Simple Wound Care Instructions Step by Step

Wet to Dry Dressings

Wet to dry dressing changes can be a very effective form of autolytic debridement for wounds with over 50 % slough and soft tissue that is pulling from the healthy tissue. However, although it is an old form of debridement there are still professionals who use it incorrectly and use it without the criticial thinking skills behind it.

Always use aseptic technique regardless of what type of wound you are dealing with. One of the ways I use aseptic technique is to use the paper from the opened pair of sterile gloves as a field and dump onto that all the supplies I will be using...lucky you if you get your 4x4 gauzes in a "boat" otherwise use your opened gloves as your tray so to speak. Always use aseptic technique and thanks to coolhubs for reminding me of this fact!! Nurses get too hurried and we leave out the obvious sometimes!

This article will affect:

  • Your time, it is very precious.
  • Your pocketbook, as no one I know is really rich.
  • Your nerves, as no matter how long you have nursing, or how much patient care you have done, or how many scraped knees you've bandaged, wound care can get gnarly.
  • Your memory as everything you do must be set up before you even start.

So, lets get to it then, shall we?

Wet to Dry Wound Care Dressing

1. First things first! Wash your hands, put on clean gloves, gather your supplies.

2. Normal Saline, 0.9 % (watch expiration date), gauze (4 x 4 and 3 x 3), tape, sterile applicators, gloves and plastic bag (plastic grocery bags work well).

3. Lay out your cover (This is the opened sterile glove pack I talked about) on a clean work surface, such as wax paper , then start opening supplies. I like to set up two sets, one will be moistened with normal saline and the other will be the dry top and the tape layer.

4. REMEMBER! Wet to dry never goes in really wet…it means it goes in just damp enough that it will be 100 % DRY by the next dressing change. The purpose of wet to dry is to pull off all bad (dead and or necrotic) tissue every time you remove the old dressing.

5. For the sterile 4x4 gauze, take each one and unfold it, play with it, fluff it…much easier to do it now rather than when the saline is on it. Just be careful and don’t touch anything that is not on your wax paper…keep it all as clean as you can.

6. Moisten the fluffed gauzes with your normal saline and the two unfolded small gauzes with saline. Unfold but do not fluff or moisten with saline the top four or five 4 x 4 gauzes that make the top layer, this just makes it easier to place it over the moistened gauze in one piece instead of trying to place each gauze separately.

7. Cut your tape.

8. Go wash your hands, put on clean gloves.

9. Remove old dressing slowly, carefully, put one finger of left hand on the patients skin just above the dressing and stretch the tape up and away from the skin at the same time with your right hand, moving along the edges until top portion is off. Repeat with each side or piece of the old tape

10. Remove the inner packing, count the gauzes as they come out, you will count them going in as well. Nurses, remember to document hw many pieces of guazes were used coming and ging! Discard old dressing into plastic bag by rolling the old dressing into one glove and pulling the other glove on top of it so you thrw it away like a big ball and the soiled dressing is insde it.

11. Go wash your hands, put on new gloves. You are almost DONE!

12. OK, now, Clean until the wound bed looks better and or smells better, be sure to hold up anatomical structures (buttocks, leg, arm or wherever the wound is so you can see inside as much as possible. That’s done, that’s the hardest part and you did it!!) And remember, wound bed is used as a general term, it can be small and superfical or may be larger, the point is to observe it carefully every time. If there is anything different from day to day, call your nurse!that's what she's there for! The nurse may be your physicians nurse (get to know her by name) or your home health nurse (hopefully she's so good you will love her and depend on her because she is your number one backup!)

13.You know hand washing is the best way to prevent the spread of any infection and you are washing your hands like crazy with every step but...BE ALERT AND WATCH FOR SIGNS OF INFECTION AT ALL TIMES!

Signs of infection are: pain, redness swelling, warmth, change in color of wound bed or drainage, change in odor or consistency of drainage; but first and foremost PAIN is the number one sign of complication or infection!

13. Pat the surrounding skin dry, use the skin prep or sureprep, or whatever skin barrier you have, on the edges and let it dry a little. Now go...you guessed it! Wash your hands and put on new gloves! Are you remembering to sing the ABC song or Happy Birthday? These songs usually take 15 to 20 seconds to sing and that's the exact amount of time needed to kill the bacteria on your hands! Are you remembering to tell your patient about hand washing as well? If the patient has small children or grandchildren in their life using the song is a good way to present the teaching in a fun and non condescending format.

14. Pick up the bundle of fluffed small gauzes and one at a time, slow and carefully fill the wound bed. You do this one fluffed gauze at a time, Q tip in one hand, pointed edge of gauze in the other and slowly place one end of gauze in one end of the wound bed as far as you can go and work yourself back to the top of the wound bed. You CAN DO THIS!!! Just go slow, do NOT pack it hard, do not force the gauze, just waffle it back and forth. I use the terms bottom to the bed and top of the bed just as example, jut do not take the fluffed gauze and plop it in there and be done, take your time, it will be more comfortable for your patient and may increase the healing process. Also try to use the cotton part of the Qtip/don't use the stick part..don't hurt the new tissue that is growing anymore than need be.

15. Wash your hands and put on new, clean gloves.

16. Now pick up the bundle of dry gauze and lay it all in one piece on top of the moistened gauze. TA DA!!

One piece at a time, lay down the pieces of tape you cut ahead of time until all parts of the gauze are covered. Do this around all four sides.

17 Guess what? TA-DA TA-DA!!!!!!! You Did It!! Great Job!!!



What is written here does not now nor does it ever take the place of your physician’s advice and services of your physician.


Consult your physician every time for all things medically related and of course, if you feel you have any of the signs or symptoms of what has been written in this hub, please contact your physician for a consultation as soon as possible.


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Comments 143 comments

maggs224 profile image

maggs224 7 years ago from Sunny Spain

I was with you and fine right up to step11 but then we got to 12 that is where I started to feel queasy step 13. I started to recover a little I thought I can do that but then I came to 14, my mind and imagination started to work overtime fill the cavity that did it now I feel woozy visions of a bad smelling hole with all that entails for those like me you should have added step 15a which should read something like 'when some one has helped you to come too and helped you up off the floor. lol


RNMSN profile image

RNMSN 7 years ago from Tucson, Az Author

oops sorry maggs, nurses are the worst! you are absolutely right! I will revise it to say wound bed, that will be better don't you think?

at least I didn't add the part on documentation for nurses only that goes...now for your nurses notes be as precise s possible, you should paint a picture with your words, especially with the wound bed, drainage, color, as well as measurements themselves. Describe completely. How does it look? smell? taste? etc.

Maggs? MAGGS!!!! Someone get the smelling salts!!!!!!! oh my goodness, I wish I could see you!!

What do you mean you wish you could see me too? lol


James A Watkins profile image

James A Watkins 7 years ago from Chicago

What a great idea for a Hub!  Very useful information here.  I am glad you wrote this.  I have printed it and am going to keep it by my medicine cabinet.  I got kicked out of the Boy Scouts before we got to this part. :D 


RNMSN profile image

RNMSN 7 years ago from Tucson, Az Author

thank you James! absolutely keep it/the wash your hands is the most!!! most!!! important part!!


James A Watkins profile image

James A Watkins 7 years ago from Chicago

May I ask: what is with that face?


RNMSN profile image

RNMSN 7 years ago from Tucson, Az Author

:) so James...don't you love her?isn't she the best? I was heavy into that clay stuff that you bake in your oven at 215 F for like 20 minutes...my sister and I had a who can make the weirdest and the grooviest characters yet contest going for a while...my sister won as ussual...her gourd dolls are kick ass...can I say that on hubpages? but my stuff isn't too bad...you should see my merman he is totally cool man!!! but actually this little old ladys name is Martha (what else would it be) and I was supposed to make her a Harold or a James, no a Harold for sure...but all my clay is put up right now/I'm quilting again :)

TMI eh?

OK

how bout

hey James watch it bud!!! That's me you're gawkin at!!!

:)


dijon 7 years ago

i have a question moist material or damp cloth can harbor bacteria is it ok to include it in the wound dressing? i know its sterile but chances are bacteria can grow since sloughing of dead tissue is inevitable. i got another question (if you don't mind) i thought drying up the wound is the main objective in wound care? i know there a lot of issues regarding wound care (like keep the wound open or close after wound dressing) but i hope you can answer my question..... by the way im a student nurse....tanx


RNMSN profile image

RNMSN 7 years ago from Tucson, Az Author

Great questions Dijon!! first of all, wet to dry is the besy/safest/least harmful type of dressng...wounds need a MOIST nvronment to heal/superficial wounds like scrapes,nicks,skin tears and sperficial need to develop a scab (natures bandaid) but wounds that are chronic or decubs with slough/necrotic tisse/eschar? those require some type of debridement...slough is non viable/it will not heal ever so take it out. debridement has many types/chemical (santyl) autolytic (wet to dry, aquacell, alginates, hydrocolloids) and manual (physician or enterostoaml nurse or certified phys ther) will cut it out.

Can wet to dry dressings harbor or prevent the harbor of bacteria? absolutelycorrect...Wet to dry/hot/moist/dark...good bacteial rowth risk tere all right

best way to prevent? aseptic technique, semi or occlusive dressing and frequent dressing changes. wet to dry is done minimum of daily/more if the dranage creeps through or odor develops or signs of compliations occur or if it isnt being effective or often enough...and # 1 way that wet to dry will NEVER work?

In technique...I cannot tell you how LONG it took me to do this thing correctly!! I'm way too empathetic...to just take that dry, stuck dressing off that usually deep, large non healing ound in one fell swoop seemed barbaric t m and cruel at the least...then I had a wound care nurse (certiied eterostomal) explain itt me like this "do you followthe number one edict of a nurse? To first, d NO hrm? Then remember that smetimes the nuse must ause momentary discomfort for the greater well hath of that patient. If you continue to et the dressing then pull it off and your ptient praises yu because you are te only on to notcause pain it makes you feel good. But f you are that patients primary nuse for many days you have caused thatound to stagnate/stand still/as well as increased risk of infection because the nonviable tissue is still present" hmmm made m think/so I pull it off and week by week the measuremets decreae and the wounds sho sigs of haling.

the wounds you want to keep dry are stage 2 fluidfilled bliters. foat heels, get the est mattress management will allow, provide pressure relief, prop with pillows and kee that blister INTACT! use skin prep type of barrier as often as you can!! best case scenario tht blisterflattens out, gets hard ad evetually peels off, no hrm done. worst case scenario? smebody pops it or lets it sit on that attress, it gets ed aroun the biter nd fluidinside ill get got and it gets infected ad opens an you've got 3 or greater ulcer/pressure o heal then

physicas orders are h last thing of course...we can suggest/ask/give enthusistic reviews of new products but without CRNP after our names we do not write the orders.

I will add the wounds I see left open to heal with only sap and water most of the time come from abdominal surgeons ordes!!! freaks me out too as these are usually way deep and drain a lot and I just hold my breath and give tons of lectues on wash your hands! wash the wound, gently gently with antibacterial soap and water, cover lightly with gauze just to keep clothes clean etc and am continually amazed when they heal so fast...go figure


tutteya 7 years ago

nice article thnx for the info


anisetta 7 years ago

How long does a lower front leg laceration takes to recover? How long before I can put pressure on that leg (walk normal)?

I am active (bike execise, yoga, swhimming, walking, running, hiking)

Hiking is how I got injured. Run into a tree branch and got a sharp end of a branch into my lower leg (about 2 in cut) and deep enough to require stiches.

I can even put my foot on the floor, it hurts a lot.

I wonder how long I have to wait to walk, drive long distances, climb stairs, without delaying the healing process?

Thank your insight.

-wounded leg


RNMSN profile image

RNMSN 7 years ago from Tucson, Az Author

if you are active and went straight away to the MD and got stitchtes and a tetanus shot then the stitches will be taken out at your next MD visit...usually in 10-14 days...the ill pobably ut steri strps or just a big bandaide on your leg nd 10-14 days afterhat you will feel "almost" norml and 2 wks later it wll jut be a scar so all told, probably 4-6 weeks. Barring complications...notify your M of PIN, first sgn of infection is pain, then of ourse redness, swelling, oozing, funny color to drainage, warmth, fever...because your leg is far from your heart elevate it!! take care not to get the stitches wet or dirty, change the dressing if you have one as MD ordered but usually they don't put a dressing on it...keep it clean and dry and keep your appointments!!

you will be just fine!!

And eat nd drink!! an dnt mess with the stitches :)


anisetta 7 years ago

Thank you RNMSN!

Actually I am quite inactive right now. Cannot walk, it hurts lots.

Indeed, I went to the EC right away, the doctor numbed the area, scrubbed it very good, stiched it and put a dressing on it. I just took a shower and there is a hint of blood coming off one stitch, but overall looks normal, burns, hurts, just like a wound.

Keeping my leg up helps a lot with the pain!

I had to work tomorrow, walk up and down stairs, walk long distances. I am not sure I will be able to do that.

The dr. asked me to come back tomorrow to check for infection and said that the stiches will come off in about 10 days.


RNMSN profile image

RNMSN 7 years ago from Tucson, Az Author

cool,just as I figured and he went one better by having you come in tomorrow! good doc...hmmm Anisetta, where are you? can't you get a slip from the MD to stay out of work for at least 5 days? You deserve it! Dadgumit!! uh oh,is this what happens with nationalized medicine? are you in the UK? poor baby, you need to stay home and take it easy!! Want me to call in sick for you? :)


anisetta 7 years ago

Thank you SNMSN!

I talked to my boss yesterday and he told me not to risk it. This was a relief for me, I was worried of having to drive two hours, and walk across the huge parkin lot, then up and down stairs to get inside the building (where there is an elevator)

However, I feel much better today. I can put my foot on the floor with minimal pain. I am sure that the wound must look closed on the surface. But I know by experience that my wounds tend to take longer then usual to completely close. This is why I was concerned about getting out and walking on that leg right away.

In the past I had a deficiency of vitamin K and it gave me big problems when it came to recove from similar wounds.

Although I have been careful to eat enough protein and products that contain vitamin K, I am still traumatized by past wound complications.

But for what I see so far, I think my body has improved a lot. Still, I must be careful, right?

I will follow your advise and ask the doctor today for a slip. I rather be safe than sorry.

There is something unusual this time. Yesterday, I found myself craving lots of onions and I ate one whole sauted onion with one egg... I found this strange, of all the food, I just wanted to eat lots of onions, is that strange? And it was the same this morning, I had half of a big onion for breakfast...

-anisetta

Oh, I am in California and my earnings are not enough to afford health insurance, so accidents like this put me behind on my goal to finish off my cc debt :(


RNMSN profile image

RNMSN 7 years ago from Tucson, Az Author

wll, I'm glad your boss was cool about it/onions eh? you need vit A..its a fat soluble vitamin and guess what it helps your body do? grow new skin cells :) is your body a work of art or what? isn't that so cool...your body is so smart it tells you what to eat, you eat onions and your leg gets well!! dude, I am soooo going to write a poem about this!!! as for he vit K, dont forget to eat your dark greens, I love greens...even got my yankee hubby to love them (well he only will eat them with me at one serving...not all week till its all gone like I do!)hes a wimp!!! just kidding...get well...you will...don't pick at it!! wash your hands!! eat well and drink your water (drink mine too while you're at it K? I hate water...)


aoiffe379 profile image

aoiffe379 7 years ago

How does one get rid of the smell of a wound? if a wound turns dark does it signal infection? Should olive oil be applied to wounds?What are the advantages/disadvantages? I hope I did not ask too many questions.


