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Tuesday, 27 June 2017

Wound Care. June 27, 2017

    I do not have picture of my legs today. Yesterday we put on new wrap on my legs, and we did not take pictures. Right now there is no wounds, no drainage, skin clear and nice. Left leg still dark in color, but not that drizzly dirt as it used to be last two years. Skin all grow up new, fresh, clean.
   My man still wrap my legs to let them to heal fully. Every time when we stop wrapping, the dark color of skin returns, and if left unwrapped for long time, wounds would be open again. So, my man wrap them. Some day it is every day. Sometimes it is one wrap for a few days. Some wrap holds very good. Other time wrap fall down after a few hours after wrapping. It is all depend on wrap material and bandages.
    We do not buy bandage. I make bandage from old t-shirt. It is long, soft, and very comfortable. Also it is free. Very important point to take into consideration. Another point is, that bandage from old t-shirts is softer and when swelling go up it does not hurt so mach as it is in medical bandage. Medical bandage go right into skin, so severe my edema, swelling, and pain is not bearable. The bandage from old t-shirts is soft, and it is only hurt on borders of bandage rather then in all way wide and long.
    First my visit to Wound care was in April 6, 2017. Both legs were wrapped, first Unna boot and then wrap. It was so painful that at night I was not able to bear it, and one my leg, left one which was more effected then right one, my man in-wrapped.  Next day I returned to the wound clinic and left leg was wrapped another time.I was told I have to keep wrap for full week, otherwise it will not work. So, every week after that I had clinic, wound care clinic. Nurses cleaned all legs, put some medicine on the skin, wrapped with Unna boots, and then with compression wrap. Step by step drainage started to slow down and May 16, 2017 it was my last visit to wound care clinic. Wounds looked be healed.
     It was not the case. At the end of the day before night drainage returned, and wounds started to come back. My man took over. He wrapped both my legs. I ordered supply,

UNNA-Z Unna Boot Bandage with Zinc and Calamine, 1 Roll, 4”x10yds

two rolls

3M Coban Self-Adherent Wrap 1584, 4 inch x 5 yard (100mm x 4,5m), Sterile, Tan (Set of 18/EA)

 one box 18 rolls.

 Yesterday we took off wrap, and skin looks good, healthy and bright. But still dark in color. 

        I am really not able too  understand, why in hospital no one suggested that wound care specialist come to do the job? Why in hospital my left leg was dressed, but never wrapped? It has to be seen how ugly leg was. It lost shape, skin melted, wounds drained, and any dressing did not stay for long, just one or two hours. 

      I can also say, when dressing done, or wrap placed, leg feels very comfortable, worm, like baby in cradle. Left opened it is painful, cold, and sharp feeling of discomfort. To improve the dressing and to keep leg worm even when it is wet we put on bandage from quilt. But at soon as all dressing got wet, led started to feel cold, and very painful. 

      With wrap there were no need in quilt bandage. It is summer, and we live on four floor. It is worm in our apartment even in Winter. With wrap drainage started to subsidize very soon. Not all my wounds dried, and legs are worm in wrapped compression bandage. 

       Slow, very very slow size of legs started to decrease. Swelling go down. I took measuring of the size of legs, both of them, below knee, in widest area, and in lowest area. Leg started to look as normal leg, the shape started to come back. 

       What happened in hospital? At first insulin was stopped, I did have no one unit injected in ED or in hospital. My primary do know very well, I take 300 units of insulin daily dose. He stopped all 300 units at once. Why? Does not he know that this action can lead diabetic to death? It does not mater what will happen with patient. If low sugar will happen in hospital doctor must be ready to take action what to offer as treatment, and my primary can suggest nothing. So, best way and 100% safe is to avoid medicine which is danger to Rx, even it will cost patient's life. Simple, life of patient or safe of doctor, who is choosing? 

       What happened with my legs? I still pay price when in May 2014 insulin supply was stopped, doctor canceled his Rx and there were 599 mg/dl, highest pint of level of sugar my meter able to record. after that only 'high'. I started to lose weight, dropped one size after another. I was not able to rise my arms, and pain in eyes was so severe I was not able to keep them opened. No visits to clinic. I was in clinic in my local hospital cress the street. Doctor barked at me that I use ER way too often. Actually it is not true, but she needed some excuse to bark. Her loud voice sharply knifed my brain, already in severe pain. I stand up and headed to the door. 

"Where do you think you are going?" - she started to bark even louder.

 "Home"  Where else I could go?

 Insurance company paid this visit for $250, something about. 

       After insulin supply was resumed, I started to gain weight dramatically. Of cause, it is because of the eating. The mater of fact, it is swelling. This is result of very high blood sugar level during prolonged period of time. Now size of my clothing went up and up, far up then it used to be before all that problems. Now it is 5X, and it is tight. Severe swelling led to poor circulation, and vein insufficiency (I have no idea what does it mean).

       Somehow how I think swelling stopped. I do not collect pounds, but what I did collected still in and do not do out. Cardiologist insisted in my last visit to his office that I have to take diuretics. I do not take hem, and they are no use for me. So, he does not know what to do with my problems. I am resistant person. Sure I am. If I was not resistant and follow all doctors all Rx and recommendations I would not post right now right here. This is simple matter of survival. 

    So, for now I have regime:

take insulin in dose of 307 units daily to keep blood sugar under control;

take all medicine I have to take to keep my heart to pump and to hold BP in normal range;

wrap both legs, and even probably arms to help to reduce edema. 

Work outs? Walking? Diets? carb counting or calorie counting? Thanks, not for me. But I started to take two tablets of antidepressants, double  dose. One does not work anymore.



via Ravenvoron

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