by Caroline Fife, M.D. | Mar 5, 2021 | Fight the Good Fight, Pressure Cooker: Rethinking Pressure Ulcers
In 2019 when Dr. Gksoulias and I published “On the Origin of Intraoperative Pressure Injury: An Angiosomal Theory of Pressure Injury Formation,” I didn’t make a big deal about the photo above, but I think it’s time to talk about it. To look at this heel pressure...
by Caroline Fife, M.D. | Mar 3, 2021 | Fight the Good Fight, Pressure Cooker: Rethinking Pressure Ulcers
Over the years, I have created a few videos on my YouTube channel from serial photographs to show how Deep tissue injuries (DTI) and stage 4 pressure ulcers form from the inside out — at least, that’s what it looks like in these photos — although I can’t...
by Caroline Fife, M.D. | Mar 2, 2021 | Fight the Good Fight, Pressure Cooker: Rethinking Pressure Ulcers
Yesterday I posted a new pressure ulcer case report authored by Jenny Alderden, Dr. Tracey Yap and myself, which provides new evidence for the “inside out” vascular infarction theory of severe pressure ulcer formation (and which also explains Stage 1 pressure...
by Caroline Fife, M.D. | Mar 1, 2021 | Fight the Good Fight, Pressure Cooker: Rethinking Pressure Ulcers
More Evidence for Angiosomal Ischemia in This Report It’s finally out! The follow-up to the paper published previously about the angiosome theory of pressure injury! Pass this around freely because it was published Open Source. It has never made sense that external...
by Caroline Fife, M.D. | Nov 19, 2020 | Pressure Cooker: Rethinking Pressure Ulcers
In honor of “World Wide Pressure Injury Prevention Day,” I’d like to propose that we acknowledge that severe pressure injuries (and probably “stage 1 pressure injuries”) form from the inside-out due to the compromise of named blood vessels that supply a 3-dimensional...
by Caroline Fife, M.D. | Jul 7, 2020 | Health Information Technology and Wound Care, Pressure Cooker: Rethinking Pressure Ulcers
Do you remember how you felt the first time you saw this? Do you still have the photos of the first patient you treated with Negative Pressure Wound Therapy (NPWT)? The photos below are very poor quality because they are Polaroids from 1997! This was one of the first...
by Caroline Fife, M.D. | Jun 4, 2020 | Fight the Good Fight, Pressure Cooker: Rethinking Pressure Ulcers
This morning I did Grand Rounds for the Baylor Department of Geriatrics (via Zoom, of course!), discussing a new paradigm for pressure ulcer formation. I’ve blogged about this before, and published a paper about it. If you would like to think about something OTHER...
by Caroline Fife, M.D. | Oct 7, 2019 | Healthcare Payment Policy, Pressure Cooker: Rethinking Pressure Ulcers
WPS Government Health Administrators (GHA) is a Medicare Administrative Contractor (MAC) and its Local Coverage Determination (LCD) on Wound Care became effective on April 16, 2018. The U.S. states impacted by the WPS LCD on Wound Care are: Jurisdiction 5 (J5) –...
by Caroline Fife, M.D. | Aug 21, 2019 | Fight the Good Fight, Pressure Cooker: Rethinking Pressure Ulcers, US Wound Registry
The story of my son’s intraoperative pressure injuries In August of 2017, Hurricane Harvey dumped 52 inches of rain on Houston turning the 4th largest city in America into a literal island. However, with our house above water, I was selfishly focused on...
by Caroline Fife, M.D. | Aug 19, 2019 | Miscellaneous Musings, Pressure Cooker: Rethinking Pressure Ulcers
Patients inspire me every day. This lady in her 9th decade showed me a picture on her smart phone (which alone is an accomplishment). She’s at church playing the accordion and the piano at the same time. I’ll add her to my gallery of patients with “undaunted spirit.”...
