POSTED UNDER Mommy Makeover Reviews
Paper towels and hand soap in open wounds
UPDATED FROM Intellectual65407
3 months post
Pictures
These were taken 12 days after surgery and what the wounds looked like when the doctor said to spray peroxide on them and this is what they look like when he shoved the hand soap covered paper towel into the wound. Didn't take any cultures didn't prescribe any pain meds
Intellectual65407's provider
ORIGINAL POST
Paper Towels and Hand Soap in Open Wounds
I’m going to begin this review by saying that if I personally would not return to a certain doctor for a second time, it is likely that I would not recommend them.
Let me preface this review by noting that I am an EMT with over 17 years of hospital and ambulance experience, and a new graduate Registered Nurse. This is important, as there were events in the care process which were greatly concerning in the post-operative recovery stage.
Objectively, I can state that Dr. Kadz and his team are responsive to phone calls, messages and emails. I did not see a deficiency in communication timeliness or delay in response time. His office, while a bit cluttered, is clean and indicates a busy practice. They seem to have a lot to do in a smaller working space.
The surgery center, Luxe, is located within the same area as the doctor's office. The recovery hospital beds are located adjacent to the operating table. Again, while a bit confined, they seem to make the best use of their space.
My surgery (abdominoplasty, mons reconstruction, breast reduction/lift with no implants, liposuction in 3 areas on my back) was done on July 31, 2024. As we all know, surgery also brings a risk of infection as well as risk of wound dehiscence. Those are known risks, but how they were treated is what went seriously wrong in my situation.
I’ll briefly digress to note that Dr. Kadz will enforce his patients to sign documents which state that if you, as a patient, elect to seek physician care outside of his purview, you will be voluntarily discharging yourself from his care. This means that if you get a second opinion, you’ve effectively signed away your rights to continuity of care under Dr. Kadz purview. I will note that in my situation, he did not enforce this policy, however, he does make patients sign this consent. It raised a lot of eyebrows by the professionals who did treat me at Kaiser. But I digress…
Following my surgery on July 31, 2024, on the following week on August 5, 2024, I began noticing signs of possible infection on the breast area, particularly my left breast on the incision site. Warmth, odor, and unimaginable pain which were accompanied by my own assessment where in which I could actually see the tissue inside the breast. I could observe stitches, adipose tissue and anatomy which, quite frankly, I never thought I’d see on myself. The pain was steady at a 9/10 with no relief.
We traveled to Dr. Kadz’s office which is a fair distance for us, but I knew he had to assess in person, so I did not opt for a Zoom consultation. I should have though, based on what happened when we did meet with him.
I was in pain, and truly afraid - it felt like everything was coming out of the breast, this wide, gaping, foul smelling, gooey wound where the skin wasn’t even connected to my chest. Nurse or not, this was terrifying.
I’m sure Dr. Kadz has developed his post-op bedside manner personality which I can define as impatient, irritated and lacking empathy - lets face it, once you’re post op, the check has been cashed, if you come to him with problems, you are simply a nuisance who has exhausted their retainer fee with him, right?
During this appointment, where my boob is a gaping maw, covered in slough, stinking like bad fish, and I am in tears from the pain, I was told this was “normal, it’ll heal beautifully, stop crying, why are you crying.” I was advised to “soak in the bath tub for an hour twice a day, just keep it clean, spray peroxide on it”
The next part will be something I’ll never forget. During some point in our meeting, Dr. Kadz turns around toward the sink in the office, and reaches for a paper hand towel which was on a stack located on the sink counter. He then proceeded to wet it with water from the faucet, then pump a few squirts of the small hand soap container (like the small hand soaps one can find fro the Dollar Tree), fold this up, and inserts it into the open wound on my left breast. To be clear, the doctor took a paper towel, covered it with hand soap, and pressed it into a dehisced wound. So for 22 grand I couldn’t even get a proper sterile 4x4 and perhaps some saline? In all my years as an ER tech, I would never, ever, ever, take a paper towel, throw some dial on it, and put it onto any sort of wound on a patient, especially one in which internal tissue was exposed.
During this appointment, despite my statements of pain and concerns of infection, Dr. Kadz did not provide any pain medication, nor did he order/take cultures or lab work. I drove 3 hours each way to be told to stop crying, provided poor wound care, dismissed, and provided improper post operative advice.
In contrast to all of the forms and documents which a patient signs which expressly state “do not take baths while the drains are in place” Dr. Kadz contradicts himself by telling patients otherwise. As an aside, spraying peroxide on an open wound is a terrible recommendation, as peroxide damages healthy tissue. Hydrogen peroxide destroys healthy cells, and renders them unable to participate in the recovery process, but he will tell you to put peroxide on your wounds. Please don’t….because he won’t be there to properly care for you afterward.
At this point I didn’t care about the document I signed which released me from his care if I sought outside medical treatment. I went to Kaiser Urgent Care the next day and proceeded to horrify the staff there with my accounting of the prior day’s events. My assessment from the NP included confirmation that adipose tissue was exposed, while labs, cultures, pain medication and antibiotics of Bactrim and Clindamycin were ordered. I was scheduled for wound care treatment visits 3x per week with the nurse clinic and a follow up with my PCP.
