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Let's Be Frank

Lymphedema
The Lymphedema Treatment Act: A Huge Win for Patients
03/10/2023
Frank Aviles Jr., PT, CWS, FACCWS, CLT-LANA, ALM, AWCC, DAPWCA
Brandy McKeown, OTR/L, CLT-LANA, CLWT
But What Is the Future of CLTs in Outpatient Lymphedema Clinics?
But What Is the Future of CLTs in Outpatient Lymphedema Clinics?
But What Is the Future of CLTs...
03/10/2023
Today's Wound Clinic
Let's Be Frank
Developing a ‘Cheat Sheet’ for Wound Assessment
06/08/2022
Frank Aviles Jr., PT, CWS, FACCWS, CLT-LANA, ALM, AWCC, DAPWCA
This cheat sheet focuses on key factors related to chronic wounds while addressing findings in a comprehensive approach.
This cheat sheet focuses on key factors related to chronic wounds while addressing findings in a comprehensive approach.
This cheat sheet focuses on key...
06/08/2022
Today's Wound Clinic
Let's Be Frank
Screening and Educating Patients on PAD to Stop Diabetes Before It Starts
02/25/2022
Frank Aviles Jr., PT, CWS, FACCWS, CLT-LANA, ALM, AWCC, DAPWCA
Next month, a team of physicians will use education, outreach, and advocacy to decrease the number of amputations in people with diabetes or peripheral arterial disease (PAD)—as well as improve their quality of life.
Next month, a team of physicians will use education, outreach, and advocacy to decrease the number of amputations in people with diabetes or peripheral arterial disease (PAD)—as well as improve their quality of life.
Next month, a team of physicians...
02/25/2022
Today's Wound Clinic

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Let's Be Frank
Advances in Wound Care Technology: What We See Is What We Get … and More
09/21/2021
Frank Aviles Jr., PT, CWS, FACCWS, CLT-LANA, ALM, AWCC, DAPWCA
This article will examine three particular devices that should catch the attention of any wound care clinicians seeking innovative ways to achieve best practices.
This article will examine three particular devices that should catch the attention of any wound care clinicians seeking innovative ways to achieve best practices.
This article will examine three...
09/21/2021
Today's Wound Clinic
Developing a ‘Cheat Sheet’ for the Ideal Wound Dressing
Let's Be Frank
Developing a ‘Cheat Sheet’ for the Ideal Wound Dressing
05/11/2021
Frank Aviles Jr., PT, CWS, FACCWS, CLT-LANA, ALM, AWCC, DAPWCA
Chronic wounds continue to challenge clinicians from Day 1 as the race to make timely progress begins. As we know, “time is tissue.” Of course, not all wounds heal with time. It’s what we (clinician and patient) do during the time we have...
Chronic wounds continue to challenge clinicians from Day 1 as the race to make timely progress begins. As we know, “time is tissue.” Of course, not all wounds heal with time. It’s what we (clinician and patient) do during the time we have...
Chronic wounds continue to...
05/11/2021
Today's Wound Clinic
Will Advances in Smart Technology Help Our Patients or Dumb Us Down?
Let's Be Frank
Will Advances in Smart Technology Help Our Patients or Dumb Us Down?
03/23/2021
Frank Aviles Jr., PT, CWS, FACCWS, CLT-LANA, ALM, AWCC, DAPWCA
“Creating a true AI could be our greatest achievement and, perhaps, our last.”   —Professor Stephen Hawking Just like in every facet of life, smart technology has been a welcome tool in health care among patients and providers alike....
“Creating a true AI could be our greatest achievement and, perhaps, our last.”   —Professor Stephen Hawking Just like in every facet of life, smart technology has been a welcome tool in health care among patients and providers alike....
“Creating a true AI could be...
03/23/2021
Today's Wound Clinic

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When Your Patients Become Active Participants in Their Health Care
Let's Be Frank
When Your Patients Become Active Participants in Their Health Care
08/04/2020
Frank Aviles Jr., PT, CWS, FACCWS, CLT-LANA, ALM, AWCC, DAPWCA
Chronic wounds continue to baffle health care providers, as the required treatment can be quite complex. Or is it that we overlook the basics while working in “silos” that prevent us from seeking the expertise of others who might have more...
Chronic wounds continue to baffle health care providers, as the required treatment can be quite complex. Or is it that we overlook the basics while working in “silos” that prevent us from seeking the expertise of others who might have more...
Chronic wounds continue to...
08/04/2020
Today's Wound Clinic
That Time You Honestly Told Your Daughter About Therapy and Wound Care
Let's Be Frank
That Time You Honestly Told Your Daughter About Therapy and Wound Care
05/05/2020
Frank Aviles Jr., PT, CWS, FACCWS, CLT-LANA, ALM, AWCC, DAPWCA
If I had to do it all over again, would I follow the same path? I find that I ask myself this question on a fairly regular basis. And I have certainly thought about it recently during these trying times. My daughter Hannah will enter...
If I had to do it all over again, would I follow the same path? I find that I ask myself this question on a fairly regular basis. And I have certainly thought about it recently during these trying times. My daughter Hannah will enter...
If I had to do it all over...
05/05/2020
Today's Wound Clinic
You’re on Nutrition Notice for Pressure Injuries
Let's Be Frank
You’re on Nutrition Notice for Pressure Injuries
03/05/2020
Frank Aviles Jr., PT, CWS, FACCWS, CLT-LANA, ALM, AWCC, DAPWCA
All of the latest technology is not going to help your patients if their malnourishment is not addressed. This author’s hospital found success with pressure injuries by focusing on the basics and fundamental of care.
All of the latest technology is not going to help your patients if their malnourishment is not addressed. This author’s hospital found success with pressure injuries by focusing on the basics and fundamental of care.
All of the latest technology is...
03/05/2020
Today's Wound Clinic

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What Defines a Real Resolution in Wound Care?
Let's Be Frank
What Defines a Real Resolution in Wound Care?
02/03/2020
Frank Aviles Jr., PT, CWS, FACCWS, CLT-LANA, ALM, AWCC, DAPWCA
Attention to realistic goal-setting for the wound care provider and the wound clinic must be ongoing if we are to see actual fulfillment throughout the year. Many of the goals that we have for ourselves are disguised as New Year’s...
Attention to realistic goal-setting for the wound care provider and the wound clinic must be ongoing if we are to see actual fulfillment throughout the year. Many of the goals that we have for ourselves are disguised as New Year’s...
Attention to realistic...
02/03/2020
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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