{"id":6149,"date":"2025-04-05T12:50:25","date_gmt":"2025-04-05T12:50:25","guid":{"rendered":"https:\/\/ngtrains.com\/blog\/?p=6149"},"modified":"2025-04-06T23:03:25","modified_gmt":"2025-04-06T23:03:25","slug":"hoppalong-still-at-it","status":"publish","type":"post","link":"https:\/\/ngtrains.com\/blog\/hoppalong-still-at-it\/","title":{"rendered":"Hoppalong Still At It"},"content":{"rendered":"<p><span class=\"x193iq5w xeuugli x13faqbe x1vvkbs x1xmvt09 x1lliihq x1s928wv xhkezso x1gmr53x x1cpjm7i x1fgarty x1943h6x xudqn12 x3x7a5m x6prxxf xvq8zen xo1l8bm xzsf02u\" dir=\"auto\"><a href=\"https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/488765455_10161263283930205_6954711214692719204_n.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-6150 size-medium\" src=\"https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/488765455_10161263283930205_6954711214692719204_n-176x300.jpg\" alt=\"\" width=\"176\" height=\"300\" srcset=\"https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/488765455_10161263283930205_6954711214692719204_n-176x300.jpg 176w, https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/488765455_10161263283930205_6954711214692719204_n-601x1024.jpg 601w, https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/488765455_10161263283930205_6954711214692719204_n-768x1309.jpg 768w, https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/488765455_10161263283930205_6954711214692719204_n-901x1536.jpg 901w, https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/488765455_10161263283930205_6954711214692719204_n.jpg 924w\" sizes=\"auto, (max-width: 176px) 100vw, 176px\" \/><\/a>Well, this wasn\u2019t in my plan for Friday!<br class=\"html-br\" \/><\/span><\/p>\n<p><span class=\"x193iq5w xeuugli x13faqbe x1vvkbs x1xmvt09 x1lliihq x1s928wv xhkezso x1gmr53x x1cpjm7i x1fgarty x1943h6x xudqn12 x3x7a5m x6prxxf xvq8zen xo1l8bm xzsf02u\" dir=\"auto\">On the one hand its a complete pain in the leg whilst on the other its something different and possibly progress in the right direction.<\/span><\/p>\n<p><span class=\"x193iq5w xeuugli x13faqbe x1vvkbs x1xmvt09 x1lliihq x1s928wv xhkezso x1gmr53x x1cpjm7i x1fgarty x1943h6x xudqn12 x3x7a5m x6prxxf xvq8zen xo1l8bm xzsf02u\" dir=\"auto\">This whole leg saga kicked off 30 years ago (see previous post) but this outbreak started in December and has been bloody agony throughout. All the nurses at our Doctors, (The Coven) have been brilliant but they&#8217;re not specialist wound nurses, some of them are just HCA&#8217;s so can only do the basics and then have to seek guidance for more difficult stuff.\u00a0\u00a0<\/span><\/p>\n<p><span class=\"x193iq5w xeuugli x13faqbe x1vvkbs x1xmvt09 x1lliihq x1s928wv xhkezso x1gmr53x x1cpjm7i x1fgarty x1943h6x xudqn12 x3x7a5m x6prxxf xvq8zen xo1l8bm xzsf02u\" dir=\"auto\">Once upon\u00a0 a time it would have involved at referral to the lymphedema clinic at York District Hospital, as I was about 12 years ago in a previous outbreak. It was a &#8220;world leading&#8221; department and my referral resulted in probably the longest trouble free period. Someone decided they didn&#8217;t need it and closed it down.<\/span><\/p>\n<p><span class=\"x193iq5w xeuugli x13faqbe x1vvkbs x1xmvt09 x1lliihq x1s928wv xhkezso x1gmr53x x1cpjm7i x1fgarty x1943h6x xudqn12 x3x7a5m x6prxxf xvq8zen xo1l8bm xzsf02u\" dir=\"auto\">N0w the process is that they refer the wound online to a tissue viability specialist who seems to pick things off a list with a pin to try, so far to no avail. Back in my late teens &amp; early twenties meeting so many nurses wa<a href=\"https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/Wonky.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-6151 size-medium\" src=\"https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/Wonky-300x200.png\" alt=\"\" width=\"300\" height=\"200\" srcset=\"https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/Wonky-300x200.png 300w, https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/Wonky.png 503w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>s a dream night out but the problem now is one of consistency as you can see a different one each visit so they can&#8217;t tell if its changed since the last time the dressing was changed until one of the rising stars took a picture on her phone (well done Sarah, don&#8217;t ever loose your phone, your photo gallery must be pretty gruesome). That made me think that should be a pretty standard thing to do so I have been photographing my leg each time the dressings are changed.