Raul has had some very deep wounds that I have been worried about (they haven't healed since birth), so we were scheduled for a joint dermatology and surgery appointment at Shriner's today. The derm. was a no show, but the surgeon was there. He started talking about all these areas he wanted to graft, but then realized Raul still smelled awful like bacteria, so they cultured all his main wounds. We aren't sure why his wounds are still so overcolonized, as he was just on antibiotics for over a month and we have been using silver dressings.
We will have an appointment in
two weeks to discuss a plan. He said they would likely want to use his
scalp as a donor site for the graft, but that it could risk alopecia in
the area, so I am not thrilled about that. They would admit him the day
before to start antibiotics. But we have to wait for the cultures to
come back to see if grafts are even an option. Because of the bacteria
and the risk of grafts failing, we discussed just trying his worst ankle
first and seeing how it goes.