Pilonidal sinus

Goldenquick

Thank you Reginald, wouldn't it be great if this worked for everyone and saved them all the pain they go through. We're certainly going to keep it up here.

SilverSparkle

I am waiting for my 4th op now. The last one was to get rid of the infection and the next one is to remove the problem. I have to wait until June 24th because of college exams etc.

However i was looking at my PS and i rubbed my finger along it and it seemed to be a bit raised up compared to last week. I don't know if this is scar tissue or an infection coming back. I haven't felt any pain though so i pressume it is scar tissue or granulated tissue. I have to go to college next week so I will call into the nurse and ask her does she think I should see my doctor.

Also I tried the salt shot glass trick a while back too on the reccomendation of Reginald. It helped me too!

Goldenquick

I hope it is not an infection coming back SilverSparkle, you really don't need this with your exams coming up.

SilverSparkle

I hope it isn't either.

Exams start on Monday and finish on May 20th. The first date they gave me for the next oop was May 20th. So they said they would wait until I got back from holidays to do it.

I will see what the nurse says on Monday afternoon,
Fingers crossed:(

antomorro-sei

Dunno when my Op is, still havn't got a phone call.

On another note, does anyone know about the exercise thing? I'm finding gym work very painful nowadays :mad:

hellokitty10

ahh thanks goldenquick ur very kind..

Pain unfortunately seems to be getting worse and Im afraid that it might be getting infected, Im sorry but the PHN's dont seem to know anything and they all tell you something different, one just left there and im now again in bits..all i seem to them is a number, rush in get the job done as fast as possible and rush out.. :mad: whatever happened to been a little nice and trying to sympatise with someone and possibly give a little advise or answer questions we may have..aggrr sorry rant over..

question: ive the open wound, 10 post op and since day 6 she decided to change dressing every 2 days, now from what im reading on websites this should ideally be dressed twice a day..if not at least once a day..shurly every 48 hours is really leaving the wound open to infection ? am i wrong here? bear in mind the wound is 2 inches deep..

Goldenquick

Fingers crossed for you SilverSparkle, good luck at the nurse and I will be thinking of you.

antomoro, I would seek advice about doing gym work while you have that.

hellokitty, I'm so sorry your pain is getting worse and that the PHN are not more understanding. We have 3 great PHN's here, they are so very good and I could not praise them enough for their care and empathy. But I know what you mean about being just a number, I myself had an op on 9th March and am still not recovered (not for a sinus), like you, I feel as if I am only a number, I was to be called back 3/4 weeks from that date but am still waiting and after numerous phone calls have to go back this Thurs. When I was being released from hospital I was told that if my condition after op did not settle down, to ring the hospital and speak to one of the surgeon's team, this I did after a week. I told the Doctor I was speaking to what was happening and his reply to me was, "and this concerns you?". I was flabbergasted and actually took the phone down from my ear and sat staring at it, wondering if I had heard him right. Unbelievable! He also told me I should go to my GP or to 'drop' into A & E, which is 1.5 hours away. I certainly hope I do not meet up with him this week.

What has helped me through my pain, besides painkillers and numerous antibiotics, is that I started a journal. I don't write in it every day as some days I can't bear to even waken up knowing what I have to face again and wondering if there will ever be an end to it, but the days I do write in it, help me a lot. I let out all my anger and frustration in it and it cleanses my mind at least for a time.

I honestly don't know about the wound or how often it should be dressed, sorry I can't advise you on that but do get some advice on it, it is your right to know and don't be put off by anyone's poor attitude. We do that too much in Ireland I'm afraid and I was guilty of it all my life myself but I've learned that the only way I will know anything is to ask, I have a notebook on the ready to take with me on Thurs and will write down everything lol.

SilverSparkle

Goldenquick wrote: »

Fingers crossed for you SilverSparkle, good luck at the nurse and I will be thinking of you.

Thanks!

So I went to the nurse after my exam in college today. She said she has no concerns about my wound. That the purple colour is not a colour to worry about. And that if the wound was red that we would start to worry then!

She had a good luck at it and asked did it hurt and put pressure around it. Nothing hurt!

Looks like I'm doing good for now!

Goldenquick

I'm so pleased for you SilverSparkle, that must be a great relief to hear.

