Chapter 78.

Doctor Walter went back to his office and was shocked as to how Nurse prisca barged into his office without knocking.

That was only possible when there was an emergency.

"Please come doctor.

Doctor Joseph isn't breathing well;

The both rushed out to his room.

When they got there he had passed out again.

Walter checked his breathing level and it had normalized.

"It is an effect of his wound"

You need to keep an eye on him since he has no family members here to alert us if there is any reaction what so ever.

"I don't understand doctor, can you please brief me about this wound and it's later effect. 

Doctor Walter likes very inquisitive nurses who were willing and ready to learn more so he said.

"Stab wound usually causes a small opening at the skin, but may go very deep. As a result, nerves, tendons, blood vessels, and organs can be injured.

It is likely we had missed the injured part. If earlier exam did not show injury to any deep organs or tissues, that is because one may not find it during the first examination.

Depending on the type of wound, the skin opening may not be stitched closed. This is to reduce problems in the event of an infection.

Whether the person is treated at home or at the hospital.

Keep the wound clean and dry. If a bandage was applied and it becomes wet or dirty, replace it. Otherwise, leave it in place for the first 24 hours.

If the wound was left open or if stitches were used, clean the wound daily:After removing the bandage, wash the area with soap and water.

Use a wet cotton swab to loosen and remove any blood or crust that forms.

After cleaning, apply a thin layer of antibiotic ointment. This will keep the wound clean and make it easier to remove any stitches, if they were used. Reapply the bandage.

You may remove the bandage and shower as usual after the first 24 hours, but don't soak the area in water (no swimming) until any stitches or staples are removed.

Nurse Joy knows about treatment of wounds but she didn't want to embarrass the doctor by cutting him short so she listened attentively Instead. 

Hoping he would go into explaining reactions but instead he continued with treatments.

" If surgical tape was used, keep the area clean and dry.

If it becomes wet, blot it dry with a towel.

If bleeding occurs from the wound, cover with a gauze or towel and apply firm direct pressure without letting go for 5 full minutes by the clock. This gives time for a clot to form. 

Most skin wounds heal within 10 days. But even with proper treatment, a wound infection may occur. Check the wound daily for signs of infection. 

Stitches should be removed at the hospital only by a healthcare provider but, If surgical tape closures were used, you may remove them yourself after 10 days if they have not fallen off on their own.

She was about to thank him when he continued with what she had been waiting for.

"The effects includes numbness or weakness in the injured extremity that doesn't get better. And that needs a doctor immediately.

Bleeding not controlled by direct pressure

Wound bleeding for longer than 24 hours

Signs of infection:Increasing pain in the wound. This also needs an urgent viskt to the hospital.

Fever of 100.4ºF (38ºC) or higher, or as directed by your healthcare provider

Redness or swelling of the wound, or pus coming from the wound

Stitches or staples (if you have them) come apart or fall out before your next appointment

Doctor Walter was almost sounding like she was the one with the wound injury.

For neck, chest, back, or abdomen wounds.

Other effect includes 

Shortness of breath

Painful breathing

Back or abdomen pain that gets worse

Blood in the stool or urine

Vomiting blood

Weakness, dizziness, or fainting

"I hope you were able to learn something from what I have just thought you?

"Sure I did.

Thank you so much;

She said and was about to run out before he starts again but then he called behind her.

"Are you not going to sit with him?