ANA Discussion Forum
General Category => AN Issues => Topic started by: wendysig on August 18, 2008, 02:08:12 pm
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Hi all,
Just when things have been going so well, a new wrinkle appears -- the bottom of my incision is bleeding. This is where is has been leaking from but today there is real blood coming from it. When it first started this morning I thought I had clipped it when I was brushing my hair. I sent Dr. Choe an e-mail and he didn't seem too concerned but told me to keep an eye on it. I went out for my appointment with the chiropractor and when I got back the bandaid was leaking and a thin trickle to blood was running down my neck. It turned out most of the trickle was from the bandaid (I think) because it was completely saturated. My incision just has spotty bleeding. I'm not sure how concerned to be but I sent Dr. Choe another d-mail and am waiting to hear back from him. I thought about calling and still might if I don't hear from him soon. My incision is not painful or inflamed so I'm not sure this would qualify as urgent enough to call him. What do you think?
Wendy - driping in NYC
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wendy,
Please call the dr's office and keep us updated on what he says, ok? Try to hang in there...
Phyl
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Wendy:
Sorry to learn of this new complication and I hope it turns out to be minor. I'll assume you've called Dr.Choe by now and are following his instructions, whatever they may be. Let us know - when you can. Don't let this minor obstacle get you down..it happens..it's repairable. You'll be O.K.
Jim
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Hi Wendy,
I know you'll call the doc, so don't despair: I'm sure it's minor and fixable. Let us know...
Marci
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CALL DR CHOE!!!
Debbi, your very concerned friend in NJ
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Hi all,
After I read Phyl's post I decided to check my e-mail one more time before calling Dr. Choe and he had finally answered me. He told me to hold pressure on it (he told me (10 minutes, but I probably did it longer) to see if it would stop and to keep an eye on it -- and I think it did stop --, I didn't take off the bandage I had on it, but thankfully, it doesn't look like it's bleeding anymore. Now I don't want to take the bandage off for fear that will start the bleeding again. I am waiting to hear from him either by phone or e-mail as to how to proceed because I'm not sure of what to do. My guess is that he is in transit or I know he would have called or e-mailed me by now. In the meantime, my moment of near panic has passed. As a former emergency medical technicial, the sight of blood, even my own, doesn't usually bother me but this is different as I'm sure you all understand.
Wendy
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Hang in there Wendy, distract yourself, have a glass of wine. And wait for the wonderful Dr. Chloe to get back to you. Sending healing thoughts your way....
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Thanks to all of you.
I just heard from Dr. Choe. Since I'm pretty sure the bleeding has stopped, he told me to leave the bandage on until tomorrow. He also said to keep the incision dry with plastic wrap when showering for the next couple of days. As long as it doesn't start bleeding again or become inflamed everything should be okay. I am breathing a huge sigh of relief and hope this is all I have to do.
Wendy - thinking dry thoughts and about a glass of wine -- probably a merlot since it's dry!
Marci - Thanks for the idea
Debbi - The road to recovery apparently cannot help winding around a few bends for everyone, but I can handle that.
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Wendy, are you positive it was blood? I ask because I had a discharge from my suture line that looked like watery blood and it turned out to be serous fluid. Of course, I had to google that once I got home, and I found this at a site about wound drainage (http://www.pilonidal.org/aftercare/drainage.htm):
Serous Fluid - Those with closed wounds should be on the lookout for Serous fluid, which is yet another interesting wound healing byproduct that the body creates to help dilute the toxins produced by bacteria and toxic products being released from dying cells. In addition, the serous fluid helps to carry plasma proteins and leukocytes to the wound site. Lastly, the serous fluid assists in removing bacterial toxins, dead cells, debris, and other products of inflammation. For those with a closed incision (sutures), this fluid can build up inside the surgical site and the drainage can be a large (scary) amount of yellow/orange fluid. Usually nothing needs to be done other than to cover the open spot to protect the clothes, but your surgeon should still be contacted because similar fluid can come out of the wound in the case of a rare but more serious wound complication.
Anyway, I'm glad your drainage has stopped. Enjoy the wine. I've had to stop drinking wine because it tastes funny now.
Sara
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Sara,
A very good question and thank you for the information, but I'm positive it was blood. I've had serous fluid drainage for almost a week and know what it looks liike. Today it was deep red not orangey as it had been and not watery -- in other words blood.
