ISF Logo   IS Forum
Forum Index Register Members List Events Mark Forums Read Help

Go Back   International Skeptics Forum » General Topics » Science, Mathematics, Medicine, and Technology
 


Welcome to the International Skeptics Forum, where we discuss skepticism, critical thinking, the paranormal and science in a friendly but lively way. You are currently viewing the forum as a guest, which means you are missing out on discussing matters that are of interest to you. Please consider registering so you can gain full use of the forum features and interact with other Members. Registration is simple, fast and free! Click here to register today.
Reply
Old 9th April 2019, 10:12 AM   #1
Carlotta
Thinker
 
Join Date: Sep 2007
Posts: 202
Wound care

I have several questions about wound care, as I have been undergoing treatment off and on for over a year and am only partly healed. I'm beginning to think that part of the goal is to prolong wound care! I have been to a GP and two specialists, each used slightly different treatments.
Do any of our medical types or others with experience with this have some wisdom for me?
If there's already a thread, please link, because I can't seem to search the forum on this tablet.

Thanks!!
Carlotta is offline   Quote this post in a PM   Nominate this post for this month's language award Copy a direct link to this post Reply With Quote Back to Top
Old 9th April 2019, 10:25 AM   #2
Hellbound
Merchant of Doom
 
Hellbound's Avatar
 
Join Date: Sep 2002
Location: Not in Hell, but I can see it from here on a clear day...
Posts: 13,318
I have a small amount of knowledge, but primarily as a first responder/medical aide, and it's been 10-ish years since I worked in the field. I was a military medic, though, so trauma was a big part of our training.

That being said, I think a bit more information might be useful? Depending on the nature and size of the wound, there may well be a large amount of work required. Trauma that damages skeletal structure often requires that the bone be reconstructed before you can start working on other things (like tendons or ligaments). For deep wounds, you have to take care to make sure there's adequate drainage from the inside, and that the skin doesn't overgrow the internal damage and trap things there. There's also risks for infections by various critters: bacteria, viruses, fungi, and parasites. Not to mention healing rates vary for individuals, in general getting longer as we get older.

As to prolonging, in some cases that is the right thing to do, the aforementioned skeletal involvement being a good example. Doesn't do any good to re-attach ligaments to bones that will have to be moved and reset later (thus negating the ligament work)...and you don't want things to heal in the wrong places/ways until they're ready for the right place.

That's about all I can say without details, but even that pretty much exhausts my knowledge We do have others on the board that are nurses of various degrees, and I think we have an actual medical doc or two as well, who can probably provide more info (and likely correct anything inaccurate I've posted).
__________________
Ideologies separate us. Dreams and anguish bring us together. - Eugene Ionesco
Hellbound is offline   Quote this post in a PM   Nominate this post for this month's language award Copy a direct link to this post Reply With Quote Back to Top
Old 9th April 2019, 10:56 AM   #3
BStrong
Penultimate Amazing
 
Join Date: Jun 2011
Location: San Francisco
Posts: 11,943
In case this might help

https://verity.org/SMC/woundCare.php

https://verity.org/SMC/singleNews.php?a=8

Dr. Crew died in 2017, put the Center does a great job even today. At one point, myself and two other friends were being treated there and we all survived our issues.

In honor of ‘National Wound Care Awareness Week,’ Daly City Mayor Juslyn Manalo has issued a proclamation, officially declaring June 4 to June 8 “Wound Care Awareness Week” in Daly City. The proclamation expresses the city’s support to increase awareness and education about chronic wounds to benefit current and future chronic wound patients.

ANX Home Healthcare, one of the leading advanced wound care providers for home health patients in the San Francisco Bay Area, initiated the request for proclamation to highlight the extraordinary work that Dr. James Stavosky, Chief of Podiatric Medicine and Surgery at Seton Medical Center, and the rest of the team at the Dr. John Crew Center for Advanced Wound Care have done in the field.

“It was a great honor to receive the proclamation from the Mayor of Daly City, Juslyn Manalo, that recognizes the contributions and accomplishments of the Dr. John Crew Center for Advanced Wound Care at Seton Medical Center during Wound Care Awareness Week,” says Dr. Stavosky. “We are committed to continuing to provide high-quality wound care for our patients.”

