Another message of importance that bounced to me for some reason. The 
system though it was too big, but it shouldn't have been. <sigh>

Mike D.

------- Forwarded message follows -------
Date sent:              Thu, 18 May 2006 17:19:34 -0700
From:                   "Day Sutton" <day.sut...@gmail.com>
To:                     silver-list@eskimo.com
Subject:                Brown Recluse Bite

BY DR. KENNETH BURTON

The devastation caused by the bite of the Brown Recluse spider can be
stopped in its tracks and reversed, even at  advanced stages of its
degenerative effects.



The Recluse bite can cause a prolonged and expensive trail of suffering
and disability to its victims. The frequency of bites to humans has
increased at an alarming rate, as the spider moves indoors and into our
garments, shoes and bedding. Treatment cost now run into the millions 
of
dollars per year and are rising rapidly as incidences increase.While
some spiders inject little venom, others may be expected to create
serious management problems with resultant extensive tissue loss, pain.
disability and chronic deterioration.



The etiology is the powerful, vasoconstricting properties of the venom,
as the mechanism of necrotic arachnidism, which causes the smail
arteries to spasm with resultant loss of blood supply to the bite area.
This sets up a cycle of ulceration and tissue loss through ischemia and
gangrene. Systemic medication alone is unable to penetrate the lesion
because of the barrier zone produced by the spastic occlusion of the
arteries.



However...a nitroglycerin patch can penetrate through the skin, into 
the
interstitial fluid and into the capillaries, rapidly dilating the
vessels. This is evidenced by the quick onset of a nitroglycerin
headache as circulation into the occluded area is re-established from
the edges inward. The pathologic process ceases and healing begins. 
When
a nitro patch is administered early, as in the first 48 hours, no 
lesion
ever develops!  Delay treatment three to four weeks and a 5 cm ulcer
will develop, requiring three months of treatment with the 
nitroglycerin
patches. Even with delayed treatment, however, the degenerative process
is reversed. The body heals itself. There is no need for surgery with
its debilitating effects, potential complications and severe scarring.



The patch is cut to cover only the effected area, right up to and
extending just over the edge of involvement. In the case of a
youngchild, the patch should be cut down to cover the smallest area
possible, with more frequent removal and reapplication necessary.
Pictures of the recluse bites treated with these patches provide
examples of some responses.



With few exceptions, regardless of the site of the bite or the age and
health of the patient, the patch has stopped the progress of the tissue
loss, thus allowing the area to begin recovery, usually without 
scarring
and with only slightly darker pigmentation.





*3 wks. old untreated lesion near wrist *After 7 weeks treatment on
Nitro 0.2 patch - completely healed - no scar



Exceptions include a patient with a very old ulcer (10 months), one
whose bite was at the posterior knee joint and who was not diligent in
keeping the patch on in this difficult location, and a patient whose
auto immunity was compromised by HIV. I have found the Deponit
Nitroglycerinpatch to be the most effective patch of the several types
tried because the nitroglycerin is dispersed throughout the matrix, the
dosage is easily controlled, and the patch is very flexible (important
for joint areas).  Nitroglycerin spray was also used, and found to be
very effective when applied to a bite of no more than several days age.
Under no circumstances will oral nitroglycerin be appropriate. With
blood flow re-established to the bite site, systemic antibiotics are
effective and patients are prescribed Ciproflaxin for the first five to
seven days to counteract bacteria - possibly delivered by the spider's
fangs - and to prevent potential bone involvement. Patients should be
instructed that in the event of a headache the patch should be removed
for up to one hour and then replaced.

I have been using this procedure in my private practice since 1989 with
amazing and conclusive results. In instances where I see the bite so
early on as to be unable to positively identify as a Brown Recluse bite
(most times the victim does not see the spider, or if they do the
response is to pulverize it, thus allowing no method of identification
other than an examination of the affected area), I will initiate
treatment with the nitroglycerin patches as a precaution. There is no
danger from its use on other bites, but to delay treatment from
uncertainty only allows further degradation and necessitates a 
prolonged
treatment period. The patch will also help scorpion and other bites
anyway. Exception: Do not use on snake bite

------- End of forwarded message -------


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