Sometimes it feels so hopeless trying to manage paralyzed patients. None of them seem to have physical medicine doctors. Their bladder spasms and muscle spasms are terrible and I am arguing with their insurance companies to get them to physical medicine doctors who can do a better job of managing these issues. Why do I need to argue for a new wheelchair cushion when a pressure ulcer is so expensive to treat? I thought HMOs were supposed to be focused more on prevention. It doesn’t seem that any of them are doing a very good job of preventive care for paralyzed patients.

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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