Re: two week check up WAS staples at C/S
From: Efrain Ramirez (eramirezt@coqui.net)
Tue Aug 1 17:09:00 2006
Most of the time that visit is spent on telling their experiences, how
they are trying to cope with new situations - etc.. things they liked
about our hospital - things they did not - there are doubts and fears of
they can do or can not do - future contraception -- you might even find
a "rubella suceptible" patient that the vaccine was not given - - you
never know - so, no - I don't think it is a waste of their time nor
mine.. IMO-
Ef
>At Tue, 1 Aug 2006, Elrod, Darryl G Maj 48 MDOS/SGOBO wrote:
>
>I'm curious why you do a two week check on c-sections. It has been my
>experience that if they make it to two weeks without a wound problem,
>they will be fine by that point. Finally, we just collectively decided
>that it was a waste of their time and my time to have them come in to
>look at a perfectly normal incision.
>
>I also tell patients to remove the steristrips at 7-10 days but for some
>reason the only thing most of them remember is the nurse telling them to
>leave them in place until they fall off on their own. It has been like
>pulling teeth to get the nurses not to tell them to do this and go with
>the 7-10 days.
>
>Glen
>
>//SIGNED//
>
>D. Glen Elrod, Maj., USAF, MC
>
>Obstetrician/Gynecologist
>
>Chief of Obstetrics
>
>48 MDOS/SGOBO
>
>RAF Lakenheath, England
>
>Telephone DSN: 314-226-8130
>
> Comm: +44 (0) 1638 52 8130
>
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>________________________________
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Ronald
>
>--
>________________________________
>Ainsworth
>________________________________
>Sent: Tuesday, August 01, 2006 6:31 AM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: staples at C/S
>
>I've always put them on at the time of discharge, usually third day. If
>the patient goes home on the second day, I usually have them come in to
>the office to remove the staples on the fourth or fifth day and then
>place steri-strips. I always like to use skin-prep to help them adhere
>better. Skin-prep is basically a stoma adhesive, for those that don't
>use it. I tell them to remove the steri-strips when they start lifting
>up in 7-10 days, or I remove them when they come in at their two week
>checkup. I prefer sutures on the obese patient, either subcuticular or
>interupted mattress sutures, as I can leave them in longer without
>getting a significant inflammatory response.
>
>"Garry E. Siegel, M.D." <garrys@mindspring.com> wrote:
>
>Dan and others:
>
>I've always been a bit reluctant to remove staples before 3 days,
>unencumbered by data. I've looked a bit, and really haven't found
>anything that says 2 versus 4 days.
>
>Obviously, in a transverse skin incision, there forces are such that the
>incision is well approximated.
>
>Steri-strips? I've always used these because someone taught me to do so.
>
>Garry
>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
>
--
“ The greatest obstacle to knowledge is not ignorance,
it is the illusion of knowledge.” Daniel J. Boorstin - Historian
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