About Dr. Fife
Dr. Fife is a world-renowned wound care physician. She is the Director of the Wound Care Center at CHI St. Luke’s The Woodlands Hospital, CMO of Intellicure, Inc., Exec. Director of the US Wound Registry & Editor of Today’s Wound Clinic.
Report Honest Healing Rates
It’s time for Wound Care physicians and providers to stand up for truly honest outcomes and transparent quality reporting. If we don’t we may see our entire profession wiped out. Click here to read more.
Visit the USWR to find out how the registry can help you with practice improvement activities (like improved arterial screening among patients with lower extremity wounds), and wound care relevant quality measures (like diabetic foot ulcer off-loading).
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 block of tissue (called an “angiosome”).
Remember that CMS is supposed to pay for “standard of care,” and the standard of care for radiation proctitis and enteritis is HBOT.
Our Covid Diaries author mentioned a video created by an ICU nurse as a tribute to the healthcare workers. We got permission to share the link with you.
Our nation, our economy, our world and our little hospital has been up-ended by the virus and the politicization of what ought to be a non-partisan fight. We are all just so weary.
Recently someone asked me if it was actually possible to report wound care relevant quality measures to CMS as part of MIPS (the Merit Based Incentive Payment Plan). The answer is yes.
Please tell me you have it, too. At least then I won’t feel alone!
The Undersea and Hyperbaric Medical Society (UHMS) Gulf Coast chapter meeting is available now on the UHMS CME portal.
We need more data on the long-term natural history of wounds treated with SOC and longer follow up of subjects enrolled in RCTs if we are to estimate the cost-effectiveness of CTPs with any accuracy.
Here’s a message from my good friend and colleague, nurse practitioner Joy Schank. Joy has donated her time as an expert in criminal court proceedings dealing with the development of skin breakdown at the end of life. Family members and clinicians have been charged with crimes when loved ones develop skin changes as part of the dying process. Some have gone to prison.
My friend and patient – Morgan McCoy – has a big celebration on October 14th. That’s the day her right leg was amputated above the knee in order to save her life. Morgan is the antithesis of the victim mentality that is plaguing our country. She’s celebrating the day...
If you are a doctor, call your own office and see what happens.
Check out the editorial and article I wrote for Today’s Wound Clinic about pressure injuries and malpractice litigation.
As we’ve discussed previously, the Centers for Medicare and Medicaid Services (CMS) reclassified all services in the Hospital-Based Outpatient Department (HOPD) under “general supervision” away from “direct supervision,” with the caveat that it was up to the...
It passed! Thank you to all of you who engaged on this issue. Let’s hope this is a small step forward for the field of hyperbaric medicine and a big step forward for our veterans. --Caroline HOUSE PASSES HOEVEN-COSPONSORED LEGISLATION TO IMPROVE VA MENTAL HEALTH,...
Time is running out on these bills and veterans deserve HBOT today, not months or years from now.
Wound Clinic Leaders: Please Take This Survey The US Wound Registry is focused on improving the quality of care and outcomes of patients with chronic wounds and ulcers. As a CMS-recognized Qualified Clinical Data Registry (QCDR), we are trying to understand real-world...
We need a reality check on honest healing rates so that more realistic clinical trials can be designed. If you treat SEVERE DFUs, you know what I am talking about.
The Congressional Budget Office (CBO) has issued a report estimating that the Medicare Trust Fund will become insolvent in 2024, two years sooner than the previous estimate, because of the pandemic.
Novitas and First Coast have retired their Local Coverage Determinations (LCDs) for Hyperbaric Oxygen Therapy (HBOT).
Dr. Marissa Carter has posted a new blog about the latest COVID-19 news, including a vaccine update.
I’ve talked about my inspirational patient, Morgan McCoy, who is my antidote to the COVID Blues. Morgan, her parents, her orthopedic surgeon (Dr. Kyle Dickson) and I recently participated in Virtual Wound Rounds with Frank Aviles. If you are involved in wound management at any level, you will enjoy this! It’s fun, inspiring and informative. Thank you Frank and HMP!
As I’ve discussed before, I actually stopped performing prospective trials in wound care because the trials were not “generalizable,” meaning, the patients enrolled in studies to evaluate wound healing modalities bear no resemblance to the patients we see. I talked...
Not only does the media decide what we WILL worry about (creating crises that do not exist) they also determine whether we even hear about REAL crises.
I could fill a book with examples of the way lymphedema therapists trained the wound center physicians. However, I think you should hear the story from one of them, my friend and colleague, Missy Baylor.
If you missed the live stream Webinar on the use of HBOT for COVID-19, you can watch the recorded session and receive CME credit. See the information from the UHMS.
Seeing the images of the lymphatics at work was like Columbus discovering the New World.