Nutrition & Wound Healing
OIG Report on Medicaid Spending for Two Weight Loss Drugs Shows a 4,938% Increase Since 2019 with Spending in the Billions
The report showed that spending substantially increased from $1.5 billion in 2019 to $9.4 billion in 2023.
GLP-1 RAs and Their Possible Use for Addiction and Inflammatory Conditions?
I do not have a financial interest in the use of these drugs. But I do care about finding help for patients.
Check Out This New Article: High-Quality Dietary Protein: The Key to Healthy Granulation Tissue – and Talk to Your Patients About Nutrition!
It contains a wealth of scientific and practical information emphasizing that high-quality dietary protein is essential for collagen synthesis and that healthy granulation tissue relies on adequate calories and nutrients.
Intermittent Fasting & Weight Loss
A study published open access in JAMA suggests that an intermittent fasting dieting technique was associated with significant benefits for patients with obesity and Type 2 Diabetes.
Tirzepatide Improves Sleep Apnea, Based on a New Study Published in NEMJ
I know the sinking feeling of hopelessness that I feel as a physician when I see yet another a severely obese patient with profound edema (often to the groin), and non-healing wounds.
Daily “Higher Dose” Vitamin D May Help Delay Diabetes
Meta-analysis of three randomized clinical trials showed that vitamin D supplementation reduced the risk for type 2 diabetes in Prediabetics.
Immunonutrition and Wounds
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.
Join Me November 4, 2021 for a Webinar on Immunonutrition & Wounds
Please join me on November 4, 2021 from 3:00 – 4:00 PM ET for a webinar entitled “Immunonutrition and Wounds.”
How EHRs Can Help Practitioners Address Nutritional Deficits with Patient, Real-Time Clinical Suggestions
I am ashamed of how many years it took for me to get serious about the impact of nutritional deficits in chronic wounds.
My “Simple Girl” Guide to Oral Nutritional Supplementation Based on the Nestle MNA Score
This approach may not be fancy, but it’s helping to get wounds healed.
Overcoming Barriers to Nutritional Screening By Making it Easy
Does your electronic health record (EHR) include nutritional screening tools?
Treating the Patient and Not the Wound
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.”
Starving In Plain Sight
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.
With Juven, It Wasn’t Palliative Care
This patient was dying of a degenerative disease and his calorie intake was insufficient.
Why I Can’t Be a Wound Care Doctor Without SPP & Nutritional Supplementation
All I did was some gentle compression and nutritional supplementation, and it changed his life in a way that these photos can’t depict.
Malnutrition Presenting as a Chronic Ulcer
As best I can tell, this ulcer occurred simply because his nutrition was so bad, his tissue just fell apart after minor trauma.
Arginaid and Wound Trajectory
You can clearly see in this case that the wound kept getting smaller only as long as she was taking Arginaid.
Wounds Are Always a SYMPTOM – Often of Malnutrition
Why had no one addressed her malnutrition when she weighed 83 lbs?
Making an Impact with IMPACT®: Part 2
This is the second patient I tried the approach on.
Making an Impact with IMPACT®
It may be hard to tell for sure if a nutritional supplement made a difference, but I’ve had results that I think are spectacular.
It’s Hard to Do the Right Thing About Nutrition in Patients with Chronic Wounds
It doesn’t seem like it should be so HARD, so I’m going to tell you how.
Nutritional Screening and Vitamin D Groundhog Day
Why is it so hard to do the right thing about nutrition?
Wound Whisperer: Shhhh… My Secret Vitamin D Treatment for a Surgical Wound Dehiscence
There seems to be an increasing interest in the topic of Vitamin D, so I’m reposting some past entries.
Vitamin D Insufficiency and Death from COVID-19… And Why a Math Error Means We Don’t Take Enough Vitamin D
Now there’s data suggesting that insufficient Vitamin D levels are a powerful contributor to death from COVID-19.
Sadly, It’s Still Hard to Do the Right Thing in Wound Care
Why is it hard to do the right thing in wound care? I don’t know.
Nutrition and the Space Race
What were the astronauts going to eat?
The Uphill path to Value Based Nutritional Assessment and Standing on the Shoulders of Giants
This month in TWC, learn about the history of total parenteral nutrition and how the Space Race of the 1960’s helped patients with malabsorption. I explain why QCDR quality measures have been a...
Malnutrition Presenting as a Necrotic Ulcer
Starved for attention?
People are Starving – In Your Waiting Room
Here’s a way to help them and keep your Medicare Part B payments.
Wound Care Specialists and Primary Physicians – A Productive Saturday in May
Thank you to the Texas Medical Association for supporting the first Wound Care CME, and to Dr. Jay Shah for organizing it.
Don’t Miss This! The Vitamin D Deficiency Epidemic (…and yes, that is a pulsating Dorsalis Pedis artery)
Forget about the flu epidemic. At least it’s pretty easy to figure out when a patient has the flu. The Vitamin-D deficiency epidemic is ridiculous.
Food as Medicine – Part 5
To learn more about the role of nutrition and wound healing, join me for a breakfast symposium on Saturday September 9, at the upcoming APWCA meeting in Philadelphia.
Food as Medicine – Part 4
To learn more about the role of nutrition and wound healing, join me for a breakfast symposium on Saturday September 9, at the upcoming APWCA meeting in Philadelphia.
Food as Medicine – Part 3
It is amazing how prevalent nutritional deficits are among patients with non-healing wounds.
Food as Medicine – Part 2
Arginine, a conditionally essential amino acid, serves as a substrate for protein synthesis, and is a precursor to nitric oxide (NO) and proline production–all of which play a role in wound healing.
Food as Medicine: Part 1
In 6 of 7 wound types, nutritional status was a major factor in predicting whether a wound would heal. Part 1 of a 5-part series.
The Malnourished Pilgrims
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...
Improving Quality of Care with Nutritional Screening
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...
Malnutrition Masquerading as Chronic Wounds
This is an initial and a follow-up photo of a woman with an autoimmune disease that is causing horrible leg ulcers primarily on her knees. Her biggest problem, however, is that she weighs 88 lbs...
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