I reviewed the pictures of your nuisance stacked on all the other nuisances, right?. I suspect you feel frustrated and heartily fed up, correct? For you would like this healed promptly and permanently, right?
I think this kind of problem, in our hands, has responded best to pick pits. Nature can always interfere with recovery but I think you have an excellent chance to achieve healing with pick pits, though a case could be made for the cleft lift operation.
Your are on the right track to healing for you have learned about the disease and are asking good questions. The incising doctor did exactly the right thing--incised to one side of the midline and stopped to let the edema fade for 10 days. Your problem started with the pit visible in the midline. It injected bacteria into fat under the midline and that started the abscess. You are well advised to learn about pits. Destroy the pit and the problem is likely solved. The treatment of pits is new so the topic is unfamiliar.
You have a tough task, as if you are unacquainted with tough tasks! But fortunately you have lots of time. Start by reading Pingree on the web site. The list of surgeons is those that know of cleft lift--fewer know of pick pits but the list is a place to start. You probably will have to call 10-15 before you get your problem solved. Do not be discouraged--you will solve this nuisance by Sept-Oct! Rosengart is a good source
If you have have looked at the list of surgeons at the pilonidal.org site at this address: http://www.pilonidal.org under Find a Surgeon. and have considered working with one of them in your area, and still feel a visit to us is your best option then we would be glad to see you.
Call or e-mail if you have further questions after you study the material at the web site www.pilonidal.org especially at http://www.pilonidal.org/medical_profs.htm.
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