SilverSparkle

Thanks! Me too. It is such a relief. Now I can concentrate on these exams! If only everyone could be as lucky as me after their op...

antomorro-sei

17th of June, in Mt Carmel for my 2nd Op!

ash.c

just a quick update...
had 4th op 5 weeks ago yesterday, going for daily dressings,, were trying to spread it every 2nd day, was back with consultant today who said he doesnt want to cut any corners so go back to daily dressings for at least the next 8 weeks, he checked the wound and said its loking perfect but a small part of it was healing too quick (over granulating) so i got silver injected into it????? and they also burned part of the skin with nitrogen to stop it healing, back to see him in 4 weeks...

fingers crossed...

tiger21

hi guys, can i join the club?
I've had one of these for about a year,never knew what it was and never did anything about it until recently. I never had much bother with it, but i showed it to a doctor recently, he referred me to a surgeon and he tells me im going to need surgery, he says its a big enough one. So im having an operation on the 15th of June.

Funny ive had this so long and i always thought it was something weird that only i had, then i found out it had a name so i typed it into google and found a load of people with it!

LegacyUser

Oh guys, this is just an awful thing.

well, i had my op at the end of April. I think i caught mine early, and it wasnt too bad. so they stitched it up and actually let me home the day after the op.

but then ten days later it became so unbelievably painful that i had to go back to hospital. It was infected so they took out the stitches and decided to let it heal from the inside out (which they prob should have done in the first place).
I have a public health nurse coming every day to change the dressing.
The important thing is to keep it really clean.

If you're having the operation, try and make sure they don't close it up...there's like a 90% chance of it getting infected...believe me it is so so painful and i just ended up having it open anyways.
I'm hoping that i'll be better soon because like everyone else in this forum I'm getting really down, I can't do anything or go out...I'm doing better but I just want to be completely healed.

lis09

Hey everyone! Never posted anything here before but wanted to get some advice about this. I found out I had a pilonidal abscess about a month ago. Went to the doc with a sore tail bone and was sent home. A few days later I knew somthing wasn't right as the pain was terrible, couldn't stop crying and was given painkillers and anti biotics. Then, 3 days later, on 2nd May, I just had to go to hospital. That night I was taken in to theatre and the abscess drained. The op was meant to last 10 minutes but apparenty, it lasted for 20.

I have been attending my local clinic for 4 weeks now and the wound is almost closed, which is great news. But, I have been told that there is a possibility that I will have to go back for a second operation to actually remove whatever is in there. Does anyone know if this is true? One of the nurses in the clinic said that the infection has to be gone first (which is why they drain) and then once it's closed etc, they need to operate again. I have an appointment in 4 weeks to see my surgeon/ his team but I can't stop thinking about this.

Does anyone know if this is true?

hellokitty10

hey guys havent been on in a bit, 6 weeks post op tomorrow and now going for dressings every 2nd day.. pain just about gone wooo hooo at last.. can finally see the light at the end of the tunnell.. ;o)
ash c we must have had the op around the same time.. do you mind me asking how deep was yours.. im just concerned about what you were told about still having to get yours dressed every day cause it was healing too quick,. mine was 2 inches and its only about 2 cm's now.. they also said to me one bit is healing faster than the other.. im due back to the surgeon in 2 weeks so ill check to see what he thinks too.. although he wasnt very helpful the last time i asked questions.. (told me too google the answers)
im just so so scared this comes back again..or it doesnt heal correctly i just cannot go through this again.. as im sure you know yourself!!
all the best with the healing and sorry to see more people joining after discovering you have this terrible thing.. take care.. ps i found the pilonidal.org website very very helpful

LegacyUser

Just saw this thread and though it interesting!

I have had one for the past three year and I have had numerous antibiotics for it! My GP won't refer me to have it removed even though it would be infected every 8 weeks or so and is causing me great discomfort. This I have told him.

I suppose I am wondering should I go back and discuss it with him again? My problem is that I travel on a bus for 11 hours every weekend so sitting down is very unconfortable and the PS is badly inflamed and at bursting point after I finish travelling!

Anybody have any idea's on what I should do? I am a 21 year old female student btw!

SilverSparkle

lis09 wrote: »

Hey everyone! Never posted anything here before but wanted to get some advice about this. I found out I had a pilonidal abscess about a month ago. Went to the doc with a sore tail bone and was sent home. A few days later I knew somthing wasn't right as the pain was terrible, couldn't stop crying and was given painkillers and anti biotics. Then, 3 days later, on 2nd May, I just had to go to hospital. That night I was taken in to theatre and the abscess drained. The op was meant to last 10 minutes but apparenty, it lasted for 20.

