Addiction XXXXIII
01-22-15, 10:24 PM
#2526
Mostly Harmless
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01-22-15, 10:25 PM
#2527
Mostly Harmless
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.
... If we wanted cable ferules when I was a boy, we made them ourselves out of old pencil tops and glue. #kidshaveiteasynow
... If we wanted cable ferules when I was a boy, we made them ourselves out of old pencil tops and glue. #kidshaveiteasynow
01-22-15, 11:23 PM
#2528
Peloton Shelter Dog
Just curious, what were the two wound dressing products (if you are comfortable posting that info)? I had a pilonidal cyst removed (Warning: Do not Google image that) and that wound had to heal open. After about 6 months it still wasn't healing fully, so they hit the edges with silver nitrate (God awful pain) and then gave me Promogran Prisma Matrix wound dressing. They said this stuff was the best there is, but it still never fully healed. after another 6 months I had to go to another doctor who cut out all of the scar tissue and the edges of the un-healed wound and used silver nitrate sticks on it every 2 weeks and it healed in about 3 months.
Moral of the story, Promogran Prisma was not all it's cracked up to be for me, and I spent a fortune on it during those 6 months.
Moral of the story, Promogran Prisma was not all it's cracked up to be for me, and I spent a fortune on it during those 6 months.
Amazon.com: Fibracol Plus Collagen Wound Dressing With Alginate /4 in. x 4.375 in.: Health & Personal Care
It's like 10x more effective than Prisma was. I can only tolerate it on that wound for 12-40 hours, (it dries out the area so much it gets painful for me) but that drying process is kind of what you need for wounds to heal. I saw astonishing improvement using it for just a few days.
It says Johnson & Johnson on the package, but it's a Brit pharma firm that makes it. Glad these guys knew about it, the wound treatment guys at my clinic never heard of it. I'm telling you, WHERE you go can make a huge difference in outcome. Essentially my attending physician was great, his vascular surgery expertise addressed the underlying cause of these wounds I have, but this last wound needed somebody with better knowledge of actual wound healing, which I found at a different clinic. I hope they look into Fibrcol and start using it and the wound treatment place I go to. No plans to change doctors, I like my guy a lot, and his surgery really improved my leg.
Sometimes you just gotta do your own research and take some initiative, even if it's just to get another set of eyes on the problem, that can make all the difference. This time that was the case.
Hopefully I get back on the bike, lose 20-25 lbs and I don't have any circulation or venous stasis wound issues for at least a decade or so.
__________________
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Last edited by patentcad; 01-22-15 at 11:28 PM.
01-22-15, 11:28 PM
#2529
Peloton Shelter Dog
Anyway, I may try to ride tomorrow, then it's supposed to snow Saturday, may not be able to ride again til Monday, don't have an MTB at the moment, but I should have one pretty soon.
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01-22-15, 11:30 PM
#2530
Still can't climb
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who invited pcad? we don't need you!
__________________
coasting, few quotes are worthy of him, and of those, even fewer printable in a family forum......quote 3alarmer
No @coasting, you should stay 100% as you are right now, don't change a thing....quote Heathpack
coasting, few quotes are worthy of him, and of those, even fewer printable in a family forum......quote 3alarmer
No @coasting, you should stay 100% as you are right now, don't change a thing....quote Heathpack
01-22-15, 11:33 PM
#2531
Still can't climb
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hey pcad
when are you going to set up your youtube channel? i am facinated by some people's vlogs. with your music public performances and near pro status in both singing and cycling, i think you could be a huge hit. imagine the following you could have.
when are you going to set up your youtube channel? i am facinated by some people's vlogs. with your music public performances and near pro status in both singing and cycling, i think you could be a huge hit. imagine the following you could have.
