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Blog Archive

Living Well with Chronic Conditions: Handling Treatment Gaps Mar 15th, 2021

Living with chronic ailments is never easy. Lately, however, it’s gotten harder. The COVID-19 pandemic, court closures and delays, a recession, and the lousy job market all mean the ill and injured are having an even tougher time than usual. Living well with chronic conditions is still possible, however, with...

When Is the Right Time to Create a Life Care Plan? | BiFulco Medical Group Mar 7th, 2021

When Is the Right Time to Create a Life Care Plan? The decision to obtain a life care plan is rarely an easy or uncomplicated choice. A serious and catastrophic condition with a chronic nature has usually occurred. Perhaps a physician or a lawyer has advised you that it is...

Life Care Planning Tool: Day-In-the-Life Video Feb 21st, 2021

Life Care Planning Tool: Day-In-the-Life Video My job has two very distinct sides. There is my work as a physician in physical medicine and rehabilitation, which I have been doing for over 30 years. Then there is the board-certified life care planning side, which is often termed the medical/legal side...

Life Care Planning Facts for Children Feb 15th, 2021

Life Care Planning Facts for Children It is a hard fact of life that children can be badly injured in accidents, or fall ill unexpectedly, be burnt, or suffer birth injuries. As a physical medicine physician since 1990, and an expert in the creation of comprehensive medical life care plans...

Telehealth: The Advantages of Telemedicine Dec 22nd, 2020

The COVID-19 pandemic has triggered dramatic changes throughout everyday life — and in the medical community as well. Not only are providers across the country postponing elective procedures, but many are also encouraging people to avoid in-office appointments to reduce their risk of exposure to this highly contagious coronavirus.But what...

COVID-19 and Getting Your Day in Court Dec 14th, 2020

COVID-19 and Getting Your Day in Court In a typical year, my chronically ill and seriously or catastrophically injured patients don’t have an easy time. But in 2020 their grievances were magnified by struggles well outside of their control. The COVID-19 global pandemic upended regular processes for everyone. Something as...

Determining Damages in Court for the Injured and Ill Dec 7th, 2020

Determining Damages in Court for the Injured and Ill The work done by BiFulco Medical Group has a clear duality to it. On the one hand, my work as a physical medicine and rehabilitation physician guides me in treating patients for their direct and immediate needs. Then there is my...

What is End of Life Care & Planning: Options for the Unexpected Nov 3rd, 2020

What is End of Life Care & Planning: Options for the Unexpected 2020 has made all of us ask ourselves hard questions; such as “What plans do I have in place for my healthcare?” and “Who will take care of me if I get sick?” A new study from West...

Life Care Planning Facts for Cerebral Palsy Oct 19th, 2020

Life Care Planning Facts for Cerebral Palsy Cerebral palsy is a deeply complicated, permanent group of movement disorders affecting each patient differently. From a life care planning perspective, in working with CP patients who have experienced additional injury or disability, the complications multiply. The fact is this: no two cerebral...

3 Tips: Court Closures and Delays in Life Care Planning Oct 19th, 2020

3 Tips: Court Closures and Delays in Life Care Planning Recovery from a serious illness or injury doesn’t always go as planned. We deal with unforeseen delays and setbacks. Ironically, these are also the complications that make a life care plan so valuable in the first place. One issue we...

Interventional Pain Solutions: Minimally Invasive Treatment Options Oct 15th, 2020

Interventional Pain Solutions: Minimally Invasive Treatment Options What is interventional pain management? This is an umbrella term covering minimally invasive procedures that can be performed to reduce, treat, or manage chronic pain. Our patients with chronic pain can spend years or decades seeking out appropriate methods for relief. Medications, surgery,...

Life Care Planning for Chronic Pain Conditions Sep 9th, 2020

Life Care Planning for Chronic Pain Conditions Conditions causing chronic pain bring new patients to BiFulco Medical Group on a regular basis and have done so for many years. This is a sad but honest reality. This is also the reason why chronic pain and its appropriate treatments are some...

5 Benefits of Physical Therapy Aug 26th, 2020

5 Benefits of Physical Therapy Clients come to BiFulco Medical Group with a vast range of ailments, injuries, and concerns. In some cases, what they are dealing with is new; an accident or injury that has changed their lives significantly and they require immediate assistance. In others, they are dealing...

The Key Elements of a Life Care Plan Jul 28th, 2020

The Key Elements of a Life Care Plan A life care plan, or a care plan for life, is a document that attempts to look into the future with clarity. A life care planner works to outline the current and future needs of a patient dealing with chronic injury or...

What Is Gratitude Journaling, and How Does It Help With Injury Recovery? Jul 22nd, 2020

What Is Gratitude Journaling, and How Does It Help With Injury Recovery? *Sara was facing a long road ahead. 3 months after tripping over a pallet in a big box store, she was meeting with our team for the first time in pursuit of an appropriate life care plan (based...

