Todd Mellish, MD, is a highly skilled internal medicine physician at Southern New Hampshire Internal Medicine in Bedford, New Hampshire. He is board-certified in internal medicine and joined Southern New Hampshire Internal Medicine in 2016.

Dr. Mellish received his Bachelor of Science in Biology and Bachelor of Arts in Chemistry at Olivet Nazarene University in Bourbonnais, Illinois. He received his Doctor of Osteopathic Medicine from the Chicago College of Osteopathic Medicine in Downers Grove, Illinois. 

Dr. Mellish completed his medical training with an internal medicine residency at the University of Illinois Christ Hospital and Medical Center in Oak Lawn, Illinois. He maintains his medical credentials with continuing education to stay current in the newest advances in internal medicine.

When he’s not at the office, Dr. Mellish enjoys spending time with his family and friends and participating in many different hobbies. He welcomes his patients to Southern New Hampshire Internal Medicine and looks forward to caring for them. 

Dr. Jennifer T. Jones is a board-certified internal medicine physician with more than 25 years of experience in providing comprehensive primary care to adult patients. Dr. Jones is dedicated to helping her patients live their healthiest, most fulfilling lives.

She earned her Doctor of Osteopathic Medicine degree from the University of Osteopathic Medicine and Health Sciences in Des Moines, Iowa. Dr. Jones completed her internship at Sisters of Charity Hospital in Buffalo, New York, and went on to complete her internal medicine residency at Milton S. Hershey Medical Center at Pennsylvania State University.

Dr. Jones chose internal medicine and primary care because of her passion for building lasting relationships with patients and supporting them through every stage of adult life.  Dr. Jones takes an osteopathic approach to her care but does not provider Osteopathic Manipulation Services. She finds joy in helping solve medical problems that improve her patients' quality of life and is continually inspired by their resilience and dedication to wellness.

Throughout her career, Dr. Jones has valued the opportunity to create meaningful connections—not only with patients but also with her care team. Her favorite clinical memories often involve moments of laughter and shared joy while caring for others.

Dr. Jones believes in the power of self-care and encourages all her patients to make time for their own well-being. Her approachable style and patient-centered philosophy make her a trusted and compassionate partner in health.

Dr. John Andrea is a board-certified physician in both Family Medicine and Sports Medicine. He earned his Bachelor of Science in Psychology from the University of Massachusetts Amherst and his Doctor of Osteopathic Medicine from the University of New England in Biddeford, Maine. He completed his medical training with a Family Medicine residency at Fairfax Family Practice in Virginia, followed by a Sports Medicine Fellowship at INOVA Fairfax, graduating in 2021.

As a primary care physician, Dr. Andrea cares for patients of all ages and has special interests in non-operative orthopedics, sports medicine, musculoskeletal ultrasound, procedures, injections, and Osteopathic Manipulative Medicine (OMM). He is passionate about prevention, staying active at every stage of life, and building long-term relationships with his patients. Dr. Andrea stays current through ongoing education and sports medicine training and also volunteers with the U.S. Olympics. Outside the office, he enjoys the outdoors, gardening, Boston sports, and spending time with his family—often fueled by a cappuccino or Dunkin’ macchiato. Dr. Andrea looks forward to meeting you!

Dr. Rajesh Shoor is a board-certified Internal Medicine physician with extensive experience providing compassionate, high-quality care. He earned his Bachelor of Arts with High Distinction from the University of Virginia in Charlottesville and went on to complete his Doctor of Osteopathic Medicine at the University of Medicine and Dentistry of New Jersey in Stratford, NJ. Dr. Shoor completed his residency training in Internal Medicine in 2005 at the University of Medicine and Dentistry of New Jersey in Newark.

Following residency, Dr. Shoor served as a physician in the U.S. Army, including a 15-month deployment in Iraq, where he cared for soldiers in demanding environments. In 2008, he relocated to Southern New Hampshire, where he has since been dedicated to serving the local community through roles at Parkland Medical Center in Derry and Catholic Medical Center in Manchester.

Dr. Shoor is excited to welcome new patients to Southern New Hampshire Internal Medicine. He is committed to building lasting relationships with patients and delivering personalized care focused on wellness and prevention.

Outside of medicine, Dr. Shoor enjoys running, exploring New England, and spending quality time with his family and friends.

Dr. Shoor is accepting new patients and looks forward to seeing you in the office!

Marcio Jablonka, MD, is a highly trained physician at Southern New Hampshire Internal Medicine in Bedford, New Hampshire. He is board-certified in internal medicine and joined Southern New Hampshire Internal Medicine in 2016.

