11am
Cast change. Very goupy and it is clear that 5 days is too long. There is irritation showing on the skin where it has been wet for too long. With WN we agree to return to the Monday/Thursday routine starting on Monday 5/19. The risk is too high for further tissue damage or additional infections. She did another heavy scrapping making it all look like hamburger but also did a big scrap on the edges of the wound...hoping to resume the strong tissue growth we have been seeing. I have pictures too. She added some medication to the irritation areas AND added extra medication to the same areas to prevent moisture from penetrating. (the stuff they put on noses...the white stuff)
3:45p
Infusion. We talked about timing - we are usually the last ones of the day so we are going to try to come a little earlier next week -which, hopefully, will be the last week of infusion IVs
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Our daily dealings with a severe diabetic ulcer and the medical world
Cast of Helpers
Diabetic ulcers take a large amount of work by a lot of different people. These are the people helping us and where they work:
Home Clinic (5 miles) - Victoria's primary care doctor and local emergency care center (EMs)
ID - Clinic on other side of town (15 miles) where she gets her weekday IV and that houses WN, DrIV, BugN and CT
WEC - Weekend Clinic for IV only, further away from home (20 miles)
DrPri - Victoria's Primary Care Physician. We have been with her for about 7 months.
DrPod - Podiatrist at ID
DrIV - Dr supervising the infection and antibiotic treatment
DrIV#2 - Other Dr on this team
BugN - Nurse supervising the actual infection, works with DrIVs
WN - Nurse with a specialty in wound care. All she does is wound work.
IN - Infusion nurses actually do the IV work (there are 4 of them that rotate - although we see a total of 7 between weekends and covers)
CT - Cast technicians/sculptors (2 of them)
Dr Sur - Surgical Doctor with reputation of working well with diabetic ulcers
Insurer: we have no insurance. Diabetics are extremely hard to get insurance for and the state pool was too expensive for us to keep up with 2 years ago when the bk law changed
Home Clinic (5 miles) - Victoria's primary care doctor and local emergency care center (EMs)
ID - Clinic on other side of town (15 miles) where she gets her weekday IV and that houses WN, DrIV, BugN and CT
WEC - Weekend Clinic for IV only, further away from home (20 miles)
DrPri - Victoria's Primary Care Physician. We have been with her for about 7 months.
DrPod - Podiatrist at ID
DrIV - Dr supervising the infection and antibiotic treatment
DrIV#2 - Other Dr on this team
BugN - Nurse supervising the actual infection, works with DrIVs
WN - Nurse with a specialty in wound care. All she does is wound work.
IN - Infusion nurses actually do the IV work (there are 4 of them that rotate - although we see a total of 7 between weekends and covers)
CT - Cast technicians/sculptors (2 of them)
Dr Sur - Surgical Doctor with reputation of working well with diabetic ulcers
Insurer: we have no insurance. Diabetics are extremely hard to get insurance for and the state pool was too expensive for us to keep up with 2 years ago when the bk law changed
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