Comment

Comment by Terri Koopai, RN, CWCA on October 5, 2011 at 9:44pm

Linda, I sent you note on your other blog.  I think that PG is the most challenging of all wounds.  Can the procellera work on it?

 

Comment by Linda Worth RPA-C, CWS on October 5, 2011 at 5:35pm

Sorry all , but the blog address is incorrect in the previous comment --- the correct address is: 

            www.procelleraunwrapped.blogspot.com   

 

Comment by Linda Worth RPA-C, CWS on October 5, 2011 at 5:17pm

My heart goes out to this patient and others like her suffering with Pyoderma gangrenosum . In my experience with wound patients, PG is certainly one of the most painful wound types and most  difficult conditions to heal. The combination of an immune mediated etiology which requires suppression to control coupled with the aggravated response to even minor trauma creates the "perfect storm" conditions to develop a non-healing wound. Add to that the intense pain that is often unprovoked and disabling , on a scale of 1-10 , I'd give this a condition a 20. Simply stated, the treatment of the condition is more likely to aggravate it than to help it.

1. Your host is compromised,

2. You can't debride the necrotic tissue without it making the wound worse

and

3. the patient is caught in a cycle of pain, and disability that can seriously impede QOL and compliance .

I have treated this horrific disease and will be the first to admit--with limited success in the most severe cases . I would suggest to anyone who is not making progress with the standard therapies that you have available, consider a trial of Procellera. I have personally used Procellera successfully on many types of stalled wounds, including PG, and found there to be a considerable potential for healing as well as pain control  when used in combination with a comprehensive program of wound management. Since the dressing is antimicrobial, the colonization is controlled without the trauma of manual or enzymatic debridement. The dressing can be left in place for up to 7 days and so the pain of frequent dressing changes can be minimized . I would be happy to help with obtaining samples for any clinician who is interested in a trial. I invite you to  visit my blog at procelleraunwrapped.com OR procellera.com  for more information.

              Linda Worth RPA-C, CWS, National Director of Clinical Affairs, Vomaris Innovations