Yeah, staples sound more painful and I was surprised when I first changed her bandage how many she had - two rows of eight. Mom didn't cringe too much when the doc took the staples out. She told him that her hand gets so cold that it hurts and also goes numb. He said that sometimes the fistula takes too much blood away from the hand. If it isn't hard to deal with, then do nothing. If it's painful and numb all the time, tie off fistula. It seems to be doing better as long as she "dangles" it to get the blood to her hand.I was going to visit the new center, but the street is new and I couldn't get exact directions. I ask mom which way do you turn when you get here? and she can't say. lol