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Dr. David
Dr. David, Board Certified Physician
Category: Medical
Satisfied Customers: 46314
Experience:  Experienced Physician trained in New York City. I'm ready to help.
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Will my incision from surgery is not healing on the 5th

Customer Question

will my incision from surgery is not healing on the 5th finger heal no that we know that I have a canddida parapsilosis cellulitis they gave me fluconazole for 10 days the wound looks =horrible.. in addition In had some pea looking lumps that they think might be connected and just did a biopsy aanother dr thought they were small ganglion cysts
but concerned over the healing and if will ever heal as the next choice is amputation and my drs are trying to save me and m y finger? are these pills going to work they are calling it a yeast infection.. etc I am in the medical field and 6 doctors could not help me I had to go to a hand trauma surgeon in florida that I knew
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. David replied 1 year ago.

This is Dr. David

I am sorry about your finger not healing.

did your doctors also do a bacterial culture to check for bacterial infection in the site?

when do you get the results of the biopsy back?

do you have a history of diabetes?

another option is hyperbaric oxygen chamber therapy which can help you heal as well.

Expert:  DrRussMD replied 1 year ago.

Hello

The fungal infection of this sort can take longer than 10 days to heal.

The next treatment should be based on biopsy results.

Apparently you have had cultures.

Ganglion cysts can be identified with ultrasound, which I suggest at this point while you are waiting on biopsy.

It sounds like you need surgical debridement at this point as far as the infection goes [surgical cleaning and drainage] which is the typical next step in this situation.

I am a double board certified US doctor.

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Expert:  Dr. David replied 1 year ago.

This is Dr. David

another possibility of poor healing is due to poor circulation.

in some patients who have diabetes or poor blood vessels or arterial stenosis, not enough blood can get to the wound to help with healing.

an angiogram or ultrasound of your arm can check for proper blood flow and circulation to the hand

if there is a blockage, some patients need angioplasty to help reduce blockage and improve blood flow.

many hospitals have wound care clinics to help with wound healing and wound healing doctors and nurses

manuka honey or Medihoney can help a wound heal

Silavdine ointment 1% can help the area

there are other creams like Santyl which can help with debridment

on your finger, it is important to protect the hand and not use the hand and finger which can disrupt healing if you use the finger.

increasing your diet's protein intake and vitamin C in take can help your body make more scar tissue in the area and help with healing as well

let me know if you have other questions.

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