by Caroline Fife, M.D. | Apr 3, 2019 | Fight the Good Fight, Health Information Technology and Wound Care
I never tire of watching epithelium “think.” This lady had an open fracture of the ankle. The dorsal foot wound (where hardware was placed) separated and as the sough was debrided, enlarged. Then granulation begins to fill the defect. Then an amazing thing...
by Caroline Fife, M.D. | Apr 1, 2019 | Fight the Good Fight, Health Information Technology and Wound Care, Lymphatic Imaging & Lymphedema
I read Malcolm Gladwell’s book, Blink: The Power of Thinking Without Thinking, and since then I have been paying more attention to my instinctive reaction to certain wounds. I saw a patient getting a compression bandage change (who was not my patient), and the first...
by Caroline Fife, M.D. | Mar 29, 2019 | Fight the Good Fight, Health Information Technology and Wound Care, Quality Payment Program
A recent column in Med Page Today by David Nash draws attention to the quality measure development process as well as its funding model by CMS. My comment in response was not published in Med Page (shocking!), so I thought I’d post it here: “Thank you for...
by Caroline Fife, M.D. | Mar 27, 2019 | Fight the Good Fight, Health Information Technology and Wound Care, Quality Payment Program
A recent column in Med Page Today by David Nash draws attention to the frustrating issue of the quality measure development process (as well as its funding model). If any wound care practitioner has looked at their Quality and Resource Use Report (QRUR), you might...
by Caroline Fife, M.D. | Mar 25, 2019 | Fight the Good Fight, Health Information Technology and Wound Care
Mysterious Sepsis in a Dialysis Patient I have been taking care of a young woman with Type 1 diabetes who lost her kidney transplant about a year ago. She suffers from all the complications of diabetes, and is on home peritoneal dialysis. When I first saw her, she had...
by Caroline Fife, M.D. | Mar 14, 2019 | Fight the Good Fight, Health Information Technology and Wound Care
I have the nurses leave the dressing they just removed on a chuck or on top of the trash so that I can look at it. It is amazing what you can learn from a discarded wound dressing. I’ve blogged previously about the fact that frankly bloody drainage is increasingly...
by Caroline Fife, M.D. | Mar 11, 2019 | Fight the Good Fight, Health Information Technology and Wound Care, Nutrition & Wound Healing
84 year old man with a history of lymphoma but is purportedly disease free. Severe peripheral edema began 2 years ago. He says he developed this very large ulcer after minor trauma. His skin perfusion pressure is normal (68 mmHg), he has a biphasic PVR and strong DP...
by Caroline Fife, M.D. | Mar 11, 2019 | Fight the Good Fight, Health Information Technology and Wound Care
This is a retired surgeon with venous insufficiency. Whenever his compression garments become old, his leg swelling worsens and an old surgical scar on the lateral leg re-opens. Lymphatic fluid begins draining out of the PERI-WOUND area after a cleaning the area...
by Caroline Fife, M.D. | Mar 7, 2019 | Fight the Good Fight, Health Information Technology and Wound Care
Poison Ivy – treated with topical and systemic steroids… and a doctor’s excuse for hiring a yard crew. Caroline Fife, M.D.Dr. Fife is a world renowned wound care physician dedicated to improving patient outcomes through quality driven care. Please visit my...
by Caroline Fife, M.D. | Mar 5, 2019 | Fight the Good Fight, Health Information Technology and Wound Care
Allow my assistant to demonstrate the ease with which they may be applied….so why don’t more people who treat venous patients know about this option? This is not a long term solution for edema. Caroline Fife, M.D.Dr. Fife is a world renowned wound care physician...
