Lately I’ve been wondering about a short-term admission for some of these patients with a Foley, diuresis, a high protein diet, bed rest and aggressive use of their pneumatic compression device. I am sure it would work temporarily.
This patient has one of the chronic condition “triads” that Medicare fears most.
What will happen to him under an “episode of care” model of wound care? When did his wound care episode begin? When does it end?
Have you asked yourself why some patients with lymphedema have profound skin changes and others do not, and that lymphedema in the setting of venous occlusion is so much more likely to lead to ulceration than lymphatic occlusion in the absence of venous disease?
Now anyone can see it.
I have actually lost count of the scooter related foot injuries, which are not trivial in our patients.
Our understanding of lymphatic function is still stuck in the Victorian era, but I hope it won’t be for much longer.