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Old 08-26-2008, 05:44 PM   #1 (permalink)
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Medical Maggotry -- Can You Dig It?

Last night my daughter and I (the 19-year-old, not the little one!) were perusing one of my new medical textbooks and looking at lovely photographs of all kinds of diseased and otherwise compromised flesh and organs. You know, one of those mother-daughter bonding moments!

After looking at the book we continued to talk and she started showing me pictures of different things she had seen on the internet...bot flies, heart worms...and this prompted her to bring up the medical use of maggots.

Medical use of maggots, I say?
Yes mom, look, says she...


And she showed me. Apparently the medical employment of maggots is a very real method of treating wounds that will not heal. I had no idea!

Quote:
Originally Posted by wikipedia
Maggot therapy (also known as maggot debridement therapy (MDT), larval therapy, larva therapy, larvae therapy, biodebridement or biosurgery) is a type of biotherapy involving the intentional introduction by a health care practitioner of live, disinfected maggots (fly larvae) raised in special facilities into the non-healing skin and soft tissue wound(s) of a human or other animal for the purpose of selectively cleaning out only the necrotic tissue within a wound (debridement) in order to promote wound healing.

In maggot therapy, disinfected fly larvae are applied to the wound for 2 days within special dressings to keep them from migrating. Maggots used in maggot therapy are highly selective about what they consume i.e. they focus exclusively on dead tissue and will not eat living flesh. The medical literature identifies three primary actions of medicinal maggots on wounds: they clean the wounds by dissolving dead and infected tissue ("debridement"); they disinfect the wound (kill bacteria); and they speed the rate of healing. Maggots never reproduce in the wound. Larvae of all species are immature, and can not reproduce.

In January, 2004, the U.S. Food and Drug Administration (FDA) began regulating medicinal maggots, and allowed the production and marketing of one particular strain of Phaenicia sericata larvae marketed under the brand name Medical Maggots. In February, 2004, the British National Health Service (NHS) permitted its doctors to prescribe maggot therapy. Medical Maggots represent the first living organism ever allowed by the FDA for production and marketing as a prescription medical device. Reimbursement for maggot therapy is available in the U.S. and other countries.

In 1995, only a handful of doctors in 4 countries were using maggot therapy. Since that time, worldwide use of maggot therapy has increased significantly. Today, any physician in the U.S. and many other countries can prescribe maggot therapy. Over 4,000 therapists are using maggot therapy in 20 countries. Approximately 50,000 treatments were applied to wounds in the year 2006. There are over 800 health care centers in the U.S. that have utilized maggot therapy.
Maggot therapy - Wikipedia, the free encyclopedia

Apparently there is nothing new about this treatment, only that I've not heard of it before.

Lots more here:
Monarch Labs Medical Maggots for Maggot Therapy wound care treatment

Then there's this, newer, news:
Multi-tasking Maggots In Superbug Showdown
Quote:
Scientists at Swansea University (Wales, UK) have discovered a new type of antibiotic in maggot secretions that can tackle up to 12 different strains of MRSA, as well as E. coli and C. difficile. The research was funded by leading charity Action Medical Research, with support from the Rosetrees Trust.
So my daughter, who is not at all squeamish, is so repulsed by this idea that she immediately swore that she would never allow a doctor to treat her with maggots. But when questioned further she's not so sure...what if she had a large, painful wound that wasn't healing with any other treatment?...she couldn't really answer that.

here is a description of the treatment:
Quote:
Originally Posted by wikipedia
The application of maggot dressings is simple: maggots are contained in a cage-like dressing over the wound for 2 days. The maggots may be allowed to move freely within that cage, with the wound floor acting as the bottom of the cage; or the maggots may be contained within a sealed pouch, placed on top of the wound. The dressing must be kept air permeable because maggots require oxygen to live. When maggots are satiated, they become substantially larger and seek to leave the site of a wound. Complete removal of maggots from a wound is easily accomplished. Multiple two day courses of maggot therapy may be administered depending on the severity of the non-healing wound.

Maggots never reproduce in the wound. Larvae of all species are immature, and can not reproduce.
How about you? Would you allow a doctor to treat you with maggots?

Or, better yet, have you or anyone you've ever known been treated with them?

Myself, I think I would. Absolutely. Yes.

I find the topic fascinating in many ways. Not only as a simple piece of sensationalistic information, but also in the irony that can be found in the idea that maggots, traditionally associated with germs and filth, can be useful in making us healthy and clean.
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Old 08-26-2008, 05:48 PM   #2 (permalink)
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Yes, yes I would, given that they only eat necrotized tissue, and that necrotized tissue, left as is, can lead to gangrene and possible loss of limbs. I'd rather suffer through maggot therapy than an amputation.
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Old 08-26-2008, 05:57 PM   #3 (permalink)
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I'd totally do it, whether I needed it or not

