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Old 05-10-2011, 01:27 AM   #1
TEAPARTY
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SI Question - will A&E stitch this...

Now I know I'm being boring and asking a probably well aired question, but...
I have this cut, I went through a vein and it ended up being very messy.
I would have got it stitched tonight if that was possible, but it really wasn't because I had no way of getting there.
Tomorrow I have therapy which finishes at 5pm, will they stitch something which is 21 hours old? I don't want to go there and they only steri-strip it because a) I'm getting known as a regular there b)I could steri-strip myself - I just don't think it'd hold.
I'm not worried about the staff being rude, because they're genuinely amazing at my local A&E or having to speak to a psych nurse or whatever because I've already spoken to my psychiatrist.
The cut bled for approx 2/3hours, I'm quite pale and tired now (I know, I'm being stupid) but sleep and lots of liquids can fix that ~ but if you'd like to advise me go ahead.
Did this even make sense, probably not?


Last edited by squirrelspit : 06-10-2011 at 08:48 PM. Reason: removing wound measurements.


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Old 05-10-2011, 02:08 AM   #2
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its probably worth getting it looked at, but i think its generally supposed to be a 4 hour window for stiches. i think. by 21 hours, the edges will have started healing so it wont close completley.
saying that, i went to a&e where they just steri stripped it, then had to go back about 12 hours later because it was bleeding through, and then they stitched it.

i would advise going to hospital asap. if you went deep enough to get a vein then you may have damaged something else too. is there no way you can get there?
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Old 05-10-2011, 03:27 AM   #3
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in one situation, i had a cut that was over 48 hours old that was stitched. They are less likely to stitch the older ones but it is completely case by case, so I think it would be worth going.
Even if they only steri-strip it, they have some liquid thing that they can swipe your skin with first to help them stick with more severe injuries.



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Old 05-10-2011, 10:53 AM   #4
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If it isn't as deep as you think it is (speaking medically) they're unlikely to. But I had a bad cut once and went to A&E 48 hours later. I was berated for not going straight away but they did stitch it.

I guess that without seeing it, none of us can really give you a true answer except to say it has been done after a couple of days but is far more advisable treated straight away if you think it needs it.

Blood loss in itself need not mean that you need stitches if the blood is clotting. But then you may need treatment for blood loss, so...

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Old 05-10-2011, 06:49 PM   #5
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I've decided not to get treatment - I know, stupid me. My psychiatrist will probably have a look at it for me on Friday. As long as I can keep it from bleeding, I'm sure it'll be fine.
Sorry for your wasting your time, really appreciate the advice though. Thanks.



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Old 05-10-2011, 07:21 PM   #6
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I wish my psych was that good. Not saying I'd want her to evaluate my wounds or not evaluate them. Good as in attentive to all your needs. They NEVER assess wounds where I live. I've never known anyone to have a psychiatrist or counsellor who looks at your wounds for you.

*ponders the difference between counties in the UK*



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Old 05-10-2011, 10:09 PM   #7
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ive had a few psychs who would do that, all in hertfordshire.



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Old 05-10-2011, 10:47 PM   #8
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Quote:
Originally Posted by fragile as glass View Post
I've never known anyone to have a psychiatrist or counsellor who looks at your wounds for you.
my psych & old counsellor used to, i suppose it depends on the person?

/thread hijack over.

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Old 05-10-2011, 10:54 PM   #9
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my spychiatrist would make sure my wounds were ok & said shed take me to hospital if needed

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Old 06-10-2011, 09:56 AM   #10
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Quote:
Originally Posted by Stop! Hammer Time View Post
my spychiatrist would make sure my wounds were ok & said shed take me to hospital if needed
Wow! You for real? It is frowned upon in my city/county for your counsellor, psychiatrist, social worker or CPN to look at unhealed wounds, let alone assess whether they need treatment, let alone take you to hospital.

The UK never really has been consistent in its approach to mental health care except for kids I have found.

Apologies secondly for hijack! I just found that really interesting!

Hope you're ok hun - the OP if I am making no sense - nothing new there then :)



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Old 06-10-2011, 03:11 PM   #11
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i guess it would depend upon their medical training - like a counsellor and i think psychologist and social worker have no medical training (unless previously practised medicine) where as a psychiatrist is a doctor specialising in psychiatry, and a cpn is a nurse so also trained.



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Old 06-10-2011, 04:09 PM   #12
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Quote:
Originally Posted by Stop! Hammer Time View Post
spychiatrist
Quite enjoyed that typo.




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Old 06-10-2011, 04:48 PM   #13
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I've had a few cuts stitched up past the 12 hour mark.
They can stitch wounds older than 12 hours,but you are urged to go before the 12 hour mark.
It becomes difficult to stitch the cut together as it may have already begun healing and the sides may get "stuck" in going back together - something two of my cuts have done right now too, so it makes it harder trying to get the sides together and stitch it.

I hope you will in future get treatment for wounds because it is important to get medical attention if you feel it's needed. Take care.



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Old 07-10-2011, 02:40 PM   #14
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No worries about the hijack, I quite enjoyed it.
Hahah, this is coming from my CAMHS team of which my therapist and psychiatrist are 'reparenting' me. My psychiatrist is amazing in the sense she's given me her email and mobile number and will talk me through a crisis as long as she's awake. She had a look, said I should have got them sutured then gave me the whole 'You deserve medical treatment too, you shouldn't let anyone stop you'.
But I don't go to A&E unless I have a friend to go with and really am creeped out by my cuts, simply because my aunt works in a&e and however unprofessional it is it always gets back to my family. The staff minus my aunt are amazing, I might just be being paranoid about her telling my family.
But yeah, had quite a tough week, going to start seeing a cpn next week. Got offered more therapy, antidepressants and the 'intensive support team' but I declined them, sometimes I'm too stubborn for my own good.
Haha, sorry now I am just rambling. Anyway, I hope you enjoyed the update!



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