Cardiologist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Chiropractor providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Dentist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Dermatologist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Family Physician providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
OB-GYN providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Ophthalmologist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Orthopedic Surgeon providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Pediatrician providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Physical Therapist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Podiatrist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Psychiatrist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Cary Laser Aesthetics offers the best state-of-the-art laser aesthetics treatments to the Cary, North Carolina community. The physician at the helm of Cary Laser Aesthetics, Vijaya Polavaram, MD, is a highly trained aesthetic physician with more than 20 years of experience in the medical field.
Dr. Polavaram’s experience in the plastic surgery field gives her the unique skills she needs to help patients with acne scars, sun damage, wrinkle reduction, laser hair removal, and much more. Cary Laser Aesthetics also offers state-of-the-art noninvasive menopause symptom relief, so there’s no reason to suffer any longer. The MonaLisa Touch® laser effectively relieves symptoms like painful intercourse and vaginal atrophy. Dr. Polavaram personally performs all medical aesthetic services at Cary Laser Aesthetics.
The Cary Laser Aesthetics team proudly offers effective noninvasive solutions to help patients be their very best. Use online scheduling, or call Cary Laser Aesthetics to schedule a consultation today.
“I requested an appointment online, which was accepted, and I received several confirmation texts leading up to my appointment only to be told that they had no record of me after I arrived. The doctor had left for the day so there was no way to accommodate me. I also had called to ask a few questions in advance of requesting an appointment and was told laser hair removal was approximately $105/area/session, but when I requested the same information at my failed appointment, I was told the doctor was working on updating the pricing but it’s roughly $135/area/session. Ultimately, the whole experience showed a lot of disrespect for patient’s time and money.”
Dr. Vijaya Polavaram, md
Internist
7560 Carpenter Firestation Road
Suite 203
Cary, NC 27519
4.5(8)
Dr. Fawzia Salahuddin, MD, MHS-CL, FACP
Internist 7.6 mi
160 Northeast Maynard Road
Suite 110
Cary, NC 27513
With board certifications in Emergency Medicine, Internal Medicine, Sleep Medicine, and Obesity Medicine — plus specialized training in aesthetics, laser medicine, and hair restoration — I offer a truly integrated approach to wellness. My passion for evidence-based practice and lifelong learning continues to shape the care I deliver. Above all, I believe in excellence — in myself, in my work, and in the experience I strive to give each patient. I welcome you to visit us and allow me the honor of caring for you and your family. Together, we can build healthier days, peaceful nights, and a life lived beautifully!
Brittney is one of our Medical Assistants who facilitates both administrative and clinical operations at the Durham location. She attended Rowan College of South Jersey, as Graphic Design major, and English minor. After obtaining her Bachelors Brittney relocated to Los Angeles, Where she chose to attend American Career College and completed her Medical Assistant Program.
Brittney is responsible for -Communication and collaborating with physicians -Scheduling patients - Assisting with medication refills and medical letters - As well as other behind the scenes operational work.
Dr. Troy Pleasant grew up in Virginia and earned his medical degree from Eastern Virginia Medical School. He completed his residency in Internal Medicine at Wake Forest Baptist Hospital in Winston-Salem, North Carolina, followed by a fellowship in Gastroenterology at Virginia Tech Carilion Clinic in Roanoke, Virginia.
Dr. Pleasant's clinical interests include general gastroenterology, colorectal cancer screening, inflammatory bowel disease (IBD), irritable bowel syndrome (IBS) and esophageal disorders. He is committed to providing patient-centered, evidence-based care with a focus on clear communication and long-term wellness.
Outside of medicine, Dr. Pleasant enjoys watching sports, hiking, traveling, and spending time with his wife, daughter, and their dog
Dr Dwivedi completed his medical school at The Brody School of Medicine. He completed internal medicine residency at Wake Forest University Baptist Hospital, and was selected as a Chief Resident. Following his chief residency, he completed gastroenterology fellowship at Virginia Tech-Carilion Clinic.
His medical interests include general gastroenterology, inflammatory bowel diseases, esophageal motility disorders. In his spare time, he is passionate about playing soccer and watching his favorite team, Arsenal. He also enjoys spending time with his wife, and two daughters.
