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Telemedicine has the potential to revolutionize the way professionals in the field and in the office interact to treat the complex wounds of bedridden or homebound patients. If today's reimbursement environment is any indication, however, telemedicine will have a tough time making significant inroads over the course of a single decade. This does not necessarily have to be the case. Possible solutions include reimbursing telemedicine for patients with legitimate travel problems, adding a prospective payment modifier for complex wounds, and creating incentives for positive wound outcomes.
The oxymetazoline brand Afrin was first sold as a prescription medication in 1966. After finding substantial early success as a prescription medication, it became available as an over-the-counter drug in 1975. Schering-Plough did not engage in heavy advertising until 1986.  From the late 1980s to mid 1990s, Afrin featured in many notable television advertisements . Some of these commercials showed men, women, and children using other brands of nasal sprays, and then standing upside down or hanging upside down from playground equipment to prevent their nasal spray from dripping out. This was juxtaposed with Afrin users having no problems.