RNMSN profile image

RNMSN 7 years ago from Tucson, Az Author

hllo aoiffe379!

1) you are seeing your doctor right? yur MUST!!

2) what kind of wound is it? Any foul odor from a wound is a sign of complication of some kind/usually infection! See your MD!!

3)if the und is opened and it has a scab that is dark? Or is it flat an dark> That coud also be a complication, it could be tht the tissue cells have died causing necrotc tissue See you Doctor!!!

4) Any oil will cause the wound bed to not get oxygenation of any kind...that would not be good however, I used olive oil for a recurring cyst on my cats face, right behnd his left eye and he would lick his paw then wipe the cyst and lick etc/oil was good to keep his coat shiny and a good

de- wormer and the licking opened the cyst....eventually the cyst opened up and drained and would be fine for another yr or so...but olive oil on a human...no...uh, noooooo!!! See you doctor!!

So what do you need to do ? :) that's right, see the physician, any wound MUST be correctly diagnosed and proper treatment begun ASAP by your doctor!

there, nursing lecture done for the day :)


anisetta 7 years ago

Hello RSMN,

the wound is finally healing, today there was but a tinny drop of blood, it still looks like the raindow, green, blue, black, and red, but less swollen and less painful to walk.

I will have the stitches come off next Thursday. How long do you imagine I must wait to resume strenous exercise such as ice skating, strenous yoga, running, weight lifting, rope jumping (very athletic activities)?

Yesterday I tried to do some sit ups. I was able to go down on the floor with the help of my coffe table as a leverage using my arms, but getting up was a complete different story!

Thank you for your insight!

-anisetta


RNMSN profile image

RNMSN 7 years ago from Tucson, Az Author

don't mess it up anisetta!!

PUSHUPS? doesn't that require, like pushing oneself off the floor on ones hands then touching ones nose to the floor? there are germs down there you know!!!

and running as in like jogging?

jogging gives me the runs, dude I so do NOT recommend that!!! :)

hey, how come you aren't a hubpager? I looked for you cause its been almost a week an I wanted to check up one you :) yes, I nurse and a moma..double nosiest!!

anyway...here comes the thing most pople do not realize...I already told you about the area being farthest from your heart so you have to elevate it and baby it...now...after another 2-4 weeks...the MD may put stei strips on or just bandaide...I bet steri strips because you said its oozing blood still...that tells me the injury was pretty deep...

anisetta, this will be a scar and scars may look tough but they are very fragile! You can reopen, redamage, and get an infection in and on and around this scar extremely easily!!! you will have to baby this scar forever...no I do not recommnd aloe vera or that medaderm scar treatment especially on a persons legs...no vaseline, nothing...soap and water, open to air and monitor the area daily...if you reinjure the area it will take 2-3 imes longer to heal because it is a scar

arent I just full of wonderful news?

you're welcome...anytime :)

but this is not meant to scare you, but to prepare you...you must take care of that scar, that is of course, when it actually does finish totally scarring...another 2-4 WEEKS!!!! NO BIKES!!! NO TREE LIMBS!!! GEEZ!!!!!!

and plase please take all of this t your physician ndlt him tell you yea or ny...he or she is of course the last word...I'm a nurse and I'm good at it :) but the physician is the best of the best!!!

join hubpages!! you can write about how many trees and their limbs you know on a first name basis!! love t you...stay well, post to me after the MD visit or anytime and stop messing around!! the triathalons will wait on you!! geez louise give me a break!! do you really want to see me shake my cage????????


anisetta profile image

anisetta 7 years ago

Thank you RNMSN!

Indeed, I am often guilty of not taking care of myself. I am glad I read your reply. I was getting frustrated, but your information made me calm down and think twice before I further jeopardize the healing of my wound.

Push-ups! No!!! I tried sit-ups to work the abdominal muscles, also tried barbells to work my arms. But both exercises seemed to put stress on my wounded leg. Thus no more excersice until I ask the doctor when I can safely start building up on my leg muscles again before I get back to ice skating, jogging, and hiking.

Done! I Registered to the Hub website, my first Hub page will come after some brainstorming on trees and branches.

I am learning much more than how to take care of a wound, its sounds really good!!!


anisetta profile image

anisetta 7 years ago

posted twice by mistake.


RNMSN profile image

RNMSN 7 years ago from Tucson, Az Author

YES!! way to go, both for the downsizing of the exercise and ugrading to hubpages :) you will NOT be disappointed!! Ths is a wonderful writing community and you will meet so many fantastic hubbers but I reserve the right to be your first fan!! I am your fan before your first leaf (ha) is published so there! Big welcome!! Read Maggs224,Whitney05, JeriLee and EthelSmith..they are wonderful!! oh andJames Watkins of course and Wannabwestern and oh so many more!! Welcome!


anisetta profile image

anisetta 7 years ago

Hello RNMSN,

Thank you for being my first fan!

I got the stitches off and learned that I have to wait at least 30 days before I can try anything heavy like my exercising routines. So I will have to wait two more weeks to start hiking again :(

I confirmed your warning on regards to a scar being fragile. Yesterday I try to vacuum very little,just one room. Somehow my right knee touched the edge of a chair a little too hard and the wound was broken bleeding again. It bled just like when I first got the accident. Oh! yes, I had also wounded my right knee, but this is a minor cut, not deep at all and did not require stitches. However, when I hit something (not hard) it complained.

My left leg is still pretty sore, but it is much smaller now and the colors are down to two, blue and green with a very small black line on the bottom. I still feel much relief when I have my leg up on a chair and I imagine that the kneedles like feeling sometimes is the process of healing.

I think I am on my way to recovering!

-anisetta


RNMSN profile image

RNMSN 7 years ago from Tucson, Az Author

you are definitely healing! Yea and how terrible you to vacuum!!!don't do it (just stirs up the dust ) let it settle :)

i love housework can you tell? love to you!


Bbenson19 profile image

Bbenson19 7 years ago

Thank you I learned a lot. Here in school, we are not taught in detail like this one. Good job and keep posting more information like this. you really help a lot! Thanks!


RNMSN profile image

RNMSN 7 years ago from Tucson, Az Author

you are so welcome!! What school are you in? what else would you like an inservice on :)


anisetta profile image

anisetta 7 years ago

Hello RNMSN,

I can reopen a scar? Very true. And bad news too...

Sunday my wound looked pretty neat, just a line of a scar, so I thought it was doing very well, and I also thought I could leave the sterile strips off the wound. I did for one night. The following morning the tiny line was no longer. My wound got bigger, swollen, and very red. I remembered what you told me about the danger of infection and re-injuring the scar.

I cleaned it very well, put back the strips on and kept my leg elevetade that whole day and for the most part of the following couple of days. It is better now. It is almost back to the tiny line that it was on Sunday. But this means that I have to wait longer to resume normal exercising. Oh! It got back to hurting when walking.

I also noticed that when I elevate my leg I have to support my foof on something so that my toes do not relax in a pointing position, that hurts too.

I am learnning a lot about the anatomy of a wound.

This is something to remember, but best of all, something to learn from.

Thank you for your very wise advise!

-anisetta


RNMSN profile image

RNMSN 7 years ago from Tucson, Az Author

dadgumit Anisetta! you know you MUST call the doc!! you Have to see him ASAP!! Mon!!! pain when your toes relax? red around the scar and open? dadgumit!! do NOT use hydrogen peroxide! Do only what you have done, clean, dry, steri strips nd elevate and this time leave the dadgum strips on until they fall off!!! :) its OK, you already said yu heal lowly and this happened one other time...dadgumit thoug I was so sure we were home free! we are, its just paranoid nursetalkingnd theres nthing to worry about!and pain with walking is called claudication/cool word eh? is your caf sore?swollen? is your foot swollen? caf hurt hen you flex yur foot/point your toes to the sky? those are danger sigs...if that occurs befre Mon then you haveto to the emer room...danger of blood clot...but it ist ad it wont nd its going t e fine/just a set back just like you said! I think it is a good thing that my family and I are en route to Tucson!! That way if I need to me be moma/nurse you are only one state away :) so....BE AFRAID!BE VERY AFRAID :) love to you...eat your protein!!!


anisetta profile image

anisetta 7 years ago

Hello RNMSN,

I am on my way to recovery. I wanted to keep on writing until my wound was healed so that other people that may go through the same thing may learn from my mistakes and listen closely to great advise, yours and that of my doctor.

My wound is almost a 100% closed.

I took good care to keep my leg elevated for the oast few days after it opened again. Now the red is almost gone, it hurts very, very little when I walk, and only when I make sudden turns and are not careful to pick up my foot completely from the ground before turning.

You were so right! I have to really baby this scar. And believe me, I learned my lesson!

I know that I have one more week before I start my yoga routine (because it can be modified so that I do not pur stress on my scar), but I surely have to wait much longer for any ice skating, hiking, or weigh lifting that involves putting stress on that leg.

But in truth, the key to recovery was time off my leg. The best cure, and lots of patience. Specially someone like me who was determined to work out like crazy before school started. Well, I could not, I feel heavy, and not flexible, but I accepted the fact that there will be plenty of time to exeercise once my leg is well healed.

Indeed, I am afraid, I do not want to double or triple the recovery time. I listen now, I shall be myself again soon.

Thank you for your words of caution and words of encouragement!

-anisetta


RNMSN profile image

RNMSN 7 years ago from Tucson, Az Author

oh what a relief!! i am so very glad anisetta!! ice skatig? ouch...Im a roller skater myself and do love to bowl but running gives me the runs...I put that there because you did not react appreciatively to my joke the first time and you are nearly yourself again sooooo...a haha here will be greatly appreciated :) otherwise, a pouting I will go and you do not!! want to see that :) oh yes and keep writing!! start writing!!!write dadgumit!!love to you bb


anisetta profile image

anisetta 7 years ago

Yes!!! almost cured, almost, but not yet... this seems to take an eternity :(

I had to work yesterday and today, I had to use heels (2 1/2 in) I do not think they went well with my scar :( :( since it is a bit red again, but it does not hurt as much. However, the thin line became fat again. I know now that it is not a good sign, so I now go back to have my leg elevated for the rest of the evening. Thus this gives me time to hub around....

Hey! ice skating and roller skating are pretty similar, right? I tried inline skating twice, and both times I spent all my learning practice getting up. I fell forward, backwards, and sideways. I became a master of falling. No much pain since I was very well protected, just the fun of falling and picking myself up just to fall again.

Well, on Sep 29 will be one month and I am still waiting to heal completely. waiting, waiting, and missing my exercise so much. But I can guess that my wait is just going to be longer since I did things that exasperated the scar, correct?

What do you say if I try yoga tomorrow? Would that be unwise at this point? I think that I may have to wait another week just to be safe, I think you will agree with me.

Oh! yes, I did get the running gives you the runs. For real? How about jogging?

In my case for real, what do you think about self cleaning my stomach with that chocolate that gives me the runs to the bathroom all morning?

-anisetta


RNMSN profile image

RNMSN 7 years ago from Tucson, Az Author

my good friend here in the desert of my heart is a yoga teacher :) I used to be flexible...now I'm very stiff but do enjoy yoga/watch out when you start back/the good morning stretching especially and ones where you are on your toes with head and hands down by your feet will stretch that area...go slowly...heels ugh...but what can you do/have to work right?

I like to walk and am thinking I might get my bike back but not sure yet/my beloved gets this nervous look when I talk about it and the traffic is much heavier than it was 14yrs ago...first its just move in (tomorrow yes!) then get a job then I will have time to play. funny you said yoga as my friend is so excited about me getting in her class :) I say she just needs a good laugh!! haha

its almost well anisetta...two more weeks...you're doing well...elevate atnight,clean and dry and don't bump into anything :)

as or that lst question are you tnking about all that colon cleansing crap that's all the rage now?

there are bacteria in our guts that help keep us healthy as well as help with digestion... yes, you might drop 3-5lbs after a big cleaning out but you are also losing a lot of good bacteria. the one bacteria that never comes out after a cleanse is called clostridium difficile. if you get into even a weekly routine of cleansing, whether it is with chocolate or with exlax or colon cleansers then you run the risk of developing an abdominal infection called C Diff. so called because its the only bug left in your gut. nasty mess too, takes an even nastier antibiotic to get well too. Flagyl. usually intravenously and for weeks...gross mess...so strong you end up having to eat tons of yogurt with the acidophilus in it to get rid of the thrush in your mouth and the yeast in your private parts....

I think I just wrote another hub:)

of course if that last question was just a joke like mine about jogging and the runs then I apologize for grossing you out :) hey,want a chocolate ding dong haha nurses are so gross!!!we think our jokes are sooooo funny!!!


anisetta profile image

anisetta 7 years ago

Lol RNMSN!!!

Thank you for the great fun! And also very wise advise indeed :)

Although my questions was to match with the runs of running, I am glad I asked. Nope, I am not doing that heavy cleansing, mainly because I do not like the runs (literally, the all day runs to the bathroom) I did the chocolate thing about 15 years ago, and did not have any desire to do it again. Now, I can of get the idea of why my body so deeply rejected that form of cleansing. Those after effects are scary!!!

I was thinking after I posted my question that maybe that was a subject for a whole new hub, it was, wasn't? Thank you for sharing all that info, I like it, I like how you present it. I learn and I also have much fun learning :)

Yes, yoga is great! But again, you are so right. I have to take it slowly. Today I went to the gym for the first time since the injury. I did all the weight lifting for my arms only and seating down. However, I also did sit ups (no push ups) and tried some lateral leg raisers. Well, my injured leg did not like it very much. I should say, my scar really complained about it, so I had to stop. Nope, no yoga for me today. I know that no yoga for me tomorrow neither the whole coming week.

I will take it easy, just go to work (on flats), come home and elevate my leg for the whole week. Hopefully by next week I can start yoga again, but slow and avoiding the streching part on that leg.

I would not imagine such a little injury taking so long to heal.... but getting there nevertheless.

Can one really get the runs jogging? ;)

-anisetta


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RNMSN 6 years ago from Tucson, Az Author

haha yes you can get get the runs by jogging IF you take milk of magnesia first :) haha otherwise no way...well anisetta I have been movng across the country for the last 2 wees and totally without hubbers omg!!!! it is horrible!! I love this site!! missed you too :) by now I bet you are doing sun salutations easily eh?


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anisetta 6 years ago

Hello!

Around the country!!!! How was it? Nice? I hope so!

I was out of cybersace for the past week too. But only due to school and work :( no traveling.

Mmmmhhmmm.... sort of bad news. My scar is still fresh, still gets red around, it became big again and has not gone back to be thin and small yet. It has been interesting to see the rekationship between total rest of the leg and decrease of swalling, redness and the size of the wound's channel. It looks like a little river, it gets wider when there is rain and it gets skinny when there is drought.