__________________
coasting, few quotes are worthy of him, and of those, even fewer printable in a family forum......quote 3alarmer
No @coasting, you should stay 100% as you are right now, don't change a thing....quote Heathpack
coasting, few quotes are worthy of him, and of those, even fewer printable in a family forum......quote 3alarmer
No @coasting, you should stay 100% as you are right now, don't change a thing....quote Heathpack
01-22-15, 11:35 PM
#2532
Peloton Shelter Dog
Check out the way cool acoustic guitar solo starting about 1:51
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01-23-15, 03:53 AM
#2533
Senior Member
Prisma was the stuff I WAS using, the new stuff is made in the UK and it's called Fibracol:
Amazon.com: Fibracol Plus Collagen Wound Dressing With Alginate /4 in. x 4.375 in.: Health & Personal Care
It's like 10x more effective than Prisma was. I can only tolerate it on that wound for 12-40 hours, (it dries out the area so much it gets painful for me) but that drying process is kind of what you need for wounds to heal. I saw astonishing improvement using it for just a few days.
It says Johnson & Johnson on the package, but it's a Brit pharma firm that makes it. Glad these guys knew about it, the wound treatment guys at my clinic never heard of it. I'm telling you, WHERE you go can make a huge difference in outcome. Essentially my attending physician was great, his vascular surgery expertise addressed the underlying cause of these wounds I have, but this last wound needed somebody with better knowledge of actual wound healing, which I found at a different clinic. I hope they look into Fibrcol and start using it and the wound treatment place I go to. No plans to change doctors, I like my guy a lot, and his surgery really improved my leg.
Sometimes you just gotta do your own research and take some initiative, even if it's just to get another set of eyes on the problem, that can make all the difference. This time that was the case.
Hopefully I get back on the bike, lose 20-25 lbs and I don't have any circulation or venous stasis wound issues for at least a decade or so.
Amazon.com: Fibracol Plus Collagen Wound Dressing With Alginate /4 in. x 4.375 in.: Health & Personal Care
It's like 10x more effective than Prisma was. I can only tolerate it on that wound for 12-40 hours, (it dries out the area so much it gets painful for me) but that drying process is kind of what you need for wounds to heal. I saw astonishing improvement using it for just a few days.
It says Johnson & Johnson on the package, but it's a Brit pharma firm that makes it. Glad these guys knew about it, the wound treatment guys at my clinic never heard of it. I'm telling you, WHERE you go can make a huge difference in outcome. Essentially my attending physician was great, his vascular surgery expertise addressed the underlying cause of these wounds I have, but this last wound needed somebody with better knowledge of actual wound healing, which I found at a different clinic. I hope they look into Fibrcol and start using it and the wound treatment place I go to. No plans to change doctors, I like my guy a lot, and his surgery really improved my leg.
Sometimes you just gotta do your own research and take some initiative, even if it's just to get another set of eyes on the problem, that can make all the difference. This time that was the case.
Hopefully I get back on the bike, lose 20-25 lbs and I don't have any circulation or venous stasis wound issues for at least a decade or so.
The decision on which product depends on the type of wound present. All collagen based products work the same way....not by depositing collagen that is incorporated into the body....that is impossible as it is from an exogenous source, but rather b being broken down by the body. The breakdown products work at a molecular, cellular level as chemo-attractants, basically attracting the reparative cells into the area to help heal the wound.
In your case, you have venous stasis ulcers, which typically are characterized by high levels of fluid exudate, which if not controlled, will further damage the wound. Choosing Fibracol is an educated choice as it contains the alginate. The purpose of the alginate is as you noted , to absorb excess fluid. Drying out the wound is not the goal, rather controlling it to maintain a moist, not saturated or dried state.
A product that I have found is even more effective, is Numed Collagen particles. This is a microcrystalline powder that is by far, the most effective collagen product available and reasonable in cost.
Remember, you want a moist, not dried out or saturated wound bed. Achieving this is the challenge. Too far in either direction is ultimately destructive to the healing process.
Last edited by surgeonstone; 01-23-15 at 03:57 AM.
01-23-15, 05:37 AM
#2534
Senior Member
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Prisma was the stuff I WAS using, the new stuff is made in the UK and it's called Fibracol:
Amazon.com: Fibracol Plus Collagen Wound Dressing With Alginate /4 in. x 4.375 in.: Health & Personal Care
It's like 10x more effective than Prisma was. I can only tolerate it on that wound for 12-40 hours, (it dries out the area so much it gets painful for me) but that drying process is kind of what you need for wounds to heal. I saw astonishing improvement using it for just a few days.
