Patient Accessibility

Cheryl Carver's picture
Telemedicine Wound Care

by by Cheryl Carver LPN, WCC, CWCA, CWCP, FACCWS, DAPWCA, CLTC

Let's be frank: wound care telemedicine cannot replace a visit to a physician's office or the wound care center. Telemedicine was primarily developed to reduce visits and help serve people living in rural communities. However, telemedicine can supplement advanced wound care in many ways, and has been proven to be time saving and effective. Telemedicine in wound care has its pros and cons (like anything else), but with a protocol-driven approach, it is effective for wound healing.

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Thomas Serena's picture
digging a grave site

by Thomas E. Serena MD, FACS, FACHM, FAPWCA

"Please don't bury me down in that cold, cold ground. I'd rather have them cut me up and pass me all around."
-John Prine

Fans of folk singer John Prine will recognize the homey lyrics describing his views on organ donation. Sitting at my desk a few weeks ago with John Prine twanging in my headphones, I began to slog through the new Noridan Local Coverage Determination on hyperbaric oxygen therapy.

Diana Gallagher's picture
wound care deserts

by Diana L. Gallagher MS, RN, CWOCN, CFCN

Last month, the news shared two important stories that were closely linked. Walmart announced the closing of 102 Walmart Express stores as part of their overall restructuring and statistical analyses revealed the states with the highest levels of obesity. These two stories prompted discussions about food deserts and their tie to obesity.

Food deserts are identified as areas without easy access to healthy food choices. They have been thought to be a contributing factor for obesity and the cascade of comorbidities that are tied to it. The Centers for Disease Control and Prevention (CDC) have funded Prevention Research Centers (PRC) in an attempt to ensure healthy food options in neighborhood markets. The lack of readily available fresh fruits, vegetables and lean protein options is problematic in some communities. The existing research, however, is not clear and more research is needed.

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Michel Hermans's picture
Health Care Profits

by Michel H.E. Hermans, MD

Your mortgage company will not be able to hike your interest rate by 500% before the maturity date. If they tried, you could sue them for breach of contract and simply go somewhere else. If Mercedes, Hyundai or Ford hiked their prices by 5000%, you would simply visit a different dealership. You have choices and are responsible for these choices.

How different is the situation for a patient. The patient's body suffers from a condition that, if serious enough, needs to be taken care of by a specialized person since the patient simply lacks the knowledge and training to do so.

Michel Hermans's picture

by Michel H.E. Hermans, MD

With a recent acute and serious vision problem, I have had to visit three ophthalmologists (all with different specialties) and a neurologist. I have undergone a series of tests, on the eyes as well as an MRI of the skull, brain and orbita, tests for the coagulatory system, atrial fibrillation and an ultrasound of the carotids.

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Bruce Ruben's picture

by Rob Striks, Special Writer
Encompass HealthCare and Wound Medicine

One of the most heartbreaking scenes in Forrest Gump is when Lieutenant Dan is coming to grips with the loss of his legs. Robbed of his perceived destiny of dying proudly in battle like his ancestors, and with the weight of his world collapsing down on him, an exhausted Lt. Dan Taylor sighs, "What am I going to do now?"