On August 22, 2024, I met with my PCP and based on the wound presentation, repeat cultures were ordered. She was required to encourage me to return to Dr. Kadz and I advised her I had a zoom scheduled with him that day. My PCP stated that she had a significant concern about a present infection which I attempted to discuss with Dr. Kadz during our zoom. He was dismissive. “Oh you’re on good prophylactic medications, this is normal.”
A week later, we find out that the cultures were positive from the chest wound - positive -meaning infected. Shocking. I sent the results back to Dr. Kadz and what does he do? Tries to have his medical assistant re-order the same antibiotics I had just finished, the ones I was on as the infection grew, and, only one of the two antibiotics were even indicated for treatment of the bacteria. It is not recommended to do back to back re- prescriptions of antibiotics, it can cause super infection or medication tolerance. In my circumstances, as Dr. Kadz tried to order second rounds of Bactrim and Clindamycin, clindamycin was not even suggested on the susceptibility list for the bacteria results! That clearly showed me he did not take any time at all to review the results and make a proper recommendation for medication administration based on the findings.
I have since elected to discontinue treatment and any assessments by Dr. Kadz because I found them to be ineffective, clinically unsound, and not in the best interest of patient care. Lack of obtaining cultures, lab work, proper medication administration, poor post-op wound care advice, dismissive or incomplete physician assessments were not in the best interest of my condition and not a proper wound care plan.
This brings me to my final point. Surgeries all pose a risk of infection, as well as sutures all stand a risk of opening, or wound dehiscence. I do not believe any doctor can guarantee this won’t happen. However, when it does, engaging in improper wound care practices, electing to not order proper labs or diagnostics, and educating a patient to perform post-operative wound care behaviors which expressly contradict your own discharge instructions, re-prescribing antibiotics which were already not found to be effective, reinforce my statement that I would not return to Dr. Kadz for a second round and would caution his patients to seek second opinions in the recommendations made, or treatment rendered.
I am still not healed. I am still seeing Kaiser wound care twice a week and I have yet to see my chest “heal beautifully” as I still have what looks like rib eye steak under my boobs. I have only my Kaiser care team to thank for this wound progression as they employed interventions such as aquacel, hydrofera blue pads, and appropriate topical hydrophilic wound creams, while Dr. Kadz only stated for me to do “moist wet to dry” dressing which, by the way, is a bacteria’s seventh heaven in terms of an environment to proliferate. Once again, like I disregarded the unsafe advice to soak in a bath tub while still having drains in, and spray peroxide into my breast, I also disregarded this unsafe directive and deferred to Kaiser for a proper care plan - lets face it, if that was what I was supposed to do, Kaiser would have told me to do it as well, in fact, they said I was correct in not doing those measures.
Let me preface this review by noting that I am an EMT with over 17 years of hospital and ambulance experience, and a new graduate Registered Nurse. This is important, as there were events in the care process which were greatly concerning in the post-operative recovery stage.
Objectively, I can state that Dr. Kadz and his team are responsive to phone calls, messages and emails. I did not see a deficiency in communication timeliness or delay in response time. His office, while a bit cluttered, is clean and indicates a busy practice. They seem to have a lot to do in a smaller working space.
The surgery center, Luxe, is located within the same area as the doctor's office. The recovery hospital beds are located adjacent to the operating table. Again, while a bit confined, they seem to make the best use of their space.
My surgery (abdominoplasty, mons reconstruction, breast reduction/lift with no implants, liposuction in 3 areas on my back) was done on July 31, 2024. As we all know, surgery also brings a risk of infection as well as risk of wound dehiscence. Those are known risks, but how they were treated is what went seriously wrong in my situation.
I’ll briefly digress to note that Dr. Kadz will enforce his patients to sign documents which state that if you, as a patient, elect to seek physician care outside of his purview, you will be voluntarily discharging yourself from his care. This means that if you get a second opinion, you’ve effectively signed away your rights to continuity of care under Dr. Kadz purview. I will note that in my situation, he did not enforce this policy, however, he does make patients sign this consent. It raised a lot of eyebrows by the professionals who did treat me at Kaiser. But I digress…
Following my surgery on July 31, 2024, on the following week on August 5, 2024, I began noticing signs of possible infection on the breast area, particularly my left breast on the incision site. Warmth, odor, and unimaginable pain which were accompanied by my own assessment where in which I could actually see the tissue inside the breast. I could observe stitches, adipose tissue and anatomy which, quite frankly, I never thought I’d see on myself. The pain was steady at a 9/10 with no relief.
We traveled to Dr. Kadz’s office which is a fair distance for us, but I knew he had to assess in person, so I did not opt for a Zoom consultation. I should have though, based on what happened when we did meet with him.
I was in pain, and truly afraid - it felt like everything was coming out of the breast, this wide, gaping, foul smelling, gooey wound where the skin wasn’t even connected to my chest. Nurse or not, this was terrifying.