It says Johnson & Johnson on the package, but it's a Brit pharma firm that makes it. Glad these guys knew about it, the wound treatment guys at my clinic never heard of it. I'm telling you, WHERE you go can make a huge difference in outcome. Essentially my attending physician was great, his vascular surgery expertise addressed the underlying cause of these wounds I have, but this last wound needed somebody with better knowledge of actual wound healing, which I found at a different clinic. I hope they look into Fibrcol and start using it and the wound treatment place I go to. No plans to change doctors, I like my guy a lot, and his surgery really improved my leg.
Sometimes you just gotta do your own research and take some initiative, even if it's just to get another set of eyes on the problem, that can make all the difference. This time that was the case.
Hopefully I get back on the bike, lose 20-25 lbs and I don't have any circulation or venous stasis wound issues for at least a decade or so.
Amazon.com: Fibracol Plus Collagen Wound Dressing With Alginate /4 in. x 4.375 in.: Health & Personal Care
It's like 10x more effective than Prisma was. I can only tolerate it on that wound for 12-40 hours, (it dries out the area so much it gets painful for me) but that drying process is kind of what you need for wounds to heal. I saw astonishing improvement using it for just a few days.
It says Johnson & Johnson on the package, but it's a Brit pharma firm that makes it. Glad these guys knew about it, the wound treatment guys at my clinic never heard of it. I'm telling you, WHERE you go can make a huge difference in outcome. Essentially my attending physician was great, his vascular surgery expertise addressed the underlying cause of these wounds I have, but this last wound needed somebody with better knowledge of actual wound healing, which I found at a different clinic. I hope they look into Fibrcol and start using it and the wound treatment place I go to. No plans to change doctors, I like my guy a lot, and his surgery really improved my leg.
Sometimes you just gotta do your own research and take some initiative, even if it's just to get another set of eyes on the problem, that can make all the difference. This time that was the case.
Hopefully I get back on the bike, lose 20-25 lbs and I don't have any circulation or venous stasis wound issues for at least a decade or so.
01-23-15, 06:27 AM
#2535
Peloton Shelter Dog
A product that I have found is even more effective, is Numed Collagen particles. This is a microcrystalline powder that is by far, the most effective collagen product available and reasonable in cost.
Remember, you want a moist, not dried out or saturated wound bed. Achieving this is the challenge. Too far in either direction is ultimately destructive to the healing process.
Remember, you want a moist, not dried out or saturated wound bed. Achieving this is the challenge. Too far in either direction is ultimately destructive to the healing process.
As for getting a new wound treatment center, the first place had a doctor who pretty much seemed to be in denial that I was in constant severe pain for weeks and months and refused to prescribe pain medication (I think that's preposterous). And moreover, he kept telling me that there was surgery available for the underlying cause of my condition (vascular reflux in my right leg) but that required an ultrasound test 'and only 5% of patients wind up being candidates for that surgery'. I don't know WHAT planet that jerk was on, but it turns out it's more like 70% of patients wind up being candidates, that surgery really helped me, and that's the doctor I have now. He also doesn't bust my balls on pain meds when I'm in pain. Those two factors are pretty big.
So do I go to at THIRD wound treatment center and try again? Oh wait, I just did, and they knew about this new wound treatment stuff, but again, they busted balls on pain meds. That's an insult to my friggin intelligence and it makes my life miserable. I have this guy telling me I have to go to 'pain management'. Let me translate what 'pain management' means in English: u r EFFED. That is the ultimate black hole of modern medicine.
I've been around the block a couple of times, and I know a thing or two about both addiction and 'pain management'. At any rate, I agree with your assessment that my current doctor should know more about wound healing products, but it is what it is. Finding Dr. Kildaire is not so easy.
