by Caroline Fife, M.D. | Jul 12, 2023 | Fight the Good Fight
Yes, more evidence that Vitamin D is good for you A study by Arayici and colleagues just released in the journal “Nutrients”* summarizes the pooled analysis of numerous meta-analyses of serum 25(OH)D levels, vitamin D intake and cancer risk. The researchers found that...
by Caroline Fife, M.D. | Jun 26, 2023 | Fight the Good Fight
This is a young woman with Rheumatoid Arthritis. She required a total knee replacement, and the surgical wound just fell apart. Negative Pressure Wound Therapy (NPWT) was started, but the foam just fell out of the wound without creating any visible change in the wound...
by Caroline Fife, M.D. | Feb 16, 2023 | Nutrition & Wound Healing
This month (Feb 2023) Pittas and colleagues from Tufts published a systematic review article article in Annals of Internal Medicine about the possible value of Vitamin D in delaying diabetes onset (“Vitamin D and Risk for Type 2 Diabetes in People With Prediabetes A...
by Caroline Fife, M.D. | Apr 14, 2021 | Do the Right Thing: Thoughts on Quality, Fight the Good Fight, Nutrition & Wound Healing, US Wound Registry
This is a young man in his 20’s who is a quadraplegic and suffered a bowel obstruction about 6 months before this photograph was taken. The midline abdominal wound is granulated, but still hasn’t epithelialized. Why? There’s no pressure over this area and it doesn’t...
by Caroline Fife, M.D. | Mar 30, 2021 | Fight the Good Fight, Health Information Technology and Wound Care, Nutrition & Wound Healing
There’s increasing interest in Vitamin D. I became focused on this after a series of patients who failed to heal operative wounds. I found their Vitamin D-OH levels were in the teens (in some cases, single digits) when 30 is the lowest value we want for wound healing....
by Caroline Fife, M.D. | Dec 11, 2020 | COVID-19, Nutrition & Wound Healing
I’ve talked a lot about the importance of having a Vitamin-D-OH level of at least 30 ng/ml for wound healing. The majority of my patients with non-healing wounds have Vitamin D-OH levels less than 30 ng/ml, even though most of them are taking supplemental vitamin D....
by Caroline Fife, M.D. | Jan 23, 2018 | Don't Miss This, Fight the Good Fight, Health Information Technology and Wound Care, Nutrition & Wound Healing
Forget about the flu epidemic. At least it’s pretty easy to figure out when a patient has the flu. I feel sure I have missed some patients with wounds due to low Vitamin D. The Vitamin-D deficiency epidemic is ridiculous. What scares me is not that 80% of the tests I...
by Caroline Fife, M.D. | Oct 31, 2024 | Fight the Good Fight, Nutrition & Wound Healing
Chu and colleagues have published a wonderful article in Advances in Skin & Wound Care, High-Quality Dietary Protein: The Key to Healthy Granulation Tissue – available open access. It contains a wealth of scientific and practical information emphasizing that...
by Caroline Fife, M.D. | Aug 23, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitute Arrests, Skin Perfusion Pressure (SPP)
Last week I gave a talk at the Amputation Prevention Symposium entitled, “Elevate the CLI Patient’s Voice: Why it is so Important to do the Right Thing?” I have to confess that when the meeting organizers first asked me to explain why it’s important to do the...
by Caroline Fife, M.D. | Oct 17, 2022 | Fight the Good Fight
Some months ago I gave a Webinar on massive localized lymphedema (MLL). Recently a young man reached out to me with a heart-wrenching email about his wonderful Mom. She’s got MLL and has had multiple bouts of cellulitis. She’s now homebound and giving up hope. He...