Brittney is one of our Medical Assistants who facilitates both administrative and clinical operations at the Durham location. She attended Rowan College of South Jersey, as Graphic Design major, and English minor. After obtaining her Bachelors Brittney relocated to Los Angeles, Where she chose to attend American Career College and completed her Medical Assistant Program.
Brittney is responsible for -Communication and collaborating with physicians -Scheduling patients - Assisting with medication refills and medical letters - As well as other behind the scenes operational work.
Dr. Troy Pleasant grew up in Virginia and earned his medical degree from Eastern Virginia Medical School. He completed his residency in Internal Medicine at Wake Forest Baptist Hospital in Winston-Salem, North Carolina, followed by a fellowship in Gastroenterology at Virginia Tech Carilion Clinic in Roanoke, Virginia.
Dr. Pleasant's clinical interests include general gastroenterology, colorectal cancer screening, inflammatory bowel disease (IBD), irritable bowel syndrome (IBS) and esophageal disorders. He is committed to providing patient-centered, evidence-based care with a focus on clear communication and long-term wellness.
Outside of medicine, Dr. Pleasant enjoys watching sports, hiking, traveling, and spending time with his wife, daughter, and their dog
Dr Dwivedi completed his medical school at The Brody School of Medicine. He completed internal medicine residency at Wake Forest University Baptist Hospital, and was selected as a Chief Resident. Following his chief residency, he completed gastroenterology fellowship at Virginia Tech-Carilion Clinic.
His medical interests include general gastroenterology, inflammatory bowel diseases, esophageal motility disorders. In his spare time, he is passionate about playing soccer and watching his favorite team, Arsenal. He also enjoys spending time with his wife, and two daughters.
Abhay Agarwal, MD, is a board-certified internal medicine physician at Cary Medical Clinic, with office locations in Cary and Morrisville, North Carolina. Dr. Agarwal and his team provide integrative health care tailored to your health needs, preferences, and goals.
Dr. Agarwal attended the University of Mumbai in India, graduating in 1993 with his doctorate in medicine. He then pursued residency training at Thomas Jefferson University in Philadelphia, Pennsylvania.
During his time in health care, Dr. Agarwal has been honored with the “Physician’s Recognition Award” by the American Medical Association in 2003, and was recognized by his patients as a reliable, professional, and courteous physician.
Dr. Agarwal is affiliated with WakeMed Cary Hospital. He is also a member of the American Medical Association. At Cary Medical Clinic, he is dedicated to helping adolescent and adult patients maintain the best possible health and quality of life.
To learn more about Dr. Agarwal’s approach to care, schedule a time to meet with him and the caring team at Cary Medical Clinic. Dr. Agarwal is an experienced physician who is happy to assist you with your medical concerns.
Board-Certified Internal Medicine Physician Founder & CEO – Midwest Wellness & Wound Care
Dr. Kinya Kamau, MD, is a Board-Certified Internal Medicine physician and the Founder and Chief Executive Officer of Midwest Wellness & Wound Care, a physician-directed multi-state medical organization specializing in mobile wound care, chronic disease management, and telemedicine services.
With more than 20 years of clinical experience, Dr. Kamau has dedicated her career to improving outcomes for medically complex patients through evidence-based care delivered directly at the bedside. Her work focuses on patients living with chronic wounds, diabetes, vascular disease, mobility limitations, and other conditions that interfere with healing.
Dr. Kamau leads a physician-directed wound care program that delivers advanced bedside wound management in skilled nursing facilities, assisted living communities, rehabilitation centers, and private residences across multiple states. Her model integrates Internal Medicine expertise, regulatory compliance, and structured clinical workflows to improve healing outcomes while supporting healthcare facilities with Medicare-aligned documentation.
Her mission is simple but powerful: provide compassionate, evidence-driven care that restores health, mobility, and dignity for patients living with chronic wounds.
Professional Credentials
Dr. Kamau brings more than two decades of medical experience in Internal Medicine and complex chronic disease management. Her clinical background includes extensive experience caring for medically fragile adults in hospital, outpatient, and post-acute care settings.
