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Old 08-29-2007, 10:25 AM   #1
Faylaricia
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Woundcare - Part II

A while back I posted about my foot injury (obtained at a trackday in July) and asked for help.

First of all: HUGE Thanks to Denee. She is awesome!!!!! She has become a really good friend. She is trying to help me heal physically and mentally. She got me to make an appointment with a plastic surgeon and yesterday, we went.

Here is what he proposes and Denee suggested I ask for suggestions, opinions and votes on the option to take . I know we have had a few folks here with roadrashes, lacerations and whatnot. Maybe someone here has been through this and has insight:

Option 1: Surgical removal of the dead skin (debridement) and then a skin graft. My foot would be healed in two weeks.

Problem: I would have to lay on the couch for an entire week so there is no risk of the skin graft to move. We are talking sponge baths and having someone bring me something to drink. The foot has to stay above heart level and I could only move around for brief periods on crutches (bathroom or to move to the bed at night), which is still a problem, since I am recovering from a fractured clavicle. My back is also still hurting and laying down is always an issue. I am also a very active person and laying still for one week would kill me.

Option 2: Go to the Willowbrook Woundcare Center twice a week and have them do a whirlpool treatment with removal of dead skin, then apply new dressing with a tight bandage until the next treatment.
I've been doing this at home myself twice daily but he recommends the wound care center. I will try them and see what they may be doing better.

Problem: It will probably take another 2 - 3 month before it is healed.

Result: Pretty much the same. Skin may always be tight in that area. Not sure what that does to my soccer playing, but we'll see.

The only difference between the skin graft and the woundcare center is the time it takes to fix it. Oh, and of course with a skin graft, you have another scar somewhere else...

What would you do? :/:
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Old 08-29-2007, 10:28 AM   #2
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wound care center.....skin grafts scare me unless they are the ONLY option....

my $.02
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Old 08-29-2007, 10:28 AM   #3
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what about price wise?
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Old 08-29-2007, 10:31 AM   #4
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Pardon the lapse of memory but, how long has it been since you incurred this wound?
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Old 08-29-2007, 10:31 AM   #5
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I'd go with B... it's a foot, and considering the others areas that are healing etc, probably more tolerable than being bed-ridden for a week or two.
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Old 08-29-2007, 10:32 AM   #6
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her incident happened 7/21...thats a month and some change
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Old 08-29-2007, 10:32 AM   #7
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Quote:
Originally Posted by eugene View Post
what about price wise?
I have healthinsurance and I would hope they cover either, skin graft or woundcare center.

Up until now, I was doing the woundcare at home which already cost me quite a bit in bandages, dressings, gauze, tapes, you name it. The woundcare center would probably cost a copay every time I go, so that comes out to the same.
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Old 08-29-2007, 10:35 AM   #8
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if that is the case, i would go with skin graft.
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Old 08-29-2007, 10:36 AM   #9
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why should cost be any factor......
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Old 08-29-2007, 10:36 AM   #10
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So your foot has not healed in a month and some change... are you taking in plenty of protein with your current treatment? Are you exercising it to some degree to get the blood flowing through it?
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Old 08-29-2007, 10:41 AM   #11
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Quote:
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So your foot has not healed in a month and some change... are you taking in plenty of protein with your current treatment? Are you exercising it to some degree to get the blood flowing through it?
Trust me, it is healing as fast as it can but it was fairly deep with no skin there at all. I've been doing hydrotherapy and scrubbing twice a day and walk on it as much as I can. Walking is actually pretty good so far.

Skin heals about 1 cm a month the doctor said. It is still about 3 cm wide and 4 1/2 cm long. It has already healed more than 1 cm on the upper part and a bit less on the bottom part due to the amound of old tissue the body has to dissolve before the new skin can grow there.
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Old 08-29-2007, 10:42 AM   #12
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have they thought about using a hyperbaric chamber?
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Old 08-29-2007, 10:42 AM   #13
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I would try everything first. Surgury would really be my last option due to the seriousness of the procedures. ... my 2 cents.
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Old 08-29-2007, 10:43 AM   #14
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have they thought about using a hyperbaric chamber?
What is that?
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Old 08-29-2007, 10:46 AM   #15
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http://www.edmondhospital.com/Custom...B-D5CE5BEE15DC
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Old 08-29-2007, 10:51 AM   #16
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graft is the way I would go the skin they get they will expand sort of like wire mesh so where they get it from will be a small hole.

The big question for me would be could I sit around that long.

hyperbaric is good if you do not have a good blood supply below the wound.
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Old 08-29-2007, 10:55 AM   #17
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Wow, you guys are cutting edge!!
I never would have put motorcycling and next level healthcare together...
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Old 08-29-2007, 10:58 AM   #18
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Quote:
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Wow, you guys are cutting edge!!
I never would have put motorcycling and next level healthcare together...


Well, thing is, motorcycling and healthcare, are go hand in hand...
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Old 08-29-2007, 10:59 AM   #19
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wound care. as a active person you will go crazy being a couch potatoe!!! atleast with the wound care center you can still get around doing what you can!!
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women just make it so hard to get... why can't you be like dogs, we walk up, sniff your , if we like it we get it right then and there!!!
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Old 08-29-2007, 11:04 AM   #20
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wound care. as a active person you will go crazy being a couch potatoe!!! atleast with the wound care center you can still get around doing what you can!!
She has been a couch potato for the last month and a 1/2 and will be for several months even with the wound care center. The only way to get out natural healing quicker is to have surgery. I would go for the week on the couch watching movies and having my significant other pamper me instead of hobbling around for half a year.
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