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Making an Impact with IMPACT®

Making an Impact with IMPACT®

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,...
It’s Hard to Do the Right Thing About Nutrition in Patients with Chronic Wounds

It’s Hard to Do the Right Thing About Nutrition in Patients with Chronic Wounds

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...
Why I Can’t Be a Wound Doctor Without Skin Perfusion Pressure, Part 6

Why I Can’t Be a Wound Doctor Without Skin Perfusion Pressure, Part 6

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...
Why I Can’t Be a Wound Doctor Without Skin Perfusion Pressure, Part 5

Why I Can’t Be a Wound Doctor Without Skin Perfusion Pressure, Part 5

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...
Why I Can’t Be a Wound Doctor Without Skin Perfusion Pressure, Part 4

Why I Can’t Be a Wound Doctor Without Skin Perfusion Pressure, Part 4

by Caroline Fife, M.D. | Apr 27, 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...
Another Reason to Get COVID Vaccinated: Data That Should Send Shudders Down Epidemiologists’ Backs

Another Reason to Get COVID Vaccinated: Data That Should Send Shudders Down Epidemiologists’ Backs

by Caroline Fife, M.D. | Apr 26, 2021 | COVID-19, Dr. Marissa Carter

An article by Ranjan and colleagues (not yet peer reviewed and available as a pre-print doi describes the grim reality of the second wave of COVID-19 in India. Every day the number of infected people doubles. The exponential increase suggests that the infection rate...
Why I Can’t Be a Wound Doctor Without Skin Perfusion Pressure, Part 3

Why I Can’t Be a Wound Doctor Without Skin Perfusion Pressure, Part 3

by Caroline Fife, M.D. | Apr 26, 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...
Why I Can’t Be a Wound Doctor Without Skin Perfusion Pressure, Part 2

Why I Can’t Be a Wound Doctor Without Skin Perfusion Pressure, Part 2

by Caroline Fife, M.D. | Apr 23, 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...
Why I Can’t Be a Wound Doctor Without Skin Perfusion Pressure

Why I Can’t Be a Wound Doctor Without Skin Perfusion Pressure

by Caroline Fife, M.D. | Apr 22, 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...
I Want to Do a GoFundMe Campaign for Some Hospital Equipment I Need

I Want to Do a GoFundMe Campaign for Some Hospital Equipment I Need

by Caroline Fife, M.D. | Apr 21, 2021 | Fight the Good Fight, PAD Hall of Shame

I cannot do wound care without skin perfusion pressure. My machine is broken. If I don’t have one, I can’t do what I do. The hospital says that because the other wound centers use ABI that I should, too. But I see the problems they can’t fix. There is a lot of other...
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Wound Care Reimbursements

Recent Articles

  • OIG Calls for Urgent “Skin Substitute” Payment Reform Based on Analysis of Medicare Data September 15, 2025
  • A Follow Up on the “Tale of Two Wounds” and the Madness of Skin Sub Pricing September 12, 2025
  • The Association Between Obstructive Sleep Apnea & Wound Healing: A Systematic Review – PMC September 10, 2025
  • The Article by Attorney David Traskey May Have Saved My Nurse Practitioner Friend – Thank You! September 8, 2025
  • FDA Issues a Letter to Health Care Providers to Follow Instructions for Safe Use of Hyperbaric Oxygen Therapy Devices September 5, 2025

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