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  1. #1
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    Default Overdoing the Medical treatment?

    Ok.. so I fell again. Not the first time. More like the 6th or 7th. Not drunken walking. Just Dominican Walking. Or maybe because of the little thingies in my ear that are out of place but anyway.. has been happening to me for the 10 years that I have been here. Always Sober at the time. Always face first. Always hit my knees.

    This time though, I really scraped it up bad.. (badly? in a bad way? ok, looks bad?) nothing that deep but a lot of surface, from the knee down to the calf, And then the bruise underneath. OUCH.

    Ok thought I could deal with it. Soap and water. Ouch. neosporin. covered. Then in a day or so. Hyrdogen peroxide. ouch, of course, did not cover it.. then more neo sporin .. then tried to keep it open.

    anyway, a week passed. And now the sides are red and I am not gaining

    so I went to Clinic Abreu and they sent me to a surgeon.

    Who now wants to put me under anesthesia to clean the wound, after the x ray, (he wants to check for any small breaks) after the blood tests after the lab test on the gunk from the wound comes back.

    Does this seem reasonable? Seems like overkill to me.

    but I have never had this sort of thing in the tropics.

    (concerned a little since they said to come back tomorrow but the lab work won't be ready for three days and the doc should have know that)

    ok. I know that you guys are NOT docs but would you share my concern?

  2. #2
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    sounds like overkill to me. some antibiotics should do the trick. but better safe than sorry. you need your legs. my recent experience I saw lots of overkill. the gringo treatment

  3. #3
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    I'm sorry this happened. I would be concerned about infections here!! Things don't seem to heal as quickly here bc of the Humidity?
    I have no idea if overkill but should you go get a second opinion somewhere?

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  5. #4
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    There's a good chance they want to squeeze as much money as possible out of the gringa. That's what happens when health is a business.

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  7. #5
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    i call overkill. local anesthesia to clean the would i can understand if it's a deep gash oozing puss. but it does not seem like it? ask a doctor about cream containing antibiotic like fucidin. this is a first choice medicine for skin infections: Fusidic acid - Wikipedia, the free encyclopedia
    maybe you need a shot of antibiotic or an oral dose. cephalexin, perhaps? but this is to be determined by a doctor. with mild infection local antibiotic is usually sufficient.

    have you had your tetanus shot? did the doctor offer this? agua oxygenada is not the best choice for wound management, btw. it's ok to clean the cut once but prolonged use softens the tissue and prevents healing process.

  8. #6
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    yes, it was 3000 pesos, not on my insurance.. (have to get it reimbursed) just to see him. And really he did not do much except put cream on it. No tetnus shot. Just took goop for a sample.. (then sent it to the lab? to see if there is any bacteria in it? I mean duh? it is yellow white pus? Of course there is bacteria in it!! isn't that why they call it pus)

    anyway.. the other doctor.. doctora.. who spoke English, said, that really that they had to clean out the infected skin, otherwise it would come back and not heal.

    ok. well, frankly I was more worried about waiting around til 1 PM with nothing to eat but got them to agree to coffee with sugar and apple juice..

    And this is all covered by my insurance so I do not care. He is arranging with another doc to get it covered .. (odd ususally the Abreu docs are covered)

    But general anesthesia is always risky.

    And the leg does really hurt.

    And WHERE to go for another opinion, will they not send me on the same run around? I mean if you go to a surgeon, do they not recommend surgery?

    But then, again, I would hate to have it really get worse.


    words like "necrotic" and "gangrene" which i do not want to REALLy know the meaning of.. float in my brain.

    the doc is in surgery now... i have his cell number *this never happens in the US..that I would have his cell

    Should I just ask him if I can go to another sort of doctor to keep it clean and monitor it? Before we go for surgery? What kind of doctor should ask for? (superficial wounds and leg bruises? motoconcho leg specialist?)

    It was the emergency room that sent me up to surgery.

  9. #7
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    few questions:
    is the area of the wound cold to touch?
    does it hurt?
    do you have a fever?

    why general anesthetics? this is dangerous in itself and there is no call for it unless there is a deep infection. maybe try a different hospital? i'm sorry to hear that you are going through rough patch like this with your health...

  10. #8
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    I agree with dv8, try a different hospital!

  11. #9
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    ok.. I did look up "necrotic".. maybe that was a word I heard the two doctors using.. and then here evidently is the issue..

    the wound debridement

    http://www.medscape.com/viewarticle/459733_6

    (I kept trying to google surgery for wounds and it always came up for surgical wounds which is not what this is.).. So I was relieved to see that indeed this is considered a standard technique for cleaning out dead skin and infection so that the wound can heal. That makes me feel better.

    And, I am relieved that they did not suggest the good old fashioned way which is to find a certain type a fly which only likes the dead stuff and put them onto it.

    ok.. maybe not quite so third world as that.

    And he did us topical anesthesia ... and all that.

    And they do say that the process is usually painful so anesthesia is recommended. Ok... So I am just going to call him about the bacteria tests.

    And then get someone to go with me for the general anesthesia.

    i guess that left alone, it could turn into something really serious..

    *of course, if i had gone to the emergency room last week, right after I fell, instead of being embarrassed since I was sorta inhaling sobbing, and it did not look so bad.. and tried to do it myself... with my stupid GOOGLING and know it all.. NONE of this would have happened...

    there is a reason they are called doctors.

    and yes, I generally have been suspicious of them because of the money stuff but now i do have insurance and will be reimbursed so there is no reason to get so upset and i should listen to them.....

  12. #10
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    I agree that you need to get this taken care of... but general anesthesia????? I just had two serious knee surgeries and neither required general anesthesia. Ask around about that.

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