by Caroline Fife, M.D. | Nov 18, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
Last Wednesday I showed you hemosiderin deposits in an unusual location. This week you can see skin changes that mimic classic hemosiderin but are not due to venous insufficiency. Iron overload, also known as haemochromatosis, is an accumulation of iron in the body...
by Caroline Fife, M.D. | Nov 17, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
Chartbook on Effective Treatment, National Healthcare Quality and Disparities. This Effective Treatment chartbook is part of a family of documents and tools that support the National Healthcare Quality and Disparities Report (QDR). The QDR includes annual reports to...
by Caroline Fife, M.D. | Nov 11, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
Prolonged venous hypertension results in venous dilatation and passage of red blood cells through the endothelium into the interstitium with subsequent breakdown and conversion of hemoglobin to hemosiderin. Iron oxide remains as a brown pigment stain on the skin...
by Caroline Fife, M.D. | Nov 10, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
The FDA’s device center unveiled its regulatory science priorities for 2016. They include leveraging clinical experience, a topic touched on in the House 21st Century Cures bill. The FDA is finally making it a priority to leverage “Big Data” for regulatory...
by Caroline Fife, M.D. | Nov 6, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
Hyperbaric physicians unite! Time to speak out and voice your concerns and educated opinions on the limitations imposed by the First Coast Draft LCD. GuideWell Source is the parent company of First Coast Service Options as well as Novitas Solutions. Between these two...
by Caroline Fife, M.D. | Nov 4, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
TRADJENTA® (Linagliptin)-Induced Bullous Pemphigoid Bullous pemphigoid is an acute or chronic autoimmune skin disease involving the formation of bullae at the dermal-epidermal junction. It is classified as a type II hypersensitivity reaction, with the formation of...
by Caroline Fife, M.D. | Nov 3, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
Please remember to check out my November/December 2015 editorial in Today’s Wound Clinic. I reviewed the sad history of the two years I spent as President of the Undersea and Hyperbaric Medical Society from 1998 to 2000, during which CMS attempted to reduce facility...
by Caroline Fife, M.D. | Oct 28, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
This is a photo of the patient I mentioned previously this month. It may be hard to get your bearings, but the gauze is over his tracheostomy at the anterior neck. The wound is on the lateral neck and you can see his major neck vessels exposed. This is metastatic...
by Caroline Fife, M.D. | Oct 23, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
It’s not IF but WHEN you get the notice of a payer audit. One day you will open your mail and receive the Notice of Audit. It’s no longer IF, but WHEN. What are you doing RIGHT NOW to ensure you will be successful when your time comes? Preparation is the key. ...
by Caroline Fife, M.D. | Oct 21, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
This is not “what is it” but “who is it?” Wednesday. This is Mario Martinez, cped. I am showing this slide as a reminder about how HARD off-loading can be. I can’t take any credit for this serendipitous situation, but it turns out that a terrific Orthotics group is in...