Bruce Ruben

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NPWT affixed to a lower extremity wound
February 19th, 2016

by Bruce E. Ruben MD

Little has been shown by specific randomized controlled trials to effectively speed the healing of a non-healing wound. Biologically, the human body is capable of healing once constitutional barriers are relieved. These barriers include venous and arterial...

Nutrition and protein intake
December 2nd, 2015

by Bruce E. Ruben MD

A day doesn't go by that I'm not bombarded with information on the newest diet, the latest exercise trend or the fastest way to get in shape. My email inbox opens with message subjects like "click here to drop 10 pounds fast" or "how to get a Kardashian body...

writing online review
September 23rd, 2015

By Robert Striks, Special Writer, Encompass HealthCare & Wound Medicine

I know, I know. You can get more bees with honey than vinegar. If you don’t have anything nice to say, don’t say it. If you want to be happy, give up your need to be right.

But all those adages...

Health Care Costs
July 29th, 2015

by Bruce E. Ruben MD

Have you noticed that in the fictional future, such as in the Star Trek universe, nobody uses money to pay for medical care? When you get sick, a starship medical officer scans you with a handheld diagnostic device, and then injects you with the perfect cure...

hand wound
May 28th, 2015

by Bruce E. Ruben MD

A non-healing wound is generally defined as a wound that will not heal within four weeks. If a wound does not heal within this usual time period, the cause is usually found in underlying conditions that have either gone unnoticed or untreated. In general,...

doctor and patient
April 28th, 2015

by Bruce E. Ruben MD
is a bunch of pivotal moments that move you on to the next phase. Like the moment you realize you're no longer a child. Or the moment it becomes clear that you have to change jobs. Later on, it's when you admit you can no longer maintain your home. And for...

November 12th, 2014

By Robert Striks, Special Writer, Encompass HealthCare & Wound Medicine

There's a funny scene in the Marx Brothers movie, "Horse Feathers," where Chico tells Harpo how to escape from the room they are locked inside by using a rope. Chico instructs Harpo to tie one end of the...

Scab
October 8th, 2014

by Bruce E. Ruben MD

In the beginning, long before Johnson met Johnson and Band-Aids were invented, primitive men and women suffered minor cuts and abrasions and probably left them uncovered to heal. After all, the bleeding had stopped, a scab eventually formed and experience had...

September 12th, 2014

by Bruce E. Ruben MD

hippocratic_oath.jpg"As to diseases, make a habit of two things – to help, or at least, to do no harm." ...

patient comorbidities in health history
August 13th, 2014

by Bruce E. Ruben MD

In order to heal a wound, the body needs oxygen, nutrients, energy and a fully functioning vascular system that brings those resources to the wound and takes waste products away from the wound.

So it follows that any medical condition that diverts...

July 22nd, 2014

by Bruce E. Ruben MD

Chronic venous insufficiency (CVI) refers to a long-term condition where the veins inside the legs have lost their ability to move blood back up to the heart from the legs. This occurs because the vein walls have weakened to the point where the venous pumps...

June 20th, 2014

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...

May 23rd, 2014

by Bruce E. Ruben MD

Today in 2014, there should be no question that tobacco use is one of the worst things you can do to your body. There have been hundreds of scientific studies. This subject is extremely well documented.

From the Centers for Disease Control and...

May 8th, 2014

Part 5 in a series on infection management
Part 1 | Part 2...

April 8th, 2014

Part 4 in a series on infection management
Part 1 | Part 2...

March 21st, 2014

Part 3 in a series on infection management
Part 1 | Part 2...

February 25th, 2014

by Bruce E. Ruben MD

Part 2 in a series on infection management
For Part 1, click here

Our skin is our largest organ and performs a...

February 11th, 2014

by Bruce E. Ruben MD

Part 1 in a series on infection management

What is an Infection?

The world of bacteria, viruses, fungi and parasites has a long and storied place in the human condition. Way more often than not, bacteria live normally on our...

January 23rd, 2014

by Bruce E. Ruben MD

In order to understand the use of Hyperbaric Oxygen Therapy (HBOT) to heal burns, it is first important to understand the four burn classifications.

Classification of Burns

A...