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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Concussion

I wrecked my motorcycle sat which resulted in some bad road rash a mild concussion and seven staples to close a gash in the side near the top of my head. I thought the ER did a terrible job cleaning my wounds left them with dried blood dirty and didn t really seem to clean them. My head still had dirt and my hair was matted with dried blood and dirt. The nurse who put the staples I kept asking the other nurse if that was right. Now the staples are loose and there is a mushy spot next to the staples. Should I be concerned
Mon, 5 Jan 2015
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Neurologist 's  Response
I'd have the "mushy spot" looked at by someone to make sure you're not harboring either an infection, abscess, or slowly growing blood clot of the scalp. It's probably not a clot or bleed because I'm sure there'd be some significant pain that you're not really complaining about. Make sure YOU clean yourself up well now so that if you get this looked at somewhere they won't miss anything. I certainly wouldn't go back to that ER because I agree that they really should've done a better job of cleansing the area before suturing it together....but...it is what it is...now, you've got to get it looked at again...oh well....If there is an infection then, they will likely need to drain it and I certainly wouldn't reclose it at this point...depending on the size, maybe just some packing and let it granulate itself....

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Suggest Treatment For Concussion

I d have the mushy spot looked at by someone to make sure you re not harboring either an infection, abscess, or slowly growing blood clot of the scalp. It s probably not a clot or bleed because I m sure there d be some significant pain that you re not really complaining about. Make sure YOU clean yourself up well now so that if you get this looked at somewhere they won t miss anything. I certainly wouldn t go back to that ER because I agree that they really should ve done a better job of cleansing the area before suturing it together....but...it is what it is...now, you ve got to get it looked at again...oh well....If there is an infection then, they will likely need to drain it and I certainly wouldn t reclose it at this point...depending on the size, maybe just some packing and let it granulate itself.... If this answer is of help to you would you do me the favor of a little written feedback and a STAR RATING...keeps the peanuts flowin my way-- Happy New Year and be careful on your hog.