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    The nitty-gritty of taking good care and staying healthy.  
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    1 Posts
    Pressure sore on the behind
    By Dan   
    Hello, I've recovering from a deep pressure sore on my butt.  I just got off the wound vac and now just waiting for everything to heal up before getting back in my wheelchair.  I will start with a hoyer lift and hopefully all will be fine.  I am not sure I can protect it from happing again.  I have aways had Roho cushions on my power wheelchairs and have always slept on an Volkner Europa Auto turning bed.

    I am 4 years post injury T4 complete with C4 peripheral nerve damage.  Finding getting out and keeping social hard when your stuck in bed.

    Any help is appreciated.  In another post someone mentioned Vertercin, some horse healing stuff for healing pressure wounds.  Has anyone used this, I can't find it on the internet.

    cheers,
    dan
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    Visit Michael M's profile
    8 Posts
    Michael M  says:

    VETERCYN not vetercin....yes I think it works great l!!!! 
    Posted:   
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    Visit Betsy's profile
    1 Posts
    Betsy  says:
    I have seen Vetercyn posted a couple of times, stating it is a great procuct. Has anyone used it for junst the onset of a pressure sore or is it  being used for open sores?
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    Visit SHEILA's profile
    4 Posts
    SHEILA  says:

    Hello, I had a pressure sore on my tail bone and it was deep and the size of a golf ball and the thing that saved my behind literally is a spray that is dark green  and is prescription only it's called panafil. Something else we took 4x4 sterile gause and wet it with  Dakin's solution and packed the wound and then we used an abdominal pad I think it was 10 x 4 in. and medipore 3m tape and taped it over the wound and it also allowed some cushioning for when i was sitting in my chair. It wasn't easy but it healed it up and the doctors were amazed. Hope this helps.

    Here is a link about the Dakin's and it's over the counter.
    http://www.webmd.com/drugs/drug-62261-Dakin%27s+Misc.aspx?drugid=62261&drugname=Dakin%27s+Misc

    This tells about the panifil
    http://www.drugs.com/cdi/panafil-spray.html
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    Visit a-t's profile
    31 Posts
    a-t  says:
    We just recently read about Vetercyn on this discussion board, and thought to give it a try.  My husband's new pressure sore was on the bottom of his foot by his little toe.  The skin was not broken, and all there was was intense red, with a blood blister around an old pressure sore.  We sprayed the Vetercyn 3x a day and also used high voltage estimm once a day.  The redness went away very fast,  and the site continues to heal.  Gosh though, those feet are slow.  I think the Vetercyn has helped.  We also use Calendula ointment to keep the site healing.  His leg gets very jumpy when it is unhappy, which reminds him to move his feet often in the cradle.  My husband has been very lucky with his skin, and I have to say, my heart goes out to anyone who struggles with pressure sores - they are awful!
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    Visit Rich's profile
    126 Posts
    Rich  says:
    Dan,

    I had a stage 4 pressure wound on my butt that required skin flap surgery. I had to lay in a bed w/o moving for 5 weeks. You must do your laybacks every hour you are in the chair. There are ointments you can use but you need to be seen by a doctor first. Have you been mapped while sitting in your chair? That would identify hot spots and the type of cushion which would work best for you. You can download free info on Skin Sore and Relief at the following website
    http://www.craighospital.org/SCI/SCI_pressure_reliefs.pdf    It's nothing to mess around with.
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    Visit Susan's profile
    3 Posts
    Susan  says:

    I use an AQUILA alternating air pressure cushion and it is really good.  However I still got my original sore back again...it seems to be triggered by new chairs!??? I think I might have gotten this baby back in 1992!

      I had surgery for bladder cancer then.  Anyway, it erupted in 2000,  w/me getting really sick w/Osteomylitis, 3 visits to ER, a nurse vitising me 2x a day at home then finally  5 wks at Kaiser.  It took them a week to diagnose Osteo + MRSA!  Then I  spent  some weeks im isolation then more on a wound vac.Then 2.5 mo at a convalescent hospital. then several months just recuperating.  It is a good idea to try to keep up strengthening exercises with therabands and maybe Zumba if you can catch it on cable or dish network.  it is pretty catchy and you can do it in a reclining position!  .  Just move to the music, it really makes you want to move.

    then it came back in Fall of 2004 and erupted in 2005 with home self injected IVs for 6 weeks!  They delivered frozen syringes once a week and hubby would put 3 in the fridge for the next day.  Bad bowels and made my teeth really yellow.    I had to get up 2x a day for bowel care, early am late pm.  Ugh.  took about 6 months to finish it off.  THen got a new chair and the Aquila cushion.  Come to find out in 2009 when got measued for anew chair that the idiots who fixed up the 2005 chair dropped the rigid seat pan into the frame of the chair giving me a 14.5" seat pan!  Tells you how good the Aquila is.  only after I changed into the 18" chair I had with a SLING seat--bad move== did the sore erupt once again!
    I laid in bed last year tryng to heal it again...but a stupid nurse wouldn't culture the wound, she just kept saying it sure smells bad---8 fu....king weeks wih no healing, so I told them to get lost.  Finaly got to see a surgeon, he MRI'd it and said there was some fuzzy stuff and I said it might be infected,,,maybe you should culture it  He did I got the antibiotics.  But no new MRI so no one could see what was inside and the other surgeon said it looked like it was healing "OK"  so I got it to heal over.  then wihen I got the new chair, as usual, it takes many tries to get it right and it was too high off the ground; then the front wheels got smaller but they forget to check the angle of my knees and I was slanted downward and the fOR SOME STUPID REASON I STAYED UP DOING TAXES TIL 2 AM!!!  dumb and then it broke thru again.


