Showing posts with label wound care. Show all posts
Showing posts with label wound care. Show all posts

Monday, October 28, 2013

And Now, A Pep Talk.


This was taken from a post I wrote and shared elsewhere, then edited into this blog post.  For those of you who don't have scleroderma, feel free to replace the word "scleroderma" with your chronic illness.  We have different diagnoses, but we have so much in common.  Don't let a disease name deter you from an honest pep talk riddled with salty language.  

Greetings Fellow Patients!  
I want you to know how strong you are.  I don't need to tell you all that you are in a fight for your lives.  I write this blog to share what works for me and after reading some statuses, I think some of us could use a good pep talk.   I'm about to speak to you in a manner that keeps me going at times.  I'd ask you to forgive the salty language if it offends you, but sometimes a little  foul language mixed with humor, and blunt honesty, is exactly what we need to hear. Those of you who have experienced boot camp can relate.  (By the way, can you believe people actually pay to participate in boot camp fitness?)  

Cancer Sucks
First, I am so tired of patients complaining about how "cancer gets all the publicity".  No big-name celebrity has scleroderma. A big dose of viagra and lesbian porn couldn't help get a rise with the name scleroderma, it's so unsexy.

When patients drop dead, scleroderma is mentioned in the obituary. Those who the deceased invited to walks and fundraisers for years come out of the woodwork to cry at their funeral, and walk in their memory.  Everyone has a bonding, cathartic moment.  Promises are made to do it the next year in the memory of the deceased, but guess what? Life goes on, which is exactly what the deceased probably wanted.  The deceased needed that love, support and a cure while they were here.   I know, it's a pretty brutal reality, but that's the way it goes.  It doesn't make those loved ones bad people.  We all don't know what we really have until it's lost.

There are not enough months in the year, or colors in the rainbow for the diseases that need curing, treatment and funding for research.
Fundraising is not our fight. Our fight is for our lives. F*ck awareness already.  We are acutely aware of scleroderma and so is our family.  If you want to be aware of my little heard of disease, read about it. If your "friends" seem to act only because they were prompted by a Facebook status meme to get all worked up over a cause, offer to assist them in removing their head from their ass and send an email about your messed up disease they cannot spell or pronounce.  We can't control their response.  If they do nothing, maybe it's to much for them,  so use your energy for something else.  Getting angry because people post all kinds of cancer stuff on Facebook and ignore scleroderma is a waste of good energy scleroderma patients need for the fight.

I've been writing about scleroderma and raising "awareness" since 1994.  Friends and family who don't share my every post, surprise me every now with how they have taken time to learn about my scleroderma and sarcoidosis.  They strike up a conversation that's helpful and supportive outside of Facebook. True friends don't need to share their empathy and support for you.  It's one thing to share something about a patient not close to us, but it's a different ballgame when it's your sister, or best friend.  So give your friends a break.  Or don't.  Just redirect your energy to the fight instead.  Are you patients picking up what I'm putting down?  People care about us and it can be so painful for them they don't know how to express it. And if they think you are faking it or it's "all in your head", unfriend them or make them an acquaintance and move on.


Scleroderma is a big part of our lives, but it doesn't own us. Our fate is not in god's hands until we are dead. We, are not dead. We may be in a great deal of pain, near death, or about to have a close brush with it. Those are facts. It is up to us as patients to be our own best advocate, because this is an orphan disease. Yell where it counts and kick down doors to get what you need. No one is going to do this for us. It sucks- I know. Suck it up and fight. Take breaks when you need them, depend on pain pills because they will help you manage pain. If the pills cause side effects, take the meds to help fight the side effects if it means you get to keep your fingers.  Ulcers do heal! Viagra gives me a headache, so I drink coffee in the morning.  Ask your doctor, (make sure it's one who keeps up with current research) what temporary  things you can to to get those ulcers to heal, or hang in their with that medication that causes side effects that seem unbearable, but preferable to death or gangrene.

