Tag Archives: hospitals

One Face of MRSA, Resistance Bug, in Kitsap County

One Face of MRSA – What Does the Resistance Bug MRSA Look Like in Kitsap County?  Here is one face.Wounds

A Look at MRSA

 

Ignoring edema in your lower legs?
I did. Ask your doctor how to get rid of it – permanently…not just take water pills and forget it.

There is a reason edema develops for each person. Find out the cause, and, if possible – fix it. You do not want what I have.

Ask your partner – your doctor.
The latest recent culture of my open wound came back positive again – the second positive result since it began again in my lower left leg, October 2013..

“MRSA stands for methicillin-resistant Staphylococcus aureus. It causes a staph infection (pronounced “staff infection”) that is resistant to several common antibiotics. There are two types of infection. Hospital-associated MRSA happens to people in healthcare settings. Community-associated MRSA happens to people who have close skin-to-skin contact with others, such as athletes involved in football and wrestling.

Infection control is key to stopping MRSA in hospitals. To prevent community-associated MRSA

Practice good hygiene
Keep cuts and scrapes clean and covered with a bandage until healed
Avoid contact with other people’s wounds or bandages
Avoid sharing personal items, such as towels, washcloths, razors, or clothes
Wash soiled sheets, towels, and clothes in hot water with bleach and dry in a hot dryer

If a wound appears to be infected, see a health care provider. Treatments may include draining the infection and antibiotics.

NIH: National Institute of Allergy and Infectious Diseases”
http://www.nlm.nih.gov/medlineplus/mrsa.html
My opinion: (Test all patients and personnel in hospitals – stop the spread of MRSA)

Ignoring it – spreads it
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Harrison Medical Center Wound Care, Hyperbaric Medicine, Infusion Center
The understated low-slung buildings in the old Sheridan Village show a benign face to the wounded people who fight life and death wound care treatment inside.
Opening the door to the reception area brings a cheery “Hi! …Debbie knows your name.Debbie Knows Your Name and smiles a welcome!

Debbie Knows Your Name and smiles a welcome!

Debbie is usually the first introduction to the amazing friendly, competent and cheerful docs, nurses, technicians – all the great people working there. The patients reflect their environment as does the varied reading material offered. From deep sea training to bird reading …nothing ordinary about this place or the people in it – health care  or patients.
A minor breakthrough happened when I awoke a few mornings ago feeling nothing. An absence of pain in my leg – no pain anywhere….the apparent result of the new sulfur antibiotic for the escalating lymphedema/cellulitis/MRSA wounds in my left leg.
The pain gradually returned.

Debriding is done with a sharp razor after the wounds get surface Lidocaine to deaden the flesh. Most of the time it works.
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GOOD NEWS: I heard about an Ultrasonic Debridement machine – pain free that takes the place of a sharp razor and found a study on it in Ontario, Canada.
Efficacy Study of Ultrasound-Assisted Debridement to Influence Wound Healing (UltraHeal)
Principal Investigator: Christine A. Murphy, MClSc PhD(c) The Ottawa Hospital
Sponsor: Ottawa Hospital Research Institute
The start date was December 2013 – Estimated completion December 2014.
Official Title ICMJE A Randomized Controlled Trial to Investigate if Application of Low Frequency Ultrasound-assisted Debridement May Improve Healing and Infection Outcomes for the Person With Vasculopathy and Recalcitrant Wounds of the Lower Extremity
Brief Summary The UltraHeal Study is a randomized controlled trial to compare healing response of low frequency contact ultrasonic-assisted debridement in addition to best practice wound care to best practice wound care alone in a Vascular Surgery Clinic patient population with wounds of the lower extremity.
Detailed Description The study will also investigate the bacterial tissue burden and protease activity to provide further insight into the infection and inflammation aspects of healing barriers in a challenging population.

IF the study proves out, we should be thinking about getting a Ultrasound  machine that uses new technology to debriding wounds and helps healing…

Harrison Medical Center Foundation – how can we help you help us get that machine if the study is successful?

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Thanks for listening… more later…
Sharon O’Hara, (familien1@comcast.net)

QUALITY LIFE- TOO EXPENSIVE?

QUALITY LIFE- TOO EXPENSIVE?
CHEAP DEATH – IS IT REALLY?
WHO DECIDES?

Since when does living a quality life for the medically or physically challenged mean too costly for taxpayers?

