Caroline Fife M.D.
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  • Home
  • About
  • Categories
    • The COVID-19 Diaries
    • COVID-19
    • Dr. Marissa Carter
    • Cassandra Chronicles: Regulatory and Coverage Policy
    • Do the Right Thing: Thoughts on Quality
    • Don’t Miss This
    • Fight the Good Fight
    • Health Information Technology and Wound Care
    • Healthcare Payment Policy
    • Miscellaneous Musings
    • My Articles on PRESENT Podiatry
    • My Editorials in Today’s Wound Clinic
    • Pressure Cooker: Rethinking Pressure Ulcers
    • Quality Payment Program
    • US Wound Registry
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Cancer, Biofilm and the Keto Diet

Cancer, Biofilm and the Keto Diet

by Caroline Fife, M.D. | Apr 11, 2019 | Fight the Good Fight, Health Information Technology and Wound Care

The video above depicts a 68 year old woman who had first noticed a lump in her breast 8 years earlier, but she did not seek treatment because she was overwhelmed with the death of her father and suffered a stroke due to a blood clot. She was placed on Coumadin for...
Don't Miss This: Annoyed by Livedoid

Don't Miss This: Annoyed by Livedoid

by Caroline Fife, M.D. | Apr 10, 2019 | Fight the Good Fight, Health Information Technology and Wound Care

Here are two patients with “livedoid” skin changes. Are they the same thing? Case #1: A 66 year old woman with a narcotic addition who fell asleep on her heating pad and suffered a burn on her buttock (see above). She has livedoid changes to the skin – a reticulated...
The Ironman Competition

The Ironman Competition

by Caroline Fife, M.D. | Apr 8, 2019 | Fight the Good Fight, Health Information Technology and Wound Care

One of the things that makes wound care fascinating is that you can work your way through the Merck manual of rare diseases in a few months. I walked into see a new patient who had some of the worst leg ulcers I have ever seen (see above). He was a diabetic on...
Don't Miss This: This One is Neither a Pressure Ulcer Nor a Pressure Injury

Don't Miss This: This One is Neither a Pressure Ulcer Nor a Pressure Injury

by Caroline Fife, M.D. | Apr 5, 2019 | Fight the Good Fight, Health Information Technology and Wound Care

This patient was referred for a persistent buttock lesion that developed during a severe illness. I like to listen to the patient’s story before I look at their wound, since the history will usually tell you the diagnosis. His story was unusual, because he described...
Watch Epithelium "Think"

Watch Epithelium "Think"

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...
The Wound Whisperer – Lymphedema of the Plantar Foot

The Wound Whisperer – Lymphedema of the Plantar Foot

by Caroline Fife, M.D. | Apr 1, 2019 | Fight the Good Fight, Health Information Technology and Wound Care

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...
The Unwilling Doing the Impossible for the Ungrateful: Wound Care Quality Measure Development

The Unwilling Doing the Impossible for the Ungrateful: Wound Care Quality Measure Development

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...
The Wound Care Practitioner Reduction Program (HRRP)

The Wound Care Practitioner Reduction Program (HRRP)

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...
Don't Miss This: Mucormycosis

Don't Miss This: Mucormycosis

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...
Too Bloody Likely

Too Bloody Likely

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...
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Recent Articles

  • What’s Wrong With This Picture? Why Foam Pads Can’t Prevent Ischemic Injuries March 5, 2021
  • Watch Pressure Injuries Form From the Inside Out! March 3, 2021
  • Thinking Out Loud About Ischemia Originating as a Venous Occlusion March 2, 2021
  • Severe Pressure Injuries Form From the Inside Out! March 1, 2021
  • The Perfect Presentation to an Administrative Law Judge about Medicare Denials for Radiation Injury to the Bladder February 23, 2021

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