MedicalAdviceTrackWorld – grim infection content!

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  • MedicalAdviceTrackWorld – grim infection content!
  • Premier Icon verses
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    As well as being struck down by flu this week, I’ve managed to pick up an alarming infection in my finger…
    It started hurting on Tues, by Weds night the tip had almost doubled in size and I was in agony!

    Doc prescribed antibiotics on Fri morning, and today its started to turn green :vomit:

    Main concern is how is the green expected to get out?!?

    Tempted to help it leave by piercing the skin with a sterile needle. Is that a heroic idea or imbecilic?

    I bet Ranulph Fiennes would be lopping his fingers off with an axe about now…

    Brace yourself, here’s the obligatory grim pic…
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    Premier Icon Yak
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    Lance it. Film it too. It’s going to squirt like something from Alien.

    revs1972
    Member

    I don’t think I could resist popping with a needle and squeezing that bad boy….

    IAMAD

    Premier Icon theotherjonv
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    I’m thinking that’s something that you might consider getting an expert view on. I’d have expected the antibiotics to be having a good effect after 2 full days, and you don’t want it to get worse and spread further if these aren’t having the right effect.

    But video it if you do go for home surgery, obvs.

    Premier Icon duncancallum
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    Pop it

    What’s the worst that can happen

    pigyn
    Member

    How did you even let it go that long WITHOUT lancing it..! Get it done. Soak it in mild saline after or something. Just get the bad out!

    Also not a doctor

    Premier Icon Drac
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    Off to minor injuries for you they’ll sort that out.

    Premier Icon bikebouy
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    Gross..

    Needs a vomit alert on the thread

    🤮🤮🤮🤮🥴

    Premier Icon seadog101
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    Freeze spray then drag a clean needle around/under the nail cuticle.

    That’s what they did to me in the hospital.

    Might save you a trip, but not necessarily your finger…

    Premier Icon TomB
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    That’s a Paronychia, looks to need draining. Sterile needle would be ideal, like Drac says, walk in centre or some GP practices can sort.

    Premier Icon scaredypants
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    was it that tense/pressurised before you started the antibiotic? Has it even reduced a bit?

    Antbiotics can’t make that pus’n’shit disappear overnight, so it may be working and already be on top of the infection and MAY not need draining. Then again, draining off shit like that does improve speed to resolution – it’s a nice little collection there.

    … and just for fun:

    https://en.wikipedia.org/wiki/Necrotizing_fasciitis

    What you on – flucloxacillin ?

    Premier Icon verses
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    Ta for the comments, we have no MIU anymore, so it would need to be A&E at this time of night.

    was it that tense/pressurised before you started the antibiotic? Has it even reduced a bit?

    It was very swollen before the meds, but has got more so since I started taking them. When I woke this morning there was only a slight trace of green, but there’s loads now…

    Yup flux-lox-a-ma-wotsit…

    I broke my neck a few years ago and had a halo brace screwed into my skull, the pain of this is comparable! 😖

    It was very swollen before the meds, but has got more so since I started taking them. When I woke this morning there was only a slight trace of green, but there’s loads now…

    I broke my neck a few years ago and had a halo brace screwed into my skull, the pain of this is comparable! 😖

    Then get yourself to A&E pdq. Sounds as if the anti biotics aren’t working and I’d be worried about the infection spreading into your blood never mind the pain!

    cchris2lou
    Member

    Just pop it.

    Premier Icon scaredypants
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    Well then, now might be a good time – the footy/rugby injuries might have mostly gone through and the pissheads are probably just warming up !

    It’s the spread of the swelling & area of redness that really matters

    Premier Icon verses
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    What you can’t tell from the pic is that it’s my wedding ring finger, which has been getting gradually more snug as the weekend has gone on.

    Once Vs Jr has gone to bed, I think I’ll take the A&E advice.

    Premier Icon scaredypants
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    … my money’s on an increase in your dose, too

    Premier Icon breadcrumb
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    I would of popped that ages ago! But that may not be the best course of action.

    If you or medical staff lance it, make sure you video it!

    Hmmm, a stiff Gin, a bowl of warm saline, stick your finger in it to increase the pressure to near bursting and then stab randomly with a clean needle till rewarded with a green fountain.

    But don’t leave it too long going to A&E like I did…….9 days on IV antibiotics, 3 tendon flushes and a permanently wonky finger!

    Premier Icon bearnecessities
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    Off to minor injuries for you they’ll sort that out.

    Would you mind if I just called you out for say this this as often as you do, whilst I appreciate the underlying problems.

    I injured my finger this year. With the sound of not clogging up A&E in my mind, mainly from here, I went to a minor injuries instead. Was swollen and a bit wonky.

