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I can see the plate and about 5 screws. Doctor said we could leave this the way it is until bone has completely healed. Remove plate and hope I don't injure the bone and third is to have plate removed and an exterior afixator (can't spell) to support the bone.
The plate has to be removed, once it is exposed it becomes contaminated and has to be removed. I am on antibiotics and have been since 6-15-13 and not sure when they no long will work. If I took the 1st option I'm taking a chance that the antibiotics continue to work.
I want to the plate removed! Should I have the exterior afixator?
As of 9-4-13 there is no good callus formation.
My other question is when I called the doctor and said I did not like the way the incision was healing (before I could see the plate) could he had done something to prevent this?
I had surgery on 6-21-13 and about 7-20-13 I realized the incision outside of my leg was healing, but not the inside especially over the ankle bone was not do as good. It was not open, not until about 7-25-13.
I don't know what dying skin looks like. The outside incision was 90% healed, where the inside was only 15% healed. If I could see a scar I considered it healed and the inside there was very little scar.
The incision is about five inches long and 15% was closed, which left a scar, the rest was still bloody looking.
Doctor did not give my any additional instruction, just to keep clean and watch. If I had flu like systems or could see hardware give him a call.
He saw this around 7-24-13
I took a video with my cell phone on 7-25-13 I could send you e-mail. So you can see.
I'm not computer smart or smart at all. All I know is that we relied on the doctor to give us good advice & instructions. I'm 57 and my husband 60 and we have never had a broken bone or surgery. I appreciate your help, but think I will wait for the second opinion before I have this doctor do the next surgery.
I had doctor appointment with new doctor on 9-13-13 and had surgery on 9-16-13. New doctor removed plate and did not feel the external fixator was required. Bone was strong enough. New doctor put a wound vacuum on wound to help it heal, but thinks I my need skin graph. I fell much better with this doctor. Thank you!
Glad to hear it Teresa and you probably will need the skin graft. Keep in touch
Dr. Chip would I have a law suit against the first doctor? I'm now on IV antibiotics for at least 7 days. The bone did have infection and I learned today to change the IV bag. When I went to the new doctor on Friday Sept. 13, he asked if the wound center was treating the big wound over the ankle and told him no. They were told to only treat the smaller wounds because the plate would have to come out. I feel the old doctor and wound center were not telling how serious the wounds were.
Dr. Chip could this have been prevented by the first doctor being aggressive with some treatment?
New doctor did surgery on Monday 9-16-13, he took out the one plate and did not put on external fixator. He put me on a wound vacuum and an antibiotic thru an IV. I saw him today and saw the incision, looks a lot better. Where I did see the hardware and five screws, I do see the bone but fresh blood and it looks clean. Next week on Monday I go to the wound center to change wound vac and then Thursday to see doctor. Very happy with this doctor
New doctor did not put on external fixator, he thought bone was strong enough. He did put a wound vacuum on wound and have to go in about twice a week to have dressing change. Went in on Friday wound looked better without hardware, but could see bone. Wound vac seems to be working, doctor was pleased. I go back next week, once to wound ctr and once to his office. Hopefully this will prevent skin graft.
New doctor did not say what was wrong with first incision, he just asked me to tell the story and when the old doctor last saw the wound and what did he do? I saw old doctor 9-4-13 and did nothing but gave me the three options and blame me because I had not completely quit smoking. I told the new doctor the old doctor never did anything, like clean wound, he referred me to the wound center, but they were told not to work wound that you could see the hardware. New doctor did not understand why they did nothing with that wound. New doctor said he has had incision come apart but never this bad or for this long. New doctor said he would clean incision and new stitches . New doctor said he did not want to do the surgery because he did not want to cleanup someone else's mess. I asked wound center if me smoking caused this wound, they said no, but smoking slows the healing process. I have quit as of 8-15-13. The old doctor said a different doctor would have to put the external fixator on because he did not put them on. He said I would have to have a UA done before surgery and through recovery to make sure I was not smoking and if I had smoked I would be kicked out of clinic.
Do I have to get a statement from new doctor stating he thinks old doctor may have messed up?
Thank you! Hopefully I can find an attorney to take this. I will let you know when I can walk again and how everything works out.
Dr. Chip, I thought I would let you know that the new incision from surgery on Sept. 16th is almost healed. The wound over the ankle bone is still not closed, but I still have the wound vacuum on the wound and I am scheduled to have a flap done on Oct 21st. It does look better than 1st surgery. Still not walking.
Dr. Chip, Just thought I would let you know that my second doctor had me go to OHSU and have a flap done one Nov. 6th. The flap was taken from my left thigh, the incision on the thigh is healing and the flap is doing good. Starting to put weight on left leg, but feel like I have to learn to wake again, first time was over 57 years ago, so can't remember how it felt.
I did contact an attorney, but he wants to talk to second doctor and I don't want to put him in that position. Do you know any medical attorney in Idaho?
Thank you very much!