<\/span><\/p>\n<p>Another problem is that they have their set ideas and each of them has a slightly different view and sometimes I can be telling them about the previous dressing\/treatment\/outbreak\/cure and they&#8217;re clearly not listening. I&#8217;ve been telling them for weeks that its n0t the ulcer that hurts but all the breaks in the skin around it caused by the dressings and constant compression but they&#8217;re not listening and are just in ulcer car mode. There seems to be no recognition that the person with the most experience of my bad leg and the treatments is me!\u00a0 I told one that this September is the 30th anniversary of wonky leg to the response, &#8220;I&#8217;m only 21&#8221;.<\/p>\n<p><strong>Progress in the right direction?<\/strong> Yesterday I saw a new member of the coven albeit only on alternate Fridays and it was a bit of a revelation. Rachel is a wound care specialist nurse who just deals with things like my wonky leg. I spent an hour with her discussing and creating a care plan and it was a revelation.<\/p>\n<ul>\n<li>Initial Care &amp; dressing<\/li>\n<li>Next stage care<\/li>\n<li>Maintenance<\/li>\n<li>Prevention<\/li>\n<\/ul>\n<p><span class=\"x193iq5w xeuugli x13faqbe x1vvkbs x1xmvt09 x1lliihq x1s928wv xhkezso x1gmr53x x1cpjm7i x1fgarty x1943h6x xudqn12 x3x7a5m x6prxxf xvq8zen xo1l8bm xzsf02u\" dir=\"auto\">The first thing is to get it healing and she has changed every aspect of the stuff in contact with my skin. The second is to really turn the screws on the compression. This has two functions, one is to squeeze the muck out of my compromised circulation and the second is to force blood to the surface to do the healing. In the past when I have had this (twice) its been done thigh to toe and is totally impractical and didn&#8217;t last very long. It depended on which of the three nurses who could apply it did it. With the worst it was round my ankles like Nora Batty&#8217;s stockings in less than a day. This lot is staying in place and despite it being uncomfortable and a bit painful its a lot better than the full leg version. I might not be able to get my shoes on or some narrower trousers but I can at least bend at the knee.<a href=\"https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/488765455_10161263283930205_6954711214692719204_n.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-6150 size-medium\" src=\"https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/488765455_10161263283930205_6954711214692719204_n-176x300.jpg\" alt=\"\" width=\"176\" height=\"300\" srcset=\"https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/488765455_10161263283930205_6954711214692719204_n-176x300.jpg 176w, https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/488765455_10161263283930205_6954711214692719204_n-601x1024.jpg 601w, https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/488765455_10161263283930205_6954711214692719204_n-768x1309.jpg 768w, https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/488765455_10161263283930205_6954711214692719204_n-901x1536.jpg 901w, https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/488765455_10161263283930205_6954711214692719204_n.jpg 924w\" sizes=\"auto, (max-width: 176px) 100vw, 176px\" \/><\/a><\/span><\/p>\n<p>If this works it will be followed by something the maintain the improvement along with, hopefully, some preventative drug therapy and then a longer term regime to stop it happening again.<\/p>\n<p><span class=\"x193iq5w xeuugli x13faqbe x1vvkbs x1xmvt09 x1lliihq x1s928wv xhkezso x1gmr53x x1cpjm7i x1fgarty x1943h6x xudqn12 x3x7a5m x6prxxf xvq8zen xo1l8bm xzsf02u\" dir=\"auto\">What I have on now is\u00a0 supposedly two layer full strength compression. Actually works out at 7 layers. There\u2019s dressings on the wounds, (silver bearing stuff &#8211; stings like fcuk), none stick mesh, absorbent pads, sort of cotton wool padding\/bandage, layer one of tight compression bandage wound one direction, layer two compression (a sort of plaster on a roll &amp; sticky) wound the other way and finally yellow line tubular bandage.<br class=\"html-br\" \/><br class=\"html-br\" \/>Each of the compression layers are calibrated to apply 20 somethings of force (can\u2019t remember the units she used, not PSI). <br class=\"html-br\" \/><br class=\"html-br\" \/>It wasn\u2019t uncomfortable at first but it\u2019s designed to tighten and it\u2019s starting to ache now.