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    NorthBay Center for Wound Care

    Advanced Treatment to Heal Difficult Wounds

    The only advanced wound care center in Solano County, NorthBay Center for Wound Care uses a comprehensive outpatient approach to treat wounds that resist healing. Using the most advanced therapies available, the Center succeeds in healing more than 95 percent of problem wounds within a 14-week course of treatment.

    Chronic Wounds Need Specialized Treatment 

    Non-healing or chronic wounds may be due to diabetes, poor circulation, trauma, immobility (pressure sores) or other conditions.

    Wound treatment begins with a thorough diagnostic examination to identify the type of wound and the underlying problems that may hinder healing.

    The professional staff of the Center for Wound Care provides a course of therapy individually tailored to the needs of each patient. In addition to wound cleaning, special medications and dressings, advanced therapies and interventions may include hyperbaric oxygen therapy.  

    Patients and families learn how to care for wounds at home between visits, as well as how to protect their wounds from further injury and prevent recurrence.
     

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    Wound Care Therapies May Include

     

    New Peripheral Artery Disease (PAD) detection system available at our Centers is a quick, non-invasive test to screen for the presence of PAD and Peripheral Vascular Disease (PVD).  PAD is a condition in which fatty deposits build up on inner linings of arteries and restrict flow of blood to muscles and organs. More than 10 million Americans are afflicted with this potentially fatal disease. Early diagnosis improves the chance of saving limbs and improving quality of life.

    For more information, or to make an appointment at the Center for Wound Care, please call us at (707) 624-7979.
     

    NorthBay Center for Wound Care Team

    The NorthBay Center for Wound Care team coordinates services with the patient's primary care physician. The Center is made up of a team of professionals that includes:

    Physicians with advanced....

    • Nursing staff trained in the care of chronic wounds
    • Technicians who perform non-invasive studies and various therapies
    • Experienced staff to assist with appointments, medical records, and health insurance processing.
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    Hyperbaric Oxygen Therapy (HBOT):  To help speed healing, patients breathe 100 percent oxygen concentrations at higher-than-usual atmospheric pressures. As patients relax in the clear, acrylic cylinder-shaped hyperbaric chamber, the pressurized oxygen diffuses into cells and influences a variety of bodily processes. This type of therapy may benefit a number of conditions, including bone infection, delayed healing of wounds, poor circulation to skin grafts and carbon-monoxide poisoning. Staff at the NorthBay Center for Wound Care’s hyperbaric medicine unit is specially trained and dedicated to your safety and comfort during treatment.
     

    Active platform dressings and latest generation medications:  As the crisis of antibiotic resistance continues to grow, we find that many wounds do not heal because they are contaminated with bacteria. The Center for Wound Care staff tests the wound area for the presence of resistant “super-bugs” and treats them accordingly utilizing the latest in antibacterial dressings or medications.  The science of wound care dressings is a very progressive field and the experts at the Center for Wound Care use a variety of silver dressings, collagen, growth hormones, and live cell skin substitutes.

    Ionic silver has been shown effective in clinical trials against almost every “Super bug” common to non-healing wounds. Many of the dressings used in advanced wound care include ionic silver. Many dressings can be left in place for several days at a time which makes therapy convenient and more comfortable for patients than traditional daily dressing changes. 
     

    Tissue perfusion and oxygenation testing:  Transcutaneous oxygen measurement (TCOMs) can be performed in the NorthBay Center for Wound Care to determine if the minimal amount of oxygen required for wound healing is available at the skin level surrounding the wound. Electrodes are placed near the wound edges and connected to a computerized measurement devise which interprets the oxygen pressure at the skin cellular level. TCOMs are useful in determining whether hyperbaric oxygen therapy would be useful in helping to heal a wound. TCOMs may also be requested by surgeons prior to surgery to forecast healing ability.
     

    Negative pressure wound therapy:  The staff at the NorthBay Center for Wound Care have all received advanced training and certification in negative pressure wound therapy. This therapy utilizes vacuum pressure to assist wounds in more rapid healing and also removes unwanted drainage from the wound area. This excess wound drainage is often the culprit responsible for promoting infection. Many wounds can be managed with negative pressure and decrease the time required in dressing changes by limiting changes to 3 times per week rather than 2-3 times per day. Negative pressure devices are typically small with extended battery power, and are designed for the convenience of the patient. Many of our patients wear the device to work daily and fit their dressing changes around their work schedules.  
     

    Compression therapy and mechanical off-loading:  The first step to successful treatment is identifying the underlying cause of a non-healing wound. Many chronic wounds are caused by impaired circulatory status or mechanical pressure from bone deformities, shoes, or other external factors. When the cause of a chronic wound is swelling, or edema, compression therapy may reduce swelling and help the wound gain healthy oxygen and nutrition from your circulation. It is very important to determine the status of the arteries and veins before compressing a wound area so as not to interfere with normal circulation. When the cause of a chronic wound is pressure, the answer may be mechanical off-loading. The staff at the Wound Center may make inserts or casts to temporarily remove the source of pressure until a wound can heal.
     

    Bioengineered skin substitutes: Acting as a living cell patch to cover an open wound and speed wound healing, skin substitutes are composed of living cells, proteins and skin healing substances. Uni-layered or bi-layered, the skin substitute is applied in our offices just like a skin graft, though without the surgery. The skin “patch” is covered with a special dressing and left in place for several days so that the growth hormones and nutrients can be absorbed into the wound area and regenerate your own skin in its place. 
     

    Ostomy care:  The Center for Wound Care physicians and nursing staff have special training in caring for peristomal (the area surrounding the stoma) skin problems.


    Wound Debridement:  Wounds do not heal after the body has accepted the wound as chronic. Debridement; chemical, sharp, and/or enzymatic, converts the chronic wound to an acute wound. Once the body senses a new wound it will mobilize wound healing factors and hormones to start the healing process. Often wound debridement is the only requirement to restart a wound to heal. The physicians at the NorthBay Center for Wound Care are specially trained in all modalities of debridement, and strive to make your wound healing as painless as possible.