Caroline Fife M.D.
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  • Home
  • About
  • Categories
    • The COVID-19 Diaries
    • COVID-19
    • Dr. Marissa Carter
    • Cassandra Chronicles: Regulatory and Coverage Policy
    • Do the Right Thing: Thoughts on Quality
    • Don’t Miss This
    • Fight the Good Fight
    • Health Information Technology and Wound Care
    • Healthcare Payment Policy
    • Miscellaneous Musings
    • My Articles on PRESENT Podiatry
    • My Editorials in Today’s Wound Clinic
    • Pressure Cooker: Rethinking Pressure Ulcers
    • Quality Payment Program
    • US Wound Registry
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What’s Wrong With This Picture? Why Foam Pads Can’t Prevent Ischemic Injuries

What’s Wrong With This Picture? Why Foam Pads Can’t Prevent Ischemic Injuries

by Caroline Fife, M.D. | Mar 5, 2021 | Fight the Good Fight, Pressure Cooker: Rethinking Pressure Ulcers

In 2019 when Dr. Gksoulias and I published “On the Origin of Intraoperative Pressure Injury: An Angiosomal Theory of Pressure Injury Formation,” I didn’t make a big deal about the photo above, but I think it’s time to talk about it. To look at this heel pressure...
Watch Pressure Injuries Form From the Inside Out!

Watch Pressure Injuries Form From the Inside Out!

by Caroline Fife, M.D. | Mar 3, 2021 | Fight the Good Fight, Pressure Cooker: Rethinking Pressure Ulcers

Over the years, I have created a few videos on my YouTube channel from serial photographs to show how Deep tissue injuries (DTI) and stage 4 pressure ulcers form from the inside out — at least, that’s what it looks like in these photos — although I can’t...
Thinking Out Loud About Ischemia Originating as a Venous Occlusion

Thinking Out Loud About Ischemia Originating as a Venous Occlusion

by Caroline Fife, M.D. | Mar 2, 2021 | Fight the Good Fight, Pressure Cooker: Rethinking Pressure Ulcers

Yesterday I posted a new pressure ulcer case report authored by Jenny Alderden, Dr. Tracey Yap and myself, which provides new evidence for the “inside out” vascular infarction theory of severe pressure ulcer formation (and which also explains Stage 1 pressure...
Severe Pressure Injuries Form From the Inside Out!

Severe Pressure Injuries Form From the Inside Out!

by Caroline Fife, M.D. | Mar 1, 2021 | Fight the Good Fight, Pressure Cooker: Rethinking Pressure Ulcers

More Evidence for Angiosomal Ischemia in This Report It’s finally out! The follow-up to the paper published previously about the angiosome theory of pressure injury! Pass this around freely because it was published Open Source. It has never made sense that external...
Hope for Atrophie Blanche with Compounded Topical Dapsone and Aspirin

Hope for Atrophie Blanche with Compounded Topical Dapsone and Aspirin

by Caroline Fife, M.D. | Dec 8, 2020 | Do the Right Thing: Thoughts on Quality, Fight the Good Fight, Healthcare Payment Policy

I understand why companies develop products for diabetic foot ulcers (DFUs) and venous leg ulcers (VLUs), even though those are NOT the most common wound problems. It’s because the clinical trials needed to satisfy the Food and Drug Administration (FDA) are well...
New Study Indicates that HBOT May Have Anti-aging Effects

New Study Indicates that HBOT May Have Anti-aging Effects

by Caroline Fife, M.D. | Nov 24, 2020 | Fight the Good Fight

The Sagol Center for Hyperbaric Medicine and Research, Shamir (Assaf-Harofeh) Medical Center in Israel has just published a new study indicating that hyperbaric oxygen therapy (HBOT) has “senolytic” (anti-aging) effects. The study is reported ahead of print in the...
UHMS Virtual Gulf Coast Chapter Meeting 2018 Now Available

UHMS Virtual Gulf Coast Chapter Meeting 2018 Now Available

by Caroline Fife, M.D. | Oct 20, 2020 | Fight the Good Fight, Healthcare Payment Policy

The Undersea and Hyperbaric Medical Society (UHMS) Gulf Coast chapter meeting is available now on the UHMS CME portal. It includes a talk I gave on whether a registry could save the field of Hyperbaric Oxygen Therapy (HBOT). I became committed to the need for a...
Estimating the Cost-Effectiveness of Cellular and/or Tissue-Based Products

Estimating the Cost-Effectiveness of Cellular and/or Tissue-Based Products

by Caroline Fife, M.D. | Oct 15, 2020 | Dr. Marissa Carter, Fight the Good Fight

Here’s a fascinating perspective on the cost effectiveness of CTPs by Marissa Carter, PhD, who is a well known researcher in the field of wound care. She’s also authored several informative blogs about the origins of COVID-19 and the challenges of developing a...
Law and Disorder – Going to Jail for Kennedy Terminal Ulcers

Law and Disorder – Going to Jail for Kennedy Terminal Ulcers

by Caroline Fife, M.D. | Oct 14, 2020 | Fight the Good Fight

Here’s a message from my good friend and colleague, nurse practitioner Joy Schank. Joy has donated her time as an expert in criminal court proceedings dealing with the development of skin breakdown at the end of life. Family members and clinicians have been charged...
The Legal Implications of Pressure Injuries

The Legal Implications of Pressure Injuries

by Caroline Fife, M.D. | Oct 7, 2020 | Fight the Good Fight

Check out the editorial and article I wrote for Today’s Wound Clinic about pressure injuries and malpractice litigation: What My Experiences Have Taught Me About Meritless Malpractice Cases and A Closer Look at the Legal Implications of Pressure Injuries.  Pressure...
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Recent Articles

  • What’s Wrong With This Picture? Why Foam Pads Can’t Prevent Ischemic Injuries March 5, 2021
  • Watch Pressure Injuries Form From the Inside Out! March 3, 2021
  • Thinking Out Loud About Ischemia Originating as a Venous Occlusion March 2, 2021
  • Severe Pressure Injuries Form From the Inside Out! March 1, 2021
  • The Perfect Presentation to an Administrative Law Judge about Medicare Denials for Radiation Injury to the Bladder February 23, 2021

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