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Topic: Wound not healing still open

Forum: Pain —

Share important questions and provide support to others experiencing breast cancer and treatment-related pain.

Posted on: Sep 10, 2019 10:50PM

Meow13 wrote:

I would like to hear from BCO members on healing after infected open wound. What worked and how long did it take to heal.

I am a month out after an infected boil was lanced, I finished 2 different antibotics and still have an open unhealed wound. Any tips would be appreciated, I went 2 times to an urgent care and they say it is healing. Never had such an issue before.

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Sep 10, 2019 11:17PM AliceBastable wrote:

Was the boil on your breast, and have you had a lumpectomy or mastectomy there? If it was me, I'd go to an urgent care center AND get an ASAP dermatology appointment, unless it's related to a prior breast surgery. Then you need to see the surgeon again if it's in the incision.

Endometrial cancer 2010, basal cell multiples, breast cancer 2018, kidney cancer 2018. Cancer's a bitch, but I'm a bigger one with more practice. Dx 5/2018, ILC/IDC, Left, 2cm, Stage IA, Grade 2, 1/1 nodes, ER+/PR+, HER2- Surgery 7/11/2018 Lumpectomy: Left; Lymph node removal: Sentinel Surgery 8/8/2018 Radiation Therapy 10/29/2018 Whole-breast: Breast, Lymph nodes
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Sep 11, 2019 12:02AM Meow13 wrote:

No it was a boil on my rib cage. The urgent care drained it and prescribed antibotics. I had seen my dermatologist but she didn't think it was ready to drain she also prescribed antibotic. Long story but dermatologist was severely injured by a dog bite so I went to urgent care. I had a follow up and they(urgent care) think that it is healing ok. It still hurts weeks later. This spot was the same side as my mastectomy it has been a spot for about 10 years. This is the first time it was infected. I see my GP on October 8 for my yearly check up.

It is still quite open and not sealing up, I have heard stories of others that had incision wounds that became infected and wanted to know what they did and how long it took to heal.

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Sep 11, 2019 12:56AM santabarbarian wrote:

Try hyperbaric oxygen. My grandmother did it for an open wound and it worked beautifully. I did it after rads and it worked very quickly.

pCR after neoadjuvant chemo w/ integrative practices Dx 7/13/2018, IDC, Left, 3cm, Stage IIB, Grade 3, ER-/PR-, HER2- (FISH) Chemotherapy 8/13/2018 Carboplatin (Paraplatin), Taxotere (docetaxel) Surgery 12/27/2018 Lumpectomy: Left Radiation Therapy 2/11/2019 Whole-breast: Breast, Lymph nodes
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Sep 11, 2019 01:04AM Meow13 wrote:

Thanks, I will see my GP in October and ask if it is still not closed up by then. I just googled it, it might be right for me.

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Sep 11, 2019 01:35AM AliceBastable wrote:

I had to go to a wound center for about six months once. They have prescriptions for amazing concoctions that aren't always available otherwise that healed my open running sores. My insurance at the time made me go through a referral process; I'm not sure if other plans do that. That sounds so uncomfortable!

Endometrial cancer 2010, basal cell multiples, breast cancer 2018, kidney cancer 2018. Cancer's a bitch, but I'm a bigger one with more practice. Dx 5/2018, ILC/IDC, Left, 2cm, Stage IA, Grade 2, 1/1 nodes, ER+/PR+, HER2- Surgery 7/11/2018 Lumpectomy: Left; Lymph node removal: Sentinel Surgery 8/8/2018 Radiation Therapy 10/29/2018 Whole-breast: Breast, Lymph nodes
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Sep 11, 2019 02:05AM Meow13 wrote:

I hope I don't have to take more antibotics my stomach is still recovering. I also had a mild yeast infection. The sore might be getting a little better, it is uncomfortable though.

I never had anything like this.

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Sep 11, 2019 02:57AM Trishyla wrote:

Try Medi-honey. It is medical grade honey specifically for healing wounds. My mom was bedridden for eight months before she died and one of her home health aides accidentally caused a wound on her back that quickly became the size and depth of your fist. It was horrible.

The wound care specialist from hospice had us try something they had never tried before. She had us wash the wound out with Seaclens then saturate with Medi-honey, pack with gauze and cover with tegaderm.

Within a couple of weeks the wound had gotten so small you barely see it. The hospice nurses were amazed. They had never seen a wound that big heal so quickly, especially as it was in someone whose immune system was so compromised.

My sister and I became big proponents of Medi-honey. I used it after my DIEP flap. and healed faster than any other patient my surgeon had ever seen.

