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Dear Mr. Zimmer,

With all due respect and courtesy, the information on our seminars is
germane to clinicians who treat persons with wounds and to public health
officials that are concerned with people who suffer from: diabetes, heart
disease, venous insufficiency, arterial insufficiency, pressure sores and
other disabilities.

This information is not Spam.

Our seminars in fact directly address the very concerns you listed. We
address health education, health promotion, disease, injury prevention and
more. Our seminars have been attended by many public health professionals
and clinicians who thought the information they obtained at my seminar would
be beneficial to other public health officials and clinicians and they urged
me personally to make this information available specifically to members of
this mail base. I made it very clear that the information was not going to
be sent in repeated messages and only two were sent. My message was one
paragraph, it was short, concise and thoughtful of our colleagues time.

The WOUND HEALING MYTHS section was put second, again because I am quite
aware of our colleagues time. It was included for stimulating  the
"discussion" of some very important health concerns. I'll bet you didn't
read them, though, as a public health official perhaps you should. I take
offense at your use of the words "public health types". You also use the
words morbid, and malice in your negative message which was three paragraphs
long. I believe you owe myself and the mailbase an apology.

Respectfully,

Jeffrey A. Feedar, PT, CWS




----- Original Message -----
From: Rudolf Zimmer <[log in to unmask]>
To: Jeffrey A. Feedar <[log in to unmask]>
Cc: <[log in to unmask]>; <[log in to unmask]>; <[log in to unmask]>;
Wendy Johnson <[log in to unmask]>; <[log in to unmask]>
Sent: Wednesday, January 05, 2000 7:05 PM
Subject: Re: SEMINAR PROMOTION - CURRENT CONCEPTS IN WOUND HEALING tm
&ADVANCED WOUND HEALING tm


