Last Friday at the Wound Care Center at Legacy Emanuel they dressed my wound with Silverdene, one 3x3 sterile pad, one 5x9 on top of it and then gauze roll and
tubigrips over the heel on top of everything.
After the second day the
Silverdene started to
burn real bad especially in infected areas around the wound to the point i could not sleep and dug mm deep "trenches" around the eschar. Tubigrips over two thick layers (one 5x9 thick pad, bandage) were cutting circulation in the dorsal
artery and caused serious pain (claudication) in downstream areas so i had to remove it. Improved after about 24-48 hours.
Bandages do not work well without tubigrips. I went outside one day and the bandage came undone so i replaced those with diabetics
socks two days ago. Not as tight as tubigrips, they were still cutting the circulation, promoting decreased blood flow and infection at wound site which started to spread in the entire leg all the way to my thighs.
Normally would have called and asked them for advice but there is something in the post visit note that discouraged me to do so. I remember during the visit i asked the doctor what type of tissues were affected or how deep was the wound and he said he does not know and asked him to do an MRI which he declined and sent me to X-ray to check for "bony erosion".
He also performed a quick (by ear) waveform test on 4 of the six major arteries of the feet using a small battery powered Doppler and found a borderline abnormality consistent with calcification which is not confirm by the ABI with digital waveform test done at Legacy Meridian days before.
X-ray came negative for that but and by using an ambiguous language they said i might have calcified vessels (which is not confirmed by the previous X-ray interpretation at the ER) and an MRI is recommended if there is "infection concern" so he ordered one.
I had several episodes in the past weeks (from different reasons, like exposure to cold) even more severe and i know it will take some time to re-set. Wound itself does not seem to have been affected, infection is in the areas around it. Looking at the pictures with progression of the wound in the past 10 days, the wound is progressing now at a rate similar to a non-diabetic laceration.
Tomorrow i have again an appointment at the Wound Care Clinic with dr. Davut Savaser (Turkish, Armenian, Jewish descendance by name) apparently of Seattle. Noting the semantic resemblance of his name with a recurrent name from the news.
Here is the picture with the wound since Jan 18 or several days after i discovered it (after i saw blood on the bedsheets). I have made some bad mistakes though, one was using hydrogen peroxide to disinfect a couple of days which extended the eschar.
Here is a picture with progression over the last 10 days.
Here are two pictures of the shoe that cause the erosion seen in the bottom of the pictures above. There is some sort of wrinkled cushion inside that is also pretty hard (as hard as the surface leather). There are the same type of wrinkles in other areas where i had blisters. However the erosion goes way up, and was promoted by a cut (or 2 cuts in the
shape of X) some time around December 23.
The other shoe has similar but smaller wrinkles. There is/was an X shaped couple of cuts on the right foot that are now almost healed.
Some existing neurophaty promoted numbness of my legs so i did not feel (most) anything. That leg was intermittently hurting in different places anyways (yes pain alternating with numbness). Also the contribution of the smoke coming from outside. Walking on a 3 mile loop around Legacy Meridian Park Hospital)
I always stuck my index finger inside when i put them on.
11:40 02-27 Picture taken from dr. office after partial debridement (pulling of "the pieces about to come out"). The nurse packed the wound
with per dr. choice.
12:55 BTW when i got at the hospital, there was vague smell in the air i could not identify but once inside my BP was 200/100 and would not go down with time (it went up by the end of the visit). But when i got out, i figured the reason. There was a pretty bad smell of tarr from a pavement work somewhere which clogged my nose, slowed my breath etc..
Also i know from experience that the smell of fresh asphalt is bad for wounds because it promotes bad (dark) bacteria.
5:40 Just finished doing the bandage after one hour of pain. I figured the honey from the pad has penetrated the remaining eschar and surfaces of the tissues and combined with asphalt bacteria started to eat away tissues.
Before that i imagined this trick. I poured some sterile saline on a sterile 5x8 and put it over the wound and let it soak like 10 minutes, to try and remove some of that sugar from the eschar (molecular diffusion).
Pain at the surface has subsided but as many times before, it went deep inside and now i'm waiting to see what happens next.
The big question of course is why i did not feel any pain as he tore the pieces of eschar and for several hours later. Could it be the first smell when i got inside had been different from the one when i got out? The reason the security woman at the entrance was laughing uncontrollably?
9:35 AM 28 Some could think i am on an irreversible path to healing. However i had huge setback last night which much pain in the whole calf to the point i could not sleep (first time since the beginning of this problem).
Was thinking going to ER when i discovered a scratch about 10 mm long, one deep (there is a bit seen in the picture on top) from where asphalt favored bacteria infected my whole leg. It was the focal point of my pain, not the wound itself. Now i have to bandage two wounds until the small one heals.
Finally had this idea of taking one Cephalexin orally (in top of the Augmentin), so far i have been using Cephalexin only sprinkled on the wound because i had so few left and finally fell asleep. This morning i sprinkled a bit from one capsule and took the rest orally with one Augmentin and it hit me (in the stomach) almost causing palpitations.
However i took some flaxseed and coconut capsules and fell asleep after and added one more hour to the four since last night and now i am at peak concentration in plasma of both and i feel the heat in my leg but also in all area that have been previously affected by wi-fi exposure. Doctor "didn't feel like i needed more antibiotics as there is no infection concern" (as per his assistant when i asked after he unexpectedly left) so he did not prescribed any.
And i discovered one thing. So far was getting chills every time after doing the wound dressing and i discovered the reason. The
saline i have been using to wash the invisible bacterial film which is a very necessary step, (otherwise i have pain and redness for the whole time after bandaging until the next one), needs to be heated up close to body temperature.
Pouring cold saline on the wound brings instant infection. Again, those are not healthy tissues but damaged by diabetes, poor circulation and wi-fi (microwave) radiation exposure.
10:12 At 4 hours since last dressing (and at peak systemic concentration) i start to feel a bit of pain in the wound and now in the calf. Pain becomes unbearable at 6 hours when i have to do it again.
BTW in the after visit note i got instruction on how to take care of a few small wounds at toes that are almost healed (and were also causing inflammation in the whole foot) but apparently he did not see the one on the calf.