You can find all 3 on Amazon. Medi-honey, Seaclens and Tegaderm. Not very expensive, either.

Good luck. Hope you find something that works for you.

Trish


Dx 8/30/2016, IDC, Left, 1cm, Stage IIA, Grade 2, 1/2 nodes, ER+/PR+, HER2- Dx 8/30/2016, IDC, Right, 1cm, Stage IA, Grade 3, 0/1 nodes, ER-/PR-, HER2- Dx 9/6/2016, IDC, Left, 1cm, Stage IIA, Grade 2, 1/2 nodes, ER+/PR+, HER2- Chemotherapy 9/28/2016 AC + T (Taxol) Surgery 4/4/2017 Lymph node removal: Sentinel; Mastectomy: Left, Right; Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap Chemotherapy 8/5/2017 Xeloda (capecitabine)
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Sep 11, 2019 03:32AM Meow13 wrote:

Thank you, I will see if I can get some tomorrow. Worth a try.

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Sep 11, 2019 07:48AM GraceB1 wrote:

I second the use of manuka honey. I had a large open wound after my reconstruction. It wasn't infected but just would not heal. It made a huge difference in just a week but still took a while for complete healing from the edges in to the middle.

Grace B I'm just special - primary neuroendocrine, less than .001% of all breast cancers. Start each day with gratitude. Dx 6/10/2013, Right, 6cm+, Stage IIIA, Grade 2, 2/11 nodes, ER+/PR+, HER2+ (FISH) Chemotherapy 7/12/2013 Adriamycin (doxorubicin), Cytoxan (cyclophosphamide), Taxotere (docetaxel) Surgery 1/8/2014 Lymph node removal: Right, Underarm/Axillary; Mastectomy: Right Targeted Therapy 2/12/2014 Herceptin (trastuzumab) Radiation Therapy 3/4/2014 Breast, Lymph nodes Hormonal Therapy 5/18/2014 Arimidex (anastrozole) Hormonal Therapy Femara (letrozole)
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Sep 12, 2019 09:53PM Meow13 wrote:

Wow, having a hard time getting medihoney. I just placed another order to see if it gets sent. Must be good stuff looks like it is sold out on many different stires.

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Sep 12, 2019 10:53PM Trishyla wrote:

It is great stuff. Meow. Kinda gooey and messy, but works wonders. I use it after all my surgeries. It hasn't let me down yet.

If you can't find it on Amazon, maybe just Google it.

Hope you can find it.

Trish

Dx 8/30/2016, IDC, Left, 1cm, Stage IIA, Grade 2, 1/2 nodes, ER+/PR+, HER2- Dx 8/30/2016, IDC, Right, 1cm, Stage IA, Grade 3, 0/1 nodes, ER-/PR-, HER2- Dx 9/6/2016, IDC, Left, 1cm, Stage IIA, Grade 2, 1/2 nodes, ER+/PR+, HER2- Chemotherapy 9/28/2016 AC + T (Taxol) Surgery 4/4/2017 Lymph node removal: Sentinel; Mastectomy: Left, Right; Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap Chemotherapy 8/5/2017 Xeloda (capecitabine)
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Sep 12, 2019 10:55PM Trishyla wrote:

I don't know where you are, Meow, but here in Los Angeles they sell it at Walmart and CVS.

Dx 8/30/2016, IDC, Left, 1cm, Stage IIA, Grade 2, 1/2 nodes, ER+/PR+, HER2- Dx 8/30/2016, IDC, Right, 1cm, Stage IA, Grade 3, 0/1 nodes, ER-/PR-, HER2- Dx 9/6/2016, IDC, Left, 1cm, Stage IIA, Grade 2, 1/2 nodes, ER+/PR+, HER2- Chemotherapy 9/28/2016 AC + T (Taxol) Surgery 4/4/2017 Lymph node removal: Sentinel; Mastectomy: Left, Right; Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap Chemotherapy 8/5/2017 Xeloda (capecitabine)
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Sep 12, 2019 10:58PM Meow13 wrote:

I checked on cvs webpage they are completely out but there is a cvs store I can check also walmart. They didn't have it at my local bartell's or rite aid. I have 2 orders on amazon they haven't shipped yet. Tomorrow I will check walmart and cvs if my order still hasn't shipped.

Thanks again

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Sep 13, 2019 10:48PM nat_blue wrote:

In veterinary medicine, we use regular honey or even a paste of sugar and water. Obviously run it by your doctor, but I think it would work fine.

