In response to a chronic pressure sore: obviously you realize this is not good. 
Even if the sore is not increasing in size there is a huge danger in having an 
open sore--this is, literally, an open invitation for an infection. Sores on 
your butt are exponentially more risky due to the possible contact with e. coli 
from feces. 

You mentioned that you have used a Roho consistantly. Perhaps there's a better 
option out there for you? If you're unable to sleep on your stomach or stay in 
bed why not consider an air-bead bed or other specialty bed?

I would hate to see you get really sick from this sore--an open decubitus is 
NOT something to take lightly! I'm only getting 'preachy' here because I care 
and don't want to lose any more quad friends due to preventable conditions!

Don.

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