by Caroline Fife, M.D. | Apr 27, 2021
Nutrition & Wound Healing Treating the Patient and Not the Wound Jun 4, 2021Check 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...
by Caroline Fife, M.D. | Apr 14, 2021 | Do the Right Thing: Thoughts on Quality, Fight the Good Fight, Nutrition & Wound Healing, US Wound Registry
This is a young man in his 20’s who is a quadraplegic and suffered a bowel obstruction about 6 months before this photograph was taken. The midline abdominal wound is granulated, but still hasn’t epithelialized. Why? There’s no pressure over this area and it doesn’t...
by Caroline Fife, M.D. | Aug 2, 2019 | Don't Miss This, Nutrition & Wound Healing
Fifty years ago I stayed up late with my grandfather to watch the Apollo 11 astronauts land on the moon. We sat riveted, watching grainy images on a tiny black and white television set, marveling at how far technology had advanced. In the 1960s, my father was an...
by Caroline Fife, M.D. | Jul 25, 2019 | Cassandra Chronicles: Regulatory and Coverage Policy, Fight the Good Fight, Nutrition & Wound Healing
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 disappointment for all specialties, why Practice Improvement Activities...
by Caroline Fife, M.D. | Mar 11, 2019 | Fight the Good Fight, Health Information Technology and Wound Care, Nutrition & Wound Healing
84 year old man with a history of lymphoma but is purportedly disease free. Severe peripheral edema began 2 years ago. He says he developed this very large ulcer after minor trauma. His skin perfusion pressure is normal (68 mmHg), he has a biphasic PVR and strong DP...
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...
by Caroline Fife, M.D. | Oct 7, 2015 | Fight the Good Fight, Health Information Technology and Wound Care, Miscellaneous Musings, Nutrition & Wound Healing
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 and doesn’t eat. I admitted her for malnutrition early in her course,...
by Caroline Fife, M.D. | Nov 4, 2024 | Fight the Good Fight
There’s a new concept for calculating obesity called the Body Roundness Index (BRI), which may be a more accurate way to understand obesity and healthcare risk than the Body Mass Index (BMI). That’s because visceral obesity is an important risk factor associated with...
by Caroline Fife, M.D. | Nov 4, 2024 | COVID-19, Fight the Good Fight
A large retrospective study just published in JAMA Open Network suggests that elevated body mass index (BMI) in both children and young adults was associated with an increased risk of post-acute sequelae of SARS-CoV-2 infection (PASC), or long COVID. This study is...
by Caroline Fife, M.D. | Oct 17, 2024 | Fight the Good Fight
I admit to feeling especially awkward when I blog about areas outside of my expertise. Not only is iron deficiency outside of my expertise, but iron metabolism has got to the one of the most ridiculously complicated systems in the human body. I am just a Family...
