On one of the last few days of our daughter, son-in-law and granddaughter's visit with us we were sitting down to a leisurely breakfast. Mom has her breakfast at 4:00 AM, gets on her treadmill for a morning exercise and heads out the door to pick up fallen leaves around the yard and tend to her small garden and lemon trees.
On that Sunday morning we heard what sounded like a crash. We figured it was mom just dropping her stand up trash pan again.
However, Tiffany went to the window to look out and saw that her grandmother had fallen on the concrete walkway and unable to get up.
We ran outside and saw that her hand had ripped open.
Luckily, we have a lightweight wheelchair we keep for just this sort of emergencies. We carefully helped her sit on it and took her to Kaiser's ER.
We were very lucky that the ER was not too busy.
Mom got her wrist X-rayed and her head CAT scanned.
The doctor said nothing was broken internally. That was a huge relief.
The nurse then used Sodium Chloride to clean her wound. (Isn't that just salt water?) Hmmm.... I asked the nurse if they weren't worried about flesh eating bacteria. She said, "No." Really? I thought they'd use something like hydrogen peroxide. I know Tripler Army Hospital won't use alcohol because it can cause tissue damage and inhibit healing.
Don't they often show people using alcohol to treat gun shot or knife wounds in action movies? It would hurt like the dickens, I'm sure. But I know they used to disinfect wounds with hydrogen peroxide when our kids were growing up. No longer.
We have added sodium chloride to our first aid kit since it looks like we'll need it more often now.
The very competent nurse used these steri-strips to close the wound and applied some kind of sealant on top of it. She then bandaged mom's hand and we were good to go.
Friends and my cousin stopped by with mangoes, desserts and even a wonderful soba salad to cheer mom up.
Bruising where her face hit the concrete prevented her from smiling fully, but she was feeling much better two days later and was back on her morning treadmill.
She had one day when I had to give her some Tylenol for muscle pain, but after that she was up and around with no pain at all.
In fact, she started mopping the kitchen before I took the mop away and told her to rest for a few more days.
My brother said, "Wouldn't it have been great if we had inherited her genes?"
POSTSCRIPT:
After 2.5 weeks where I changed her bandage every other day and bathed her so she wouldn't use her hand, we had her first in-person appointment with her new doctor. (I'd chosen someone who could speak Japanese.)
The doctor removed her bandage and checked the wound. She was surprised! I'd emailed her a photo after the accident so she knew how bad it was.
It had healed! I checked it a couple of days before (while changing the bandage) and didn't like the color, but the doctor said it was great and mom could get it wet now and in a couple of days could resume her yard cleaning, etc. activities.
Art and I have compared the initial wound to how it looked 2.5 weeks later and don't quite believe what we see.
How is this possible?
When Art and I injure ourselves it takes much longer to heal.
Art chuckled, "Maybe it's all the natto (fermented soybeans) she eats?"
The doctor had laughed during our visit and told her that if she feels like having sweets, feel free and enjoy. It's not like she doesn't. I've got all kinds of snacks and desserts that friends and family have given her.
So.... are her genes giving her the ability to heal quickly and is that the reason for her longevity?
Or... is it the natto? 😄
She certainly is resilient. Mentally too, it seems.
ReplyDeleteShe is certainly tough!
ReplyDeleteSo glad your mom is okay good Tiffany was around and realized what happened
ReplyDeleteYour mom's healed hand was amazing Kay! I think it has something to do with those 2 remarkable kids she lives with :^)
ReplyDeleteYour mom is doing something right. That is a very short time for healing.
ReplyDeleteShe is part energizer bunny (going and going) and part Timex watch (takes a kicking and keeps on ticking).
ReplyDeleteHaha. I wish I had her genes, too!!!
ReplyDeleteI love your mom….and am missing mine.
ReplyDeleteLin says glad for a happy ending...
ReplyDeleteWonderful, your Mom is amazing.
ReplyDeleteThat's fast healing.
ReplyDeleteOuch, that looks painful. You have made me a believer though in sodium chloride. I have always used peroxide also but will shop for the sodium chloride. You Mom has amazing genes but also wonderful caregivers.
