Friday, October 7, 2011

Insult to Injury, or Injury to Insult

Aaron came to me on Monday to ask me to look at the healed wound on his butt.  This is the large pressure wound that was caused by the edge of the board the doctors had underneath him during the resuscitation in July.  The last little bit of scab had finally healed about 2 weeks ago.
The area, about the size of my fist, had developed a raised, red area in the center, about 1 inch by 1/2 inch, painful and warm to the touch.  I emailed our doctor right away, and he called a prescription over to our pharmacy, with instructions to start it imediately, in case it was MRSA.

By Tuesday it was looking worse, so I made an appointment to have it looked at by the doctor.  He wanted me to keep an eye on it, and continue the medication.

Aaron was outside playing football last evening, with his brothers and sisters.  He decided to try to tackle Bethany.  Somehow, he managed to fall on one of the beams we have edging our parking area.  He hit his butt, right across the tailbone area.  He hit so hard that he was winded, and saw black spots, or as he called them, black blobs.

He got up this morning barely able to walk, and sitting caused him a lot of pain.  I gave him ibuprofen and called our doctor.  By the time we went in, the ibuprofen was working nicely.  But I wanted the doctor to see his wound again, since it had some changes since earlier in the week.  It has developed a red spot in the middle of the raised area, that looks thin and ready to break open.
The doctor agreed with my assessment, and has decided to send Aaron to a wound care specialist.  He wants the plastic surgeon to have a look and decide if the wound needs opened up to remove any infected tissue, and if it needs some of the scar tissue removed.   He said he has seen a lot of pressure sores, but has never seen one look like this after it has healed.   We have an appt. next week.  In the meantime, Aaron is to continue taking his antibiotic and ibuprofen.  He is also to avoid rough housing and other activities that could cause more injury to the area. 

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