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Balancing Evidence-Based Dressing Selection With Practical Realities

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Having something that is evidence-based or have something that's at least common sense-based, if there isn't evidence, is often running into the, I guess you'd say, administrative sclerosis of all these different insurance types, these different, you know, both clinical issues, home health issues, inpatient issues. And this often leads to this kind of administrative, like I said, sclerosis. And we need to do kind of an administrative atherectomy. We need to get in there and pull out that clot and try to help these patients move through and flow a little better so that we can control these things. And we're often stopped in our ability to act, not by ... a product that may exist for us or a system that may exist, but access to that product. And this happens all the time in tissue repair and wound healing. And it's why you often see kind of sometimes practices that are, if you looked at it externally, you'd say, "Dang, that's like medieval or it's not even medieval." They may have had better stuff medieval because they didn't have like a, you know, different insurance types back then. So I think this kind of thing, Getting past that and trying to help our patients either with evidence or with common sense and getting past all the administration and those barriers is where it's at. 

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