But still, it is healing. Not at the pace I want, but I see lots of improvement....

-anisetta


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RNMSN 6 years ago from Tucson, Az Author

well it wasn't the frst tme! hubby and I have now moved 18 times in 27 yrs of marriage!! twice we moved across town/othrwise we make BIG moves :) but dude! it gets harder the older we get! I was worthless cept to help it Dog the cat...Katie Baby our 26yr old and honey did it all :)

I wonder, Ani do you have har on your toes haha are you a hobbit? the reason I ask is hair on the tps of your toes, especially big toe and second, show good circulation to your legs... I knew this would take a while for you with thehistory you spoke of in the beginning and it is healing...hasn't re-opened/just lets its presence known right? so keep on keepin on!! love to you


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anisetta 6 years ago

Hello RNMSN,

18 times!!!!!!!!!!!! it must be pretty interesting to get to know lots of different people every time you move. And you must have very good adapting skills. What was the longest move, both in residence and distance? The most memorable? It may also be a topic for another hub ;)

Am I a hobbit? My husband called me a hobbit once, both because I am tres petite and because I do have hair on my toes :) So that means good circulation on my legs, that sounds good.

Well, tomorrow is the 6th week since I got injured and that stubborn cut is still open. I am amazed about how long it takes to heal. And it does complain loudly when I climb stairs, use high heels, or try my leg raies (I only tried once last week) it turned out to be more painful that I expected, so I definitely abandoned the whole exercise idea for now. I think having to walk at work and school is plenty of exercise, this time I can dare to say, for another week or so. It has take 6 weeks now, it cannot be much longer. I am taking good care of not agravating the scar, not using high heels at all anymore and only take stairs were no elevetaro exists. I am doing all the good things I neglected to do the first weeks of my injury.

I am so glad I came across your hub, you have no idea how much pain and negative consequences you saved me from. I would have tried to be "tough" and probably would have made a small laceration much worse that it should be. For that I thank you so much and I am so interested on keeo on writing.

About my hub, as soon as I can hike again, I will go up there and take pictures of the three culprit to analyze it and write my promised hub. It will be interesting.

For now, I sit down anywhere I can, read my financial reporting books, listen to classical music, and browse as many hubs as I can as my bedtime stories. I learn a lot evryday.

Thank you for such a nice and informative hub on wounds, which has saved me from delicate mistakes!

-Anisseta


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RNMSN 6 years ago from Tucson, Az Author

oh Anisseta thank you so much...you have no idea how much this means to me :) mean ole nurses need to hear these kind words and I love you for them. That's why nurses are nurses, just to help. I did write several hubs aout previous moves while I was without internet...we are settled again in our heart home, the sonoran desert, Tucson and I have a lovely sounding job all lined up on the air force base that I am looking forward to...check out the memories of other moves if you like...as to moving...it is addicting! the way to learn about a place is not by touring it but by living in it...my honey and I met here in Tucson and it is our special of all special places we have lived..and I am so glad you stopped the heels or whatever else you have been doing without telling!!! you'll be OK but what do mean open? is it oozing? at this point I would expect it to be closed but look as if it is a shallow crevice...but dry. If it is still actually open and needs a bandage? ifso then the doctor needs to take a look again...but if it is dry, that's normal...


anisetta profile image

anisetta 6 years ago

A job on the Air Force??????????!!!!!

That sounds great! Congratulations!!!

While reading your post, the job in the Air Force got my eyes big and wide, wow! I think Tucson is beautiful, I have been there once only, I did enjoyed very much so. I hope to come back soon....

Oh! About my leg, I think that I am a lot better now. No high heels yet, it looks like no heels for another week or two. It does not look as if the wound was still olpen. It just gets red all around, more so by the end of the day after walking long distances and at fast pace. The brown thing (scarring ?) started to peel off and my skin is also coming back, it was peeled off the surrounding wound area, but it is getting smaller and smaller.

I did think about paying another visit to the doctor last week, I thought that the healing process was taking quite longer than I expected, but being one of the statistics without health insurance, I really had to think five times before getting to the emergency care. But, no, I did not have to spend more money on my leg, just be patience and like you said "baby the scar."

To be honest, I never had a hole on any of my legs, so this is a new experience for me. That tree branch really made a mark, and a deep one.

I reflect on my injuries and realize that I had deep cuts on both my hands, they also took stiches, but there was little impact on my everyday activities, I broke my wrist and was on a cast for months, I could not use my hand for a long time, still the impact was small. But I get a small laceration and it takes me off my feet for weeks!

Small cuts can have big impacts, I need my legs a 100% of the time... I can see what it takes for me to realize how valuable my body's health is... great lesson, I hope I learned, I hope I keep on learning.

Thanks to people like you who dedicate their lives to keeping people healthy, well, believe me, this time I did listen :)

Anisetta


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RNMSN 6 years ago from Tucson, Az Author

oh well you are doing just fine then...goodness I was worried/and I m a contracted RN...too old for one thing for the air force, also too small and too much of a big mouth haha...do not play well with others :)but so very glad that you are well and more so every day


anisetta 6 years ago

Dear RNMSN,

Well, this thing is still red. I imagine that is normal. It will be two months in two days. There is only a hint of pain from time to time, but I often forget that I was injured. I only remember when I look at it and is red and unhappy. Yes, of course, when I rest, the color goes back to normal, and there is no pain at all. But, I am able to take the stairs to 2nd, 3d., and 4th floors. I guess that is a very good sign. The only thing I cannot stand yet are high heels (2 in) not too high. I guess that part takes longer. Which makes me realize that ice skating is not where in an immediate future. I am dying to go ice skating, but I must wait.

I went to yoga once and it did not work just yet. That did give me some serious pain. I felt like my sking was being pulled, so no yoga for now either. Only casual walking and floor exercises that do not involve using that part of my leg at all. I am giving myself some workout to work the back muscles without distrurbing the front. But it is still too limited. However, you are right, I am doing well and even though it may seem slow, I am sure recovering very well.

Oh! no hiking yet. As soon as I can go back, I will make my first hub about the tree that stabbed me.

-Anisetta


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RNMSN 6 years ago from Tucson, Az Author

Very Good Anisetta!! It has been a long road hasn't it? But it sounds good...behave yourself!! remember don't put any goopy lotions or creams etc on it and let it stay all goopy that will may the top part of the scar slough off and its back to square one...way to go! You Rock!! :) love to you!


anisetta profile image

anisetta 6 years ago

Hello RNMSN,

I cannot believe it would take so looooooooooong to heal!

I cannot yet exercise without pain. It feels like sharp little knives are going beneath my skin. I only have tried twice in the past two weeks and today I had to quit because the pain was very sharp. Is that normal?

I worry a little because the thin and small line is big and wide again. The red area around the wound came back, but it is darker now, almost black and blue.

I wonder if there is still risk after more than eight weeks have passed since I got injured?

I assume that I cannot wear even a 2" high heels, right? Yes, I tried one day two weeks ago, it hurt, I stopped. But I tried again this week, and it seem to got worse. I regret that so much.

Well, I had to put my leg up again today, that gave me some relief.

Still, no going hiking for some time.....

Anisetta


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RNMSN 6 years ago from Tucson, Az Author

I do not lke the sound of this at all Anisetta...dadgumit wish you had insurance...now I am worried again and want you to see the MD...was this laceration right over your shin bone? If so that is another reason why its taking soooooo long but this has been twice as long as I expected....makes me wish we had mercurochome again :) but no, just soap and water...well a bit of witch hazel before bedtime wouldn't hurt/probably wont be a sure fire cure but maybe a bit of astringent once a day will wake it up and make it realize it needs to finish healing...but I wish you would go back to the MD one more time just to make sure you are really really OK and just a slow healer

yu are not keeping a cpmression bandage on it are you?...not putting a bacndage on it at all right? but its swollen and changing colors again right? that means there is fluid leaking into the surrounding tissues...its still just trying to heal all the way...but I want I wish I hope

hey!! just call the physician and talk to him or the nurse!!! that wont cost anything and will give us both peace of mind what have I been thinking!! Of course!! Call and talk to the MD and or his nurse don't be afraid the doc puts his/her britches on same as you and I do/upside down and inside out!! lol

what? you put yours on one leg at a time? dude, you are so out of the loop :)

don't you dare young lady!! love to you!


anisetta profile image

anisetta 6 years ago

Hello RNMSN,

Yes, I could see my bone when I got the hole on my leg! I think that was the most scary part. This made me realize that it was deep enough to be dangerous. Otherwise I might had attempted to let it heal by itself :(

I will follow your advise to make sure I am fine, and like you said, I am just a slow healer. And maybe I did things I should not have done, like hot yoga (yoga under a 100 degree temperature) This was six weeks after. Yes, the wound complained loudly. So I did not go back to yoga. But I have been good, no weight lifting, no running, no biking, no ice skating and no high heels, with the exception of two days.

I will make the appointment with my doctor and see what happens. You are right, I do not like the look and the feeling of it. I will let you know what the doctor finds. I deeply hope that it is just slow to heal and not anything more troublesome.

Thank you!

Anisetta


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RNMSN 6 years ago from Tucson, Az Author

I am ashamed of myself Ani/I should have asked what it looked like at the very start...sometimes especially right over a bone or if its really deep/yours was not deep it just had little protection like fatty tissue/as you said you are tres petite/the body will heal just to a point;then the body says OK Iam done with this and goes on to bigger and better pursuits ha at which time something has to be done to tell the body the healing is not done yet...like putting a drying agent over the scar or sometimes just wearing really soft, non constricting knee high socks like the diabetic socks from w mart/cost 7 bucks for two pairs...these are wonderful protection and wont stop air or circulation from interfering with the scar but just gives a softer piece for protection. The doctor needs to see it but if the area is still CLOSED not even a tiny bit of weeping or seepage of fluid? then I am hoping it needs more protection and a bit of a drying agent like the witch hazel...this is so frustrating Anisetta and if I am feeling like that I know you are so we both have to stay focused and optimistic and let the doc guide us right? love to you! man I must have just gone to bed when you answered last night!have a good Sunday


Anisetta 6 years ago

Hello RNMSN!

I am much better, thank you!

There was no need to go to the doctor, I am happy about that. I followed your instructions and it worked just great. I still refrained from any exercise and high heels. I think that I will try ice skating next Thursday!!! I hope it does not bother my leg. But judging by the way I feel, I think I am maybe 97% well.

Sorry about the delay on posting ;)

I got very busy with midterms and projects, I also got some sort of flu last week, I stayed in bed almost the whole week... voila! There is the magic of my recovery... I did not do anything for almost a whole week! I did not use my leg!!! I just realized that as I write this. If I had to stay home, the byproduct is that I did not use high heels, no stairs to climb, no parking lots to rush through, no even house chores. Well, one thing helped the other.

I felt sick with fever, headache, nausea, and just wanted to rest. I did rest, and now I feel much better in more than one way.

I am ready to go back to the forest and research what kind of tree was that did that little damage to my leg... I will go back once I finish my finals though.

Thank you for all your help, your advise, and your caring. You did save me lots of stress, visits to the doctor, and most important, you saved me from myself :)

Have a nice weekend. I will be back, but I hope is with good news and not due to an injury.....

Anisetta


Anisetta 6 years ago

Hello RNMSN!

I am much better, thank you!

There was no need to go to the doctor, I am happy about that. I followed your instructions and it worked just great. I still refrained from any exercise and high heels. I think that I will try ice skating next Thursday!!! I hope it does not bother my leg. But judging by the way I feel, I think I am maybe 97% well.

Sorry about the delay on posting ;)

I got very busy with midterms and projects, I also got some sort of flu last week, I stayed in bed almost the whole week... voila! There is the magic of my recovery... I did not do anything for almost a whole week! I did not use my leg!!! I just realized that as I write this. If I had to stay home, the byproduct is that I did not use high heels, no stairs to climb, no parking lots to rush through, no even house chores. Well, one thing helped the other.

I felt sick with fever, headache, nausea, and just wanted to rest. I did rest, and now I feel much better in more than one way.

I am ready to go back to the forest and research what kind of tree was that did that little damage to my leg... I will go back once I finish my finals though.

Thank you for all your help, your advise, and your caring. You did save me lots of stress, visits to the doctor, and most important, you saved me from myself :)

Have a nice weekend. I will be back, but I hope is with good news and not due to an injury.....

Anisetta


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RNMSN 6 years ago from Tucson, Az Author

yippee for the flu then!! ugh what a terrible thing to say :) I am glad about your poor ole leg though and still be careful...I still think the use of witch hazel or betadine or a drying agent wouldn't hurt if you don't do too mmuch and defineitley add the soft non restricting knee high socks :) you can go goth and be Abby for a while!! love you


Anisetta 6 years ago

Hello RNMSN,

Bad news, maybe because my leg still hurt from the last injury, or maybe just because I am not careful. But I am in so much pain. I think I did something to my muscle on the same leg that was healing! It happened Saturday, I was all pretty wearing very high heels. I was standing and I made a strange move in such a way that I almost fell, so in an effort to avoid falling I stepped on the leg that was hurt, the hill of my shoe went sideways and pulled my whole leg from the side. I could feel a pull right by the leg's socket below my hip.

All was ok, just a small pain. I thought it is just a small strain, I will be ok in a day or two. The pain was a bit more on Sunday, then on Monday I had to be all over the place, but was feeling better, so I used my high heels again. But it was difficult to walk by the end of the day.

Yesterday was much worse. I kept my leg elevated, but the pain will not go away and I could not walk at all, I had to drag my leg altogether. Last night the pain was so excrutiating that I had to take an 800mg ibuprofen pill, then I was able to fall asleep. So I did the same today, I took one pill in the morning and one not too long ago. It does help to alleviate the pain so that I can drag my leg with less pain, but in bed I can oly feel a hint of discomfort, only when I move it hurts.

I think I did somehting to my muscle, and I think it is because I went ahead and use high heels when my wound was still giving me a little pain. what do you think?

I have the socks, but I can see that I must avoid trying to be taller with high heels for a while. Does my reasoning make sense?

Well, now I have to use those things that help me walk without bothering my legg.

This is the bad news, no good news for now.

Anisetta


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RNMSN 6 years ago from Tucson, Az Author

so not good news at all! Now you MUSt, MUSY and I do mean this now Nai!!! YOU MUST GO TO THE PYYSICIAN!!neither of us have xray vision, its been too fragile for tooo long and now I am worried...if that tinfection gets to your fibia (shin bone) there wont be anything left to do cept make you move here and sleep on the sofa till its wel!! OH BOY!!

sriously, nothing I caould tell you at this time would be right or evrn close...that MD must do his magical Diagnostician tour an hope he says its nothing, just taking it own sweet time etc


Anisseta 6 years ago

Oh!!!! that does not sound good at all :(

I wanted to avoid a trip to the dr at all costs, but it seems that I have no choice now.

I will indeed.

I have a question, but it is not related to my leg. (Which, by the way, still hurts to my surprise.) My question is related to the symptoms of bronchitis or laringitis. I woke up yesterday with my voice gone, but there was no coughing, or even sore throat. But by the late night, I had fever, and my body was aching bad. I got under the blankets and sweat off the temperature, I changed clothes twice. Since I thought my chest was congested, I bought Mucinex and started taking it. I seems to be breaking down whathever is in my chest. Please don't tell me I have to go to the doctor. I really do not like doctors, they are too expensive and I do not have health insurance.

