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I am getting quite frustrated with the different attitudes to the treatment of these abcesses, the misleading guidelines we've received, and the vastly different standards of dressing applied.
When my son had his op we were told it was a simple incision and drainage we were due to go away two weeks later and the surgeon told us it should be fine by then. At first he was having the dressing changed daily and was told not to allow it to get wet. The wound was being padded with and alginate ribbon. So when he had a shower we were VERY careful to stick clingfilm over the dressing etc. All was ok for the first week or so, when the district nurse came the padding fell out within hours but it was a weekend and we couldn't do much about it. I had seen how the dressing was changed and as we were more worried about premature closure than anything else I just packed it enough to allow for a \"tail\" for drainage. Suprisingly the nurse who saw it said it was a good job and I had acted wisely. So we went on holiday and the local surgery and hospital had arranged dressing appointments which was very good of them. We were told it would be fine to have it done every other day to give us time to enjoy ourselves. The first nurse he saw while away said they never use alginate as it has a tendency to break down and can leave behind fibres etc which themselves set of infection. Amother nurse prescribed Differin cream as he still has several small boils over his bottom. They also advised anti-bacterial washes etc none of which we had been told at home.Throughout the holiday several lots of dressings came off and the packing came out but I just redid both when this happened. The nurse at the local surgery actually thought I was a qualified nurse she said it was done so well! So eventually we come home. They decide he needs to revert to daily dressing for the first so he's at the surgery every day Monday to Friday. There is a junior nurse who has told him she is concerned there are still so many blind boils and things don't look too good. Then on Friday the senior nurse declared that if the packing falls out over the weekend just let it heal! Well we weren't going to let that happen as you cans still definitely get packing into the wound. Today the same nurse has said it's going to heal in it's own time but changing the dressing every other day is not going to allow it to settle and heal.
He is convinced he will need a second op because of the spread of the other boils and he feels he would rather get it over with sooner than later, particularly as he will be moving form college to employment. As he says he doesn't want to jeopardise a new job by being off with this problem for weeks on end. Have others found this discrepancy in standards, if so how have you dealt with it?
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