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Ethical Issues, Standards and Quality Control in the Practice of Hyperbaric Medicine

Ethical Issues, Standards and Quality Control in the Practice of Hyperbaric Medicine

by Caroline Fife, M.D. | Oct 9, 2018 | Fight the Good Fight, Health Information Technology and Wound Care

I’ve been getting requests for the chapter on Ethical Issues in Hyperbaric medicine, published in the 4th Edition of Jain’s Textbook of Hyperbaric Medicine. You can obtain an electronic copy this way: The homepage for Textbook of Hyperbaric Medicine, 4th...
False Accusations and a Web of Deceit – in a DIABETIC FOOT STUDY?

False Accusations and a Web of Deceit – in a DIABETIC FOOT STUDY?

by Caroline Fife, M.D. | Oct 8, 2018 | Fight the Good Fight, Health Information Technology and Wound Care

Is it not even possible to have honesty in MEDICAL RESEARCH? Here is a link to a petition posted by Canadian physician Dr. Kenneth DeDez, about the false data published in Diabetes Care from a study of hyperbaric oxygen therapy (HBOT) in Wagner Grade 2 diabetic foot...
Don't Miss This: Chronic Ulcers Due to Influenza? Sort of…

Don't Miss This: Chronic Ulcers Due to Influenza? Sort of…

by Caroline Fife, M.D. | Oct 8, 2018 | Fight the Good Fight, Health Information Technology and Wound Care

This is an elderly woman who developed a confirmed Influenza A infection back in February. Her husband says that these painful leg lesions began almost immediately after starting Oseltamivir (Tamiflu®). She was referred to me 5 months later, and the husband was...
Team-Based Healthcare

Team-Based Healthcare

by Caroline Fife, M.D. | Oct 4, 2018 | Do the Right Thing: Thoughts on Quality, Don't Miss This

A recent National Academy of Medicine discussion paper reviews the concept of “team-based healthcare” and the way in which it is associated with both improved patient outcomes and clinician well-being. According to the authors, teamwork must,...
People are Starving – In Your Waiting Room

People are Starving – In Your Waiting Room

by Caroline Fife, M.D. | Oct 3, 2018 | Fight the Good Fight, Health Information Technology and Wound Care, Nutrition & Wound Healing, Quality Payment Program

What scares me is the fact that I didn’t really pay attention to this until I started developing quality measures for wound care. But now that I’m paying attention, the extent of it is terrifying. In one day I saw three patients who were starving, two of whom had on...
Don't Miss This: Chronic Ulcers Due to Influenza? Sort of…

Don't Miss This: Chronic Ulcers Due to Influenza? Sort of…

by Caroline Fife, M.D. | Sep 28, 2018 | Fight the Good Fight, Health Information Technology and Wound Care

This is an elderly woman who developed a confirmed Influenza A infection back in February. Her husband says that these painful leg lesions began almost immediately after starting Oseltamivir (Tamiflu®). She was referred to me five months later, and the husband was...
So do I or don’t I have to sign a release for that? How HIPAA Harms Care.

So do I or don’t I have to sign a release for that? How HIPAA Harms Care.

by Caroline Fife, M.D. | Sep 26, 2018 | Fight the Good Fight, Health Information Technology and Wound Care, The Patient's Voice

My wonderful Dad, a WWII and Korean War veteran, and probably the closest thing to the real Indiana Jones, died a few years ago after a series of terrible strokes. He had undergone neurosurgery in Houston at the hospital where I was on staff and when he suffered a...
That Mona Lisa Metabolic Disorder

That Mona Lisa Metabolic Disorder

by Caroline Fife, M.D. | Sep 24, 2018 | Fight the Good Fight, Health Information Technology and Wound Care

I love what I do in part because it is so visual. We can watch things get better. And because non-healing wounds are the manifestation of practically every known disease, if it is in the Merck Manual of rare diseases, it’s in the wound center waiting room. Every...
Flip Flop Pop

Flip Flop Pop

by Caroline Fife, M.D. | Sep 20, 2018 | Fight the Good Fight, Health Information Technology and Wound Care

Here’s a young transplant patient with edema of her foot. We’ve talked about appropriate footwear but diabetic shoes are ugly . . .She asked me if she ought to be worried about the rash on her toes. She’s got petechiae which, of course, are caused when capillaries...
A Salute to Real Men Who Never Give Up (and Who Bird Hunt with Poodles)

A Salute to Real Men Who Never Give Up (and Who Bird Hunt with Poodles)

by Caroline Fife, M.D. | Sep 17, 2018 | Fight the Good Fight, Health Information Technology and Wound Care

The Houston Chronicle has a feature article raising awareness about chronic wounds. I interviewed my friend Kevin who is mentioned in it. It came out just as he was being discharged home following a lengthy hospitalization to manage complications from a recurring...
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