Treatment Provider

Moises Salama, MD
Board Certified Plastic Surgeon
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The skin image (forgot to post)

The skin image (forgot to post)

I see hairs growing through some of the white fibrinous exudate on my wound

I see hairs growing through some (must emphasize SOME) of the white fibrinous exudate on my wound. So I'm going to research it. I found this image that lists the layers of skin and thought I'd share here. Hairs grow from the 2nd layer of skin so that's good news to me :-D

Here's a copy paste to go along with the image :)

The skin is the largest organ of the body, with a total area of about 20 square feet. The skin protects us from microbes and the elements, helps regulate body temperature, and permits the sensations of touch, heat, and cold.

Skin has three layers:

The epidermis, the outermost layer of skin, provides a waterproof barrier and creates our skin tone.
The dermis, beneath the epidermis, contains tough connective tissue, hair follicles, and sweat glands.
The deeper subcutaneous tissue (hypodermis) is made of fat and connective tissue.
The skin’s color is created by special cells called melanocytes, which produce the pigment melanin. Melanocytes are located in the epidermis.

Source: http://www.m.webmd.com/skin-problems-and-treatments/picture-of-the-skin

My experience with santyl for debridement

I alternate between Sulpha Silverdene and Santyl. Whenever I use santyl I cover it with Suran wrap. It drips A LOT so I use an ABD pad over it. I find that The Suran wrap shifts due to the moisture unfortunately, so tonight for the first time I will be using the santyl with Suran wrap secured in place with the Coban by 3M I mentioned above.

I do not experience this drippage with the sulpha Silverdene. When I use it I use gauze covered by Suran wrap to seal in moisture.

The more I learn, the more I see that moisture and protection from bacteria is almost the most important part of healing my wound. It is possible that the white protein I see now is the result of not enough moisture. When my wound was initially debrided by Salama he found red fresh tissue. I don't understand where all of this white protein (fibrinous exudate) came from and I'm researching online to attempt to learn how or why my body is producing it. I HOPE it's not due to lack of moisture as that would indicate that how I'm dressing the wound is not sufficient.

Provider Review

Board Certified Plastic Surgeon
2700 Hollywood Blvd., Hollywood, Florida
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Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
Time spent with me
Phone or email responsiveness
Staff professionalism & courtesy
Payment process
Wait times

I would go back. They were a very great staff and the work still looks good 1.5yrs later. :-)