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Re: two week check up WAS staples at C/S From: D. Ashley Hill (dahmd@cfl.rr.com) Wed Aug 2 16:15:49 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: staples at C/S" Previous message: Efrain Ramirez: "Re: two week check up WAS staples at C/S" In reply to: Elrod, Darryl G Maj 48 MDOS/SGOBO: "Re: two week check up WAS staples at C/S" Next in thread: Garry E. Siegel, M.D.: "Re: staples at C/S" I would be interested in studying what percentage of post-op c/s patients end up needing an appointment, but this probably varies depending on the community and the OB. Many years ago we tried skipping the 2 week visit and patients called repeatedly with questions and concerns, so we reinstated the 2 week visit, although with a nurse. It's a major surgery and I suspect patients (and their families) want a little TLC afterwards. Thx. Ashley At Wed, 2 Aug 2006, Elrod, Darryl G Maj 48 MDOS/SGOBO wrote: > >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 > -- D. Ashley Hill, MD Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency Medical Director, Loch Haven Ob/Gyn Group Division Director, Dept. of Ob/Gyn, Florida Hospital Orlando Orlando, Florida Next message: Garry E. Siegel, M.D.: "Re: staples at C/S" Previous message: Efrain Ramirez: "Re: two week check up WAS staples at C/S" In reply to: Elrod, Darryl G Maj 48 MDOS/SGOBO: "Re: two week check up WAS staples at C/S" Next in thread: Garry E. Siegel, M.D.: "Re: staples at C/S"

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