by Caroline Fife, M.D. | Oct 3, 2018 | Fight the Good Fight, Health Information Technology and Wound Care, Nutrition & Wound Healing, Quality Payment Program
What scares me is the fact that I didn’t really pay attention to this until I started developing quality measures for wound care. But now that I’m paying attention, the extent of it is terrifying. In one day I saw three patients who were starving, two of whom had on...
by Caroline Fife, M.D. | May 23, 2018 | Fight the Good Fight, Health Information Technology and Wound Care, Nutrition & Wound Healing
On Saturday May 19th I joined Drs. Jay Shah, Noel Oliveira and Rafael Rafols at the Texas Medical Association (TMA) meeting in San Antonio, Texas for the first ever wound care CME event at a TMA meeting. We focused on wound care for the primary care physician, and it...
by Caroline Fife, M.D. | Jan 23, 2018 | Don't Miss This, Fight the Good Fight, Health Information Technology and Wound Care, Nutrition & Wound Healing
Forget about the flu epidemic. At least it’s pretty easy to figure out when a patient has the flu. I feel sure I have missed some patients with wounds due to low Vitamin D. The Vitamin-D deficiency epidemic is ridiculous. What scares me is not that 80% of the tests I...
by Caroline Fife, M.D. | Sep 8, 2017 | Fight the Good Fight, Health Information Technology and Wound Care, Nutrition & Wound Healing, Quality Payment Program
What you put IN the patient may be as important as what you put ON them I have been focusing more on nutrition with my patients. Sometimes nutrition is the medicine. This is a wonderful patient over 90 years old who is still driving and mentally alert. He sustained...
by Caroline Fife, M.D. | Sep 7, 2017 | Fight the Good Fight, Health Information Technology and Wound Care, Nutrition & Wound Healing, Quality Payment Program
What you put IN the patient may be as important as what you put ON them I have been focusing more on nutrition with my patients. It’s so easy to overlook nutritional issues. Recently I saw a fairly young woman who suffered from juvenile Rheumatoid Arthritis and...
by Caroline Fife, M.D. | Sep 5, 2017 | Fight the Good Fight, Health Information Technology and Wound Care, Nutrition & Wound Healing, Quality Payment Program
What you put IN the patient may be as important as what you put ON them I have been focusing more on nutrition with my patients. It is amazing how prevalent nutritional deficits are among patients with non-healing wounds. In late March I saw a woman with severe ulcers...
by Caroline Fife, M.D. | Aug 24, 2017 | Fight the Good Fight, Health Information Technology and Wound Care, Nutrition & Wound Healing
What you put IN the patient may be as important as what you put ON them I have been focusing more on nutrition with my patients. Nutrition support and correction of nutritional deficiencies is critical to wound healing. Arginine, a conditionally essential amino acid,...
by Caroline Fife, M.D. | Aug 22, 2017 | Fight the Good Fight, Health Information Technology and Wound Care, Nutrition & Wound Healing, Quality Payment Program
What you put IN the patient may be as important as what you put ON them I have been focusing more on nutrition with my patients. It’s one of those things we know we are supposed to address, but often we are not quite sure HOW. Susan Horn and I spent months developing...
by Caroline Fife, M.D. | Nov 19, 2015 | Cassandra Chronicles: Regulatory and Coverage Policy, Miscellaneous Musings, Nutrition & Wound Healing, Pressure Cooker: Rethinking Pressure Ulcers, US Wound Registry
http://www.vacadsci.org/vjsArchives/v8/8-1/Physicians.pdf In preparation for Thanksgiving, I thought I’d read a little more about medicine in the early colonies and chanced upon this article about physicians at early Jamestown. It makes for sad reading. There’s a lot...
by Caroline Fife, M.D. | Oct 29, 2015 | Cassandra Chronicles: Regulatory and Coverage Policy, Miscellaneous Musings, Nutrition & Wound Healing, Pressure Cooker: Rethinking Pressure Ulcers, US Wound Registry
Earlier this month, I showed you some photos of a malnourished patient who I think has improved because of Argenaid. While there may be some things in the past that I miss, I confess that in the past I did not pay sufficient attention to nutritional issues. I’m...