She has dedicated much of her career to treating patients with:
chronic wounds
diabetes
vascular disease
renal dysfunction
mobility limitations
These conditions frequently impair wound healing and require a comprehensive medical approach.
Dr. Kamau earned her Doctor of Medicine degree from the University of Nairobi, where she developed a strong academic foundation in internal medicine, complex disease management, and patient-centered clinical care.
She later completed her Internal Medicine residency at the University of Oklahoma, where she refined her expertise in diagnosing and managing complex medical conditions affecting adult patients.
Following residency, Dr. Kamau completed advanced fellowship training in nephrology, expanding her expertise in:
kidney disease
hypertension
electrolyte disorders
metabolic conditions
systemic illnesses that influence wound healing
Dr. Kamau currently maintains active medical licenses in multiple U.S. states, allowing her to oversee physician-directed wound care services across diverse healthcare environments including:
skilled nursing facilities
assisted living communities
rehabilitation centers
private residences
Through Midwest Wellness & Wound Care, she leads a multi-state physician wound care program designed to deliver advanced bedside wound treatment while maintaining strict alignment with Medicare documentation standards and regulatory compliance requirements.
Quick Credentials Summary
Board Certification Internal Medicine
Medical School University of Nairobi – Doctor of Medicine
Residency Training Internal Medicine – University of Oklahoma
Fellowship Training Nephrology- University of Oklahoma
Clinical Experience 20+ years in Internal Medicine and complex chronic disease management
Clinical Focus
Mobile wound care
Chronic wound management
Diabetic wound care
Pressure injury management
Post-acute care medicine
Practice Model
Physician-directed mobile wound care and telemedicine services
Practice Leadership
Founder & CEO – Midwest Wellness & Wound Care
Practice Settings
Skilled nursing facilities
Assisted living communities
Rehabilitation centers
Private residences
Medical Education and Training
Dr. Kamau earned her Doctor of Medicine degree from the University of Nairobi, where she developed a strong foundation in internal medicine, complex disease management, and patient-centered clinical care.
She later completed her Internal Medicine residency training at the University of Oklahoma, where she further refined her expertise in diagnosing and managing complex medical conditions affecting adult patients.
Internal Medicine training provides a comprehensive understanding of the interconnected systems that influence healing. Conditions such as:
diabetes
cardiovascular disease
kidney dysfunction
malnutrition
vascular compromise
frequently contribute to delayed wound healing.
Dr. Kamau’s training enables her to evaluate wounds within the full medical context of the patient rather than focusing solely on the skin surface. This systemic perspective forms the foundation of her approach to chronic wound management.
Board-Certified Internal Medicine Expertise
As a Board-Certified Internal Medicine physician, Dr. Kamau approaches wound care through the lens of whole-patient medicine.
Chronic wounds rarely exist in isolation. They often develop because of underlying physiologic dysfunction that impairs tissue repair.
Common systemic contributors include:
diabetes and poor glycemic control
peripheral vascular disease
venous insufficiency
cardiac disease
renal impairment
malnutrition
neuropathy
immobility
medication side effects
chronic inflammation
By addressing these root contributors alongside local wound treatment, Dr. Kamau’s approach improves healing potential and reduces the risk of complications such as infection, hospitalization, or limb loss.
This integrated medical strategy is a key differentiator between physician-directed wound care and fragmented treatment models that rely solely on topical wound management.
Founder of Midwest Wellness & Wound Care
Dr. Kamau founded Midwest Wellness & Wound Care to address a critical gap in post-acute medicine.
Many patients with chronic wounds live in environments where transportation to specialty wound clinics is difficult or unsafe. Skilled nursing residents, assisted living residents, and homebound individuals often experience delays in wound evaluation simply because they cannot easily travel to outpatient facilities.
The mobile wound care model solves this problem by bringing advanced wound care directly to the patient.
Under Dr. Kamau’s leadership, Midwest Wellness & Wound Care provides physician-directed bedside wound care services that allow patients to receive specialized treatment in the environment where they live.