    BE SURE AND GE 100 GM OR MORE OF PROTEIN DEPENDING UPON YOUR WEIGHT.

    I now have a tempurpedic mattress with positioning and vibrating massinging, very good. hard to move on but I use a push up handle to help me move from the edge.  

    I looked for Microcyn and found the co in Petaluma that sells it for $20 a bottle. www.puracyn.com 1 866-3183116.   It is now called Puracyn Wound and Skin Care germ killing solution with stabilizing Preservatives.  I took an old IV sringe and filled it and injected it into the hole in my butt and it seems to have helped with the smell and fevers.  Who knows, I will see a surgeon on Tuesady.     

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    Visit Kathleen's profile
    3 Posts
    Kathleen  says:

    Hi Dan,
    Next month on June 11th will be my 7th year post injury and Ive been dealing with pressure sores that kept returning and have had 4 surgeries on it. The last one had to have part of my bone cut off and a transplant of muscle and thicker skin moved into place but after 2 1/2 months stuck on my right side was a few days too long causing a new one on the other side. This triggers spasms and opened the 2 I have on my outer ankles and another on the left side of the butt but not on the sight that was fixed last time. I am still learning all I can about the "tunnels" that seem to keep developing even when the sores closed on the outer layer of skin; HOWEVER..... I have two sisters and an older brother that have a different mother than me and she had MS. As different as our issues are there were lots of similarities between my T6 ASIA injury, one of them being pressure sores stage 4, and she had tons of them from being chair and bed bound for over 30 years. Well when she passed they gave me her old wound care supplies and believe it or not there was several tubes of BARBASOL shave cream in the normal blue, red and white colors like the can but this one is in a tube. After hearing my sister explain all the research she did about using it I tried it. I haven't been able to heal the tunnels under the skin on my big sore and need to learn more about them, but I have healed 4 or 5 new sores with the barbasol in place of 5 different kinds of prescriptions from my Dr. I will also say that my first Dr visit after using it for over a week was my first visit that the sore didn't need breading. FIRST FOR ME EVER! My Dr doesn't even try to get me to use anything else because it works so good. I don't know the difference between the tube and the can so I will use what my sister gave me and I didn't look into it myself knowing she over researched it for her mother but I can say its worked very well for the smaller sores and keeping the big one cleaned.
    It will be a year this July I have been using the Barbasol and since using it I have finally healed a sore on my own without the Dr cutting on it, and I have gotten 3 or 4 more healed since then. I haven't even figured out where to buy it but my sister knows!

    Good Luck to you!

    Kat

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    Visit carriep's profile
    26 Posts
    carriep  says:
    My husband is 1 year into his injury C3, incomplete and has been plagued by pressure sores about 11 months.  It started with 1 and then 2, then 3 all and around his bottom.  Initally it was too much laying then too much in a gerry chair, he hated to be turned right after the accident everything was so painful, we've sense learned our lesson.  We are finally getting close to healing up 2 and the newest one is about 4 months old and will probably need more time, but I've learned to stop asking when!  He's in a facility because all this has dragged his health down considerably and also his mood because he's been bedridden for so long.   He had a wound vac in the beginning, but no one would get it on right due to the location and then he got cdiff, what a mess.  Nurses always mention colostomy's but we didn't want to pursue that, I'm not sure if that was a good or bad thing.  It was just taking away another thing... I really like the dakins, the bleach seemed to make you think it was helping.  However, the one thing that was not mentioned that seemed to do well for him was Mesalt which seemed to do a good job.  Right now they switched to something else, I forgot the name, and are trying not to use tape and let air on to the skin because the skin around the wound was getting torn, that has done amazingly well in such a short time.   We also found that tegaderm did not tear the skin like the paper tape that they used with the ABD bandages,  you can find some with cushion, but I don't know the cost.  I imagine it's heafty.  We are hoping to get these healed and finally be able to get him into agressive therapy, which has been dealyed for about 7 months, but we are still hopeful!  As a newbie I didn't realize what we were getting ourselves into with these and I found you can't trust anyone with what's going on, but then you have no choice. 
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    Visit Jennifer's profile
    1 Posts
    Jennifer  says:
    My friend swears by Miracle Mist Plus.  He found it when he had a nasty wound that just wouldn't heal.  Now he uses it every day on his tailbone to prevent new preasure sores and has noticed a HUGE difference in the frequency of skin issues. 
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    Visit Jason's profile
    16 Posts
    Jason  says:
    I fought a horrible bout with osteo and a subsequent wound.  After a year of bedrest and trying the wound vac, I finally conceded and went ahead and had the flap surgery.   Throughout the ordeal I spent a lot of money on a ton of wound care products.  A couple of my favorites are Dermawound, Aquacel, and karaya paste.  Dermawound works really well and is basically a more expensive version of my homemade favorite which is betadine and sugar.  It has nonxydol 9 in it which kills bacteria and viruses.  If you are packing your wounds at all you should definitely consider this.  Also, get hyberbaric oxygen chamber therapy.  It works wonders.
    Posted:   
    http://www.seeandbesafe.com/products/
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