word of warning - importance of wound care

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jules21
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Re: word of warning - importance of wound care

Postby jules21 » Thu Apr 25, 2013 4:40 pm

matagi wrote:Still looks somewhat swollen to me. If I were your doctor, I would be saying "no" to any question about riding on it in the near future.
that's what he said. i won't ride. i've booked accommodation and everything though. very annoying.

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Re: word of warning - importance of wound care

Postby twizzle » Thu Apr 25, 2013 5:34 pm

Take it as a holiday.
I ride, therefore I am. But don't ride into harm's way.
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Re: word of warning - importance of wound care

Postby jules21 » Thu Apr 25, 2013 6:14 pm

twizzle wrote:Take it as a holiday.
i'll have to. go and catch the criterium on sunday :)

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Re: word of warning - importance of wound care

Postby moosterbounce » Thu Apr 25, 2013 11:43 pm

I would do 2 thing.

Firstly, I wouldn't race. Looks gross.

Secondly, I'm pretty concerned about those slippers. Definitely not something that should be photographed again. Buy new ones ;)

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matagi
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Re: word of warning - importance of wound care

Postby matagi » Fri Apr 26, 2013 7:18 am

Perhaps the household contains a small animal with sharp teeth that likes to chew slippers?

Nonetheless, such footwear should not be exposed to the public gaze.

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Re: word of warning - importance of wound care

Postby jules21 » Fri Apr 26, 2013 8:26 am

my wife bought me the slippers. at first i was skeptical, but they're very comfortable! also, a lot of the damage was caused by slipping off SPDs while test riding my bike in them :oops:

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Re: word of warning - importance of wound care

Postby g-boaf » Sat Apr 27, 2013 6:35 pm

jules21 wrote:you're probably right about that TLL. i don't feel very strong.

fyi, the original 'nick':
Image
the other day, when it was blown up:
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and... today:
Image
No racing for you. The last wounds I had on my leg cause the whole thing to swell up like crazy, more than yours by a mile. Better to take it easy and recover properly. You can always enter other races.

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Re: word of warning - importance of wound care

Postby jules21 » Sat Apr 27, 2013 9:14 pm

i'm on antibiotics :P :shock:

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Re: word of warning - importance of wound care

Postby petie » Sat Apr 27, 2013 9:38 pm

jules21 wrote:i'm on antibiotics :P :shock:
But did you race?! :razz: FWIW I'm a cycling nurse...

To everyone else, valid concerns but it really depends. Some antibiotics are much milder than others, even IV versions. I dont think jules would have scored anything too brutal looking at that leg. And by having IV you actually shorten the required course in some situations and skip some of the side effects of the oral route. Definitely go on how you actually feel rather than how you think you should feel.

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Re: word of warning - importance of wound care

Postby matagi » Sat Apr 27, 2013 10:28 pm

petie wrote:
jules21 wrote:i'm on antibiotics :P :shock:
But did you race?! :razz: FWIW I'm a cycling nurse...

To everyone else, valid concerns but it really depends. Some antibiotics are much milder than others, even IV versions. I dont think jules would have scored anything too brutal looking at that leg. And by having IV you actually shorten the required course in some situations and skip some of the side effects of the oral route. Definitely go on how you actually feel rather than how you think you should feel.
You only skip the gastrointestinal side effects with the intravenous route - the systemic effects remain and in some cases can be worse. Putting someone on intravenous antibiotics is not a trivial matter as you are aware.

The side effects of the treatment notwithstanding, no doctor would have told the OP that it was ok to race while being actively treated with intravenous antibiotics and particularly not with the degree of swelling (and by implication slow response to treatment) apparent in the last photograph.

Regardless, those slippers should have been grounds for immediate disqualification.

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jules21
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Re: word of warning - importance of wound care

Postby jules21 » Sun Apr 28, 2013 9:11 am

i tried to race, but they disqualified me when they saw my slippers :D

no seriously, i'm about to go down and catch some of the final stage/criterium.

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Re: word of warning - importance of wound care

Postby Boognoss » Sun Apr 28, 2013 1:01 pm

jules21 wrote:i tried to race, but they disqualified me when they saw my slippers :D

no seriously, i'm about to go down and catch some of the final stage/criterium.
The problem is (apart from aesthetics) that they aren't SlipPerD-SL equipped :-D.


