I was a staff general surgeon in a Los Angeles hospital, and I remember waiting in the operating lounge for my next laparoscopic cholecystectomy to begin. It occurred to me that there was a group of people in a nursing home right across the street who were, in their own way, underserved in the area of wound care. At that time - 2007 - nursing home wound care patients were an almost entirely unserved population, but I thought I might be able to help. I started helping out, and I remember my first major breakthrough: I had a patient named Mr “Rivera,” (name changed for privacy reasons) who had a large wound on his sacrum but couldn’t leave the facility to get the treatment he needed. I figured, if he can’t leave the facility, maybe we can help him right here. I decided to try performing bedside debridements to clean and freshen his wound, and I was thrilled to see it respond. Every week, I came to check on Mr. Rivera, and before long, his wound had rapidly improved. I started getting calls to look at other patients, and at other facilities, to help with their wounds, and that’s how the Skilled Wound Care practice started.