The calcium alginate pad (the link shows a smaller version of what we used) didn't perform to our expectations. After only six days, a layer of granulated tissue had reformed. The calcium alginate pads are around $15.00; for the price, I was hoping for a clean wound bed. I went though three bandage changes in six days. Since I'm going to be wrapping for several months, a $20 bandage change every two to three days was going to get rather pricey.
But then again, maybe the $45.00 (plus other material) I spent on the pads was worth it. Each time I changed the bandage a fair amount of goopy drainage had to be cleaned away. Dr. Tolley explained that this goop is evidence of proud flesh that was "melted off." Those are totally my words. I can't remember the terms he used, but basically, the goo was tissue that sloughed off. So maybe the pads slowed the granulation more than we thought.
When he refused, I sent his hindquarters spinning a few times with a sharp flick of the tail of my lead rope. That got his attention. He knows when he's in trouble as he gets this horrified expression on his face. Once he's busted though, he doesn't quite know what to do. I lined him up with trailer door and gave a sharp tug. He hopped right in, but I get the feeling there may be some schooling in his future.
Unfortunately, the drive to the vet hospital wasn't as smooth as I like to give my horses. We were driving across town in the late afternoon, so the traffic was pretty bad. Even though I was going less than 50 mph on the freeway, the two right hand lanes of traffic came to a sudden stop, and I was forced to tap my breaks pretty firmly and swerve into the next lane. By the time Izzy unloaded, he was pretty sweaty.
I stood in the trailer with him for a few minutes just patting his neck and reassuring him that everything was okay. He backed out quietly and walked into the exam bay without any issues.
After Dr. Tolley had again debrided the wound (that procedure creates alarming puddles of blood), we discussed our next course of action. Due to the cost versus benefit of the calcium alginate pads, Dr. Tolley opted to use the White Lotion, a lead-based product they make there at the hospital.
The protocol will continue as before: re-wrap every other day. I am to saturate a telfa pad with the white lotion and apply it directly to the wound. That gets wrapped with brown gauze to hold it firmly in place. That is followed with cotton sheeting and a firmly applied roll of more brown gauze. A roll of vet wrap (or cheaper brand) binds the whole thing together.
At the end of the week, I am to call Dr. Tolley and let him know if more proud flesh has developed. He's hoping that we have it under control now and that a visit won't be necessary. I am certain that we'll need to debride the wound again, but hopefully it won't be every week.
There was good news. Since I see the wound every other day, I haven't been able to gauge it's size very well. Luckily, Dr. Gonzalez was there with his iPhone. As I was watching Dr. Tolley work, Dr. Gonzalez was comparing the photos that I had sent two weeks ago with the wound as it appeared on Friday. When he showed me the difference, even I could see that the wound was shrinking.
Until it's healed, I'll continue hand walking and teaching Izzy how to be a model equine citizen. I really like this horse and feel confident that things will just get better and better.
Oh, one more thing. While at the vet hospital, KG was once again on hand walking duty while I took care of the bill. She was all smiles when I went out to meet her. She can't quite saying what a great horse he is. She might like him even more than I do!