This model improves:
access to care
early wound detection
treatment timeliness
interdisciplinary communication
patient comfort and safety
It also allows physicians to observe real-world factors affecting wound healing, including mobility limitations, pressure exposure, nutritional status, and environmental risks.
Multi-State Medical Practice
Dr. Kamau currently holds active medical licenses in numerous states across the United States, allowing her organization to expand access to physician-directed wound care services across diverse regions.
States where Dr. Kamau is licensed in over 40 states.
Operating across multiple states requires a deep understanding of regulatory frameworks, payer policies, and state medical board requirements.
This regulatory fluency allows Midwest Wellness & Wound Care to expand safely while maintaining strict compliance with healthcare laws and reimbursement guidelines.
Mobile Wound Care: Bringing Advanced Treatment to the Bedside
Mobile wound care represents a major advancement in how chronic wounds are treated.
Traditional wound care models rely heavily on outpatient clinics or hospital-based services, which can create barriers for medically fragile patients.
Dr. Kamau’s physician-directed mobile wound care model places advanced wound care directly at the bedside.
Patients may receive care in:
skilled nursing facilities
assisted living communities
rehabilitation centers
long-term care facilities
private residences
By eliminating transportation barriers, patients receive faster evaluations and more consistent follow-up.
Early intervention is one of the most important factors influencing wound healing outcomes.
Chronic Wounds Treated
Dr. Kamau’s clinical program manages a wide range of wound conditions commonly seen in post-acute medicine.
These include:
Diabetic Foot Ulcers Neuropathy, vascular compromise, and metabolic dysfunction contribute to tissue breakdown.
Pressure Injuries Prolonged pressure restricts blood flow and damages tissue.
Venous Leg Ulcers Venous insufficiency and edema lead to chronic lower extremity wounds.
Arterial Ulcers Poor arterial circulation limits oxygen delivery to tissues.
Post-Surgical Wounds Incisions may fail to heal due to infection or systemic illness.
Traumatic Wounds Skin tears and injuries are common in elderly populations.
Chronic Non-Healing Wounds Persistent wounds require a comprehensive medical approach.
Structured Wound Evaluation
Every wound evaluation follows a standardized clinical protocol that includes:
precise wound location documentation
wound length, width, and depth measurement
tissue type identification
exudate evaluation
periwound assessment
infection surveillance
perfusion evaluation
pressure offloading strategies
This structured methodology supports accurate monitoring of wound progression and Medicare-compliant documentation.
Advanced Wound Treatment Modalities
Treatment plans are tailored to each patient and may include:
conservative sharp debridement
antimicrobial dressings
moisture-balance therapy
collagen-based wound matrices
compression therapy
edema management
negative pressure wound therapy
cellular and tissue-based products when appropriate
Medicare-Aligned Documentation
Providing wound care in long-term care environments requires careful adherence to Medicare documentation standards.
Dr. Kamau’s program emphasizes:
medical necessity documentation
CPT coding accuracy
ICD-10 diagnosis specificity
Local Coverage Determination adherence
wound progression documentation
treatment response monitoring
Telemedicine Services
In addition to mobile wound care, Dr. Kamau oversees telemedicine services that expand access to medical care.
Services may include:
primary care consultations
chronic disease follow-up
medication management
behavioral health support
preventive care evaluations
Telehealth allows patients to receive ongoing medical support between in-person visits while maintaining continuity of care.
Commitment to Patient-Centered Care
At the center of Dr. Kamau’s work is a commitment to improving the lives of patients living with chronic wounds and complex medical conditions.
Frequently Asked Questions About Wound Care Physicians
What does a wound care physician do?
A wound care physician specializes in diagnosing and treating chronic wounds such as diabetic foot ulcers, pressure injuries, venous leg ulcers, arterial ulcers, and non-healing surgical wounds. They provide advanced wound treatments, debridement procedures, and medical oversight to support healing.
When should someone see a wound care physician?
Patients should see a wound care physician when a wound does not improve after several weeks of standard treatment, or when conditions such as diabetes, vascular disease, or immobility increase the risk of delayed healing.
Can wound care physicians treat patients in nursing facilities?
