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    #16
    I was never a patient of Parkwood, (Chedoke refugee) but found my way to Parkwood a couple years ago via a consult with Dr. Keast. Don't have much use for him, but after him I was refered to a woman SCI dr, (can't remember her name) and she was great. Was the 1'st doctor I had to finally come out and say "you need to have surgery on these wounds, they won't heal by themselves".

    Every other DR. wanted to be the guy who healed them naturally, they were perfectly content with me spending another few years in bed. keast was just dismissive, didnt seem to really care. He did offer that 'electrical stim" therapy, though I dont live in the "test area".

    It was through this SCI doctor that I was refered to my plastic surgen across the road at the University, and finally healed me up.

    Anywho, regarding DR. Sibbald, I had a consult with him 4 years ago. Or so I thought, I went to his clinic in Mississaga and he was no where to be seen, I had a resident, who was very arrogant, and at one point I had to say "can you please just stop talking & listen to what I'm saying".

    I was a patient in the hospital at the time I went there, went with a nurse. As we left, I said to the nurse, "I'll have an infection within a week". & I did. The clinic was dirty.

    If you are considering Sibbald, try and make sure you get to see HIM. He is very well known in wound care, and supposed to be very good, but he has several clinics, and I don't think it's too easy to get in to see him personally as he is out doing lectures and etc...and not sure if he does any hands on work..I may be wrong on that though.

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      #17
      Dr Keast is supposedly the president, or past president now, of the Canadian Wound Care Association. I had big hopes ... ha! I think Sibbald is now - not sure? Since seeing him (Keast), I've healed up a heel wound that had been open for 17yrs. Tells me a lot about him.

      Dr Delaney is the only other Physical Rehab specialist that is female that I know of at Parkwood - she replaced my favourite and original doctor, Dr Allatt who is now in Pennsylvania. She wanted to cut my legs off too and give me a 'pretty prosthetic'. I left in tears and never returned. Damn shame that place. The nurses though - some are still there from twenty years ago and knew me as a kid - they have more knowledge than the docs I swear!

      I believe in that e-stim though .. there's something to it because for the first month of my trial, I never saw such healing occur before - it was almost miraculous. Then it went downhill fast ... lol.
      Roses are red. Tacos are enjoyable. Don't blame immigrants, because you're unemployable.

      T-11 Flaccid Paraplegic due to TM July 1985 @ age 12

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        #18
        Originally posted by lynnifer
        Dr Keast is supposedly the president, or past president now, of the Canadian Wound Care Association. I had big hopes ... ha! I think Sibbald is now - not sure? Since seeing them, I've healed up a heel wound that had been open for 17yrs. Tells me how much they know.

        Dr Delaney is the only other Physical Rehab specialist that is female that I know of at Parkwood - she replaced my favourite and original doctor, Dr Allatt who is now in Pennsylvania. She wanted to cut my legs off too and give me a 'pretty prosthetic'. I left in tears and never returned. Damn shame that place. The nurses though - some are still there from twenty years ago and knew me as a kid - they have more knowledge than the docs I swear!

        I believe in that e-stim though .. there's something to it because for the first month of my trial, I never saw such healing occur before - it was almost miraculous. Then it went downhill fast ... lol.
        I too had high hopes when I saw both Sibbald and Keast, but have come not to trust wound dr's anymore. I think refering a patient to surgery is admitting defeat and would rather have us just lay in bed for a decade lol.

        Delaney, yeah, that the name that was eluding me. In my case she was brutally honest in telling me I needed surgery, which was the 1'st dr to say so. Which I appreciated. I can see where you are coming from though in what she said to you. Thats overkill in my opinion. I too have been battling a sore on my ankle for 15 plus years, comes, goes, etc..I wont cut my leg off over that.

        I've never actually seen the SCI ward at parkwood, only been to the outpatient clinic. I wanted to go up and check the place out, compare it to Chedoke, but never did make my way up there.

        I've found the nurses across the road at the University, (burns & plastics unit) where I had my flap surgery done were all amazing.

