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Patient Background
Name: John Doe
Age: 68
Gender: Male
Medical History: Type 2 Diabetes Mellitus, Hypertension, Hyperlipidemia
Lifestyle: Non-smoker, occasional alcohol consumption
Occupation: Retired Veteran
Initial Presentation
John Doe presented with a non-healing diabetic ulcer on his right lower leg. The wound had been present for approximately six weeks. The patient reported mild pain, occasional discharge, and difficulty walking due to discomfort.
Wound Characteristics
Location: Right lower leg, medial aspect
Size: 3 cm x 4 cm
Depth: Partial thickness
Exudate: Moderate, serous
Surrounding Skin: Erythematous, no signs of infection
Previous Treatment
John had previously received standard wound care, including debridement, topical antibiotics, and regular dressing changes. Despite these measures, the wound showed minimal improvement.
Intervention: Non-Surgical Skin Graft
Given the chronic nature of the wound and the patient's comorbidities, a decision was made to use a non-surgical skin graft, specifically an amniotic membrane graft, to promote healing.
Product Used: Amniotic membrane allograft
Application Date: January 15, 2024
Procedure
Preparation: The wound was cleaned with normal saline, and necrotic tissue was debrided.
Application of Graft:
-- The amniotic membrane graft was carefully placed over the wound bed.
-- A non-adherent dressing was applied to cover the graft.-- The graft was secured with a secondary dressing to maintain moisture and protect from external contamination.
Follow-Up Care:
-- The patient was instructed to keep the dressing dry and clean.
-- Dressing changes were scheduled twice a week.
-- Regular follow-ups were arranged to monitor the wound's progress.
Outcome
Week 1: The wound showed significant reduction in exudate and erythema. The graft appeared well-integrated with the wound bed, and there was no sign of infection.
Week 3: The wound size had reduced to 2 cm x 2.5 cm. The patient reported decreased pain and improved mobility.
Week 6: The wound was nearly healed, measuring 1 cm x 1 cm. Healthy granulation tissue was present, and epithelialization was evident around the edges.
Week 8: The wound had completely healed with no signs of infection or complications. The patient resumed normal activities with minimal restrictions.
Conclusion
John Doe's case demonstrates the potential of non-surgical skin grafts in managing chronic leg wounds. The positive outcome highlights the importance of considering advanced wound care options in patients who do not respond to conventional treatments. Regular monitoring and appropriate follow-up care are essential to ensure successful healing and prevent recurrence.
Frequently Asked Questions
Answers To Commonly Questions
What is in-home treatment?
In-home treatment, also known as home-based care, refers to medical services and procedures that are delivered directly to a patient's residence rather than in a hospital, clinic, or other medical facility. In the context of Miracle Wound Rx, in-home treatment means that our team of expert physicians brings advanced wound care services directly to the homes of our patients who are covered by Medicare.
What can I expect on my first treatment?
Your wound care physician may prescribe some of these therapies: >>Debridement (removal of dead or damaged tissue)
>>Specially chosen dressings and wraps
>>Bio-engineered tissue substitutes
What about insurance?
At this time, our advanced wound treatments are only covered by Medicare Part B. For any concerns or questions on this, please call us.
How can I qualify for this treatment?
At this time, this treatment is only covered by medicare. The patient must also have been struggling with the wound for at least 30 days and tried conservative wound treatment with their doctor.
How do I know if I need wound care?
You should seek treatment for your wound at a Wound Healing Center for:
>> Diabetic wounds that are slow-to-heal or not healing
>> Surgical wounds that have opened (or "dehisced")
>> Wounds caused by poor circulation (arterial insufficiency)
>> Skin damage or open sores caused by radiation treatment
possibly even many years ago that is now causing the skin and tissue to "break down"
>> Skin grafts or surgical flaps that are not healing post-surgery
>> Bone infection (osteomyelitis)
>> Crush injuries from an accident
>> Damage to internal tissue (soft tissue radionecrosis) or bone (osteoradionecrosis) that causes pain or discomfort which resulted from radiation (radiation cystitis, proctitis, or necrosis)
What is the process to start treatment?
It's pretty simple! First, call us or fill out our contact form. We will help you qualify. Once qualified, we will verify your Insurance Coverage. Once we receive the approval from the insurance, we match you to a physician local to you. They will then call to coordinate an initial consultation to get the process started.
Contact Us
(855)480-0699
(888)906-6410
Serving all 50 United States including Puerto Rico
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