[Music]
hi welcome to another episode of talking
with docs I'm dr. Paul salvo and I'm dr.
Brad weenie okay we had a question okay
actually I get this question almost
every day okay is when is it okay to
shower after I've had surgery so like a
hip replacement or a knee replacement or
any kind of surgery where decisions were
made yep
incisions been closed when is it safe to
have a shower after so the first thing I
say they should always discuss it with
your surgeon because I think there's
probably a wide variety of guidelines
but we're gonna give you our guidelines
for for dealing with wounds and win a
show yeah I think so
okay what do you say well in our case
people will have a shower before they
leave the hospital which is one or two
days okay
so if we've if you've had incision and
then you have some sort of impermeable
dressing on it so some sort of
waterproof dressing on it yeah then
you're okay to have a shower okay which
we use commonly here it's almost like a
sticky saran wrap
yeah and water can't get into it so the
wound is protected you have a shower and
then usually the dressing will get
changed before the person goes home yeah
and it's still the waterproof waterproof
dressing so in that setting you can have
a shower whenever because the wound is
protective yeah and then what I tell
beuliss is patted dry if the dressing
gets compromised in some way clean the
wound with alcohol approximate or
something and then put a new impermeable
dressing on right okay okay so that's
the easy answer he's got a waterproof
dressing so Jimmy crack corn yeah a
shower whatever okay what if you don't
have a waterproof dressing on or
Wednesday okay to get that wound wet
okay so if you do not have a but you're
still in the dressing on yeah you might
have a dressing on or sometimes people
take the dressing off after a few days
so the dressings off and so you had
intact staples
and it was clean and dry so as long as
there was no active drainage from the
wound I wouldn't let my patients shower
understand that I don't care if water
kind of drips past it I just don't want
to submersed in the water so I would say
you could dry it you know then the same
thing Pat it dry and then cover it as
needed but if it's if it's draining
anything sorry no shine
I give them two days I say you know if
after an incision or after the clips
come out it takes two days for that
wound to sort of epithelial eyes yeah so
it gets sort of waterproof not enough
for soaking in a tub or anything like
that but just want to run off with
seeing just Pat it dry after yeah I
agree with dr. weaning if there's any if
the wound has any signs of delayed
healing like drainage redness or
anything like that a little monkey
yeah like Soleimani then I'd be worried
I'd be worried that there's still
communication with the soft tissues
underneath so maybe hold off or put some
sort of waterproof dressing on yeah so I
agree with I agree the staple so
commonly a two weeks treaty when we see
our patients staples out a couple days
and then they can then again shower so
what do you want to come bow a bath or
hot tub okay guess I'm not so question a
lot it's really cool this is different
now before weird shattering waters it's
gonna be running down now you're soaking
in in water yeah especially hot tubs
they're not always the cleanest water in
those yes so I I don't let people soak
probably for you know I wait till the
wound is healed completely the clips are
out yes and then I'm usually about a
week after I would agree so I'm like no
scabs yeah I got cuz if some doesn't get
me cleaning drama there could be a scab
that even nags on for a couple of weeks
I'm like no scabs I want the skin to
look like I almost healed incisions yeah
so you want that thing to be healed and
look like it's there's no more incision
there yeah scabs is a good good measure
of it i hain't seen no drainage or
bleeding and swimming pool for me is the
same thing I advise people about getting
in and out of a tub in and out of a hot
tub end of the pool that introduces a
whole nother risk outside of the wounds
II just have to be careful yeah I'm
running on the pool deck obviously yeah
triple flips off the diving board no
yeah no cannonballs well yeah I mean we
recognize that water therapy is good
after stress injuries and certain types
of surgery so we do want to get you back
in the pool if that's your thing if
you're getting some sort of water
therapy that's part of your physio we
just want that wound to be sort of
closed up and healed before you submerge
it and I think just about the pool not
really relate to the wound but if you
argue Amara therapy ideally it's in a
pool that has them to have graduated
enter
if it's for a hip replacement you don't
want to be going down that ladder I
think they don't ask a lot of a new hip
or the ocean or the or a big waves yeah
yeah all right so hopefully that gives
you an idea of how to care for that
wound and when and safe to have a shower
or have a hot tub swimming pool submerge
that kind of stuff always discuss with
your nurse or doctor and if you liked
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charge of your own health and your own
wound see you next time