Pressure Sores - When traditional treatment Doesn't Work

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Everything within me groaned. Oh Lord, not again. Not another pressure sore. Not now. I'm starting a new job. I'm already behind from being sidetracked with a broken leg. I have house to take care of. I don't have time for this. Enough's enough!

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But there it was--a definite, bloody, inflamed wound on the back of my left heel. How did it start? I wish I knew. But then, if I could have felt the cause of the pressure, it wouldn't have deteriorated into a sore.

Reluctantly I made an appointment with my traditional care physician. He groaned, too. He'd observed my continuous health challenges for years now and marveled that I've maintained such a busy productive life since my T9 spinal cord injury 45 years ago. Due to a secondary progressive condition, syringomyelia, I am now a triplegic, manufacture my wound care all the more difficult.

The physician started me on oral antibiotics and referred me to Georgetown Hospital patient therapy near Austin, Texas, that same day, June 23, 2004. I met my capable therapist Kimi and her team members, Betsy and Pania, and started wound care.

No, I don't wear quarterly shoes, only open heeled slides. No, I don't let my heels press against the bed at night; I always sleep with a large pillow under my calves. No, I'm not diabetic. Yes, I am otherwise wholesome and have good nutrition. No, I don't know what caused it....

Perhaps I injured my heel during a transfer. Perhaps the foot orthotic that stabilizes my left ankle during the night slipped onto my heel while I was sleeping. Perhaps I'm just too many years post-injury and time has taken its toll. Anyone the cause, the damage was done.

With my left ankle resting on my right knee, I watched as Kimi debrided the wound, meticulously slicing and picking off all the dead flesh. I couldn't feel it, but still it bothered me to watch. It was too strong a reminder of my own vulnerability.

The wound measured 1.1 by 1.7 centimeters. Kimi cleaned it with saline solution, dressed it with a Duoderm Signadress and scheduled me to come in three times a week for the next month. But the imaginable month of healing turned into four. The Signadress worked well the first week, then the wound deteriorated. Kimi switched to Aquacel to suck up the drainage. For a week it improved, then regressed. Betsy added Mesalt dressings, which helped for a while, but then the wound grew larger. We returned to Signadress. Again there was advance for only a few days.

Two corporeal therapists concept the qoute could be fungal, so they washed it out with Dakins. Nothing changed. The next week we were back to a saline wash and applied Miconazole, an antifungal. The wound grew larger and the surrounding tissue wasn't healthy. We switched to Hydrofera Blue, an antibacterial foamy dressing, which also worked briefly and produced some granulation. It was always two steps send and three steps backwards.

I religiously did wound care at home, intimately following all the directives. Other Pts and my plastic surgeon consulted and recommend new dressings. Each new dressing worked for a while. Then always a few appointments later, my heel looked worse than when we first started.

The wound that had started at 1.1 by 1.7 centimeters diameter crept to a frightening 4 by 6 centimeters, drained continuously, tunneled, undermined and burrowed to the bone. After five weeks, it was so infected that red, fevered puffiness soared up my calf. Betsy sent me straight to the crisis room, even hinting that if we couldn't reverse the progression, it could ensue in amputation. I refused to accept that thought.

The Er physician wanted to admit me for patient intravenous antibiotic therapy. My schedule for the next few days was carved in concrete, so I negotiated: I would come in every day for 10 days for intramuscular injections of Rocephin. The injections did halt the infection, but still the wound itself remained defiant. Now in the center there was a growing black necrotic area that was too tightly adhered to debride.

I wondered if after 45 years of doggedly conquering each hurdle, I was finally past the point of no return. Does there at last come a time when treatment has nothing left to offer? Now what? My whole busy schedule had to revolve around a 30-mile round trip to therapy three times a week. The dressing changes at home were laborious and time-consuming, especially with only partial use of one hand. I had to quit taking showers because they always caused a setback in healing. Even though I sponge-bathed every day, I felt dirty all the time. I wanted my life back!

One Saturday morning in October my clock radio routed me out of a deep sleep. I sat up in bed and began groggily but dutifully changing my dressing. My mind snapped to attention as I heard the schedule hosts, herbalists Bill and Margie Harshaw, talking about a topical herbal aggregate that rapidly and painlessly heals burns, many skin conditions and pressure sores.

Was this just a too-good-to-be-true infomercial? The hosts sounded credible and balanced, and what they were saying seemed well-documented, so I kept listening, straining for any clue that might facilitate healing.

The Harshaws credited a Dr. John Young, currently an Er physician in Florida, with formulating the herbal spray. Young had spent some years as director of a pediatric burn unit and some more years as a healing missionary to Swaziland and South Africa. In that setting he needed an effective, low-cost aggregate to treat the many skin diseases, burns and injuries he encountered. Everything on the market was too expensive, dinky in its effectiveness, or too complex for nonprofessional, nonsterile self-care in the villages.