I’m sure Dr. Kadz has developed his post-op bedside manner personality which I can define as impatient, irritated and lacking empathy - lets face it, once you’re post op, the check has been cashed, if you come to him with problems, you are simply a nuisance who has exhausted their retainer fee with him, right?
During this appointment, where my boob is a gaping maw, covered in slough, stinking like bad fish, and I am in tears from the pain, I was told this was “normal, it’ll heal beautifully, stop crying, why are you crying.” I was advised to “soak in the bath tub for an hour twice a day, just keep it clean, spray peroxide on it”
The next part will be something I’ll never forget. During some point in our meeting, Dr. Kadz turns around toward the sink in the office, and reaches for a paper hand towel which was on a stack located on the sink counter. He then proceeded to wet it with water from the faucet, then pump a few squirts of the small hand soap container (like the small hand soaps one can find fro the Dollar Tree), fold this up, and inserts it into the open wound on my left breast. To be clear, the doctor took a paper towel, covered it with hand soap, and pressed it into a dehisced wound. So for 22 grand I couldn’t even get a proper sterile 4x4 and perhaps some saline? In all my years as an ER tech, I would never, ever, ever, take a paper towel, throw some dial on it, and put it onto any sort of wound on a patient, especially one in which internal tissue was exposed.
During this appointment, despite my statements of pain and concerns of infection, Dr. Kadz did not provide any pain medication, nor did he order/take cultures or lab work. I drove 3 hours each way to be told to stop crying, provided poor wound care, dismissed, and provided improper post operative advice.
In contrast to all of the forms and documents which a patient signs which expressly state “do not take baths while the drains are in place” Dr. Kadz contradicts himself by telling patients otherwise. As an aside, spraying peroxide on an open wound is a terrible recommendation, as peroxide damages healthy tissue. Hydrogen peroxide destroys healthy cells, and renders them unable to participate in the recovery process, but he will tell you to put peroxide on your wounds. Please don’t….because he won’t be there to properly care for you afterward.
At this point I didn’t care about the document I signed which released me from his care if I sought outside medical treatment. I went to Kaiser Urgent Care the next day and proceeded to horrify the staff there with my accounting of the prior day’s events. My assessment from the NP included confirmation that adipose tissue was exposed, while labs, cultures, pain medication and antibiotics of Bactrim and Clindamycin were ordered. I was scheduled for wound care treatment visits 3x per week with the nurse clinic and a follow up with my PCP.
On August 22, 2024, I met with my PCP and based on the wound presentation, repeat cultures were ordered. She was required to encourage me to return to Dr. Kadz and I advised her I had a zoom scheduled with him that day. My PCP stated that she had a significant concern about a present infection which I attempted to discuss with Dr. Kadz during our zoom. He was dismissive. “Oh you’re on good prophylactic medications, this is normal.”
A week later, we find out that the cultures were positive from the chest wound - positive -meaning infected. Shocking. I sent the results back to Dr. Kadz and what does he do? Tries to have his medical assistant re-order the same antibiotics I had just finished, the ones I was on as the infection grew, and, only one of the two antibiotics were even indicated for treatment of the bacteria. It is not recommended to do back to back re- prescriptions of antibiotics, it can cause super infection or medication tolerance. In my circumstances, as Dr. Kadz tried to order second rounds of Bactrim and Clindamycin, clindamycin was not even suggested on the susceptibility list for the bacteria results! That clearly showed me he did not take any time at all to review the results and make a proper recommendation for medication administration based on the findings.
I have since elected to discontinue treatment and any assessments by Dr. Kadz because I found them to be ineffective, clinically unsound, and not in the best interest of patient care. Lack of obtaining cultures, lab work, proper medication administration, poor post-op wound care advice, dismissive or incomplete physician assessments were not in the best interest of my condition and not a proper wound care plan.
This brings me to my final point. Surgeries all pose a risk of infection, as well as sutures all stand a risk of opening, or wound dehiscence. I do not believe any doctor can guarantee this won’t happen. However, when it does, engaging in improper wound care practices, electing to not order proper labs or diagnostics, and educating a patient to perform post-operative wound care behaviors which expressly contradict your own discharge instructions, re-prescribing antibiotics which were already not found to be effective, reinforce my statement that I would not return to Dr. Kadz for a second round and would caution his patients to seek second opinions in the recommendations made, or treatment rendered.
I am still not healed. I am still seeing Kaiser wound care twice a week and I have yet to see my chest “heal beautifully” as I still have what looks like rib eye steak under my boobs. I have only my Kaiser care team to thank for this wound progression as they employed interventions such as aquacel, hydrofera blue pads, and appropriate topical hydrophilic wound creams, while Dr. Kadz only stated for me to do “moist wet to dry” dressing which, by the way, is a bacteria’s seventh heaven in terms of an environment to proliferate. Once again, like I disregarded the unsafe advice to soak in a bath tub while still having drains in, and spray peroxide into my breast, I also disregarded this unsafe directive and deferred to Kaiser for a proper care plan - lets face it, if that was what I was supposed to do, Kaiser would have told me to do it as well, in fact, they said I was correct in not doing those measures.
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