I've had this wound for months. I've gotten second and third opinions and both docs say that surgery is the only option, but I'm still not willing to give up hope and am willing to try. My wound care doctor keeps fluctuating from week to week to being positive, and then saying that there's nothing more he can do. One thing that has bothered me is for the last couple of months he keeps changing the therapy every two weeks.
T-2 para
No weight bearing - have been lying in bed for months, mostly on my belly so I can use my computer and work from home
wound is 2 tunnels each about 4cm
There is NO evidence of Osteyomyelitis. Repeated blood and MRI results have all come back negative
With the wound vac he has tried packing the wound with:
white foam
then some kind of collogen foaming dressing
then something called hydrofera blue and sentyl
then he took me off the wound vac for two weeks and packed it with iodine rope
then most recently switched to packing it again with the hydrofera blue with sentyl
I can't find anything on the internet that says that using either of these types of dressings is appropriate to use with a wound vac. KCI instructions say to use white foam.
I am wondering why he doesn't just stay with something and stick with it. My wound has gotten centimeters smaller, but to me, it seems that the more he keeps changing therapies the less chance my body has to respond. I'm thoroughly annoyed now, and for reasons too complicated to go into here, I cannot have flap surgery until April. I need to convince him to stick with something, and I want to challenge his use of these other therapies if they aren't appropriate.
Is there any literature that says that the other two treatments are okay for use with a wound vac? I really want him to go back to the white foam, but he is so arrogant and hard to talk to. The other two docs I saw were no different, and wrote off any further treatment.
I am scared to do flap surgery due to the 50/50 failure/success rate. I don't want to be on the failure side of that percentage.
Please, no criticisms, only helpful informative feedback.
Thanks.
T-2 para
No weight bearing - have been lying in bed for months, mostly on my belly so I can use my computer and work from home
wound is 2 tunnels each about 4cm
There is NO evidence of Osteyomyelitis. Repeated blood and MRI results have all come back negative
With the wound vac he has tried packing the wound with:
white foam
then some kind of collogen foaming dressing
then something called hydrofera blue and sentyl
then he took me off the wound vac for two weeks and packed it with iodine rope
then most recently switched to packing it again with the hydrofera blue with sentyl
I can't find anything on the internet that says that using either of these types of dressings is appropriate to use with a wound vac. KCI instructions say to use white foam.
I am wondering why he doesn't just stay with something and stick with it. My wound has gotten centimeters smaller, but to me, it seems that the more he keeps changing therapies the less chance my body has to respond. I'm thoroughly annoyed now, and for reasons too complicated to go into here, I cannot have flap surgery until April. I need to convince him to stick with something, and I want to challenge his use of these other therapies if they aren't appropriate.
Is there any literature that says that the other two treatments are okay for use with a wound vac? I really want him to go back to the white foam, but he is so arrogant and hard to talk to. The other two docs I saw were no different, and wrote off any further treatment.
I am scared to do flap surgery due to the 50/50 failure/success rate. I don't want to be on the failure side of that percentage.
Please, no criticisms, only helpful informative feedback.
Thanks.
Various Treatments for Stage IV Ischial Ulcer
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