ReplyDeleteIf you google using hydrogen peroxide for cleaning wounds, it recommends NOT using it because it actually damages the tissue and takes longer to heal, which is probably why yours and Art's wounds don't heal as fast.
ReplyDeletev
Good grief! I used hydrogen peroxide for my kids all the time when they were little.
DeleteI've read that fermented foods are excellent for the health so I wouldn't discount the natto. At her age that quick and complete healing is incredible.
ReplyDeleteSaline water (sodium chloride) is the most compatible with our bodies. I used to have sore earlobes from my pierced earrings and would use all kinds of ointments, hydrogen peroxide, honey, etc. This went on for a long time before I finally decided to try sodium chloride - which seemed too elementary to me. Well, it did the trick and my infections cleared up. Our bodies are amazing and able to heal itself if given non invasive therapies. However, your mom has a super body, and she is just a marvel.
ReplyDeleteYour mom is just like the Energizer Bunny...she just keeps going :-)
ReplyDeleteI forget, how old is Mom?
ReplyDeleteKay of Musings: She’ll be 93 in a couple of months. 😁
DeleteMaybe it's because of all the tender loving care she gets. That, and your mon is Tough!:-)
ReplyDeleteMy brother is a retired paramedic. he said they don't use hydrogen peroxide to clean cuts and wounds anymore too much because it can cause damage to the good cells and prevents healing. It's better to use regular soap and water or just water to clean a cut and then use an antibacterial cream and bandage it.
ReplyDeleteit's because she is such a happy person and has such good energy. every time i see your mom she makes me smile.
ReplyDeleteOh dear, at her age, she shouldn't be raking because she keeps falling. Too bad the doctor didn't tell her to stop doing it and just use the treadmill. A broken bone can make her permanently disabled. I also keep losing my balance these days, but pray I got strong bones. Your mom looks so sweet and happy. Hard to tell a parent, no. -BB
ReplyDeleteIf I don't let her go out and do her raking and taking care of all the plants, she'd be bored silly. She gets lots of praise and thanks from neighbors that keep her smiling and feeling useful and appreciated. I can't take that away from her. She was climbing the walls when I kept her captive indoors for two weeks while her hand healed. The doctor said we needed to keep it clean and dry. She's got to have stronger bones than me though. She hasn't broken a bone yet... unlike me.
DeleteIt's the sake in her system! Also, because of your excellent care changing the bandages. That's just "normal saline" that's in a lot of hospital things. We use pre-filled normal saline syringes to flush out iv access lines and chemo ports. We only use hydrogen peroxide in the hospital to dab blood off of our shoes or clothes before the blood stain sets. Skin tears are very hard to get healed up. A tiny factor is that she may not be a pre-diabetic, so your skin heals quicker if you're not. Are you sure she didn't sneak some aloe vera on that spot? SOOOO glad you took her to the ER to get her head checked. So many people fall and have a "slow bleed" and don't know it until symptoms appear. You run a very nice satellite hospital site. Is her new doc going to try and figure out why she falls sometimes? Wonder if blood pressure or meds need changing. She might need to drink more water. Don't think sake will help blood pressure. Excellent care! Linda in Kansas
ReplyDeleteShe is slightly pre-diabetic, but eating her treats doesn't seem to affect her glucose counts. The doctor said not to worry about it. Unlike me. Art is not diabetic at all. Oh, she did sneak some aloe on it. We saw evidence of it. My brother was concerned about her water intake also so I gave her a 64 ounce container and she religiously makes sure she drinks from it everyday. They do keep a tight watch on her blood pressure.
DeleteI call it "old people ski". I get those wounds periodically. I slide the skin back over the wound, add a bandaid and wait a few days. I scraped along the shower door recently and had that same wound a couple of weeks ago. A couple days after I took off the bandaid, it looked like Mom's last picture.
ReplyDeleteYou are amazing, Joanne. I see all you do and am in awe of all you accomplish... even when you're injured too.
DeleteYour Mom is one tough cookie. Other people receiving such an injury would give up. Your Mom just gets up and keeps going. It may partly be genes but people have have it upstairs to keep going.
ReplyDeleteI’m always impressed reading about your mother’s daily routine. She has evidently done something very right!
ReplyDeleteI'm sorry she was hurt but I'm glad she's still alive
ReplyDeleteShe sure has a strong work ethic. Good work managing her care. 93, indeed.
