I would strongly recommend and endorse the Heel Keeper for use in a variety of settings, from home, hospital, skilled nursing facility, Operating Room and any setting where an immobile, at risk for developing pressure ulcer, patient may be found. Heel ulcers are a major problem, and despite the products and methods that are routinely used to offload heels, none have been found to adequately address all areas of concern. Several heel “protectors” on the market have been shown to create new pressure wounds, while most simply do not provide what they claim to do, namely reduce pressure at the heel. Dr. Finley’s design addresses critical factors, including anatomy and the physical issues surrounding an immobile patient. I have personally worn a Heel Keeper and found it to be comfortable to the point that I was unaware I was wearing it after a short amount of time. Patient compliance has been an issue with many “heel protector” products presently on the market. I have nothing to disclose regarding the “Heel Keeper” or my relationship with Dr. Finley. As a physician who has dedicated his professional life to reducing unnecessary suffering and amputations, I would hope that you will consider using this important product as part of your best practices and a medical-legal benefit to your facility.