Mark Reed, DPM   714-528-3668         Melanie Reed, DPM   714-528-7777

Wound Care


  • Experts in the Art of Healing!

    USC / UCSF Trained -- 25+ Years Experience

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    Fellows, American Wound Care Professional Association

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Wound Care

Podiatrists Mark Reed, DPM and Melanie Reed, DPM have 25 years of experience and are Wound Care Fellows of the American Professional Wound Care Association.  Dr. Mark Reed and Dr. Melanie Reed are Board Certified by the American Board of Podiatric Surgery and completed their residency at University of California, San Francisco -- considered one of the top Podiatry Surgical and Wound Care Residency in the United States. In addition, the Podiatrist completed this podiatry medical school training at USC / LA Country Medical Center.  As Wound Care Specialist, the Foot Doctors emphasize patient education and most appointments are scheduled for 30 minutes or longer to insure there is ample time for patient education as well as for questions to be answered. 

A TEAM APPROACH TO WOUND HEALING

The most significant factor to turning around non-healing wounds to healing wounds is a comprehensive examination to identify underlying causes that are interfering with wound healing. Many patients with chronic wounds have associated systemic medical conditions that include peripheral vascular disease, immunocompremized anemia, nutritional deficiencies, diabetic control instability or incorrectly identified infecting bacteria. Dr. Mark Reed has 25 years of experience in working with a team of local Specialists to resolve underlying non-healing wound cases including Vascular Surgeons, Vein Specialists, Interventional Radiologists, Infectious Disease Specialists and Diabetatologists.

UNDERSTANDING WOUND HEALING FACTORS

Wound Care has evolved into a Specialty that is far beyond the typical primary care situation where a patient is given a prescription for antibiotics and Home Health Care is ordered to change a wound dressing. There are six major medical factors that must be assessed in treating a patient with a acute or chronic wound. The assessment of the vascular integrity of the large and small vessels in the extremity is the most essential issue in aessing a patient to achieving wound healing provided there are no other systemic complications. Dr. Mark Reed performs Peripheral Vascular Disease in-office screenings on all patients as needed. The results of the P.A.D. Screening test is reviewed by a Vascular Specialist to insure the patient is promptly seen by the Vascular Specialist for corrective intervention. The six major medical areas involving wound care are as follows:
Vascular Perfusion Integrity
Weekly Wound Management to stimulate tissue growth and debride non-viable tissue.
Absoulte Diabetic glucose control with dietary protein and B vitamin supplementation.
Off-Loading of the Wound / Ulcer.
Infection Control and Antibiotic management based on tissue cultures.
Neuropathy assessment with shoe gear and activity modification.

THE 30 DAY ASSESSMENT 

For every patient, one of the key hallmarks is that the wound is 50% reduced in 30 days from initiation of treatment or a complete relation must occur of the patient to determine what underlying factor is interfering with wound progression. This protocol insures wounds continue to heal and if they are not healing, identification to underlying factors and modifying treatment occurs to insure healing progression. Most diabetic wounds heal in 20 weeks according to national statistics. However, Dr. Mark and Melanie Reed typically heal most wounds in six to ten weeks that are not complicated. 

WOUND TYPES

The types of ulcers treated include the following:
Diabetic wounds
Pressure Ulcers
Venous status ulcers
Skin lacerations
Traumatic injuries
Ischemic Ulcers with or without gangrene
Post-surgical incision wounds
Infected wounds
Post-cancer radiation wounds
Lymph edema ulcerations
Burn wounds

WOUND CARE TYPES OF TREATMENT

Wound Care involves many interventions for treating the wound. All of the different interventions are tools for healing wounds and are not inclusive as to a cure. These include the following:
Tropical wound medications
Hydrogel dressings
Debridement of non-viable or infected tissue
Compressive Dressings
Gradient compression stockings
Weight bearing off-loading total contact cast or walking cast.
Hyperbaric therapy
Surgical wound closure
Wound Vacuum Assisted Closure
Growth Factors
Biologic Skin substitutes.
DISCLAIMER: MATERIAL ON THIS SITE IS BEING PROVIDED FOR EDUCATIONAL AND INFORMATION PURPOSES AND IS NOT MEANT TO REPLACE THE DIAGNOSIS OR CARE PROVIDED BY YOUR OWN MEDICAL PROFESSIONAL. This information should not be used for diagnosing or treating a health problem or disease or prescribing any medication. Visit a health care professional to proceed with any treatment for a health problem.
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