Comprehensive Advance Wound Healing with AHC-LA

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As a Wound Care Clinician at AHC-LA For the past 12 years AHC-LA has promoted the DNA Diagnostic Test for No-healing wounds. In collaboration with MicroGen RX and Southwest Regional Wound Center.  Dr. Randy Wolcott always believed that amputation wasn't the solution to chronic wounds. And now he has found a way of healing without hurting his patients. It's a revolution in wound care and it's saving the limbs and lives of his patients. 

 A young woman with type I diabetes, who had lost her kidney transplant a year previously, was hospitalized twice over six months with sepsis — the source of which remained a mystery. A large transplant surgery abdominal wound had been open for months, as had a heel pressure sore complicated by peripheral arterial disease, but both improved with better nutrition and regular wound care. The patient then presented with sudden left leg pain, swelling, and the rapidly ascending erythema characteristic of necrotizing infection. 

 I run all the clinical research, wound healing program that we do here. Mainly do a lot of limb salvage, diabetic foot reconstruction, wound healing. Been doing it for 12 years. When somebody comes to you and says, "This is the greatest thing ever", this will do everything for your patient. You need to be skeptical about that. We're not saying that this is going to cure everybody but it's going to put you on that path to get to that point where we can fix a lot of these problems. It's science, science changes, science evolves. We as clinicians need to keep open minds about things, but we do need to see the evidence. 

The initial thoughts where I thought it was neat that we are using DNA finally to do that. I was very skeptical how it was going to be. But I can tell you, one of the first cases I ever did, I had a gentleman with the venous leg ulceration, 77 square centimeters. Did the DNA testing, we'd made him the cream. And after two applications, he shrunk down to about seven centimeters. And just after two applications. He had bad COPD, bad emphysema, a lot of refluxes, a lot of lymphedemas in his feet. I have the pictures to prove all that. That was one of the most salient features I noticed about the DNA accurately predicting what's in that wound so we can treat that. We can remove the chronic inflammation which keeps these wounds open. So, that was quite dramatic. 

 "MicroGen and your company is the best that's happened in this space, and as long as I have been in my career. You need to know about this technology, and you need to know about it yesterday. For the majority of patients that I see with my complex urology practice, traditional antimicrobial culture testing and sensitivity has just failed to show me what I need. I was a little skeptical at first to see what this would bring. What I was surprised so quickly after starting a therapy was not how many negatives there were, but how many positives they were. In fact, how few negatives they were.  "To say that I have a traditional culture negative and I find two to five organisms on a MicroGen that I have to treat before I instrument or tell a patient that they're infection free. To me, that huge gap in information is something that I cannot fathom treating my patients without in the future.  

"I never used to take the culture results into the patient. Now, it's an exciting part of the patient teaching experience. You can show the three phases of it, the PCR phase, genetic resistance patterns, then the final evaluation with the usually multiple organisms and multiple sensitivity, it's fun to say, "Okay, what's that one antibiotic or the fewest number of antibiotic I can come up with to get you on your course and to get you treated?" Let's decide how long based on your pattern and intensity of your disease.