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Carelife Style

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George Sopko, MD, MPH, specializes in cardiology and internal medicine and is board-certified by the American Board of Internal Medicine. At Seven Corners Medical Center in Falls Church, Virginia, Dr. Sopko focuses on integrative care methods to truly understand patient needs, treating the whole person in addition to their presenting symptoms.

During his residency training, Dr. Sopko developed a passion for lowering cholesterol and heart disease risks through a good diet and exercise plan. At Seven Corners Medical Center, he works closely with patients and provides them with the tools they need to maintain heart health and total wellness. Dr. Sopko customizes patient-centered treatment plans for high cholesterol, high blood pressure, and diabetes.

Dr. Sopko earned his medical degree at Case Western Reserve University School of Medicine in Cleveland, Ohio, one of the top research universities in the United States. He also completed a postgraduate degree in Public Health from the University of Minnesota in Minneapolis and finished his residency and fellowship training at Georgetown University Medical Center and District of Columbia General Hospital, both in Washington, DC. He is a double board certified physician - Internal Medicine (1992) & Cardiology (1993)

Giving patients his full attention, Dr. Sopko values the time he spends with them learning about their needs. His integrative approach to health care addresses both the acute and long-term needs for adult patients.  

Sultana Afrooz, DO, is a holistic and integrative medicine physician at Be The Change Health & Wellness, located in Columbia, Maryland. Dr. Afrooz specializes in diagnosing and treating highly complex health challenges confronting many patients and providing them with the in-depth, compassionate, and individualized care they deserve.

Dr. Afrooz has practiced osteopathic medicine since receiving her doctorate from Des Moines University – Osteopathic Medical Center in Des Moines, Iowa, in 2002. Her training included an osteopathic internship and family practice residency at the Frankford Hospital in Philadelphia, Pennsylvania. Dr. Afrooz was board certified in family practice from 2005 to 2014 and is currently board-eligible. She has successfully completed the National Board of Osteopathic Medical Examiners NBOME Part I, II, III Boards, the State Osteopathic Licensing Examination, and is licensed to practice medicine in Maryland, Pennsylvania, and Georgia.

Dr. Afrooz is committed to evaluating and treating the individual while improving their physical health and spiritual well-being. She is well-versed in testing and discovering environmental, genetic, and infectious factors connected to chronic health issues. Dr. Afrooz utilizes the best available integrative laboratory evaluations to get to the root cause of disease and help patients regain their health. Dr. Afrooz brings to her practice of medicine a history of continued excellence in her training and education, an intellectual curiosity that's motivated by compassion, and a life-long commitment to learning. Dr. Sultana Afrooz specializes in treating patients who have been chronically ill from the effects of tick-borne infection, mold toxicity, and environmental toxicity.

Dr. Afrooz uses an integrative approach to treatment using prescription antimicrobials, herbal supplements, and nutritional supplements. She has an exceptional knowledge of mind-body medicine, food as medicine, and other integrative functional approaches to health and healing. Dr. Afrooz is dedicated to helping her patients achieve wellness and healing in all aspects of their lives. She believes that the body has an inherent ability to heal itself and that it is her goal as a practitioner to guide patients in their journey to healing. Dr. Afrooz has had extensive training in the treatment of tick-borne infections and has attended annual ILADS conferences to keep up to date on the latest research and treatments in tick-borne infections and Multiple Infectious Disease Syndrome. With this training, she has become extremely involved in learning about the systemic effects of mold toxicity and treating the chronic systemic effects of mold illness. Dr. Afrooz has also spent years studying the various methods of persistence in chronic infections.

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.

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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.

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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

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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.

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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.

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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.

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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.

Dr. Kamau’s leadership includes oversight of:

• multi-state physician licensing

• Medicare credentialing

• payer enrollment

• corporate practice of medicine compliance

• telemedicine regulations

• Medicare Administrative Contractor policy alignment

This regulatory fluency allows Midwest Wellness & Wound Care to expand safely while maintaining strict compliance with healthcare laws and reimbursement guidelines.

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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.

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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.

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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.

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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

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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

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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.

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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.

Dr. Thi Khuc, MD, is a board-certified physician specializing in Gastroenterology and Hepatology at Gastro Center of Maryland's location in Riverdale, Maryland. Trained with expertise in evidence-based medicine and clinical research by national and international authorities in the field, Dr. Khuc is committed to providing quality, personalized patient care. Dr. Khuc values her patients’ opinions in the medical decision-making process.

Dr. Khuc completed her medical degree at the University of Virginia, followed by an Internal Medicine residency at Loma Linda University in California. Thereafter, she completed her Gastroenterology and Hepatology fellowship under the Clinical Scholars Program at the University of Maryland and Mercy Medical Center in Baltimore, MD. She was elected as a 2023 American Gastroenterological Association (AGA) Innovations Fellow for the Center for GI Innovation and Technology and is currently a member of the AGA and American College of Gastroenterology (ACG).