Mental Health Awareness for Life Care Planners Jul 14th, 2020

Mental Health Awareness for Life Care Planners Earlier this month we began a discussion about the role mental health screening plays in a life care planner’s work. It is a crucial part of my diagnostic efforts as I meet with and treat my patients. Identifying the mental health disorders that...

Life Care Planning for Anxiety and Depression Jul 7th, 2020

Life Care Planning for Anxiety and Depression In other blog posts I’ve published in the last few months (here, here, and here), we’ve gone into depth on various applications of life care planning specific to certain conditions and injuries. The challenges created by a chronic illness or serious injury are...

The 4 Objectives for a Preventative Life Care Plan May 6th, 2020

The 4 Objectives for a Preventative Life Care Plan A life care plan, or a care plan for life, is a document prepared by someone in the healthcare field. It lays out the details of someone’s injury or condition, what they need in terms of long-term care, and the costs...

Life Care Planning for Upper Body Nerve & Traction Injuries Apr 27th, 2020

As a life care planner, upper extremity injuries are something I see fairly frequently. They can be long-lasting and detrimental to a patient’s personal and work life. And the restriction or loss of the use of an arm, as you can imagine, can have significant repercussions for a person of...

Life Care Planning for Hip Injuries Apr 9th, 2020

Life Care Planning for Hip Injuries As a life care planner, I see all types of injuries at every stage of life. Some affect the young, some affect the old, all are chronic, all represent “forever losses”. All of them impact overall health and wellness and can pose a tremendous...

How to Be An Advocate for Life Care Planning Patients Mar 29th, 2020

How to Be An Advocate for Life Care Planning Patients I’ve spoken before about my journey from physiatry — working as a Rehabilitation Physician — to my current role as a Life Care Planner (in addition to my medical duties.) Now, I want to talk briefly about how the two...

How to Become a Life Care Planner Mar 23rd, 2020

How to Become a Life Care Planner When I tell people that I am both a physician and a life care planner, I get a lot of questions. “What is a life care planner?” “Aren’t all doctors life care planners?” “Do you have to be a doctor to do that...

Birth Injuries: The Approach of a Life Care Planner Feb 12th, 2020

Birth Injuries: The Approach of a Life Care Planner Birth injuries are a particularly sensitive part of my practice as both a doctor and a life care planner, which is why I wanted to discuss them further. These injuries often are gut-wrenching, tragic cases. Something goes wrong in, or on...

Life Care Planning FAQs Jan 29th, 2020

Life Care Planning FAQs Q: What is a Life Care Planner? A: A Life Care Planner evaluates a patient in order to create a comprehensive life care plan, or as we refer to it, a care plan for life. Our role is to serve as a central point of authority...

Life Care Planning for Burns & Electrical Injuries Jan 14th, 2020

Life Care Planning for Burns & Electrical Injuries Every year in the United States, on average, about half a million people are treated in emergency rooms and hospitals for burns. Still more are treated at private clinics and other locations. 5 percent of burn injuries in the U.S. are due...

A Life Care Planner in the Courtroom  Dec 9th, 2019

A Life Care Planner in the Courtroom  For a busy and experienced life care planner, the last months of the year can be particularly hectic. With any of the cases I am called to, there is the potential to go to trial.  In November and December the BiFulco Medical Group...

How Do I Know if I Need a Life Care Plan? Oct 20th, 2019

We have Life Care Planning down to a science... First, let’s define what a Life Care Plan is… or as we like to call it… A Care Plan for Life The short answer A Care Plan for Life is a comprehensive report. It is a communication tool for an individual...

What is a Life Care Plan? Part 2 Oct 20th, 2019

In Part 1 of this series, we talked about life care plans and how they provide answers for the future like nothing else can. When a person is badly injured and does not know what the next few years or decades hold, life care planning provides a crucial lifeline. In Part...

Disadvantages of Skipping a Life Care Plan Oct 20th, 2019

Disadvantages of Skipping a Life Care Plan In the case of a serious permanent and catastrophic injury or illness or other life-altering injuries, at some point, you will be considering all of the options available to you (regardless of whether you are the injured individual, a family member, a plaintiff...

What is a Life Care Plan? Part 1 Oct 20th, 2019

What is a Life Care Plan? Part 1 A life care plan is something we all hope we will never need. In the case of injury or disability, however, it provides answers for the future that cannot be acquired in any other way. That is why, as a practicing physician...

Why Should I Use a Life Care Plan Oct 20th, 2019

Why Should I Use a Life Care Plan? Have you been involved recently in an accident or injury where potential litigation exists? Do you suffer from a serious permanent or catastrophic injury or illness? You may be considering the benefits of a life care plan. You may also be asking...