Section m Jeff Levine And today we’re going to talk to you about Section M Skin Conditions. I just want to give you something a little bit about my own background. I’m an internist geriatrician and wound care specialist, and I first became interested in pressure sores during my geriatric fellowship in 1985. And at that time I.
Decided to do a fellowship in geriatrics in new york city at one of the best and, at that time, one of the only places there was to do a geriatric training. And at that time, I was rotating through a nursing home which was supposed to be one of the best nursing homes in the country. And I noticed and this was 1985 I noticed, I looked around, and some of my patients had bedsores. There was no standardized nomenclature. We called them bedsores or decubitus ulcers at the.
Time; we still do. i said, wow, this is interesting. i never saw, you know, these things. And so I looked in the textbooks, and this was 1985. There was nothing in the texts, in the geriatric textbooks, at the time. So I did a little review in the medical literature, and there was very little in the medical the medical literature. There’s some stuff in the nursing literature. So I went to one of my chiefs who was one of the founders of the field of geriatrics, and.
I said tell me. i said, tell me about pressure sores. so he said, okay, jeff, I’ll tell you all about pressure sores. He said, Come up to my office at 3:00. So I was there at 3:00, and he wasn’t. Laughter And I was still there at 3:30, and he didn’t show up. And 4:00, I was sitting there, and he still didn’t show up. So I went back to the ward, and I decided to ask the nurses about pressure sores. And again this is 1985. And I spoke to one of the nurses.
Who’s been around a really long time. and, you know, some nurses, you know, they’ve just been around the block. I said tell me, tell me about bedsores. And she says, Well, the best way to treat these things that I know is you take some chicken liver that’s fresh and you mash it up, and you put a little cottage cheese in there and then you mash that up, and then you fill the wound with it and you cover it up and you change that twice a day. So I said, Wow.
So from that time in 1985, i decided to spend a great deal of my time and efforts learning about pressure sores, photographing them, and teaching about them and doing research about them. And I was thrilled when the opportunity to teach Section M, the upgraded version of Section M, MDS 3.0 Skin Conditions came up. So, today we’re going to talk about pressure sores, Section M. And just some.
Housekeeping. we have two hours to do this. i need to point out that mds 3.0 Section M is at least twice the size, if not more, than Section M 2.0. In 2.0, there were six sections, and I think it was less than half a page. In 3.0, it’s three pages long, and there’s 11 sections. So it’s big, and it’s long, and it’s complicated. And wound care itself is very complicated. And then to add on MDS 3.0 is going to be even more complicated. Now, I just want to see hands, how.
Many s do we have here in this audience? any? do we have one ? That’s hard to believe there’s not one in the room. Audience: You. Where? Me? No. Who? Oh, one . Okay, great. Thank you, thank you for coming. Everybody give a hand. We have one here. Applause All right. We’re going to talk about physicians later. Laughter All right. So, it’s going to be two hours, and unfortunately, part of the show is going to be some.