    The dickhead nurse told me to just go away. I then ended up going back a week later to the same place as I was concerned. They identified a break; a bad one. They referred me to the hand unit, where I was seen 4 weeks later.

    I now have an extremely knackered (as bad as you can nearly imagine) finger because of the delays, which is going to cause me trouble for the rest of my life..

    My surgeon is already suggesting PIP joint replacement or fusing; hardly ideal at 41 years old – and totally unnecessary from the initial injury.

    If I had gone to A&E, I would have been treated properly there and then & impact on me would have been much less severe.

    TL;DR, A&E sometimes is the answer and the above certainly looks worthy of the specialist care available there.

    rhys
    Member

    Seriously get to a&e. Friend of mine has had 4 months of hell, nearly losing her finger, started exactly like that

    Premier Icon BigJohn
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    Have you considered that the flu might not have been flu but the reaction to whatever got into your finger?

    Premier Icon verses
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    Have you considered that the flu might not have been flu but the reaction to whatever got into your finger?

    Vs jr brought back a lurgy from a weekend away with her friends (all the kids got ill), I caught it within 24hrs. I think the flu poss lowered my immune system making me more susceptible to finger-based Black Death.

    Premier Icon duncancallum
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    Popped it yet?

    Premier Icon Drac
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    Would you mind if I just called you out for say this this as often as you do, whilst I appreciate the underlying problems.

    No but let’s consider your example of one over my training, 30 years experience of assessing, diagnosing, treating patients plus a number of years of clinical advice by phone to other staff. Then we’ll let others judge.

    A&E sometimes is the answer and then above certainly looks worthy of the specialist care available there.

    He’s on antibiotics all it needs now is further assessment and possibly lanced, a MIU can do that easily it’s what the specialise in.

    Premier Icon bearnecessities
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    You sanctimonious shit.

    My example of one has changed my life forever, because I didn’t go to A&E.

    Premier Icon Drac
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    You did ask and cheers for the appreciation. It would seem it was you colleague who advised you to go to MIU.

    It’s a crap outcome for you though.

    whoa . No need for that . everyone is entitled to an opinion .

    op , just stick a sewing needle in the gas ring , then pop tha bad boy several times over
    Big squeeze will have you seeing stars , and the TCP rinse will do as well
    Then germolene and bandage it , be fine , or not

    i went to A & E once. ” I have snapped my UCL again ” , umm no , its just a sprain.
    5 days later returned , “Oh , youve snapped your UCL , I can see from the scar you have done it before ….” fanks

    Premier Icon bearnecessities
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    I didn’t ask for anything, but my decision not to go to A&E was largely influenced by your incessant posting to not bother A&E.

    So take that on board, or don’t.

    Premier Icon v8ninety
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    My example of one has changed my life forever, because I didn’t go to A&E.

    In fairness; your example of poor treatment from an MIU nurse doesn’t mean all MIUs are bad. ED docs and nurses (and even paramedics😱😉) eff up too; they’re also human. That being said, I’m not a massive fan of the MIU concept. However with NHS funding as it is, it’s what we’ve got, especially in more remote or rural communities.

    Premier Icon Drac
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    I didn’t ask for anything, but my decision not to go to A&E was largely influenced by your incessant posting to not bother A&E.

    So take that on board, or don’t.

    You didn’t come on here asking for advice on it , I did not offer you advice what so ever, you clearly said it was based on your colleague. Another nurse may have given you different advice.

    A GP once told me I had growing pains, it went on for years work paid private for me to see another Dr. A few weeks later I was in hospital having a tumour removed from my femur. I blame that one GP not others in the NHS.

    Premier Icon ratherbeintobago
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    Go to the ED. That looks to me like it’s past the point where lancing it at home will work. Might even need a washout on the trauma list.

    And if they can lance it, they’ll have access to proper analgesia.

    dovebiker
    Member

    I had far worse many years ago from a splinter that went under my nail cuticle – friend’s mother was a district nurse and supervised – dunked in hot saline to soften up the tissue followed by hot sterilised needle did the trick and the pain relief was immediate.

    Premier Icon Drac
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    Yup similar from a splinter as kid Dove except it was my dad who sorted it.

    Premier Icon bluearsedfly
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    I’d love to pop that! Hope you get sorted op.

    Premier Icon bearnecessities
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    you clearly said it was based on your colleague

    I’m assuming you’ve trawled through my posts to find that comment. It was a colleague that suggested I needed to get it looked at. After that I was in the hands <pun> of the NHS.

    You’re clearly just going to dismiss my original suggestion you rein in on the avoiding A&E suggestion, as politely as I tried to make it, and instead point out how much experience you have – so this is all kind of pointless.

    You’re a paramedic, not a doctor.

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