by Caroline Fife, M.D. | May 6, 2015 | Cassandra Chronicles: Regulatory and Coverage Policy, Don't Miss This, Pressure Cooker: Rethinking Pressure Ulcers, US Wound Registry
I thought I’d spend the month of April thinking about vascular screening. Last week I saw a 55-year-old man who suffered a minor scratch on his left shin 6 months earlier. He is a heavy smoker. Before the injury his walking was limited by claudication. After the...
by Caroline Fife, M.D. | Apr 22, 2015 | Don't Miss This
I am removing the maggots after only 24 hours (sometimes they are left on longer). Look how clean the wound is. Next week you can see how she did. [wpvideo AinSKUuN] Caroline Fife, M.D.Dr. Fife is a world renowned wound care physician dedicated to improving patient...
by Caroline Fife, M.D. | Apr 15, 2015 | Don't Miss This
This is an inflammatory leg ulcer in a patient with an autoimmune disease. I don’t want to use sharp debridement but I’d like to get her ready for a cellular product so I’ve decided to use biological debridement (larval maggots). Next week I will...
by Caroline Fife, M.D. | Apr 1, 2015 | Don't Miss This
This is a 76 year old lady from Mexico whose chest was horribly burned more than 70 years ago as a child in a fire. She never developed breasts because of the destruction of tissue on her chest wall. Her family brought her to me because of this tissue that looked like...
by Caroline Fife, M.D. | Mar 25, 2015 | Don't Miss This
This man developed a thrombosis of his left subclavian vein as a result of a catheter. Take a look at the hemosiderin deposits on his fingers. He’s actually got varicose veins on his forearms that you can’t see in this photo. This is a rare case of venous stasis...
by Caroline Fife, M.D. | Mar 18, 2015 | Don't Miss This
I am just going to tell you what this one is because I had to get help from Dermatology to figure it out. I was treating the man for a diabetic foot ulcer on the other foot when he came in with this new lesion on the contralateral great toe that had developed over...
by Caroline Fife, M.D. | Mar 11, 2015 | Don't Miss This
This man was referred to me for his non-healing foot ulcers. He had several of them. You might mistake this tissue for granulation tissue except that it’s trying to chase you around the room. I will give it away when I tell you that he is HIV positive. Yes, that is...
by Caroline Fife, M.D. | Feb 26, 2015 | Don't Miss This
This patient is undergoing HBOT for soft tissue radionecrosis of the oropharynx. He developed a rash on his ear and the side of his neck including a necrotic eschar on his left ear lobe. The rash even extends into his scalp on the left. What is it? Yes, it’s shingles....
by Caroline Fife, M.D. | Feb 11, 2015 | Don't Miss This
This is the ulcer of a 55 year old man who has had diabetes for 14 years. It started when he scratched his leg during a construction project 6 months earlier. You can see from the photo of his leg that he has almost no edema, no hemosiderin, and no...