I rested all day today, and the temperature went down from 103 to 1oo.7. I have been drinking lots of water, and tea with honey.

Sorry for getting off topic on this column. I think telling what I feel may help me. (?)


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RNMSN 6 years ago from Tucson, Az Author

ANI, child you just had the flu!! How in the world can we get your immune system to treat you better?...Ok well good thing is its probably viral...mucinex always made me puck but baby girl swears by it...you did everything you were supposed to and should feel better in on 7-10 days...usually viral lasts that long...the thing that worries me is you just had this when? let me check/4 wks ago...course that was midterms as well...and I bet you are burning the candle at both ends now...its just I don't want you to be getting the same virus over and over cause you haven't rested and cleared it from your system in the 1st place but I am a worry wort :) and baby girl does the same thing but she gets over it just like you did...me; I freak and moan and worry and touch her and pester her until she says "MOMA!! I love you but geez woman SPACE!!"

so there you go too Ani/do you hate your name being shortened? one of Katie babies friends from way back to 5th grade,her name is candace and I tried to call her candi and man would she get pissed! which just made me laugh and want to tease her that much more :) but the other concern and I am only a nurse, only a doctor can tell you this but you are young and unless you were here in 1977 you have nooooo antibodies against H1N1...so these 2 really close episodes of a viral type infection scare me cause thats what it says on my birth certificate

"This lady will be an RN therefore she will worry and pester and heal you whether you like it or NOT" :) you're doing fine/damn this govt for not letting us go the MD when we need to...only place on earth left uncivilized is USA and its only due to greed...but that's aother HUB :)

love to you Anisetta Baby!! drink lots of fluids and don't alternate tylenol and motrin and do rest and dont overexert yourself and wash your hands fifty million times a day and get well!! there...orders written...don't you feel better already?


Anisetta 6 years ago

Hello RNMSN,

I wish you were here. Just your good wishes make me have hope. I think I am very frustrated, I went to the doctor the day before yesterday. I had lost my voice, I could only whisper, and I had an intermittent cough that hurt so much on my head, my throat and my chest.

Of course, the place took hours to get me in, even though there was only one person ahead of me, but I do not have insurance, so I always have to wait. Plus, I was dressed like a homeless person, I bet they thought I could not pay.

Everything went downhill from the moment I was looked down when I got to the emergency care. The worst parts were the nurse practitioner and the doctor. The nurse practitioner never asked for my normal blood pressure and temperature, so he assumed that 110-60 and 98.6 were pretty normal. He just said, you look pretty good to me in a condescending manner. I wanted to run out of there, but I was just too weak to find another emergency care at the time. I just hoped that the doctor would listen to my chest, listen to my pain from the pressure of my sinus and give me the right meds to decongest my chest and get rid of the sinus infection.

Nope, the doctor just asked me: “have you vomited? Do you have diarrhea, nausea?” No, I did not have any of that, maybe small nausea due to the yaky stuff on my chest. When I say no, he told me: “take your jacket off” then he proceeded to lift my shirt all the way up without asking, without any warning. If I did not have an undergarment, my whole back and part of my front would have been exposed. Afterwards I felt so humiliated. I wanted to say something, but with my voice gone, there was no much screaming I could do. So I kept quiet.

He asked me to take deep breaths, I could not breath, but he say I was OK. Then he touched my face with his two big hands, he touched it all over, I felt like he was examining a horse, rather than checking me. He also concluded that I was OK. Even though I made sure to let him know that I had incredible pain and pressure on my sinus cavities and that I felt yaki stuff leaking down my throat.

He finished by telling me; “everything looks pretty good to me.” I asked “what?” Why do I feel very sick then?” he said smiling “you have the flu, and it is going to take you two weeks to get well or longer and there is nothing I can do.” I was desolated. The doctor could not see that I had bronchitis and a sinus infection.

He gave me over the counter medicine. Can you believe it? I paid $60.00 for a man to write me a prescription for meds I can easily get over the counter. He gave me tylenol, sudafed, and robitusin. And no directions. He wrote indications of things I had already been doing such as the humidifier, nasal rinse, drink lots of fluids, and rest. I asked him, “how am I supposed to rest if the cough keeps me awake all night and all day?” He said that the syrup will have codeine. Well, I had that before and it worked very well, if the medicine was not good, at least the rest always helped me a great deal to recover. Well, not now. The syrup does nothing to help. The sudafed and the tylenol only mask the symptoms for a couple of hours, once the effects wear out, I get the same pain, the same headache, the same pressure and the yaki stuff keeps dripping on the back of my throat.

Is this normal? Am I being stubborn, or troublemaker? I know my body, and you are right, a few weeks ago I had the flu, it was so different, I had a runny nose, nausea, body aches, almost vomited a couple of times, and fever that gave me headaches, but I had my voice, and not cough, no chest congestion, no sinus infection. That time rest alone was all I needed. Those are not the symptoms I have now, and my worry is that my pains seem to increase rather than go away, the other problem is that I cannot rest, the cough keeps me up, mostly at night. It does not keep me up during the day because I cannot sleep anyway. This is what I have:

sore throat

pressure on my face below my eyes

headache that I do not know where it begins and where it ends.

Fever – ranges from 98.6 to 101 in the last two days, it was higher before

big chills – they make me tremble

as soon as I get under the covers, I sweat a lot and feel very hot

cough that sounds like it is trying to get rid of stuff on my chest

my chest is very congested

my nose is stuffed

no appetite

no strength

when I brush my teeth, the back feels numb

I cannot focus on anything for a long time, I get dizzy, for example, writing this takes me forever and I have to make many corrections, the letters make me dizzy.

I cannot think of anything else, just that I cannot sleep.

I was thinking that I may have to go to another doctor, I am feeling worse as rime goes by, I worry that I may not have just the flu and end up with something worse like pneumonia.

Would you please let me know how does this sound to you? Do you think I am just frustrated, or do I sound like I know my body?

I am getting worried, I only have one more week off from school, and it looks like I will not be able to actually rest and get ready for classes.

Oh, by the way, this is how I got sick four weeks ago. My boss asked me to take notes outside so that he could have a smoke, I told him I could not be outside when he was smoking because I have asthma and smoke makes me very sick. He said that he would be in a place where the air will take the smoke away from me. Well, it did not happen that way, and the result was me being sick for a week. This time my boss needed a babysitter and I offered to babysit since I had no classes and no homework. I took his daughter home. She fell asleep on the couch and since I did not want her to be afraid if she woke up in the middle of the night, I put a blanket on the floor and slept next to her. I did this against my better judgment because every time I have done this before I had gotten this sick as well. Yes, I regret both instances with all my might. While is true that from time to time I get a cold, or the flu when people are sick around me, it is also true that these two times it was completely unnecessary for me to get this sick, it was all my fault. It is just like walking barefoot on the cold floor when I know that that also makes me sick.

I really wish you were here............


RNMSN profile image

RNMSN 6 years ago from Tucson, Az Author

I think the MD is thinking it is a viral infection such as the flu...which would mean NO antibiotics/just rest/fluids/Tylenol/handwashing..

My fear is it is a complication of the flu you had a month a month ago and my worst fear of all is it is H1N1

However, most people seem to get it, build immunities and get well...unless you are immunosuppressed and or have other high-risk medical conditions such as asthma

what you sound like to me/and I am only a nurse/an egg, slightly cracked/is an immunosuppressed person who is just trying like the rest of us to get an education, keep a job, pay rent, eat when the budget allows and play whenever we and friends have enough pooled enough money together to HAVE a party!

Also, ANI, I think you are either highly allergic or sensitive to dust, smoke...and you almost sound like an adult who had asthma as a kid but were told you are now "over it"

Here is what I found off the CDC site about the swine flu/H1N1

What are the signs and symptoms of this virus in people?

The symptoms of 2009 H1N1 flu virus in people include fever, cough, sore throat, runny or stuffy nose, body aches, headache, chills and fatigue. Some people may have vomiting and diarrhea. People may be infected with the flu, including 2009 H1N1 and have respiratory symptoms without a fever. Severe illnesses and deaths have occurred as a result of illness associated with this virus.

How severe is illness associated with 2009 H1N1 flu virus?

Illness with 2009 H1N1 virus has ranged from mild to severe. While most people who have been sick have recovered without needing medical treatment, hospitalizations and deaths from infection with this virus have occurred.

In seasonal flu, certain people are at “high risk” of serious complications. This includes people 65 years and older, children younger than five years old, pregnant women, and people of any age with certain chronic medical conditions. About 70 percent of people who have been hospitalized with this 2009 H1N1 virus have had one or more medical conditions previously recognized as placing people at “high risk” of serious seasonal flu-related complications. This includes pregnancy, diabetes, heart disease, asthma and kidney disease.

Young children are also at high risk of serious complications from 2009 H1N1, just as they are from seasonal flu. And while people 65 and older are the least likely to be infected with 2009 H1N1 flu, if they get sick, they are also at “high risk” of developing serious complications from their illness. See People at High Risk of Developing Flu-Related Complications for more information about who is more likely to get flu complications that result in being hospitalized and occasionally result in death.

Difficulty breathing or shortness of breath

Pain or pressure in the chest or abdomen

Sudden dizziness

Confusion

Severe or persistent vomiting

The above is when to see/call MD

I wish I were there too baby

Do you use a neti pot? If so, be sure to clean it thoroughly in between uses with hot hot water and soap/soak it for a while then the dishwasher if you have one

This place you went to was an urgent care wasn't it. Have to be for only 60 bucks but you need a double set of x-rays chest and sinus x-rays

Do you keep any pets/dumb question of course not you'd never be able to breathe/

bare feet on cold floor sends the cold air right up to your chest/sleeping o the floor/where everyone walks around with their filthy shoes ones and you there breathing it in...I know/you know...westerners are filthy

My poor Anisetta

Where is your family or are you like me and the standard reply is "we speak" (not my hubby and Katie baby that’s diff.... I mean mom,pop,sis,bro etc)

If so, ok, sorry I asked

Then is there an isolated spot in your apt that gets at least an hour of sunlight a day, isn’t cluttered, where you can sit in a chair and soak up the Vit D from the sun that way? sit there, drink tea, tons of hot tea, use honey if you want to/gross stuff in tea to me/now by the spoonfuls that’s diff

oh and spoonful of honey at bedtime will keep the cough at bay for about 2 hours then you have to get up, drink a cup of hot tea, finish off with a big spoonful of honey and go back Propped up to bed or the sofa or the recliner/wherever you can rest the longest without coughing

I like the vapor rub on my chest and nose drops from Wal-Mart..Equate brand with phenylephrine 1.0%

BUT and this a huge but...you cannot use more than three, count them , 1, 2 3 drops per nostril...that’s just the bare end of the nose dropper...otherwise your heart starts t pound and your skin starts to crawl and you will throw up

But it works...hold the back of your throat closed. Tilt your head back, do not open your throat or breathe until both nostrils are done then as long as you can keep the nosedrops inside your nose/sinuses cavities...then open your throat and let it run down your throat

DO NOT SIT UP!! nose drops will not work if you don’t stay put for at least 1/2 an hour so do it when you really still, got your tissues, tea, remote blankie,cell pone pillows right there..

I disapprove of sweating out a fever...the fever is doing its job of killing the virus kill the fever too soon? Virus will laugh at you...I also disapprove of taking Tylenol unless temp is OVER 100 degree Fahrenheit

I APPROVE of hot steamy showers without getting your hair wet. Don’t even use soap if you are too tired, just stand there and let the hot water unclog your sinus and hack up all that phlegm and down the drain

I APPROVE of gargling with warm salt water much more than the neti pot, one wrong sniff, one use without the pot being pristine clean and you will be sicker then sick

Gargle slowly, not like a guy but just gently short little gargles until your throat feels better

I DISPAPROVE of robitussin, call me stupid but it doesn’t work, just pushes the crap deeper into your chest

hand washing, rest, fluids, tons of fluids, don’t over chill or overheat yourself, eat if you want to, or not, blow your nose then use the nose drops like I suggested...sprays will NOT work as well but same theory, don’t get the medicated kind, they burn like you know what

if at any time Anisetta you cannot breathe, get chest pain, fever over 102, brown coughed up stuff or pain when you breathe...go to the emergency room...not the urgent care, not the free clinic, not public health...go to the emer room...they HAVE TO TREAT YOU!!! and if at any time you feel like you did at that urgent care/humiliated,infuriated,condesceded to, patronized...you need to report them...they are supposed to be service oriented persons who want to, are actually compelled to want to help money does not mean shit to a true service oriented healthcare provider...it is our patient who is number one priority and all are treated with respect and dignity and all get the same standard of care with gentleness and compassion as anyone else

If you do not get that then those healthcare providers need to be reported

You were alone weren’t you? next time take the biggest baddest guy friend you can get a hold of to stay with you, they cannot make them stay out while examining you...you, the patient, have the RIGHT and the NEED to say, NO, he stays...and let’s see that jerk wad doc jerk you shirt up then!!

Oh dear I am very mad...that’s just not right ANI

Not right


Anisetta 6 years ago

Hello RMNSN,

Feeling better, but still the cough keeps me up at night. The cough medication does not help me at all.

I tried the steam shower, the honey. The honey helps me, like you said, for a couple of hours, then I get up again.

Is it normal to have cough this long? I never had it this long, it is so persistent.

Well, tonight I decided to take a lot more of the syrup than what the dr prescribed, maybe that will help me sleep. at this point I am not sure if it is the syrup, or the lateness, that is making me feel asleep. I hope I don not get that cough back as soom as I laid down.

I will let you know how it progresses.

Oh! I still think that I had bronchitis and a sinus infection, what do you think?

Anmisetta

ps: I wrote a long reply a couple of days ago, but when I pressed "post comment" I got an error back and lost my writings :(


Anisetta 6 years ago

Hello RMNSN,

Feeling better, but still the cough keeps me up at night. The cough medication does not help me at all.

I tried the steam shower, the honey. The honey helps me, like you said, for a couple of hours, then I get up again.

Is it normal to have cough this long? I never had it this long, it is so persistent.

Well, tonight I decided to take a lot more of the syrup than what the dr prescribed, maybe that will help me sleep. at this point I am not sure if it is the syrup, or the lateness, that is making me feel asleep. I hope I don not get that cough back as soom as I laid down.

I will let you know how it progresses.

Oh! I still think that I had bronchitis and a sinus infection, what do you think?

Anmisetta

ps: I wrote a long reply a couple of days ago, but when I pressed "post comment" I got an error back and lost my writings :(


RNMSN profile image

RNMSN 6 years ago from Tucson, Az Author

I, who am only an egg and slghtly cracked, and a nurse who never ever iagnses :)

I'm afraid you had the flu AGAIN!

and the cough can take up to 6-8 wks ugh to really go away...but the cough med WILL put you t sleep/has what 18% alcohol but damn put the hone in the whiskey and do the same thing...my poor ANI...spit that stuff out...and try to rest all propped up and take ONLY tylenol plain tylenol...even the benadryl in the PM stuff will mess you up worse

fluids, rest, fluids, rest and not overeert!!

love to you

Barbara


Anisetta 6 years ago

Hello Barbara!