Dx 4/20/2018, IDC, Right, <1cm, Stage IA, Grade 1, 0/4 nodes, ER+/PR-, HER2- (IHC) Radiation Therapy 5/17/2018 3DCRT: Breast Surgery 6/26/2018 Lumpectomy: Right; Lymph node removal: Sentinel
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Sep 13, 2019 10:50PM Meow13 wrote:

I just received an email that my medihoney was shipped. Can't wait to try it, although my wound is much better still red and sore but it is closing.

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Sep 14, 2019 12:54AM Trishyla wrote:

Glad to hear it's getting better. The medi-honey should help speed things along.

Trish

Dx 8/30/2016, IDC, Left, 1cm, Stage IIA, Grade 2, 1/2 nodes, ER+/PR+, HER2- Dx 8/30/2016, IDC, Right, 1cm, Stage IA, Grade 3, 0/1 nodes, ER-/PR-, HER2- Dx 9/6/2016, IDC, Left, 1cm, Stage IIA, Grade 2, 1/2 nodes, ER+/PR+, HER2- Chemotherapy 9/28/2016 AC + T (Taxol) Surgery 4/4/2017 Lymph node removal: Sentinel; Mastectomy: Left, Right; Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap Chemotherapy 8/5/2017 Xeloda (capecitabine)
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Sep 15, 2019 06:20PM - edited Sep 19, 2019 12:08PM by exercise_guru

My my port infected and pitted out. They wanted to mess around with it at the cancer center but my plastic surgeon called the hospital and told them to send me to the wound center.


The wound center was on top of it and handled it far better than the other care I was given

First they debried it then used this sterilized pig alloderm like product (sorry can't remember the name) had it fill in and build new skin. Then applied mepolex to it . I was in chemo so it healed slowly and has a terrible scar. I would day it was 6 to 8 weeks before it was totally covered with new skin.

I was in chemo so it took a lot of time and healed slowly.


Age 42 05/15/2015 PALB2 mutation, DBL Breast Cancer Type 1A Grade 3 ER+PR+(right 1.3cm,.5cm) HERr+(left1.6 cm), 06/26/2015 BMX with TE 8/27/15 Chemotherapy TCH 12/30/2015 TAH/BSO/Reconstruction 1/29/16 Arimidex 3/1/16 Femara 5/6/16 Tamoxifen
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Sep 15, 2019 11:13PM Meow13 wrote:

Whoa, I just tried my medihoney we will see.

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Sep 16, 2019 01:30AM Trishyla wrote:

Hope it works for you, Meow.

Trish

Dx 8/30/2016, IDC, Left, 1cm, Stage IIA, Grade 2, 1/2 nodes, ER+/PR+, HER2- Dx 8/30/2016, IDC, Right, 1cm, Stage IA, Grade 3, 0/1 nodes, ER-/PR-, HER2- Dx 9/6/2016, IDC, Left, 1cm, Stage IIA, Grade 2, 1/2 nodes, ER+/PR+, HER2- Chemotherapy 9/28/2016 AC + T (Taxol) Surgery 4/4/2017 Lymph node removal: Sentinel; Mastectomy: Left, Right; Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap Chemotherapy 8/5/2017 Xeloda (capecitabine)
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Sep 16, 2019 06:41AM Belinda977 wrote:

Hang in there. I had my incision open with my first cancer. I went to a wound center and they do have amazing things to help you heal. I ended up with a wound vac but they may have other ideas for you.

Belinda Dx 4/23/2012, IDC, 1cm, Stage IA, Grade 1, 0/7 nodes, ER+/PR+, HER2- Surgery 5/17/2012 Lumpectomy: Left; Lymph node removal: Left, Sentinel Radiation Therapy 7/30/2012 Breast Hormonal Therapy 9/18/2012 Dx 7/25/2019, DCIS, Right, Stage 0, Grade 2, ER+ Dx 8/29/2019, DCIS, Right, <1cm, Stage 0, Grade 1, 0/1 nodes, ER+/PR+, HER2- Surgery 8/29/2019 Mastectomy: Left, Right; Reconstruction (left); Reconstruction (right)
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Sep 16, 2019 02:35PM Meow13 wrote:

This is day 2, still not alot of change. The skin around and underneath is sore. The bandage adhesive is bothersome. I am glad I have an appointment in the up coming weeks. I wonder if the pain is shingles like. Need to get the new shots.

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Sep 16, 2019 03:09PM moth wrote:

have you had blood work recently to rule out diabetes? Diabetes can present with no symptoms in early stages. With suddenly slow wound healing, it's one of the things that's usually tested for to rule it out.

Was the abscess cultured to make sure proper antibiotics were used?

