Mr WOUND

Mr WOUND Wound Care Specialist | Educator | Advocate for Evidence-Based Healing
Sharing the latest in wound management, tips, and medical breakthroughs.

Let’s bridge knowledge gaps—because better care starts with better understanding. gabay para sa maayos na paggaling ng sugat

It's All About the EnvironmentA dressing is not just a cover. It's an active tool to create the optimal microenvironment...
07/01/2026

It's All About the Environment

A dressing is not just a cover. It's an active tool to create the optimal microenvironment for healing.

Sa kaalamang PINOY ang pagbabalot ay hindi agad tanggap dahil sa paniniwala kailangan TUYO ang sugat para gumaling. Ngunit 1960s pa ito sinabi ni Dr. Winter na para mas bumilis ang paggaling ay dapat naka KULOB ito. From the title itself, since na damage na ang skin, ang dressing ang magiging environment na kailangan nya para makapag repair o magsisilbing temporary skin.

Marami pa nga sa kababayan natin nag consult dito na nilalabanan nila ang fluids na nalabas at pinipilit na maging tuyo ang sugat para sabihin nila na "MAGALING NA PO YAN KAHAPON!", " Tapos today hindi ko alam bakit biglang nag tubig na naman!"

Kulob hindi un basta lang tinakpan dapat meron concept na may mag absorb ng fluids (gasa o gauze, foam dressing, hydrocolloid, alginates, if walang pera panty liner or kung marami talaga sanitary napkin) galing sa sugat upang hindi malunod o tumagas ang fluids kaya important na gabayan ng ang ating mga kababayan lalo sa health teaching portion upang mas maging epektibo ang management at hindi masayang ang effort ng doctor at ng bumubuo ng team sa wound care.

Sa medical surgical adhesive tape if un parang plastic ang gamitin at lagyan ng gasa para may mag absorb at insert nyo according sa aking recommendation sa itaas.

Kapag sinunod natin ito maiiwas natin sa infection ang patient at mas mabilis gagaling ang sugat. (healing will depend sa condition ng katawan ng patient kaya its best to assess the wound first and relate it to the diagnosis of the doctor)

Evidence: Reference the seminal work of Winter (1962) on moist wound healing.

WEBINAR ALERT FOR RN Navigating Surgery with Chronic Wounds: A Nurses Guide to Pre and Post OP Care Para po sa nagtatano...
04/01/2026

WEBINAR ALERT FOR RN

Navigating Surgery with Chronic Wounds: A Nurses Guide to Pre and Post OP Care

Para po sa nagtatanong ng training at gusto ng ONLINE, January 10 po ito 8AM to 1PM.

This is very important highlight sa mga na debri o DEBRIDE natin na cases and why we failed sa healing trajectory.

Let's discuss how to apply clinical concepts and rationalize our formulary, enabling our physicians to select evidence-based dressings through both clinical and cost-effective (frugal) management.

The page turns. 2026 awaits.Looking back, I see a path from Dubai's sands to solid ground. Where 2021 tested, 2024 prepa...
31/12/2025

The page turns. 2026 awaits.

Looking back, I see a path from Dubai's sands to solid ground. Where 2021 tested, 2024 prepared. It was never just about easier days; it was about readying for a sacred task—the very thing I was specialized to do.

To my friends and believer: your hands that helped, your hearts that believed, even the questions that doubted… you all guided me here, to this threshold. I can see the future from this gate.

And so, I step into 2026 with one resolve: to be a conduit. To take what was planted in me from above and use it to nourish the needy, empower nurses and their love ones, and multiply hope. This is more than a goal; it's a response to a call.

May your new year be filled with clarity, purpose, and the courage to walk through your own gates.

Blessings to all!

HAPPY NEW YEAR MGA KA SUGAT!!!

29/12/2025

Portion ng ating interview kanina.

Bagamat may recommendation sa ating mga expert regarding soap and water sa paglilinis ng naputukan bahagi,,,sa aking pananaw dahil sa issue ng infection control na hindi natin alam kung sino gumamit ng bar soap at mataas ang pH nito na di akma sa human tissue kaya mas maigi wag na lang at running water na lang ang gamitin at lagyan ng antiseptic at takpan ng gasa (hindi kona nasabi on air) para mas safe ay dalhin na lang sa ER (if malaki ang injuries) para magamitan ng mas naayon na panlinis.

