Initial Evaluation of Wound Patients

Our integrated approach to wound care begins on a patient’s first visit to the Winthrop Wound Healing Center. When a new patient comes to our wound center, he or she gets examined not only by a wound care specialist, but also by a multidisciplinary team of physicians specializing in different aspects of wound-related medicine. Depending on the patient’s medical status, these specialists may include a vascular surgeon, a general surgeon, a plastic surgeon, an orthopedic surgeon, a nephrologist, a podiatrist, a cardiologist, and/or a physician specializing in infectious diseases, diabetes, neurology, gastrointestinal disorders, pain management and geriatric medicine.

Since these specialists all examine the patient as part of his or her initial evaluation, there’s no need to make a series of separate appointments. As a result, the comfort and convenience of our patients is maximized, while our clinicians are able to quickly pool their knowledge and develop a comprehensive treatment plan. As part of each patient’s initial evaluation, we also conduct a full battery of tests to check blood pressure, body mass index, blood chemistry (including blood lipids and blood glucose levels), blood flow in the legs, kidney and thyroid function, nutritional status, and other important parameters.

The reason we do such a comprehensive examination is that each of these factors can influence a wound’s ability to heal. By identifying and addressing these underlying medical conditions, we increase the effectiveness of our wound therapies while also improving the overall health of our patients.

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At left, a wound patient is examined by (left to right) Dr. Scott Gorenstein, director of Winthrop's hyperbaric medicine program and clinical director of the Winthrop Wound Healing Center, Dr. Thomas Davenport, plastic surgeon and director of surgical services at the center, and Dr. Harold Brem, wound physician and director of the Winthrop Wound Healing Center.

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