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Treatment
to
date:
1.
Two
weeks
post-op
incision
was
infected;
patient
had
low
grade
fever
and
anorexia.
2.
Sutures
were
removed
and
incision
was
left
open
to
heal
by
secondary
intention.
3.
After
12
weeks
of
home
care
patient
was
brought
to
nursing
home
to
insure
proper
dressing
changes
and
adequate
diet.
4.
Patient
had
been
in
nursing
home
for
4
weeks
with
slight
improvement.
DAY
1,
Start
of
DermaWound
BID.
November
8
Wound
is
clean,
slight
exudates,
pus
&
odor.
No
blood.
Border
of
incision
is
erythematous
&
tender
to
touch.
Patient
is
febrile.

DAY
3,
November
11
-
1.Wound
is
visibly
improving.
Length
&
width
of
open
incision
decreasing.
2.
Border
of
erythema
less
prominent.
No
odor,
some
pus
still
present.
Edges
appear
to
be
pulling
together.
3.
Area
is
no
longer
tender
to
touch.
4.
"Meaty"
looking
granulation
tissue
forming.

DAY
8,
November
16
-
1.
Length
&
width
of
incision
decreasing.
2.
Wound
edges
pulling
together.
3.
No
erythema
or
exudates
present.
4.
Deeper
defects
filling
in
with
healthy
granulation
tissue.
5.
No
evidence
of
allergy.
6.
No
longer
febrile.

DAY
11,
November
19
-
1.
Central
portion
of
open
incision
has
approximated.
2.
No
erythema
along
borders.
Wound
is
clean.
3.
Patient
has
been
with
out
a
fever
for
over
a
week.
4.
Granulation
tissue
continues
to
fill
in
deeper
defects.

DAY
24,
December
2
-
1.
Approximated
edges
in
center
appear
to
have
been
closed
by
primary
intention
(with
sutures).
2.
Superior
and
Inferior
defects
are
virtually
filled
in
&
continue
to
pull
together.
Patient
was
eager
to
get
back
home
and
left
nursing
facility
with
5
jars
of
DermaWound
the
day
after
this
picture
was
taken.
 
Before
and
After
24
days
&
9
jars
of
DermaWound
Total
Cost
of
Product
=
$426.15
-
Very
time
&
cost
effective!
When
Nothing
Else
Works
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