We get crazy advice.
Well intended, crazy advice.  For example: "Try  Cayenne  for your Raynaud's Karen."  Cayenne pepper might help circulation, but my epiglottis doesn't close and I can't feel stomach acid from the heartburn cayenne pepper causes because my esophagus is scar tissue.  There is no peristaltic movement in my esophagus, hence making "hot dog down a hallway" an actual medical term.   So remember good buddies, advice comes from a place of caring, but anyone who tells you that you can beat scleroderma with a vegan diet, or herbs is a fucking idiot. Smile at them, thank them for caring and move on. Do your research. See what foods harm or help you.  There is no magic bullet.  If your doctor doesn't know what to do, find one that does and if you can't change doctors, educate the doctor you have. If they don't listen, be persistent.  Eventually, they will have to listen, to get you to shut up.  Be the squeaky wheel.

Friends who feel better because we have it "worse" than they do.  
I hate that.  I hate hearing someone sharing what's troubling them, then feeling a need to say to me, "I don't know why I'm complaining, you have it so much worse."  Unless I am engulfed in flames while someone is sharing their woes with me, I don't have it worse or better than anyone, and neither do you fellow patients.  We are all stronger than we can imagine.  When "shit gets real" we all step up.

F*ck Cancer, F*ck Scleroderma, F*ck Sarcoidosis, F*ck "Name Here"
Scleroderma is not the only fucked up orphan disease that does not get enough publicity. No disease is worse than another. They all suck. If you get an ulcer, don't wait for your god damn fingers to fall off; learn woundcare, debreeding and what drugs you can use to get blood to save as much of that body part as possible.

Be your own hero!  



Just because there is a "worst case", that doesn't mean it's going to happen to you.  FIGHT!


My hands look like shit because Viagra wasn't available to me until 2005.   I battled depression and it nearly killed me.  But you know what I am able to do now? Lots and lots of stuff. Sure I can't play guitar anymore, but I can sing like Robert plant playing the video game rockstar with my son.

Do what you can, grieve what you have lost and move on! You can do this! Stand up to those ulcers and brushes with death. I was not expected to see 30. I'm 43 now. And I've got many years ahead of me. Parts of it will suck. But I won't stop fighting to be here and keep what I've got. And it drives me to get out of bed every day, even when I feel like I've been beaten by a baseball bat in my sleep.

Need more inspiration?  Click here and ROAR.

Sunday, April 21, 2013

Jedi Wound Care


Jedi Wound Care

Last night, there was a "scab" on my middle finger  MCP.  The skin around it was swollen and red.  It was hot to the touch.  I decided to use  non-stick gauze cover it and applied antibiotic ointment.
I've Been Slimed!
Two house later, I took a peak and there was - for lack of a better term, green slime.  I removed the dressing and prepared myself for a relaxing soak.
De-Sliming Protocol Engaged
I filled  bowl with warm water and hydrogen peroxide.  I soaked for about ten minutes.  The slime was drawn out by the warm water and the peroxide cleaned the tissue.  Note: Never soak in straight peroxide.  Always mix with water.  Ask your doctor or a wound care health practitioner at your next doctor's appointment for advice about soaking.  It's not that anyone is withholding secrets: Appointments have time limits.  Put this question on your list.
I soaked my hand for almost 10 minutes.  I took it out of the water frequently because I was curious and impatient.  That's how I made the time pass quickly.    When my hand was immersed in the water/peroxide solution, I could see the "slime" float away from the wound like wafting cigarette smoke.
When finished with my soak, I rinsed with sterile saline solution.  (Warm water will do if no saline)  I gently dabbed away remaining slime that was now yellowish-white, and allowed it to dry for about 45 minutes.
That's A Wrap People
It's not always possible, but after soaking if you can let the wound dry out before covering, skin is less likely to break down.  Don't sweat it if you need to cover it and go.  Just use non-stick gauze with no ointment to let the gauze absorb moisture.  Bring some ointment and supplies for a clean dressing change with ointment later.
Once the wound is dry, apply ointment to gauze straight from tube.  By applying to gauze, you are not compromising the ointment by applying directly to tissue, and you won't need to use a cotton swab.  A cotton swab to the wound may not sound "traumatic" but it has been my experience, the less I touch the wound, the better.
So, a dollop of ointment to the gauze, then apply tape to back of gauze and smooth tape gauze side down over wound.  If you have Colban (stretch it- you dont want it to be constricting.) or a thin way to wrap the wound, great.  I have uses a thin ankle sock with holes cut for fingers and thumb when I don't have something.   I roam around the house in tape & gauze, but when active, I wrap it for extra protection.
The Law of Attraction
I don't know about you, but when I have a healing wound, if I'm going to bump into something, I will bump it with my wound.  Yep.  I have tried to be more aware and cautious, but that only seems to make it more likely to bump or bang it into something.  I call it The Danger Prone DaphneEffect.  So, rather than fight it, I wrap it.  So, yeah, the sock is not crazy.  Ya gotta do what ya gotta do!
And now, some before and after pictures.  Try not to be eating.  If you have question's please post them in comments.  If I don't know the answer, I will find one or send you to a source that could.  
See the hole? That is surrounded by tissue that was once swollen, then drained by soaking. Notice the redness around the tissue surrounding the hole. Never, ever puncture a wound. Soak it and let it drain. The implement used to "break" it will introduce bacteria that can make it worse. This picture was taken last night. The anatomical location is my middle finger knuckle attached to my hand or MCP. Still wondering, go to link provided for hand anatomy.









