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The Courage to Do the Right Thing

The Courage to Do the Right Thing

by Caroline Fife, M.D. | Jun 22, 2018 | Fight the Good Fight, Health Information Technology and Wound Care, Quality Payment Program

Nearly 200 years ago, the brilliant French historian Alexis de Tocqueville traveled the fledgling United States and observed that in lieu of hereditary wealth and aristocracy, we were building a society on individualism, market capitalism, and honoring the...
ZDoggMD and the Prescription for Physician Burnout

ZDoggMD and the Prescription for Physician Burnout

by Caroline Fife, M.D. | Jun 22, 2018 | Fight the Good Fight, Health Information Technology and Wound Care

Emotional exhaustion, depersonalization and a diminishing sense of accomplishment = Burnout. It’s a silent epidemic among  physicians, nurses and other healthcare professionals. It’s not enough that the lives of patients are at stake. Workloads are mounting,...
Physicians: Prior Authorizations are an Overwhelming Burden

Physicians: Prior Authorizations are an Overwhelming Burden

by Caroline Fife, M.D. | Jun 20, 2018 | Fight the Good Fight, Health Information Technology and Wound Care

The American Medical Association (AMA) released a survey in March documenting the growing negative effects of payer prior authorization demands and the impact they have on patient health and physician time. According to the survey of 1,000 physicians, which was...
Don’t Miss This (And You May Want to Try This)

Don’t Miss This (And You May Want to Try This)

by Caroline Fife, M.D. | Jun 18, 2018 | Don't Miss This, Fight the Good Fight, Health Information Technology and Wound Care

This is a man in his 80’s whose dementia can’t conceal his sweet personality. He has diabetes and relapsing Polychondritis. After he suffered a spiral fracture of the femur due to Myelodysplastic Syndrome, both his surgical incisions broke down a week after surgery. I...
Have You Seen This? (The Freestyle Libre System)

Have You Seen This? (The Freestyle Libre System)

by Caroline Fife, M.D. | Jun 15, 2018 | Fight the Good Fight, Health Information Technology and Wound Care

I just saw the Free Style Libre for the first time. The FreeStyle Libre system is a continuous glucose monitoring system consisting of a small handheld reader and a sensor that is worn on the back of the upper arm. The sensor uses a thin, flexible filament inserted...
A New World Odyssey, the First Recorded Surgery in Texas, and Hope in Hard Times

A New World Odyssey, the First Recorded Surgery in Texas, and Hope in Hard Times

by Caroline Fife, M.D. | Jun 13, 2018 | Fight the Good Fight, Health Information Technology and Wound Care

For the first time in the history of this country, life expectancy is on the decline, particularly among White males. There’s a lot of despair. I’ve been enjoying listening to Jordan Peterson’s 12 Rules for Life: An Antidote to Chaos. Check it out – I’ll talk...
Photo Quiz: How Can You Tell a Patient Has Worn Their Compression?

Photo Quiz: How Can You Tell a Patient Has Worn Their Compression?

by Caroline Fife, M.D. | Jun 8, 2018 | Fight the Good Fight, Health Information Technology and Wound Care

The proof is in the tan line… Yes. He got sunburned everywhere else! 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 blog at CarolineFifeMD.com and my...
Standards for Expert Witness Testimony by Wound Care Professional Organizations

Standards for Expert Witness Testimony by Wound Care Professional Organizations

by Caroline Fife, M.D. | Jun 7, 2018 | Fight the Good Fight, Health Information Technology and Wound Care, Pressure Cooker: Rethinking Pressure Ulcers

Check out another “Can We Talk” letter to the editor regarding the request that Joy Schank and I have made that NPUAP members disclose their work as expert witnesses, and that the NPUAP develop a policy pertaining to expert testimony. I think expert...
Don't Miss This: Calciphylaxis (Calcific Uremic Arteriopathy)

Don't Miss This: Calciphylaxis (Calcific Uremic Arteriopathy)

by Caroline Fife, M.D. | Jun 6, 2018 | Don't Miss This, Fight the Good Fight, Health Information Technology and Wound Care

These excruciatingly painful, necrotic leg lesions began about the same time on both legs when the patient began oral prednisone as part of chemotherapy for a myeloproliferative disorder. They have increased in size rapidly over two weeks. She had been on peritoneal...
Don't Miss This – Fingernail Findings

Don't Miss This – Fingernail Findings

by Caroline Fife, M.D. | May 30, 2018 | Don't Miss This, Fight the Good Fight, Health Information Technology and Wound Care

It’s good to be reminded that wounds are a symptom of a disease or diseases. The things we see from day to day are amazing. Here’s a quiz about fingernails. This little lady weighs less than 100 lbs. and is nearly as many years old. She worked as a welder...
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