You’re my go to! I certainly appreciate your expertise- your presentation is extremely helpful when explaining healing techniques to my patients. Thank you for what you do! 🙏🏼
In many cases hydrogel can be applied to an eschar or scab, usually when there is no exudate and no infection. The hydrogel will hydrate the eschar and assist with healing.
Thanks for the plausible advice. Ironic that I just realized I have to violate the scab removal rule for a bad skin cancer case. If not removed daily, fluids etc push upwards and outwards until skin agonizingly ruptures and bleeds. This is for the long waiting period for proper surgery, when tylenol is my only friend.
Yes, I’m sorry you’re experiencing that, Inhave two family members that went through something similar. Chronic wounds can be evidence of an underlying cancer, especially squamous cell carcinoma and basal cell carcinoma so it’s important to get any non healing wound evaluated. Good luck in your surgery!
I have “t point wounds” opened after 3 weeks from breast lift. They are are now 1.5 cm x 1 cm wounds and have been draining and spitting stitches. They don’t show infection but drain a lot. My surgeon has me using calcium alginate dressings but each time I change it 2-3 iMessage per day. They are stuck to the wound and feel like peeling off a scar, even though it’s just the drainage crusted over the dressing. Do you have a different opinion for a better way to dress and manage the weeping fluid?
Not letting it breathe was the most surprising to me. I once had a foot injury with a very nasty messy wound. Part of it went over my ankle bone where there was not much flesh and they closed it with sutures as best they could and when they took them out that part of the wound was still not completely healed. I then had a cast on my foot and when they took that off it was still not fully healed. They put a dressing on and told me I could take it off and let the air get at it if I was sitting at home with my foot up. I did that and yes I got a scab and that scab was still there three months after the injury.
Thanks for sharing Nora, sounds on the foot and ankle can be tough, for a lot of reasons. There are some really advanced dressings now and if we can provide a moist healing environment we can get more accelerated healing. Hope you’re all healed up now!
@@citizensurgeon Oh yes! This happened back in 1987 when I had a piano fall on my foot and it was a bad injury. It took a whole year but it was eventually perfect. It is wonderful that there such improved dressings etc now! etc. I know I had a very fine doctor. He is still working as vice president at our children’s hospital and is the quality and safety person there. Something I know you can relate to.
@@citizensurgeon Thank you for your rapid response. I understand that this is a big topic that’s up for discussion. I wanted to know if specifically in a patient with an infected wound in which drainage is done and antibiotics is prescribed, would hydrogen peroxide be a viable option to clean out the wound for the first few dressings?
Iodine can be used to reduced bacterial load but shouldn’t be used chronically or in high concentrations as it will be cytotoxic to healing cells in the wound bed. Better to clean, gently debris and irrigate with water or saline and provide a moist healing environment with good exudate control.
I was referring to surgical incisions that go deeper than dermis. If it’s a not surgical laceration then it can be sterilized and closed with sutures, staples or steristrips.
You’re my go to! I certainly appreciate your expertise- your presentation is extremely helpful when explaining healing techniques to my patients. Thank you for what you do! 🙏🏼
Amazing! Love that so much! Thank you. If theee is a topic your want to learn about, for you or your patients, please let me know.
You are a fantastic teacher
Thanks so much!!
You’re an excellent teacher Dr. Pearson really love the way you explained and easy to comprehend god bless you always 👏👏👏👏👏
You are welcome!!! What topic next?!
Why do wound got so water realize and past please help
Skin tears are very common amongst elderly. Any information on this often serious condition?
So then can you add hydrogel directly onto an Eschar? Or does it need to be debrided first?
In many cases hydrogel can be applied to an eschar or scab, usually when there is no exudate and no infection. The hydrogel will hydrate the eschar and assist with healing.
What is your opinion regarding retinol based topical creams for wounds?
Thank you very much.
You are welcome!
Thanks for the plausible advice. Ironic that I just realized I have to violate the scab removal rule for a bad skin cancer case. If not removed daily, fluids etc push upwards and outwards until skin agonizingly ruptures and bleeds. This is for the long waiting period for proper surgery, when tylenol is my only friend.
Yes, I’m sorry you’re experiencing that, Inhave two family members that went through something similar. Chronic wounds can be evidence of an underlying cancer, especially squamous cell carcinoma and basal cell carcinoma so it’s important to get any non healing wound evaluated. Good luck in your surgery!
I have “t point wounds” opened after 3 weeks from breast lift. They are are now 1.5 cm x 1 cm wounds and have been draining and spitting stitches. They don’t show infection but drain a lot. My surgeon has me using calcium alginate dressings but each time I change it 2-3 iMessage per day. They are stuck to the wound and feel like peeling off a scar, even though it’s just the drainage crusted over the dressing. Do you have a different opinion for a better way to dress and manage the weeping fluid?
Not letting it breathe was the most surprising to me. I once had a foot injury with a very nasty messy wound. Part of it went over my ankle bone where there was not much flesh and they closed it with sutures as best they could and when they took them out that part of the wound was still not completely healed. I then had a cast on my foot and when they took that off it was still not fully healed. They put a dressing on and told me I could take it off and let the air get at it if I was sitting at home with my foot up. I did that and yes I got a scab and that scab was still there three months after the injury.
Thanks for sharing Nora, sounds on the foot and ankle can be tough, for a lot of reasons. There are some really advanced dressings now and if we can provide a moist healing environment we can get more accelerated healing. Hope you’re all healed up now!
@@citizensurgeon Oh yes! This happened back in 1987 when I had a piano fall on my foot and it was a bad injury. It took a whole year but it was eventually perfect. It is wonderful that there such improved dressings etc now! etc. I know I had a very fine doctor. He is still working as vice president at our children’s hospital and is the quality and safety person there. Something I know you can relate to.
Sorry if I already asked this? What do you think of Aquacell Extra ?
Which of these myths were the most surprising for you?
Third myth. All my life I believed that scabs are sign of excellent wound healing! Thank you for support. Hugs from Brazil 🇧🇷
Any thoughts on Vashe?
how about the usage of hydrogen peroxide in infected wounds?
I would say infected wounds need drainage, debridement and possibly antibiotics, definitely evaluated by a doctor
@@citizensurgeon Thank you for your rapid response. I understand that this is a big topic that’s up for discussion. I wanted to know if specifically in a patient with an infected wound in which drainage is done and antibiotics is prescribed, would hydrogen peroxide be a viable option to clean out the wound for the first few dressings?
Not sure to get scar excision or just wait for verteporfin with scar excision
Definitely something to talk to your dermatologist about for sure!
What about Iodine, is that bad for a wound?
Iodine can be used to reduced bacterial load but shouldn’t be used chronically or in high concentrations as it will be cytotoxic to healing cells in the wound bed. Better to clean, gently debris and irrigate with water or saline and provide a moist healing environment with good exudate control.
What do you think about Aquacell Extra?
Sterile environment with a lac?! How?
I was referring to surgical incisions that go deeper than dermis. If it’s a not surgical laceration then it can be sterilized and closed with sutures, staples or steristrips.