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Channel: Caroline Fife MD | Caroline Fife M.D.
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What is it Woundsday

Here’s a photo of Duoderm paste and a Duoderm pad being used for debridement. Tomorrow I’ll explain.

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Throwback Thursday

Remember when the only advanced dressing we had was Duoderm? I still love that stuff. It is still one of the best debriding agents there is. I take Duoderm paste (not gel but PASTE) and cover it with a...

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Straight Talk Tuesday

Every Tuesday this month we’ve been having some straight talk about a US Wound Registry Quality Measure. In the Jan/Feb 2-13 issue of Today’s Wound Clinic, Darlene Carey discussed the results of a...

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What is it Woundsday

Here’s a patient I’ve talked to extensively about nutrition. In fact, that’s about the only intervention I’ve provided and she’s nearly healed her wounds. It might be time for us to think about “food...

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Throwback Thursday

They say the ancient Egyptians used honey as a dressing. Interesting that we came back around to it as an industry only to have CMS decide NOT to cover it.

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Monday Musings

Last month, the Centers for Medicare and Medicaid Services made public more hospital and physician billing data. The 2013 data covers about 950,000 providers who received $90 billion in Medicare...

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Straight Talk Tuesday

Every Tuesday this month we’ve been having some straight talk about a US Wound Registry Quality Measure. I’d like to talk about the measure “Appropriate use of hyperbaric oxygen therapy for diabetic...

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What is it Woundsday

A lot of patients with chronic venous disease develop lymphedema. The “red legs” they get can be mistaken for cellulitis although they are usually the commonly seen vasodilation of blood vessels seen...

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Throwback Thursday

This is one of my patients who developed an abscess and wound dehiscence following an ankle reconstruction. We were worried that he might be developing osteomyelitis. He works at a plant and uses an...

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Ask the Physician Friday

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...

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HBOT Registry Helps Preserve Physician Supervision Fees

An important paper has been released by the U.S. Hyperbaric Oxygen Therapy Registry (HBOTR) detailing its work in Medicare reimbursement issues. “Rapid analysis of hyperbaric oxygen therapy registry...

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Predicting Ideal Wounds for HBOT

The Hyperbaric oxygen therapy prior authorization project has been in effect a little more than a year and CMS is in the process of reviewing its impact to prepare an interim report. As the Medicare...

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Online Patient Reviews, MIPS & CPIA, and SAWC Spring 2017

The New England Journal has this article out about “Online Patient Reviews” that is worth a read. http://www.nejm.org/doi/full/10.1056/NEJMp1610136 I have a negative review on Yelp from a patient who I...

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Pre-payment review of Hyperbaric Oxygen Therapy Expands to more States

ALERT! “Targeted” Pre-payment review of Hyperbaric Oxygen Therapy to occur in Iowa, Kansas, Missouri, and Nebraska The Medicare Administrative Carrier “WPS” has announced a Targeted Medical Review...

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Peripheral Arterial Disease Hall of Shame

In 2011, we published a paper entitled, “Why is it hard to do the right thing in wound care?” in which we documented that only 17% of venous ulcers were treated with adequate compression every time...

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HBOT in the News: How Quality Measures Can Address Criticisms

I’ve attached a link to a Kaiser Health News article that came out today (June 28) about Hyperbaric Oxygen Therapy (HBOT) that is less than flattering, and another in the Washington Post printed...

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USWR + IntellicureEHR = Learning Healthcare System

I have good news. Two months in a row, the U.S. Wound Registry (USWR) and Intellicure, Inc. had ground breaking papers published in Wound Repair and Regeneration, our field’s top journal. The U.S....

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What is it Woundsday

A lot of patients with chronic venous disease develop lymphedema. The “red legs” they get can be mistaken for cellulitis although they are usually the commonly seen vasodilation of blood vessels seen...

View Article

Image may be NSFW.
Clik here to view.

Throwback Thursday

This is one of my patients who developed an abscess and wound dehiscence following an ankle reconstruction. We were worried that he might be developing osteomyelitis. He works at a plant and uses an...

View Article

Image may be NSFW.
Clik here to view.

Ask the Physician Friday

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...

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