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Help Stop the Madness of Shin Radiation

by Caroline Fife, M.D. | Sep 28, 2021 | Fight the Good Fight, Shin Radiation Madness

If you have shin radiation wound cases you have treated (successfully or not), use the form below to tell your story and I will post them. Do NOT send protected health information, and that means no initials or dates in the photos! At the very least we can make a...
The Many Faces of Pyoderma Gangrenosum – This is Not a Pressure Injury

The Many Faces of Pyoderma Gangrenosum – This is Not a Pressure Injury

by Caroline Fife, M.D. | Sep 28, 2021 | Fight the Good Fight, Pyoderma Gangrenosum

An adult patient with severe cerebral palsy developed several pressure ulcers after hospital admission for pneumonia. This one has persisted for many months. While it’s possible that the trauma that initiated it was a pressure injury, this is pyoderma gangrenosum....
The Many Faces of Pyoderma Grangrenosum – a Leg Ulcer Present for a Year

The Many Faces of Pyoderma Grangrenosum – a Leg Ulcer Present for a Year

by Caroline Fife, M.D. | Sep 27, 2021 | Fight the Good Fight, Pyoderma Gangrenosum

39 y.o. woman with a non-healing left anterior shin ulcer which had been present for a year after minor trauma. Her father and her daughter have autoimmune diseases but she has no such diagnosis, nor does she have joint pain or bowel problems. The wound began as a red...
Pyoderma Gangrenosum (PG) Hiding in Plain Sight

Pyoderma Gangrenosum (PG) Hiding in Plain Sight

by Caroline Fife, M.D. | Sep 23, 2021 | Fight the Good Fight, Pyoderma Gangrenosum

I have an entire clinic full of patients with pyoderma gangrenosum. Nearly all of them were missed at other wound centers. I am going to post a series of PG cases in hopes that the information will help clinicians and patients identify this disease which is not so...
Please Stop the Madness of Radiation to the Shin

Please Stop the Madness of Radiation to the Shin

by Caroline Fife, M.D. | Sep 20, 2021 | Fight the Good Fight, Shin Radiation Madness

Please, if you are a patient with a bad skin cancer on the shin and have been recommended to have radiation instead of surgery, get a second opinion. The shin is very unforgiving when it comes to radiation. I posted a blog about this in 2017, but the cases keep coming...
What the Heck is That Thing? Massive Localized Lymphedema Talk Now Available

What the Heck is That Thing? Massive Localized Lymphedema Talk Now Available

by Caroline Fife, M.D. | Sep 17, 2021 | Fight the Good Fight, Lymphatic Imaging & Lymphedema

I gave a talk on Massive Localized Lymphedema for the Lymphapress educational series. It’s available on their Youtube channel and it’s FREE! Thank you Lymphapress for asking me to contribute to this fantastic resource for both patients and clinicians. Caroline Fife,...
We Could All Use a Happy Ending – My Patient Talks About How Her Life Was Saved by DNA Testing

We Could All Use a Happy Ending – My Patient Talks About How Her Life Was Saved by DNA Testing

by Caroline Fife, M.D. | Aug 19, 2021 | Fight the Good Fight

This interview with one of my patients was filmed one day before my hospital closed to visitors at the onset of the Covid-19 pandemic. The story is so incredible I wanted the patient to tell it herself so I was thrilled when, a few days ago, the Microgen team sent me...

The Neuropathy Song – by Dr. Monique Abner. Happy Monday!

by Caroline Fife, M.D. | Aug 16, 2021 | Fight the Good Fight, Miscellaneous Musings

You have to watch this! Dr. Monique Abner is a Plastic Surgeon and Wound Care Physician and she’s also one of the most creative and FUN people I know. A few years ago (in the good old days when we got to physically see each other at medical meetings), a group of us...
Tetanus Booster Recommended for Patients with Chronic Wounds

Tetanus Booster Recommended for Patients with Chronic Wounds

by Caroline Fife, M.D. | Aug 11, 2021 | Fight the Good Fight

My Father’s 2 year old baby brother died of tetanus in about 1929 after a minor cut to his foot. I’ve read about tetanus but thanks to modern vaccines, I’ve never seen a case. (If you want to read a chilling description of a death from tetanus, read about the death of...
Doggie Diagnostics

Doggie Diagnostics

by Caroline Fife, M.D. | Aug 6, 2021 | Fight the Good Fight, Miscellaneous Musings

I love practicing medicine because every day there is a mystery to ponder and I also hear great patient stories! The daughter of one of my patients is a remarkable woman whose amazing dog has been trained for search and rescue and as a “cadaver dog.” These are tough...
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