Dr. Khuc is skilled in colonoscopy, endoscopy, video capsule endoscopy and esophageal manometry and breath testing interpretation. She treats a wide variety of gastrointestinal disorders including colorectal cancer screening, irritable bowel syndrome (IBS), acid reflux (GERD), peptic ulcer disease, microscopic colitis, eosinophilic esophagitis (EoE), constipation, infectious diarrheal disorders, and inflammatory bowel disease (IBD).

In her spare time, Dr. Khuc enjoys painting, traveling, and trying new ice cream flavors with her family and friends.

Sohan R. Varma, MD, is an internal medicine physician at Washington Internal Medicine in Chantilly, Virginia. Dr. Varma is board-certified by the American Board of Internal Medicine and provides comprehensive patient-centered medical care to patients in Northern Virginia.

He is a native of the Washington, DC, metro area. He graduated cum laude from George Mason University with a Bachelor of Science in biology and a minor in chemistry. He graduated with honors and obtained a doctorate degree in medicine from Ross University School of Medicine in Miami, Florida, in 2009. Afterward, he completed his internship training at Mount Sinai School of Medicine and his residency training at Icahn School of Medicine at Mount Sinai in New York in 2014. 

Dr. Varma has nearly a decade of experience working in acute care, primary care, and skilled nursing facilities as a hospitalist/internist in the states of New York and Virginia. His focus of research has been chronic Hepatitis B and inflammatory bowel disease. Dr. Varma has co-authored a case report published in Chest Journal on Dengue Shock Syndrome in 2015. 

Dr. Varma believes in a complete health care plan for the patient, which includes physical, mental, social, and spiritual health. He aims to provide the highest quality care and spend time getting to know his patients on an individual level. 

Office Location(s): Aldie

Other languages spoken: Spanish (fluent)

 

Double board-certified pediatrician and internal medicine specialist David Rubio, M.D., F.A.A.P., has cared for patients in Northern Virginia for over two decades. He is part of the Virginia Pediatric Group team and sees patients at the practice’s location in Aldie, Virginia. 

Dr. Rubio was born in Queens, New York, although he considers South Riding, Virginia, his hometown. He completed a six-year biomedical program with Union College in Schenectady, New York, earning a Bachelor of Science in 1987. He completed his medical degree in 1989 at Albany Medical College, also in New York. He then went on to complete his internal medicine/pediatrics residency training in 1993 at the North Shore University Hospital/Cornell University Medical Center in New York. 

Upon residency completion, Dr. Rubio joined the Northern Virginia Primary Care Associates in Annandale until 2008, when he developed and managed his own private pediatrics practice in South Riding. He was board certified by the American Board of Internal Medicine in 1994 and recertified in 2003. Dr. Rubio was also board certified by the American Board of Pediatrics in 1994 and recertified in 2016. 

In 2016, Dr. Rubio and his practice joined the Virginia Pediatric Group. He feels it is wonderful to watch the children he's cared for over the years grow and develop. The personal relationships made with families have been extremely rewarding, and he looks forward to doing the same for many years to come. 

Dr. Rubio is fluent in Spanish and resides in South Riding with his wife and three children. In his free time, he enjoys sports and music.

 

Patient Reviews

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“Dr. Rubio is the best! We've been with him since before he joined Virginia Pediatrics, and is the only reason we stay with that group. He's patient and answers all of our questions. Always feel better after talking to him about any concerns we may have. The kids really like him too!”
- Karla D.

 

“Been with Dr. Rubio for over 10 years. He is patient, listens, is understanding, is not forceful with medical advice. Helps you to understand. We have always felt and still feel comfortable with him and his staff.”
- Estelle K.

 

“Dr. Rubio is an amazing pediatrician. Highly recommended.”
- Victor G.

 

“Dr. Rubio is the best, super friendly. He didn't rush (like many other places) and he was thorough. Definitely recommend.”
- Kishore K.

 

Steven Fisher, MD, FACC, is a skilled cardiologist who is board-certified in cardiovascular disease. 
Dr. Fisher sees patients at Cardiology Associates of Frederick in Frederick, Maryland and is also affiliated with Frederick Memorial Hospital. 

Dr. Fisher graduated Cum Laude from the University of Pennsylvania, where he earned a Bachelor of Arts degree with majors in Biology and Anthropology. He also obtained his Medical Degree from the University of Pennsylvania. 

Following his medical education, Dr. Fisher completed an internal medicine residency at University of Pittsburgh Medical Center in Pittsburgh, Pennsylvania. He completed a clinical and research Cardiology Fellowship at the Medical Center of/ University of Vermont in Burlington, Vermont. 

Dr. Fisher worked as a cardiologist and  NIH funded research scientist at academic medical centers (AMC) for 30 years prior to joining Cardiology Associates of Frederick, initially  in Cleveland , OH and subsequently at the University of Maryland Medical Center in Baltimore.

He was active in all activities at the AMC including teaching/training  physicians and cardiologists of the future, developing new understanding of and therapies for cardiovascular disease,  and taking care of patients as a general cardiologist. Patients of Dr. Fisher can expect the highest level of patient-centered cardiology care.