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Need Help Can I perform self-surgery to remove necrotic tissue with definitely getting an infection??

ChemicallyEnhanced

ChemicallyEnhanced

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Apr 29, 2018
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I'm an insulin-dependant diabetic. Had a small wound on my foot for a few months that gradually got bigger/worse. Sunday night/Monday morning, I noticed that it was starting to necrotize so saw a doctor. They diagnosed it as initially dry gangrene, but said I likely ALSO has wet gangrene because it was lacking a clear line of demarcation, plus when she took my stats, I had a low-grade fever and I've had like sweating, nausea etc and dry gangrene alone does not cause systemic illness.
Despite this, I was refused hospital admission to have it removed and given anti-biotics. ORAL antibiotics. Uhm...I'm no medical professional, but antibiotics (especially oral, and at a moderate-low dose) CANNOT like...save dead tissue. It's fucking black and rotten. TF are antibiotics gonna do? I've been taking them for three days and a) feel worse and b) it's spread, albeit slowly. The margin is widening my maybe a centimeter (less than half an inch) a day.

I was thinking of sterilizing a stanley knife (I think they call them utility knives or box cutters, too, depending where you live) and carefully amputating JUST the necrotized tissue. Obviously thoroughly keeping the wound clean and immediately applying anti-septic and a sterile gauze/bandage?

Is this possible to do with inviting more infection?

Oh, and, necrotic tissue has necrotic NERVES, so, no, it won't hurt much.
 
Umm no this is not possible to do on your own. You'll bleed out. There are tons of blood vessels/arteries that run thru your legs. If anything go to a different hospital/Dr. Someone who will treat you like you need to be treated. You don't want to lose your entire foot/ankle/below the knee if you don't have to. I know it's gross but maggots do wonders for necrotic tissue. Hydrotherapy as well. See someone else please.
 
rentedbythehour said:
Umm no this is not possible to do on your own. You'll bleed out. There are tons of blood vessels/arteries that run thru your legs. If anything go to a different hospital/Dr. Someone who will treat you like you need to be treated. You don't want to lose your entire foot/ankle/below the knee if you don't have to. I know it's gross but maggots do wonders for necrotic tissue. Hydrotherapy as well. See someone else please.
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It's just part of my big toe lol. I promise I can't bleed out from that. Plus this is DEAD tissue. It has no blood supply (that's what causes tissue necrosis)
 
rentedbythehour said:
Umm no this is not possible to do on your own. You'll bleed out. There are tons of blood vessels/arteries that run thru your legs. If anything go to a different hospital/Dr. Someone who will treat you like you need to be treated. You don't want to lose your entire foot/ankle/below the knee if you don't have to. I know it's gross but maggots do wonders for necrotic tissue. Hydrotherapy as well. See someone else please.
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Oh, and I can't see someone else. The one downside of the NHS is, it's all the same people.
 
ChemicallyEnhanced said:
Oh, and I can't see someone else. The one downside of the NHS is, it's all the same people.
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can you tell them you're not satisfied with that course of treatment? It's a lot more expensive to not get a hold of something like this from the get go. If it keeps spreading/not healing they'll end up bringing you back for surgery after surgery. At least that is what I've seen in the US. Debridement, slightly higher amputation, more debridement, etc. It's a long cycle if it's not handled in the early stages. Can you ask why they aren't treating with different antibiotics since the ones they gave you aren't working, which you can show them by the amount it's spreading every day? I have to admit I don't know much about healthcare anywhere but the US but I would think most Drs want to actually care for their patients.
 
I just reread that again. I thought you were talking more about the foot, not the toe. I did work in the OR for 6 years and saw a lot of these. DM me if you want to know my take on it. Things you'd need what to watch out for. I would highly suggest watching a few of them online, they are all over the place, so you get a good idea of what needs to happen.
 
rentedbythehour said:
can you tell them you're not satisfied with that course of treatment? It's a lot more expensive to not get a hold of something like this from the get go. If it keeps spreading/not healing they'll end up bringing you back for surgery after surgery. At least that is what I've seen in the US. Debridement, slightly higher amputation, more debridement, etc. It's a long cycle if it's not handled in the early stages. Can you ask why they aren't treating with different antibiotics since the ones they gave you aren't working, which you can show them by the amount it's spreading every day? I have to admit I don't know much about healthcare anywhere but the US but I would think most Drs want to actually care for their patients.
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It'll not be more expensive because all meds/hospitals stays/surgeries/aftercare etc is all free where I live.
Thanks for being open to DMs :)
 
ChemicallyEnhanced said:
It'll not be more expensive because all meds/hospitals stays/surgeries/aftercare etc is all free where I live.
Thanks for being open to DMs :)
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I meant in the sense that someone has to pay for it. The surgeons get a salary, nurses get wages, even the cleaners get paid. If it's fixed the first time around, they won't be making that money off of you. Let someone else be miserable in the hospital.
Did you check out any of those sites?
 
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