I need stories to tell when I get older and having maggots crawling in a wound for 2 days sounds perfect.
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Old 08-26-2008, 06:10 PM   #4 (permalink)
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Old 08-26-2008, 06:15 PM   #5 (permalink)
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I've only seen that once. The patient had some nasty diabetic ulcers on their legs that just wouldn't heal and using general anesthesia was deemed a bit too risky. They used the maggots to clean out the wound, then used artificial skin to cover it. This was done at a hospital in Boston as I was working at a small community hospital at the time. The patient was admitted there over night for other reasons. The Boston hospital sent a wound nurse down to change the dressing as it was still "experimental" at the time.
Haven't seen it, or even thought of it, in quite some time now.
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Old 08-26-2008, 06:36 PM   #6 (permalink)
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Quote:
Originally Posted by The Faba View Post
apparently magic the gathering and medicine disagree....:P

if anything, it should be -2/+2
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Old 08-26-2008, 06:58 PM   #7 (permalink)
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I would be totally grossed out...but yes, I would use maggot therapy if other options weren't available/working.
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Old 08-26-2008, 07:10 PM   #8 (permalink)
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Maggot therapy is awesome. I'd do it if I needed it, but don't expect me to look at it or even think about it.
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Old 08-26-2008, 07:15 PM   #9 (permalink)
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I can't stop thinking about lying in bed at night with a little cage of maggots attached to my body. What would it feel like? I haven't seen anything that describes it.
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Old 08-26-2008, 07:22 PM   #10 (permalink)
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You've meditated before, right? I'm sure that tool would come in handy in occupying your mind elsewhere.

I used to be claustrophobic. When I was maybe 13ish, I had to get a CAT scan, but the tech was inexperienced and we had to repeat the procedure several times. I had to lie still in a tube with maybe a 2" diameter for hours on end. It took me maybe a half hour to calm myself down, but after that I went into a state of bliss and calm. The hours went by quickly. After that, I got to eat at one of my favorite restaurants, Tarantino's (it's not relevant to the subject at hand, but I can never miss an opportunity to talk about good seafood). I'm sure that if you were ever put in this situation, you could put your mind in a calm place so that the healing process could be assisted.
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Old 08-26-2008, 08:23 PM   #11 (permalink)
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I'd do it if it was needed, but it'd take a LOT of meditation.
There's also leech application to aid in clotting. Both treatments are disgusting because of our apparently learned attitude towards these bugs.
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Old 08-26-2008, 08:34 PM   #12 (permalink)
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Quote:
Originally Posted by Willravel View Post
You've meditated before, right? I'm sure that tool would come in handy in occupying your mind elsewhere.

I used to be claustrophobic. When I was maybe 13ish, I had to get a CAT scan, but the tech was inexperienced and we had to repeat the procedure several times. I had to lie still in a tube with maybe a 2" diameter for hours on end. It took me maybe a half hour to calm myself down, but after that I went into a state of bliss and calm. The hours went by quickly. After that, I got to eat at one of my favorite restaurants, Tarantino's (it's not relevant to the subject at hand, but I can never miss an opportunity to talk about good seafood). I'm sure that if you were ever put in this situation, you could put your mind in a calm place so that the healing process could be assisted.
Honestly, it really doesn't freak me out that much. I'm just curious to hear what it feels like. Does it hurt? Does it itch? Does it maybe even feel soothing...given the circumstances?
I might have to do some more research...find some testimonies.
-----Added 27/8/2008 at 12 : 44 : 32-----
He says he didn't feel anything:
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Last edited by mixedmedia; 08-26-2008 at 08:44 PM.. Reason: Automerged Doublepost
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Old 08-26-2008, 08:48 PM   #13 (permalink)
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From my understanding, during the treatment the patient is not experiencing the sensation of bugs crawling around on them. I know it has been used in diabetics for example, and in their case they often suffer from diabetic neuropathy which means the sensation would be far less than a normal person. If I were faced with amputation vs a creepy sensation that I may not like, I would at least try the maggot therapy. It is also my understanding that after they are employed they are disposed of in the same manner of any other infectious waste. In other words, they are incinerated. They are never reused from patient to patient.
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Old 08-26-2008, 11:28 PM   #14 (permalink)
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Using maggots, leeches, etc. to treat medical problems is one of the coolest things ever. I'd be excited if I ever had the opportunity to experience this, even to the point of requesting it over more traditional forms of treatment. The doctors would probably have to strap my arms down because I'd constantly be removing the dressing to peek.
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Old 08-27-2008, 03:28 AM   #15 (permalink)
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There is a video on YouTube that shows a woman being treated with maggots on her foot. It's very graphic, though, moreso for the extent of the injury on her foot than the maggots...I don't want to post pictures and vids on this thread that might disturb people. That's not my bag.

But if you're interested, it's on YouTube.
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Old 08-27-2008, 05:11 AM   #16 (permalink)
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I've seen the video and it's fascinating. I would absolutely take maggot therapy over losing a limb. Sure I wouldn't want to watch it but I wouldn't really care about feeling them move around, if indeed you could.
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Old 08-27-2008, 06:00 AM   #17 (permalink)
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I've seen photos and videos of this maggot therapy in the past. Not long ago it was shown in one of those survivalist shows my kids watch. So I'd go for it. I bet feeling them crawling around could be ticklish. If I believed that any procedure would be beneficial, I'd have no hesitation and in fact, I'd like to watch it, too.