I should be on the road to recovery. The only thing is that cough, you are right, it takes a long time.

lol! I do not want to seem stubborn, but I kept thinking is bronchitis and sinus infection, because of the symptoms, and also because no one around me got sick. I was worried last week to have infected my co-workers, I went to the office with very high fever, chills, the cough, and the sinus pain. First, I did not worry because I recognized my symptoms from before. I have never gotten anyone sick when I get bronchitis, or when I get sinusitis. But, then when the doctor said that I had the flu, I was terrified to maybe have given it to other people. I checked on my friends and co-workers and they were all fine.

Is it possible to have a bad case of flu and not give it to anyone, even those who live in the same house (my husband for example). The only problem I give him is my loud cough at night, other than that, he is fine.

But going back to the yuki stuff, the water with salt seems to help, it almost makes me trow up, but some ugly stuff has come out of my chest. Although my voice is still gone, much of it wants to come back, definitely I cannot sing this Sunday :(

Now, going to something better, I want to wish you a Merry Christmas and a very Happy New Year! May re receive many blessing always!

Thank you for eveything, it is wonderful to be able to write for you and to read your writings.

May you receive the gift of peace, love, and plenty of happiness....

Anisetta


Anisetta 6 years ago

Hello Barbara!

I should be on the road to recovery. The only thing is that cough, you are right, it takes a long time.

lol! I do not want to seem stubborn, but I kept thinking is bronchitis and sinus infection, because of the symptoms, and also because no one around me got sick. I was worried last week to have infected my co-workers, I went to the office with very high fever, chills, the cough, and the sinus pain. First, I did not worry because I recognized my symptoms from before. I have never gotten anyone sick when I get bronchitis, or when I get sinusitis. But, then when the doctor said that I had the flu, I was terrified to maybe have given it to other people. I checked on my friends and co-workers and they were all fine.

Is it possible to have a bad case of flu and not give it to anyone, even those who live in the same house (my husband for example). The only problem I give him is my loud cough at night, other than that, he is fine.

But going back to the yuki stuff, the water with salt seems to help, it almost makes me trow up, but some ugly stuff has come out of my chest. Although my voice is still gone, much of it wants to come back, definitely I cannot sing this Sunday :(

Now, going to something better, I want to wish you a Merry Christmas and a very Happy New Year! May re receive many blessing always!

Thank you for eveything, it is wonderful to be able to write for you and to read your writings.

May you receive the gift of peace, love, and plenty of happiness....

Anisetta


Anisetta 6 years ago

Hello Barbara!

I should be on the road to recovery. The only thing is that cough, you are right, it takes a long time.

lol! I do not want to seem stubborn, but I kept thinking is bronchitis and sinus infection, because of the symptoms, and also because no one around me got sick. I was worried last week to have infected my co-workers, I went to the office with very high fever, chills, the cough, and the sinus pain. First, I did not worry because I recognized my symptoms from before. I have never gotten anyone sick when I get bronchitis, or when I get sinusitis. But, then when the doctor said that I had the flu, I was terrified to maybe have given it to other people. I checked on my friends and co-workers and they were all fine.

Is it possible to have a bad case of flu and not give it to anyone, even those who live in the same house (my husband for example). The only problem I give him is my loud cough at night, other than that, he is fine.

But going back to the yuki stuff, the water with salt seems to help, it almost makes me trow up, but some ugly stuff has come out of my chest. Although my voice is still gone, much of it wants to come back, definitely I cannot sing this Sunday :(

Now, going to something better, I want to wish you a Merry Christmas and a very Happy New Year! May re receive many blessing always!

Thank you for eveything, it is wonderful to be able to write for you and to read your writings.

May you receive the gift of peace, love, and plenty of happiness....

Anisetta


RNMSN profile image

RNMSN 6 years ago from Tucson, Az Author

And to you my Ani, this time of year is not easy for me...you have brought me joy with your gift...love to you and yours, thank you


Anisseta 6 years ago

Greetings!

The wound is almost 100% cured. It took a long time, but I am better, never like new, but back to normal activities with care and caution not to get another injury.

School started, so I am not on the net as much, other than for research. I hope all is well with you. I wish I had more time to visit more hubs and to start my own. I will soon.

Thank you for leading me through my recovery, I loved your advice, you were my guardian angel!


RNMSN profile image

RNMSN 6 years ago from Tucson, Az Author

there is something wrog with hubpages and notifications of my comments through my email! I am so sorry Ani not to hae answered you...but the email last nite I did get :) love to you///btw///I just got my first hate comment...ery strange...very disturbing....and it was because I said love to you at the end...it isn't just a closer like, sincerely or later or noting...I do you love you...I hope you know that and all the hubbers I end my comments with that remark...mabe that's the next hub?

as for school...school is the number one priority...do not stop...donot get behind...do not give more than your vey best!! the earlier you do it the better off you will be...I am proud I got mine even at the age of 50somenting but I have to admit to you that it has not helped me at all...I did it too late Im afraid....so take a tip from my dad "why don't you just come home and let me run your life?" lol,....I miss him so much...


Anisetta 6 years ago

Hello RNMSN!

How are you doing? It has been so long since last time I visited here.

I wonder if you know something about aole vera juice, I am trying a diet and take that every morning. I got it from herbalife, but I found it about four times cheaper at Trader Joe's, I bought it. However, the taste is not great.

Anyway, I hope you are doing good!

Ani


RNMSN profile image

RNMSN 6 years ago from Tucson, Az Author

oohhh gross Ani!! I did that too for a while but it was so nasty I couldn't keep downing it...better to put it on your cuticles before you paint your nails if you ask me lol

hows that shin doing? how are you doing/I am OK and I love you barbara b


anisetta profile image

anisetta 6 years ago

Lol! I will do that then :)

My shin still gives pain, only when I exercise like the treadmill, ice skating, or weight lifting. So, not much exercise yet, and no hiking at all. I can't wait to go back to that long loop where I got injured.....

The rest if fine, just busy trying to study for the CPA exam :)

Love to you too!

Ani


RNMSN profile image

RNMSN 6 years ago from Tucson, Az Author

sounds as if you are finally getting back on both feet lol been a long hard nearly a year for you eh Ani? but you are doing good and I am so glad

I helped my dad study for his CPA and he aced it (cause I helped lol)

you will ace it as well so you go girl!!

love to you Ani, barbara


Anisetta 6 years ago

Hello Barbara,

I am in trouble again. I wonder if I can get your help. I have food poisoning. It has been going on since Tuesday, I thought I could get rid of it on my own, but the pain just got worse and more often.

Is this something that I actually have to pay a visit to the IC? I tried to go this morning, but they do not take my HMO insurance. I really cannot afford to use my credit card, unless it will really help me.

I wonder if I can wait longer to see if the poisoning wears out on its own.

Thank you for your help!

Anisetta


RNMSN profile image

RNMSN 6 years ago from Tucson, Az Author

food poisoning and its friday? it isn't food poisoning...any fever? headaches? rash? nausea? abdominal pain?diarrhea or constipation? sore throat? tell me what your symptoms are ani and oh my answer me soon!!!!


RNMSN profile image

RNMSN 6 years ago from Tucson, Az Author

okay wait a minute...it could still be food poisoning...symptoms can last up to 10 days but the main horrible part ///that goes away fast so is it just abdominal pain? I need more inof and I wish you'd write me back now!! ha mean ole nurse aint I?


RNMSN profile image

RNMSN 6 years ago from Tucson, Az Author

okay I know you're in pain and probably piled up in bed but you have to stay hydrated and you have to answer this mean ole nurse kratchet cause dadgumit its fri and the weekend is on us and I am worried about you ani so write me back!!!!!!!!!!!!!!!!!!!!!!!!!


Anisetta 6 years ago

Thank you for your fast answer!

I have:

Very sharp abdominal pain that comes and goes, right now it takes longer to come back, yesterday and last night was within a few minutes apart.

Nausea

I have 99.8 fever right now after I put on a cold towell over my head to get the fever of 100.8 down, I also took two pills for fever (aspiring free).

Anytime I drink or eat (toast only) I have to go to the bathroom with diarrhea, I had some ice popsicles, they give some relief to the burning inside my stomach.

It hurts when I eat or shortly after.

I have been drinking pedialyte and gatorade to stay hydrated.

I am still thinking that if the fever comes back, I may have to go to the EC.

My abdomen (lower and upper part ) are sore to walk.

Are all these symptoms from food poisoning?

I am worried that it may be problems with the fibroid I have, eather than just food poisoning.

Thank you for your answer.


Anisetta 6 years ago

opps! I meant rather than.... sorry...


RNMSN profile image

RNMSN 6 years ago from Tucson, Az Author

okay sound like salmonella what did you eat tues? and the temp being below 102 is good and so's the dirrhea (what color is is?)don't want green pea colored diarrhea....and now its the 5th day...could go 5 more but should start to be slowing down daily...a fibroid wouldn't cause a temp though I don't think....sounds like food///bad chicken I would bet its the number one culprit///and yes if you do not get better or if you get a fever over 102 then you have to go to the emergency room...in the meantime do what you have done with the popsicicles and water if you can stand it but that's cause pedialyte makes me sick...whatever it takes to stay hydrated and pain reliever for the sore stomach like tylenol not alleve or motrin it will upset your stomach... take it very easy and I hope you get better within next 2 days...love to you barbara b


anisetta 6 years ago

Thank you!!!

I am still on the pedialyte (flavored) because the regular one makes me sick too!

I have a wet towell on my head all the time to keep the fever down. It works a little.

I think I am better now because my stomach is not as hard as yesterday, it is only sore, but softer.

Also, I have taken less trips to the bathroom.

I ate a very small peace of pork, but I never eat meat, so I knew that this could have been the source of my problem. Sometime ago, just a bite of a hotdog got me sick with the same force.

I am taking one hour at the time, and just trying to stay hydrated and keeping the fever down.

I am very sleepy, I am going back to bed and take advantage of this resting time now that I can.

Thank you again for your wonderful advice!

Love,

Ani


RNMSN profile image

RNMSN 6 years ago from Tucson, Az Author

you are welcome Ani, love to you barbara b


RNMSN profile image

RNMSN 6 years ago from Tucson, Az Author

Anisetta, it is Tuesday or rather Wed early morning...how are you feeling now? its been a week I hope you are better...let me know OKay?love to you barbara b


Anisetta 6 years ago

Hello!

It si Wednesday evening. I am still having those deep cramps a few times a day accompanied by the roar of a lion in my stomach but nothing else.

You think I am getting better? I do not remembr ever getting this sick from food poisoning or from stomach flu (if it was stomach flu). It has been a long time now.

I just read the recall of eggs because of salmonela? that is scary!

To be on the safe side, I am still taking light food, lots of liquids, no coffee, no oily food, and not a lot. I hope this helps me get rid of what got me sick :)

Thank you for checking on me :) :)

Love,

Ani


RNMSN profile image

RNMSN 6 years ago from Tucson, Az Author

yep sounds like the 10 days is about up and you are better but man that was scary wasn't it? salmonella is nothing light...they recalled some frozen yoghurt smoothies too that got meworried...but you are better now so I will NOTtell you about that scare! love to you Ani!! barbara b


coolhubs profile image

coolhubs 6 years ago from UK

That's a real eye opener. I Have experience in both clean wounds , dirty wounds and steriel wounds. These wounds all differ in the way you address the care you give. I did sort of wonder if you were doing your utmost best to use asceptic techique especially in the opening paragraphs. I realise the wound you are focusing on is definitely not a 'surgical' one in the sense of its age, and also you are looking at a fairy dirty wound. I would personally use asceptic technique as much as possible as that's how I would want to be attended if I was the recipient of care. I must however say you have writen a fairy good hub, I might become your fan!


RNMSN profile image

RNMSN 6 years ago from Tucson, Az Author

glad to have yu and absolutely aseptic technique is totally in there...but you are correct I shouldd have done a lot morehandwashing and gloving in there at the start...that's a good point...I will revise this article and you will get the credit coolhubs!! love to you barbara


Anisetta 6 years ago

Well, it is two weeks and the cramps are still there, but only three to four times a day. I notice that it hurst (cramps) more a few minutes after I eat something solid. When I have liquid oatmeal (warm feels really good) or the ice popsicles (they feel fresh) them I have no pain at all. The other thing that bothers me is the nausea. But I have an appointment with the doctor in a couple of weeks, I will see what he has to say about this scare.

Oh! one good thing (or bad) I lost a lot of weight. I am two sizes smaller now. But I know that once I can eat normal again, I will gain all the weight and maybe more.

But one thing I really do not like is my mood. I find mhyself kind of lost, thinking about the space and the clouds, and I do not feel desire to do much. I work, then get home, sit down and do nothing then go to bed, and just get back up to work, back home and to bed. Maybe I just ended up very tired after a week of being very sick.

You are right, picture me now all bundled up under the blankets, with my cats on the side, very sleepy and everything else a rolay mess, that's me for now....

cannot wait to be normal again....

thinking of you,

ani


RNMSN profile image

RNMSN 6 years ago from Tucson, Az Author

man that salmonella did you a good one didn't it? I think you are just worn out...no wonder your concentration is kapoot...by the time you get to see the MD you will be right OH wont you? at least you are working and eating and drinking...popsicles and soup eh? love to you...barbara b


Ben Zoltak profile image

Ben Zoltak 6 years ago from Lake Mills, Jefferson County, Wisconsin USA

Well done RNMSN I will hopefully never have to use this information! But just in case, I gave it a read through. I do some rough camping so it was good to read up on the proper ways to handle dressing. I can see by your jargon that this article will be especially helpful for other nurses.

Ben


Anisetta 6 years ago

Yes indeed! It got me good this time. Do you remember that last year I could not walk with that nasty hole on my leg? How long does a wound like that bothers a person? Even after it "heals" completely? I ask this because when I do strenous exercise, it bothers me a little. Is nothing that would stop me from practicing my skating jumps, pretzel yoga, and running, and horsing around, but it does make me think about what is going on underneath the surface of my skin. Is that sort of normal? It hurts, kind of like a small burning, it gets a little swollen, and if I do a lot of jumping, then it gets a bit red around the scar and tender to touch. I just cannot believe that it would still give me trouble, it has been over a year! Or maybe I am just a scary baby?

Oh! it is so good to have you here!! I feel safe, I can come and ask nice nurse Barbara about my wound troubles, even my salmonella scare. Thank you so much for letting me ask all kind of silly questions.

And yes! I will see the dr in a few days now and he will not be able to tell what hit me because I am like new now. Eating normal, drinking normal, sleeping a lot, and getting back to my study routine. I should be done in June (smiles, big smiles). Oh! I got my focus back too.

Love to you!

