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 | Cellular / Tissue-Based Products, 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...
by Caroline Fife, M.D. | May 5, 2021 | Fight the Good Fight, Nutrition & Wound Healing
I’ve been talking about how I use IMPACT® in surgical patients who are nutritionally at risk. This is the second patient I tried the approach on. She’s a very beautiful, 33-year-old, previously healthy young woman who developed sepsis with cardiogenic shock and was in...
by Caroline Fife, M.D. | May 4, 2021 | Fight the Good Fight, Nutrition & Wound Healing
I have spent the last several years making nutrition a major focus of my wound care practice, and I think it has revolutionized the way I manage patients. It would be ideal if all my patients could be evaluated by a registered dietician, but unless they have diabetes,...
by Caroline Fife, M.D. | Apr 30, 2021 | Do the Right Thing: Thoughts on Quality, Fight the Good Fight, Nutrition & Wound Healing
This is a 35 y.o. woman with type 1 Diabetes, liver disease and end stage renal disease on home peritoneal dialysis after failed renal and liver transplants. She also has other wounds on her body due to pressure and ischemia. The abdominal wound had been present for 9...
by Caroline Fife, M.D. | Apr 29, 2021 | Fight the Good Fight, PAD Hall of Shame, Skin Perfusion Pressure (SPP)
Wounds are a symptom of disease, and usually the first disease we have to rule out in patients with lower extremity wounds is poor perfusion. Arterial disease is the most common reason, but not the only one. I rely on skin perfusion pressure (SPP) to determine whether...
by Caroline Fife, M.D. | Apr 28, 2021 | Fight the Good Fight, PAD Hall of Shame, Skin Perfusion Pressure (SPP)
Wounds are a symptom of disease, and usually the first disease we have to rule out in patients with lower extremity wounds is poor perfusion. Arterial disease is the most common reason, but not the only one. I rely on skin perfusion pressure (SPP) to determine whether...
