Initial application of both Medifil® II Kollagen™ particles and SkinTemp® II Kollagen™ sheets were used on 9/30/12. Collagen particles were used in the deeper areas. There was notable progress by 10/2/12. Debridement of hyperkeratosis and epibole were performed 10/18/12 by Mr. Selvam Watts. The patient was encouraged to stay in a house and offload the area. Consistent wound cleansing and dressing changes were provided by the family who was emotional over potential limb loss. The last dressing was performed by Mr. Watts on 11/12/12 due to the patient traveling from India to Malaysia to be with family and purchased collagen products to take with him.