<\/span><\/p>\n<div class=\"x1i10hfl xjbqb8w x1ejq31n xd10rxx x1sy0etr x17r0tee x972fbf xcfux6l x1qhh985 xm0m39n x9f619 x1ypdohk xt0psk2 xe8uvvx xdj266r x11i5rnm xat24cr x1mh8g0r xexx8yu x4uap5 x18d9i69 xkhd6sd x16tdsg8 x1hl2dhg xggy1nq x1a2a7pz xkrqix3 x1sur9pj xzsf02u x1s688f\" tabindex=\"0\" role=\"button\"><span style=\"color: #800000;\">That&#8217;s got to be enough gruesome stuff. I&#8217;ll try and make the next post some actual model stuff but please, if I am doing something for you this treatment and disability isn&#8217;t short term and getting anything done takes a lot longer than it would normally.<\/span><\/div>\n<div class=\"pvc_clear\"><\/div>\n<p id=\"pvc_stats_6149\" class=\"pvc_stats all  \" data-element-id=\"6149\" style=\"\"><i class=\"pvc-stats-icon medium\" aria-hidden=\"true\"><svg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"chart-bar\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\" class=\"svg-inline--fa fa-chart-bar fa-w-16 fa-2x\"><path fill=\"currentColor\" d=\"M396.8 352h22.4c6.4 0 12.8-6.4 12.8-12.8V108.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v230.4c0 6.4 6.4 12.8 12.8 12.8zm-192 0h22.4c6.4 0 12.8-6.4 12.8-12.8V140.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v198.4c0 6.4 6.4 12.8 12.8 12.8zm96 0h22.4c6.4 0 12.8-6.4 12.8-12.8V204.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v134.4c0 6.4 6.4 12.8 12.8 12.8zM496 400H48V80c0-8.84-7.16-16-16-16H16C7.16 64 0 71.16 0 80v336c0 17.67 14.33 32 32 32h464c8.84 0 16-7.16 16-16v-16c0-8.84-7.16-16-16-16zm-387.2-48h22.4c6.4 0 12.8-6.4 12.8-12.8v-70.4c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v70.4c0 6.4 6.4 12.8 12.8 12.8z\" class=\"\"><\/path><\/svg><\/i> <img loading=\"lazy\" decoding=\"async\" width=\"16\" height=\"16\" alt=\"Loading\" src=\"https:\/\/ngtrains.com\/blog\/wp-content\/plugins\/page-views-count\/ajax-loader-2x.gif\" border=0 \/><\/p>\n<div class=\"pvc_clear\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Well, this wasn\u2019t in my plan for Friday! On the one hand its a complete pain in the leg whilst on the other its something different and possibly progress in the right direction. This whole leg saga kicked off 30 years ago (see previous post) but this outbreak started in December and has been bloody [&hellip;]<\/p>\n<div class=\"pvc_clear\"><\/div>\n<p id=\"pvc_stats_6149\" class=\"pvc_stats all  \" data-element-id=\"6149\" style=\"\"><i class=\"pvc-stats-icon medium\" aria-hidden=\"true\"><svg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"chart-bar\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\" class=\"svg-inline--fa fa-chart-bar fa-w-16 fa-2x\"><path fill=\"currentColor\" d=\"M396.8 352h22.4c6.4 0 12.8-6.4 12.8-12.8V108.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v230.4c0 6.4 6.4 12.8 12.8 12.8zm-192 0h22.4c6.4 0 12.8-6.4 12.8-12.8V140.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v198.4c0 6.4 6.4 12.8 12.8 12.8zm96 0h22.4c6.4 0 12.8-6.4 12.8-12.8V204.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v134.4c0 6.4 6.4 12.8 12.8 12.8zM496 400H48V80c0-8.84-7.16-16-16-16H16C7.16 64 0 71.16 0 80v336c0 17.67 14.33 32 32 32h464c8.84 0 16-7.16 16-16v-16c0-8.84-7.16-16-16-16zm-387.2-48h22.4c6.4 0 12.8-6.4 12.8-12.8v-70.4c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v70.4c0 6.4 6.4 12.8 12.8 12.8z\" class=\"\"><\/path><\/svg><\/i> <img loading=\"lazy\" decoding=\"async\" width=\"16\" height=\"16\" alt=\"Loading\" src=\"https:\/\/ngtrains.com\/blog\/wp-content\/plugins\/page-views-count\/ajax-loader-2x.gif\" border=0 \/><\/p>\n<div class=\"pvc_clear\"><\/div>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-6149","post","type-post","status-publish","format-standard","hentry","category-commentary"],"a3_pvc":{"activated":true,"total_views":260,"today_views":0},"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/ngtrains.com\/blog\/wp-json\/wp\/v2\/posts\/6149","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ngtrains.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ngtrains.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ngtrains.com\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/ngtrains.com\/blog\/wp-json\/wp\/v2\/comments?post=6149"}],"version-history":[{"count":4,"href":"https:\/\/ngtrains.com\/blog\/wp-json\/wp\/v2\/posts\/6149\/revisions"}],"predecessor-version":[{"id":6155,"href":"https:\/\/ngtrains.com\/blog\/wp-json\/wp\/v2\/posts\/6149\/revisions\/6155"}],"wp:attachment":[{"href":"https:\/\/ngtrains.com\/blog\/wp-json\/wp\/v2\/media?parent=6149"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ngtrains.com\/blog\/wp-json\/wp\/v2\/categories?post=6149"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ngtrains.com\/blog\/wp-json\/wp\/v2\/tags?post=6149"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}