by Caroline Fife, M.D. | Dec 2, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
This 51 year old man has horribly painful ulcerations on the plantar surface of both feet. He was cured of Hepatitis C with Sofosbuvir a year ago. The ulcer did not improve with prednisone, cyclosporine, or topical Aczone gel. After multiple biopsies the lesion was...
by Caroline Fife, M.D. | Nov 25, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
The Mayflower left the port of Southampton in August 1620 but was forced to put into Plymouth, England for repairs. The 102 passengers and 30 crew members finally left Plymouth for America on September 16, 1620. Blown off course by storms, it wasn’t until December...
by Caroline Fife, M.D. | Nov 25, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
Here’s one more strange disorder that causes staining of the tissues. Ochronosis is a syndrome caused by the accumulation of homogentisic acid in connective tissues. The phenomenon was first described by Rudolf Virchow in 1865. The condition was named after the...
by Caroline Fife, M.D. | Nov 24, 2015 | Fight the Good Fight, Health Information Technology and Wound Care, Quality Payment Program
CMS recently published a final rule that specifies criteria that eligible professionals (EPs) must meet in order to participate in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. EHR Incentive Programs Final Rule Provisions The new...
by Caroline Fife, M.D. | Nov 20, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
In the upcoming November edition of Today’s Wound Clinic, Helen Gelly, MD has written a very informative “Educational Note to Provider.” Helen, and Joe Darrah, the Managing Editor of TWC have graciously allowed me to share this The prior authorization...
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...