Also, abscess can unfortunately- rarely - be associated with malignancy. If it really does not show signs of improvement, you may wish to explore a biopsy just to rule that out as well https://www.hindawi.com/journals/crira/2017/1639847/

Dx at 50; Left, IDC, 1.7 cm, Stage I, Grade 3, 0/5 nodes, very weakly ER+, being treated as TNBC Surgery 12/12/2017 Lumpectomy: Left; Lymph node removal: Sentinel Chemotherapy 2/14/2018 AC + T (Taxol) Radiation Therapy 8/13/2018 Whole-breast: Breast
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Sep 16, 2019 04:47PM Meow13 wrote:

moth, I had a culture done but the doctor quickly said it was worthless because my dermatologist had already started me on antibotics. Yes I am scheduled as I said in October with a GP diabetes test blood pressure and cholesterol will be checked.

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Sep 16, 2019 05:07PM PinkArmor wrote:

Meow13.

Ask to be sent to a wound clinic. I had 2 huge open wounds 1 on each breast. I needed to start rads and couldn't with an open wound. So the RO sent me to a wound care Dr. Best thing ever. They healed up my right side within just a couple of weeks. Went from 5 cm deep to just a point 4 cm. looks like a paper cut now. They know all the tricks to get you healed up.

Be stronger than the storm. Dx 3/18/2019, LCIS/DCIS, Right, 6cm+, Stage 0, Grade 3, ER+/PR+ Surgery 5/15/2019 Lumpectomy: Right; Reconstruction (left); Reconstruction (right) Hormonal Therapy 8/1/2019 Arimidex (anastrozole), Femara (letrozole) Radiation Therapy 9/3/2019 Whole-breast: Breast
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Sep 16, 2019 05:20PM Meow13 wrote:

Mine has shrunk in size and is mostly closed up. Still red and sore about size of a nickel. I will ask my doctor why and what I can do to finally get it healed. I might be impatient it has been 5 weeks. It was definitely infected when drained. I am concerned about diabetes both grandmas had it. My last blood work 2018 shows everything good. Also worried about shingles need the new shots.

I will also ask about biopsy, my dermatologist had wanted to remove the fissure thing after it is healed. It was like scar tissure with a little hole before it got infected.

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Sep 16, 2019 10:05PM - edited Sep 16, 2019 10:29PM by Meow13

I am having a reaction to the bandage I think, the adhesive. Going to try not wearing one and see if it feels better.

Yes all red in shape of bandage.

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Sep 17, 2019 01:44AM macb04 wrote:

Meow, really slam the oral Vitamin C intake. If you have normal kidney and bowel function you can not overdose with Vitamin C. If you ever have more Vitamin C than your body needs you will just have some loose stools. And no, no worry for kidney stones if no prior history of kidney stones, that's an old wives tale.

Without sufficient Vitamin C you will have difficulty making sufficient collagen to heal any wound.

When I was recovering from a surgery incision that wouldn't heal, my doctor had me take as much Vitamin C by mouth, daily, as I could before diarrhea occured. I took a few chewable Vitamin C tabs every hour or so throughout the day and stopped the minute my stomach started rumbling.

I was taking 9 grams of Vitamin C per day at the start. As the healing progressed, I got to that almost diarrhea moment sooner, and sooner, so made a natural taper downwards in my daily Vitamin C dosing.

Went from 9grams per day first 2 days ( spread out over the course of the day) to 7 grams, then 5 grams and then by the time I got to 3 grams Vitamin C per day the healing had made a remarkable improvement. I improved markedly in just a week. All doctors should make sure patients get sufficient Vitamin C dosing while healing. It's a known fact that stress/illness and surgery depletes Vitamin C levels in the body.

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Sep 17, 2019 02:21AM Meow13 wrote:

ok I will take some vitamin C.

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Sep 17, 2019 11:07AM - edited Sep 17, 2019 02:03PM by SpecialK

You might want to supplement with some zinc and try to eat 100g of protein each day - both are helpful for healing. Edited to add that Bromelain from pineapple or supplemental may also be helpful. There is a liquid supplement that some have used called Juven, you can order it online and find it in some stores.

BMX w/ TE 11/1/10, ALND 12/6/10. 15 additional surgeries. TCHx6 2/17-6/2/11. Herceptin until 1/19/12. Femara 8/1/11, Arimidex 6/20/12, back to Femara 6/18/13-present. Dx 9/27/2010, IDC, Right, 2cm, Stage IIB, Grade 3, 2/14 nodes, ER+/PR+, HER2+ (IHC) Dx 9/27/2010, DCIS, Stage 0, Grade 3
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Sep 19, 2019 06:22AM Meow13 wrote:

I wanted to thank everyone. My spot is finally showing real improvement. Wow over a month of this.

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