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Old 11-12-2016, 02:33 PM
 
Location: God's Country
5,182 posts, read 5,253,359 times
Reputation: 8689

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A week ago, I suffered a tibial gash about four inches above the ankle. It's 1.5" long, and 5/8" at its widest point tapering to an infinitesimally small width. Depth undetermined but I can run my finger over it and feel the small "valley" in the center.


Probably should have been sutured, but I chose to clean it, apply Bactroban, and cover it with a patch. Changed the dressing twice a day the first three days, observing an accumulation of blood and lymph. No patch the next couple of days.


Yesterday, day six, I had my regular six-month checkup. For the occasion, I applied a patch to see if the wound was still producing blood and lymph. It was, albeit not to the extent as earlier in the week. OK, the doc said that the reason it's not clotting is that the injury is right on top of bone (tibia) and therefore the soft tissue is very tight. His solution was to apply Vaseline to keep the area lubricated.


There are two reasons why I'm less than assured. This MD minimizes symptoms and signs. In my case, it's like I'm almost a young world class athlete, when in fact I'm old as dirt with documented electrolyte issues and a history of HBP, although well-controlled at present. He replaced my previous primary source who chose semi-retirement but I preferred her even though "merely" a non-physician PA.


The second reason is that 13 years ago, I had a senile keratosis removed from the scalp, and it did not heal property. Dermatologist gave me a French emulsion called Biafine -- which had not been approved by FDA and may still not be approved -- and it solved the problem. When I showed the doc yesterday the Biafine carton, he said that he never heard of it and is unable to read French. Also, at age 17, I suffered a cut finger to which a pressure bandage had been applied, and when removed four days later, the cut bled as profusely as the first day. In other words, perhaps my clotting mechanism is slower than normal.


Have any of you continued to exude a week after a cut? Have any of you suffered a cut close to the bone in an area with minimal soft tissue?
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Old 11-12-2016, 05:59 PM
 
Location: Fredericksburg, Va
5,404 posts, read 15,997,633 times
Reputation: 8095
My dermatologist recommends vaseline over surgical sites.... (no stitches)...to keep a scar from forming. It's fine...do it.
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Old 11-12-2016, 07:19 PM
 
Location: God's Country
5,182 posts, read 5,253,359 times
Reputation: 8689
It's interesting what your dermatologist says.


I don't care a lick about scarring though; it's just that I'm worried about a chronically open wound which will eventually become infected.


Thanks for responding, appreciate it.
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Old 11-12-2016, 08:43 PM
 
Location: TOVCCA
8,452 posts, read 15,046,521 times
Reputation: 12532
Are you conscious of increasing your protein and vitamin C intake to promote faster healing?
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Old 11-12-2016, 09:07 PM
 
Location: Georgia, USA
37,107 posts, read 41,277,178 times
Reputation: 45151
Quote:
Originally Posted by Calvert Hall '62 View Post
A week ago, I suffered a tibial gash about four inches above the ankle. It's 1.5" long, and 5/8" at its widest point tapering to an infinitesimally small width. Depth undetermined but I can run my finger over it and feel the small "valley" in the center.


Probably should have been sutured, but I chose to clean it, apply Bactroban, and cover it with a patch. Changed the dressing twice a day the first three days, observing an accumulation of blood and lymph. No patch the next couple of days.


Yesterday, day six, I had my regular six-month checkup. For the occasion, I applied a patch to see if the wound was still producing blood and lymph. It was, albeit not to the extent as earlier in the week. OK, the doc said that the reason it's not clotting is that the injury is right on top of bone (tibia) and therefore the soft tissue is very tight. His solution was to apply Vaseline to keep the area lubricated.


There are two reasons why I'm less than assured. This MD minimizes symptoms and signs. In my case, it's like I'm almost a young world class athlete, when in fact I'm old as dirt with documented electrolyte issues and a history of HBP, although well-controlled at present. He replaced my previous primary source who chose semi-retirement but I preferred her even though "merely" a non-physician PA.


The second reason is that 13 years ago, I had a senile keratosis removed from the scalp, and it did not heal property. Dermatologist gave me a French emulsion called Biafine -- which had not been approved by FDA and may still not be approved -- and it solved the problem. When I showed the doc yesterday the Biafine carton, he said that he never heard of it and is unable to read French. Also, at age 17, I suffered a cut finger to which a pressure bandage had been applied, and when removed four days later, the cut bled as profusely as the first day. In other words, perhaps my clotting mechanism is slower than normal.


Have any of you continued to exude a week after a cut? Have any of you suffered a cut close to the bone in an area with minimal soft tissue?
Your injury will need to heal by what is called "secondary intention", and it will take longer than it would have if it had been sutured.

Here's the info on the Biafine.

Biafine Prices and Biafine Coupons - GoodRx

http://www.valeant.com/Portals/25/Pdf/PI/Biafine-PI.pdf

As you can see, it is quite pricey.

Rather than using Vaseline, which is hard to remove, you can ask your pharmacist what s/he has available in wound care products.

This is much less expensive. You can cover it with a waterproof bandage.

https://www.walgreens.com/store/c/me...e-6e3c9c0f25af
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Old 11-13-2016, 11:59 AM
 
Location: Southern California
29,266 posts, read 16,760,060 times
Reputation: 18909
I just added an entry in the Alternative Medicine area on an overlooked healing oil.
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Old 11-15-2016, 08:40 AM
 
Location: God's Country
5,182 posts, read 5,253,359 times
Reputation: 8689
Quote:
Originally Posted by suzy_q2010 View Post
Your injury will need to heal by what is called "secondary intention", and it will take longer than it would have if it had been sutured.

Here's the info on the Biafine.

Biafine Prices and Biafine Coupons - GoodRx

http://www.valeant.com/Portals/25/Pdf/PI/Biafine-PI.pdf

As you can see, it is quite pricey.

Rather than using Vaseline, which is hard to remove, you can ask your pharmacist what s/he has available in wound care products.

This is much less expensive. You can cover it with a waterproof bandage.

https://www.walgreens.com/store/c/me...e-6e3c9c0f25af

Thank you for the info and alternative solution.


I have a lot of Biafine remaining in a large tube that the dermatologist gave me. Problem is that it's from 2003. Not sure if there is a "use by" date on this type of substance.
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Old 11-15-2016, 08:45 AM
 
Location: God's Country
5,182 posts, read 5,253,359 times
Reputation: 8689
Quote:
Originally Posted by jaminhealth View Post
I just added an entry in the Alternative Medicine area on an overlooked healing oil.
I did some research on coconut oil and found that National Institutes of Health, no less, did a study of it on wounds in rats. And sure enough, the product was effective. The only thing is that NIH referred to "virgin coconut oil" and "VCO" throughout their syllabus.


Not sure if the stuff I saw yesterday in the local store was virgin. Bottle simply read "coconut oil."
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Old 11-15-2016, 08:54 AM
 
Location: Glasgow Scotland
18,528 posts, read 18,757,013 times
Reputation: 28778
Never tried it but does anyone have info on honey for cuts.
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