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 Original 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.

Before and After 24 days & 9 tubes of DermaWound Original
Total Cost of Product = $426.15 - Very time & cost effective!