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Let's Be Frank

Let's Be Frank
What’s the Best Source for Evidence-Based Medicine?
12/05/2019
Frank Aviles Jr., PT, CWS, FACCWS, CLT-LANA, ALM, AWCC, DAPWCA
Clinicians today may be quicker to look to the Internet for wound healing advice than they are to conduct clinical research. Boundaries must be set here.
Clinicians today may be quicker to look to the Internet for wound healing advice than they are to conduct clinical research. Boundaries must be set here.
Clinicians today may be quicker...
12/05/2019
Today's Wound Clinic
Let's Be Frank
Going Beyond Healing With DFU Offloading
09/30/2019
Frank Aviles Jr., PT, CWS, FACCWS, CLT-LANA, ALM, AWCC, DAPWCA
The patient’s care doesn’t always end with a closed wound, especially when it comes to offloading and total contact casts. As the adage goes, “an ounce of prevention is worth a pound of cure.” But what happens to diabetic foot ulcers (DFU)...
The patient’s care doesn’t always end with a closed wound, especially when it comes to offloading and total contact casts. As the adage goes, “an ounce of prevention is worth a pound of cure.” But what happens to diabetic foot ulcers (DFU)...
The patient’s care doesn’t...
09/30/2019
Today's Wound Clinic

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Let's Be Frank
Managing the ‘Weepy Leg’ of Chronic Wound Edema
09/04/2019
Frank Aviles Jr., PT, CWS, FACCWS, CLT-LANA, ALM, AWCC, DAPWCA
When treating excessive lower extremity drainage due to edema, complete decongestive therapy can go a long way to resolve a “weepy leg.”
When treating excessive lower extremity drainage due to edema, complete decongestive therapy can go a long way to resolve a “weepy leg.”
When treating excessive lower...
09/04/2019
Today's Wound Clinic
Let's Be Frank
The Importance of Nutrition in Reducing Pressure Ulcers
07/03/2019
Frank Aviles Jr., PT, CWS, FACCWS, CLT-LANA, ALM, AWCC, DAPWCA
It is estimated that more than 2.5 million patients in the United States are being treated for pressure ulcers/injuries in acute care facilities each year and that 60,000 die from their complications.1 Patients admitted to the hospital are...
It is estimated that more than 2.5 million patients in the United States are being treated for pressure ulcers/injuries in acute care facilities each year and that 60,000 die from their complications.1 Patients admitted to the hospital are...
It is estimated that more than...
07/03/2019
Today's Wound Clinic
Let's Be Frank
Wound Dressing Selection Is More Than a Choice
06/07/2019
Frank Aviles Jr., PT, CWS, FACCWS, CLT-LANA, ALM, AWCC, DAPWCA
The use of dressings to treat chronic wounds dates back to ancient times. But as we all well know that time does not truly heal all wounds, and certainly not chronic wounds, we also know that not all dressings heal all wounds. It’s what we do...
The use of dressings to treat chronic wounds dates back to ancient times. But as we all well know that time does not truly heal all wounds, and certainly not chronic wounds, we also know that not all dressings heal all wounds. It’s what we do...
The use of dressings to treat...
06/07/2019
Today's Wound Clinic

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Let's Be Frank
Charting A Path to Learning Through An Algorithm
04/09/2019

Frank Aviles Jr., PT, CWS, FACCWS, CLT

Frank Aviles Jr., PT, CWS, FACCWS, CL...
If you are reading this column at the Symposium on Advanced Wound Care (SAWC) Spring 2019 conference in San Antonio, Texas, then I am proud to say that I have your attention during one of the most recognized and respected wound care events....
If you are reading this column at the Symposium on Advanced Wound Care (SAWC) Spring 2019 conference in San Antonio, Texas, then I am proud to say that I have your attention during one of the most recognized and respected wound care events....
If you are reading this column...
04/09/2019
Today's Wound Clinic
Let's Be Frank
Throw Everything at Diabetes … But Don’t Throw in the Towel
02/08/2019
Frank Aviles Jr., PT, CWS, FACCWS, CLT-LANA, ALM, AWCC, DAPWCA
Our most challenging patients, clinically speaking, may also push us to the limit in other ways. It’s up to wound care clinicians to not quit on them.
Our most challenging patients, clinically speaking, may also push us to the limit in other ways. It’s up to wound care clinicians to not quit on them.
Our most challenging patients,...
02/08/2019
Today's Wound Clinic
Let's Be Frank
Regulating Safety in the Outpatient Wound Clinic
01/09/2019
Frank Aviles Jr., PT, CWS, FACCWS, CLT-LANA, ALM, AWCC, DAPWCA
Appropriate safety surveillance and follow up begin with minimizing risks and communicating when necessary.
Appropriate safety surveillance and follow up begin with minimizing risks and communicating when necessary.
Appropriate safety surveillance...
01/09/2019
Today's Wound Clinic

