So yes, there was a lot of slough in the wound. It was debrided out by the surgeon. He wants to give it another week, and maybe consult with the plastic surgeon. I personally want to hold off longer. I don't mind doing a consult for skin grafting or skin flap whatever, but I am not sure I am ready to jump in to that yet. Wound VACs can take a month or longer sometimes to work. At the time of that appointment it had really only been 2 weeks. The skin graft stuff would pose a whole'nother list of risks. First off being that I don't think they will do it without general anesthesia which is dangerous for me. They could try an spinal block, but with my curvature, that would be dangerous also. Not to mention, I would probably have to use synthetic grafts because I don't need another wound to deal with, nor do I have much skin/muscle to spare. I know I need to get this closed up, but I don't want to jump the gun either.
After that appointment and it was debrided again. When Jacob my wound nurse changed it two days later, it had sloughed up again. Sigh... he said with a wound VAC it's not supposed to slough like that. The thoughts from my doctor friend is that I just don't have hardly any circulation in that spot. Because there is no infection, and my nutrition levels are good. So Jacob turned up my wound VAC pressure to 150mmhg vs 125mmhg.
Since then, the wound (while the wall of the wound is still all sloughy) the center bottom of the wound did not have any slough and had some bloody fluid. Blood in a wound is good... blood means circulation. So I am crossing my fingers and toes for some hope to ever get through this.
My ear, well stage II wound... they gave me some new ointment for it called vasolex and it seems to be getting better... for now! I apply it 3x a day.
I have another appointment tomorrow at the wound clinic. We shall see what the doc says. I am sure he won't be happy with the amount of slough.
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