Tl:dr
I have a 4cm hole underneath my wound, does anyone have experience? How long does it take to heal and how long before it stops discharging gunk?
Quite a week
I had the staples out on the Monday, the nurse commented the large one looked rather red. True to form early Tuesday morning it started leaking red/brown gunk. GP couldn’t see me so after 111 I found myself at A&E. 12 extremely uncomfortable hours later sat on a waiting room chair, they found the right doctor who opened, cleaned out and packed my wound. This smarts a bit.
it’s a 4cm hole underneath a 13cm wound. I’m now on antibiotic, daily repacking and daily dressing changes. None of this is overly pleasant, but it apparently helps if I remember to take my pain killers an hour before. Last night was the first time I didn’t wake with a trickling sensation down my side, but the dressing looks rather puffed up. I’ll see what’s under it later today.
The good news!
On Thursday I got my histology back, TP2b, clear cell RCC, >10cm but contained within the kidney, no nodes or spread. The bits the chopped of my caecum were benign. I think this is as good as I could possibly have hoped for and fingers crossed they’ve got it!
However I am at intermediate risk of reoccurrence- reading the criteria, so are most people. I also may be eligible for a trial. Once I know the possible side effects, I’ll need to think more. But the increased monitoring is a definite positive even if I get saline, or the trial fails.
This was all fantastic but tempered by my larger wound becoming infected. This will heal in time, then I can get on with things.
I just want to add my admiration for the A&E team. When I left at half past midnight, the waiting room was still as crammed as when I arrived. There were people in there I started with. The staff are run of their feet. At one point I watched an A&E doctor see a patient, then clean the cubicle before the next one, relentless . A real team player and an undermanned department.
Some good news in there Don. A 40mm hole ?? Wowsa, hopefully they can keep that under control till it heals up.
The NHS is under attack. A slow, painful, and deliberate decline to make people think it's better to go private. God bless the wonderful people that work in it and keep it going for us all.
So good during lockdown/covid that we all clapped them. So good that they got a measly 1 per cent rise for their efforts.
I can’t agree more. They were working solidly and some of the medics didn’t take a break. There are people in there that in the old days would have gone to the GP first (who would have treated or sent on to A&E), but if you can’t get a GP appointment what choice do you have. That was the situation I was in, though theyd have probably sent me on.
This system could be made to work but the emergency departments need to be massively increased and more importantly get properly staffed. The recent pay rises aren’t going to attract new staff into these jobs. Ok didn’t want to go all political but I did!
Todays pack and dress went better than yesterdays. The nurse said take all your pain meds an hour before and that certainly takes the edge of it.
The removed dressing, though still grim, were cleaner than the day before so hopefully the antibiotics are kicking in. They’ve arranged for the district nurse to come and see me over the weekend which saves me shoe horning myself into my wife’s car. I’m learning to move without using my abdominals, they’re still too sore.
Yeah..sore abdominals and...learning to move again...lol. It all rings a bell. I think it was about 4 weeks before i could stand up straight. Try and take your time Don. Let yourself heal nice and easy.
Very handy the district nurse coming to you. And regarding pain meds I tried to wean myself off the paracetamols far too early. I was a little impatient to get better. Soon learnt my lesson there.
Really interesting chat about A&E and I concur with all the points made. I think too many cases are sent to A&E needlessly. The system is designed to investigate all potential pathways to a medical emergency without an appropriate weight given to likelihood or risk. Too much first line investigation is sent to A&E when it could be dealt with at the GP or by other Doctors in my opinion.
Keep us updated with your progress DonS. Seems to be moving in the right direction now.
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