### Patient: Doctor, I have a painful open wound on my back that doesn't seem to be healing properly. Can you help me?
### Doctor: Sure, we need to perform a complete physical skin exam and wound care management to determine the best course of treatment. After that, we might do a plain x-ray to see if there are any underlying bone injuries. If necessary, we can proceed with suturing the wound or removing it with an excision. In some cases, we might also refer you to a home health care service for ongoing treatment. Finally, we may need a scan ct to determine the extent of the injury.