Wag po natin imix un sa issue na ito ang paggamit ng soap and water sa RABIES o kagat ng a*o o pusa na kailangan gawin ang soap and water…ang topic dito ay naputukan.

Ingat mga ka sugat!!!

29/12/2025

Radio Guesting muna

27/12/2025

Our partnership began with Dr. Salinel's first referral in 2018. To date, we have saved this patient's foot four (palipat lipat lang ang sugat, kanan then kaliwa) times and are now the family's trusted wound clinic.

Pero 1st time nya mag sign dyan sa telon natin 🙃 kanina.

Ka*o graduate sa sugat but hindi graduate sa diabetes dahil 437 lang naman ang sugar nya kanina.

Ingat lagi!!!

Langgas Wound Care Center

Congrats po!!! STA MARIA PANGASINAN Mayor, Hon. Julius RamosI was able to meet him few days ago para mag attend ng xmas ...
23/12/2025

Congrats po!!!

STA MARIA PANGASINAN Mayor, Hon. Julius Ramos

I was able to meet him few days ago para mag attend ng xmas party ng Dr Marcelo M Chan Memorial Hospital Inc and since napaaga kami ng dating kaya dumaan tayo sa clinic muna. Hindi pa sya pinapakilala sa akin personal but we spoke on the messenger na para sa gagawin plan for his constituent next year kaya ramdam ko sya yun dahil may dala sya Jollibee sa staff hehe. Sabi kasi ni Nurse Chill lagi meron dala si mayor.

Iba ang isip ko pag mayor ka usually need ng importance sa lahat but according to Dr Pavo binigyan sya ng option mag private clinic sa Urdaneta ka*o ayaw nya mas at home sya sa sugat clinic at willing to wait.

Nag intay talaga sya at di biro ang sinundan nya patient which is bedsore and usually nasa car sya dapat pero nandun sya sa hallway nag iintay ng turn nya at nakangiti. Nataon nakilala sya nun bantay ng patient na iisang lugar pala sila at binati nya ng buong giliw.

Maraming salamat po sa tiwala sa sugat clinic at sa mga bumubuo nito.

Dapat Saturday pa graduate ka*o mas gusto nya sigurado para walang mintis sa paggaling.

Happy Graduation po!!! Sumemplang, na ER, na infect, at gumaling sa sugat clinic Dr Marcelo M Chan Memorial Hospital I...
22/12/2025

Happy Graduation po!!!

Sumemplang, na ER, na infect, at gumaling sa sugat clinic Dr Marcelo M Chan Memorial Hospital Inc

Thanks Dr. Pavo and Nurse Chill and NA Weng

Happy Grduation po!!! SUGAT CLINIC Dr Marcelo M Chan Memorial Hospital Inc
17/12/2025

Happy Grduation po!!!

SUGAT CLINIC

Dr Marcelo M Chan Memorial Hospital Inc

15/12/2025

Mahirap sumagot ng YES or NO agad na hindi naipapaliwanag bakit. Marami po bagong wound care nurses at nag aalaga na umaasa sa ating content para lubos na maunawaan ang bagay bagay sa pag aalaga ng sugat.

Bakit hindi advisable, sa aking pananaw ang paggamit ng mild soap o antibacterial soap sa open wound?

Lupet ng BANGGA SA BAKAL sa LULOD (shin)6 yrs na ito na suki ng wound clinic natin bale nasa ALABANG Muntinlupa pa kami ...
13/12/2025

Lupet ng BANGGA SA BAKAL sa LULOD (shin)

6 yrs na ito na suki ng wound clinic natin bale nasa ALABANG Muntinlupa pa kami with a different name. Bawat sugat nito ay walang ibang nahawak maliban sa amin nila doc. BTW buong pamilya nila ay diabetic at lahat patient ni doc.

2 months ago un pinsan ng asawang babae naman dinala sa clinic at napa graduate na rin natin at nakabalik na sa Mindanao.

