I'm all to familiar with exactly what a P.T. does and an O.T. does W, unlike you, I was a patient on an SCI floor for 4 months. I haven't seen a Rehab doctor for 25 years. Medicaid will not cover the care of such a specialist after discharge. I was due for a new chair and went thru all the proper channels Medicaid will pay for. That being my Primary, a P.T. to eval the approval of a reclining chair and special seating for my scoliosis. After doing so, I then called the company who provided my prior chair. Who then sent out a sales rep to measure me for this new chair. If you read my story, it was not a seating problem. I sit in the same chair, the same cushion, all is fine now. What you missed in the story was while she was so concerned about the back, the plate under the cushion was not adjusted. "Dave" moved it three inches forward. I remember now why I lost interest in this list as did most others. And yes, I live close to Metro hospital in Cleveland that has an SCI floor but again, Medicaid doesn't cover those channels. Yes, I'm seeing a well known wound specialist at the Cleveland Clinic Dianna
I hope you are working with a certified wound specialist and wound medical doctor. A wound nurse with updated training every year is a great asset. Wounds fail to heal for a number of reasons. Age, Diet, Tangible tissue, Bad Habits (smoking) and how much you lay on the wound. I'm sure there are other factors. Skin Flap Procedure is available only when a wound has been the healing process 90%. Best Wishes -----Original Message----- From: wheelchair <[email protected]> To: lwillis82153 <[email protected]>; quad-list <[email protected]> Sent: Fri, Sep 4, 2015 10:25 pm Subject: Re: [QUAD-L] Sitting wrong/Pressure sore I hope you are working with a certified wound specialist and wound medical doctor. A wound nurse with updated training every year is a great asset. Wounds fail to heal for a number of reasons. Age, Diet, Tangible tissue, Bad Habits (smoking) and how much you lay on the wound. I'm sure there are other factors. Skin Flap Procedure is available only when a wound has been the healing process 90%. Best Wishes In a message dated 9/4/2015 6:36:07 P.M. Central Daylight Time, [email protected] writes: How easily something simple can become tragic! I have been battling a butt sore for over ten years now. It is about 3x4 in. and just will not heal. Not much depth but wide open and raw. (When my daughter was small she asked why I had Bologna on my butt.) I imagine I will take it to the grave. Sent from my iPad Begin forwarded message: Resent-From: [email protected] From: [email protected] Date: September 4, 2015 at 5:08:23 PM EDT To: [email protected], [email protected], [email protected] Subject: Re: [QUAD-L] Sitting wrong/Pressure sore Did you actually go to a clinic that specialize in seating and positioning or did someone hold their thumb up to your profile? Positioning is so important, especially today. Do you have a Comfort Company set up? Best Wishes In a message dated 9/4/2015 3:37:58 P.M. Central Daylight Time, [email protected] writes: funny you should ask that. no, but I sure am sweating now! or clammy I should say. first thing in the morning and after wound changes...I hate the feeling. feels like my blood pressure raises too & I feel mean...actually I am after wound changes that is! my doc has ordered the wound cleaned with a solution that smells like bleach. I know i'm having a reaction to it cause I feel sweaty. I didn't mention I've gone 25 years without a problem on my butt until now. Dianna, what a drag. thanks for sharing this important info. Did you not feel sweaty or anything as the sore was coming on? that's the scariest for us, not to feel it until it's to late. Kind regards, Shirley Bell -----Original Message----- From: shirley bell < [email protected]> To: diannal767 < [email protected]> Cc: quad-list < [email protected]> Sent: Fri, Sep 4, 2015 2:51 pm Subject: Re: [QUAD-L] Sitting wrong/Pressure sore Dianna, what a drag. thanks for sharing this important info. Did you not feel sweaty or anything as the sore was coming on? that's the scariest for us, not to feel it until it's to late. Kind regards, Shirley Bell www.ShirleyBellDesigns.com ----- Original Message ----- From: [email protected] To: [email protected] Sent: Friday, September 04, 2015 12:27 PM Subject: [QUAD-L] Sitting wrong/Pressure sore ~Thought I'd share my story with everyone in hopes of preventing this of happening to anyone else!! Finally got in my new chair July 1. By August 14th, I was in the hospital getting surgery on a sore on my butt. I'm home now with a sore the size of a 50 cent piece and 3/4 of an inch deep. Hooked up to a Wound vac and hopefully next week, I'll get this pic line out. ~The wheelchair rep made countless visits to my home to adjust the back, then finally changed it to a air back cushion. Worked on programming the controls that still are 'crazy'. Through the month, Dave said "Your butts hanging out the back". I thought he meant to say, it was big because that's how it felt to me reaching back. What he should have said was, "Your cheeks are hanging over the back of the cushion" ! I was sitting out on my patio & looked in my bay window to actually look and see from the suns reflection, what my butt looked like in this chair. This was a Saturday. I was feeling chilled that weekend, wearing a sweater while it's 80 degrees out. Anyway, I immediately said to Dave, "My butts hanging over the cushion, my butt looks huge"! Dave:, "I told you" Saturday night, he noticed a pencil size sore on my butt, by `Monday morning, it broke open a little with bleeding. I had already had an appointment Monday with my wound doctor for a healing sore on my ankle. She sent me to the E.R with a letter requesting a plastic surgeon, Dr Raj. I also encountered two infections from the wound, one being staff A and another letter to go with it...couldn't care less at this point. Eight days in the hospital, I just wanted to go home. ~That Monday morning, Dave announced he could fix this, (6 weeks too late) Moved the plate under the cushion 3 inches, now the cushion is correct and so is my butt. The wheelchair rep should have checked and caught my seating in corrections!! ~Not finished. I had waited about 2 months for a prior authorization from Medicaid to get the driving equipment installed on my chair. Three inches now has my head about an inch from the door post in my car. Driving it now slightly reclined but it throws everything off, steering wheel, brakes. I had to resubmit another prior to adjust either EZ-Lock or bolt on my chair from the adjustment on chair. Quantum 6000, I do not like it. The ONLY feature I like about this chair is recline. Dianna If you think your butts bigger than you think, in a new chair....check it out
