Reply With QuoteSkin on, there is still capillary refill there.
There's quite a few knowledgeable people on here so thought I'd ask before trying good old Google. Managed to make a bit of a mess to me heel yesterday, nice bit of skin hanging off which I've just stuck back down for now and shoved a plaster over it to stop getting blood everywhere. Question is, is this the best thing to do or should I cut the flapping bit of skin off?
Skin on, there is still capillary refill there.
Superglue
skin off,
it's distally based and i don't think it will live. Plus you've have to thoroughly clean the base before putting it down and you're more likely to trap bugs in there.
a clean wound is an open wound. (traumatic)
Go and seek some help if you need, or chop it at the base, clean the wound and go and buy supplies from the chemist to get it healed (~3 weeks)
Last edited by The Doc; 19th February 2018 at 10:20.
Yep. Fold it back, and try and apply something to keep it against the heel. Keep it clean and reapply dressing as required.
It's just a matter of time...
seriously, this is my job, don't stick that down
Does the superglue thing actually work btw...
yes, the hospital stuff isn't much different to the hardware store stuff. You should always seek proper help though.
but trapping bugs in a traumatic crushed wound is the problem.
The hardware one stings more but they both work to close a wound. But here it needs to heal with access to oxygen to avoid anaerobic proliferation. Cut it off.
'Against stupidity, the gods themselves struggle in vain' - Schiller.
Thanks all, off it comes👍
Did it yesterday, has been thoroughly cleaned and antiseptic cream applied. Will cut the skin off and clean again when I've finished in the gym......no running for me😕
Cool, give it a rest for a couple of days so the healing process can start. Good luck!
Fas est ab hoste doceri
Thanks mate.Originally Posted by VDG
People look at me like I’m mad when I tell them I superglue my split thumbs, it’s a god send though.
Ummm here’s an idea.....
Why not do what the Doc says?
I am.
And what qualifies you to give an answer like that "Doc"?!
Ouch - blistering quarter mile?
I wish, caught it on the loft ladders catch while clambering up. No running for me for a few days at least😔
Will Sir be using a tactical knife to remove the offending skin flap?
Well I'm a trauma and orthopaedic surgeon and I mend things in in the operating theatre. I have a microvascular training and some letters after my name.
My usual wound looks like this: https://i.ytimg.com/vi/lypHAuYkBlM/hqdefault.jpg
So I have some authority on that little blemish....
yes i had my head superglued instead of stitched once
thats what it was invented for - there is medical grade stuff and the DIY home stuff but pretty much the same thing
I thought this tread was about rice puddings
Whoever does not know how to hit the nail on the head should be asked not to hit it at all.
Friedrich Nietzsche
Frankly, I'm surprised that you didn't ask for guidance from the collective before delving into that one ;)
Anyway, I don't think you should rubbish the OP's frankly terrifying wound as a "little blemish" - I'm still feeling faint from looking at it!
Mmm, rice pudding...
I think we need the usual custard test, in order to ascertain that that foot is indeed attached to the OP.I thought this tread was about rice puddings
Well, I can say that I’m quite honestly surprised. I had some similar, and some a lot worse/deeper skin flap injuries from an accident years ago, when a car knocked me off a motorbike, and my surgeon was quite insistent on having my injuries very painfully cleaned/scrubbed out and put back in place.
It's just a matter of time...
Three weeks ago I sliced my finger open on a shard of glass.
It was a deep cut and the flap was hanging back.
I cleaned the wound thoroughly (very, very painful!) and then stuck it back in place with some skin closures from my first aid kit. It bled like buggery at first and continued to bleed now and then over the next day when I bent my finger but I saved the flap avoiding a big chunk being missing from my finger.
I suspect that it really needed a suture but as I was moving house I didnt have time (Predator quote: "I dont have time to bleed")
Its healed nicely as shown in the picture below - but you can clearly see the flap which is kind of sticking out a bit and I guess will probably continue to do so.
I was weary opening this thread until I remembered it was in GD as thought it was about circumcision.
Having one of those done in adulthood is a character building experience. Go back to work after 5 days? You must be joking!
Good advice in this thread, and worth remembering for future personal use.
Time wounds all heels.
Proper made me laugh. I assumed custard....I thought this tread was about rice puddings
My first thought was Fish!
Hope the wound heals quickly
Compeed is your friend, running tomorrow.
So it's one of you splendid chaps I have to thank that I can now run again? For that I'm grateful beyond words.
I've sent a copy of this to my surgeon who screwed me back together post-bust, but guess it applies equally to you, sir!
https://mmcmusings.com/2017/12/10/a-year-on/
You are all wrong, car body filler is the way to go, shape it with a putty knife, once set grind it back with a mini grinder with 40 grit leaving it proud.
Go through the wet and dry grades, spray with grey primer, knock back and then finish with Doc Martin nude top coat.
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Ductape, end of
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Drink 3/4 bottle of strong spirits.
Take car cigarette lighter and apply to wound ideally until loss of conciousness.
On waking , change underwear and trousers and cover wound site in gaffer tape (any colour).
Drink remainder of bottle of strong spirits.
Right as rain in 6-9months.
I work in theatres as well. It's a little blemish(no doubt bloody sore though!)
For the future, get some betadine spray from Tesco, very useful. If Im on a hike, I take some mepore dressings to cover minor wounds, and stop heel blisters.
Is it unusual that i'm turned on by that image?
absolutely love that response. its the nicest way I've heard someone tell another to FO, ever - well not quite but thats highly classified between countries.
well done THE Doc!!
Jim
Having had my broken elbow screwed back together 6 months ago I doubt I'll ever play the violin again
"Once is happenstance. Twice is coincidence. The third time it's enemy action."
'Populism, the last refuge of a Tory scoundrel'.
You're very kind, but no thanks needed. I love my job and the reward of a job well done and the smiles from patients afterwards is all i need.
W
Ouch!!! I'm not a medical person but I would say that's flip flops for the next couple of week's!
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I will be keeping a 7 inch Bowie knife on me at all times after reading this thread, can't be too careful.
Didn't expect to have gained some new medical knowledge today, so that was nice.
Still a bit sore when running but healing nicely thanks, can update the pic if anybody wants🤣
no one mentioned leeches?
after attaching any lose flaps you want to use leeches to stimulate blood flow through the injured parts so they have better chance of taking
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