by Caroline Fife, M.D. | Sep 10, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitutes, Fight the Good Fight
I am genuinely trying to understand what is “allowed” and what isn’t when it comes to Cellular Tissue Products (CTPs) / skin substitutes in the office-based setting – and that includes the “mobile” practice (which may include skilled nursing and care in the patient’s...
by Caroline Fife, M.D. | Sep 3, 2024 | Fight the Good Fight, Hyperbaric Oxygen Therapy
Dear Dr. Fife, For years you have been asking why it is so hard to do the right thing in wound care. I don’t know the answer, but this case is a great illustration of the problem. Here’s the photo of a patient I recently saw. He has had this diabetic foot ulcer for...
by Caroline Fife, M.D. | Aug 29, 2024 | Fight the Good Fight, Miscellaneous Musings
Wang and colleagues recently published an article in JAMA Dermatology about primary cutaneous cryptococcus. The article is not available open access, so we can’t look at the photos of the case. However, in 2012, Dr. Adelaide Hebert and I published a case report of...
by Caroline Fife, M.D. | Aug 26, 2024 | Fight the Good Fight, Healthcare Payment Policy
Noridian, besides being the Medicare Administrative Contractor (MAC) for Medicare benefits within a specific area of the country, also handles Durable Medical Equipment (DME) benefits for Jurisdiction D. As a DME MAC, Noridian recently issued an “update” on the...
by Caroline Fife, M.D. | Aug 19, 2024 | Fight the Good Fight
An article published in JAMA discusses the results of a survey to understand the “acceptability” of hospital-at-home care and the “potential capacity for caregiver burden.” Hospital at home provides hospital-level care for patients “with low to moderate acuity in the...
by Caroline Fife, M.D. | Aug 16, 2024 | Fight the Good Fight, Pyoderma Gangrenosum
I have a special interest in Pyoderma Gangrenosum (PG) because once I learned the clinical characteristics, I realized that PG is incredibly common in wound center patients –although sadly, it is uncommonly diagnosed. These patients suffer terribly because they get...
by Caroline Fife, M.D. | Aug 15, 2024 | Fight the Good Fight, Quiz / Survey
Thank you to everyone who took the time to vote! The correct answer was also the least popular — C) $500,000 per month Caroline Fife, M.D.Dr. Fife is a world renowned wound care physician dedicated to improving patient outcomes through quality driven care....
by Caroline Fife, M.D. | Aug 12, 2024 | Fight the Good Fight
I had the pleasure of working with Dr. Robert Goldman at the Memorial Hermann Wound Center at the University of Texas Health Science Center, Houston, so I know what a caring and careful practitioner he is. He has developed a pressure sensor that meets the huge...
by Caroline Fife, M.D. | Aug 9, 2024 | Fight the Good Fight, Quiz / Survey
I get a lot of social media messages about the amniotic CTP/skin sub issue, including unsubstantiated comments by sales representatives discussing how much money they make each month from commissions on high priced amniotic products. Just for fun, I thought I’d let...
by Caroline Fife, M.D. | Aug 8, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitutes, Fight the Good Fight, Quiz / Survey
Thanks to everyone who voted! As over 40% of you correctly guessed, the correct answer is D. An amniotic rep bragged that he had sold >$1.5 Million to a one practice in one week. Caroline Fife, M.D.Dr. Fife is a world renowned wound care physician dedicated to...
