Should I do it myself?

It's been 14 days and I am contemplating removing my stitches myself. Now before y'all go saying I'm crazy, I have good reason for behaving in what even I would normally consider a reckless manner.

I have the BC/BS GA PPO. Technically, this means I have health insurance. My mom kindly pays $254 a month for this pathetic excuse for health insurance coverage.

From past experience I can tell you I have a $150 co-pay for Emergency Room Visits. In another 3-6 weeks I will most likely receive a separate bill from the doctor who looked at my wound for 30 seconds before sending a nurse in to stitch me up. This bill could be anywhere from $200 on up to over $1000 if a specialist had been called in. Fortunately an anesthesiologist was not necessary or that's another $900 bill.

To go back to the ER for suture removal is a minimum of $150 not to mention at least 3 hours of my time. I could go to my primary care physician but she's kind of a bitch (been meaning to change her) and that would only cost me $40.

Since it is Christmas, and I am jobless :irked: and I still have gifts to buy, I am thinking I can do this myself. I have all the tools and solutions required. I can handle this. :cool: Whaddaya say gang?


Removing Stitches

Introduction


Stitches (also called sutures) are used to close cuts and wounds in skin. They can be used in nearly every part of the body, internally and externally. Doctors literally "sew" the skin together with individual sutures and tie a secure knot. Stitches then allow the skin to heal naturally when it otherwise may not come together. Stitches are used to close a variety of wound types. Accidental cuts or lacerations are often closed with stitches. Also, surgeons use stitches during operations to tie ends of bleeding blood vessels and to close surgical incisions.
  • Nonabsorbable sutures, on the other hand, maintain their strength for longer than 60 days. These sutures are used to close skin or external wounds and require removal once the wound has healed.
Removing Stitches Preparation
If you've received stitches, you will be given instructions for taking care of your stitches and wound.

  • Keep wound clean and dry for the first 24 hours.
  • Bathing is allowed after 48 hours.
  • Bandages can safely be removed from the wound after 48 hours, unless the wound continues to bleed or has a discharge. If bandages are kept in place and get wet, the wet bandage should be replaced with a clean dry bandage.
  • An antibioticointment (brand names are Polysporin or Neosporin, for example) should be used after the wound is cleaned.
  • Notify your doctor if a suture becomes loosened or breaks.
  • Return when scheduled to have your stitches removed.
  • Different parts of the body require suture removal at varying times. Common periods of time for removal are these:
    • Face - 3-5 days
    • Scalp - 7-10 days
    • Trunk - 7-10 days
    • Arms and legs - 10-14 days
    • Joints - 14 days
  • Sutures may be taken out all at one visit, or sometimes, they may be taken out over a period of days if the wound requires it.
During the Procedure

Removing stitches (sutures)
    • The wound is cleaned with an antiseptic to remove encrusted blood and loosened scar tissue.
    • Sterile forceps (tongs or pincers) are used to pick up the knot of each suture, and then the surgical scissors or a small knife blade is used to cut the suture. Forceps are used again to remove the loosened suture and pull the thread from the skin.
    • These relatively painless steps are continued until the sutures have all been removed. You may feel a tug or slight pull as a stitch is removed.
    • The wound is cleansed again.
    • Adhesive strips are often placed over the wound to allow the wound to continue strengthening.
After the Procedure

Wound care after suture removal is just as important as it was prior to removal of the stitches. Take good care of your wound so it will heal and not scar.
  • Keep adhesive strips on the wound for about 5 days. Then soak them for removal. Do not peel them off.
  • Continue to keep the wound clean and dry.
  • Skin regains tensile strength slowly. At the time of suture removal, the wound has only regained about 5-10% of its strength. Therefore, protect the wound from injury during the next month.
  • Injured tissue also requires additional protection from sun's damaging ultraviolet rays for the next several months. The use of sunscreen during this period of healing is well advised for those areas that are exposed.
  • The use of vitamin E topically has also been suggested to be helpful in the healing process of the damaged skin. This should only be considered once the skin edges are healed and are closed together.

Comments

I think some of the members with real medical expertise should answer this question, but I would think that you should use a medical practitioner (even the bitch!) in case there are complications (a tear, a failure to heal properly, an infection, etc...)
 
See if you can get the stitches that bio-degrate over time in the future. As for this one.... do you have a friend who can assist you? Or go to a walk-in clinic?
 
Oh do it yourself NJ, you're a sensible woman and you'd know if it started to look like it was too much for you. Snip the stich, pull gently, if it doesn't come out easily soak in water for a bit and it'll slide out.
 
Just be careful.

And I hope you guys get some decent health insurance quickly.
 
It's really not that hard to remove stitches depending on where and how many there are. Recently during a trip to Cancun, I had to take stitches out from the hand of a friend. The wound was small, only four stitches, and was pretty straight. I used a small pair of manicure scissors and a really good pair of tweezers, both cleaned with alcohol. You just lift the knot in the stitch and cut. You wiggle the stitch to loosen it and then it just slips out. If they're in a simple, easy spot to get to and the wound wasn't too complicated.. I say give it a try and if you have any problems you can always go see "The Bitch".
 
If they are the kind that dissolve, mine were, then they will just go away, but if they are ones that need to be removed, follow what the poster above said. I've done that a few times, it's not too bad.
 
Gl3nn my folks have great insurance because mom is a retired NJ teacher. NJ teachers and NJ state workers have health insurance second only to congressmen and senators. I'm not exaggerating, it's fantastic health coverage. That's one of many reasons I want to go back to Jersey.

It's just 4 stitches on the top crease of my right thumb (palm side). I think I'll give it a go after dinner. I'll get my mom to assist if necessary, she's a tough old bird. :tongue: She actually removed her own metal braces one night, back in the 1970's. :eek:
 
That's good to hear. And 4 stitches...yeah, do it yourself. It'll be fine.

Her own metal braces...damn
 
Well, if Kate was able to remove Jon's staples from his head with 8 kids running around distracting her, I'm sure you can remove your own stitches. =)

Just be careful! (and good luck!)
 
Good point Mandee, I love that show! :smile: I asked for their book for Christmas. As I recall she is a nurse though so she at least had some prior knowledge.

It is just 4 stitches so I should be fine. I just need to pry my lazy behind from the computer.
 
I love that show too, but my mom is always talking negatively about them. She'll find negative comments about them online and read them to me and I'm just like, "Mom, I don't wanna hear it!"

I mean, yes, the family gets a lot of things for free thanks to the show, but without it where would they be?

Yes, Kate does have nursing experience.
 
I got my stitches out, most of them that is. Apparently I am a fast healer and the skin started to grow around a couple of them. :eek: I'm less concerned about having an eensy bit of surgical thread in me than I am about the current numbness and loss of mobility.
 

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