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Monday 2nd December

Have just returned from a long day trip to Exeter.

I had an appointment at the dressings clinic, to see whether the drain in my leg was ready to be removed ~ no, not yet, as I’m still losing too much fluid. So plastic bag changed, and the site cleaned up.

Hmmm, another week of dangly bag between knees!

There was also a Macmillan nurse there who had a printout of my results, following the groin dissection three weeks ago: of the four further nodes removed, only one more contained melanoma, and that was ‘encapsulated’, no spread to the surrounding tissue which had also been removed. Three out of six, in total.

Does that sound good, or maybe OK?

She then spoke for a bit about the Combi-Ad drugs trial, I have been offered.

My wonderful plastic surgeon, who was conducting his own clinic, then popped his head round the corner, to say hello and check the wound, scar, red bruising, hot feeling, wooden thigh, that I now seem to possess! All seems normal, he’s happy with the progress being made, and will now refer me on to an oncologist, where I will find out more about the trial.

So, all in all, not a wonderful day, but not dreadful either.

Dressing. Drain. Disappointment.

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Monday 25th November

Spent a lovely weekend with my family; lots of visitors, bringing more flowers, cards, chocolate, and much love!

My wonderful next door neighbour also presented me with a huge bunch of flowers ~ she had seen me returning last Monday, noting the struggle I had getting out of the car. She saw the pain I was in, and told my husband that her heart bled for me, and that I would be in her prayers.

Today we set off early on a trip to Exeter to the plastics clinic.

I had a left groin dissection fourteen days ago, was discharged a week ago.

Firstly I had the white dressing removed from a quite long scar: no visible stitches, just a very long, tidy line. The nurse cleaned it up a bit using sterile water, but did not then put anything back on it. Time to let it heal in the fresh air, so to speak!

I really, really was hoping for the drain to be removed, but no such luck!

As I’m draining 120 + mls per 24 hours, the drainpipe cannot be removed. That is way too much apparently!

I saw a nurse practitioner, who checked this out with the doctor.

The amount needs to be less than 30mls.

Plus, the drain fluid is still dark ~ a nice shade of merlot; it needs to go from red, through rose, and on to white wine!! (Well that was the analogy the consultant used!)

So, it’s back again in a week.

Must try harder!!!!!

So I’m stuck for yet another seven days with the dangly, plastic, collecting bag!!

I still feel rather uncomfortable, and the tube is leaving the top part of my leg bruised and puffy.

Probably, deep down, I knew the plumbing pipe wasn’t going to be removed today ~ I am an impatient patient! It’s just that two weeks with a foreign body stuck up the inside of one’s leg is not the happiest of thoughts! Still, if it is to be, I shall not argue with the professionals! Perhaps in another week’s time it will be gone.

Post-op ~ Day six

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Monday 18th November

Today’s the day ~ Discharge-Day!!

Up bright and early for a wash and to drain the drain, (a total of 115mls in the last twenty four hours).

I see one of the consultants who operated on me. All looks well, if a little swollen and numb. He removes the top, waterproof dressing, swiftly and without fuss ~ ooooh! Underneath there is a long line of steri-strips, but no blood, redness or bruising, just tightness and a real sensation of pulling. A little uncomfortable, but understandable.

I now have to wait to be shown how to change the plastic drain bag, to record the amounts, and then to be given my party bag of drugs and the signed discharge letter. Yay, the seventh day of hospitalization, and it should soon come to an end.

Have just been visited by the Macmillan nurse, talking about recovery, relaxing, swellings, expectations, and what happens next. I will need to wait at least a week to have the results from what was removed. Originally, during the Sentinel Lymph Node Biopsy, three nodes were identified, and two removed. The nurse told me that both had melanoma in them ~ one, quite a lot. Hoping and praying the rest that have been cut away are clear. If not, I have the option of the double blind trial, or radiotherapy. But she told me not to dwell on the “What ifs” too much, but to wait until I see my consultant in a week’s time. Think positive. Never, ever give up.

The dressings nurse has now put a new, white, waterproof covering over the wound. She told me that when the consultant had come along on his rounds, with about six others, male and female, they all visibly cringed and screwed up their faces when he pulled the dressing from my skin. Being in  a rather ‘delicate’ place, it’s not surprising!! I wish I had seen their faces ~ all I remember is holding onto the consultant’s arm, and looking at the top of my leg. Oooh, ouchey ouch.

Slowly but surely all the things I need are gathered together. I receive a large bag of medication, along with the discharge letter signed by the consultant, a few spare ‘drain bags’, and lots of instructions for the next few days.

