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Thread: Stage II Isch pressure sore

  1. #11
    Senior Member smokey's Avatar
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    Big Mac, sorry about the skin breakdown. I had one in 1982 and another in 1983 that both required surgery. Been wicked careful since then and no major problems. SCI nurse is right...the area(ischium)is prone to a breakdown in the first place and even more so AFTER you've had a breakdown there. I watch my ass like a hawk. What kind of wheelchair do you have, are you going to change anything about, it like the back angle and what type of cushion did you use...2" Roho, Stimulite etc.? Also, the protein drinks such as "Boost" http://www.boost.com/productinformation.html taste pretty good but I think they can cause loose stools. At least they caused me some bowel problems. Anyone else?

  2. #12
    Senior Member McDuff's Avatar
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    Smokey, thanks. Not sure what I'm gonna change yet, going to wait til after I get another pressure mapping done. Which is supposed to be on 4/5.

    My chair is a Tilite SX with an Independent Technologies "MaxxPro" cushion. It is an "air type" using little airbags in chambers, that you add/move/remove to adjust. Been fine for awhile, maybe it ain't holding up? I have been trying out different backs lately, wonder if that messed me up.

    Started drinking the EAS Myoplex shakes for mongo protein intake, choco flavor isn't bad.
    No stool changes for me.

    "Rather be ridin' than rollin'"

  3. #13
    Originally posted by McDuff:

    Smokey, thanks. Not sure what I'm gonna change yet, going to wait til after I get another pressure mapping done. Which is supposed to be on 4/5.

    My chair is a Tilite SX with an Independent Technologies "MaxxPro" cushion. It is an "air type" using little airbags in chambers, that you add/move/remove to adjust. Been fine for awhile, maybe it ain't holding up? I have been trying out different backs lately, wonder if that messed me up.

    Started drinking the EAS Myoplex shakes for mongo protein intake, choco flavor isn't bad.
    No stool changes for me.

    "Rather be ridin' than rollin'"
    go w/ myoplex deluxe until u heal way more protien, then reg myoplex after that

    "Man is bound to follow the adventurous promptings of his scientific and inventive mind and to admire himself for his splendid achievements" Carl Jung

  4. #14
    Bigmac,sorry about giving u mayby too much info,but mine kept breaking after healing with a scab,and np would say ok its healed and discharge me,and it woud then break again,then i got this awesome np that knew what to do,so just want you to not go thru what i had,know you have better care and will be ok,

    still trying to find out for you if can lie on air mattress on back,

    Does anybody know?

  5. #15
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    Please, McDuff, demand a wound care specialist from your doctor or call your old rehab and ask about it there. I can't stress this enough! Pressure mapping is secondary at this point, you HAVE to stay off it. Don't wait 2 weeks til your next MD appt, call and demand a wound care specialist. It's like taking your Harley in to a bicycle shop-really! You just can't F*** around with your skin, getting a pressure sore is very serious now and will affect your future skin integrity. Get a specialized wound care specialist and a better mattress now. I won't bug you anymore about it, you just seem such a nice guy, I hate to see it. Hopefully you are taking Zinc supplements also.

  6. #16
    Senior Member McDuff's Avatar
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    Fuente - unfortunately bought a box of regular, will look into deluxe after gone.

    Tried - no apologies dude, I'm here for info good, bad and ugly. Mine might go better, might not. Better to know all possibilities. I'm a big boy.

    Lilsister - thank you for caring enough to be worried for me. Pressure mapping "is" secondary, no doubt. I am trying to stay down. I guess I just don't see what a specialist can do at this point, just tell me the same advice. The Nurse here said that this is proper action. The only mattress better than mine is alternating air(I'm on low air loss) and doubt it would make too much diff at this point. I am not dismissing your advice at all, I believe I am taking proper care and preautions. But I have always been a bit of a "hardass" when it comes to my injuries(took better care of my Harleys ) so I easily could be optimistic in my thoughts. Yes, I am taking zync too. You are not bugging me at all, I appreciate your input. Your brother is very lucky.

    I can tell it is healing some, got up yesterday(i know, bad mcduff) to watch a movie and my butt did not have the sharp pains of past. I have a power recliner and stayed in it for movie, then back to bed.

    "Rather be ridin' than rollin'"

  7. #17
    Nothing much to add, as has been said you have to try and stay off it.
    A Nurse once said to me 'You can put anything on a pressure sore except the patient'. Good advice imho.

    "Your disability is your failure to see my ability"

  8. #18
    Senior Member McDuff's Avatar
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    Well I went searching for this thread just to see how long its been. Damn, 2 months!

    The sore is finally completely healed. Skin is still a little pink as it's still "babybutt new". What a long haul for something so small.

    Of course I wasn't an ideal patient, wouldn't stay in bed all the time, my mental health couldn't take that. And still laid mainly on my back when in bed.

    Got the pressure mapping done. My butt is definitely bonier than it was. My cushion now shows yellows and tiny spot of red, where it used to be all blues and greens. Got tested on a 4" Roho and it showed exactly the same(yes it was properly adjusted). Guess I just get to do a lot of pressure relief.

    I am now a believer in the EAS protein shakes, they seemed to help a lot in healing. Going to continue drinking them.

    One bad after affect, my left isch area now has an almost constant source of pain. Sometimes its just "there" and sometimes flames up to "blowtorch" level. Hope this is not permanent. Wonder if this is a neuropathic trick or what. Always had some "burning butt" syndrome but it's way worse now.

    Long story short, watch your ass folks.

    "Rather be ridin' than rollin'"

  9. #19
    Senior Member smokey's Avatar
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    BigMac, good to have you back and intact. Those butt sores are a lifelong thing. Remember, the scar is now weaker than uninjured tissue. Be careful, now go enjoy the summer!

  10. #20
    McD,glad to hear yur healed!it should become more intermittant for the
    burning pain and takes awhile.Have read some threads where ishiums do better
    on a composite cushion if they have less mass,it's an exception but they mapped better on a foam than the roho.

    Rob C6/7

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