About Dr. Fife
Dr. Fife is a world-renowned wound care physician. She is the Director of the Wound Care Center at CHI St. Luke’s The Woodlands Hospital, CMO of Intellicure, Inc., Exec. Director of the US Wound Registry & Editor of Today’s Wound Clinic.
Report Honest Healing Rates
It’s time for Wound Care physicians and providers to stand up for truly honest outcomes and transparent quality reporting. If we don’t we may see our entire profession wiped out. Click here to read more.
Over the years, I have created a few videos on my YouTube channel from serial photographs to show how Deep tissue injuries (DTI) and stage 4 pressure ulcers form from the inside out – at least, that’s what it looks like in these photos – although I can’t prove it. Watch them and see what you think.
Check out the Youtube video I made of Venous Occlusion of a toe. I ask you, doesn’t this toe have the same appearance as a DTI or unstageable pressure ulcer?
It’s finally out! The follow-up to the paper published previously about the angiosome theory of pressure injury! Pass this around freely because it was published Open Source.
The Perfect Presentation to an Administrative Law Judge about Medicare Denials for Radiation Injury to the Bladder
You will want to read this – Dick Clark’s presentation to an Administrative Law judge about a Medicare denial for late effects of radiation to the bladder.
My thanks to the many of you who have sent messages of support and sympathy. It will take time for operations, much less life, to return to COVID-19 normal. This is an opportunity for us to get to know our neighbors and help each other, and there are always blessings that come from that.
For every deteriorating patient who declines the option of HBOT, there are two willing to try it.
Here’s another installment from the intrepid critical care/hyperbaric physician who started “COVID Diaries.” Now she is telling the evolving story of treating COVID patients with HBOT.
We are down to steroids, aspirin and anticoagulation. We might as well be practicing critical care in the 1950’s.
What we need with COVID is a way to deliver enough oxygen to avoid intubation. It’s possible we found that with hyperbaric oxygen therapy (HBOT).
The COVID-19 Diaries make their long-awaited return.
The reason that infection is spreading is that no one has an immunity to these new strains. It’s the reason measles devastated the Native American population when they were first exposed to travelers from the Old World. Immunity is our only hope.
Noridian Releases Draft Wound Care LCD and Policy Article: WPS Revises Version of its Wound Care LCD
Even if your Medicare Administrative Contractor (MAC) is NOT Noridian or WPS, believe me you want to pay attention to their wound care or dressing policies because the MACs tend to collaborate (even unofficially) on these policies.
I keep telling myself that we always have more courage and resilience than we give ourselves credit for, and that you don’t know what you are capable of doing until you are tested. This is the test.
I am curious if you are seeing this in your own practice? I’d love to hear more details from you.
Here’s another story from Patricia Han about her Medicare “Disadvantage” plan.
I thought that it would be enlightening to have someone with her credibility provide a detailed explanation of the challenges she has faced as a chronically ill person with Medicare Advantage. I am not foolish enough to think that anyone at CMS will listen, but it could serve as a warning to other patients.
The G2211 code (the inherently complex add-on code for evaluation and management – EM) has been deferred to 2024. Instead CMS increased the RVU value to $34.8931, which is 3.75% global pay increase for physicians.
In the wake of Thanksgiving, Christmas and New Year’s, COVID-19 cases are soaring most places. Texas is not unique (see graph above). In October and early November things were looking a little better and now they are bad again. I work in a hospital-based outpatient...
Effective January 1, 2021, Texas Health and Safety Code, §§481.0755 requires that prescriptions for controlled substances to be issued electronically unless a waiver has been granted by the appropriate agency.
Here is a new and disheartening post from Dr. Marissa Carter about the new COVID-19 variant.
Send me your favorite payer policy blunders and I will post them.
You can tell me about your reservations to vaccines in general or the COVID-19 vaccine(s) in particular some other time. I only know I can’t practice like this much longer. It’s bad for patients and it’s terrible for my own mental health.
Thank you CHI St Luke’s Hospital The Woodlands and the fantastic staff for a really efficient, friendly and positive experience. Let’s hope this is the turning point of the pandemic.
It’s time to revisit the issue of the relationship of the physician to the hospital-based outpatient department (HOPD), the “site of service” for many wound care programs.
Maybe this problem will garner some interest for HBOT?
Dr. Marissa Carter has a new post about Pfizer’s mRNA COVID vaccine approval, which includes a long list of questions and answers. I have sent her my “wish list” for additional vaccine related articles!
Vitamin D Insufficiency and Death from COVID-19… And Why a Math Error Means We Don’t Take Enough Vitamin D
Wound healing isn’t the only thing that may be affected by insufficient levels of Vitamin D. Now there’s data suggesting that insufficient Vitamin D levels are a powerful contributor to death from COVID-19.