Now this foot wound area looks much better, and I don't think there's any open wound (neither does my doctor) but it still hurts like hell at times, which I'm told is par for the course as long term chronic wounds heal, even after the skin has initially formed over the wound. But it seems to be manageable with over the counter pain meds like Advil/Tylenol. And as I always have done, I stopped taking Percoset without any major junkie withdrawal drama. Hell, I was far more concerned with the toxic effects of acetomeniphen (can YOU spell that?) on my liver than the opiates in the pills. Those opiates make you feel good for a few days or a week and after that they just become a chronic drag.
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Last edited by patentcad; 01-23-15 at 06:33 AM.
01-23-15, 07:19 AM
#2536
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Hey Pete, how's your knee doing? I'm guessing it's doing better than your ankle.
I have a knee question . . . do you have any trouble twisting your foot/knee out of the clipless pedals on the TKR leg? Mrs BD had a PKR done and twisting out of the pedals gives her a lot of trouble.
I have a knee question . . . do you have any trouble twisting your foot/knee out of the clipless pedals on the TKR leg? Mrs BD had a PKR done and twisting out of the pedals gives her a lot of trouble.
__________________
See, this is why we can't have nice things. - - smarkinson
Where else but the internet can a bunch of cyclists go and be the tough guy? - - jdon
01-23-15, 07:23 AM
#2537
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Heh, such a dreamer.
__________________
See, this is why we can't have nice things. - - smarkinson
Where else but the internet can a bunch of cyclists go and be the tough guy? - - jdon
01-23-15, 07:31 AM
#2538
Senior Member
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Is there a specific product name for Numed Collagen particles you can give me so I can research procuring some for myself? Many of these products are available to the public without prescription.
As for getting a new wound treatment center, the first place had a doctor who pretty much seemed to be in denial that I was in constant severe pain for weeks and months and refused to prescribe pain medication (I think that's preposterous). And moreover, he kept telling me that there was surgery available for the underlying cause of my condition (vascular reflux in my right leg) but that required an ultrasound test 'and only 5% of patients wind up being candidates for that surgery'. I don't know WHAT planet that jerk was on, but it turns out it's more like 70% of patients wind up being candidates, that surgery really helped me, and that's the doctor I have now. He also doesn't bust my balls on pain meds when I'm in pain. Those two factors are pretty big.
So do I go to at THIRD wound treatment center and try again? Oh wait, I just did, and they knew about this new wound treatment stuff, but again, they busted balls on pain meds. That's an insult to my friggin intelligence and it makes my life miserable. I have this guy telling me I have to go to 'pain management'. Let me translate what 'pain management' means in English: u r EFFED. That is the ultimate black hole of modern medicine.
I've been around the block a couple of times, and I know a thing or two about both addiction and 'pain management'. At any rate, I agree with your assessment that my current doctor should know more about wound healing products, but it is what it is. Finding Dr. Kildaire is not so easy.
Now this foot wound area looks much better, and I don't think there's any open wound (neither does my doctor) but it still hurts like hell at times, which I'm told is par for the course as long term chronic wounds heal, even after the skin has initially formed over the wound. But it seems to be manageable with over the counter pain meds like Advil/Tylenol. And as I always have done, I stopped taking Percoset without any major junkie withdrawal drama. Hell, I was far more concerned with the toxic effects of acetomeniphen (can YOU spell that?) on my liver than the opiates in the pills. Those opiates make you feel good for a few days or a week and after that they just become a chronic drag.
As for getting a new wound treatment center, the first place had a doctor who pretty much seemed to be in denial that I was in constant severe pain for weeks and months and refused to prescribe pain medication (I think that's preposterous). And moreover, he kept telling me that there was surgery available for the underlying cause of my condition (vascular reflux in my right leg) but that required an ultrasound test 'and only 5% of patients wind up being candidates for that surgery'. I don't know WHAT planet that jerk was on, but it turns out it's more like 70% of patients wind up being candidates, that surgery really helped me, and that's the doctor I have now. He also doesn't bust my balls on pain meds when I'm in pain. Those two factors are pretty big.
So do I go to at THIRD wound treatment center and try again? Oh wait, I just did, and they knew about this new wound treatment stuff, but again, they busted balls on pain meds. That's an insult to my friggin intelligence and it makes my life miserable. I have this guy telling me I have to go to 'pain management'. Let me translate what 'pain management' means in English: u r EFFED. That is the ultimate black hole of modern medicine.
