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Thursday, 28 December 2017

Wet-to-dry vs The dermaPACE system (Sanuwave Inc) for Diabetic Foot Ulcer. December 28,2017

At first I read comments. 
I really wish studies would stop using wet to dry dressings as “standard therapy” for wound care. This approach is at least 20-30 years out of date for virtually all wounds and borders on malpractice when compared to what is available now (and has been for quite some time).
What is this, 'wet-to-dry dressings'? What is 'standard therapy' for wound care?
In March 2017 I went to ER with wounded legs, both of them.In hospital sometimes leg legs were put in dressing. Not for long, because of wounds are leaking and dressing get wet very soon. So, dressing fall down. No another dressing even there are nurse all the time. Soon I was sent home. Legs were wet, leaked, and more and more wounds opened every day.I went to Wound Care clinic. It is not the case that my primary doctor refereed me to this clinic, not at all. I just did know about this clinic because of I used to be in it two years before. With the same problem.Later when wounds on legs closed and skin dried, the same problem developed on hand. 
Really, what is it, standard care? So soon as my wounds on leg closed, there were no visits to wound care clinic, why? Did wounds closed inside of leg? Not at all. But there were no wet skin, so no care needed, right?
Now it is December. Every day my man wrap my legs as soon as he come from work. My skin getting white. Still dark spots present but it is not all so dark as it used to be. Also there is no pain inside of leg closer to the bones.
I order supply on Amazon. My man pays for it. Hands got OK, and there is no problems with wound on hands or arms so far.
The question is, what is standard wound care? How many of us really do know what is it, and how many of us use to have this care? Nurse which visited me at home refused to change dressings. It is not her job. Home aide does not do it. I cannot do it by myself. Really, what is the care? No one who really care. Happy those of us who got family. I do. My man do the job, no complains.
Wound closure rates at 24 weeks following one to seven treatments were 44% with the dermaPACE system compared with 30% with the sham therapy.
WOW! The question is, why it takes so long? It takes 8 months if I do math correctly. So, 8 month wounds still wet, no wounds closer, and is this Standard Care treatment options? Also I wish to say, it is only surfaced wound closer. The real wounds deeper inside, right around the bones. If treatment would be stopped, soon wounds would be opened. This is type of "Diabetes Reversal Therapy" for diabetics type 2.
Diabetics type 2 Foot Ulcer is not the same as it is veterans wounds. Out wounds inside. All our body effected by diabetes. It is not possible to treat wounds from outside without treating general cause of problem, limit in insulin secretion. How this treatment done? Life style modification. In hospital first line was done. Insulin was stopped. No one insulin shot in hospital. Probably this system would close my wounds, but really, would I still alive for the next 8 month without insulin in injections? I do not think so. So, I rushed from hospital and dropped all the standards wound care. At least a home I can take insulin, and wound probably would closed. No fancy side effects.
The most common side effects were pain during device application, local bruising and numbness, migraines, nausea, fainting, wound infection, cellulitis/osteomyelitis, and fever.
 What they forgot to mention is Amputation. It is obvious that 8 month opened wounds would not stay clear. Infection would follow. One problem links with another, and no light inside the dark tunnel.
Also there is no mention, what is the cost of this treatment? How many of us, diabetics type 2 can afford this treatment? Then price of amputation. Then care to live without legs. After that say me, how much really cost cost effective treatment options for diabetics type 2 such as lifestyle modifications and Metformin, just $4 for month supply.
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FDA OKs Device for Diabetic Foot Ulcer Treatment
by Miriam E. Tucker



via Ravenvoron

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