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Let's Be Frank
Acing the Art of Interviewing & Hiring
08/30/2018

Frank Aviles Jr., PT, CWS, FACCWS, CLT

Frank Aviles Jr., PT, CWS, FACCWS, CL...
Do you remember the first candidate that you interviewed for a job and then hired? Did you feel comfortable throughout the interview process? Did you feel like you were qualified and prepared to perform that important role of interviewer? How...
Do you remember the first candidate that you interviewed for a job and then hired? Did you feel comfortable throughout the interview process? Did you feel like you were qualified and prepared to perform that important role of interviewer? How...
Do you remember the first...
08/30/2018
Today's Wound Clinic
Let's Be Frank
Integrating Advanced Therapy Products into Your Wound Clinic Business Model
07/05/2018
Frank Aviles Jr., PT, CWS, FACCWS, CLT-LANA, ALM, AWCC, DAPWCA
Regenerative medicine is just one example of the many advanced modalities available to today’s product formularies. But how do we go about making sure our clinical and business decisions remain on profitable parallel paths?
Regenerative medicine is just one example of the many advanced modalities available to today’s product formularies. But how do we go about making sure our clinical and business decisions remain on profitable parallel paths?
Regenerative medicine is just...
07/05/2018
Today's Wound Clinic

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Today's Wound Clinic Newsletter

Letter From the Editor

Guest Editorial
Advocate for Your Wound Care Patients on the Proposed MAC Policy on CTPs
05/29/2024
Eric J. Lullove, DPM, CWSP
The MACs recently released proposed coverage policy updates for applying CTPs for DFUs and VLUs. This is your opportunity to effect change by submitting comments to the MACs before the policy becomes final. You have a responsibility to know...
The MACs recently released proposed coverage policy updates for applying CTPs for DFUs and VLUs. This is your opportunity to effect change by submitting comments to the MACs before the policy becomes final. You have a responsibility to know...
The MACs recently released...
05/29/2024
Today's Wound Clinic
From the Editor
The Future of Wound Care in the Quality Payment Program
03/13/2024
Caroline E. Fife, MD, FAAFP, CWS, FUHM
Whether we will be able to survive as wound care practitioners will, at least in part, depend on having quality measures that are relevant to what we actually do.
Whether we will be able to survive as wound care practitioners will, at least in part, depend on having quality measures that are relevant to what we actually do.
Whether we will be able to...
03/13/2024
Today's Wound Clinic
From the Editor
The Non-Pressure Ulcer Episode-Based Cost Measure "Field Test" Began Feb. 1
02/05/2024
Caroline E. Fife, MD, FAAFP, CWS, FUHM
For years I have been explaining how the QPP could be the end of wound care practitioners. The entire QPP is designed around recognized medical specialties and since there is no recognized specialty for wound care, we are all in trouble.
For years I have been explaining how the QPP could be the end of wound care practitioners. The entire QPP is designed around recognized medical specialties and since there is no recognized specialty for wound care, we are all in trouble.
For years I have been explaining...
02/05/2024
Today's Wound Clinic
Guest Editorial
The G-Code Solution to Skin Substitute Reimbursement
01/25/2024
Shaun Carpenter MD, CWSP
I am calling on CMS to adopt new G codes to replace Q code reimbursement and CPT 15000 codes for skin substitute application procedures and to establish skin substitute product code classes.
I am calling on CMS to adopt new G codes to replace Q code reimbursement and CPT 15000 codes for skin substitute application procedures and to establish skin substitute product code classes.
I am calling on CMS to adopt new...
01/25/2024
Today's Wound Clinic
Guest Editorial
Wound Size Matters: Analysis of the New Restrictive Skin Substitute LCD Policy
09/01/2023
Shaun Carpenter MD, CWSP, WMS
With so much ambiguity remaining, an immediate compromise on the number of applications to allow 7 is warranted both from an ethical and medical perspective. The current restriction of 4 applications is clearly not based on an accurate...
With so much ambiguity remaining, an immediate compromise on the number of applications to allow 7 is warranted both from an ethical and medical perspective. The current restriction of 4 applications is clearly not based on an accurate...
With so much ambiguity...
09/01/2023
Today's Wound Clinic
Guest Editorial
Wrestling With Implicit Bias to Deliver Better Care for Our Patients
06/01/2023
Monique L. Abner, MD, CWSP
For some, bias remains a sensitive issue, and some people are reluctant to admit to the need for introspection. However, to mitigate the ill effects of bias, everyone must first acknowledge that it exists.
For some, bias remains a sensitive issue, and some people are reluctant to admit to the need for introspection. However, to mitigate the ill effects of bias, everyone must first acknowledge that it exists.
For some, bias remains a...
06/01/2023
Today's Wound Clinic
From the Editor
Confessions of a Doctor With Lipedema
03/14/2023
Caroline E. Fife, MD, FAAFP, CWS, FUHM
It is hard to understand how demoralizing it is. Lipedema affects your entire life, starting in the teenage years.
It is hard to understand how demoralizing it is. Lipedema affects your entire life, starting in the teenage years.
It is hard to understand how...
03/14/2023
Today's Wound Clinic
From the Editor
Why Won’t the DME Provide Dressings for My Patient?
02/23/2023
Caroline E. Fife, MD, FAAFP, CWS, FUHM
Maybe Because Of My Documentation
Maybe Because Of My Documentation
Maybe Because Of My...
02/23/2023
Today's Wound Clinic
Guest Editorial
How Wound Care Providers Can Treat Patients Like People, Not Like Cases
02/01/2023
Morgan McCoy
Finding a skilled wound care professional comes down finding someone who is confident in their skill/craft—someone who treats the whole patient, not just the wound. Finding someone who would see me as a person and a whole being rather than...
Finding a skilled wound care professional comes down finding someone who is confident in their skill/craft—someone who treats the whole patient, not just the wound. Finding someone who would see me as a person and a whole being rather than...
Finding a skilled wound care...
02/01/2023
Today's Wound Clinic
Guest Editorial
Amputations in Pyoderma Gangrenosum Patients: Underreported or Very Rare?
01/11/2023
Shannon Kody, MD
Alex G. Ortega-Loayza, MD, MCR
Are providers missing the diagnosis of PG because they are anchoring on “positive” biopsy findings? Could we be missing cases in which PG patients underwent amputation, didn’t have a recurrence, and were never diagnosed? Or are we just not...
Are providers missing the diagnosis of PG because they are anchoring on “positive” biopsy findings? Could we be missing cases in which PG patients underwent amputation, didn’t have a recurrence, and were never diagnosed? Or are we just not...
Are providers missing the...
01/11/2023
Today's Wound Clinic

