Medical breakthrough for burn patients or those treating missing durmal.

This is a condition I had to deal with as a patient burn victim to my right arm. Unsure as doctors truly are to the over all level of any burn or severity to skin conditions, they know a couple of things must occur. Protection from infection. Provide conditions necessary for healing to occur.

These experiences I share with you in hopes of sparking the interest in people of the medical community to the wonders I have discovered by chance and a bit of experimenting.

A bit of history to my knowledge of these conditions. Back in 1998 I was assisting a friend with a fuel pump problem with her car and was taking the drain plug out when the fuel just started running down my forearm dripping off of my elbow when I noticed the halogen light without any glass lens was a bit too close and told my friend to move it back a bit. She pulled it fast unplugging the cord right next to me causing a spark which actually gave me the flash of the fire in real slow motion, then the actual flash of fire occurred. My arm is on fire I am trying to get to the hose directly behind me across a driveway. My friend has jumped in front of me preventing me from getting to the water trying to smother the flames with her body. It eventually went out. I remember launching myself from a few feet before the entrance to my garage landing over the clutter to reach my fire extinguisher on the far wall, shot out to the fire and put it out very quickly. Then the pain set in and I looked down at my arm.

Immediately I was thinking I have to be able to take care of this and then went upstairs to try and wash it off. As soon as I put my arm under the water it hurt so bad I had to stop then I thought “oh no this is serious” I called my girlfriend down stairs and had her take me to the hospital with it wrapped in a damp towel. That hospital sends me by ambulance sirens blaring to the nearest burn center. Where I am begging the doctor for pain meds but he is concerned because of my blood pressure is so high. Ultimately he authorized the pain killer and I just remember thanking him and dozing off waking in a few minutes with my arm wrapped. The doctor says he wants to admit me into the hospital for at least a week for cleaning and dressing the arm.

I don’t know if any of you remember the comedy stand up special with Richard Prior making the statements about having his burns cared for by others. “NO YOU ARE NOT GOING TOOO TOOOOUCH ME!” This is my first thought then I was under the impression she may not have had insurance on the car. Luckily she did because I didn’t have any health insurance at the time. I told the Dr at the time she didn’t and I couldn’t afford to stay in the hospital. He reminds me that there is a great chance for infection which could result in the lose of the arm if it were to get too bad. He says okay “come over here to the sink” He asked the nurse to remove the wrap on my arm, He stepped on the bar allowing the water to spray down into the sink. “put your arm under here” Determined to keep from having anyone touch this thing but me I put my arm under that water and my whole body got an electrical jolt sending a cool and hot sensation down my body and he stops the water. I say “can I use the bathroom, I need to pee”. He tells my girlfriend when I’m in the bathroom that is the first thing they always ask to do. So he allowed me to care for it at home but I had to follow up every other day. Then every three to once a week.

I went home with a bunch of gauze from the hospital and a half quart of Silver Sulfadiazine cream. put another way “the holy grail” for burns or wounds that are missing layers of skin. 100 tylox pills for pain. I would take a pain pill shortly after waking, get into the shower and wash this arm trying to do anything to take pain the pain killers just take the edge off of anyway. Even singing. There should be laws against it.  I would get out redress the wound lay in bed keep it elevated watch a little TV go to sleep and wake later to do it all over again for about 30 days. If at any time the arm fell below the level of my heart the whole arm felt like it was being stabbed with pins and needles forcing me to keep it up.

Fortunately about two weeks into this ordeal. My doctor says “you are doing such a wonderful job, I expect you will make a full recovery” I said “are you serious no scars?” My arm still looked like hamburger leaving me in full doubt he knew what he was talking about. Diligent care allowed for him to be right. Its been 15 years now and there is almost no sign it was ever burned. The moral here is my understanding of wounds to this nature and how to care for them properly.

Fast forward to a couple of years ago and I still have that Silver Sulfadiazine cream. The stuff is worth its weight in well “Silver”. I have applied it to burns as soon as they have occurred with almost no signs that a burn had happened. Provided it was a very light burn yet still the kind that stings like hell. Possibly a thin brown layer would peal off of the very top dermal layer a week or so later, yet with no pain.

I’m out doing a job for someone as a mechanic and I have to start the vehicle to make sure its will and everything is right before I put it back together. Well this one time in doing so a shot of scalding hot water jumped out of a hose and hit me on the ankle in my topside shoe with no socks. I had these peoples car taken half apart and now I have this burn. I rush home and put the cream on it dress it up to go back and finish this cash job for this terrified look on their faces middle aged couple. Finished the job got paid never to see them again.

That night with my ankle and this huge bubble on the side of my foot. My girlfriend says hey what about those patches my Dr. gave me for pain many years ago. Maybe it can help keep it from hurting. These are a Lidocaine patch at 5%. I think they are lousy at what they are intended and must be taped on to stay and really do nothing for back pain if you can get them to stick. The texture of these patches caught my eye more so for their construction similar to what a layer of skin might feel like. I was worried about only one thing to begin with. What could happen if this Lydocaine or any of its other ingredients mixes with the Sulfa cream could be a dangerous risk if applied to an open wound. Then there is the chance the wound may not get enough air like conventional gauze would give it, which could be important to the healing process. You ask professionals they will always advise against it for liability reasons so I was taking a chance.

The first thing I noticed from applying the cream to the patch is its ability to stick very well to the surface and give it a great sense of durability because now it was being protected by this patch which was cut into three sections, so as to try and stay under the maximum ex-poser time for a 24hr period. My intentions were to allow the bubble to burst on its own but to delay it as much as possible so the skin under the blister could get strong enough to have air hit it with no pain once the skin was finally removed. It worked so well I just continued to clean it and redress it really without paying that much attention to it. Then one day I am looking at it close and I can see the dark skin under the layer, yet when I went to try and move the skin on top it wouldn’t move. It looked different and felt slightly different but had reattached itself to the skin below it. This thing was the size of a silver dollar on some very tender skin of the foot and never died.

Fast forward to present day June 24 and I get bite by an aging pit bull on the property I live on, yet I fail to go to the ER right away. I waited until the next day to see my doctor who gave me antibiotics, But by the time I started taking them it was the next evening. The bite got me a K9 into the Achilles tendon debilitating me from minute one to a limp and then infection set in. With the swelling and cellulite that had developed and a pocket of pus that had to be better drained, that visit to the ER got me admitted. A surgeon came in the next day dug about an inch into my calf relieving that pocket and was on his way. Now I am making the hospital release me against doctors advise. They set me up with the Sulfa cream and gauze to now to take care of what was just a tooth hole to now about a three inch square patch of raw skin to keep from getting further infected. I was given oxycodone for pain. At first I would have to take one pill before cleaning it and redressing it. Then I remembered the patches my girlfriend was given a bunch of and tried that with this injury. The results have been nothing short of amazing. The healing is much faster than gauze alone and the wound is much smoother with no sensations at the time of cleaning in the shower. I have not had to take anything for pain since using these patches in conjunction with the Sulfa cream changing the dressing every 8 hours.



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