Subject: Silverlon
 Date: Sat, 25 Aug 2001 09:32:22 -0400
 From:  Bart Flick <[email protected]>
 Organization: argentum
 To:*Silver-List* <[email protected]>
 CC: Tom Miller <[email protected]>, SILVER <[email protected]>
A.B.Flick MD writes:
My partner and CEO of Argentum Medical, Mr. Gregg Silver, asked that I
comment on recent E-mails.
With respect to Mr Andersons comments 24 August 2001:
1. The antimicrobial activityof silver rests upon the interaction of
silver with the bacteria's cellular membrane.  This interaction can
occur through the presence of a silver ion in solution or the release of

silver in an ionic moiety directly from the surface of metalic silver
when a bacterial cell membrane comes in direct contact with the metalic
surface.  With respect to Silverlon the antimicrobial activity is a
result of free silver ions (released through a silver oixide
intermediate) in solution interacting with the bacterial cell membrane
or direct contact of the bacterial cell membrane on the metalic
surface.  The metalic surface area of Silverlon is at least 1000 fold
greater that the geometric surface area of the fabric due to the uniform

circumferential plating of metalic silver to the polymer substrate and
the molecular terrain (shown on tunneling electron microscope).  As with

the reference to water filtratio, the name of the game in antimicrobial
activity is surface area.
2. Driving silver ions via an electrical gradient increases the ionic
silver release between 4 to 8 fold as well as the depth of penetration
of silver ions into the surrrounding tissue. Bimetalic applications is
directly dependent upon the surface area of the bimetalic junctions with

metals more noble that silver (i.e. gold platinum etc) but not less
noble (i.e. copper)
3. The patents will give one only a brief overview.
4. Silver ions in the proper concentration cause fibroblasts to alter
their normal cellular morphology.  To say that silver ions create stem
cels is unfounded from my reading of the literature and my work over the

past 25 years.
With respect to Marshall's comments 24 August 2001:
1. The finger tip amputation case was my patient.  The tip was amputated

through the lower third of the nailbed with the nail matrix intact.
2. With respect to amputated finder tips in children, please refer to
the Illingsworth paper in the early 1970's.  The key to understanding
this case rests with understanding the basic mechanisms of mainatining a

"blastema".  From my experience three key elements are essential: (1)
proper moisture levels, (2) proper conductivity and (3) proper control
of wound bioburden.
With respect to Solar's comments 24 August 2001:
1. Agree that all silver containing products are NOT equal.
2. With reference to Dr. Becker  statements, I do not feel that the
comments as quoted are not completely correct.  While a medical student
in the 1970's, I had the opportunity to work in Dr. Becker's lab.  I
have the greatest respect for his creativity and intelligence.   But I
stand behind my comments referenced above.
With kind regards,
Bart Flick M.D.





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