Dressings Day; A How To.

When I started this blog, I decided that I wanted it to help anyone else who was about to have (or already had) an external fixation fitted. I talked about dressings day previously but I realised that I hadn't quite explained the process. If you're squeamish (or hate hairy legs), feel free to ignore this post.



 1. Have a shower before you do your dressings.
With a fixator on, you're only allowed to get it wet once a week. In the shower, make sure you use no product on your fixated limb, only let water trickle across it. You can dry the cage with a hairdryer (on a cold setting) or gently with a towel.

Hairy leg alert!

2. Lift all the suckers up.
I'm not really sure of the proper name for these so I'm just going to call them suckers. You need to slide them up carefully away from the dressings. If you lift them and you haven't had a shower, they might stick and be a bit painful to separate, just take it slow. As you can see by the photo below, the dressing looks really gunky but don't worry; yellow, white, red puss is all a good sign. You should only be concerned if the goo is a bright yellow and causes you pain.

Pretty Gross.

3. Remove the dressings.
Next, remove all the dressings and put them into the bag that was included in your dressings kit. Inspect every pin site for sign of infection.

Ew

4. Soak the wipes in 70% alcohol solution and wipe around the pin sites.
If, like me, you have someone do the dressings for you, make sure they use tongs to prevent infection. When wiping the pin sites, make sure not to take off any scabs attached to the skin (unless they fall off naturally) and to wipe around the entry into the sin and the metal. You can use the wipe more than once but when it gets a bit dirty, throw it away and use a new one.

Soak in alcohol solution

Wipe around each site.

5. Make two insertions into the dressings and soak in alcohol.
First, you need to cut the new dressings with sterilized scissor. We general make one cut, halfway up. You then need to soak the new dressings in the alcohol solution.

Gold Toes! Remember to cut your dressings.

6. Wrap the new dressings around the pin sites and push the suckers back down.
Use one dressing for one pin site and wrap it around the metal on the skin as best you can. I'd advise doing all the dressings first and then push the suckers back down as some suckers and pins may overlap. Make sure if you have someone to do the dressings, that they use the tongs provided. If you do the dressings yourself, you can hold the dressings to the skin with your hands.

Pretend you're playing a game of operation.

That's it! You're all done! It's going to sting quite a bit and there's going to be some eye watering moments but overall, it gets better the more you do it. I always watch TV as it's being changed so it keeps my mind distracted from the task in hand. I'd advise not pushing the suckers down all the way to the skin as it gives the wound a bit or breathing space and it won't hurt as much when you take them off later. Remember that your dressings can only be changed once a week or the skin will blister but if you are worried about the colour of the goo, go to your local GP and they will advise you further.

The operation

On the 18th of December at 3pm, I was wheeled down to operation. Luckily for me, they took my needle phobia into consideration and the anesthetic was administered through a mask. All I remember is going to sleep and waking up in immense pain.

Sexy picture of me taken by my mother.

The worst part about waking up was the compression pillows on my feet. The pillows basically inflate up and down to keep the blood flowing. It was painful because the pillows would squeeze my foot tightly (think like having your blood pressure taken but on your foot) before deflating. Later, when I was recovering, the pillows were put on my feet only at night and they became more of an annoyance rather than painful. 

Ward with the screaming ladies

After my x-rays and resetting, I was put in a hard cast and put on a ward until it was clearer whether I needed surgery or not. I am very frightened of hospitals and the past 24 hours seemed like something out of a horror film, but my situation did not get better. I was put on a ward normally reserved for ladies with dementia. I understand the illness of dementia, I have even wrote a paper on it but nothing could have braced me for the screaming in the nights. The elderly ladies would scream for hours on end, shout the most terrible things and call for their mothers. I'm not afraid to admit that for the first night on the ward, I sat and sobbed.

Eventually, the women were moved or taken home and while the ward grew quieter, it still remained hostile. Visiting hours were strict and not all my friends came to visit. I was 200 miles from my family and frightened. My partners job, while understanding of his situation, was a huge demand and my best friend could only make the morning visiting hours. I was lucky when my father, and later my mother, drove from Wales to see me and stayed past the visiting hours to calm me down.