The doc didn't like the look of my toe (as seen on cell-phone photos; he didn't examine the toe himself). He prescribed antibiotics, but he recommended that I go see the local orthopede, the same one I've seen before for my stress fracture and frozen shoulder. I went to the downstairs pharmacy and turned in my prescription for antibiotics and other meds (enough to tide me over to my January hospital appointment; I was running short for some reason); since that pharmacy didn't have most of my meds, the lady had to order them. She told me to come back tomorrow to collect my order. But I got my antibiotics.
For the moment, I don't feel in a hurry to visit the orthopede. There's still no smell, and even though the area around the toe wound has some disconcertingly dark discoloration, this isn't the stinking rot or dramatic green-blackness of gangrene, which would spread fairly rapidly.* So for two or three days, I'm going to rely on antibiotics and Epsom-salt foot soaks, and we'll see how things are on maybe Thursday or even Friday. If it's obvious the toe is turning to the dark side, I'll visit the orthopede and then probably go to the hospital for more extreme treatment. But I honestly think this looks worse than it feels.
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*Well, wet and gas gangrene spread fast. There's a third type called dry gangrene that can take days or months to become serious.
Is there any harm in getting it checked out, though? Maybe a little "better safe than sorry"?
ReplyDeleteAlso kind of weird that the doc looked at photos of your toe on your phone and didn't just examine your toe with you right there. How long would that have taken?
I'll end up going there, of course, but I want to give the antibiotics a couple days to work. I whittled away most of the darkened skin, which was the same blood-darkened callus I've seen before. Had it been gangrene, (1) it would've spread through my toe pretty quickly, and (2) it would have reeked the way most gangrene is supposed to. I had a good Epsom-salt foot soak last night, and I'm treating the surface with iodine while also taking my new tabs. Interesting that the Korean word for "iodine" is modeled after the French word (iode).
DeleteAnyway, same deal today: foot soak, iodine, and tablets three times a day.