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Suggest treatment for non healing ulcers on my left second toe - Online Doctor Chats

Date : 25-Mar-2014
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User:I have an uhealing ulcer on my left second toe over the last 18 months drs at hospital wont operate bec. it's an open infection - am on waiting list for another specialists apt on may 13 - don't know what to do - am a recent widow, depressed and feel like suiciding - what's to do - XXXXXXX
Doctor:I got your query please give me a couple of minutes
Doctor:I read through your query
Doctor:Did you attempt suicide?
User:no of course not I have too many family responsibilities
Doctor:Ok that is good take
Doctor:I understand what kind of thoughts go through you if you have an non healing ulcer
Doctor:At this time I have to say you that I saw people who had ulcers for more than 12 years and still happy
Doctor:with the life that is blessed
User:well I have a family who are so dysfunctional you wouldn't believe
Doctor:Non healing ulcers is a medical term however there is a treatment for it
Doctor:You should no go by its term but the options that are still viable to heal it
Doctor:One of them is the positivity in mind that the ulcer is just a small thing in my large body that would definitely not kill me
Doctor:Having said that let us discuss the options
Doctor:Are you diabetic?
User:but what I have tried antibiotics and medihoney, I clean every day with antibiototic skin solution, dress every day with clean gauze etc
Doctor:What is the size of the ulcer and how many and where is it on the toe?
User:no I a m not have been tested and had gestational diabetes 40 yrs ago wit my first child
User:not big but surrounded with yellow dead skin
User:- bottom of toe pressure point
Doctor:Did the doctor say that the pulses are palpable and the sensations are preserved or lost?
Doctor:I mean the local sensations
Doctor:Was a proper diagnosis made why is it not healing
User:no my dr just says to amputate
Doctor:Ok are you prepared for amputation?
User:it is not really painfull, but I am cushioning it with gauze so it is over the footstep
Doctor:That is the last option
User:no I don't want amputation
Doctor:So did the doctor explain you the options and that amputation is the last resort.
User:yes they seem so keen on it but won't do it if there is an infection
Doctor:What about a biopsy of the margins and asking Pathologist?
User:never thought of it
User:at 66 am I too old to have an ordinary life
Doctor:I do not think you are too old to think about possible options before amputating
Doctor:Now a days there are more products to aid wound healing
Doctor:However the right person who is regularly using them should be contacted
Doctor:So I suggest you to ask your doctor why should the ulcer not be biopsied and sent for pathological examination
User:thank you I am a nice person and don't want anything else happening to me I want to walk to the beach and enjoy myself
Doctor:Also ask him if someone in his network practises Hyperbaric oxygen therapy, skin grafting
User:ok but am not a pushy person
Doctor:I am not sure if debridement of the ulcer and skin grafting is a possibility for the location of the ulcer
Doctor:This can be done by your own surgeon
Doctor:extremely common procedure
Doctor:If he says that is not an option, then you can go with him
User:no the practise nurse does this every couple of weeks - I'm in cairns surgeons are gods here
Doctor:That is great. If you believe in your surgeon they are your power. So I think a lot of people are helping you out there
Doctor:Ok I think it is also time to revise your antidepressant drugs
Doctor:Please meet your Psychiatrist if a dosage needs change
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Diseases and Conditions
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