"after" picture of infected wound.  fluid gone, selling gone and healing.
This morning: The tissue is not as yellow as it appears. I left these photos unedited because it did not help. The redness present last night around the swollen tissue is gone. The area is sore, but only if I press on it, not to the touch. It is also no longer "warm". When I removed the dressing this morning, the tissue was wet and beginning to break down, so I have left it to air dry this morning to allow my skin to regain some integrity before showering. After I shower I will let this air dry for an hour before rewrapping and setting out for my active day.













For more information about Scleroderma and related conditions, please visit:
Pulmonary Fibrosis Foundation
And a word from our sponsor: Me

Friday, March 22, 2013

Yes, It Looks Scary, but it Will Grow Back...

I've had a wound /ulcer /hole in my knuckle for a few weeks now.  I had an upswing and it looked like it was going to close, but there is still some icky drainage going on, so I made an appointment to see my doctor to have it looked at today.
I have to say, the hole was huge two  days ago, and now the hole is smaller surrounded by healthy tissue regrowing nicely.    Inside the hole it's just gross, but very clean and rarely oozing.  With all the experience I do have as a wound care Jedi, I am not a doctor, or in other words:  I still need to go before the Jedi Counsel.
For those of you experiencing ulcers from impact, calcinosis or Raynaud's, I'll post pictures of the wound progression in Pinterest.  These wounds can be scary and insanely painful- I don't have to tell you that.  I want to post them so you know that you are not alone.  When I got these back in 1996, not only could I not find anyone else who knew how to take are of them, I knew of no one else who had experienced the weirdness that is slow healing and puss as something that occurs normally.  Not that these wounds are normal.  I do have a choice to avoid them.  I live alone and I don;t like asking for help and I love to get  out and do things. I am willing to risk infection and pain caused by a an impact injury, than sit still.  Playing with my son and having adventures that risk my bumping my hands into something or by unpacking myself and having my home the way I want, outweighs the setback of wound care.  I have accepted it as a very painful inconvenience.  I get a sore, take care of it and roll with it as it heals.  I can focus on how much it sucks, or I can tale care of the wound and focus on life around me.  It took years for me to get here.
A few of my favorite things... and I don't feel so bad...

If you are new to these ulcers, learn to take care of them.  Ask for a referral to a wound care specialist. If you are ever in a hospital, ask your nurses to see if they can score you some Medicpore tape,  Colband and cause.  Yes, stockpile and squirrel away.  Never  turn down free wound care supplies when you can get them.  Saline solution is outstanding for  rinsing wounds.  Saline filled syringes can be reused to help rinse.  In another post I will unpack my first aid kit, but for now you will have to live with a tease of a picture, but I need to get going.  I am to go before the Jedi Counsel for guidance.
Have a great day everyone!


PS:  instead of being shocked over breakfast by my waving my wounds n your face, you can to Pinterest and click to see them.   They will be up Saturday, but connect with me on Pinterest if you happen to be there.
The bandages always make it look bigger than it really is.  This is quite comfy.