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GENERAL DISCUSSION
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On 12-03-96 another physician (infectious disease/internal medicine specialist) took over treatment. The doctor started IV Vancomycin for 12 days with whirlpool and debridement by physical therapy. Three days later, cellulitis set in and IV Vancomycin was restarted for 5 days. By 01-10-97 the cellulitis and infection cleared up, but the wound remained open with no further healing.
Acupuncture Treatment #1 (01-10-97): Patient was given first acupuncture treatment on Friday afternoon, 1-10-97. Acupuncture Treatment #2 (01-13-97): On Monday, 1-13-97, I saw the patient for the first time since the first treatment. I asked her "Well, how did it go?" She responded, "Wonderfully - when I woke up Saturday morning, I was sleeping on my left side, which I haven't done for 2 months because of the pain. I then realized that 90% of my pain was gone." Examination confirmed the cyanotic (blue) rim around the wound (ulcer) was pink now, and the beginnings of some granulation tissue was forming at the bottom edge of the wound (ulcer). Acupuncture Treatment #3 (01-15-97): Patient reported deep pain was gone. I observed that the wound (ulcer) was continuing to fill in with granulation tissue Acupuncture Treatment #4 (01-17-97): Upon examination, I observed that the whole crater of the wound (ulcer) was filling in with granulation tissue and wound (ulcer) diameter decreased by 0.08 inches (2 mm). Patient reported that 4-5 days after fourth acupuncture treatment, a scab formed over the wound. The scab remained over the wound for approximately another 4 or 5 days then came off. DISCUSSION: |
| It is my medical opinion that the Brown Recluse Spider bite produced a reoccurring vasoconstrictive toxin and that the acupuncture destroyed the toxin, broke up the vasospasm (constricted blood vessel) on the rim of the wound (ulcer), thus allowing the wound (ulcer) to heal. |
| The patient's wound was completely healed within 17 days of the first acupuncture treatment. |