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Coping With COVID-19

Business Briefs
Telehealth Use Continues and Receives Further Medicare Payment 
01/25/2023
Kathleen D. Schaum, MS
The COVID-19 PHE has been extended for 90 more days. This author reviews the Medicare telehealth flexibility extensions that may be important to wound/ulcer management professionals.
The COVID-19 PHE has been extended for 90 more days. This author reviews the Medicare telehealth flexibility extensions that may be important to wound/ulcer management professionals.
The COVID-19 PHE has been...
01/25/2023
Today's Wound Clinic
Business Briefs
The COVID-19 Public Health Emergency Waivers Q&A
09/07/2022
Kathleen D. Schaum, MS
This author answers more questions about what will happen to telehealth and other waivers when the COVID-19 PHE ends.
This author answers more questions about what will happen to telehealth and other waivers when the COVID-19 PHE ends.
This author answers more...
09/07/2022
Today's Wound Clinic
Business Briefs
The COVID-19 Public Health Emergency Extension Also Applies to Telehealth
08/15/2022
Kathleen D. Schaum, MS
The COVID-19 Public Health Emergency (PHE) is extended through October 13, 2022. Many wound/ulcer management professionals have been using telehealth and should be happy to know that the Medicare waivers pertaining to telehealth have also...
The COVID-19 Public Health Emergency (PHE) is extended through October 13, 2022. Many wound/ulcer management professionals have been using telehealth and should be happy to know that the Medicare waivers pertaining to telehealth have also...
The COVID-19 Public Health...
08/15/2022
Today's Wound Clinic
Business Briefs
The COVID-19 Public Health Emergency, Coding Changes, and Coverage Changes Continue
02/09/2022
Kathleen D. Schaum, MS
For this month, let us review the continuation of the COVID-19 public health emergency (PHE), and the continuation of the ever-changing codes and coverage.
For this month, let us review the continuation of the COVID-19 public health emergency (PHE), and the continuation of the ever-changing codes and coverage.
For this month, let us review...
02/09/2022
Today's Wound Clinic

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