Does anybody work in a wound care center or have been treated at a wound care center?

I have a wound from a sebaceous cyst removal on my chest. I had it removed three months ago. The wound will heal then about a week later it forms a ball of pus under the wound and will ooze out. I have been back to the surgeon but he keeps saying that it is probably just infected. I have had it cauterized, had dissovable stitches taken out and have been on antibiotics but it still will go back and forth with the wound being healed then opening back up. I made an appointment at a wound care center, but they can not see me for another two weeks. I was just wondering if somebody worked in a wound care center what do they think could be the problem or what would the doctor probably do when I go to see them. I just need some info to calm my nerves until my appointment in two weeks. Thanks.

I am a Physical Therpist and have worked and continue to work with wounds and wound care. The wound definitely seems infected from the way you describe it, most wounds are to certain extents. Your body is simply fighting the infected areas of the wound and creating slough and exudate which are terms that describe the drainage. A good thing to remember is anything yellow, brown, green or black is bad stuff and pink and light red are good healthy areas of tissue. I would let them know at the wound care center if you become more tender or increase in pain in that area of your chest around the wound or see a noteable increase in redness surrounding the wound (usually a pretty sizable area). They might bump you up in this case, don't be afraid to voice your concerns to them. Other than that wound care is straight forward. I would recommend a Physical Therapist to do the wound care. We are specially trained in this area and can do what is called sharp debridement, or removal of the pus and other bad areas using a scapel etc. This is by far the best removal of that pus and infected tissue and greatly enhances the healing of a wound. It usually has no pain at all because it is all dead tissue but there can be some discomfort. Nurses also do wound care but are not allowed to do sharp debridement. The doctor will probably refer you to a PT or nurse that does wound care and you'll see them for a few weeks depending on the size, depth, amount of drainage of the wound. Wound care is very effective with the use of silver (antimicrobial and very effective in cleaning a wound) and many many other tools ranging from debridement to other topical treatments (enzymatic debridement, pulsed lavage, wound vac). It all depends on your situation. In the meantime keep it clean with sterile saline and cover with gauze 4x4's. Change it everyday and keep an eye on it. Don't let it dry out if it is an open wound but don't let it get to moist from to much drainage. You will be fine for the two weeks but let them know if the wound changes. There is no point in being uncomfortable just because they don't have an appt. for you. They'll be able to fit you in if you have problems.

they know what they are doing and they will find out why its not healing, it could be something like high blood sugar, or something really odd that doesnt seem related. or they might try a different sort of antibiotic. nothing wose than you have already had done will be done by them.

You need to get that taken care of quick if you get a staff infection it could KILL YOU, dont wait two weeks go to another doc and sue them other guys

Although I don't work at a wound clinic, I've had training in wound care and treatments and I do wound care with those patients of mine that require it. I can't be specific as I am unable to examine the cyst site myself. Who provides the care? Yourself? Possibly it's not being cleaned properly, maybe needs an Alginate dressing. Hard to say without being able to see it. The wound bed needs to be examined and measured. A culture may be taken to determine if there are any pathogenic organisms in the wound bed. Depending on the condition of the wound bed, there may be packing and the appropriate dressing will be used.