by Caroline Fife, M.D. | May 12, 2021 | Fight the Good Fight
This is a 57-year-old woman with rheumatoid arthritis and a non-healing ulcer of the leg for a year, likely due to vasculitis. Traumatizing vasculitic ulcers with sharp debridement often makes them larger (besides being horribly painful) – so it’s generally a...
by Caroline Fife, M.D. | May 11, 2021 | Fight the Good Fight, Nutrition & Wound Healing
This is a man in his mid-eighties with severe peripheral edema and a nasty looking leg ulcer that’s been present for about 2 months. His edema began 2 years ago, some weeks after his wife died. It turns out that he’s lost at least 20 lbs. over the past year. When I...
by Caroline Fife, M.D. | May 10, 2021 | PAD Hall of Shame
I am humming that song from the ‘80’s, “Just another manic Monday…” Another patient in profound heart failure with shortness of breath that prevents her from lying supine, who’s got edema from the abdomen down. Fluid is coming right through her skin (see the...
by Caroline Fife, M.D. | May 10, 2021 | Fight the Good Fight, Pressure Cooker: Rethinking Pressure Ulcers
Check out this podcast interview with Drs. Tracey Yap and Jenny Alderden discussing their recent research on the frequency of repositioning for nursing home patients and the relationship of pressure injuries (PI) to angiosomes. Here’s a link to the related article in...
by Caroline Fife, M.D. | May 10, 2021 | Miscellaneous Musings
We just celebrated another healed wound, and the team was presented with these special treats from GiGi’s Goodies in Spring, Texas. Click the link to send them an email, or give them a call at (281) 660-2281. I ate a Band-Aid, and it was delicious. Caroline Fife,...
by Caroline Fife, M.D. | May 10, 2021 | Nutrition & Wound Healing
This is a poster I presented at a wound care conference two years ago. It’s not earth shattering, it’s just interesting. The patient is a woman in her late 80’s with advanced dementia who was being taken care of lovingly at home by her two daughters. She developed a...
by Caroline Fife, M.D. | May 7, 2021 | Nutrition & Wound Healing
This is a 61-year-old woman with Lupus who presented with huge non-healing ulcers on both knees, thought to be related to vasculitis. However, her BMI (Body Mass Index) is only 13.8 — which is lower than patients I treated in Haiti. She weighs only 83 lbs. None...
by Caroline Fife, M.D. | May 6, 2021 | Dr. Marissa Carter
ACHM My Webinar: Hyperbaric Grand Rounds – Regulatory Updates in Hyperbaric Medicine Speaker: Helen Gelly, MD, FUHM, FACCWS, UHM/ABPM HyperbaRXs Marietta, GA Moderator: Tyler Sexton, MD, DMT, CHWS, MAPWCA Day/Date: Thursday, May 27th Time: 12:00 – 1:00 PM...
by Caroline Fife, M.D. | May 6, 2021 | Do the Right Thing: Thoughts on Quality, Fight the Good Fight
Dear Manufacturer of Cellular and/or Tissue-based Products (CTPs) — commonly known as “skin substitutes”: I feel compelled to explain the math of using CTPs in the hospital-based outpatient department (HOPD). A friend who is a podiatrist just told me about the...
by Caroline Fife, M.D. | May 5, 2021 | Uncategorized
CutisCare has launched “Hyperbaric Aware,” a national campaign to elevate awareness of hyperbaric oxygen therapy (HBOT). Despite the fact that Hyperbaric Oxygen Therapy has been in common use since the 1960’s and is an effective healing option for...
