The administration needs to change its standard of care for Lymphedema patients!!! A 45 minute visit is definitely not enough time for a Certified Lymphedema Therapist to do a COMPLETE  therapy visit for LE patients. With discussion of therapy, un-wrapping, manual lymph drainage (which alone should take at least 20 minutes and is an essential part of therapy), and re-wrapping, the sessions should be no less than 1 hour and for new patients or difficult cases should likely be much more than that. You are definitely shorting out patients the proper care that they should get from providers by your unreasonable corporate standards. 
AL PT