by Caroline Fife, M.D. | Feb 16, 2023 | Nutrition & Wound Healing
This month (Feb 2023) Pittas and colleagues from Tufts published a systematic review article article in Annals of Internal Medicine about the possible value of Vitamin D in delaying diabetes onset (“Vitamin D and Risk for Type 2 Diabetes in People With Prediabetes A...
by Caroline Fife, M.D. | Jul 18, 2022 | Nutrition & Wound Healing
Check out this presentation on my process of screening for malnutrition among patients with chronic wounds, and the additional evidence supporting a nutritional algorithm for outpatient wound centers. I reviewed two case study examples of limb salvage that...
by Caroline Fife, M.D. | Oct 20, 2021 | Nutrition & Wound Healing
Please join me on November 4, 2021 from 3:00 – 4:00 PM ET for a webinar entitled “Immunonutrition and Wounds.” Objectives: Describe wound prevalence and cost among Medicare beneficiaries State the specialized nutritional recommendations from...
by Caroline Fife, M.D. | Jul 13, 2021 | Nutrition & Wound Healing
I am ashamed of how many years it took for me to get serious about the impact of nutritional deficits in chronic wounds, about consistently performing nutritional screening, and about improving patient nutritional status. There are 3 main barriers: Doctors don’t...
by Caroline Fife, M.D. | Jul 12, 2021 | Nutrition & Wound Healing
I have previously discussed the fact that my electronic health record (EHR) incorporated the Nestle Mini Nutritional Assessment (MNA) so that it only takes me a few seconds to do a proper nutritional screen and it can be done while I’m in the room with the patient....
by Caroline Fife, M.D. | Jun 30, 2021 | Nutrition & Wound Healing
Recently we talked about the importance of nutritional assessment in patients with wounds and ulcers. I’ve posted a few of the countless cases I’ve seen in which improved nutrition (usually with some type of oral nutritional supplement) is what made the difference. I...
by Caroline Fife, M.D. | Jun 4, 2021 | Nutrition & Wound Healing
Check out this article by Efthymios Gkotsoulias, David Kuten and me, published in the April issue of Today’s Wound Clinic entitled, “Multidisciplinary Teams, All the Time: Treat the Patient and Not the Wound.” The patient had a limb-threatening lesion, and his leg was...
by Caroline Fife, M.D. | Jun 1, 2021 | Nutrition & Wound Healing
I can’t decide if I am seeing more truly starving patients since I started focusing on nutrition, or if I’m just more sensitive to it. All 3 of these patients have a body mass index (BMI) of less than 17. The first patient completely healed a stage 4 pressure ulcer...
by Caroline Fife, M.D. | May 21, 2021 | Nutrition & Wound Healing
We see a lot of sad situations in the field of wound care, but every now and then, a case really gets to you. This patient is a 47 yo man with a sacral pressure ulcer which had developed 2 months earlier when he was hospitalized for pneumonia. He suffers from a rare,...
by Caroline Fife, M.D. | May 19, 2021 | Nutrition & Wound Healing, PAD Hall of Shame
This is a retired physician in his 90’s whose mind is as sharp as a tack. He’s got congestive heart failure (CHF) and leg edema so severe that his skin is splitting open. He’s a chair sleeper in part because he has orthopnea (shortness of breath lying down), but also...