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          #19
          Originally posted by Sh0rty
          its a matrix cushion. I take a multi vit. Where do you get these suppliments from? I am trying to stay off it the best I can. I appreciate the advice
          http://www.global-nutrition-inc.com/nf-175.html
          I just ordered this one and one other item from them and the shipping total was about 5 bucks, so it's the cheapest place I have ordered from.
          I do some pretty high mileage riding on a handcycle(when I DO ride, lol)
          and if I eat a lot, I burn worse, so I have began using soy protein at strategic points during long ones and after each ride. Started it last year.
          Looked up your cushion(matrix flo-tech) from the canadian dealers of Motion Concepts, hadn't heard of it before. Looks like a good cushion. The reason I asked, I was going to say, if you are active and eat healthy and sit on a roho, I wouldn't get excited about being up occasionaly.
          I went thru a heck of an ordeal with a bad one caused by stupidity on my part, NOT a seating issue. It didn't make any progress with me laying in bed 24x7. After about 8 months of that absurdity, I got up off my bed and began living again. As I exercised, my wound began to heal, albeit on the outside. There was undiagnosed osteomyelitis which hid a tunnel inside, deep. I was almost healed on the outside, and the doc would debride and find a tunnel, cut it open again, etc. This went on for over 3 years. FINALLY, someone diagnosed the osteo (a wound care SPECIALIST <<--NOTE ) and we did surgery, stayed in the hospital 2 weeks, did IV antibiotics 2 weeks at home and it was all healed up. No laying around for months on end either.
          A good diet, prayer and exercise. Even the doc said it only had a 50-50 chance of healing as I am totally atrophied below injury. NO plastic surgeon would touch it. He wanted to call it a chronic wopund himself.
          I said, I will put my trust in God, you do the surgery, this vegan will heal.
          They were amazed to say the least, even BEFORE I left the hospital. I was originally scheduled for a month in the hospital, and fancy bed-months in it at home with IV antibiotics until it healed.
          2 weeks and he came and said, I'm letting you go home today, there is NO reason for you to be here. I've never saw anytrhing like it. I just grinned and said, I told you so. He is not a believer. Gave him something to think about there.

          https://www.facebook.com/john.baxter.1213986

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            #20
            100 grams. go w/ optimum nutrition gold standard whey. as an sci u should do 100 grams anyway, great for your skin and muscles.

            none of us get enough protein in our diet imo
            Bike-on.com rep
            John@bike-on.com
            c4/5 inc funtioning c6. 28 yrs post.
            sponsored handcycle racer

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              #21
              Thanx, I will have to look into it.
              Is there such a thing as getting too much protein?

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                #22
                yes but it wont happen. rule of thumb for serious athletes is 1 gram per pound of body weight

                dpsnutrition.com is where i buy all my supps
                Bike-on.com rep
                John@bike-on.com
                c4/5 inc funtioning c6. 28 yrs post.
                sponsored handcycle racer

                Comment


                  #23
                  Originally posted by Sh0rty
                  Thanx, I will have to look into it.
                  Is there such a thing as getting too much protein?
                  ABSOLUTELY. But you won't hear much about it in the popular circles of western diet. Too much protein causes calcium loss and absorbtion problems. Why do you think you see so much osteoporosis/ bone problems in western peoples?
                  Weightlifters scream protein! I knowa man who trained Arnold Swarz' years ago. He became a veegan later in life. He lifts more and is healthier now. He is STILL lifting and has an exercise show broadcast around the world on 3ABN.
                  Folks will scream protein until they die. Eat healthy. The main difference in whey vs soy protein is the whey is absorbed faster, which is useful after a heavy workout.
                  There are two camps in the world, those that think you have to eat animals to live and those who don't. Ask a gorilla where he gets HIS muscle from.

                  https://www.facebook.com/john.baxter.1213986

                  Comment


                    #24
                    Also, animal protein (esp. meat) is hard on your kidneys if you have any kidney impairment at all. Plant sources of protein (soy, beans, etc.) are easier on your kidneys, and milk and milk byproducts (whey for example) are easier too. If you have any kidney function impairment, don't load up on protein without talking with your physician and a dietitian.