I have been attending my local clinic for 4 weeks now and the wound is almost closed, which is great news. But, I have been told that there is a possibility that I will have to go back for a second operation to actually remove whatever is in there. Does anyone know if this is true? One of the nurses in the clinic said that the infection has to be gone first (which is why they drain) and then once it's closed etc, they need to operate again. I have an appointment in 4 weeks to see my surgeon/ his team but I can't stop thinking about this.

Does anyone know if this is true?

Yes you are in a similar situation as me. I had surgery in A&E a week before Christmas, Surgery by my GP in Jan.... And was then referred to a surgeon in hospital. In March I had surgery to remove any infection. And on June 24th I will have more surgery to widen the area and hopefully get rid of the root of the problem....

lis09

SilverSparkle wrote: »

Yes you are in a similar situation as me. I had surgery in A&E a week before Christmas, Surgery by my GP in Jan.... And was then referred to a surgeon in hospital. In March I had surgery to remove any infection. And on June 24th I will have more surgery to widen the area and hopefully get rid of the root of the problem....

I was really hoping that they would decide not to do the second op and that it wasn't necessary?? My brother had the same thing and I don't think he was told to go back for another operation. Well, I'll find out on 13th July I guess, hading back to the surgeon then.

I am really freaking out, but I suppose if we didn't have to go back, then there would be a huge chance of it reaccuring. There are so many horror stories about this. Best of luck on the 24th! Do let us know how you got on!

ash.c

sent u PM hellokitty10

LegacyUser

i have this at the mo, last time it flared up was 4 years ago, just took antibiotics then and cleared up ok...no openings just the abscess under my skin at the left side of the cleft. i just want to know what to do and could really use some help from people who know as you all seem like you know the score (thank god!)

was put on antibiotics on monday. went back to the doctor on wednesday as it hadnt gotten any better and i was really worried that it would burst inside as it hadnt risen to the skin. gave me a letter for a&e and said to go if the pain gets worse. woke up on thurs and it was a lot better, still painful but not as swollen. had been getting a little better, but quite sore again today.

should i go to a&e anyways and see what they say? or should i try to get referred to a surgeon through my gp? i'm really confused as i dont know if its bad enough at the mo to be admitted through a&e...help please!

i'm also really confused as to why i have this in the first place. i have very pale skin, and little or no hair on my body, and the hair i do have on my body is blonde and fine - even my GP had a good laugh at that one! i did chip my tailbone twice about 8 years ago, could this have contributed? i find the info on the net really general...and again, I know i shouldnt be embarrassed but its hard not to be when you're walkin around like John Wayne

any help you guys have would be great...thanks a mill! and best of luck to anyone else going through it...i feel your pain quite literally!

Babypanda

Haven't posted here in a while,
Still waiting on an operation.. I got a letter from the doctor the other day that told me i didn't need the operation, so i went down to my doctor and asked to refered to a different doctor and cancelled the appointment that i got in the post. Im on my 6th or 7th lump now since i was told i didnt need the operation, and the pain is getting extremally sorer each time one comes up. Im getting really sick of this now and really wish it would all end, around on my third lump i was a lil depressed and i wrote a poem on how i was feeling, so if i end up seening the same doctorin the end up im going to read it to him and tell him this is how i felt because he said i didn't need the operation and if he just gave me it in the first place i would have never felt like this!!

tiger21

I had an operation last wednesday for one of these. Was left with an open wound. On friday they put a Vacuum dressing on it.
They said this is the best way to heal the wound cleanly with little chance of infection and reoccurence.
It sucks all the fluid and infectious material out of the wound into a little pack which i have to carry around with me.
Nurse saw it today when changing the dressing and said it will take 2 or 3 weeks to heal.
I don't look too cool carrying this thing round with me but it will be worth it if it heals cleanly in 3 weeks and im finished of it.

Any of ye recieve vac therapy??
http://www.kci1.com/KCI1/vactherapy

Babypanda

Im sick of having it now! i miss my life, i miss going out wit my friends at weekends and not caring or worring about my back any more! I can't even mess around with my sister or my puppy bescause it hurts to moveand the days where i can just get out of bed because the pain is that bad it's all just a contiunous battle that i can't win, it's just come to the stage where i don't think its going to end any more and just keep going on with this pain. If the doctor just brang me in i wouldn't be having these flare ups now and feeling so much pain!

