finnime
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Be kind. Everyone you meet is fighting a great battle.
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Post by finnime on Mar 2, 2019 13:59:21 GMT -5
I know far too much about wound care from helping with my DH's care. The treatment rockhounder proposes is useful. My DH was treated by both an infectious disease control doc and a plastic surgeon to close the wound finally. He was infused daily with antibiotics. One period of months was a home, with a home care nurse coming by weekly to take blood samples and evaluate the wound (the antibiotics were sent to our home in self-pumping globes that I attached to his PICC line). Another period was at the infusion center at the hospital. He also had a wound vac used for various periods. Wound care is a highly specialized and often long-term treatment. It can as Walk mentioned result in loss of limb or function. I bought at the recommendation of the plastic surgeon this: Xeroform gauze that really helped. You want to keep the wound moist for faster healing. Get him to another doctor and treatment source. Please.
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weltschmerz
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Post by weltschmerz on Mar 2, 2019 14:31:23 GMT -5
Those nurses ought to be able to document his condition and treatment well enough so that any other healthcare worker can understand what's going on. That's ridiculous! ETA: Nurses don't just "pick a medication." A doctor, or equivalent like nurse practitioner, has to prescribe it. It appears the nurses are choosing what to use. The first few times they tried medihoney. It didn't work so right then they said well let's try this other kind. They have just decided in the appointment that they are trying something else. They don't ask a doctor because they don't even leave the room. They go get it and put it on. I was going to suggest medical-grade honey. One of the docs at the nursing home was using honey on his private patients, and had excellent results, especially with stubborn wounds that just refused to heal. www.healthline.com/health/honey-on-wounds#effectiveness
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azucena
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Post by azucena on Mar 2, 2019 19:13:44 GMT -5
Those nurses ought to be able to document his condition and treatment well enough so that any other healthcare worker can understand what's going on. That's ridiculous! ETA: Nurses don't just "pick a medication." A doctor, or equivalent like nurse practitioner, has to prescribe it. It appears the nurses are choosing what to use. The first few times they tried medihoney. It didn't work so right then they said well let's try this other kind. They have just decided in the appointment that they are trying something else. They don't ask a doctor because they don't even leave the room. They go get it and put it on. You want to find a wocn (wound ostomy continence nurse). They are the best trained for wound care. Google wocn near me and I found several sights pop up. Every single one I have met with my husband have been the most fantastic caring women I know. My husband has an ostomy and has also needed wound care several times. If you don't have luck with google, pm me your city and I'll look for you or even reach out to the national ostomy society to find someone near you.
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Deleted
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Post by Deleted on Mar 2, 2019 19:36:01 GMT -5
DH had two persistent wounds in his last two years. First, he had a leg ulcer which was treated weekly; they would debride any dead flesh, put something medicinal on it, bandage it and he'd go home. No need to change dressings. It was a slow process but it cleared up eventually. The month before he died he fell and had scrapes on his back that wouldn't heal; the hospice nurses gave me some sheets of gel that I cut into shape, peeled from their covering and placed on the wounds and then taped over them. I did have to change those every few days; the hospice nurses said it was healing nicely but he died soon after from his leukemia. (I still have the leftover gel pads- one of those silly things I can't throw away. ) Your Dad is lucky to have you watching out for him and I hope you nail his so-called health care providers to the wall.
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raeoflyte
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Post by raeoflyte on Mar 3, 2019 11:49:11 GMT -5
It appears the nurses are choosing what to use. The first few times they tried medihoney. It didn't work so right then they said well let's try this other kind. They have just decided in the appointment that they are trying something else. They don't ask a doctor because they don't even leave the room. They go get it and put it on. You want to find a wocn (wound ostomy continence nurse). They are the best trained for wound care. Google wocn near me and I found several sights pop up. Every single one I have met with my husband have been the most fantastic caring women I know. My husband has an ostomy and has also needed wound care several times. If you don't have luck with google, pm me your city and I'll look for you or even reach out to the national ostomy society to find someone near you. This is what my mom did the last decade her career. She still meets with her "wound ladies" every month for lunch and holidays. I can ask her too if she has any national affiliates to recommend care with. I'm sorry youre dealing with this.
