When the Tissue Viability guy was here a couple of weeks ago, he recommended a way to go and, next nurse visit, as I’ve mentioned here, a pushy nurse tried to over-rule him and go with something different. I slapped her down (only metaphorically, don’t panic), and we carried on as suggested.
Last Friday I was persuaded to try that alternative as I was told that to carry on as we were would be detrimental to my leg. Against my better judgement, I agreed on a suck it and see basis. Big mistake.
At today’s dressing change I sat with my foot/leg in a bucket of warm water for over half an hour, trying to remove the Aquacel dressing that had welded itself to the open wound, but it wouldn’t budge – the only way I could remove it was to rip it off with tweezers, to the accompaniment of lots of swearing, because that’s as much fun as it sounds – fucking excruciating, in fact. And I now have a hole in my leg where, previously, it was healing, the granulation that was forming having been ripped off along with the dressing.
So once it was off I had stern words with the staff nurse whose idea this had been last week – not the words I wanted to have, which would have been much shorter; I was apocalyptically pissed off and in agony! – and explained exactly how my treatment would go today and for the foreseeable future.
Which is as the TV guy said, with a couple of modifications. One mine – the Aquacel Ag dressing would continue to be applied wet, to avoid any more damage to the wound bed, and the other the nurse’s – cutting down the Aquacel pad to fit the wound. I don’t have a problem with that, but last week she cut it into three tiny pieces, one reason why I couldn’t get the buggerdly things off. That is never going to happen again.
I wasn’t going to post today’s photo, as it doesn’t mean much unless you know exactly what you’re seeing – which is the damage caused by lack of thought (on the right), and what looks like a burgeoning infection (centre)! Then I thought what the hell! So here it is.
Now then, I get the feeling that some of you think I’m being a bit hard on my nurses, a bit too demanding. So I would like to remind you about this:-
That was my leg in November, last year, before I decided it was time I took charge. And bear this in mind, too – that wasn’t at its worst, and the pain was intolerable.
I cannot go back to that state, and that level of pain – I’ll kill myself first – and if being stroppy and demanding is what it takes to avoid that, then that’s what’s going to happen.
But let’s end with some good news – as of this morning I am now able to wear socks again. And, if only for a short spell as yet, as the skin on my legs and feet is very delicate still, I can wear trainers for the first time in 3 years. I’d like to be able to wear my boots but, hell, it’s a start. Baby steps…