Donna's appointment with the surgeon for Tuesday got cancelled late Monday afternoon and was rescheduled for today at the office near the hospital (longer trip). When we got there the receptionist said immediately that the doc was out sick. Bad news! But a PA was taking his patients and Donna could see her if she wanted to. Well... duh...
With the dead tissue in the wound Donna would have seen a meat cutter as long as he had a knife. Donna undressed the wound herself, which is understandable. It always hurts less or is less annoying when the patient can do the process herself.
So the PA takes a look and gets a few instruments. No local anesthetic; she just reached in with surgical scissors and tweezers and began snipping tissue. Donna made a face a few times but she was wearing her big gurl panties (well, they were actually around her knees at the time) and she toughed it out and let the PA work.
I couldn't see into the wound from where I was sitting but I could see what was being removed and after the pile got to be a good size, I could see the PA's gloved finger penetrating into the "tunnel" where some of the dead tissue had been. It was a bit blood, but it's no longer black, so here a pic. Looks like mybloggers's uploader is working as long as the pic isn't too large.

So the wound is full of sponge and the vac is applied and a nurse will come on Saturday to redo the sponge. This process is dragging on but Donna still hasn't said that if she had it to do over she wouldn't. Looks like the vac will be on for at least a few more weeks since her next appointment isn't until 7 January.
A box of Christmas gifts has already been transported to the grandkids' house and Donna will probably stop by there on Saturday. After that we should have a quiet holiday. Ham is in the refrigeration and snow is coming.
Merry Christmas and happy other holidays that you may celebrate!