erynthered Posted December 21, 2006 Posted December 21, 2006 http://news.yahoo.com/s/ap/20061221/ap_on_.../infested_woman EVANSVILLE, Ind. - A resident of a long-term care facility had maggot-infested wounds so advanced that skin peeled off her legs when a hospital emergency room nurse removed her clothing, state inspectors found. Riverwalk Communities, which has a history of violating nursing home standards, could face state action for the woman's care, said Jennifer Dunlap, a spokeswoman for the State Department of Health. According to the state's investigation, the woman, whose age was not released, had refused treatment for her wounds and to be bathed for five days at the licensed 113-bed health-care facility before she was taken Nov. 3 to Deaconess Hospital. The hospital's emergency staff found festering sores on both of the woman's legs and maggots emerging from wounds infected with treatment-resistant bacteria, according to the state's report. An emergency department nurse told the state surveyor the woman's right slipper and pants legs were stuck to her skin, the report said. "He indicated he soaked her right foot in warm water for 45 minutes and bugs/cockroaches were crawling out of the house slipper. Upon removing the house slipper, he indicated the skin came off of the right foot and toes," the report said. When the nurse removed the woman's pants, the material pulled the skin off the woman's legs, from the knees to the ankles, according to the report. Christine Goad, Riverwalk Communities' administrator, defended the center's performance in caring for the woman, whom she said Wednesday had returned to Riverwalk after her hospitalization. Goad said that in late October, an aide noticed sores on the woman's legs when she was bathing her and immediately contacted a physician, who prescribed an antibiotic, an ointment for the sores and specified regular dressing changes for them. The woman agreed to the medication and treatment for four days, but then began refusing all medications and the treatment and refused to be showered, Goad said. She said the woman was hospitalized Nov. 3 after she became combative. Goad said the state report reference to cockroaches being found in the woman's slipper is not true. She said the center does not have a roach problem. "I contacted a wound specialist and an ordinary house fly could have laid an egg on those dressings and it would develop into a maggot in 24 hours. He said he's seen it many times," Goad said. The state's survey report found, among other things, that Riverwalk officials had failed to notify the woman's physician when she refused his prescribed treatment. While residents can refuse treatment, "that does not absolve the facility from protecting the resident," said Michelle Motta, Vanderburgh County's long-term care ombudsman. Goad said that under a compliance plan approved by the state Dec. 5, Riverwalk staff must now contact a doctor immediately if any resident refuses medication or treatment specified by their physician. Dunlap said she could not release any details about the woman due to federal privacy laws governing medical records. Vanderburgh County Prosecutor Stan Levco said he did not plan criminal charges in the case. Last year, the center was at risk of losing both its Medicaid and Medicare reimbursements. After Riverwalk officials agreed to stop operating as a comprehensive-care nursing home, the center received a state license to operate residential or intermediate care. It later converted from a nursing home to a long-term care facility.
smokinandjokin Posted December 21, 2006 Posted December 21, 2006 Way to beat detoxsmurf to the punch on this one!
tennesseeboy Posted December 21, 2006 Posted December 21, 2006 I thought from the title it was either another paris hilton or rosie o'donnel post, or Eryn was going to say something about the dolphin cheerleaders.
erynthered Posted December 21, 2006 Author Posted December 21, 2006 Way to beat detoxsmurf to the punch on this one! 874393[/snapback] He e-mailed it to me, and asked me to post it. He said he was enjoying a and didnt have time to link it.
