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  1. #1

    Default Question for any nurses (RTB?)

    So we have been on a school break and I actually took some time off work, which is rare, and we have been trying to do outings and stuff and not online at all. Hence not on here. But to get to my question, 3-ish weeks ago, DD7 managed to shut her own finger in the hinge of a door and partially amputated her fingertip.

    It is not healing very well and is still gaping a bit. The doctor we saw initially (not our regular doctor or clinic as we had to go to after hours) did not suture it. He said it would heal "really well" with just steri strips and be healed in about 45 days. Our regular doctor, who we saw 1-week post injury, said she thought it should have been sutured but it was too late by then. She put more steri strips on it at that point as what was on it was not holding it together very well at all and had not really healed at all at that point. We then got the dressing changed at 2-weeks post injury by the nurse, who removed the steri strips and did not put any more on. It looked better than the 1-week check at that time, had healed some, but it also looked better than it is now. I just changed the dressing again today (3-ish weeks post injury) and noticed it is gaping again. Can I add more steri strips now to try pull it together more or will they not be effective? I really don't want to have to visit the doctors office again if I don't have to, and I have tried searching online but cannot find anything helpful.

    I am not sure if I will even be able to convince DD to let me put more steri strips on it anyway. She is pretty traumatized by when our regular doctor had to add more to pull it together at 1-week post injury as it really hurt. It still makes me feel ill to look at it.
    NZ homeschoolers (school year runs start Feb to mid Dec).
    DD 12 (year 7) and DD 7 (year 2).
    Fourth year homeschooling.
    Part-time freelance science copyeditor.

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  3. #2
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    Ouch! Your poor DD.

    At this point, it probably needs to heal through granulation, and steri strips most likely won't work. However, without seeing it, it's hard for me to tell (also as a disclaimer, I worked inpatient, so I mostly saw the very early stages of wounds). Any signs of infection - red, hot, swollen, increased tender to touch, or if it is still weeping (or had stopped and is now weeping again), or was mostly closed and now newly opened - I'd take her back to be seen.

    Speedy recovery - keep us posted.
    Rebecca
    DS 15, DD 13
    Year 9

  4. #3

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    Thank you! I will not torture her with more steri strips then. I don't think it is getting infected as it is not red. She says it still hurts but that is not increased hurting from what it already was (after the initial hurt calmed down).

    I so could not be a medical professional and deal with wounds. I feel too much empathy for other people's pain. Just last night after changing her dressing it made me feel so ill thinking about how much it must have hurt when she did it, and I could not get to sleep for 1.5 h because I was feeling horrible about it. Maybe this particular injury affects me more because it is the exact finger that I smashed in a door when I was about 12 years old and I know how much that hurt for a long time.
    NZ homeschoolers (school year runs start Feb to mid Dec).
    DD 12 (year 7) and DD 7 (year 2).
    Fourth year homeschooling.
    Part-time freelance science copyeditor.

  5. #4

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    It's looking lots better this week. Still not filled in but looks like it is at least starting to in that area. I put some Comvita Medihoney gel (manuka honey product) on it when I re-dressed it last night, so hopefully that will help.
    NZ homeschoolers (school year runs start Feb to mid Dec).
    DD 12 (year 7) and DD 7 (year 2).
    Fourth year homeschooling.
    Part-time freelance science copyeditor.

  6. #5

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    It is looking amazingly better now. I had to change the bandage again today as DD7 got it really dirty playing yesterday. I am not sure if it was just at that point that it was starting to really heal or the Medihoney helped but it is almost completely healed over now.
    NZ homeschoolers (school year runs start Feb to mid Dec).
    DD 12 (year 7) and DD 7 (year 2).
    Fourth year homeschooling.
    Part-time freelance science copyeditor.

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Question for any nurses (RTB?)