I've been around the block a couple of times, and I know a thing or two about both addiction and 'pain management'. At any rate, I agree with your assessment that my current doctor should know more about wound healing products, but it is what it is. Finding Dr. Kildaire is not so easy.
Now this foot wound area looks much better, and I don't think there's any open wound (neither does my doctor) but it still hurts like hell at times, which I'm told is par for the course as long term chronic wounds heal, even after the skin has initially formed over the wound. But it seems to be manageable with over the counter pain meds like Advil/Tylenol. And as I always have done, I stopped taking Percoset without any major junkie withdrawal drama. Hell, I was far more concerned with the toxic effects of acetomeniphen (can YOU spell that?) on my liver than the opiates in the pills. Those opiates make you feel good for a few days or a week and after that they just become a chronic drag.
01-23-15, 07:35 AM
#2539
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I can see how that could happen. Has she tried different directions (inward or outward) or different positions on the crank circle? There may be a mode of exit from the pedals that is less painful.
01-23-15, 08:48 AM
#2541
Mostly Harmless
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Let's see that shot of her dropping you like a hot rock again.
01-23-15, 09:00 AM
#2542
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Shut. Up.
BTW, I'm considering taking a swing by Onondaga lake one day. Only 3 hours and change away.
BTW, I'm considering taking a swing by Onondaga lake one day. Only 3 hours and change away.
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See, this is why we can't have nice things. - - smarkinson
Where else but the internet can a bunch of cyclists go and be the tough guy? - - jdon
01-23-15, 09:01 AM
#2543
So it is
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You people are mean.
01-23-15, 09:10 AM
#2544
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01-23-15, 09:11 AM
#2545
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Pretty sure she has, because being on a stationary bike she had plenty of time to try every possible angle to get out, with no fear of toppling over.
__________________
See, this is why we can't have nice things. - - smarkinson
Where else but the internet can a bunch of cyclists go and be the tough guy? - - jdon
01-23-15, 09:24 AM
#2546
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Would it make sense to try some platforms with clips and straps but no cleat on the shoe. The foot can be firmly held against upward pull but still will be able to slide out without twisting. That might be a good "bridge" back to clipless pedals while the long term healing is still going on. I know that just after my meniscus trim I required almost a year to really be fully right again. A replacement could easily be much longer than that.
01-23-15, 09:32 AM
#2548
Token Canadian
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I had dental surgery Monday. A sinus lift to enable fitting an implant.
No PT for 2 weeks.
Balls. I had been doing Sufferfest videos on the CompuTrainer.
They hurt.
I've been on 1200 cal/day since 1 Jan. I'm lighter. I don't know how much yet, as the goal is to drop some weight before I can bring myself to stand on a scale. 1 Feb I weigh myself and figure out the plan going forward.
I would kill for a pizza.
pcad what did you do to your foot?
No PT for 2 weeks.
Balls. I had been doing Sufferfest videos on the CompuTrainer.
They hurt.
I've been on 1200 cal/day since 1 Jan. I'm lighter. I don't know how much yet, as the goal is to drop some weight before I can bring myself to stand on a scale. 1 Feb I weigh myself and figure out the plan going forward.
I would kill for a pizza.
pcad what did you do to your foot?
01-23-15, 10:23 AM
#2549
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Zing! I don't get that one, but not for lack of trying.
On her own bike yes, but I'm not sure she has that option in the gym. It's a spin class.
Would it make sense to try some platforms with clips and straps but no cleat on the shoe. The foot can be firmly held against upward pull but still will be able to slide out without twisting. That might be a good "bridge" back to clipless pedals while the long term healing is still going on. I know that just after my meniscus trim I required almost a year to really be fully right again. A replacement could easily be much longer than that.
__________________
See, this is why we can't have nice things. - - smarkinson
Where else but the internet can a bunch of cyclists go and be the tough guy? - - jdon
01-23-15, 10:38 AM
#2550
Stand and Deliver
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Nice to have a wife ride with you that can provide some motivation.