Caroline Fife M.D.
  • Home
  • About
  • Categories
    • Lymphatic Imaging & Lymphedema
    • Pyoderma Grangrenosum
    • The COVID-19 Diaries
    • COVID-19
    • Dr. Marissa Carter
    • Cassandra Chronicles: Regulatory and Coverage Policy
    • Do the Right Thing: Thoughts on Quality
    • Don’t Miss This
    • Fight the Good Fight
    • Health Information Technology and Wound Care
    • Healthcare Payment Policy
    • Miscellaneous Musings
    • My Articles on PRESENT Podiatry
    • My Editorials in Today’s Wound Clinic
    • Nutrition & Wound Healing
    • Pressure Cooker: Rethinking Pressure Ulcers
    • Quality Payment Program
    • US Wound Registry
  • Contact
  • Facebook
  • LinkedIn
Select Page
  • Home
  • About
  • Categories
    • Lymphatic Imaging & Lymphedema
    • Pyoderma Grangrenosum
    • The COVID-19 Diaries
    • COVID-19
    • Dr. Marissa Carter
    • Cassandra Chronicles: Regulatory and Coverage Policy
    • Do the Right Thing: Thoughts on Quality
    • Don’t Miss This
    • Fight the Good Fight
    • Health Information Technology and Wound Care
    • Healthcare Payment Policy
    • Miscellaneous Musings
    • My Articles on PRESENT Podiatry
    • My Editorials in Today’s Wound Clinic
    • Nutrition & Wound Healing
    • Pressure Cooker: Rethinking Pressure Ulcers
    • Quality Payment Program
    • US Wound Registry
  • Contact
  • Facebook
  • LinkedIn
Why I Can’t Be a Wound Care Doctor Without SPP & Nutritional Supplementation

Why I Can’t Be a Wound Care Doctor Without SPP & Nutritional Supplementation

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...
Another Manic Monday – In My Heart Failure Clinic (I Mean, Wound Clinic)

Another Manic Monday – In My Heart Failure Clinic (I Mean, Wound Clinic)

by Caroline Fife, M.D. | May 10, 2021 | PAD Hall of Shame

I am humming that song from the ‘80’s, “Just another manic Monday…” Another patient in profound heart failure with shortness of breath that prevents her from lying supine, who’s got edema from the abdomen down. Fluid is coming right through her skin (see the...
Why I Can’t Be a Wound Doctor Without Skin Perfusion Pressure, Part 6

Why I Can’t Be a Wound Doctor Without Skin Perfusion Pressure, Part 6

by Caroline Fife, M.D. | Apr 29, 2021 | Fight the Good Fight, PAD Hall of Shame

Wounds are a symptom of disease, and usually the first disease we have to rule out in patients with lower extremity wounds is poor perfusion. Arterial disease is the most common reason, but not the only one. I rely on skin perfusion pressure (SPP) to determine whether...
Why I Can’t Be a Wound Doctor Without Skin Perfusion Pressure, Part 5

Why I Can’t Be a Wound Doctor Without Skin Perfusion Pressure, Part 5

by Caroline Fife, M.D. | Apr 28, 2021 | Fight the Good Fight, PAD Hall of Shame

Wounds are a symptom of disease, and usually the first disease we have to rule out in patients with lower extremity wounds is poor perfusion. Arterial disease is the most common reason, but not the only one. I rely on skin perfusion pressure (SPP) to determine whether...
Why I Can’t Be a Wound Doctor Without Skin Perfusion Pressure, Part 4

Why I Can’t Be a Wound Doctor Without Skin Perfusion Pressure, Part 4

by Caroline Fife, M.D. | Apr 27, 2021 | Fight the Good Fight, PAD Hall of Shame

Wounds are a symptom of disease, and usually the first disease we have to rule out in patients with lower extremity wounds is poor perfusion. Arterial disease is the most common reason, but not the only one. I rely on skin perfusion pressure (SPP) to determine whether...
Why I Can’t Be a Wound Doctor Without Skin Perfusion Pressure, Part 3

