208. Wound management.

I really should know better. I’ve been doing this long enough!

Dressing brands make promises of longevity, absorbancies and water proofness. When you’re dealing with burns (often full thuckness) as I do, it requires the Rolls Royce of wound care management tools.

Burns result in exudate (the cells and fluid released during inflammation); copiuos amounts in fact, that can rapidly seep through sleeves and garments.

Burns are extremely prone to infection. The skin is our largest protective organ and our first line off deffence against invading pathogens. Furthermore as tissue dies it provides an all you can eat buffet for staphylococcus and his other microbial buddies.

To reduce scarring and achieve improved pain management the healing environment should be moist, and sealed from the elements.

I use Meplilex border Ag when I can. A foam dressing, with a gentle silicone adhesive boeder that can deal with the exudate, combat bacteria with its silver impregnated layers, and provide optimism healing conditions; or so they claim. It’s also thick enough to reduce the odour that accompanies burn healing. Think of your food waste bin, full of meat, during hot summer months in the run up to collection day.

I’d asked my GP for a prescription of said dressings, but my stock is now low. The reality is that these things bend and flex with the contours off your skin. Inflammation induced itchiness forces you to claw and scratch at them. Burning over,or near to old wounds where kelloid scars have formed creates airpockets and channels in the adhesive. All off these factors render them useless within a day or two or immediately following a shower. When my stock is low I try use them sparingly; if at all. They’re incredibly expensive to buy with regularity.

Today’s decision to ration their use created quite the conundrum for me this afternoon. I was going to the gym and knew I’d be showering after. The previous dressing had fallen apart for all the reasons mentioned above and it stunk, so had to be removed. A new one before the gym would waste it, so I left my arms unprotected, covered only by my rash guard. The wounds continued to weep, and a couple of hours later the fabric of my sleeve had congealed with the wound site. IT WAS STUCK!!!

Many of my burns heal with hypergranulation; essentially a process whereby tissue and tiny blood vessels grow back exuberantly above and beyond the original site, creating little delicate flesh mounds. It was one of these that was stuck!!

I soaked my sleeve with water, to no avail. I was forced to “tug!!!” All I can say is Ouch!!! Newly formed nerve endings were severed, blood vessels burst and flesh ripped.

In the context of lecturing I’m used to creating sessions and activities that have “learning outcomes” This was a perfect experience to teach someone not to burn again, but that’s not what I’ve taken away from it.

Despite the trauma, the pain, the odours, the recovery proccesses and the sheer difficulties associated with exudent wound management, and hiding it all from everyone else; I crave it. I need it! It’s my valium, my reality checker, my grounding strategy and my fucked up comforter. It’s my one controllable constant.

I will hoever, be more careful with my wounds.

Loopy x

204. Swimming upstream.

I’ve just completely broken down on OH. There are many reasons that I’m finding today tough;

I’m going in tomorrow to discuss my return to work and I’m not ready. I lied a little to get the nod from Occi Health and right now I’m regretting those lies.

I’ve had a psychiatrist review today and that’s resulted in yet another dosage increase. They have no answers either for my F##ked up head.

Today was my last contact with my CPN as she leaves to take on a new role. Words can’t describe how much this loss has floored me. She’s been my lighthouse in the fog, my buoyancy aid through rough seas and my corner man through every punch that life has thrown at me off late. I’m struggling to process this.

And to top it all off there’s just the weight of greyness, cripplung doubts and self loathing that I cannot shake.

As I’ve said, I’ve broken down on OH. He sat quietly for a moment, drank his mug of tea and has now taken himself off to bed to “lie down for a bit”

All I really needed was a hug. Can someone please swoop me into their arms?

Loopy x

203. Head Fog

I’ve noticed lately that thoughts are becoming more and more muddled. I have frequent memory lapses and today at lunch with a friend, I couldn’t flipping string sentences together.

OH has noticed slurred speech at times, though usually after my night time sleep aid indulgence. However I’ve also noticed difficulties during the day. My mouth is often Sahara dessert dry, which could be a factor, but I am a little worried.

Loopy x

111. Feeling let down.

Today was quite a momentous day.  As documented earlier, I’ve been released from the psychiatric hospital that I called home this past two months. Both my mother and my sister knew I was returning home today.

My sister was quite frankly horrible to me this morning and after abruptly hanging up on me in a rage, I’ve not heard from her since. I’m not calling her, quite frankly I don’t have the strength.

Nor have I had any contact from my mother. She gets home from work at 3 and it’s now 10 pm. They really don’t care do they?  I’m feeling totally let down, deflated and alone in all this. This is when the suicidal thoughts creep in the most, when I’m feeling lonely.  Time to ask OH for some cuddles.

Tomorrow is another day I guess.

Loopy x.