__________________
"When a man who is honestly mistaken, hears the truth, he will either cease being mistaken or cease being honest." - Anonymous

"Dulce bellum inexpertīs." - Erasmus
BStrong is offline   Quote this post in a PM   Nominate this post for this month's language award Copy a direct link to this post Reply With Quote Back to Top
Old 9th April 2019, 11:58 AM   #4
casebro
Penultimate Amazing
 
casebro's Avatar
 
Join Date: Jun 2005
Posts: 16,431
Originally Posted by Carlotta View Post
I have several questions about wound care, as I have been undergoing treatment off and on for over a year and am only partly healed. I'm beginning to think that part of the goal is to prolong wound care! I have been to a GP and two specialists, each used slightly different treatments.
Do any of our medical types or others with experience with this have some wisdom for me?
If there's already a thread, please link, because I can't seem to search the forum on this tablet.

Thanks!!
Diabetic ulcer perchance? Maintain very tight sugar.

And, after a year, it's not the dressing or cream, it's a metabolic problem. If not diabetes, maybe some deficiency- vitamin,mineral, micro-nutrient.
__________________
Great minds discuss ideas.
Medium minds discuss events.
Small minds spend all their time on U-Tube and Facebook.
casebro is offline   Quote this post in a PM   Nominate this post for this month's language award Copy a direct link to this post Reply With Quote Back to Top
Old 9th April 2019, 12:28 PM   #5
P.J. Denyer
Philosopher
 
Join Date: Aug 2008
Posts: 5,275
It depends on the wound, I recently had a significant dog bite (I can post pictures ) the plastic surgeon wouldn't close the wound because if the risk of infection. Instead they debraded the wound, I had five weeks of twice weekly dressing changes and wound checks before they left me to my own devices (with instructions to cover it with vaseline). I was bitten 20th Jan, the last scab fell off yesterday....


Thank goodness for the NHS.
__________________
"I know my brain cannot tell me what to think." - Scorpion

"Nebulous means Nebulous" - Adam Hills
P.J. Denyer is offline   Quote this post in a PM   Nominate this post for this month's language award Copy a direct link to this post Reply With Quote Back to Top
Old 9th April 2019, 12:47 PM   #6
Carlotta
Thinker
 
Join Date: Sep 2007
Posts: 202
Originally Posted by Hellbound View Post
I have a small amount of knowledge, but primarily as a first responder/medical aide, and it's been 10-ish years since I worked in the field. I was a military medic, though, so trauma was a big part of our training.

That being said, I think a bit more information might be useful? Depending on the nature and size of the wound, there may well be a large amount of work required. Trauma that damages skeletal structure often requires that the bone be reconstructed before you can start working on other things (like tendons or ligaments). For deep wounds, you have to take care to make sure there's adequate drainage from the inside, and that the skin doesn't overgrow the internal damage and trap things there. There's also risks for infections by various critters: bacteria, viruses, fungi, and parasites. Not to mention healing rates vary for individuals, in general getting longer as we get older.

As to prolonging, in some cases that is the right thing to do, the aforementioned skeletal involvement being a good example. Doesn't do any good to re-attach ligaments to bones that will have to be moved and reset later (thus negating the ligament work)...and you don't want things to heal in the wrong places/ways until they're ready for the right place.

That's about all I can say without details, but even that pretty much exhausts my knowledge We do have others on the board that are nurses of various degrees, and I think we have an actual medical doc or two as well, who can probably provide more info (and likely correct anything inaccurate I've posted).
Oh, no, no "skeletal involvement"! These are small, superficial boo-boos that healed slowly and oddly. I don't even know how they started, but they became dished or pitted, sort of.
And I am not diabetic, that's the first thing they had checked.
Carlotta is offline   Quote this post in a PM   Nominate this post for this month's language award Copy a direct link to this post Reply With Quote Back to Top
Old 9th April 2019, 12:51 PM   #7
Skeptical Greg
Agave Wine Connoisseur
 
Skeptical Greg's Avatar
 
Join Date: Jul 2002
Location: Just past ' Resume Speed ' .
Posts: 15,393
Have you had a dermatologist check for skin cancer?
__________________
" The main problem I have with the idea of heaven, is the thought of
spending eternity with most of the people who claim to be going there. "
Skeptical Greg is offline   Quote this post in a PM   Nominate this post for this month's language award Copy a direct link to this post Reply With Quote Back to Top
Old 9th April 2019, 12:51 PM   #8
Wolrab
Illuminator
 
