Husband leg infection being almost ignored (disgusting pics included)

[NOTSUREWHATIMDOINHERE]

Hello

So been at nurse 3 weeks in row. Had leg infection for 2 weeks antibiotics not working and it's now worse. Smells. Pain so severe he cant walk so will be off work now! Nurse just dressing it and sending him away after asking gp to prescribe 2nd set of different antibiotics after 1st set that was supposed to be the right ones for that infection did absolutely nothing to help him.

What would you do ? We are worried, he can't get about its horrible. He had a venous ulcer but this was due to that part of the leg getting bumped and all of sudden this infection gets worse , he was hiding it from me !

Please do not follow the advice in the post above, giving people Ivermectin is a fucking stupid idea unless a Dr has prescribed it to treat parasites. Advising a random dosage without knowing the persons weight, or even if they HAVE parasites Ivermectin would treat is outrageous (as is a lot of the rest of the post).

If @CuriousObserver888 is a reg. nurse they want de-registering!

It could be trust based, even in younger seemingly more fit and healthy than average patients, as nurses, we could only apply low level compression until an ABPI had been sent to TVN who then prescribed the compression bandaging for us to apply. Even if we knew the patient required full compression based on experience and knowledge, since compression dressing were 80% of our role, we couldn't make the decision to apply it. They could have similar policies that stop them from being able to jump straight into full compression.

I'm so glad you're on this thread-your expertise has been invaluable. Sorry to OP if some of us worried her there for a bit, just trying to keep the thread bumped and get confirmation from those more knowledgeable that the colour wasn't anything to worry about.

Skin things are my worst nightmare-they are such a minefield for the layperson and can look horrific. So hard to know if it's serious (even life-threatening) or not. Thank god for so many knowledgeable people on here willing to take time out to give advice and allay fears.

Totally agree I am very grateful and glad I posted. Made all the difference.

Thank you so much for helping us. So I was wondering, should he wear his existing compression stockings over the next 2 weeks ? Will it be safe to do /possible with the open ulcer? Do we put the stocking over the dressings ?

No . I don’t think you would get it on without rucking up the Bandages and causing pain.
Not a good idea .
3 choices.

1. Demand for them to do a Doppler assessment asap. Daily phone calls etc
2. Demand GP appointment for them feel pulses and over rule this nursing computer says no policy.
3. just be patient and sit with leg as high as poss in the meantime

My nursing colleagues are brilliant but there are sometimes policies in place that restrict them being able to use clinical experience and judgement which is frustrating.

Place an old fashioned soft suitcase under the foot end of the bed on DH side. That will give overnight high elevation.
During the day a bean bag under the legs works well
Whenever he gets up he should do heel raise exercises ie stand on toes for 5 seconds . Do this 10 times each set . Need to hold onto a work top basin or wall. This squeezes the calfs and helps venous return.

Hope he made some progress with the nurse.

and can I just say @olympicsrock - you really do rock! Given how rude some posters were, you have been so kind to continue to offer advice.

This is crazy.

@NOTSUREWHATIMDOINHERE Please only take bona fide medical advice from professionals that you know for certain are medically qualified.

Heck, @WiddlinDiddlin , some posters here have been drinking the Kool Aid.

Why are such posts allowed to stand? {Giving such crazy 'advice' re parasite meds along with talk of chemtrails spreading viruses to depopulate the world}

I thought such posts should be reported and taken down for safety reasons.

Don are you having a a slow day on Truth

Hello I wanted to update.

Wound is slowly healing but they still won't do the doppler, they said they can't yet as it's only 2 of them that can do it and that it's going to pull into the ulcer.

Bit every week he isn't at work is our bills not getting paid. Ssp is a 6th of his usual weekly pay. He isn't ready to go back as still hobbling around and in pain a lot despite the pills.

What should we do ?

If you’re taking that much of a financial hit then surely it makes sense to go for a private consultation?

Even with a doppler, ABPI, and compression, you are looking at potentially months for them to heal enough to be out of compression. Can he apply for PIP or similar? Or WFH? If he cant do his job from home, then you need to start looking for alternative income.

No he can't work at home unfortunately and I can't work as i need to home Ed our autistic children. I'm so beyond stressed. He isn't in compression yet. He was but they stopped it to allow the ulcer to heal, but I'm just confused as I read that compression is needed for healing. I have no idea..

Was thinking the same - even if you only get the dopplers done so that you can move on to the next step with the compression stockings

Not sure who would do that privately but expect @olympicsrock will know or have better advice

I wonder would private be able to do anything differently?

I would very strongly suggest you get your DH assessed asap by these people;
https://vascularwoundcare.com/about-us/

I know the nurse there, she is an excellent tissue viability nurse. Yes, it is private, but all practitioners there are ex-nhs, and brilliant, and your DH will be on a treatment pathway before you have time to draw breath

Thanks he was on compression before, he wa class 2, I was going to put them on again but was told not to as wound , but confused as it needs it to heal?

You may be able to get dopplers/abpi privately, but it could still require a TVN assessment to prescribe the compression dressings.

Access to compression in this country is so poor, i did my dissertation on the barriers to compression and a business case report on ABPI in the community. Its a nightmare, up and down the country. All you can do is keep asking, is he under the wound clinic? Or just a practice nurse? Have a look on legs matter, or try here https://www.legclub.org/the-leg-club-directory for a leg club you could possibly get him to. Could you work from home around HE? Theres online CS roles that are all eves, online gambling sites etc? Or work in the eve in retail? Or could he get a diff WFH for during the day? I know thats not ideal, but unfortunately these wounds take a long long time to get better

Sorry, that's non-sensical; he needs a doppler to excude an arterial cause for his ulcers (in which case compression is counter-productive). If they are venous in origin, he can have compression while having an active ulcer.
Did you try the Lindsay Leg Club?

Not necessarily different care but you said you are still waiting on next steps - I suggested private as you’d be able to get the Doppler within days - @ThePrologue has made a great specific suggestion.

Yes , he was diagnosed with venous type years back but it didn't cause much issue after the initial small ulcer, this thing erupted and I'm still in such shock 😳. So it is venous. Bit he was moved to a different gp surgery as we moved area and they didn't want to take the info( compression class) without their own doppler test as it was an updated doppler he needed or something.

Official complaint would be my next step, to everyone involved.