Friday, September 17, 2010

Choice of treatment

A new font is much easier for me to read (I am 85). The Font "Arial Black" Size 18 under Format, under Show Fonts is easier to read so please use it when you type your message.

If you continue to have little trouble I advise you to continue cleaning. If you continue to have discharge you have probably considered seeing Dr. A again, also Dr. B. The knowledge on pilonidals is changing rapidly. They have 6 years and 1 year of experience and may have learned new skills. Their job is to give advice. They do not own you. Your job is to decide, to learn about pilonidals and hear many opinions and to decide which course is to bring the result you want. Pilonidal.org lists many doctors in Saudi Arabia, Israel and in countries closer than Oregon. You have my permission to call or Email 5 of them, continue to learn opinions.

After study of your photos, if we were taking care of you, we would recommend a cleft lift to permanently eliminate the cleft. The trouble starts, in my opinion, at the depth of the midline fold and likely will cause repeated infections as long as a cleft exists...

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