Join Date: Dec 2002
Posts: 4,461
I'm a nurse and have done a lot of wound care. I would definitely need more information. Wet to dry is pretty standard and I just used it on myself after the healing stalled on a wound on top of an old scar.
__________________
"Such reports are usually based on the sighting of something the sighters cannot explain and that they (or someone else on their behalf) explain as representing an interstellar spaceship-often by saying "But what else can it be?" as though thier own ignorance is a decisive factor." Isaac Asimov
Wolrab is offline   Quote this post in a PM   Nominate this post for this month's language award Copy a direct link to this post Reply With Quote Back to Top
Old 9th April 2019, 12:54 PM   #9
Loss Leader
I would save the receptionist.
Moderator
 
Loss Leader's Avatar
 
Join Date: Jul 2006
Location: Florida
Posts: 26,286
There's a new wound care clinic near me that worked wonders for open sores I had on my legs. Primarily, they wrapped the entire leg from heal to knee up really tight with a layer of jelly and nonstick pads underneath and then told me not to touch them. Two visits later (about 20 days total), skin was growing and I was discharged from treatment.

It was also important, as these were caused by excess fluid in the legs, that I managed my diuretics and wore those stupid compression stockings from then on out.

Start by looking for a specialized wound care clinic in your area.
__________________
I have the honor to be
Your Obdt. St

L. Leader
Loss Leader is offline   Quote this post in a PM   Nominate this post for this month's language award Copy a direct link to this post Reply With Quote Back to Top
Old 9th April 2019, 01:01 PM   #10
Skeptic Ginger
Nasty Woman
 
Skeptic Ginger's Avatar
 
Join Date: Feb 2005
Posts: 72,823
Without a description and history of these wounds, all of this advice consists of random shots in the dark.
__________________
Restore checks and balances no matter your party affiliation.
Skeptic Ginger is offline   Quote this post in a PM   Nominate this post for this month's language award Copy a direct link to this post Reply With Quote Back to Top
Old 9th April 2019, 02:45 PM   #11
Wolrab
Illuminator
 
Join Date: Dec 2002
Posts: 4,461
Originally Posted by Skeptic Ginger View Post
Without a description and history of these wounds, all of this advice consists of random shots in the dark.
Yup.
__________________
"Such reports are usually based on the sighting of something the sighters cannot explain and that they (or someone else on their behalf) explain as representing an interstellar spaceship-often by saying "But what else can it be?" as though thier own ignorance is a decisive factor." Isaac Asimov
Wolrab is offline   Quote this post in a PM   Nominate this post for this month's language award Copy a direct link to this post Reply With Quote Back to Top
Old 9th April 2019, 03:04 PM   #12
theprestige
Penultimate Amazing
 
Join Date: Aug 2007
Posts: 33,197
Any time someone has access to trained professionals with detailed knowledge of the problem, but chooses to come here instead, I assume they're not looking for a solution, they're looking for conversation.

Related: https://youtu.be/-4EDhdAHrOg
theprestige is offline   Quote this post in a PM   Nominate this post for this month's language award Copy a direct link to this post Reply With Quote Back to Top
Old 9th April 2019, 05:08 PM   #13
The Atheist
The Grammar Tyrant
 
The Atheist's Avatar
 
Join Date: Jul 2006
Posts: 22,010
Originally Posted by P.J. Denyer View Post
It depends on the wound, I recently had a significant dog bite ...
I wouldn't go posting pics of it - I got threatened with banning for posting dog attack victims a while back.

I trust the dog was destroyed?
__________________
The point of equilibrium has passed; satire and current events are now indistinguishable.
The Atheist is offline   Quote this post in a PM   Nominate this post for this month's language award Copy a direct link to this post Reply With Quote Back to Top
Reply

International Skeptics Forum » General Topics » Science, Mathematics, Medicine, and Technology

Bookmarks

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Forum Jump


All times are GMT -7. The time now is 05:40 AM.
Powered by vBulletin. Copyright ©2000 - 2019, Jelsoft Enterprises Ltd.

This forum began as part of the James Randi Education Foundation (JREF). However, the forum now exists as
an independent entity with no affiliation with or endorsement by the JREF, including the section in reference to "JREF" topics.

Disclaimer: Messages posted in the Forum are solely the opinion of their authors.