                    (KLD)
                    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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                      #25
                      I just read an article on protein intake. It's based on whey protein.

                      PROTEIN HOW MUCH ?

                      Athletes know that complete proteins are critical for a competitive edge. Good proteins are key to healthy, strong, toned muscle; rapid muscle recovery; increased stamina and energy; reduced body fat; cardiovascular health; and immune system strength. Elite athletes want to know how much protein is optimal, and if there are down sides to a too high protein diet.

                      Daily protein Intake?
                      Recommended daily protein intake comes from simple calculations: multiply your body weight by the appropriate exercise factor. Sedentary people use .36 grams x body weight; moderate exercisers use .5; endurance athletes use .5 -.8; strength athletes use .6 -.8; growing teenage athletes use .6 -.9 times body weight. It's widely agreed that how hard you work your body, how high your weight is, and if you're still growing – are THE factors affecting your protein needs.
                      For bodybuilders, popular websites and magazines endorse much higher daily protein levels. We've seen suggestions that the American Sports College backs 1 gram of protein per pound of body weight daily. We've read publications approving up to 2 grams per pound per day. The fact is that there's no reliable research available to guide or assure us. ATW suggests this: if you're a body builder, go protein extreme in cycles; balance your diet with lots of fresh fruits and vegetables; keep tuned-in to how you're feeling, and make smart protein choices.

                      The other common question is how much protein do I need after training?
                      This depends on your goals and the answer may surprise you. If your goal is to add mass, you're going to need between 30 – 45 grams of a quick absorbing protein (Whey blend/isolate). If you're dieting and or looking to lean out than you may need between 40 – 60 grams, surprise surprise… Scratching head why - When training hard for mass, a post workout shot of protein helps stop muscle break down. But a high carb intake is also important, because of their impact on hormones such as insulin which is responsible for facilitating the passage of the amino acids into the muscles - which equal growth.
                      On the flip side, dieting requires substantial drop in overall carbohydrate intake, less calories. While carbs remain low, the body risks breaking down and using its own muscle tissue for fuel. So a good dose of Whey protein after training protects against this, while providing a boost in insulin levels with out the carbs.


                      Is too much protein harmful?
                      The fact that high protein diets are well tolerated by healthy adults is backed up by solid research. The body pulls nitrogen from unused amino acids to excrete through the liver and kidneys when there's excessive protein. According to the Mayo Clinic, it's people with liver or kidney disease who should consult a doctor before starting a high protein diet. Follow common sense to live safely on a high protein diet, and not a too high protein diet. Flush your system daily with lots of water. Opt for a whey protein shake mixed with water and you've already got a jump on protecting your liver and kidneys.
                      Too high protein diets have been linked to increased chance of osteoporosis. Digesting protein releases acids that the body neutralizes with calcium. Whey protein has calcium and vitamin D, making it a great protein choice to keep calcium balance, and preserve bones.
                      Finally, too high protein diets can mean too much fat. For the not active person consuming excess protein is like consuming an excess of anything. If you eat too many calories you're going to gain weight. Whey protein is low fat, so it's the perfect protein choice to keep you living low-fat, healthy and strong.

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                        #26
                        great find jaycue. what sci ppl need to know is protein is essential to skin health, as well as muscle repair etc.. even sedentary sci's should supplement protein
                        Bike-on.com rep
                        John@bike-on.com
                        c4/5 inc funtioning c6. 28 yrs post.
                        sponsored handcycle racer

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                          #27
                          Well I havent had to deal with a pressure sore yet.It must suck realy bad for you right now!I hope you heal soon your such a pretty young girl!Im not being a perv either Im just stating facts.
                          "Independent from the rest of the sheep"

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                            #28
                            Originally posted by NEWPARA
                            Well I havent had to deal with a pressure sore yet.It must suck realy bad for you right now!I hope you heal soon your such a pretty young girl!Im not being a perv either Im just stating facts.

                            Thanx
                            this is my first time and I can say that this is not an experience that I would like to repeat again. I am going to make an appointment with my doc and discuss protein and get him to check all my levels. Still trying to stay off it as much as I can. Some days the sore looks better than others.

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