Post CABG leg problem

Discussion in 'Health and medical' started by boogie350, Oct 6, 2003.

  1. boogie350

    boogie350 Guest

    I had a CABGx5 in September of 2002. Since then, I had been doing well
    cardiac-wise, but slow in recovering from the surgery itself.

    I returned to work May 15th, 2003. Soon after, I developed a small
    hole in my second-lowest harvest site. It had been red and hard (scar
    tissue according to docs) around that particular incision. My doc gave
    me keyfex twice a day and told me to keep it bandaged until it healed.
    Well, four months and ten different antibiotics later, it hasn't. In
    fact, it is now 3/8th of an inch in diameter and a second wound
    developed about half an inch below it that is over 1/2 an inch around,
    and both are draining (I change band-aids daily). The area is recessed
    quite a bit, like two pits.

    What makes this all screwy is my primary physician was "asked to
    leave" his group practice because "it wasn't making enough money", so
    leave he did, immediately. The practice has been turned over to
    another physician which I haven't seen yet. I WANT MY OLD DOC BACK,
    DAMN YOU CROOKS!!!

    I also spent a week in the hospital for the depression this all
    brought on in the middle of all this. One thing I can say... my HMO
    might as well have handed me a loaded gun and said "try not to get
    anything on my suit", because when it comes to depression, they could
    give a shit less if you die or not.

    Oh, and I returned to work a few weeks ago, just to walk into a
    layoff, and my sick leave company ripped me off for two weeks of sick
    pay (denied). I won't go into the financial disaster we're in right
    now...

    Back to the leg, I've been trying to let a scab form on it but it
    evidently stays pretty moist, so I try to let it air out as much as
    possible. Then, I squirt it down with 99% isopropyl (yes, I wanna
    scream!), let it evaporate a few minutes and put another bandage on
    it. Right now, I have one of those newfangled Curad rubber-like
    "extended bandages" on it, but I'm thinking that probably should come
    off, considering it does drain.

    I'm so frustrated right now it's not funny. Nobody seems to have a
    clue what the hell this even is... they did a culture sample just
    before I went in the hospital (I went in a few days before my doc
    left) and I never heard anything more about it. I've been on
    everything from Keyfex to Cipro. So, what, I just gotta live with
    gnarly-looking oozing holes in my leg?? I don't think so, Tim!

    But I'm at a loss as to what to do. I don't know if my goofy HMO would
    consider this "an emergency worthy of ER treatment" or I'd just go to
    ER and let them deal with it. I know I can't just let it go because
    it's obviously not going to get better on it's own, and my HMO is all
    confused about "who is now my PCP?" because of my doc leaving, which
    I'm pretty pissed about myself (I'm not the only one - it made the TV
    news). He was a great doctor and it's sad what they did to him in the
    name of money. So, I'm really tempted to leave their "medical group"
    for a doc in another, but they're few and far between as far as good
    docs go anymore.

    But I'm still stumped about this... why would it just happen some 9
    months after the fact? It doesn't make sense to me. The only thing I
    can figure is that the flesh is so close to the bone there (about 4
    inches above the ankle) and the scar tissue is around there, yet, I
    have an incision lower than that one, right on the "bony" part, that's
    fine. I just don't get it.
     
    Tags:


  2. Julianne

    Julianne Guest

    I am not a wound care expert but I assure you that alcohol is toxic to your
    cells. Call a cease fire to that assault immediately!! It will likely
    never heal if you continue to irritate it.

    Then, ask the doc for a consult with a wound care specialist. There are
    WOCN nurses (Wound, Ostomy and Continence Nurses) who perform magic. Do not
    take no for an answer. Call the HMO administrator if you run into
    resistance. You need wound care. This is not a normal complication of
    surgery.

    If you continue to get resistance, ask if they would rather pay for an
    amputation and the therapy that accompanies it. (Note, I do not think it
    will come to that but it makes for a good bargaining point:))

    I would love to have time to address all your problems or at least offer
    sympathy, but am just distracting myself away from a larger project. But, I
    can assure you that wounds to your lower extremities are serious (especially
    if you have diabetes) and there is much more effective treatment available.

    Good luck. Please keep us posted.

    j
    "boogie350" <[email protected]> wrote in message
    news:[email protected]
    > I had a CABGx5 in September of 2002. Since then, I had been doing well
    > cardiac-wise, but slow in recovering from the surgery itself.
    >
    > I returned to work May 15th, 2003. Soon after, I developed a small
    > hole in my second-lowest harvest site. It had been red and hard (scar
    > tissue according to docs) around that particular incision. My doc gave
    > me keyfex twice a day and told me to keep it bandaged until it healed.
    > Well, four months and ten different antibiotics later, it hasn't. In
    > fact, it is now 3/8th of an inch in diameter and a second wound
    > developed about half an inch below it that is over 1/2 an inch around,
    > and both are draining (I change band-aids daily). The area is recessed
    > quite a bit, like two pits.
    >
    > What makes this all screwy is my primary physician was "asked to
    > leave" his group practice because "it wasn't making enough money", so
    > leave he did, immediately. The practice has been turned over to
    > another physician which I haven't seen yet. I WANT MY OLD DOC BACK,
    > DAMN YOU CROOKS!!!
    >
    > I also spent a week in the hospital for the depression this all
    > brought on in the middle of all this. One thing I can say... my HMO
    > might as well have handed me a loaded gun and said "try not to get
    > anything on my suit", because when it comes to depression, they could
    > give a shit less if you die or not.
    >
    > Oh, and I returned to work a few weeks ago, just to walk into a
    > layoff, and my sick leave company ripped me off for two weeks of sick
    > pay (denied). I won't go into the financial disaster we're in right
    > now...
    >
    > Back to the leg, I've been trying to let a scab form on it but it
    > evidently stays pretty moist, so I try to let it air out as much as
    > possible. Then, I squirt it down with 99% isopropyl (yes, I wanna
    > scream!), let it evaporate a few minutes and put another bandage on
    > it. Right now, I have one of those newfangled Curad rubber-like
    > "extended bandages" on it, but I'm thinking that probably should come
    > off, considering it does drain.
    >
    > I'm so frustrated right now it's not funny. Nobody seems to have a
    > clue what the hell this even is... they did a culture sample just
    > before I went in the hospital (I went in a few days before my doc
    > left) and I never heard anything more about it. I've been on
    > everything from Keyfex to Cipro. So, what, I just gotta live with
    > gnarly-looking oozing holes in my leg?? I don't think so, Tim!
    >
    > But I'm at a loss as to what to do. I don't know if my goofy HMO would
    > consider this "an emergency worthy of ER treatment" or I'd just go to
    > ER and let them deal with it. I know I can't just let it go because
    > it's obviously not going to get better on it's own, and my HMO is all
    > confused about "who is now my PCP?" because of my doc leaving, which
    > I'm pretty pissed about myself (I'm not the only one - it made the TV
    > news). He was a great doctor and it's sad what they did to him in the
    > name of money. So, I'm really tempted to leave their "medical group"
    > for a doc in another, but they're few and far between as far as good
    > docs go anymore.
    >
    > But I'm still stumped about this... why would it just happen some 9
    > months after the fact? It doesn't make sense to me. The only thing I
    > can figure is that the flesh is so close to the bone there (about 4
    > inches above the ankle) and the scar tissue is around there, yet, I
    > have an incision lower than that one, right on the "bony" part, that's
    > fine. I just don't get it.
     
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