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General Bike Thread (Desiderata, Questions, Pics)

Piobaire

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Trick is to put a layer of vaseline gauze under the gauze. You can buy it prepackaged, but a cut up (clean) bed sheet saturated with vaseline (or Neosporin, but people worry about using it for too long) works too. Will keep the wound moist until your next change, but will peel off easy... All of the stuff that forms scabs/sticks flows through it and sets up on the gauze pad instead of your skin.

But now that I've got the tegaderm, I'm not going back! Will have to try the vaseline seepage tunnel trick on a fresh wound (this one had already slowed down)

Edit: here's my wound pic.

Interesting. That link specifically advises against Telfa. Next time I'm talking to a friend of mine, who's an MD that owns a wound care practice, I'll quiz him about all this.
 

imatlas

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Interesting. That link specifically advises against Telfa. Next time I'm talking to a friend of mine, who's an MD that owns a wound care practice, I'll quiz him about all this.
There were quite a few questionable assertions in there. I’d love to hear a wound care specialist weighing in on it.
 

otc

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Interesting. That link specifically advises against Telfa. Next time I'm talking to a friend of mine, who's an MD that owns a wound care practice, I'll quiz him about all this.

I'm no doctor, but from other things I read, it seems like the Telfa can fill the same role as the vaseline gauze--use it with vaseline or similar in the beginning when the wound is still letting off a lot of fluid because it won't stick like ordinary gauze (no matter how much vaseline you apply, gauze will stick even if you change morning and night). But after a day or two, still switch to tegaderm.
Doing the 2 step process is supposed to save you from either having your tegaderm puff up with fluid or having to do the self draining design mentioned in that article.

This one says about the same thing: https://altatherapies.com/physicalt...ing_wp_cron=1608137430.5730910301208496093750

Although since this is SF, I guess the right answer is probably to go with the "money is no issue" hydrocolloid dressing, or some of the other super fancy dressings I read about. Can't remember what, but I was looking up the dressings people were talking about on some forum and for a 4x4, they were like $20 a piece...
 

Piobaire

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Yeah, expensive wound care products can eat a budget easily if you don't monitor practitioner usage, botoh, both lawyers and inspectors are always watching to see if a place is skimping on wound care products. It's a fine line.

I can remember back in the 90s some practitioners still though you kept a wound dry and would even order heat lamps on open wound beds. Then "wet to dry" where they'd pack wounds with saline drenched gauze which provided mechanical debridement was big just 20 years ago. Wound care has come a long way in the last 30 years.
 

Piobaire

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Thinking of a new saddle, probably Fitzik, the Antares shape.
 

Piobaire

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Alexidb

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New project in the works.
0C07D18D-B5EC-4B4D-87BC-1811F3341705.jpeg
 

Fueco

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Antares is a great saddle. I use the standard model on my road and cx bikes. I used to have a VS model, but found that it was little too padded.
 

clothingfun

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There were quite a few questionable assertions in there. I’d love to hear a wound care specialist weighing in on it.

Hello everyone. I didn't even know this thread existed and sort of stumbled on to it by accident. I am retired but spent a fair number of years in wound clinics during my career and thought I would provide a few thoughts. Okay let's get this out of the way: This isn't official medical advice, seek out your own provider, kids don't try this at home, blah blah blah etc. etc. etc. :)

In regards to basic subq type wounds that are small to medium in size and are not infected (I get them on my bike too from time to time) such as road rash and the photos posted here, here are a few basics, emphasis on basics, you may find interesting (setting aside cost just for the sake of discussion.)

The first time a wound is cleansed, things such as soap and water, hydrogen peroxide, alcohol rubs, etc. are fine. After that, cleansing the wound itself with NS or a wound specific cleaner is best. Anything else will either kill all the good stuff in there too and/or change the pH. The periwound area can continue to be cleaned with soap and water.

Apply Medihoney to the wound and cover with a nonadherent contact layer. Generally speaking, the outer dressing isn't excessively important if you follow these first steps. Usually dry gauze then rolled gauze secured with Medipore tape is fine.

This is obviously a VERY general overview of some basic things. The number of variables can be endless and if the wound goes deeper than subq that can be a whole different ballgame. However, for the average abrasions and tears that happen when you fall off your bike and are more than "just a boo-boo," I just thought some may find this helpful and interesting. It was for me anyways!

Here are a few examples of supplies I mentioned that I keep in my home supplies. I figured photos would be easier than trying to describe it all.

IMG_7832.JPG


IMG_7846.JPG


IMG_7834.JPG
 

Fueco

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I can’t tell if that’s a commercial post or freely given advice.
 

Thrift Vader

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Some great news gents.

Next spring, Lil' Vader will need a 20 inch wheel bike.
- Just happens that i have a small collection of them. :lol:

So my former bike. the "Black bike" is going to be taken apart, resprayed, and put back together. as my son's first legit bike. for spring time family rides.

- wife. "it needs to have front brakes and reflectors".

It will be painted in Subaru's Coca cola black metallic. (with leftover black metalflake?????)

But get this. I just ordered NOS "Bulldog" brakes for the front. Such a nostalgia hit.

A great winter project.
 
Last edited:

UnFacconable

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I was just going to bump!

Had my first good ride in several months.

Bay Area weather was remarkable - 80 degrees with a light breeze - in January! The trail was in the best condition I’ve ever seen: no puddles or mud spots but had enough rain so that it wasn’t dusty or too loose. Later in the season it can get pretty sketchy so this was really a banner day. It was somewhat crowded but not so much that I couldn’t set my own pace for 95% of the ride.

Have been diligently doing PT on my knee and it performed great. I wore a knee strap which may have helped as well. My other knee is a little sore which is odd but overall I’m pretty happy.

If the weather stays this way and my physical therapist doesn’t object, I’m going to start doing midweek rides. I haven’t done that since the last time I wanted to leave my job for greener pastures lol. That plus WFH presents some opportunities in that respect.
 

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