SilverSparkle

Babypanda I hope you get news on an operation soon. I am going in for my next one tomorrow and I know what you mean about not being able to stuff. You can get so frustrated at home waiting for news...

Babypanda

Thank you sliver sparkle, it does get really anoying because you can't do anyting! I even wrote to the minster of health today telling her and saying how bad the hospital im with is. As i said to her," The hospital Don't see me as a human being, im just another number in line"

antomorro-sei

Op today!!

SilverSparkle

antomorro-sei wrote: »

Op today!!

Good luck!

So I had mine yesterday.. had to wait until 4pm to be taken to thetheatre and I was starving!!! The surgeon stitched it closed and I was kept in over night... I have to see my surgeon next tuesday so he can have a look at the wound and see will he keep the stitches in or not...

There isn't a lot of pain except when I had a nap today I must have lay on my back for a while as I woke up with a bit of pain

antomorro-sei

On my third day of dressings so far and things are going much better than last time. Lovely stuff

domall

Hi everyone,

I think I briefly came acros this discussion before during my 'research' but never read it fully. I have now and have to say that I'm glad I found it, but also a bit deflated by all the 'unfortunate' stories. Here's mine:

I had (what I found out by my research & online diagnosis, and then confirmed by GP) my Pilonidal Sinus for I think probably 2 &1/2 to 3 years before I finally got it seen to at my GP. My situation was the same as a lot of people I think, every now and again (maybe once or twice a month) it would flare up, this spot/boil type of thing at the very base of my spine, just in the top of the cleft. For me, it really never seemed bad enough to get checked, it would only be uncomforatble for a few days & then settle down.

I finally went to my GP with it when it flared up, worse than ever, in early March 2010. It was very swollen, tender and was 'weeping'. The GP told me what it was by the description, before she even looked at it (of course she examined it fully then). She put me on a course of antibiotics as it was infected, and referred me to a surgeon (MGH Castlebar). I was seen by the surgeon about 2-3 weeks after my GP visit and he said yes, it would have to be operated on, but not yet, as it was still infected. So I went on another course of 2 different tablets and eventually (after being on antibiotics 21 out of 40 days), went in for surgery in early May after some further related complications which gave me more cause for concern - I has swelling & tendernes in my lymph nodes & tracts around the PS area.

So I had the surgery under a general anesthetic, went in Monday morn & was out Wednesday afternoon. Have to say it was all relatively painless even immediately after surgery (course I was on Morphine, but the pain never came). I had an open wound of about 4-5cm long, maybe 2cm across and about 2-3cm deep. I had daily dressings done by the Public Health Nurse for 3 weeks (those ladies are absolute saints I think), then went to every 2nd day for 1 or 2 weeks and then back to daily dressings when my aunt (a nurse) started doing them for me as it was convenient & recovery had been going so well.

So 6 weeks after surgery (last week) I went back to the consultant & he said it was all looking good and I didn't need dressings anymore, but I have been keeping a single one on for another week or so just to be safe. By all accounts on here and other sites, mine has been a relatively (very) successful story, so far. But after reading all the reports here, I'm a bit deflated and worried that I might be a long way off being clear of it yet.

I've started back to jogging last week (and football this week) as I'm an active person, and everything's going well, I'm just woried now after reading these stories. My consultant said there's a 30% chance of recurrence in general, & he told me to use Immac or something similar once a week for a year to keep hair from around the area (which I haven't done yet but I plan to tonight or the next night). There seems to already be hair growing out from the wound now (only 7 & 1/2 weeks after surgery), so I think I need to get on top of that. I keep it very clean & shower every day like, so I think I'm doing all I can at the moment.

I'd be devastated if it reocurred, I can't imagine going through it all again. Like as I said, pain wasn't a major issue for me (never as painful after surgery as it was before), but being off work, no activity & the boredom are real hard work on the mind. Just thought I'd share my experience.

For the record, I'm a 27yr old Male.

Cheers, and good luck to anyone recovering or heading in for surgery!

LegacyUser

I first got my PS in May of last year. I went to visit my GP 2 months later and he refered me to the University Hospital in Galway where I only got my appointment in May of this year. Whilst it mostly doesn't cause me pain, it bleeds every day and in the space of the year, I've gone from 1 PS to about 4. The doctor in the hospital just told me to take a sitz bath everyday until my next appointment in December. He also said that if I wanted surgery, it could take up to 3 years because it's not life threatening. By reading some of the stories, people have gotten theirs sorted out in as soon as 2 months. Am I getting screwed over here??

