instruction: hi doctor I am a third degree burns survivor I was three weeks in the hospital before being discharged in the last week of november my right arm is the one badly hit by the fire it was a cooking gas explosion that splashed red oil over my body it is over six months now after my discharge and I have a thick black painful scar from my right arm to my hand I am also fighting contracture my doctors think I should let the healing take its full course before anything can be done the pain is much and the fight against contracture is intense I am no medication only apply honey and dermazin cream on it I have also stopped taking painkillers I have serious itching also and it causes me sleepless nights sometimes I feel slight heaviness when I let the hand down I have to make a fist if the hand has to be downward
output: hello as I saw in the history and clinical photograph attachment removed to protect patient identiy that you had suffered severe almost third or fourth degree burn with a scar and you have a lot of difficulties owing to it is almost six months and I think within a few days once couid infection comes to a standstill you can go ahead with the definite surgery of escher excision and grafting which might decrease your pain and trouble since most of the cases owing to pain and immobility the limb gets into state of contracture so I recommend you to do some kind of physiotherapy and exercise to prevent it you can definitely go and consult a plastic surgeon and go ahead but I recommend you to wait for some months since due to coronavirus there are high chance of hospital acquired infection you may take painkillers like tramadol when pain is intense