Anisetta


RNMSN profile image

RNMSN 6 years ago from Tucson, Az Author

love to you too Ani it has been a very hard year for you...that was a nasty wound you had and I am so glad its better but it a scar and scar tissue is more fragile than real skin so when it gets to acting up its what is underneath that is talking to you so to speak the tendon and muscle itself...it doesn't have all the layers of protection it used to have...it never will have matter of fact because all the skin layer subcutaneus dermis and epidermis did not all grow back...gone forever...the skin is our largest organ and it will act up without all its bits there to do their job...

yu can ask me anything if I dont know I will find ut..your salmonella scare lead to another article!! I didn't know typhoid was a type of salmonella did you? ugh I am so glad that you are well and have your focus back...just think only two semesters left what a blessing! love to you barbara


RNMSN profile image

RNMSN 6 years ago from Tucson, Az Author

hello Ben yes this was a nursing article basically but it has certainly been useful for the layman and I am glad...and as you can see from Anisetta's experience biking in the wilderness a nasty cut kept her off her bike almost a year!! its not fun and good to know the basics of what to do if you must...it does not ever take the place of a physician you must see the MD and follow his advice but pack a small bottle of saline in your first aid kit for roughing it and gauze and tape and do a damp not wringing wet just damp dressing until you get back to town and you will not do more harm to yourself for sure! hopefully you wont ever need to use it! love to you brbara


Andrew 5 years ago

Well ani's story makes me worried....

I recently gashed my shin on a share object and needed stitches. Stitches came out 7 days ago ... Had sterstrips on for 5 days... Put butterfly strips on for 3 now it is just a wound..

I've kept it covered the whole time even Now, but the wound seems to have gotten irritated since I removed the support..

It's draining a bit still ... When should I be concerned?


RNMSN profile image

RNMSN 5 years ago from Tucson, Az Author

what color is the drainage, what is the color around the area, is it in pain? pain is the first sign of infection, then warmth, reddness, swelling, fever

put the butterfly back on...keep it clean and dry, change the butterfly every 3 days, leave room between the draining area for it to breathe, do not use hydrogen peroxide! dial soap and clean water pat dry...call the MD, talk to his nurse, tell her what you see, smell, feel and see if you need to go back to the MD, very important, elevate your leg at rest and keep an eye on it...heart is selfish/it is only going to take care of itself and its surrounding area...it will forget your leg if you let it! call your doctor!! love to you and remember Ani is the exception bless her, you will be fine, but do not put off letting the MD look at it/that's his/her job!! are you calling yet? :) barbara b


Anisetta 5 years ago

Hello again!

Here I am back... yes, the cut bothers me from time to time (I mean the scar) it does not like strenuous exercise such as hiking difficult hills, or running on the treadmill (fast) but I can go about 4.5 m/h without a problem.

But, I have bad news. Something bit me Sunday night. I did not see what bit me. I just felt a very bad pain, my ankle got very big, all red and discovered a white little bump in the middle of a bright red circle. That was my left foot. Then I felt the same pain on my right leg, so I turned to look at it and just above my chin, I had another red circly, but a very small white bump.

I thought "arghh something bit me" I will see how I feel later, I got the Benadryl ready, covered the bites and got my pill ready because any bites always give me problem with asthma. I took the pill and went to bed.

I was so surprised to feel so much pain when walking, or just moving my leg, for that matter.

I went to bed without covers because those bites were too sensitive to any touch.

The Benadry is great help to sleep. I went out.

Monday morning I woke up with a bigger bump on my left foot and the red area on my leg was much bigger and both were very painful.

I worked 4 hours and decided that I needed to see a doctor. The EC doctor told me that he suspected ants bites. I said OK, just give me some help.

He prescribed Mupirocin ointment three times a day, and told me to keep taking the Benadryl pills and also applying the Benadryl to the bites.

Well, today is Wednesday and the right leg bite is worse. The red circle is bigger, the white bump is also bigger, it is more painful. It feels as if something was cutting my skin all the time, but there are some moments when the pain is more intense, then the intensity goes back down.

I thought about going back to the doctor (EC) today, but I just waited another day. Should I run to doctor tomorrow? Or maybe the bites are going through the stages of healing.

Oh! he found six bites. Five on my right leg and one on me left foot at ankle level but in the front.

yes, I cannot wear pants right now, and all my body itches suddenly for no reason.

Would you like to see a picture of the bite?

Thank you for your help.

-Anni


Anisetta 5 years ago

i think my last post did not make it, Did it?

-Ani


RNMSN profile image

RNMSN 5 years ago from Tucson, Az Author

yes it made it

did you find any ants in your bed or in your room? is the one on the right foot/ankle the only one that's really bad?that's not your bad leg is it? the scarred cut is on the left leg correct?

yes if it is not better and getting more painful and bigger orif it pops and opens go back

here's a post of what bed bug bites look like/I ask because there is an infestation of bedbugs all over the country and california was one of the states worst hit

http://bedbugger.com/bed-bug-bites-photos/

if its bed bugs you may find smears of blood on the sheets and think its from your bites or whatever bit you/but if you cant find ants I would definitely suspect bed bugs/do you vacuum your mattress every time you change the sheets and turn your mattress once a month and spray and wipe it down with an astringent like mr clean? is your mattress over 5 yrs old? do the covers touch the floor? can you vaccuum under your entire bed? bed bugs are terrible

I tried to post a picture of the bites but it wont come up here/check out the link and get back to me...don't open the yellow dot no matter how much it hurts!

you can sit in a tub with epsom salts though and that will help dry them up and take the swelling down and make you feel better and if the bactroban ointment isnt doing anything (mupirocin) whch I cant see how it would if its not open I would suggest desitin...that has zinc oxide in it and will really make it feel better fast/smells terrible but works great/don't scrub it off the next day either/don't break the skin/I cant emphasize that enough Ani do NOT pop any of the centers!! and of course wash your hands you know all that part

gracious girl I swear you get in the worst messes! your por momma must be in a tizzy all the time over you! much love to you/write soon and let me know what's happening


Anisetta 5 years ago

Hello!

Thank you for your reply!!!

Maybe no bed bugs because the bites happened out of bed and far from the bed. The funny thing is that I do not have ants inside the house, I have never seen one.

But I have seen all kinds of spiders, small and big, with one instance of a black widow that was coming in from the patio.

I have seen other insects (some black that look lime scissors) and others that I have not identified yet.

I think I will follow your advise on the zinc oxide. My co-workers wondered how would the ointment help me if the bites are sealed.

Oh! I will also do the epsom salt. I did not go back to the dorctor yet. I was going to do it today because the bites seem to be bigger and they more painful than yesterday.

The on on my injured leg (the big cut I got) has two bites one on the bottom about ankle level, and the other above the scar. Then I have four on the right leg, one is very bad, the other three are only small dots. They do not show signs of infection.

The white/yellowish bump's radius got about three times bigger than yesterday. And it still hurts.

The other things I noticed is stomach cramps, nausea, and today I had diarrhea. Food is not welcome on my stomach right now. But the fire sensation I had yesterday, Wednesday, and Monday is almost gone. I feel it once in a while during he day, but much, much less.

I will not oped those bumps. May I ask what happen if you squezze those things? Besides the pain, since it hurts to the touch.

Thank you so much, so many things had happened to me this year, I do not know what to make of it,

Ani


RNMSN profile image

RNMSN 5 years ago from Tucson, Az Author

opening the bumps will only open a way for infection and you know how slow to heal you are with an open wound of any kind on your leg

spiders eh?the ones that look like scissors are earwigs/rarely bite/spiders wont bite unless you disturb the web/any fleas? got a dog or a cat? those can get bad/what about mosquitos but they would bite you all over not just around the ankles and lower legs....spiders...what color?

I say go back if the areas are larger...just the one with the yellow center part is larger not the red part? and it caused a burning sensation at first? deep inside? scary thing to me is the larger the red circle gets the more likely it will become cellulitis/infection of the first layers of skin...is it warm?and the pain still worries me/first sign of infection of course...I say go back especially if the epsom salt bath and the desitin doesn't help

you have had a horrible year/this is the end of it dadgumit!

do you spray or do you rely on the landowners? I live in an apt but I also spray every 2 months with the walmart indoor outdoor spray in the red and white plastic container/just an easy squirt bottle/cant remember the name of it/lasts forever/doesn't stink and helps keep the spiders down/nothing kills them completely but they are the ones I hate the most even if they do eat bugs/brown recluse especially/scares me/so I want them to stay outide not inside...and of course the earwigs and other creepy crawlies I just hate bugs in general ha

go back to the MD and get the insect killer from walmart/red and white/I will find out the name when its daytime/saturday/tomorrow and let you know/wait today is friday you must go today Ani or else you'll be stuck all weekend without relief...

ok this will sound really weird but it works good too for bites of all kinds

find somebody that smokes, break off the filter of the cigaretter, slit the paper so you are holding the paper with the tobacco in it in your hand

spit on the tobacco and put the wad, spit and tobacco side down on the biggest bite and hold it on there for a few minutes

chewing tobacco of course works the best but the odds of knowing someone that does that are slim in California i bet/but get a cigarette it works just as well /its the spit and the tobacco that do the trick/water wont work/

takes the pain away/I thought about telling you this last night but its an old southern remedy and I thought Ani will think Ive lost it completely lol

but it really works for bites even days later, tobacco draws the poison out/course if you are like my dauhter you will be going GROSS! EWWWW!!! No way!!!

but the MD is the next thing I really want you to do!! go today/friday!don't get stuck in misery all wkend long Ani!! I love you!!! barbara b


Anisetta 5 years ago

Hello Barbara,

The good news is that I went to the doctor, the bad news is that I still do not know what bit me. The doctor took a culture and gave me Bactrim, but nothing for the pain, which increased this afternoon. He told me to take Benadryl an to do compresses with warm soapy water to keep the wounds clean. Does that sound logical?

Wow! are these things so powerful? I feel drained, very, very tired. I found myself disoriented a couple of times this week, well, maybe more than a couple of times. But today, maybe the Bactrim was too heavy, it made me sick, and felt more tired. I am about to take the Benadryl, which I know, puts me to sleep.

I am so freaked out, I feel things crawling all over my body all the time. I am itchy all over, I know is only in my mind. I am just terrified.

The thing that bit me was in my study room. I only remember that Saturday afternoon I pulled an old TV cable that run from the living room through the study room and into the bedroom. I pulled it from the bedroom taking the end at the study room. My friend thinks that I may had disturbed small spiders in the process.

Oh! I do have someone spray the entire house once a month. I cannot risk strong spiders inside, so far I know I am allergic to many insects bites including spiders, fire ants and some bugs in the mountains. The small, very tinny mosquitoes make me take Benadryl when they bite me, they always cause a mild allergic reaction on my skin, but not too bad.

This is what I feel at this moment: An urge to scratch the areas of the bites, a burning sensation all over my legs, things crawling on my legs, the are of the bites feels as if they were on fire, I feel stinging, all combined: painful.

Do you think the Benadryl will ease these sensations, or I do not feel much because the Benadryl takes me out for a few hours?

Can I still do the tobacco remedy? I do not mind trying, I want to get well. Yes! It has been a very difficult year, unbelivable!

1) August 2009 - stabbed by a tree branch

2) bad case of bronquitis

3) forget the month - Salmonela-like symptoms

4) bad insect bites

How did I do all of this in just one year?

I really do not know what to say....

But I wonder if I can send you some pictures of the progress of these bites, may I?

Thank you so much for your help!!!

-Ani


RNMSN profile image

RNMSN 5 years ago from Tucson, Az Author

yes of course send them via email just click contact rnmsn at the top of the hub under my pic and attach it that way/spider bites take a while to get better ugh just what you wanted to hear right? what did the MD say about the stinging burning itching sensation? are the areas open? What did he culture? just the top of the yellow area? that will show the bacteria we all have on us/staph/bactrim is strong and you MUST eat before you take it!! and its usually twice a day, the DS after the word means double strength, hence, the weird feeling you get from antibiotics/don't forget to eat a yoghurt in the middle of the day/not with the pills/so you wont get a fungal infection on top of everything else! I don't think the tobacco will hurt I think it can only help a well as the zinc oxide (desitin) anything that makes it feel better is what I say/theres nothing worse than feeling like you are itching all over...did you actually see any spiders when you moved the cable?course they are fast/and I agree with your friend/could have opened a nest/but they are probably long gone now/you have had a bad year all right! this has to be the last of it!! love to you, barbara b


Anisetta 5 years ago

Oh! The doctor said that the burning and pain was caused by the secondary infection. Now that I realize I do not understand what secondary infection means. I did not ask him that. I also forgot to ask him to look into my right ear, I have been feeling something there. Not an animal, but something bothers me. There is no discharge and I dig in to see if I have wax, but do not get anything. Still have the sensation of something been there.

One bite is open, he opened, but I did not see what he took because he and the nurse made me lay down. The strange part is that I was expecting pain from the neddle and the swab, but I did not feel anything, only the pain I already had.

Right now the wound he opened is dark red (the white/yellowish) bump is not there anymore. I can see the puncture in the middle, the red circle around has decreased and the three bites nearby are disappearing. There where four bites very close together! So no spider, maybe other insect that I am sure I am alergic to.

Or an insect bite that got infected (Staph infection)? Would the culture decide this?

The "bite" on my left ankle is constantly itchy anymore, only intermittent, but the itchy is for a few seconds and takes longer to come back.

But the same leg has nother "bite" higher up from the cut I got last year. That bit is still pretty itchy, less burning, and much kess red around the dark red dot.

The most problematic is the "bite" on my right leg, the one that was punctured. It still itches, it gives me pain, and it feels like needles on my skin from time to time.

I am going to do the compresses with the epsom salt and then cover them, right? I think I have to keep them clean and covered.

I am thinking that it could have been anything (fleas, bed bugs, or any other insect) but my sensitive me just got the wors of it.

oh! I did not see any spiders when I moved the cable, but I have seen tiny spiders around the house.

Getting better, I think, or is it the Benadryl I am taking masking the symptoms?

true or scare?


RNMSN profile image

RNMSN 5 years ago from Tucson, Az Author

sounds like it is finally going away...the culture will show what the scondary infection is you are correct/also I bet it was due to you being so sensitive to anything that comes your way/as for your ear it is probably nothing/quit digging in it!the benadryl wont hurt you unless you take more than the packet says then you really will get all itchy all over and feel like your skin is crawling...just take it easy and absolutely keep the open bite clean and covered...don't get it too dry with the epsom salt though/just let it soak a while then put either the mupirocin (bactroban) ointment or desitin on it and a light bandaid/not totally closed but enough to keep the ointment inside the open area OK?


SusieQ 5 years ago

I have a large abdominal wound and it is being healed with a wound vac. After three weeks my tunnels have healed and shows progress. Over the weekend my nurse wanted to do wet/dry pack with a vinegar type solution because she smelled an odor. Today when she put the vac back on the slough is now blue/greenis. I have a doc appt in two days. Can any harm come from waiting two days or should I seek immediate help. My nurse seems puzzled?