Young began experimenting with discrete compounds until he came up with what has since come to be known as Miracle Mist Plus. To his amazement he realized it not only cleansed the wound, but also killed staph, strep, E. Coli and pseudomonas bacteria in the wound bed and surrounding skin, and it accelerated new cell increase and healing? It was painless and could be assuredly applied by nonprofessionals or patients themselves. And the cost was a tiny fraction of traditional therapies.

Monday morning I left Pt, discouraged over the lack of progress, wondering if the hinted amputation might at last come to be reality. I drove straight to Thg health store in around Round Rock. I quizzed Bill Harshaw about inherent damage from this spray. He assured me there were no side effects. He said it was so diplomatic it could be sprayed directly in the eyes to treat eye infections. Then naturally he sprayed it in his own eye and never flinched.

But how does it work? I demanded. It has a pH equilibrium of 8, which turns the skin alkaline. Disease can't live in an alkaline environment. The magnesium in the aggregate drives the ingredients into the center of the cell and detoxes it. It also promptly eases pain--not that it mattered in my case. Bill told me of its efficacy on burns, diabetic wounds and pressure sores. I had nothing to lose but .95.

That night I sprayed Miracle Mist Plus on my wound. It looked like water. Was this a hoax? I let it air dry as directed, then applied clean gauze. I repeated it twice Tuesday and again on Wednesday morning before I went to Pt. Betsy and Kimi were astounded at the correction in just 48 hours. They called in some other therapists to see. They were so impressed that they called the Harshaws and scheduled them to do an in-service for the clinic. For the first time in four months of therapy, the tide was turning.

I prolonged spraying on the Miracle Mist Plus at home, but soon began to see a pattern. When I would gift my foot at Pt after two days of home care, there was always graphic improvement. But the next morning after Pt, there was dinky graphic improvement. When the Harshaws came to the clinic for the in-service, they explained that the saline explication the Pts used to clean the wound compromised the effectiveness of the Miracle Mist Plus. The aggregate itself was a potent cleanser as well as an antimicrobial, antibacterial and new cell stimulator. We were also not supposed to debride any tissue except pieces that were about to slough off. No debriding, no saline cleanse? That sounded wholly heretical in the world of wound care.

Once we discontinued the saline explication and the debriding, healing speeded up again. But it had been a assuredly deep, nasty sore by the time I found Miracle Mist Plus. We had a lot of catching up to do. Miracle Mist Plus was working better than any former treatments, and healing was finally happening. There were a few minor setbacks along the way, but never like the setbacks I'd experienced with the prescribe applications.

Sometimes new flesh would grow around the edge of the wound but not bind to the wound bed. I was concerned that bacteria would get in the crevice under the new flesh. At one point the wound became weepy again and macerated--as if it had soaked in dishwater too long. And there was still that black necrotic area in the center. I called Young on the phone and explained my dilemma. He recommend leaving off the bandage until the maceration totally cleared. The Miracle Mist Plus would prevent infection starting in the exposed wound. And he insisted the necrosis would reverse in time--just keep spraying.

I didn't do without the gauze bandage in the daytime because I didn't want the open wound to rub against Anyone whenever I transferred. But at night I left off the bandage, letting my heel rest on a soft, clean handkerchief. I also began spraying the wound at least three times a day instead of just two. I added cayenne pepper capsules to my usual vitamin regimen to speed circulation to my extremities. It worked, but I did learn the hard way that I must take cayenne pepper with food to avoid stomach pain.

Within one day of that phone call to Young, the healing process was clear again and the maceration disappeared. Within a few more days the new flesh began adhering and there was no evidence of tunneling. A week later I realized the necrotic area was pink and soft. All traces of black were gone. I assuredly didn't think that was possible.

On a whim I began using Miracle Mist Plus to clean my stoma. I sprayed and slowly blotted. All blush disappeared within hours, and there was none of the bleeding that even the gentlest soap and washcloth had always caused.

I'd like to say that the wound healed approximately overnight. It didn't. But it did heal. After four months of progressive deterioration with thorough therapies, the next four more months of steady healing with Miracle Mist Plus was a fantastic trade. I went through four bottles of Miracle Mist Plus at .95 each. The first four months of thorough treatment cost my assurance business nearly ,000 for corporeal therapy, supplies, Er visit, 10 days of patient Im injections at the hospital, and consultations with my traditional care physician and plastic surgeon. That doesn't begin to cover my own personal losses of time, activities, mileage, lost revenue and home wound care supplies.

With cost containment so vital right now, Perhaps assurance fellowships and our sophisticated American healing community need to take a serious look at alternative medicines like Miracle Mist Plus.

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