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What is it Woundsday

by Caroline Fife, M.D. | Sep 16, 2015 | Fight the Good Fight, Health Information Technology and Wound Care

What do you think this erythematous eruption is? Ring worm maybe? How about a nickel allergy to the battery in the patient’s watch. Caroline Fife, M.D.Dr. Fife is a world renowned wound care physician dedicated to improving patient outcomes through quality driven...

Monday Musings

by Caroline Fife, M.D. | Sep 14, 2015 | Cassandra Chronicles: Regulatory and Coverage Policy, Pressure Cooker: Rethinking Pressure Ulcers, Quality Payment Program, US Wound Registry

Are you thinking that PQRS is only for practitioners? More and more hospitals are on the hook to get PQRS right. This year, the Physician Quality Reporting System payment “adjustments” officially move from the incentive to the penalty phase.  I’ve talked a lot about...

What is it Woundsday

by Caroline Fife, M.D. | Sep 9, 2015 | Fight the Good Fight, Health Information Technology and Wound Care

While there are a lot of HIPAA issues to keep track of regarding patients with cell phones taking photos in clinic, I use them a lot. This is a photo of a patient’s wife (which is why she isn’t wearing gloves!) taking a photo of his toe so he can see the wound (it’s...

Straight Talk Tuesday

by Caroline Fife, M.D. | Sep 8, 2015 | Fight the Good Fight, Health Information Technology and Wound Care

Today, not one but 2 different companies talked to me about their new anti-biofilm treatment. Their mechanisms of action are entirely different. The only things they have in common are that they are both colorless and applied topically. Both companies (who had no...

Monday Musings

by Caroline Fife, M.D. | Sep 7, 2015 | Cassandra Chronicles: Regulatory and Coverage Policy, Miscellaneous Musings, Pressure Cooker: Rethinking Pressure Ulcers, US Wound Registry

The drug industry, patients and consumers are urging the FDA to find better ways to integrate the patient perspective in drug development, as well as a way to use “real world” data in drug development. It will be interesting to see how the FDA reacts to the growing...

Ask the Physician Friday

by Caroline Fife, M.D. | Sep 4, 2015 | Fight the Good Fight, Health Information Technology and Wound Care

Good morning and Happy Friday! Friday’s on the blog are reserved for “Ask the Physician Friday.” If you have any questions for me please feel free to leave them in the comments below, ask on Twitter (@carolinefifemd), or on Facebook (@Woodlands Wound Physicians). I...

What is it Woundsday

by Caroline Fife, M.D. | Sep 2, 2015 | Fight the Good Fight, Health Information Technology and Wound Care

What is this unusual skin eruption? Is it some kind of infestation? No, it’s a wrongly applied NPWT dressing. The home nurse applied the VAC sponge right over the patient’s skin. Caroline Fife, M.D.Dr. Fife is a world renowned wound care physician dedicated to...

Straight Talk Tuesday

by Caroline Fife, M.D. | Sep 1, 2015 | Fight the Good Fight, Health Information Technology and Wound Care

Here’s some straight talk on clinical pathways. We’ve all gotten the message on “evidence based” medicine by which payers use data, primarily from randomized controlled trials (RCTs) to decide what treatments they will cover. I’ve had some concerns about that since...

Ask the Physician Friday

by Caroline Fife, M.D. | Aug 28, 2015 | Fight the Good Fight, Health Information Technology and Wound Care

Good morning and Happy Friday! Friday’s on the blog are reserved for “Ask the Physician Friday.” If you have any questions for me please feel free to leave them in the comments below, ask on Twitter (@carolinefifemd), or on Facebook (@Woodlands Wound Physicians). I...

Throwback Thursday

by Caroline Fife, M.D. | Aug 27, 2015 | Cassandra Chronicles: Regulatory and Coverage Policy, Miscellaneous Musings, Pressure Cooker: Rethinking Pressure Ulcers, US Wound Registry

Here are 2 binders full of nursing notes on a patient with a pressure ulcer. I spent about 6 hours trying to find an entry that was different from the ones “auto-populated” day after day after day for weeks. In other words, the previous days observations were just...
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