by Caroline Fife, M.D. | Sep 23, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
We talk about “livedoid patterns” on the skin but this has got to be one of the most amazing ones I have ever seen. This lady burned her backside falling asleep on a heating pad. The burn healed but these livedoid skin changes remained. Caroline Fife, M.D.Dr. Fife is...
by Caroline Fife, M.D. | Sep 22, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
Yesterday I posted some of the reasons for denial of HBOT under prior authorization. I thought I’d point out something that should be obvious but might not be. It appears that HBOT is being denied for DFUs unless—at a bare minimum: Hemoglobin A1C is being checked and...
by Caroline Fife, M.D. | Sep 16, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
What do you think this erythematous eruption is? Ring worm maybe? How about a nickel allergy to the battery in the patient’s watch. Caroline Fife, M.D.Dr. Fife is a world renowned wound care physician dedicated to improving patient outcomes through quality driven...
by Caroline Fife, M.D. | Sep 15, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
I am trying 2 new cellular-based products at the moment. I won’t say which ones they are. I am grateful to have sample products to try since there are always patients who don’t have secondary insurance and can’t afford the copays if I have to charge them, or whose...
by Caroline Fife, M.D. | Sep 9, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
While there are a lot of HIPAA issues to keep track of regarding patients with cell phones taking photos in clinic, I use them a lot. This is a photo of a patient’s wife (which is why she isn’t wearing gloves!) taking a photo of his toe so he can see the wound (it’s...
by Caroline Fife, M.D. | Sep 8, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
Today, not one but 2 different companies talked to me about their new anti-biofilm treatment. Their mechanisms of action are entirely different. The only things they have in common are that they are both colorless and applied topically. Both companies (who had no...
by Caroline Fife, M.D. | Sep 4, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
Good morning and Happy Friday! Friday’s on the blog are reserved for “Ask the Physician Friday.” If you have any questions for me please feel free to leave them in the comments below, ask on Twitter (@carolinefifemd), or on Facebook (@Woodlands Wound Physicians). I...
by Caroline Fife, M.D. | Sep 2, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
What is this unusual skin eruption? Is it some kind of infestation? No, it’s a wrongly applied NPWT dressing. The home nurse applied the VAC sponge right over the patient’s skin. Caroline Fife, M.D.Dr. Fife is a world renowned wound care physician dedicated to...
by Caroline Fife, M.D. | Sep 1, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
Here’s some straight talk on clinical pathways. We’ve all gotten the message on “evidence based” medicine by which payers use data, primarily from randomized controlled trials (RCTs) to decide what treatments they will cover. I’ve had some concerns about that since...
by Caroline Fife, M.D. | Aug 28, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
Good morning and Happy Friday! Friday’s on the blog are reserved for “Ask the Physician Friday.” If you have any questions for me please feel free to leave them in the comments below, ask on Twitter (@carolinefifemd), or on Facebook (@Woodlands Wound Physicians). I...