Dr. Jablonka received his medical degree from the Universidade Federal do Rio de Janeiro (UFRJ) in Brazil. He completed his internal medicine residency at Framingham Union Hospital and MetroWest Medical Center in Framingham, Massachusetts. 

He maintains his medical credentials with continuing education to stay up to date with the newest advances in internal medicine and is a member of numerous professional organizations. 

In his free time, Dr. Jablonka enjoys spending time with family and friends. He speaks Portuguese, Spanish, and Hebrew to better communicate with a variety of patients from different backgrounds. 

He welcomes each of his patients, age 12 and older, to Southern New Hampshire Internal Medicine and looks forward to exceeding their health and wellness needs.

Dr. Yelyzaveta Prysyazhnyuk is a compassionate and highly trained physician with a strong commitment to advancing mental health care. She brings a rich background in internal medicine and a deep interest in the intersection of physical and mental well-being to her role at Vital Psych MD LLC. Dr. Prysyazhnyuk completed her undergraduate studies at Barnard College of Columbia University before earning her medical degree from SUNY Downstate College of Medicine. She went on to complete her residency in Internal Medicine at the Zucker School of Medicine at Hofstra/Northwell NS/LIJ, where she also obtained certifications as a clinician educator and in lifestyle medicine. At Vital Psych MD, Dr. Prysyazhnyuk is excited to focus her practice on supporting individuals through evidence-based care that bridges the gap between physical and mental health. Her clinical experience and academic foundation have shaped her integrative approach, helping achieving overall well-being and a lasting change.

Dedicated to high quality patient care, expertise in diabetes and thyroid disorder

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.

Hanna Halibus, APRN, FNP-C, is a compassionate and experienced Family Nurse Practitioner at Norwood Medical Associates in Norwood, Massachusetts, offering personalized, evidence-based care for patients. With a strong background in both primary care and rehabilitation settings, she is dedicated to improving patient outcomes and promoting long-term wellness.

Hanna earned her Master of Science in Nursing from Regis College and is board-certified as a Family Nurse Practitioner. She also holds a Bachelor of Science in Nursing from UMass Lowell. For a decade, she worked as a registered nurse in subacute and long-term care facilities, gaining hands-on experience and building strong relationships with her patients and their families.

Today, she brings that same dedication and empathy to her role at Norwood Medical Associates, where she treats a wide range of acute and chronic conditions while emphasizing preventive care and patient education. She is passionate about empowering patients to take control of their health through personalized care plans and ongoing support.

A proud member of the American Association of Nurse Practitioners, Hanna stays current with the latest medical advancements to ensure high-quality care. She is bilingual in English and Russian, helping to serve a diverse patient population with warmth and understanding.

Whether you're managing a chronic illness or seeking routine wellness care, Hanna is here to support your health goals with expert, compassionate care in Norwood.

Savitha Gowda, MD, is a board-certified internal medicine specialist at Norwood Medical Associates in Norwood, Massachusetts. She is certified by the American Board of Internal Medicine and has decades of experience. 

Dr. Gowda has been practicing medicine in Norwood since 1998. She was raised in a large family in India, growing up with many family members who suffered from diabetes complications. Her mother donated a kidney to her father, but he eventually succumbed to his illness. All of this influenced Dr. Gowda’s decision to practice medicine. 

She earned her medical degree at Bangalore University in India and completed a residency in internal medicine at Newton-Wellesley Hospital in Newton, Massachusetts, and St. Raphael Hospital in New Haven, Connecticut. 

Dr. Gowda has been ranked a Top Doctor for the last 13 consecutive years. She also received the Boston Magazine Top Doctor Award, America’s Top Doctor Award, and Top Geriatrician. She is a member of the American Medical Association, Massachusetts Medical Society, and American College of Physicians.

Dr. Gowda enjoys helping her patients improve their lives through general health awareness, improved lifestyle habits, and convenient access to their medical provider. She’s constantly involved in optimizing primary care. Dr. Gowda is grateful to her patients for their respect and trust. 

She understands the importance of superior health care for improving the quality of life and preventing severe complications. She knows her patients well, makes them feel comfortable during their appointments, and treats them with respect and compassion. Dr. Gowda is thorough, providing comprehensive primary care services in a state-of-the-art facility. 

When not working with patients, Dr. Gowda enjoys traveling around the world, learning about different cultures, reading books, gardening, and watching movies. She supports numerous local charities that improve health care, hunger, and education. 

Dr. Gowda enjoys improving the lives of new and existing patients and welcomes them to Norwood Medical Associates.