You can see in the pictures how the gangrene has worsened. But the fact is, the patient still insist to have his foot and would not like any kind of surgery. There is a slight increase in the vascularity of the surrounding tissues by the presence of bleeding during dressing but the yellowish portion is not improving. The dark portion of the plantar area is slightly lighter than before signifying improvement of blood supply. I talked to the patient this morning and tried to convince him to have a below knee amputation but he would rather die.
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