When I've had procedures done (rarely) I usually ask if I can see as much of it as possible...years ago I asked to see so they tilted the overhead light reflector in the O.R. so I could see a reflection of they removing a varicose vein on one of my testicles...then I had two more kids (not the same day) so it worked; when I was 11yo I watched them operate a large spike out of my hand.

I like the maggot concept and hope we can find more "natural" solutions to medical problems vs. man-made & (sometimes ill) conceived chemicals. There are probably many other valid and functional ancient remedies that developed over eons of trial and error that we should rediscover.
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Old 08-27-2008, 06:19 AM   #18 (permalink)
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I'm all for maggot therapy. I was going to also mention using leeches to help with blood clotting. I know Steve-O attached a leech to his eyeball in Jackass 2 as a stunt, and I could barely stomach watching that scene, but I think I'd be fascinated to watch maggots go to work.

It doesn't seem all that different from fish pedicures, where you sit with your feet in water filled with tiny fish and they eat the dead skin off your feet. I'd try that too, but I would have to concentrate really hard to keep it from tickling.
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Old 08-27-2008, 06:27 AM   #19 (permalink)
 
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Yes, without hesitation.

It would not be pleasant, but it's certainly tolerable. I would go to the same mental place that I found when I had my last cavity filled without Novocaine.
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Old 08-27-2008, 07:00 AM   #20 (permalink)
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Quote:
Originally Posted by spinelust View Post
I'm all for maggot therapy. I was going to also mention using leeches to help with blood clotting. I know Steve-O attached a leech to his eyeball in Jackass 2 as a stunt, and I could barely stomach watching that scene, but I think I'd be fascinated to watch maggots go to work.

It doesn't seem all that different from fish pedicures, where you sit with your feet in water filled with tiny fish and they eat the dead skin off your feet. I'd try that too, but I would have to concentrate really hard to keep it from tickling.
I'm not sure how enthusiastic I would be about maggot therapy, but I'm sure I would do it if it was recommended.

As for the fish pedicures.. want to go sometime? I've been wanting to since I heard about it in the news, and the salon isn't THAT far away...
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Old 08-27-2008, 08:33 AM   #21 (permalink)
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Quote:
Originally Posted by BadNick View Post
I've seen photos and videos of this maggot therapy in the past. Not long ago it was shown in one of those survivalist shows my kids watch. So I'd go for it. I bet feeling them crawling around could be ticklish. If I believed that any procedure would be beneficial, I'd have no hesitation and in fact, I'd like to watch it, too.

When I've had procedures done (rarely) I usually ask if I can see as much of it as possible...years ago I asked to see so they tilted the overhead light reflector in the O.R. so I could see a reflection of they removing a varicose vein on one of my testicles...then I had two more kids (not the same day) so it worked; when I was 11yo I watched them operate a large spike out of my hand.

I like the maggot concept and hope we can find more "natural" solutions to medical problems vs. man-made & (sometimes ill) conceived chemicals. There are probably many other valid and functional ancient remedies that developed over eons of trial and error that we should rediscover.
I watched my Cesarean sections with a mirror. They are some of my most vivid and fantastic memories...

/end threadjack
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Old 08-27-2008, 09:15 AM   #22 (permalink)
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Quote:
Originally Posted by mixedmedia View Post
I watched my Cesarean sections with a mirror. They are some of my most vivid and fantastic memories...

/end threadjack
....I saw/participated in my dear daughter being born in a more "natural" manner, but my last two little maggots came out via Cesarean and I watched that very closely with great interest...I even have pics of the placenta in a pan which as a doc you would know doesn't look too appetizing. Near the end of the procedure, the obstretrician (who was also a pretty hot looking doctor woman) held up the tubes with a hemostat and said "...last chance to change your mind before it's too late..." so I said go for it and cut those things or I'll not know what to do and have to live in a shoe.
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Old 08-27-2008, 01:51 PM   #23 (permalink)
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BadNick, man, I'm not a doctor. I'm studying to be a nurse.

But, yes, I feel very privileged to have had such a thorough look at my uterine cavity. Let alone the sight of them pulling my babies out of there. I get all happy and smiley just thinking about it.
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Old 08-27-2008, 04:54 PM   #24 (permalink)
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When I was in high school I worked at a hospital in the housekeeping department. In summers I was the relief worker that would cover various people while they took vacations. The best gig after working Emergency, was the operating rooms. I would work in the "clean" part of the OR and would scrub down the operating rooms after surgery. The result of which was that I got to observe (through the window) a good number of operations. Most, because they took place inside a body cavity, were difficult to observe from where I was standing. The most graphic operations where amputations, joint replacements and nose jobs. Eye opening to say the least.

As for maggot therapy I have seen this on TV a few times and while part of my mind cringes at the thought of the maggots on my flesh, I wouldn't hesitate to use them.
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