Guest guest Posted December 18, 2008 Report Share Posted December 18, 2008 ! Haven't seen you write for quite some time now! How are you doing/feeling? Know what you're saying with the doctor. My instincts are almost always right. So far I have been right several times that doctors have told me that I was wrong... only to find out later that I was right in the first place. Nothing satisfying about it, in fact frustrating when a doctor won't listen. Take care and keep in touch, Jen EN and too many underlying things to list hello groupI see a lot of patients with wounds at the hospital where I work (I am an registered dietitian). Common supplements that we recommend for people with wounds are multivitamin, vitamin C, folic acid. (it certainly doesnt hurt to eat a citrus fruit every day instead or use wheat germ in your cereal. vits/minerals from food are absorbed best when they come from food). Also protein is important for healing. Make sure you eat protein with all meals (low fat cheese, low fat yogurt, low fat milk, meat/poultry, fish, cottage cheese, beans....)depending on the stage of the wound (forgive me, I don't even know if PG wounds are 'staged' by medical staff) a protein supplement may be indicated, such as Prostat or Ensure plus. These are things you can ask your doctor- any wound specialist will know these recs.Please keep in mind your own individual health background and find out if these are ideas that are best for you. O'Brien, RDNJ*remission from EN (spring 08) but now have osteoarthritis and lingering joint issues. MD says not related but I disagree!!=)> From: Jeff <the5berks>> Subject: Re: clear liquid> To: erythema_nodosum_Group > Date: Thursday, December 18, 2008, 11:21 AM> diane,> > my advice is to be careful when you go see the doc. first> of all he > needs to dx it properly, which means a punch biopsy> (scraping it for > an infection test will NOT determine pg!). secondly, he> must not > irritate it to the point of causing "pathergy". > by irritation i mean > cutting it open (except for the biopsy), deep debriding or> excessive > scraping. minor scraping if it has nurcrotic tissue build> up is > acceptable. lavage, whirlpool and wound cleaning/care are> acceptable > and encouraged. pg is NOT an infection and cannot be> treated in the > same respect (this is what "most" docs think pg> is, since infections > are so common). just a word of caution......take it from> one who > knows.> > a word on treatment. if it IS pg and it is minor/small and> not too > severly ulcerating (not bleeding), then a topical oinment> works > really well, called protopic. it is rx and it is> expensive, but for > minor to moderate pg, it works great to start out with.> > jeff,> pg,> cd> > > > >> > > *Diane,*> > > *Are you sure you do not have Pyoderma> Gangrenosum?*> > > *Sandy*> > >> > > > > >> > >> > >> > >> > > > > > -- > > 'JESUS IS THE REASON 4 THE SEASON...May 2009 be a> blessful year.> > Hugs and Kisses from Truthfuldi.> > One site keeps you connected to all your email: AOL Mail, Gmail, and Yahoo Mail. Try it now. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 18, 2008 Report Share Posted December 18, 2008 hello group I see a lot of patients with wounds at the hospital where I work (I am an registered dietitian). Common supplements that we recommend for people with wounds are multivitamin, vitamin C, folic acid. (it certainly doesnt hurt to eat a citrus fruit every day instead or use wheat germ in your cereal. vits/minerals from food are absorbed best when they come from food). Also protein is important for healing. Make sure you eat protein with all meals (low fat cheese, low fat yogurt, low fat milk, meat/poultry, fish, cottage cheese, beans....) depending on the stage of the wound (forgive me, I don't even know if PG wounds are 'staged' by medical staff) a protein supplement may be indicated, such as Prostat or Ensure plus. These are things you can ask your doctor- any wound specialist will know these recs. Please keep in mind your own individual health background and find out if these are ideas that are best for you. O'Brien, RD NJ *remission from EN (spring 08) but now have osteoarthritis and lingering joint issues. MD says not related but I disagree!! =) > > Subject: Re: clear liquid > To: erythema_nodosum_Group > Date: Thursday, December 18, 2008, 11:21 AM > diane, > > my advice is to be careful when you go see the doc. first > of all he > needs to dx it properly, which means a punch biopsy > (scraping it for > an infection test will NOT determine pg!). secondly, he > must not > irritate it to the point of causing " pathergy " . > by irritation i mean > cutting it open (except for the biopsy), deep debriding or > excessive > scraping. minor scraping if it has nurcrotic tissue build > up is > acceptable. lavage, whirlpool and wound cleaning/care are > acceptable > and encouraged. pg is NOT an infection and cannot be > treated in the > same respect (this is what " most " docs think pg > is, since infections > are so common). just a word of caution......take it from > one who > knows. > > a word on treatment. if it IS pg and it is minor/small and > not too > severly ulcerating (not bleeding), then a topical oinment > works > really well, called protopic. it is rx and it is > expensive, but for > minor to moderate pg, it works great to start out with. > > jeff, > pg, > cd > > > > > > > > *Diane,* > > > *Are you sure you do not have Pyoderma > Gangrenosum?* > > > *Sandy* > > > > > > > > > > > > > > > > > > > > > > > > -- > > 'JESUS IS THE REASON 4 THE SEASON...May 2009 be a > blessful year. > > Hugs and Kisses from Truthfuldi. > > Quote Link to comment Share on other sites More sharing options...
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