Living a quality life, to me, means seeing and feeling the world around us…seeing the sparkle and sharp colors of new daybreak splash slowly across the horizon and its new dawn promise, the muted and soft streaks of a sunset inch across the sky at day’s end, the happy, funny gurgle and contented baby coo, a bee’s buzz as it flits from flower to flower, the busy chirp and chat of birds, the cheery tug of anticipation at the shout of “STRIKE ONE!” when your child or grandchild is at bat, the intoxicating smell of freshly mowed grass, an unexpected hug from a friend, the excited bark of a welcome home greeting and the warm feel and tangy smell of a horse and the soft nudge of her head for a carrot treat – all blend together.

None have a price tag. One or more of these things and many more, give a quality life without a price tag.

Yes, for seniors, when major disease requiring intensive treatment costly to the body and pocketbook is diagnosed, open and honest dialog between the patient and doctor is a vital step to making the right decision for each patient.

If the patient is already under treatment for life altering medical conditions and treatment, the patient must be fully informed of the new estimated treatment, length and intensity of recovery, adding the cause and effect to the existing medications and prognosis.

Who should make the decision? The patient knows when his/her quality life is over. For me, it is when I can no long feel anything but the pain …when the world around me ceases to matter…before I can no longer take care of my personal needs and can’t recover…its time.

I know, understand and approve age and other limits on lungs and organ transplants. I don’t get mammograms, apps or colon tests simply because should any prove positive, I won’t do anything about it.

My doctor and I have already talked about quality of life and she is incredibly wise and informs, yet accepts my decisions about my own health care. My family knows exactly how I feel and it is not their decision, it is my life and my decisions.

It is not your decision either. I think the patient’s doctor and other medical professionals – NOT including the government – need to present the facts to the patient in a kind, straightforward manner and let the patient and medical team make the decision regarding treatment or no treatment.

IF the facts are presented properly and honestly in each case, very few, if any, senior patients would choose to undergo serious surgery, intensive recovery time, loss of ability to care for their own personal hygiene and waste what remains of their time on earth. Each situation is different and individual.

I was once present when an elderly patient was taken to the emergency room. He clearly had dementia, yet was given – it seemed – a test on every new and old machine in the hospital. One scene stands out in memory…the technician reading aloud the instruction booklet as she hooked the patient to the machine. None of the tests were productive. I’m sure it was an expensive visit.

Keep terminally ill folks comfortable … but all these things should be discussed with the PATIENT long before emergencies and urgency cloud the overall issue.

I doubt my grandmother had much quality of life after she entered the nursing home. Her false teeth were stolen along with other personal items. She fought to get out of bed and walk until she was drugged to keep her compliant and easy to care for. Soon she couldn’t get out of bed by herself and was eventually spoon fed and diapered.
Quality of life? She was over ninety, did not recognize anyone and had forgotten how to speak English. The grandmother I knew was gone.
Why hadn’t she been allowed to walk and maintain a quality of life? Too expensive?

Keep government out of health care and a single pay. Let the free enterprise system flourish and see the health care costs diminish and patient care increase. Let the insurance companies compete for business across the nation. Allow our system to work and use the system we already have in place to correct and make the needed changes. NOT GOVERNMENT.

Remember the $600 toilet seats government bought and regular folks only paid about $50 for the same seat? How about Social Security? How many years before its bankrupt and the people paying into it now will probably never get to use it?

How has the government run Clunkers worked out for our tax dollar and the economy? Well, a lot of folks bought, free, thanks to the Clunkers program, electric golf carts.

Medicare is government run…is it successful?
Please.
The government run Medicare and Medicaid is the reason the medical profession is the only profession I know of in this country that is penalized for being in health care and treating seniors and Medicaid patients.
Patients are cheated, physicians and health care professionals are cheated…and some cheat in return.
Keep government out of the health care business… for your kids’ sake.

No one in this country is denied health care…hospitals have shut their doors before or after the bankruptcy for treating patients without payment. No one is turned away. However, how long can any organization last without revenue?

In addition, ask yourself how long a civilization can last or should last, if their citizens are evaluated and cared for based on dollars not spent?

Frank and open honest discussion with the patient – educate them – will make a difference…not manipulation based on dollars. .

NO to government health care.

More later … Sharon O’Hara
This blog post was an answer to a post on Rob’s blog and tantalizing title: http://www.kitsapsun.com/news/2009/oct/16/rob-woutat-a-dying-person-needs-death/