These Ain't Boots At All: Update on Mom's Ulcer Treatment

Things have been rather quiet on the homefront lately, leaving very little of note to blog about. I did, though, promise a follow up to this post about a new treatment for Mom's leg ulcers, so here it is.

Compression Sleeves: looks like some 1980s sci-fi torture device

It turns out the boot looks nothing like we thought it would. It's not a hard boot at all, or even a boot, for that matter. Instead, they are long sleeves sized for her legs. They cover foot to thigh, and zip up. The outer shell and inner are some sort of polyester blend. Within the shell and liner are air pockets--4 per leg. The air pockets are attached to tubes, and the tubes are attached to a compressor of sorts. Once Mom puts the sleeves on, the compressor pushes air into the sleeves inflating them, and putting consistent pressure on her legs.

They aren't very comfortable, and Mom loathes the whole process (though she hasn't complained). I can't say I blame her. The first time she wore them, I felt so badly for her that I kept checking in constantly, asking if she needed me to get her anything. After a while, I think she got tired of me trying to play nurse! (I'm not a very good nurse! There's a reason I stayed away from the health care field).

At first, she was ordered to wear them for 1.5 hours twice daily for a total of 3 hours per day. Mom followed the doctor's orders, but all hell broke less after only the 2nd day. After each treatment, another ulcer popped up! She had dozens of tiny ulcers on her legs, filled with fluid and painful. Her legs were bandaged and taped from knee to ankle! I thought perhaps that is how this works; the compression pushes all of the fluid out, and after a while, she'll stop getting the ulcers and will be able to maintain ulcer-free legs as long as she uses the sleeves. Now, remember how I said I didn't go into health care for a reason? Well, because I didn't, there's also a reason not to listen to my ideas about how to treat health problems.

Mom on My Wedding Day

Yep, Mom returned to the wound specialist and he ordered her to stop the compression treatment for a week's time to give the new ulcers time to heal. After a week, she was to use the sleeves for only a half hour daily. Apparently, there was just too much pressure, too soon, for too long.

Mom has been using the sleeves for only a few days again, and there seem to be no new ulcers, at least none that she's shown me. For now, we're all keep our fingers crossed and hoping for the best. I know it's terrible for her to have to go through this, but if it can offer the hope of a healthier Mom, it's worth it. She hasn't complained about using the sleeves now; in fact, she's been a real trooper! I think Mom has some hope now, too.

Mom's Boots Aren't Made for Walkin'

It was my initial intention to keep this blog light-hearted. I planned on sharing some of the amusing or baffling conversations and events that occur when there are huge generational differences occurring among individuals in the same household. I've realized, though, that sometimes, I may need to explain the not-so-humorous, maybe even the frustrating parts of our lives.

My mother is a very sweet woman. I've never met anyone who hasn't liked my mom, and there is no reason not to like her. There is a lot to love about her, in fact. She is generous, considerate, selfless, encouraging, and all around kind. Despite that, mom and I have our differences. She and I are very different people, and we don't always see eye to eye. In fact, there are very few things we agree on. One thing we do agree on is that her leg ulcers suck! I should've found a more elegant way to put that, but "suck" is the most accurate description.

Mom has been suffering for a few years now with leg ulcers. There is no single cause that can be addressed. Part of the problem is that she is borderline diabetic, retains water, and has arthritis. The wound care specialist (who is a wonderful doctor, by the way) suggested that she  might be predisposed to this problem because her veins are close to the surface of her skin. Combine all this, and my poor mom suffers almost constantly from nasty, painful ulcers that sometimes end up infected. I'll spare you any images, as they aren't a pretty sight. Just a few weeks ago they got so bad that she was hospitalized for five days and treated with three different intravenous antibiotics several times daily.

When mom is home, I usually care for her wounds. Medicine and bandages need to be applied daily after a thorough cleaning and sterilization. We both hate it. Sometimes, it hurts so badly that she cries. I start to cry because I am causing her more pain in treating them. I hate it. She hates it. For a while, she had nurses who would come a few times a week. It took some of the burden off me, and  mom appreciated it because she already feels badly that I care for her regularly. Unfortunately, nurses are expensive, even with her insurance, and the cost became prohibitive.

Two days ago, mom was down to only one small wound that was healing nicely. We were both feeling confident that she might have a reprieve. We were hopeful. Last night, she developed three more wounds. I feel badly for her, and yes, I know it's probably wrong, but I feel badly for me, too. I hate changing those bandages as much as she hates having the ulcers in the first place. Poor mom. I really wish we could get rid of these for good.

There is some hope, though. Today, a nurse is coming here to measure mom for a pneumatic boot. It's a boot that goes up the calf and applies pressure. This pressure helps reduce water retention in her legs and feet, thereby reducing the number and frequency of ulcers. As we understand it, she would have to wear this boot for fifteen minutes at a time three times daily indefinitely.

We're both keeping our fingers crossed that it works.

Image from nopcoclinics.com

Mom and the Dogs

We've had Paws, our cocker spaniel, a little over two years now. We've only had Fen, our lab/weim mix, for about 8 months. When we first brought Fen home, he was about 10 months old, and very energetic. Paws didn't like him from the start, but we expected that; Paws doesn't like other dogs in general. Eventually, Paws got used to Fen. They aren't best buds, but they coexist peacefully.

During the time between bringing Fen home and now, there were a lot of ups and downs. There were training accidents, lots of barking and running through the house. These problems are solved. Sure, he still barks often, but he's much easier to calm down. What hasn't stopped is the joy Fen finds in absolutely obliterating any dog toy he can get his paws and teeth on.

For a while, mom and dad tried to spare Paws's toys from Destructo-Fen (as J calls him). I did too, but gave up after a while. I noticed that Paws liked to pick up the smaller pieces of debris that Fen left behind and chew on them. I also realized that I was fighting a losing battle, and resigned myself to buying new toys frequently.

I thought my parents were over it, too, but I was wrong. It turns out that mom is hoarding dog toys for Paws. There were two small tennis balls (Paws's favorite) and a purple ring toy hidden in various places in her bedroom. How do I know this? No! I didn't go snooping around; mom deserves her privacy just like the rest of us. I know this because Paws and I were hanging out with mom in her room. In less than 15 minutes, she had pulled out two dog toys. Paws began sniffing another shelf on her nightstand, and she directed me to a third tennis ball for him. Who knows how many toys might be stashed in that bedroom!

Fortunately, mom decided that Fen could have one of the toys, and gave him the purple ring to chew on. Ahh, progress!