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Appt Update And Biopsy Question!


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#1 Rachelle

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Posted 30 June 2007 - 05:18 PM

I went to my general doctor yesterday. He said the possible ulcer I have had for about 5 months looks infected and the Bactrim the urgent care doctor gave me a few weeks ago would not treat it correctly so he gave me Cephalexin and a powerful new topical ointment called Altabax. Any thoughts on this are welcome. He also admitted he does not know what is going on to keep this "sore" from healing. He said it could be a persistant or recurrent bacterial infection or a viral infection or possibly a connective tissue disorder, but he does not think it is a connective tissue disorder at this time due to no other related symptoms. The scab came off the sore again and there is a small closed spot in the middle not completely healed and the skin around it looks swollen and turns white and looks thick when I hold my hand up. It is red and purpilish when the blood flows to it. I can move my finger a little more now, but it is still quite painful and my other two hand knuckles are now red. He didn't really address that and told me to go to my dermatoligists appt coming up in a week and they will probably do a biopsy. My most urgent question is how do they do a biopsy and how bad does it hurt?? Do they numb it? I am terrified. Any other comments are also welcome and thank you!!!

#2 Rachelle

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Posted 01 July 2007 - 02:26 PM

Anyone??

#3 Sweet

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Posted 01 July 2007 - 02:58 PM

Sorry you are still having problems with this ulcer. Have they cultured it? This would entail swabbing it, and sending it to the lab to determine what kind of "infection" it is, and then give you the right antibiotic for it. Germs are susceptible to different antibiotics. I guess I would be concerned about a staph infection. The doctors need to get aggressive with this.

If they do a biopsy, most likely they will do what they call a "punch" biopsy. Its a little tool shaped like a screwdriver but the head is open. They place it on your skin, do a little twist and voila! they have some tissue to send off. Yes they would numb it.

I'm not a doctor but I am a nurse and have seen this many many times.

Do keep us posted OK? And don't panic, they will get to the bottom of this, but I would encourage you to keep after them, don't let too much time lag in-between antibiotic tries.
Warm and gentle hugs,

Pamela
ISN Support Specialist
International Scleroderma Network (ISN)

#4 reese

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Posted 01 July 2007 - 03:05 PM

Hi Rachelle,

Biopsies are not painful and are done exactly how Sweet described it to you. The only part that is slightly uncomfortable is when they numb the area. But the discomfort honestly lasts for about 10-15 seconds. Many times you will get a small stitch as well to close up the area which you will not feel either.

Good luck!

Reese

#5 Rachelle

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Posted 01 July 2007 - 04:53 PM

Thank you!! I feel so much better!! And yes Sweet, I am tired of the antibiotic tries. I have been letting the doctors be passive about this, but this needs a resolution. My general doctor gives me a quick exam and says I look good so I think he dismisses anything serious. I have always maintained a good weight and look young for my age so he just assumes nothing is going on I believe. For someone who looks so "good" I sure have felt pretty stinkin bad at times!! LOL As I mentioned before I have dealt with fibro flares and horrible endometriosis pain in the past. At least my doctor did admit he does not know what is going on and he does seem a bit concerned now and told me to make sure I go to the dermatologist. Also, I know Im a baby, but, are they going to numb it using a needle?? Surely a finger numbing can't be any worse than when my nose was numbed to shave off a mole!! That was bad.

#6 Donna

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Posted 01 July 2007 - 05:30 PM

Hi,
I have to agree with 'Sweet' - punch biopsies are not bad at all...........

What would concern me more, would to make sure they culture the infection and see exactly what they are dealing with - I had an ulcer on one of my toes last fall, the podiatrist cultured it, and it was a staff infection - but me on heavy duty antibiotics and was on my way to recovery in no time........

Hope this infection heals fast for you.......

Take Care...........Hugs.........Donna :)

#7 Sweet

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Posted 02 July 2007 - 03:54 AM

:) Yes they will use a needle to numb it however, it's a tiny tiny thin one. It will be a very slight ***** - very tolerable. :)

Keep us posted!
Warm and gentle hugs,

Pamela
ISN Support Specialist
International Scleroderma Network (ISN)