Michael Miller's blog

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By Michael Miller DO, FACOS, FAPWCA

RAMBLINGS OF AN ITINERANT WOUND CARE GUY, PT. 9

One of the most obvious things about being a health care professional is that our goal is to help people get better. The concepts of an ill patient saying to me, "Dr. Miller, I don't want to get better or worse, can you do something to keep me in this condition?" Seems ludicrous and more, improbable. I could not imagine any health care professional being successful if patients remained in the exact same condition weeks after treatment. As I have said in previous blogs, I recognize that while there are many variations on the definition of "better", I think it's safe to say that "better" means improved in some way, shape, or form.

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By Michael Miller DO, FACOS, FAPWCA

RAMBLINGS OF AN ITINERANT WOUND CARE GUY, PT. 8

“…(7) Go to, let us go down, and there confound their language, that they may not understand one another's speech.(8) So the Lord scattered them abroad from thence upon the face of all the earth: and they left off to build the city. (9)Therefore is the name of it called Babel..." (Genesis, Chap. 11).

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By Michael Miller DO, FACOS, FAPWCA

RAMBLINGS OF AN ITINERANT WOUND CARE GUY, PT. 7

I know we all look forward to the New Year as one of promise, self-evaluation, and a new vision for brotherhood among men. In that spirit, as this is the first of my “ramblings” for 2012, I want to take the time to offer my heartfelt wishes for each of you that read my blog to have a horrifically catastrophic and agonizing condition, something equivalent to what is felt when discovering the first scratch on your new car.

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By Michael Miller DO, FACOS, FAPWCA

RAMBLINGS OF AN ITINERANT WOUND CARE GUY PT. 6

“IMPOSSIBLE, for a plain yellow pumpkin to become a golden carriage… But the world is full of zanies and fools, who don’t believe in sensible rules, and who won’t believe what sensible people say. And because these daft and dewy-eyed dopes keep building up impossible hopes, impossible, things are happening every day” (Rodgers and Hammerstein’s Cinderella).

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By Michael Miller DO, FACOS, FAPWCA

RAMBLINGS OF AN ITINERANT WOUND CARE GUY PT. 5

“Then if you got it, you don’t want it - seems to be the rule of thumb. Don’t be tricked by what you see, you got two ways to go.” Devo – Freedom of Choice

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By Michael Miller DO, FACOS, FAPWCA

RAMBLINGS OF AN ITINERANT WOUND CARE GUY PT. 4

I willingly confess that I enjoy being a maverick. Of course, at age 52 with two cats, a wonderful wife of 27 years, and two daughters (this order in no way implies favoritism), that term seems to be a bit of a stretch. As a wound care clinician and scientist, I am always on the lookout to find that new innovative dressing, technique, or technology that will help my patients just a little bit more than the next guy. I believe the trade term for my type of psychosis is called “Early Adopter.” I prefer to think of myself in terms of the little kid we all knew who had to have the newest toy first.

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By Michael Miller DO, FACOS, FAPWCA

RAMBLINGS OF AN ITINERANT WOUND CARE GUY PT. 3

I just had the most amazing thing happen: I received a letter from my hospital informing me that they were considering creating an Open-Heart Surgery Center. Other than myself, there will be Radiologists, Family Practitioners, and Pathologists all participating in the program. In an effort to share the proceeds from participating in this venture, all participants will be offered four hour time periods throughout the week in which to practice this new specialty. Recognizing that we are not experts in this area of medicine, each of us will be required to take a one-week course in open-heart surgery before being able to hang our shingles outside the clinic.

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By Michael Miller DO, FACOS, FAPWCA

RAMBLINGS OF AN ITINERANT WOUND CARE GUY PT. 2

I recently recognized a puzzling aspect of my wound care practice; I am just not seeing that many infected wounds. Moreover, I seem to use much fewer antibiotics and antimicrobial agents than almost everybody else I know practicing in wound care.

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