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thanks

thankyou ever so much for forming this website it has helped me a great deal, in all my options and choice for the future.


Posted: 13 July, 2010 - 10:07am
by: ceejay


this is cool

the move is so cool


Posted: 10 June, 2010 - 09:39am
by: maria


Thanks so much!

Thank you so much for this amazing and inspiring site! The video and information is so interesting and useful!


Posted: 18 May, 2010 - 01:14am
by: Future Surgeon



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Draining an Abscess

A severe infection with aggressive flesh eating bacteria

The video clip below documents an interesting case of an uncontrolled diabetic patient. He had a severe infection with aggressive flesh eating bacteria causing serious tissue damage and sepsis with an abscess forming.

Diabetes is associated with an increased risk of infection as well as slower wound healing. In uncontrolled diabetes these problems can get out of hand - as you will see in the following video clip



 

Notice a couple of basic principles of treating this type of infection from watching the video clip:

  1. The basic treatment for an abscess is "Incision and drainage".

    Even some qualified doctors wrongly believe that an abscess will clear up with antibiotic treatment only. Now you know something about medicine that some qualified doctors don't. How cool is that?

  2. Surgical Debridement

    The body can get rid of minute microscopic amounts of dead tissue or foreign material. Bigger pieces of dead tissue must be removed surgically.

  3. Sterilization and Safety

    Always work as aseptically as possible with sterile instruments and use all the barrier techniques available, e.g. gloves, visor or glasses, surgical gowns and drapes etc).

  4. Be aware of the importance of the dangerous triangle of the face

In destructive infections use aggressive intravenous (into the vein) antibiotic therapy. 

Ensure that a pus swab is taken so the lab can test it and determine antibiotic sensitivity (how well the antibiotic fights the germs).

Adjust the antibiotic treatment according to the antibiotic sensitivity results coming back from the lab.

As indicted in one of my previous newsletters, infection is a very serious condition and often a life threatening condition, especially if it occurs in the dangerous triangle of the face. 

Cavernous Sinus Thrombosis is a deadly condition as you would have noticed in that newsletter.


Sinus Infection


The danger triangle of the face consists of the area from the corners of the mouth to the bridge of the nose, including the nose and maxilla (upper jaw).

Due to the special nature of the blood supply to the human nose and surrounding area, it is possible for infections from the nasal area to spread to the brain via small communicating veins traversing the base of skull, communicating with the venous sinuses surrounding the brain.

Always treat infections promptly and aggressively. There is a saying among surgeons - "never let the sun set on pus" (always drain an abscess on the same day - don't book it on tomorrow's theater list!)

Trust you have learnt something - if so please let me know by leaving a comment!







Dr. Anton Scheepers, BChD, MDent, FFD(SA), MFOS
President of The Apprentice Corporation



This Letter from the Doc was submitted on 17 September, 2009 at 06:54am


Comments on this Letter from the Doc...

thanks

thankyou ever so much for forming this website it has helped me a great deal, in all my options and choice for the future.

Posted on: 13 July, 2010 at 10:07am
By: ceejay



this is cool

the move is so cool

Posted on: 10 June, 2010 at 09:39am
By: maria



Thanks so much!

Thank you so much for this amazing and inspiring site! The video and information is so interesting and useful!

Posted on: 18 May, 2010 at 01:14am
By: Future Surgeon



awesome!!!

i wish i could do that?? some day ..thank you doc

Posted on: 15 November, 2009 at 03:39am
By: james



intresting staff doc

THANK YOU FOR SUCH INTRESTING STAFF DOC,I MAY NEVER BECOME A DOCTOR BUT I FIND YOUR VIDEOS AND MESSAGES INTRESTING,BECAUSE I TRAINED AS A NURSE A FEW YEARS AGO.KEEP UP THE GOOD WORK DOC.

Posted on: 16 October, 2009 at 09:21am
By: PABLO



fascinated

wow thanks doc thats one hectic video right there it saved as an eye opener and helped me to make up my mind and take up medicine thanks a lot

Posted on: 07 October, 2009 at 08:26am
By: miss independent



that was great Doc

Thank u Doc. This is actually a moral booster to some of us who want to be doctors.

Posted on: 26 September, 2009 at 06:16am
By: brain



thank you so much

thanks so much

Posted on: 23 September, 2009 at 09:29pm
By: tony



Coop

Hey doc I was watching the hands and movement, I did learn a lot from watching you, I guess that's why it's so important to take your residency for so long... I like surgery !! So intrieging

Posted on: 22 September, 2009 at 03:02pm
By: Shauney



great

that was a sik video. and i would like to tell you that i have chosen medical science to do in college and these types of videos are really helpful for me and for my career. thank you very much once again.

Posted on: 22 September, 2009 at 02:28pm
By: neetu



Wow.

Wow that was a very good video, Thank you for the newsletter on this on this Dr. Anton

Posted on: 22 September, 2009 at 12:28pm
By: Malik Nakhaleh



Thank you Dr. Anton

Your letters and videos are amazing. Throughout the video I was wondering how it would be healed, you know, there was a huge hole, and it got healed! That was just amazing.

Posted on: 22 September, 2009 at 03:03am
By: Melanie



God Bless you!

Thank God that there are people like you that help the rest of us either become doctors or live knowing there is someone out there that can help us in an emergency...
I always believed that being a doctor was never about following a profession because being a doctor is following one's CALLING!

Posted on: 22 September, 2009 at 02:55am
By: Angela



UNBELIEVABLE DOCTOR

IT WAS SO UNBELIEVABLE TO WATCH THE HEALING POWER OF THE BODY TISSUES. WELL DONE DOC.

Posted on: 22 September, 2009 at 01:29am
By: JOE



Most fascinating

I like the way this infection is dealt with.

Posted on: 21 September, 2009 at 03:41pm
By: Junaid



Thanks

This is a great video.Thanks so much Dr. Anton.

Posted on: 21 September, 2009 at 03:06pm
By: mohammed al-zobaidy



That is so cool

Wish i could do stuff like that one day. Thanks so much for writing the letter.

Posted on: 20 September, 2009 at 05:11am
By: Silo


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