>
> What is the relevance of the below information to the Public Health
> function?
>
> Are there other discussion groups based in the UK (and not "egroups"
> please!), where a Medical Officer of Health and Community Medicine
> Specialist from Canada can contact fellow Directors of Public Health at
> the Health Authority level on topics related to some of the core
> businesses of Public Health such as: health surveillance, health
> protection, population-based disease and injury prevention, health
> education and health promotion/community development?
>
> I am getting weary of the preponderance of health services research,
> clinical epidemiology, and outright irrelevant cross-postings on this
> group, leading me to wonder what is the current Public Health function in
> the UK?  I have been listening in on this group for about three years, and
> am not noticing an appreciable improvement in the discussion of core
> aspects of Public Health.  And now the spam such as that below is
> increasing along with potential viral infections (PrettyPark, etc).
>
> I apologize for being morbid, but "unsubscribed" messages from Public
> Health types seem to be as common as "apologies" for cross-postings in the
> last few months.  I know that the administrators of this site mean well,
> but is there something out there within the Community Medicine community
> of Britain that contains more content in Public Health (again other than
> "egroups")?
>
> Without malice to [log in to unmask]
>
> Rudy Zimmer.
>
>
> On Wed, 5 Jan 2000, Jeffrey A. Feedar wrote:
>
> >
> >
> > Dear Colleagues,
> >
> > If your practice involves treating and healing of wounds you may want to
> > consider attending or cosponsoring our seminars on wound healing.
Extensive
> > information can be found at our website www.woundcareresources.com on
> > seminar content, dates and locations, etc., so I will not repeat it
here. I
> > also will not bombard you with repeated messages! I realize that your
time
> > is valuable. I have however included some "teaser information" from our
> > website regarding "WOUND HEALING MYTHS". I hope you find them
interesting or
> > at least entertaining !
> >
> > If I can be of any assistance whatsoever, please feel free to contact
me.
> >
> > Sincerely,
> >
> > Jeffrey A.  Feedar, PT, CWS, Director
> > Wound Care Associates
> > (A Division of Wound Care Resources, Inc.)
> > 180 Cherry Street
> > Williams Bay, WI  53191-9704
> >
> > Phone: 1-262-245-6812
> > Fax: 1-262-245-6912
> > Email: [log in to unmask]
> > Web site: www.woundcareresources.com
> >
> >
> > WOUND HEALING MYTHS
> > By Jeffrey A. Feedar, PT, CWS, Director
> > Wound Care Associates
> > (A Division of Wound Care Resources, Inc.)
> >
> > 1. Irrigating a wound is always appropriate. (MYTH!)
> >
> > 2. Wounds need to be irrigated at dressing changes. (MYTH!)
> >
> > 3. Necrotic tissue is natures natural dressing. (MYTH!)
> >
> > 4. Heel ulcers with dry eschar need not be debrided. (MYTH!)
> >
> > 5. It is ok to make a wound bleed. (MYTH!)
> >
> > 6. The best way to prevent an infection in an open wound is to use an
> > antimicrobial topical agent. (MYTH!)
> >
> > 7. Exogenous enzymes should be used to open wounds even when dominated
by
> > fibroblasts. (MYTH!)
> >
> > 8. The staging system used to describe pressure ulcers is accurate,
> > objective and should still be used. (MYTH!)
> >
> > 9. People should be kept off their pressure ulcers. (MYTH!)
> >
> > 10. The dead space in a wound always needs to be taken up by a dressing.
> > (MYTH!)
> >
> > 11. Pressure to the floor of an ulcer helps it to granulate. (MYTH!)
> >
> > 12. Routine swab cultures should be taken at initial evaluation. (MYTH!)
> >
> > 13. At the first sign of an infection antibiotics should be taken.
(MYTH!)
> >
> > 14. All pressure relieving devices work. (MYTH!)
> >
> > 15. Effective wound healing protocols can be written. (MYTH!)
> >
> > 16. Specialty beds are required when a person has multiple ulcers.
(MYTH!)
> >
> > 17. Whirlpools help heal granulating ulcers. (MYTH!)
> >
> > 18. Whirlpools are appropriate for treating a person with venous
> > insufficiency. (MYTH!)
> >
> > 19. Necrosing wounds should be left to autolytically debride or auto
> > amputate. (MYTH!)
> >
> > 20. Reimbursement guidelines for wound treatments are appropriate.
(MYTH!)
> >
> > 21. Grafting / flapping over small healthy granulating wounds is cost
> > effective and appropriate. (MYTH!)
> >
> > 22. Reimbursement guidelines are non-discriminatory against the person
> > suffering from a pressure ulcer. (MYTH!)
> >
> > 23. We can't afford appropriate pressure relieving devices in our
facility.
> > (MYTH!)
> >
> > 24. Doctor's don't listen to my suggestions regarding wound care.
(MYTH!)
> >
> > 25. Wound care is difficult. (MYTH!)
> >
> > 26. Patients are non-compliant. (MYTH!)
> >
> > 27. Behavioral changes are easy to make. (MYTH!)
> >
> > 28. Food and nutritional intake have little to do with wound healing.
> > (MYTH!)
> >
> > 29. Callouses on diabetic feet are only caused by abnormal weight
bearing.
> > (MYTH!)
> >
> > 30. Diabetics should never go barefoot. (MYTH!)
> >
> > 31. Studying diseases and developing medicines to combat diseases is the
> > best way to gain health. (MYTH!)
> >
> > 32. Clinicians don't care about patients, that's why patients get
pressure
> > sores. (MYTH!)
> >
> > 33. When lymph nodes swell, it's because the person is getting sick.
(MYTH!)
> >
> > 34. The best way to treat a granulating wound with electrical
stimulation is
> > to put the conductive dressing/material directly into the wound bed.
(MYTH!)
> >
> > 35. It is always appropriate to conduct ultrasound directly through
> > hydrogels into the wound bed. (MYTH!)
> >
> > If you have a favorite MYTH that you would like to see dispelled,
> > write/fax/or Email to:
> >
> > Jeffrey A. Feedar, PT, CWS, Director
> > Wound Care Associates
> > (A Division of Wound Care Resources, Inc.)
> > 180 Cherry Street, Williams Bay, WI, 53191-9704
> > Fax: 1-262-245-6912
> > Email: [log in to unmask]
> >
> > Convey to us in one clear sentence the wound healing MYTH and a short
> > description why you believe it to be a MYTH. Long attachments or
articles
> > for review should be faxed or mailed. The best MYTH debunked each month
will
> > win the submitter a free book, Pressure Sores published in Topics in
> > Geriatric Rehabilitation, June 1994, Aspen Publishers, Inc. (see: Wound
> > Healing Books for sale at www.woundcareresources.com ). The best MYTH
> > debunked each year will win free attendance at one of our seminars,
CURRENT
> > CONCEPTS IN WOUND HEALING T or ADVANCED WOUND HEALING T. (See course
> > description for agenda and cities and dates.) Attend these seminars to
> > debunk MYTHS: and practice the art of wound healing in an objective
manner
> > based on physiology not MYTH.
> >
> >
> >
> >
> >
> >
> >
>



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