RNMSN profile image

RNMSN 5 years ago from Tucson, Az Author

it was the acetic acid (vinegar) that turned it green and Im sure your nurse got a doctors order before she did the wet to dry packing however if you were mine I would have called the MD today...call your MD in the morning first thing!!! wound vac does not do well on a wound bed that has any color other than pink to a little bit of white/how much drainage did you get out in the cannister today? is there any pain? I hope you get to the doctor asap tomorrow!!!

please let me know how you are doing and I will send my prayers up for you or ask the angels to help you/whichever you prefer!!!!

love to you

barbara b


SusieQ 5 years ago

Thank you so much for your reply. When she smelled the odor on Friday n called the doc he told her to do what she thinks best because he has not seen the wound yet, so she decided on the wet/dry soak for the weekend. Problem with my surgeon is he only sees patients on wed and thurs and will not be flexible. They say go to the ER if you feel it is an emergency. That is why the wait till Wed. There is no additional pain other than what has always been there. The drainage is somewhat the same amount, maybe a little more, but seems to have more debris in it. Thank you for your prayers and your responses. Susie


RNMSN profile image

RNMSN 5 years ago from Tucson, Az Author

Susie, the wound vac will do its job/its fantastic as you have seen and I bet you have the one from KCI? that's my favourite one...they've done it the longest...I learned it in Baldwin Co Ala from Dr Parsons, a plastic surgeon who had headed up the research on the KCI vac pac in the 90's at UAB when it was still in testing!! I was so proud to learn it from him!!! and of course its come a long way since 2000 when I first saw one!! they arent so heavy and much easier to pop that cannister on now!! my patients used to laugh at me, with my little hands trying to wrangle that thing on!!! :)

that debris is just slough coming out...thatll be a good thing

OK, so, an emergency would mean excessive pain, excessive drainage, odor you can smell from the wound vac dressing itself, swelling around the dressing or a sudden spike in temp over 101F

OKAY? and much love to you, sleep well

write me again wed night how bout? let me know how it goes?

barbara b


Anisetta 5 years ago

Hello RNSMN!

Four months ago!!! That is when I got the spider bites.... Since then much has happened. And not all good, I regret to say.

At the end of January, I had a bad fall that bruised my left ribs and my right under arm. I found out that I got dizzy becuase I had a bad inner ear infection. I stumbled down and landed on a hard planter, with my ribs hitting the edge of the planter and my head the wall.

I knocked me out for a few seconds. But I recovered, got up, walked to my desk and remained seated for a couple of hours until I found out that I could not move. The pain did not let me move. A co-worker took me to the EC, got an x-ray, my ears checked, and medication for severe pain and for the ear infection.

I was getting better, and then three weeks ago I fell ill with pneumonia. I am still recovering from that. But I still feel that strange pain on the side of my jaws by my ears.

I wonder if I may still have the inner ear infection lingering. I will see the dr next week to check my ribs and my lungs. I think I will also check my ears. The funny thing is that I am not dizzy anymore.

This leads me to my question, would it be possible to have all these aftermath effects because of the spider bites?

In 1992 I was bitten by a brown recluse and I remember been very ill for over a year, The symptoms were like flu. Would the bites had left my inmune system too low as to give room for catching the strand of sickness that is going around?

I wish you were here!!!!


RNMSN profile image

RNMSN 5 years ago from Tucson, Az Author

oh my dear Ani what next right? I bet you are right on target about your immune system...ask the doc...if so how do you get it back up to par again? ask the doc if probiotics would bring your immune system back up again...a fall, inner ear pneumoia? geez what's going on in your blood? that's what id like to see the doc do is a complete metabolic workup...but remember you are your own best advocate! ask the MD...tell him what you're worried about...ask him how to make yourself better..OK? I love you,I wish I were there for you as well... let me know what's going on...Barbara b


Linda Tadlock profile image

Linda Tadlock 5 years ago from Atlanta

Very useful information. They should teach us that at school. Thanks for sharing.


RNMSN profile image

RNMSN 5 years ago from Tucson, Az Author

you are so welcome!! I know..school teaches us or rather the kids now how to pass the NCLEX...still een with a BSN I still learned more after I became an RN...weird isn't it? the way the florence nightingales schools were run were oh my word so hard but just think of all that those nurses learned doing everything!!


Anisetta 5 years ago

Here is me again... No bad news today! No fall, no wound, no spider bite, no pneumonia, no much

Just fluid behind my ear that makes my head fill with something, may the pain n my jaws come from that? I feel fluid in my ears, but cannot get it ou, cannot reach to it. I saw the dr a week ago and he gave a nasty antibiotic that I really do not want to take and a nasal spray (fluticasone propionate) that I have been using, but I do not like the side effects. It makes my skin very dry and my face gets big.

But other than that, I think I am ok. Maybe I have a tyroid problem, will now more when I get then blood work done.

Quite an eventful year I had, rugh? I do no think I will forget this past year.

Oh, almost forget, I almost broke my little toe, it is finally getting better. It took eight weeks to heal. I hit the couch and my foot got really big and green, then purple then black!!!! Is not that pretty strange? Then it turned back to green fr a while, a green with many shades until it went back to normal color and size.

I start to think that I may be a good case study from the immune system point of view. A tiny insect turned my life even more upside down in such a short time.

I do have very sad news to share, an acquaintance was sick the same week I got pneumonia, I was lucky to recover, that person did not survive. That tragedy hit close to home and at the same time mad me think that it was not my time yet....

But please tell me how I s everything in your part of the word, this sickly girl really wishes you were closer by...


RNMSN profile image

RNMSN 5 years ago from Tucson, Az Author

YEA!! Anisetta!! I love you!! I was just thinking bout you too and guess what? I broke the baby finger on my right hand...I was running to get to CPR class and Ka-Boom! Now if you say its the pinky toe on your right foot we will be hearing the dada-dada song from the twilight zone wont we?

Yes you did have a very hard year/I was sorry to hear someone close to you died/pneumonia is nothing to sneeze at :) but this thing with your ears....you have to watch out with the shower...that's when I get water behind my eardrums and cant get it out then I get an infection/which is what it sounds like for you speially cause the MD gave you an antibiotic/yes you have to take all of the stupid (uh scuse me--SMART)pills and eat a cup of yohurt every day too

but not the flonase if its just giving you a big face :) and try to eat a bite of something how bout it? geez you 20-something girls wont eat but want that energy drink...what's Katies favourite? starts with a "T" well Ani, Katie Baby is just 3 months away from graduation with her culinary degree :) and she already has a job waiting on her in nor'leans; at Brennans no other than :) but oh dear you know that means she'll be on her own and really grown up and gone...my David and I are talking about being gypsies again/see if we can get hired at a tourist trap somewhere in the way out there...that'd be OK with me...but I am glad to hear that (for you) you are doing well :)and you know I am cheering you on too!

love to you

barbara b


Anisetta 4 years ago

Merry Christmas RNMSN!!!!!

Love,

Ani


RNMSN profile image

RNMSN 4 years ago from Tucson, Az Author

Merry Christmas to you too Ani :) I love you!!

barbara


RNMSN profile image

RNMSN 4 years ago from Tucson, Az Author

some writings get a ton of feedback don't they :) thank you LaserLipo!!


anisetta profile image

anisetta 4 years ago

Hello RNMSN!!!

I have been holding back to tell you what is going on with me because I was hoping I would give you good news. However, I cannot wait any longer. I do not know what is going on with me, or maybe I do.

I have had bronchitis since December 10. And a couple of weeks ago it got complicated with a sinus infection.

My doubts are regarding whether or not working in a cold environment may be the main factor that keeps on sending me back to the doctor every two weeks.

I am also afraid that I have had too many antibiotics already and maybe my body is almost destroyed and very weak. What do you think?

The first time the doctor gave me cephalexin, the second time, Augmentin, and then Azithromycin. I just finished the last set on Sunday. I still have the cough with a metallic taste on my chest and it sounds like a rattle sneak every time I cough. When I lie down, it also sounds like something is alive inside my chest, and then pufff, it explodes in cough attacks.

Yes, there is nasty dark green stuff coming our of my chest too :(

It has been six weeks, do you think it is sort of normal?

I just feel like it never ends.

The man at work did not want to close the A/C vent right above me. I was getting much better two weeks ago, then I got the cold A/C, only two days, and I went down with fever over 100, and headache, and what the doctor said it was a sinus infection. But the man never even apologize for his negligence.

Yes, I lknow, I should have left and go home and rest, but I was afraid I would be fired. After all, I already missed many days because of being sick.

Well, this is the bad news.

The good news is that I finished my masters!!!!

Now, I just hope to stay alive to enjoy it :)

Wishing you where here so much!!!

-Ani


RNMSN profile image

RNMSN 4 years ago from Tucson, Az Author

I am so proud of you finishing your Masters Ani what a joy Congratulations!!

Course all that work and stress and long hours in school hasn't helped your immune system has it?

If your work area cannot be modified (move your desk?) which if you are like me that's out...then I want you to get a nice scarf and drape it over your head and ears...like the long narrow ones they wear in the north where it snows ok?!!!!

and take some probiotics, or drinkable yoghurt, every day!! nothing expensive, like the pills, just something eatable or drinkable from the dairy aisle at the grocery store...you've had 3 doses of 3 different antibiotics so you need to replenish your digestive system

The green phlegm still worries me but could be tied to the sinusitis...especially if you sniff, then swallo and all that gets put back into the system...also it might just be draining into your chest from your sinus'

you are the only person other than me that describes what's happening in your chest when you have a respiratory infection!! :) thats exatly how it feels to me too and like you, my Ani, Im sure its an alien and is devouring me somehow!!

well no way!!! you are strong and you will get through this winter and then you will get back to being you!!

Now I know I haven't said a lot you don't kow...of course you are following strict handwashing...and throw the animosity about the jerk man at work behind you :) Im pissed enough at him for both of us right now and you need to ocus good thoughts and energy into your chest and your head so you will get better :)

oh that sounded so new age didn't it? :) its my way of saying Im going to pray, you do it too!!

so ok probiotics, scarf, good thoughts and go back to the MD and make sure that green stuff is just residue from your sinuses and not a need for more antibiotics

OK?

and always Ani, my love to you, I wish I were there...no, I wish you were here :) the place hubby and I are renting has a resident bobcat!!! freakin our cat out totally!! oh dude that bobcat is so gorgeous!! :) love you,

barbara


anisetta profile image

anisetta 4 years ago

A bobcat!!!! Wow!!!! Maybe I would be afraid too, and I am a bigger than a cat :)

Thank you for the kind words! I like to take them for me only. Yes, I will try to forget that selfish, inhuman, unworldy man at work, but I see his ugly face every day :(

Still I will try to pretend he does not exist in the world.

I will focus on being happy again, oh! I have a nice and warm hat, with a matching scarf. I wore those today, they did help me a lot. You see, thinkinkg of you, you put those thoughts in my mind and helped me find a way to reduce the cold that makes me so sick... thank you!!!

I have some lab work to do before getting back to the doctor. I feel a little better, therefore I think I will do the blood work tomorrow. They will also take an x-ray to check my lungs again. Then I will find out from the doctor what is going on with my chest. I had a little less of a rattle snake last night. But every time I take the cough syrup, almost all symptoms disappear, I fall asleep, and I wake up the next morning with the cough.

I am kind of sore from coughing, I think I tore a muscle on my neck, on the left side, it hurts now when I cough, I felt something tearing early today. I wonder if a warm pack may help, or an icy pack? Just kidding, I am thinking of it like when I pull a muscle exercising... you see, I am starting to have fun again :)

Ok, the thing I have left to do is to get the drinking yogurt to help my stomach. I will get those tomorrow.

Do you think I can go ice skating this Sunday? or Monday, or Tuesday? Or maybe it is too soon? Maybe I should wait another week resting after work? I am tryng to be extra careful because I sure felt like dying last week. It scared enough to stay put for as long as I need to completely recover before I go crazy again. This also makes me very angry with that selfish bastard, it is his fault that I cannot do all the things I love to do... He must pay dearly for what he has done to me...

Ok, I should have good thoughts, I work on that.

Thank you so much RNMSN!!!! You do help me get through it all!!!!

Much love,

Ani


RNMSN profile image

RNMSN 4 years ago from Tucson, Az Author

silly Ani who else did you think these words are for? :) ok I will admit I paced and verbally abused the dude at work last night so you dont have to do that anymore :) the living room is still full of blue air!!

I think the bobcat went off to the other parts of his area/they range about 17-20mile area/cause the quail came back just a clucking :) they're so funny loking, no wonder pioneers called them prairie chickens!

I think if you are able to want to try ice skating and IF you layer up including the tights under your jeans and IF you keep your hat on and IF you STOP when you are tired/no fair stoping, resting, no fair cooling down then back on the ice you know?

and IF you go right home and get a hot bath and bundle up hair especially on the sofa and veg for an hour afterwards then sure, why not?

lol like me telling baby girl sure go to that party,don't smoke, dont drink, dont have cough well you know what, dont leave and go somewhere else and oh yes be home 20 min after you leave this house SURE GO ON have a good time :)

oh that's terribles isn't it/its still a joke with her bless her/she'l be 29 in Feb :) yesterday she was just a BABY!!! wasn't she?????

Im so glad you have a hat and scarf...so do I :) Im messing with the crochet hook again but my fav is one my str in law made...shes a knitter and oh my her work is beautiful!!! its all purple with white and green in it..I know but its really gorgeous and so warm!!

ok now about the muscle...thing is when we get a cough that wont go away we tend to cough the same way all the way/like, I cover my mouth with my right arm all the time and I get a 'pulled'muscle across the back of my neck...but if you are using your fist or your hand/left hand/then the muscle you are using the most is that one that moves from your left ear down to your clavicle on your chest...so yea, its a pulled muscle but lordy I hope not torn...if you are coughing hard enough to tear a muscle your chest and ribs should be sore and then I would worry about pleurisy

now with cough meds...god I hate that s--t

but what I would suggest you might not lke/Katie (baby girl) wont even think abut it

anyway the stuff in the cough med helps you sleep right? but it is tamping down all the stuff in your lungs..in the morning, you wake up, it all rises to the surface again, triggers the cough reflex and voila...you start to cough

soooo...lots and lots of the dreaded hot, black pekoe tea with sugar and lots of it/ not just before bed but all day long...sugar is the only and best cough suppressant

then so many of the strongest cough drops you can get in your body without puking...no fair eating the cherry ludens :) it has to be with menthol...makes you smell like you are sick I know...guess what? you are. want to know what else? everyone already knows it so you wont be surprising anyone

then and this is where katie balks...nose drops or a nsal spray and no Im not talking about salne

get the one that has phenelephedrine in it and preferably one with menthol but no scratch that its the best but even I cant do that...just get the plain nose drops...ask the pharmacist for the nose drops or get the spray and a bottle with a dropper from the pharmacist..he will give you one..they still use them for babies

BUT

and this is so very important ANI...only use a tiny amount! Just one drop per nostril...and only twice a dy/that's all it takes if you do it this way:

lay down flat on your back

close off the back of your throat you know?

drop in one drop (or squirt say 1/4th squeeze of the bottle) into one nostril

pinch your bridge of your nose and wiggle it back and forth and massage your sinuses

ok now open the bak of your throat and the rest will slide into your throat...

wait a minute and do the other nostril

its just a suggestion...nurse or not I prefer to dose my cold with one ingredient...cough med has way too many plus I prefer my alcohol in the form of moscato :) or chivas :) I love you Ani.

barbara


anisetta profile image

anisetta 4 years ago

Thank you!

I am going to try the drops. The doctor gave me Ipratropium Bromide, i use two sprays twice a day. It helps my nose, but not my chest.

