Throwback Thursday

I have a scleroderma patient I am really struggling with. I got into wound care in 1990 and it’s wonderful to see all the studies that have been published about new treatments for patients with scleroderma. I was just kidding because there haven’t really been any....

What Is It Wednesday

This man developed a thrombosis of his left subclavian vein as a result of a catheter. Take a look at the hemosiderin deposits on his fingers. He’s actually got varicose veins on his forearms that you can’t see in this photo. This is a rare case of venous stasis...

Monday Musings

Last week I outlined the penalties for not participating in PQRS. If you haven’t done it so far, you could be looking at a 6% penalty for 2016 or 2017 depending on whether you attested for Meaningful Use of your EHR, not to mention the “Value Modifier” that will kick...

What Is It Wednesday

I am just going to tell you what this one is because I had to get help from Dermatology to figure it out. I was treating the man for a diabetic foot ulcer on the other foot when he came in with this new lesion on the contralateral great toe that had developed over...

Monday Musings

Last week I talked about the announcement by the Obama administration that CMS intends to tie 50% to 90% of physician reimbursement to some sort of quality based system by 2018. It’s no secret that we are being waved off the highway we’ve been on for many years onto...

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