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Miller M et al. – Despite historical and more recent evidence providing viable alternative considerations, it is only recently that this paradigm and its tenets have come into question. As the understanding of the limits of the current paradigm and specific instances of its benefits and drawbacks are identified, shifts in the paradigm must take place if the therapy is to evolve, develop, and continue to be efficacious.

Exclusive Author Commentary
Michael Miller, 07/27/09

It is imperative the health care providers carefully scrutinize available therapies and make decisions regarding efficacy based on definitive data and mot marketing. In wound care, with so many variables that affect healing, the question we must ask is whether the wound is healing because of what we did or in spite of what we did. Science must progress and so too, must the available modalities that we offer our patients. It is incumbent upon all of us to decide where or not a given treatment is not merely acceptable but whether or not it will stand the test of time. Treatment paradigms must change in order for us to continuously offer our patients the best care. Change can be potentially for better or worse but without identifying those aspects of a given paradigm that can change, we face giving our patients treatments that fail to keep up with their diseases.

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