I KNEW THIS WAS COMING...MAYBE NOW I SHOULD HEED THE WARNING!

Hi

just got back from plastic dressing clinic. Lead nurse saw me today and cards were laid on the table.

• some areas healed around the edges of the wound but the rest has gross over-granulation throughout.
• no infection today but possible high bio-burden in the wound
• if the swelling in the leg is not controlled then the wound will not heal
• compression with double tubigrip tried today and reasses tuesday and to only change if anything comes through to the tubrigrip
• this will have some effect but not a lot and tuesday they will reasses short stretch bandaging or other methods
• lymphoedema nurse consultant to suggest other appliances
• have to elevate and rest the leg more
• unwilling to treat wound with topical steroids at the moment due to unhealthy appearance of the over-granulation and high level of bacteria.
• at the moment trying a period of Iodoflex
• continue with prontosan soaks at every dressing change
• the bad smell is the lymph fluid coming out the wound and is worse in this hotter weather

bit down as i thought things were getting better but i was obviously too ambitious about what i can do. hopefully a small set back

thanks for reading

peter