ReplyDeleteShe certainly does heal quickly, for any person at any age! I also wish I had her genes.
ReplyDeleteHi Kay, yes the saline is the best thing to rinse a wound , especially the shallow wounds / skin scrapes. I use to purchase the bottles of sterile saline for flushing eyes. You can use it on skin wounds too. They usually have a flip top.
ReplyDeleteOnce my mother got a skin tear on her leg (outside calf) from a car door. We were out of town and she was wearing slacks, but it still cause quite a lot of bleeding. When we got home I flushed the wound, found some ointment, had some non-stick gauze pads then wrapped with Coband( we had quite a selection of wound care stuff on hand due to all her skin surgeries). We sent to walk-in the next day to have it reviewed and so she could get a tetanus shot. The Dr did take a peak at the wound. Said the saline flush and getting the skin back in place was the correct thing to do. He may have written a prescription for a topical ointment as she could not use Neo-sporin. He said keep it clean and wrapped and monitor for infection. Leg wounds/feet wounds can be more difficult to heal due to poorer circulation in elderly patients.
The Saline for flushing eyes may be more expensive, but if you do need to flush eyes with something besides running water, it is handy. After it expires, I just write NO-EYES on the bottle, or after it has been opened.
Good to hear that your Mom is healing well. Getting enough protein in the diet is needed for healing. The older we get, the less care some take with diet and some don't realize that the body needs all the building blocks for growing and healing.
M in NC
I'm so amazed at all I learn from Blogger Buddies. This was a horrible accident, but we sure did learn something from it and I do now have a saline spray in our First Aid kit. AND I do love those non-stick pads and keep a good supply of them on hand. I'm so glad you were able to care for your mom's wound so expertly.
ReplyDeleteNormal Saline for wounds and nursey stuff is 0.9% (see your hospital pic; says "irrigation" too.) Make sure the eye stuff is the same strength, and it's sterile. I also don't use eye stuff if it's expired, but I wouldn't use it for anything else either if it's expired, except to rinse the drainpipe over at Red Hill. You MIGHT be able to buy it in a drug store, but a medical supply place will have it. They'll also have Sterile Water (used for nursey stuff like filling the internal balloon on trachs, and internal stomach feeding tubes, called PEGs. But the 0.9% sodium chloride solution is best for owies. Don't feel bad about using hydrogen peroxide in the past; that was pretty standard. Linda in Kansas
DeleteWell, so glad your mom is doing well. And I learned from your blog NOT to use hydrogen peroxide on wounds. I've always used it... first, wash the wound, pour some hydrogen peroxide on it, then add a little Neosporin. Now I will have to go look for saline solution. I do use a saline nasal spray, is that the same thing?
ReplyDeleteKay of Musings: Gosh…. I really don’t know.
DeleteWhat a wonderful gene pool. I think attitude also has a lot to do with healing. It is very important for her to feel useful and I am so glad you let her do those things!
ReplyDeleteP.S. from Kansas: the non-stick pads are good, but sometimes stick. Best to not try and chance it and apply the normal saline fluid to make it wet first before pulling the "non-stick" pad first. There's also a product in medical supply stores that I LOVE: it's dermal wound cleaner in a spray bottle. It cleans any wound but doesn't sting the patient. It's a polite way to clean wounds. Just dabbing a 4x4 gauze after the wound cleaner to clean in the wound is good. Linda in Kansas
ReplyDeleteI got the spray wound wash from Longs CVS and glad I have it now since it looks like I'll need it more often. Thank you for the tip on the non-stick pad. I'll try to get my foggy brain to remember.
DeleteNurse secret: Since so many wounds are different, we actually write down how to do each patient's wound dressing change and post it or put it in the box of supplies. Your brain is dandy to remember all of your Mom's cares. Linda in Kansas
ReplyDeleteKay of Musings: Thank you for this. What a great idea! I will definitely do this.
DeleteYou know, Kay, your blog is very educational! I have learned a lot today!
ReplyDeleteI have so many blogger buddies like you here and it's fabulous that we can learn from each other.
DeleteSorry about your mums fall but pleased she has healed and recovered so well.
ReplyDeleteAll the best Jan