Babypanda

Not been on for about two months now, Still waiting on operation..Feeling tired, Sore most days now but making a brave face as much as i can, have an appointment in September, Bit scared because i don't know whats going to be said or done now. Hopefully nothing as sore as my first operation

FC83061

Hi All,

I've just read through this thread for the first time and firstly I would just like to wish everybody the best of luck in their current situation/treatments. I'm 27 year old active male, based in Dublin, and I have my first PS. I work in an office during the day and go to college at night. As a result of work and being at the end of my evening college course with exams, I have being sitting excessively over the last few months. I noticed PS about a month ago with it not progressing to the point of infection and intense pain until 3 days ago. I called my health insurer's 24 hour nurse on call who advised me to go to the hospital today. The hospital popped, drained, cleaned and dressed my PS, and has put me on a 7 day course of antibiotics. I’ve to return this Tuesday for them to redress the PS and discuss outpatient surgery.

From resource (http://www.pilonidal.org/treatments/conservative.php) and some of the comments on the thread, I am wary of invasive “excision surgery” in my case and at this stage which I believe I will be referred for by the hospital on Tuesday. The “conservative” approach seems to encourage drainage followed by excise of the Pilonidal pit through a small incision approx. 5-7 days later when the swelling has gone down.

I’m concerned having read through people’s experience on line but as with other difficult issues I’ve had to face in life, I will not let this keep me down. Life is too short!

Knowledge is power. I would appreciate anybody’s feedback and advice. I am interested in people’s recommendations/experience of outpatient treatment of PS in the Dublin region. Particularly, I would be grateful of anybody’s experience with the “conservative” approach that I mentioned and any locations in Dublin (public/private) practicing this technique (Pilonidal pit extraction through a small incision). Also, any recommendations/experience of “excision surgery” in locations in Dublin (public/private) would be welcome. I understand that this information would need to be PM’ed to me.

Best of luck and regards

chappy

Hi Guys,

Haven't been on for awhile...

I am going in for my second surgery on Monday.This will be a full excision surgery leaving an open wound.

My wound has still not completely healed from when it was drained 4 months ago.This is the 3rd appointment I've been given for the second surgery and each time it has been cancelled...I had an awful lot of pain after my last surgery and am terrified about going in next week.

I have several other medical complaints which I am also trying to deal with but cannot proceed with treatment until I get the PS sorted.

LegacyUser

So relieved to have found this thread. I'm typing this while lying on my stomach, as I have been for almost a week now. Never had anything like this before, Monday I start to notice extremely sore back pain and by Wednesday I was forced to go to the GP the pain was that bad, and I had noticed the source of it and was concerned.

GP referred me straight to A&E where I had to sit for hours waiting (not ideal) Eventually I was seen by a surgeon who said that the area wasn't "ripe" enough for draining yet. I was given two IV doses of antibiotics and painkillers, which i was told to use sparingly. I was given an appointment for outpatients surgery in 10 days. That was two days ago now, and I have been in absolute agony since. The painkillers are not helping at all, I can't leave my bed, it takes me about half an hour to get up just to go to the bathroom, and I cannot stand up straight at all.
The pain is keeping me awake and I feel ill from constantly lying on my stomach and the amount of drugs I am taking (2 antibiotics, prescribed painkillers, protein tablets for my stomach as well as paracetamol and neurofen plus as I was only given 4 painkillers)

Has anyone had an experience like this? I am really quite concerned, I've never felt pain like this, and I couldn't even think about returning to the hospital as I can't even get down the stairs, let alone further than that.

chappy

I was in the exact situation you are 5 years ago....I would suggest getting in touch with your GP for stronger painkillers until your appointment.

A lot of people do not realise the unbearable pain this can cost...

Goldenquick

Can anyone tell me anything more about the portable hoover dressing? I've looked on the internet and can only find references to Vacuum therapy as an intermediate phase in wound closure: a clinical experience but this is from America. My daughter has an appointment with a surgeon on Thurs. of this week & I would like to ask about this treatment when there.

Thanks in advance.

sasha100

i never realised that pilonidal sinus could be such an event. I also thought after an operation it would be okay. Just had one recently and after a week , had it removed rather swiftly. Hasnt come back as yet but will definitely after reading this thread be on the lookout if it does!