Yes. Many wound care physicians provide bedside services in skilled nursing facilities, assisted living communities, rehabilitation centers, and private homes to ensure patients receive timely evaluation and treatment.
Abhay Agarwal, MD, is a board-certified internal medicine physician at Cary Medical Clinic, with office locations in Cary and Morrisville, North Carolina. Dr. Agarwal and his team provide integrative health care tailored to your health needs, preferences, and goals.
Dr. Agarwal attended the University of Mumbai in India, graduating in 1993 with his doctorate in medicine. He then pursued residency training at Thomas Jefferson University in Philadelphia, Pennsylvania.
During his time in health care, Dr. Agarwal has been honored with the “Physician’s Recognition Award” by the American Medical Association in 2003, and was recognized by his patients as a reliable, professional, and courteous physician.
Dr. Agarwal is affiliated with WakeMed Cary Hospital. He is also a member of the American Medical Association. At Cary Medical Clinic, he is dedicated to helping adolescent and adult patients maintain the best possible health and quality of life.
To learn more about Dr. Agarwal’s approach to care, schedule a time to meet with him and the caring team at Cary Medical Clinic. Dr. Agarwal is an experienced physician who is happy to assist you with your medical concerns.
Dr. Troy Pleasant grew up in Virginia and earned his medical degree from Eastern Virginia Medical School. He completed his residency in Internal Medicine at Wake Forest Baptist Hospital in Winston-Salem, North Carolina, followed by a fellowship in Gastroenterology at Virginia Tech Carilion Clinic in Roanoke, Virginia.
Dr. Pleasant's clinical interests include general gastroenterology, colorectal cancer screening, inflammatory bowel disease (IBD), irritable bowel syndrome (IBS) and esophageal disorders. He is committed to providing patient-centered, evidence-based care with a focus on clear communication and long-term wellness.
Outside of medicine, Dr. Pleasant enjoys watching sports, hiking, traveling, and spending time with his wife, daughter, and their dog
Dr Dwivedi completed his medical school at The Brody School of Medicine. He completed internal medicine residency at Wake Forest University Baptist Hospital, and was selected as a Chief Resident. Following his chief residency, he completed gastroenterology fellowship at Virginia Tech-Carilion Clinic.
His medical interests include general gastroenterology, inflammatory bowel diseases, esophageal motility disorders. In his spare time, he is passionate about playing soccer and watching his favorite team, Arsenal. He also enjoys spending time with his wife, and two daughters.
Dr. Vadlamudi completed Internal Medicine residency from East Tennessee State University, Johnson City, Tennessee. He received a Master’s in Public Health (Health Administration) from East Tennessee State University. He worked at Wake Forest Baptist Medical Center as Research Chair of Hospital Medicine and Assistant Professor of Medicine. He was honored with “Fellow of American College of Physicians (FACP)”. He completed a Gastroenterology and Hepatology Fellowship at State University of New York (SUNY) Upstate, Syracuse, New York. He was awarded “The Best Fellow” during his fellowship. He finished his Advanced Interventional Endoscopy (ERCP/EUS) Fellowship at Carilion Clinic, Roanoke, Virginia.
He strives to provide the best care possible to his patients which is comprehensive, evidence based, and state-of-art with involvement of the patient and family. His goal is to help patients and families understand the disease process and thus help them to have the most effective and comprehensive treatment plan.
He continues to publish and work as peer reviewer in various high impact journals.
He is board certified in gastroenterology. He is a fellow in the American College of Physicians.
He Joined the Raleigh Medical Group Gastroenterology, Wake Endoscopy, and Wilson Digestive Diseases Center in 2019.
He specializes in advanced interventional endoscopic procedures like endoscopic retrograde cholangiopancreatography (ERCP), Spyglass cholangioscopy, endoscopic ultrasonography (EUS) with fine needle aspiration, and pancreatic cyst drainage with stent placement. He performed the first pancreatic cyst drainage (cystogastrostomy) with stent placement at WakeMed Raleigh and WakeMed Cary.
“I would definately suggest Dr. Vadlamudi and those thake work with him. Everyone was kind and able to help if needed.
Thanks to all that were there.
Diane Owens”
