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...
by Caroline Fife, M.D. | Aug 6, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitutes, Fight the Good Fight
A few weeks ago, I got a message from a Cellular Tissue Products / skin substitute sales rep telling me about the great results seen using his product in Wagner grade 3 DFUs, specifically over bone and tendon. I wondered how he could make those claims given that, as...
by Caroline Fife, M.D. | Aug 2, 2024 | Fight the Good Fight, Quiz / Survey
I get lots of interesting emails about what’s going on in the world of high-priced amniotic sales. I can’t post a lot of it – sometimes because there’s an open investigation and sometimes because I have no way to validate what I’ve been told. For example,...