Thanks,
Wendy
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Hey Wendy,
How are you today?
M
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Hi Marci,
Thanks for your concern So far, so good. My incision looked like it had bled a little more last night, but was dry when I took off the bandaid this morning. I sealed up the entire operattive site with plastic wrap and waterproof tape, with the help of my daughter before showering this morning. It was hard getting the tape out of my har but worth it -- so far, I have no drainage or bleeding today. I sent Dr. Choe an update this morning -- I hope he doesn't think I'm being a pest now. I'm hopeful that my leaky head days are behind me or soon will be. I have physical therapy later today -- I remember someone here calling physical therapists physical terrorists so I'm a little nervous about that. Hope you have a great day!
Wendy - High and dry in NYC
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Wendy~
Just returned from a mini-vacation & am getting caught up! Glad today seems DRY...hope the PT went OK.
K
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Wendy:
Good to learn that your incision is staying 'dry'. I wouldn't be too concerned about Dr. Choe thinking you're being a 'pest'. I'm sure he's pleased that you're being attentive to your wound. It isn't as if he had to do anything but stay in touch with you - and most surgeons like to do that immediately following your hospital discharge. In any case, let's hope this is the end of leaking and you heal up quickly. :)
Jim
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Wendy-
Glad that you appear to be getting through this. And, I am quite sure Dr. Choe doesn't view you as a pest. If it makes you feel any better, I was emailing photos of my incision to Dr. Roland for 5 days before he had me head back to the hospital. It was our morning ritual - I'd send a photo and description, he'd reply with instructions... So, no, you are FAR from a pest! You are doing the right thing by keeping him in the loop.
Debbi, sending you a bear-hug!
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Hi Wendy, I'm glad the bleeding has stopped, and I think you are right to keep your surgeon informed. I hope I didn't come across as a know-it-all and I apologize if I did. My neurosurgeon told me to be on the lookout for a CSF leak and when I asked him how I would know, he said Phil (my husband) would know because a watery fluid would be leaking from my incision site. About the ten-day mark I woke up and touched the back of my head, and felt a watery fluid. It was mostly clear, with what looked like little blood clots in it (orangey-red). I e-mailed my neurosurgeon right away, but also went in to see my family doctor because I was due to have the sutures removed anyway. She put my mind at ease, but decided to leave the stitches in for a few extra days. So I e-mailed Dr. Casey again and told him it was a false alarm. Of course if he had told me about serous fluid to begin with, I would not have been so alarmed but, oh well.
Sara
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Hi all,
Thanks for the vote of confidence and support. Sometimes I feel like things have been going so well for me and some of you have such major problems I feel like a wimp for complaining about anything. Thankfully, no more bleeding altough I am leaking serous fluid again, but not much. Physical therapy went well today -- although my PT seems to enjoy his ability to make me nervous he is not the physical terrorist I feared he might be so all is well or as well as it can be.
Sara - I didn't think you were being a know-it-all. We are all here to help and support each other and when I read your message, regarding serous fluid I felt it was meant to be helpful, not know-it-all in any way.
Thanks again,
Wendy
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The road to recovery apparently cannot help winding around a few bends for everyone, but I can handle that.
It just wouldn't be a real AN if it was any other way. At least you won't feel left out. ;)
Steve
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Hi Steve -
You quoted me! I guess you're right about what you said though, it just wouldn't seem like an AN without some kind of post-op challenge. Since I've had so few complications, this leaky head/bleeding thing being the biggest, it took me by surpirse. My incision seemed to leak quite a bit overnight but was dry by this morning. I guess this mihgt be a sporadic problem for while.
Hi Debbi-
I remember when you were having problems with your incision before and after it was actually infected and the e-mails and you sending pictures to the doctor. That was really a good idea since you are so far from NYC. I am hoping I don't actually have to see Dr. Choe, but of course, if I have to I will. Probably like anyone one else would, I'm hoping this will stop on its own. I am keeping a close eye on it though.
Wendy
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Hi Wendy,
Don't feel guilty, it's a waste of energy. We all have some issues to deal with, and even if you do come through this unscathed, brain surgery is no picnic! You do get to complain here (haven't I done my share?) and whine (again, haven't I?). In the end it helps those who are watching so that they understand the range of post-op issues.
Hope you stay high and dry.
M