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Old 06-10-2011, 11:30 PM   #1
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My wound after ankle surgery opened up when the staples were removed

I just wondered, has this happened to anyone else? I have been treated from injury to aftercare, and everywhere in between, by doctors in training at my local county hospital. I had a large plate placed alongside my fibula, and two screws inside my inner ankle. The wound on the inside healed wonderfully, but the outside incision did not. I was not told much upon removal of my staples, only "walk". I stand for 9 hours plus everyday in my retail job. My surgery was at the end of December 2011, and the wound is now open at least an inch, and is oval shaped. The last resident I spoke to several months ago told me, "Don't worry, it's healing from underneath". Three months later, I am not only in constant pain, but do not see the wound filling in. If anything, it seems to be spreading more and more, and leaking so much every day. I am so frustrated with this all, and don't know what to do! The residents just shrug and send me home. It looks disgusting, and I am suffering in silence, as I don't want to share the stomach-turning sight of my lower leg with anyone else. Is there any solution? If anyone has been through a similar situation, what did you do?

 
Old 06-11-2011, 10:08 AM   #2
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Re: My wound after ankle surgery opened up when the staples were removed

at ANY hosp where they are training residents, there also simply HAS TO BE the 'head" of that particular dept that THEY also have to answer to too? have you tried getting in to see him or her? if these 'residents' have screwed up in any way, the very LAST thing they want is for that head of their dept to find out about it. if possible, find out just who that person is and ask to be evaled by them first. if that does not get you anywhere, then write that person a letter detailing what has and is taking place with you and these idiots, and send it certified mail. that person HAS TO KNOW what 'their responsible for students" have done, or NOT done for patients that the head of the dept is/has actually the underlying responsibility for too. just something i would try and do for your future sake and other potential surgical patients there as well. you would be doing everyone the hugest favor here and mostly yourself. that head of that dept simply NEEDS to know about this either way. this just is NOT at all a situation where you tell a surgical patient from many many months ago is 'normal' and blow them off and not at the very LEAST try and culture whats coming from that wound to even KNOW what they are dealing with. thats just basic common sense in this type of situation. and also very negligent behavior on anyone who has seen this/you and blew you off too. and THAT just is why the head of that dept NEEDS to know. or go to the administrator of that hosp.

this just seriously 'sounds like' it could have developed some type of actual infection or abscess, esp if its draining anything that looks even slightly yellowish or greenish or just 'thick' in consistancy(or the wound itself looks that way). and the fact that this has also now become more oval in shape vs just a "a gaping area of a line of an inciscion" means you are very right, it IS spreading.

at the very LEAST, esp if it is as 'gross looking' as you seem to feel it is, go to another hosps local ER to have that evaluated and some antibiotics started. this type of thing CAN turn into a 'systemic(meaning system wide, and more dangerous) type of condition if not stopped with early as possible intervention. that wound just should NOT be open at all but well healed at this stage. i would NOT take any chances here at all with this. systemic infections can really be soo awful and very dangerous to try and get rid of, let alone have to live with. that tissue that is open also could be granualizing/dying/necrosing too. just go to a different ER and NOT the the hosp you have been going just to get a 'proper' and very much neutral opinion on whats going on in there. they can also culture the fluid to see if you could have also picked up some type of viral thing or bacterial infection even FROM repeated visits to the hosp(they just ARE one of the most germy and bactera laden places on earth) or someone NOT taking the proper infection control precautions when simply treating you. things like MRSA are always present in any given hosp,among other nastys and are one heck of a horrid condition to have ended up with and to try and treat.

any time an incision will not fully close(esp THIS far out)or opens back up post healing, there is almost always a good solid reason for it more underlying in the body. infection and/or drainage that is continual is showing you it needs help and will not close without help until that 'underlying' issue is resolved. like i mentioned above, this could simply need some anti Bs or something a bit more in depth. but if this were me, and i HAVE been in this same type of post op situation before(just not as insanely long period of time as yours has been), i would go to another ER, or even your primary doc for that matter(he CAN do that culture on this for you at least) for a better eval and some testing they can do on this too. this just IS a better safe than sorry type situation.

i seriously feel the people you have been seeing for this are trying to just cover their own butts(these ARE students afterall and alot IS on the line whenver they screw up) and not doing one dang thing to even try and help this to heal(or even find out the 'whys' in why its actually STILL open)? any open wound that will not heal simply DOES have a good reason behind it, and is also a very open route for bacteria/germs to also enter your body too. another ER will see this very differently than the idiots who insist this is even remotely 'normal"? esp since this was done in dec of last year?

either go to another ER, family doc or even better, try and get a referral for an infectious disease specialist who can look at this, or even an ortho who KNOWS the 'normal course' for this type of surgery and what indicators to watch for if their just ARE problems or complications. i just would NOT take any chances with this. if this spreads to your whole system, you will be one sick patient. and the treatment can be very very strong IV anti Bs, among other treatments by that time too. just see your doc for that culture and eval from HIS perspective and see what does or does not show up as what is oozing out of that now very not incisional anymore wound(then depending, get thee to that infectious disease specialist). OR directly to another hosp ER for THEIR overall opinion. that incision just should NOT even have opened up at all unless something underlying caused it in the first place, ya know what i mean? BUT, you DO have some good solid options here too. you just NEED to find out whats going on and it appears you will not get that from the people who did this to you. so you see someone else instead.

are you at all per chance a diabetic? this 'could' possibly explain some things if you were, thats all.