LegacyUser

Hi,
Has anyone used a VAc as part of the healing process?

Regards.

LegacyUser

I was at my GP recently and he refered me to a surgeon who I have an apointment with in 2 weeks. The GP didn't mention anti-biotics which I thought was a bit strange now that I've read up on the disease/illness as that seems to have been the route most have gone down first.

Just wondering if surgery is on the cards how long should I expect to be in hospital and how long will I be out of work. Could do with a few days off but I can think of better ways to get it.

antomorro-sei

Pain in the a*s wrote: »

I was at my GP recently and he refered me to a surgeon who I have an apointment with in 2 weeks. The GP didn't mention anti-biotics which I thought was a bit strange now that I've read up on the disease/illness as that seems to have been the route most have gone down first.

Just wondering if surgery is on the cards how long should I expect to be in hospital and how long will I be out of work. Could do with a few days off but I can think of better ways to get it.

Don't really think you have to use the antibiotics. Never did any good for me, or anyone else I know that has them!

You could be in hospital for either a couple of hours, or a couple of days! Depends on what type of Op you'll be getting! And, I'd say you'd be recovering for at least 3 weeks.

If your looking to take a few relaxing days off work, take them before the Op!!!

LegacyUser

After having my op back in September getting the dressings for past month but last week went to every second day. How long does it usually take to heal once the dressings are done every second day???

antomorro-sei

fed up56562626 wrote: »

After having my op back in September getting the dressings for past month but last week went to every second day. How long does it usually take to heal once the dressings are done every second day???

Around 3 or 4 weeks I'd say.

LegacyUser

Operation booked for next week. Don't know whether to be happy that this could be the begining of the end or nervous about leaving my a*s exposed while I'm asleep...

chappy

OK... so 9 weeks after having my second operation and I finally feel like I am getting somewhere!!!

My wound was so big some of the district nurses got a fright...one could not believe they had "slashed me open" and sent me home the same day...

Got an infection in the first week but it cleared up pretty quickly.Now I have the length down from 11cm at the start to 1.5 cm now ans the depth down from 5.5 cm to 1cm!!!

The difference is unreal!!!It's the small things that I can't get over.Never thought I would get pleasure from leaning against a wall at the bus stop!

I'm hoping this will all be over soon....hope everybody else is getting there too!

LegacyUser

What surgeon is everyone with? An 11cm cut seems huge. They consultant I went to said he makes a much smaller cut than most of the others and that since he has been doing it this way he see's little or no re-occurance in patients.

LegacyUser

Hey there,

I just got my appointment there last week to go see the surgeons...This is my first appointment...Will they just set a date to have it removed on that day or will I be put on a waiting list??

I am unsure as to what to expect, tbh I my GP only referred me a couple of weeks ago and I didn't expect to get an appointment until well into the new year!

Is this a day procedure and you can go home after?? I can't afford to take any time of work or college at all cos I just started a new job as a sales assistant and I'm in my 3rd year of college, so I am out on placement in Feb and have my exams in Jan.

Does anyone know what I should expect in terms of the procedure...and the recovery...I think mines only 4/5cms...so I'm hoping to get away lightly!

LegacyUser

I met my consultant for the first time last week. He booked me in for the op next Friday. Not sure if it's normally done that quickly. He told me it will be done as a day case and that I'll be out that evening. He also said I could go back to work straight away but if I could afford it to take a week off so that’s what I'm going to do to give it as much of a chance as possible to heal properly. I'd hate to have to go through the op a second time and start all over again.

chappy

I've had mine for 5 years so it has buried quite deep.I was with Broe in Beaumount.The first surgery I had was very small but did not work at all.Was also a lot worse pain wise for the recovery as it was harder to pack and took the same if not long to heal.

You will have to take time off work and college no matter what type of procedure you receive.Your college will have to make allowances for this as mine did when I was quite ill in my final year.

Once you have a doctors cert your job can take no action against you either.I took a month off work completely this time and for the past 5 weeks have been working part time as I have the nurses coming to pack still every morning so can not get into work until later.

LegacyUser

Nine weeks and your still having it dressed every day by the nurses? Damn. Hope that heals up for you soon. My consultant told me to get my wife to clean and dress it twice a day instead of getting the local nurse. Nothing against the local nurse but he said they can be really busy so sometimes rush through it and then tell you it only needs to be done every second day where as he thinks it should be a minimum of once a day till it has fully healed.