Pour mon Bonhomme… healing advice from 5 Doctors… I love you! Pops

bonjour mon Bonhomme! <3 

here is for you advice I collected from several Dr friends for your boiling water burn nov 2017 Australia

 

Advice from Dr FURMAN (my Favorite MD)

Pascal,

So sorry to hear about Jeremy’s accident. Second degree burns are the most painful. But, it looks like everything is healing very nicely. I see no evidence of secondary infection and that’s the most important thing. Sometimes I use the silvadene cream longer than 3 days but I’m not sure it would provide any additional benefit this far out from the injury.

I know this will be hard for him, but I STRONGLY advise him staying out of the salt water for at least a few months… the water would create very high risks of infection. Can’t really comment on the honey, but would be concerned what “critters” it might attract and possibly also increase risk of infection. Using vaseline topically and vitamin E orally might get the best of both worlds.

I think this should all heal up nicely if he follows those directions.

Thanks for the pics. Lovely people…all three of them!  And remember to breathe! He will be fine.

jf

from Monique’s Dr friend who is specialized in BURNS

His questions are:

Is there anything at all I can advise him to do different?… or better?… to increase his chances of healing? …. From the appearance of the photos he is already healed, meaning the skin has grown back over the area.

…or is there anything at all to do (or to avoid doing?… such as sun exposure?… or salt water exposure?  Newly healed skin is sensitive and burns incredibly easily so he should totally avoid sun exposure, I.e. ALWAYS wear sunscreen, and ALWAYS wear the compression sleeve or pants to cover up if he absolutely needs to be in the sun for any practical reasons

…or anything else to avoid doing as it could damage the skin and burns further?) … anything  to do and to avoid to decrease the chances of scaring or long term effects 🙁  ?…

Scar massage helps to keep scars flat.  This is a large area to massage but if he has areas that he notes are thickening up I would focus my massage on that area.  Massage is easier with an emollient (some type of lotion or oil), the type does not matter cocoa butter, coconut oil, vitamin E etc. are all the same.

Is there creams of meds I could buy for him here and mail to him right away to Australia to apply that would help?… or for him to try to find them locally?…

The only cream that is know to improve the appearance of scars are silicone based scar creams, the brand that I give to patients is Biocorneum

He is also asking if you would recommend either putting honey on it or taking vitamin E Supplements? as Jeremy said he read online that those could help?

No, neither of these interventions will make a difference.

Sincerely,

Monique

ADVICE from Dr FRADIN  (Dermatologist)  – these are my notes from what he was telling me on the phone as he called me right way to talk about it when I told him what happened….

  • 2nd degree usually does not affect the epidimis…  eventually it has good chances to get better….
  • Everything was done properly with 1st urgent care
  • Gigantic difference between now and when happened which is a great sign
  • Does not look like scaring
  • Don’t put anything on it as that can create allergy
  • Vaseline is inert so no reaction possible but don’t try anything else at all as could very quickly create ALLERGIC reaction
  • He will get discoloration in pigment of skin if he exposes it to sun… so no sun at all for several months is critical
  • No sun burn ever on it as that would have terrible consequences
  • NO VITAMIN E as a myth and you CAN DEVELOP ALLERY to ANY CREAM and then infection
  • PINK is the NEWEST SKIN
  • At least 3 to 5 months with no sun at all
  • And whenever will use sunscreen later after that period, ALWAYS use TOTAL sunscreen WITH ZINC OXYDE
  • ANY FABRIC that does not feel bad to skin
  • HONEY won’t make a diference at this stage- way to past that
  • VASELINE for 3 more weeks
  • Great chances that will leave no scars if totally protects it from sun for a few months
  • ZERO SUNBURN is VITAL … any sunburn, no matter how light, will almost be guaranteed to create a scar
  • Is mole there recently or how long and if has been there for a while ?… (note from Dad: my dermatologist asked me when noticed it… is it from the burn? Or how long has the mole been there?… please let me know and I will let him know)
  • Send more pictures in 2 weeks and forward to him for additional evaluation and follow up

 

ADVICE FROM CHARLIE FINN  (plastic surgeon)

scary! but I think he is healing very well. Totally agree with his treatment to date, looks like it is healing well. Compression and TOTAL sun protection are best right now. No salt water for a few months then he will needs to wear wetsuit or a “skin” on his legs for the whole summer. IF he starts to develop thickening of the scars (hypertrophy), I would add a silicone gel twice a day, but for now time and total sun avoidance are most important.

Charlie

  1. Charlie Finn, MD

Finn Facial Plastics

 

 

If any of the burn goes around the JOINT / KNEE (a part where the skin gets strectched and compressed due to motion)  then REALLY critical to be followed by SPECIALIST as you could LOOSE FLEXIBILITY L – friend of mine looked for you and they have 13 units/ BURN HOSPITAL over there… maybe one is close to where you are?…

 

I am Soooooooooooo sorry again my man that you went through that and all that pain  🙁     please let me know if anything else I can do for you OK?..

I miss you and I love you!!!! pops