By two o’clock everything is in place, my husband has arrived, and the nurse finds me a wheelchair in which to escape!!

Just over two hours later I’m in my own bed, sipping a lovely hot cup of tea, and so looking forward to a quiet, dark bedroom tonight. I’m sure I’ll sleep well and easily find the land of Nod.

Fat toes and gashed elbows

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Monday 8th June

My weekly visit to the practice nurse saw us discussing swollen, fat toes and over-granulation of the skin. Hmmm, doesn’t sound too pretty! My fourth and fifth toe remain puffy and podgy, and are hypersensitive to touch. In between the toes, where it is warm, moist, and constantly under pressure, the friction of rubbing together, and the graft not taking, the skin remains red raw, and the scar tissue keeps on growing (the over-granulation). Bleurrgghh. The nurse says if it wasn’t for the skin graft, she would probably use silver nitrate to get rid of the excessive scar tissue. But, we’ll wait and see what the consultant says on Monday.

I now seem to have two differently sized feet; my left foot appears to be two sizes bigger than my right! Ha ha, not! When can I wear dainty, summer sandals? High heels?

Anyway, about an hour after returning from the surgery, my mum pops round on her way to the beach. She remembers that she came to see me to ask for a plaster for her elbow, as she had fallen up her steps, coming back from the town. It’s only a graze, she says. Upon closer inspection, I realise it is a rather nasty, deep looking gash. Off we go, back down to the surgery for my second visit of the day, to see the same nurse. Lots of local anaesthetic, three stitches, a SteriStrip, gauze dressing, padding, bandage and an arm stocking, and mum is ready to be driven back to our house, by my husband, for a therapeutic cup of tea. No beach today!

My GP called

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Wednesday 12th June

Lying in bed, on a dreary, grey June afternoon, I am roused from a nap by the telephone ringing. It is my doctor whom I originally saw back at Easter time, about my foot.

He wanted a quick catch-up, as he had been absent from the surgery for a while. He understood that I had been through a lot since he last saw me (understatement!!!), and wanted to know how I was doing. As he had the scan results infront of him, he was so pleased that they had come back clear. We talked of my upcoming appointments and surgery, the infections and antibiotics, and also of the lymph node biopsy procedure. He would try to see me tomorrow, when I go to have the wound dressed. He was also concerned that I wasn’t at work, standing up, teaching all day, and would write me out my fourth sick note, for collection tomorrow.

It was great to speak with him, knowing he had taken time out to enquire about my health and well-being. A super caring and concerned GP: so lucky to have him as my doctor.

Post-op #1 ~ more dressing of the crater

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Following on from Wednesday’s visit to the surgery, I was back there on Friday ~ no better, no worse ~ was the state of the infection ~ keep taking the pills!

On Sunday the district nurse came to the house to clean and dress the wound. As it was still a bit stinky, she advised me to go back to the surgery on Monday.

I’ve never visited the place, on so many occasions, in so short a time! Back on the Monday, as the infection was still present, I was put on another set of antibiotics.

The swabs that I had taken for MRSA all came back negative, so that was some good news!

My last visit to the nurse was on Wednesday 15th May, when it found that the infection had  cleared up, yay! All systems go for the skin graft operation.

Post-op #1~ wound dressing #2

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Wednesday 8th May

I was dreading this, I really didn’t want to go through the pain again. However, it was so much easier this time, nothing had stuck to the wound tissue ~ breathes enormous sigh of relief! But, there was an infection. My notes read: malodorous today, sloughy wound bed, periwound erythema. Bleugh. Antibiotics were prescribed. If the wound were to remain infected, the skin graft couldn’t go ahead.

Post-op #1 ~ wound dressing

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Monday 6th May

Three days after the operation I had an appointment to visit the nurse in our local surgery. My wonderful next door neighbours had borrowed a pair of crutches for me, making it easier to cross the road to get to the car.

If I thought it was painful before, I wasn’t prepared for this!

Upon unwrapping the bandages, the wound, actually more like a crater, was filled with gauze. The wound had to be kept open, in preparation for a skin graft, two weeks hence.

Using saline solution and plastic tweezers, the nurse, as gently as possible, began to prise the dressing away from my skin. Forty five minutes of crying, hyperventilating, hanging on to my husband’s shoulders, and finally the wound was clear.

It did look quite scary and very deep. Having cleaned and re-bandaged my foot I felt a lot more comfortable, plus I was armed with a box of much stronger painkillers!

And they worked! If I timed it right, taking two, 40 minutes ahead of time, I could hop-hobble to the bathroom in a little less pain!

A much better sleep was had that night.