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Horacio Schapiro, MD
Internist
818 18th St Nw
Suite 950
Washington, DC 20006
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.
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.
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
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.
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.
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.
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.
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.
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.
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.
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
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
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.
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. Kinya Kamau, MD
Internist
1140 3rd Street NE
Washington DC, WA 20002
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.
Dr. Thi Khuc, MD
Internist
6502 Kenilworth Ave
Suite 100
Riverdale, MD 20737
Ismael Yussuf, MD
Internist
1310 Southern Ave Se
Washington, DC 20032
Ismael Tura, MD
Internist
1310 Southern Ave Se
Washington, DC 20032
Meklit Workneh, MD
Internist
7705 Belle Pointe Dr
Greenbelt, MD 20770
Gowri Kularatna, MD, specializes in gastroenterology at GI Associates of Maryland in Waldorf, Maryland. She has years of experience in the medical field and uses her knowledge to diagnose and treat patients.
Dr. Kularatna attended Emory University in Atlanta, Georgia, obtaining her bachelor’s degree in biology. She then received her medical degree from the University of Maryland School of Medicine in Baltimore.
Dr. Kularatna completed her internal medicine residency at Boston Medical Center in Massachusetts and a gastroenterology fellowship at The Barnes-Jewish Hospital through Washington University in St. Louis, Missouri.
Dr. Kularatna is board-certified in internal medicine and gastroenterology. She is also a professional member of the American College of Gastroenterology and the American Gastroenterology Association.
At GI Associates of Maryland in Waldorf, Dr. Kularatna works closely with patients to ensure she provides expert care. She has a comfortable office setting and takes an evidence-based approach to treat her patients.
Dr. Gowri Kularatna, MD
Internist
6710 Oxon Hill Rd
Ste 305
Oxon Hill, MD 20735
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.
Dr. Sultana Afrooz, DO
Family Physician
10630 Little Patuxent Parkway
Suite 224
Columbia, MD 21044
Wilbur Kuo, MD
Internist
5965 Exchange Drive Suite A-B
Sykesville, MD 21784
Nile Seaborn, PA
Internist
5965 Exchange Drive Suite A-B
Sykesville, MD 21784
Vincent Okeke, MD
Internist
8500 Annapolis Road
100
New Carrollton, MD 20784
Dr. Akinbola Ajayi-Obe, MD
Internist
4600 Forbes Blvd
A26 Ste 301
Lanham, MD 20706