I think that Velcro devices for edema control are the greatest things since sliced bread. I hardly ever prescribe stockings for my elderly patients since it’s so unlikely they can put them on. I use Farrow wraps and Circaids almost exclusively. However, I get so frustrated with the system. These devices (like stockings) are only covered if the patient has a venous stasis ulcer AND I can’t order them if the patient has home nursing since the home nursing agencies will not purchase them for the patients. You would think that a home nursing agency would WANT to use something that shortens the length of time it takes  them to see a patient but it doesn’t work that way. So, I have to wait for the home nursing services to end, but not so long that the wound is healed so that the device won’t be covered. It’s so frustrating.

Dr. Fife sees patients at the CHI St. Luke's Hospital Wound Clinic in The Woodlands, Texas. For an appointment call (936) 266-2150.

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