Dati dahil sa basketball, pressure sa paa, napako and now naman ay naBANGGA sa bakal ang kanyang shin na kanyang ininda mabuti.

Malamang magtataka kayo why nabutas? Well hindi natin kasi madidiktahan ang injuries at kapag ang wound management ay mali sigurado di rin maganda ang magiging outcome and since diabetic ito at tamad uminom ng maintenance ay alam na alam nya ano gagawin pag may sugat kaya madalas napapagalitan ko ito at kanina si doc naman nag sermon sa kanya sa maintenance meds na hindi iniinom o tinatamad.

Ang aral sa post na ito ay dapat antayin natin ang magiging result ng inflammation at kung ano ibabato sa atin na sign at dun tayo mag decide ng wound dressing na ilalapat.

So far ok na sya using the following;

1st week Inflammation stage CUTIMED sa butas with foam or silver alginate

Critical ito na kapag may erythema at cellulitis like effect sa tissue dapat naka FOAM DRESSING para ma absorb ang fluids,,,if wala pera….gasa pero ensure na papalitan agad kasi kapag nababad at nagka contact sa madumi environment dito nagkaka secondary infection gaya nakita nyo sa dressing na may potential pseudomonas (greenish color exudate) at take note naka ilang beses na sya sa amin pero di pa rin natuto sa tamang pag dressing hahaha

2nd week silver Foam only
3rd week lumabas na yun mga nana kaya nag silver foam at cutimed ulit na dahil makatas na
4th continue lang sa 3rd week dressing
5th onwards silver foam

Today pwede na mag cream with silver sulpha dahil sobrang dry na edges at medyo bumagal movement.

As per evidence pwede mag recommend ng collagen supplement kaya sabi ko kay doc baka pwede bigyan ng reseta sabay sabi ni doc na “HUH!! YUN MAINTENANCE NYA AYAW INUMIN DADAGDAGAN KOPA DI LALO DUMAMI KASALANAN NITO SA AKIN 🤣”

Since may portion na kita tendon kaya sabi ko wag muna pa graduate kasi malilibang na naman ito at hayaan muna para sure lang kasi mhirap na.

Abangan!!!

Langgas Wound Care Center

The Value of a Moist Wound Environment: A Call for Educational Integration of Wound Management in Medical-Surgical and C...
10/12/2025

The Value of a Moist Wound Environment: A Call for Educational Integration of Wound Management in Medical-Surgical and Community Health Nursing

For decades, nursing students (including myself) were taught dry wound healing methodologies. This directly contradicted the groundbreaking findings of Dr. George Winter in the 1960s, which demonstrated that a moist environment significantly accelerates epithelialization. While the mass adoption of this principle boomed in the 80s and 90s, it seems our healthcare system remains stuck in the past, clinging to practices that were merely feasible at the time rather than those proven effective.

Even with the advent of advanced dressings, the system still embraces "wet-to-dry" dressing as the supreme standard for wound management. Similarly, povidone-iodine is treated as a superhero and jack-of-all-trades for every wound, chronic or acute. I am not vilifying povidone-iodine—it has its place—but through evidence-based practice, we must place it correctly according to a thorough assessment, which is an integral part of the nursing process.

Our own reference textbooks, like the 15th edition of Brunner and Suddarth, already lay down this foundational knowledge. However, this critical portion seems unfamiliar and neglected, like a "ghost flood control project" we see in today's headlines: infrastructure exists on paper, but is not functional in reality.

There are many wound types to teach, but the basic, evidence-based concept of moist wound healing must be integrated into our BSN curriculum. When students graduate and become RNs, the instillation of this concept will provide a vital foundation for their professional practice—and their personal lives as well.

I cannot single-handedly change all the requests of our nursing school. But next year, I will take action. I will train a few who can initiate this change, ensuring the next generation of RNs is knowledgeable according to evidence-based practice and a Filipino-contextualized approach to wound management.

We must balance the equation to ensure that few, if any, diabetic foot ulcers or bedsores ay hindi MAIIWANAN.

Picture from Calamba Doctors' College - College of Nursing

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