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WholeLottaNothin
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Post by WholeLottaNothin on Mar 4, 2019 15:59:57 GMT -5
I had 3rd degree burns on my legs from a car accident. We have a wound care place in town, associated with the local hospital, and they used medihoney on it. I had to go weekly for a couple months and they would debride it and do it again. It worked but it took awhile. You can get it over the counter (or could a couple years ago at least) at CVS and Walgreens. I also think you should go somewhere else, even if it is an ER at another hospital. I got referred to the wound care place by my primary doctor. If you trust your doctor, and it sounds like you do, take him there and see if you can get a referral.
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swamp
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Post by swamp on Mar 4, 2019 16:11:42 GMT -5
I live in BFE and even we have home health nurses and a wound care center.
Ask your own doc office.
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azucena
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Post by azucena on Mar 7, 2019 13:56:21 GMT -5
ilovedolphins - any update? been thinking about you and your dad.
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ilovedolphins
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Post by ilovedolphins on Mar 26, 2019 18:25:01 GMT -5
I just got around to getting back on here. I was trying to convince my dad to see someone else for his wound care when my mom called me on my lunch break on March 7th and needed me to get my dad some help. I got to their house and he was semi-conscious. I called the ambulance and then they sent him flight for life to a bigger city 2 hours away. When he was in the emergency room at my hospital one of the certified nurses in wound care that had been doctoring his wound told me that while he was in there they would get the wound doctor and deaden the wound and clean it out so it could start to heal. Never once in the 6 weeks he was going there did anyone say there was a wound doctor in our hospital. And they continually told us that they had nothing to deaden it with.
So that got me all irritated but I figured we had other things to worry about at the moment. So when he got to the other hospital they tell me that he got c diff from taking too many antibiotics for his would. So it led to severe dehydration, acute renal failure, his blood pressure plummeted which caused him to have a heart attack. Sooo....while we were there I told them I wanted someone from the wound center to look at his wound. They said it looked like it was healing and the nurses at my hospital said it wasn't. They tried medihoney and some "silver" stuff but his body couldn't tolerate it. They said some people can't handle it. But they said the medi honey was the fastest and best wound care product there was. So they ended up putting cutimed sorbact on it which is supposed to draw out the bad bacteria. They said it would take longer to heal but it wouldn't be as painful. So they showed me how to do it so I don't have to take him back to our hospital for wound care. If anything comes up of concern with the wound I will take him to my doctor 30 miles away before I take him back to the hospital in my town.
I told the wound care people in the big city how my dad was treated for wound care and they apologized profusely for the bad care he received. They said there wasn't any reason they couldn't use 4% lidocaine to deaden the area because that is what they used. When I got back home I found the 4% lidocaine at out dollar store for a dollar. I want to go over and talk to the hospital administrator and tell her that my dad could have had a lot less pain for 6 weeks if they would have invested a dollar for the lidocaine.
So he stayed in the hospital for 9 days and when they discharged him they said he may have a bleeding ulcer so we are going in Friday to have that checked. He is extremely weak but he is getting around a bit. I don't think he will recuperate from this go around.
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CCL
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Post by CCL on Mar 26, 2019 19:53:01 GMT -5
I'm so sorry your dad had to go thru all this. Hopefully he's on the mend now and will soon be recovered.
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finnime
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Post by finnime on Mar 27, 2019 1:29:14 GMT -5
So sorry he has been through such an ordeal. Wishing strength to him and to all who love him.
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azucena
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Post by azucena on Mar 27, 2019 7:26:38 GMT -5
Thanks for the update dolphins - I was worried when you didn't pop back in, but clearly you had your hands full. I'm so sorry that it's been such a messy recovery for your dad. Here's hoping that you've got him on the right track now.
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