by Caroline Fife, M.D. | Jul 1, 2019 | Fight the Good Fight, Healthcare Payment Policy
Guest Post Written by Jule Crider As has been reported widely in the press, the President issued an Executive Order (EO) last week on price transparency that has implications for all healthcare providers. I have pasted below excerpts from the American Hospital...
by Caroline Fife, M.D. | Jun 27, 2019 | Fight the Good Fight, Healthcare Payment Policy
“The wounds with no name” (WWNN) are wounds that are due to trauma (not surgical complications) that never heal, PLUS the chronic ulcers that are NOT diabetic, arterial, venous or pressure related. These two groups (accidental wounds and ulcers which are not obviously...
by Caroline Fife, M.D. | Jun 10, 2019 | Fight the Good Fight
It’s unlikely that a physician – no matter what their specialty is – can get through their professional career without being named in a medical malpractice lawsuit. My first malpractice lawsuit occurred when I was still in residency. I responded to a “code blue” in...
by Caroline Fife, M.D. | Jun 7, 2019 | Fight the Good Fight
Two weeks ago, on May 24th, my husband, Alan G. Moore, MD, died after a long battle with dementia. In 2009, during a complex surgical procedure, he found himself struggling to remember the steps of an operation he had performed hundreds of times. Neuro-psychometric...
by Caroline Fife, M.D. | May 15, 2019 | Fight the Good Fight, Health Information Technology and Wound Care
[youtube https://www.youtube.com/watch?v=HpoLD1qR8HA] The following patients with leg ulcers were referred to me (sometimes by the vein center) after undergoing venous ablation for documented venous reflux. The first is a 92 year old, alert little lady referred from...
by Caroline Fife, M.D. | Apr 17, 2019 | Fight the Good Fight, Health Information Technology and Wound Care
[youtube https://www.youtube.com/watch?v=5hQcM80HVIY&w=1280&h=720] If you have been in wound care for any length of time, you have seen a patient like this. The local cancer is eradicated, and then we handle the aftermath. I tried to get a video of the day I...
by Caroline Fife, M.D. | Apr 15, 2019 | Fight the Good Fight, Health Information Technology and Wound Care
This is a 70 year old man who underwent surgery for a ganglion cyst two months before he was referred to the wound center. Ten days later when the sutures were removed, the wound just fell open. He underwent debridement and closure, and the same thing happened. These...
by Caroline Fife, M.D. | Apr 11, 2019 | Fight the Good Fight, Health Information Technology and Wound Care
[youtube https://www.youtube.com/watch?v=6PLL158Xr_Y&w=1120&h=630] The video above depicts a 68 year old woman who had first noticed a lump in her breast 8 years earlier, but she did not seek treatment because she was overwhelmed with the death of her father...
by Caroline Fife, M.D. | Apr 10, 2019 | Fight the Good Fight, Health Information Technology and Wound Care
Here are two patients with “livedoid” skin changes. Are they the same thing? Case #1: A 66 year old woman with a narcotic addition who fell asleep on her heating pad and suffered a burn on her buttock (see above). She has livedoid changes to the skin – a reticulated...
by Caroline Fife, M.D. | Apr 8, 2019 | Fight the Good Fight, Health Information Technology and Wound Care
One of the things that makes wound care fascinating is that you can work your way through the Merck manual of rare diseases in a few months. I walked into see a new patient who had some of the worst leg ulcers I have ever seen (see above). He was a diabetic on...
