"I think it might be a little expensive, but most medical suppliers will drop ship to the patient's house if they have insurance that covers medical supplies.  We have them go to the pharmacy to get lidocaine 4% and order hydroferra blue…"

"You are very welcome!! :)"

" We have found hydroferra blue soaked with 4% lidocaine works well to help with pain and slowly removes necrotic tissue.  If you could get her debrided in surgery then start the hydroferra blue she will heal much faster.  If she is a…"

"GREAT!"

"Of course this would be patient specific depending on other contributing factors but we have seen a patient recently with this exact same problem in our wound center.  It just so happens to be a small child.  His ulceration is on the…"

"I am sure this patient has moved on to another phase, but I wanted to add something.  My first goal is to attack the problem.  If pressure is the culprit, that has to be fixed first. Some physicians just skip right over that part. …"

"This is our standard therapy as well.  We found that with a unna under a layered wrap there is less slipping down of the outer layers which leads to more compliance.  However since we are not counting on the unna to be the compression…"