Showing posts with label Wound care. Show all posts
Showing posts with label Wound care. Show all posts

September 18, 2014

Take Care of the Feet and Legs

A.J asked me to stop by Wednesday and said you helped me with the sore on my leg and I want you to look at a sore on Jerry's left foot. Jerry took his shoe and sock off and I could see what A.J was seeing. I asked Jerry how long this had been there. He said about a month or longer and his wife had said not to worry about it. I said that he had better worry and get to the doctor as soon as possible. It was a foot ulcer about a quarter of an inch deep and looked bad.

I asked why he had not had it looked at before. He said that his wife had told him it wasn't serious and he should ignore it. A.J said that it is serious and he needed to see the doctor and get it treated. I said I would take him if necessary, but the quicker he got to the doctor, the better. He put in a call to Dr. Tom's office for an appointment and they told him to come immediately and they would work him in as soon as possible. A.J said he would take him then and I went home and they went to the doctor.

When they were done, A.J called and said they would stop by. When they arrived, I met them outside and that way Jerry would not need to walk. We discussed what Dr. Tom had accomplished and Jerry said he had looked at both his feet and legs and asked if he knew of any other sores. They found the start of a second ulcer on his right foot and had treated both. A.J said he is only to walk when absolutely necessary and use the crutches even to go to the bathroom. He was to use his heels as much as possible to bear the weight.

A.J said that Jerry should be able to handle applying the medication which they needed to get from the pharmacy. Then each evening A.J was to look at the areas and report the next day to the nurse. Jerry said he felt like a burden, and both A.J and I said that this is what we do for others with diabetes and that we were glad to help. A.J said he would have another appointment in a week and the doctor would reevaluate the sores.

I suggested that I would get in touch with Max and have him come by with his mirror for looking at the feet and A.J said they were stopping to see him when they finished at the pharmacy. Jerry then said, you people think of everything. A.J said that was not totally true or we would have separated you from your wife earlier. Jerry said he would not have believed everything, but having her force carbohydrates on him and telling him to ignore a foot ulcer did scare him. He said that having people to help him was really appreciated and especially ones that would see that he was treated by a doctor when necessary.

Jerry asked how many interventions has the group accomplished. A.J said that he was our first and we were hoping that with his help, we could get his friends from relying on his wife for nutrition advice. Jerry asked who as there were several with type 2 diabetes. I then asked if they could accept a few of us joining them later that evening. A.J said they should as it sounds like there is an urgent need. I would contact Tim first and let him know. A.J said he would contact Max and change it for him to come rather than showing Jerry the mirrors in the car.

With that, A.J said about 7:00 PM then and they were off to fill Jerry's prescriptions.

October 3, 2011

Maggots May Help Diabetic Wounds

I have to be amused every time I see another article on the use of maggots. No, there is nothing wrong with using them and since their use has been around for centuries, why all the fuss. Just use them and quit making a big deal about it. Yes, I know that our MRSA infected hospitals and newly trained doctors have a revulsion to their use, but be realistic. We need this type of maggots for some wounds, especially on people that refuse to manage their diabetes. If physicians can be open-minded and catch these wounds early, maggot treatment will often prevent the dreaded amputation.

The writers of this press release just do not get it. Maggots will not heal a wound. Even the researchers should know this, but apparently, they want to have people think this. What the maggots do is clean the wound of damaged tissue, which then will allow for faster healing. This is how it may help, but maggots healing a wound – never.

This small study is just another attempt to gain funding and have more studies. I say let them have the funding if it will finally convince our physicians of the value of the treatments. I know, I know, the physicians have to have the approval of the FDA – oh really. Some of these physicians ought to have to travel in some of the remote parts of Africa where medical people have not been and see people treat wounds with maggots there. It is amazing what these little creatures can accomplish. And believe me, conditions there are not sterile and the rags used to bind the wounds do not compare to the MRSA sterility of our hospitals.

Before I get totally carried away, please read this article, my blog, this bit of history, and this article. I have to have a little tongue-in-cheek fun once in a while.