Johnny Coli Posted December 22, 2006 Posted December 22, 2006 http://news.yahoo.com/s/ap/20061221/ap_on_.../infested_woman 874387[/snapback] Maggots will only eat dead flesh and bacteria, so I'm not inclined to believe these little factoids from the article: A resident of a long-term care facility had maggot-infested wounds so advanced that skin peeled off her legs when a hospital emergency room nurse removed her clothing, state inspectors found. [snippo] The hospital's emergency staff found festering sores on both of the woman's legs and maggots emerging from wounds infected with treatment-resistant bacteria, according to the state's report. I would think maggot-infested wounds, while surely painfull, might not be so bad from a clinical point of view, although it's definately possible that the fly larvae weren't munching happily away on all the wounds. There's probably a lesson in there somewhere.
erynthered Posted December 22, 2006 Author Posted December 22, 2006 Maggots will only eat dead flesh and bacteria, so I'm not inclined to believe these little factoids from the article:I would think maggot-infested wounds, while surely painfull, might not be so bad from a clinical point of view, although it's definately possible that the fly larvae weren't munching happily away on all the wounds. There's probably a lesson in there somewhere. 874567[/snapback] Probably, that, dont believe everything the media tells you. Eh? Amazing.
Chef Jim Posted December 22, 2006 Posted December 22, 2006 He e-mailed it to me, and asked me to post it. He said he was enjoying a and didnt have time to link it. 874405[/snapback] I got a great idea for a recipe for your crow meal. Funny, came to me while reading this thread.
stuckincincy Posted December 22, 2006 Posted December 22, 2006 " Maggots and wound healing: an investigation of the effects of secretions from Lucilia sericata larvae upon interactions between human dermal fibroblasts and extracellular matrix components. * Horobin AJ, * Shakesheff KM, * Woodrow S, * Robinson C, * Pritchard DI. Department of Pharmaceutical Sciences, University of Nottingham, University Park, Nottingham NG7 2RD, UK. paxajh@nottingham.ac.uk BACKGROUND: Through clinical observation, Lucilia sericata (greenbottle fly) larvae are credited with exerting the following beneficial effects upon a chronic nonhealing wound: removal of necrotic tissue ('debridement'), disinfection of the wound and active promotion of granulation tissue formation. As a major cellular component of granulation tissue, fibroblasts play an extensive role in healing. The composition of extracellular matrix (ECM) located in the wound is another important factor, partaking in a dynamic feedback loop with the fibroblasts that produce it. Fibroblast-ECM interactions therefore exert considerable influence upon new tissue formation. OBJECTIVES: To investigate the effects of L. sericata larval excretory/secretory products (ES) upon the behaviour of fibroblasts, seeded upon ECM component surfaces. METHODS: ES were collected by washing freshly hatched larvae in phosphate-buffered saline. Human dermal neonatal fibroblast cells were seeded upon fibronectin- or collagen-coated surfaces, together with untreated (or 'native') ES, heat-treated ES, or no ES (ES blank). Following incubation, fibroblast adhesion was determined using an adenosine triphosphate assay and, for confirmation, a total nucleic acid content assay. Cell spreading was observed using microscopy. The effect of ES upon fibronectin structure was observed using sodium dodecyl sulphate-polyacrylamide gel electrophoresis. Peptide sequencing of suspected fibronectin fragments was performed using an 'electrospray' type time of flight mass spectrometer and 'Peptident' database search. RESULTS: ES significantly reduced fibroblast adhesion to both fibronectin and, to a lesser extent, collagen. Cell spreading was also reduced, yet cells remained viable. For both spreading and adhesion, heat-treated ES exerted significantly less activity than native, untreated ES. However, they still exhibited significant activity when compared with the ES blank. ES appeared to modify fibroblast adhesion indirectly via proteolytic fragmentation of the fibronectin protein surface. CONCLUSIONS: L. sericata larval secretions modify fibroblast adhesion and spreading across ECM protein surfaces, while keeping cells viable. Proteolytic activity of the ES played a significant role. If transferred to the wound situation, such alteration of fibroblast-ECM interactions may enhance new tissue formation. PMID: 12786822 [PubMed - indexed for MEDLINE]" http://www.ncbi.nlm.nih.gov/entrez/query.f...2&dopt=Abstract
5 Wide Posted December 22, 2006 Posted December 22, 2006 Maggots are good for youhttp://www.ncbi.nlm.nih.gov/entrez/query.f...2&dopt=Abstract 874669[/snapback] I shortened it up.
inkman Posted December 22, 2006 Posted December 22, 2006 I shortened it up. 874893[/snapback] Like this!
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