A Wigwam for a Goose's Bridle

We are an infected rodent ulcer 
on the shin of an anti-coagulated diabetic vasculopath - 
I’m unsure if this will heal even with a graft, 
but you are so sure 
of your surgical technique as you begin the excision. 
I want to be impressed
by your confidence in your ability to cure the cancer.
I don’t want to undermine you, 
the way you’re undermining the edges of the wound, 
but I feel like this procedure was poorly planned.  
You know there’s not enough skin 
to close the defect; do you really believe
this can heal by secondary intent? 
The cultures were multi-resistant, 
the peripheral pulses non-existent,
and you’re dabbing lightly at blood
leaking faster than your piece of gauze can absorb it.
I’m not convinced you’ll save the limb.