A Guide to Better and Healthier Eating

Butter : grass-fed cows butter , omega 3 , butyrate, anti-inflammatory,

Leafy green vegetables: fibres , butyrate

Successful Reattachment Of Accidental Crushing of Complete Amputation Of Little Finger

Industrial accident :Right hand attempted to remove material from mixer without switching off power supply.

Resulting complete amputation of right little finger and partial amputation of ring finger

Open fracture of proximal phalanges bone exposed and little finger left hanging by a remaining sliver of skin. Reattachment with approximation of digital arteries and tendon done. Distal finger capillary refilling adequate.  Nail bed pink and slight oozing from wound. Light wound dressing and immobilisation done.

Two days post Reattachment .

Finger looks swollen and pale but nail bed capillary refill still brisk .

2 days post Reattachment dorsal view.

2 days post attachment ventral view. Colour pale but not dusky

7 days post Reattachment.  Finger less swollen and more pink

7 days post Reattachment ventral view. Finger pink.

14 days and suture removed

14 days wound united finger pink but still painful

14 days 

21 days :Limited flexion extension on attempt due to pain.  Immobilisation to continue for bone healing with plan to change over to  Dynamic splint ING for physiotherapy after 60 days.

Earlobe Reconstruction After Keloid Removal

Earlobe  Keloid recurrence after excision by previous doctor a year ago

Side view of keloid

Excised hypertrophic fibrocartiliginous tissue 

Anterior skin flap raised from keloid to close posterior or behind ear away from front view.

One week after suture removal

3 weeks after suture removal. Note the attempt for the keloid to recur which require injection  to spread it.

Front view after one month

Side view after one month

Rear view after one month.