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Re: word of warning - importance of wound care

Postby jules21 » Sun Apr 28, 2013 3:02 pm

Boognoss wrote:Sent from my mApple myPad using Tapatalk HD
you're not wrong! that's where the damage on them comes from - clipping out! :D

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Re: word of warning - importance of wound care

Postby jules21 » Mon May 06, 2013 11:43 am

went out on sunday morning - bailed after 20 minutes, feeling like crap.

went back to the doc this morning - it's infected again, or just still :cry:

back on the penicillin

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Re: word of warning - importance of wound care

Postby matagi » Mon May 06, 2013 6:46 pm

Hmm, that's no good. :(

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Re: word of warning - importance of wound care

Postby jules21 » Fri May 10, 2013 5:23 pm

so it turns out that riding was a bad idea - pumping blood through your veins helps spread the infection.

after another week's rest and back on antibiotics, it's looking much better. i have another week's course of pills, then the doc reckons i will be cured.

lessons learned:
1. take their advice seriously, the first time. these things need to be zapped properly, or they will come back and you will delay your recovery.
2. rest up while you are zapping the infection - don't be a hero and go out on your bike.
3. drink heaps of water. antibios seem to be one hell of a diuretic.
4. go back to the doc to check that you are healed - don't self-examine your leg and decide that it looks good enough. if the infection is not killed, it come back again.
5. antibios are a good way to lose weight, as you are supposed to not eat anything for up to 2 hours before taking a pill. 4 pills a day = instant diet.

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matagi
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Re: word of warning - importance of wound care

Postby matagi » Fri May 10, 2013 7:17 pm

6. Scary "old man" slippers can hinder recovery. :P

Here's hoping this round of antibiotics will hit it on the head.

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Re: word of warning - importance of wound care

Postby jules21 » Fri May 10, 2013 7:39 pm

matagi wrote:6. Scary "old man" slippers can hinder recovery. :P
actually they are special therapeutic slippers which i credit with my recovery do date :mrgreen:

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Re: word of warning - importance of wound care

Postby twizzle » Fri May 10, 2013 7:45 pm

Reading back over the last couple of pages... you can't say we didn't warn you. :P


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jules21
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Re: word of warning - importance of wound care

Postby jules21 » Fri May 10, 2013 8:04 pm

twizzle wrote:Reading back over the last couple of pages... you can't say we didn't warn you. :P
i thought i was being good by not racing, and staying off the bike!

my mistake was not going back for the all-clear from the doc, before getting back on it. stupid :oops:

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Re: word of warning - importance of wound care

Postby Mulger bill » Fri May 10, 2013 8:09 pm

jules21 wrote:
matagi wrote:6. Scary "old man" slippers can hinder recovery. :P
actually they are special therapeutic slippers which i credit with my recovery do date :mrgreen:
Nice try mate... Almost :P

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jules21
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Re: word of warning - importance of wound care

Postby jules21 » Fri May 10, 2013 9:06 pm

Mulger bill wrote:Nice try mate... Almost :P
my wife bought me those. i was horrified at first, but then they slowly grew on me :)

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Re: word of warning - importance of wound care

Postby trailgumby » Sat May 11, 2013 12:09 am

jules21 wrote:
Mulger bill wrote:Nice try mate... Almost :P
my wife bought me those. i was horrified at first, but then they slowly grew on me :)
You can get creams for that. Canesten, Tinaderm.... :lol:

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Re: word of warning - importance of wound care

Postby Marto » Sat May 11, 2013 9:21 am

Thanks to Fleming for noticing the antibiotic properties of penicillin, and Florey for taking the work that Fleming abandoned and making penicillin use feasible. Just reading through the cases here of infected wounds being healed with antibiotics makes you think "Where would we be without antibiotics?" Well more of us would be dead before our time.

Overuse and over prescription is another matter, which ends up helping the bugs again, and comes back to bite us.
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Re: word of warning - importance of wound care

Postby jules21 » Sat May 11, 2013 9:42 am

trailgumby wrote:You can get creams for that. Canesten, Tinaderm.... :lol:
i'm already on too many meds.. antibios, probiotics, vitamin D after being cooped up inside for weeks... :mrgreen:
Marto wrote:"Where would we be without antibiotics?" Well more of us would be dead before our time.
nah.. that's a bit of an exaggeration. there are always options.

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