(16-09-29) Wound Care, Part II

I was hoping that not seeing Dr. Dhillon for a week would allow me to walk into his office today and listen to him tell me that he figured out the magical solution to close this wound hole.

Apparently, my expectations were a little unrealistic.

He sat me down and explained three options we currently have.  I’ve decided to present them in the order that we will try them (presuming we end up having to try all three).

OPTION #1 (a.k.a. what we plan to do first, on Monday morning)
I’m going to dose myself up with some pain medication (doctor-recommended), have someone *else* drive my loopy ass to the hospital (also doctor-recommended), and undergo a 30-minute, no anesthesia-provided procedure right there in the clinic.  This procedure involves Dr. Dhillon going inside the hole, scraping/hollowing it out, then applying some silver wound rope-like material inside half of the hole.  From there, i will wear a compression sports bra 24-7 – not even taking it off to shower.  I will also cover the hole with a wound dressing, and i will change that out every day.  The goal here is to coerce the tissue to collapse on itself, thereby closing the hole.  This is a 2-6 week process, but we would know in 2-3 weeks if it is, in fact, working.

 

OPTION #2 (a.k.a. what we will do in 2-3 weeks, if option #1 isn’t working)
kci-vac-machine-3
Dr. Dhillon will attach a KCI Vac Machine to my body.  A tube will run from the machine directly to my breast.  I would have to carry this machine around with me at all times; it will be connected 24-7.  The machine would evenly distribute negative pressure (I’m guessing it functions like a vacuum) to the wound, and this negative pressure would do three things: (1) suck out an infectious materials; (2) suck out an draining fluid; and (3) gradually draw the wound edges together.  Special gauze would also have to be inserted into the hole and changed out three times a week by a nurse (meaning I would have to drive to the hospital each time).  I am not sure how long this contraption would need to stay on.   When they first attach it to my body, i will feel a mild pulling sensation that supposedly goes away within the same day.  As the wound heals, it will start to get itchy and tender.

 

OPTION #3 (a.k.a. what we will do if the KCI Vac Machine doesn’t work)
Surgery will be required.  Dr. Dhillon bluntly stated he doesn’t even know all that the surgery would entail, but – in his words – “It will involve tissue flapping, and it won’t be pretty.”

Fun times.

Author: breastcancerat35

I was diagnosed with Stage 3C Invasive Breast Cancer in October/November, 2015. This blog is my way to process my experience and allow my loved ones to have ongoing updates about my journey.

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