Why I Can’t Be a Wound Doctor Without Skin Perfusion Pressure, Part 3

by Caroline Fife, M.D. | Apr 26, 2021 | Fight the Good Fight, PAD Hall of Shame

Wounds are a symptom of disease, and usually the first disease we have to rule out in patients with lower extremity wounds is poor perfusion. Arterial disease is the most common reason, but not the only one. I rely on skin perfusion pressure (SPP) to determine whether...
Why I Can’t Be a Wound Doctor Without Skin Perfusion Pressure, Part 2

Why I Can’t Be a Wound Doctor Without Skin Perfusion Pressure, Part 2

by Caroline Fife, M.D. | Apr 23, 2021 | Fight the Good Fight, PAD Hall of Shame

Wounds are a symptom of disease, and usually the first disease we have to rule out in patients with lower extremity wounds is poor perfusion. Arterial disease is the most common reason, but not the only one. I rely on skin perfusion pressure (SPP) to determine whether...
Why I Can’t Be a Wound Doctor Without Skin Perfusion Pressure

Why I Can’t Be a Wound Doctor Without Skin Perfusion Pressure

by Caroline Fife, M.D. | Apr 22, 2021 | Fight the Good Fight, PAD Hall of Shame

Wounds are a symptom of disease and usually the first disease we have to rule out in patients with lower extremity wounds is poor perfusion. Arterial disease is the most common reason but not the only one. I rely on skin perfusion pressure (SPP) to determine whether...
I Want to Do a GoFundMe Campaign for Some Hospital Equipment I Need

I Want to Do a GoFundMe Campaign for Some Hospital Equipment I Need

by Caroline Fife, M.D. | Apr 21, 2021 | Fight the Good Fight, PAD Hall of Shame

I cannot do wound care without skin perfusion pressure. My machine is broken. If I don’t have one, I can’t do what I do. The hospital says that because the other wound centers use ABI that I should, too. But I see the problems they can’t fix. There is a lot of other...
Fighting Peripheral Arterial Disease (PAD) One Leg at a Time

Fighting Peripheral Arterial Disease (PAD) One Leg at a Time

by Caroline Fife, M.D. | May 29, 2020 | Do the Right Thing: Thoughts on Quality, Fight the Good Fight, PAD Hall of Shame, US Wound Registry

I recently reviewed the case of an elderly woman with a non-healing wound who had ischemic rest pain and extreme malnutrition, neither of which were addressed by the wound center at which she was treated previously. Not surprisingly she failed to improve with the...
Wound Care Reimbursements

Subscribe to My Blog!

Enter your email address to subscribe to my blog. You'll receive notifications of new posts by email.

Join 4,234 other subscribers

Recent Articles

  • When is the Last Time You Printed Out and Read a Visit Note From Your EHR? March 24, 2023
  • Do You Have a Compliant Electronic Health Record Documentation & Signature Process? – Check Out Kathy Shaum’s Newest TWC Article! March 23, 2023
  • “Again I Can’t Get My Supplies Because of the Lack of Proper Documentation…” March 17, 2023
  • The Patient’s Perspective on Lymphedema Pumps & Compression Wraps – What Should I Say to Her? March 15, 2023
  • The Glycocalyx: What it is and Why it Matters March 10, 2023

Article Categories

  • Cassandra Chronicles: Regulatory and Coverage Policy
  • Cellular / Tissue-Based Products
  • COVID-19
  • COVID-19 & HBOT
  • COVID-19 Diaries
  • Do the Right Thing: Thoughts on Quality
  • Don't Miss This
  • Dr. Marissa Carter
  • Fight the Good Fight
  • Guide to the Lymphatic System
  • Health Information Technology and Wound Care
  • Healthcare Payment Policy
  • Hyperbaric Oxygen Therapy
  • Lymphatic Imaging & Lymphedema
  • Miscellaneous Musings
  • Nutrition & Wound Healing
  • PAD Hall of Shame
  • Patient's Perspective
  • Pressure Cooker: Rethinking Pressure Ulcers
  • Pyoderma Gangrenosum
  • Quality Payment Program
  • Shin Radiation Madness
  • Tales of the Medicare Disadvantaged
  • Uncategorized
  • Undaunted Spirit Award
  • US Wound Registry

Articles by Month

  • Facebook
  • Twitter
©Dr. Caroline Fife M.D. All rights reserved. Website design & programming by LI Web Guy Inc.