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Re: two week check up WAS staples at C/S From: Elrod, Darryl G Maj 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL) Wed Aug 2 02:13:23 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Myer Bornstein: "Re: Imperforate / Cribiform hymen" Previous message: Jane Wines: "Re: superfetation - query" In reply to: Efrain Ramirez: "Re: two week check up WAS staples at C/S" Next in thread: Efrain Ramirez: "Re: two week check up WAS staples at C/S" Reply: Efrain Ramirez: "Re: two week check up WAS staples at C/S" Reply: D. Ashley Hill: "Re: two week check up WAS staples at C/S" But Ef, that theory only works if ALL deliveries come back. It would seem unfair to give the c/s moms the touchy feely visit without giving the others the same benefit. I'm certainly not saying that the time wouldn't be well spent if you had the time to give, but to specifically do it to look for wound problems is overkill, IMHO. 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 Notice of Confidentiality Under the Privacy Act of 1974, you must safeguard all information reflected on this e-mail and, if applicable, all attachments. Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI 37-132, AFI 33-219, and PL 93-579" This e-mail message including any attachments is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any questions pertaining to disclosure should be directed to the privacy officer. -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Efrain Ramirez Sent: Tuesday, August 01, 2006 11:09 PM To: Multiple recipients of list OB-GYN-L Subject: Re: two week check up WAS staples at C/S 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 > >Notice of Confidentiality >Under the Privacy Act of 1974, you must safeguard all information >reflected on this e-mail and, if applicable, all attachments. >Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI >37-132, AFI 33-219, and PL 93-579" >This e-mail message including any attachments is for the sole use of the >intended recipient(s) and may contain confidential and privileged >information. Any unauthorized review, use, disclosure or distribution is >prohibited. If you are not the intended recipient, please contact the >sender by reply e-mail and destroy all copies of the original message. >Any questions pertaining to disclosure should be directed to the privacy >officer. > >________________________________ > >________________________________ >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 Next message: Myer Bornstein: "Re: Imperforate / Cribiform hymen" Previous message: Jane Wines: "Re: superfetation - query" In reply to: Efrain Ramirez: "Re: two week check up WAS staples at C/S" Next in thread: Efrain Ramirez: "Re: two week check up WAS staples at C/S" Reply: Efrain Ramirez: "Re: two week check up WAS staples at C/S" Reply: D. Ashley Hill: "Re: two week check up WAS staples at C/S"

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