Yes, I still have that ugly dark green stuff coming off my chest. I will call the doctor again tomorrow, you are right, I may need more antibiotics for the bronchitis.

I have been resting a lot this weekend, I just went out for a small drive and got back extremely tired, like when I am out running around all day.

I did not go ice skating because I still have sore throat. I am still waiting to feel much better.

A friend of mine told me to take a shot of Whiskey, but it burns very bad. I cannot stand it!

I will try the tea with sugar instead. I was taking a carafe with chamomille tea and honey to drink all day at work. The hot tea is comforting to my throat :)

Well, here is something that seems to be a witch hunt at work. Friday, I wore my hat and scarf again, it did help keep me warm. I got an email from the same man that puts the A/C on. He said that my hat was not in compliance with the dress code. I was speechless. I asked him if he rather have me die of pneumonia. He said that he had to send me the email and he wanted me to answer the email with an explanation that I had to use it because I had bronchitis. I am not sure I understand his game.

So, I saved the email and attached it to my journal. I have a journal of how I got sick in the first place and how I kept on relapsing because he neglected to do anything about the A/C. I talked to a lawyer, my lawyer told me to record everything, save everything, and to call him if this job fired me.

Well, it seems kind of ugly all around. I cannot help to think that these people are jealous because I finished my masters, maybe I am just being silly. But that is the feeling I get from the way they have been treating me lately.

Then I think, I got the masters, they do not!!! No matter how much they beliter me, isn't that great?

Well, for now I focus on getting better.

Thank you so much for the great advice and very kind words. It is so comforting to know that you are always there to help me!!!!

-Ani


RNMSN profile image

RNMSN 4 years ago from Tucson, Az Author

well of course I am here for you! if it were up to me, you'd be right here! :)

maybe you should try chivas regal :) thats mine and hubby's favorite haha

Im not sure you can mix the ipratropium with nose drops...ask the MD (I would but that doesnt mean that would be right) :)

I am so glad you spoke with a lawyer. Stupid

people at work, their karma will get them!

so ok send the email with explanation of bronchitis as well as your MD phone number and number of MD office visits as well as the number and name of your pharmacist and the number of antibiotics you've had to take/ok ok so I will settle down/forget all of the above

ask the lawyer, thats better than all of the above, I got carried away. How dare that guy target my Ani!!!!!!!!!

geez!

much love to you Ani

barbara


anisetta profile image

anisetta 4 years ago

Yes, the bad things they do will come back to them sooner or later, that is for sure!!!

I think I am better. I called the doctor and I was given 10 more days of antibiotics. I picked up the prescription yesterday and took the first dose. After that I felt very sick, or maybe not sick, maybe the word is very tired. But also felt the side effects quite clearly. I felt a strange sensation on my chest, like a cut dryness that was almost suffocating. I also had a very strange taste in my mouth and an intense pain in my abdomen. nausea was also present, and funny, I had lots of cough for a few hours.

When I got home, I just sat down and let go, like a zombie. I just let my body do whathever, had some more cough, felt very sleepy, hungry but did not want to eat, so I had the tea with sugar and some fruit and went to sleep.

I do not recall coughing at night, and I woke up with just a runny nose, still tired, but no cough, no fever, no body aches. I felt better!

So I brough my heavy coat and my big scarf to work and created a new fashion. Now I have a fancy peacoat (pretty color too) and a fashionable scarf that I wrap around my head and cover my mouth with that too. In addition, I bought some blue masks at the pharmacy and I use one each day to protect me from the germs of the people who cough at work all day. I also avoid going to enclosed places where someone is coughing.

I am taking all the precautions not to get the bug that got me sick and kept me sick so long. I tasted today how it is to feel better and I want to keep that taste for a long time.

For now the man left me alone, I wait and see what he does next.

Oh! the new antibiotic is Doxycycline Hyclate 100 mg, one tablet twice daily for ten days.

I wonder if this antibiotic is attacking the bacteria that kept me sick and then is making me feel better?

I almost not take it again because I felt not good at all after I took it yesteday, but this morning was not that bad, I just had the runs, but no more nausea, still felt tired.

I am drinking the yogurt to help my stomach.

I hope I can tell you in a few days that I am much better. I will wait and see :)

Thank you so much for your help!

Love to you too!!!!

-Ani


RNMSN profile image

RNMSN 4 years ago from Tucson, Az Author

oh yes!!!!!! Finally the right antibiotic!! now Ani, this Doxycycline is a bugger...but its only for 10 days so if it doesnt make you throw up or break out in hives then keep taking it :)

I am so glad thats the one...it will finally this thing in its butt!!is that something thats allowed to write on HubPages? haha

I am sending you all my energy and supply of wellness and good feeling (after 58 yrs I have some built up lol )

love so much love to you my dear Ani

barbara


Robert Erich profile image

Robert Erich 4 years ago from California

You have some great steps here for anyone needing to quickly dress a wound. Great article. Voted up and sharing.


RNMSN profile image

RNMSN 4 years ago from Tucson, Az Author

wow thank you Robert you are a man of your word :) thank you!


kittythedreamer profile image

kittythedreamer 4 years ago from the Ether

I haven't done any wet to dry dressing changes yet...mostly all wet to wet or wet to moist dressing changes. Awesome instructions here, though. It definitely shows that you know what you're talking about! Thanks!


RNMSN profile image

RNMSN 4 years ago from Tucson, Az Author

pendulum swings :) it will go back to this eventually...all types of wound care are necessary for us to know right? thank you for your compliment kittythedreamer!


Lisa 4 years ago

Hi RNMSN, Thank you for all your great information. I have a narrow 1/2 deep hole on my armpit that gets packed daily. I have been packing the hole for 1 week and two days. It seems to be closing from the inside out slowly. How do I know I am not reopening it when I am packing it and how much longer does it need to be packed? It still hurts when packing :( Thank you. :-)


RNMSN profile image

RNMSN 4 years ago from Tucson, Az Author

terrible of me to nod and say to myself 'good Im glad you can feel it,so let it hurt a bit'

but what I mean is if its painful ONLY while packing thats a sign all is pretty good inside the wound bed...now then: how to know if you are over-packing

ok heres what you need to do...with the q tip and the end of the packing material...slide it into the wound until it hits the bottom...do that once again... just a little bit of material now...and then take the q tip out so the material is inside and tug on the material just a tiny bit...its still in the back of the wound,it still touches the wall at the end of the open area but not all jammed up at the back understand?

dont pull out too much or else it leaves a gap at the bak of the wound and that makes a hole where bacteria can grow...but it gives it just a little breathing room/figure of speech there/and then it will heal faster from the inside out

if it bleeds when you pull it out/if its stuck when you try to pull it out/if theres an odor like a bad odor/if you have pain inside your armpit all day long between packing/those are all danger signs

but thats the way to pack it ! and of course if the q tip doesnt fit anymore and you have to go to the wooden end of the qtip/its probably really really getting well and all the above has to be done extra extra slowly and carefully to avoid harm!

way too go, you are doing well!! get well soon!

was it a sebacecous cyst?


Lisa 4 years ago

You are good; yes it was a sebaceous cyst. I had about 10 hairs that had been growing inside my pit; my doctor guesses sense puberty, so you can imagine there was A LOT of hair (yuck!) :) I see my doctor for a follow-up tomorrow. No unusual odor, the packing is wet when I pull it out to clean the area. The hole does bleed when we clean with peroxide but only until the bubbling stops and it does only hurt when packing :-) I wish there was a way to stitch the hole from the inside out and then, it would be so much easier. I appreciate you very much; you are a blessing to many people!! Bless you and your family and thank you!! :-)


Lisa 4 years ago

Hi again RNMSN, I guess it would be nice to know my age so you CAN imagine how much hair was in the sebaceous cyst. I am 36, so the hairs have been growing about 30 years (wink) :)


RNMSN profile image

RNMSN 4 years ago from Tucson, Az Author

Good Morning Lisa :)

thank you for the follow up, I like to know all these little things like the origin of little hairs :)

and you will laugh about this when you get up to 3 score ...

heavy sigh....

like me!!

ok so the next question is...isnt it time to stop the peeroxide? it'll bubble forever but is it cleaning anything out that wont get cleaned with just saline or when you take a shower?

ask your MD...youn dont want to use the peroxide forever...slows the healting process

and oh well, dont we all wish we could sew it up from the inside but the same thing happens like I talked about with packing...it forms tiny little pockets between every stitch no matte how close you stitch them!

imagine a one inch deep pocket of about 8 places filling with fluid and ughiness! ugh!

so,keep on and mind your doctor and soon youll be feeling so fine again!


Anisetta 3 years ago

Hello RNMSN!!!

How are you? Remember how sick I was last year?

I have been fine ever since!!!

No pneumonia or bronchitis so far :)

Also no bad wounds from falls, just a strained wrist when I tried the back scratch spin for the first time... but is all well now.

I have missed you so much!!!!

-Ani


RNMSN profile image

RNMSN 3 years ago from Tucson, Az Author

Ani!!!!

Good Morning!! So good to hear from you and I am so glad you are doing well :) I miss you too!

Cool/back scratch spin eh? I dont think I could even think of attempting that lol though I did make it through one and a half classes of zumba this year :)And I am back to doing my yoga at least twice a wk which is a huge plus!

Stay well and stay in touch!Love you!


Anisetta 3 years ago

Hello!

How are you? Yes spinning, spirals, inside and outside edges, backwards cross overs both directions... and lots more, but no on ice jumps yet.

I have an intriguing question. Although my body has given me some hint of an answer.. Still I think your opinion will help me a lot.

I have had small procedures on my hips for the past two years. They are about two inch incisions, which the doctor told me no skating at all for two weeks at least. The second time I had it, I did a lounge on the third day and voila, I bled again, the wound became hard as a rock and took a couple of months to start to heal (become softer again.) It tool even longer for me to be able to to spirals and lounges again.

I kind of learned my lesson then. The following two procedures, I started to skate around slowly after the first week. And I did not work on any difficult steps until after the second week. But no spirals and no lounges for about two months.

I wonder why does the wound become hard as a rock? I had the procedure this past Tuesday again. But I did not do anything at all... I rested completely until yesterday. Yesterday I skated only 30 minutes and just going around, nothing else. I felt ok, no pain, no swelling, no hardness.

However, today the wound became harder. It worried me. As soon as I felt something around my wound, I stopped skating and put some ice.

The only thing I did different were some backward crossovers and a spin.

I researched and got conflicting results, some say that one can walk slow right away, no running, no heavy exercise for two weeks. Do you think skating around is harder than walking for the wound after 4.5 days?

I will listen to you, I promise! I should have asked your opinion before :(


RNMSN profile image

RNMSN 3 years ago from Tucson, Az Author

Good Mornig Ani!

I wonder if because the sets of muscles you use when skating are different than the muscles you use for walking and running?

And different people react differently to whatever is used for any procedure to numb the area....plus whatever is done during the small procedure/did the pysician have to prob or cut inside your hips?and of course what does your physician say?thats the word of the expert of course / and some people form cysts or scar tissue at a greater extent than others which can cause problems with healing...you did the right thing when you stopped and listened to your body/put ice on it,rested,didnt go to extremes with your skating so thats good!and if the small procedure is being done in relatively the same area that area may be predisposed to heal slower/it would be like bruising over a healing bruise over and over you know?But really, what does the physician who is doing the small procedure say to do? Let me know how you are Ani/you stay well! :)


Anisetta 3 years ago

Thank you for your reply!

You are right, it is on the same side where I caused trouble in the first place. Maybe it is just extra sensitive after what I did last year.

It is a little hard, but no as bad as it was last time. Just scared me to think that I would take months to heal again. I was finally getting my perfect spirals, this takes me back many steps :(

The doctor opinion was two weeks off skating. The nurse told me I could just skate around after five days, without any extra steps. It seems she was right. The first day I did that, the second day I added steps I should not have. So, now I am off ice for another week, really hoping that I did not destroy my treatment :(

I think I must follow doctors orders: two weeks off ice altogether...


RNMSN profile image

RNMSN 3 years ago from Tucson, Az Author

absolutely Ani :) we nurses should be repeating Not amending the doctors orders! so yes, always do what the doctor says :)

poor baby/a gorgeously executed spiral!

well thats okay Ani, I know you will be back to top form in no time! :)


Patty Inglish, MS profile image

Patty Inglish, MS 3 years ago from North America

This is a very useful Hub and should be kept with the household first aid kit!


Anisetta 3 years ago

Thank you!!!!

I love you so much :)


RNMSN profile image

RNMSN 3 years ago from Tucson, Az Author

Good morning Patty and thank you! I love you too Ani :)


Anisetta 2 years ago

Happy Holidays!!!!


RNMSN profile image

RNMSN 2 years ago from Tucson, Az Author

Happy Holidays to you too Ani!!


RNMSN profile image

RNMSN 2 years ago from Tucson, Az Author

Did you have a lovely holiday? Love to you!!!


Anisetta 17 months ago

Hello RNMSN!

It has been so long since last time I sent you a message! How are you?

So many things happened since. One of them is that my family doctor found I had a tumor on my neck, a suspicious growth in the thyroid which was of some concern. He did many tests and sent me to a specialist. More tests, a couple of years of lab work, back and forth between doctors, poked many times for blood samples, ultrasounds and MRIs. Finally the specialist found the problem. An imbalance of hormones, can you believe that issue would cause an abnormal thyroid?

I was lost! The doctor told me my hormones count was that of a 90 year old woman... Mhmmm, no wonder I was always tired, I gained so much weight, and was always cold. I got sick a lot from bronchitis and pneumonia. But I thought I was just a sick fat person. Well, with some medicine to help regulate the hormones imbalance, it seemed I found help. But, I do not take medicine as I should and no great results on the treatment.

So the specialist decided to cut me open every six months and to implant pellets that deliver the dose timely. It has worked, it actually started to work right away. The growth vanished within a few treatments, I am not longer cold ever and I had been sick with a sinus infection maybe once a year. I also experience so much energy, happiness and good sleep most every night, except those nights when I think I am in love with the wrong man ;)

I just wonder what is your opinion of that treatment. I read so many reviews and most women are very happy with the treatment. The only caveat for me is to think that I have to cut my body every six to eight months in order to receive the treatment. I hate hospitals and surgeries, I feel every time my body is cut open, a little piece of my life is gone. Do you think I am silly? Of course, what am I thinking, I am indeed grateful to have this treatment, and no matter how chicken I am for needles, I do take that small procedure with a brave attitude. I find a positive attitude helps me to recover faster :)

What do you think?

I cant wait to hear your opinion :)

-Ani


RNMSN profile image

RNMSN 16 months ago from Tucson, Az Author

Hello Ani! So wonderful to hear from you! But I am sorry you are having to go through this; being 'sick' is no fun. I know its scary but you said you felt better almost immediately so that is a positive right? yes, your positive attitude will give you the strength you need to get through this. How long is the doctor thinking you will need to do this? Will you eventually go back to taking a pill instead? And when you are able to take a pill instead of surgery every 6 months can you commit to not missing any doses? I , know you can, you are a strong woman! Lovely to hear from you Ani,stay well, be strong!

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