I recently had the opportunity to use the VAC system and was very pleased with the results. I had a patient who had a stage IV ulcer on her right heel for about 18 months when she came to us. She was very compromised and was malnourished, in advanced renal failure, as well as being a diabetic. She had multiple debridements and flap closures, all of which produced no results. Her primary doctor said it would never heal, but her family did not accept this. They heard a presentation by a KCI rep and requested this therapy. After discussion with the care plan team, a feeding tube was placed to improve her nutritional status(thereby increasing her chances of wound healing), her dialysis was increased, and a final debridement was done. The VAC was placed and the wound showed dramatic improvement. She also had a wound culture and was placed on the appropriate antibiotics. This wound that would never heal finally closed after 2 years, with just 5 months of therapy with the VAC system.