one thing i would do right now too is obtain any and ALL records from the place that did the surgery on you that would also contain 'visit notes or progress notes" that by law have to be written after every single visit any doc simply has with any patient. it could give you some better insight as to what 'they' are really thinking is going on, vs what you are simply being told then blown off by these stupid people,or even if they are lying in the notes. just contact the medical records dept at that hosp you have been going to. they will do the rest after that. when they send out what is called the release of information paper that you will need to fill out and then sign and send back, make certain to state you want copies of EVERY single document in your medical files both surgical and pre surgical and post op visit follow ups too. so BOTH surgical(this will tell what they did during your surgery in the op notes) and clinical, which is all of your visits to them before and after that surgery.

just DO get this fully evaluated by someone OTHER than the people you have been seeing. this DOES require further attention and possible treatment in order for it to have a chance at closing. but you do NEED to know 'why' this even happened and what is behind the what appears as some level of infection too. but DO definitely contact the head of that dept in detail and give your contact info(tell them you want to see ONLY that person for eval/and culture of drainage) and if you hear nothing, go directly to the admin of that hosp if you have to. you simply deserve 'appropriate care", thats all. good luck with this and please DO let me know what you find out. just DO get moving on this quickly since way too much time has passed already with no real potential treatment done. FB
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11-20-01,placement of hardware for failed fusion
9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

 
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Old 07-15-2011, 09:48 PM   #3
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Smile Re: My wound after ankle surgery opened up when the staples were removed

I would like to express my sincerest thanks to you, feelbad! I was at my ultimate lowest point when I initially posted my health issue, and was crying myself to sleep every night. Your reply was a ray of light in the darkest dark!

I returned to the county hospital the very week I read your post, and again, was told to "Go home and wait, it will heal on it's own". I refused, insisting that I speak to the head of the ortho department. It took a while for him to come to see me, but my insistence paid off. In 5 minutes or less, his quick instructions lifted my hopes a little further. My scabs were removed, and the wound was cleaned out with iodine. I was told that my pain was caused by exposed nerve endings in the wound. He suggested I try wet to dry bandaging. He was obviously concerned by the sight of my disgusting wound, but assured me that with proper care, it would get better.

I was guardedly optimistic as I pulled the dry bandage from my painful wound each morning. I didn't see results right away, but the odor was almost immediately gone. I was so ready to put this awful experience behind me.

Almost a month later, my wound is the size of a dime, and i am....PAIN FREE! This is the biggest stride, as I was taking 1,500 mil of aspirin three times a day, just to function. I have another appointment next week. The head intern (I also insisted on seeing the same Doc-in-training each visit) said that when it gets small enough, he will suture it closed, hopefully once and for all!

I never knew what a difference a stranger could make in my life until now! You gave such a clear and feasible path for me to follow, and helped me get back into this fight for my health and happiness. For this, I wish you all the good fortune this world has to offer. Please continue to help others, you are doing a world of good!

 
Old 07-16-2011, 08:54 AM   #4
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Re: My wound after ankle surgery opened up when the staples were removed

well thank you sooo much for that hon, you just made my whole month in just even telling me that at all, you have no idea how much that just means to ME. alot of people pop in, you try and help and ask them to please keep me posted and you never hear from them again. unless the situation does not get resolved or things are worse kinda thing? so you just taking the time to pop back in means everything to me,seriously.

i am soo glad you finally got someone other than the idiots who were treating,or not treating you. sometimes we simply DO have to get really in someones face(so they actually even really 'see us'), or better yet, get dam angry at how we are being treated and advocate for ourselves. demanding things at the begijnning is very very different from what you were going thru hon, and for WAYYY too long.

i am so glad i happened to even see your post that day hon. your tone in that post sounded very dire and you sooo depressed and not getting anywhere WILL make us that way,esp when we KNOW something simply is not right in our bodies. and the time frame for this was really just sick and insane that no one bothered to even "try' and resolve(just very simply finding out the 'why' in it not closing) either for you. and you DID and do deserve better. i DO hope like heck that this WILL continue to heal for you VERY soon. you have already been thru more than enough. open and exposed nerve endings?, geeez, that makes me just shudder and IS excruciating too. i did not know, unless i missed it, that this wound WAS actually also giving off any type of actual 'odors'? that IS a huge red flag and should have EASILY been picked up on by them before this started to actually turn gangrenous, which it probably WAS headed to or there would NOT have BEEN any actual odor at all? good god i am REALLY glad you posted what you did, just for YOUR sake that day. it was just much worse than what i assumed when you DID post.

if for some reason you should feel you are NOT getting anywhere with this,and i should have also mentioned this before but did not think of it. a good wound clinic can be absolutely priceless in helping to heal very hard to heal wounds too. they DO specialize in alot of esp lower extremity types of wounds, usually more so for people who are diabetic and simply not getting good bloodflow down that way anymore. they just have all the right 'stuff' needed to heal the hardest to heal types of any types of wounds at these facilitys too. just something i wanted you to know about. hopefully you wont HAVE TO go that route, but it IS an option for you hon. its always a good thing to just know that we DO have options and are not 'forced' into staying in 'crappy care' facilitys.

i hope all goes well for you hon. and again, thank you sooo much for telling me what you did. it does mean ALOT to me, really. your particular type of situation IS why i DO come here and at least try and help others. i have also been thru hell and back with my own ongoing medical nightmares with six surgeries in the last ten years. you DO learn alot FROM having to be forced into that stuff tho. please DO keep me posted on how things are going sadeyes. it really DOES matter, trust me, lol. hang in there hon, marcia
__________________
3-22-01,herniated C-6-7
11-20-01,placement of hardware for failed fusion
9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

 
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