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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.

Bishwas Upadhyay, MD, is a board-certified internal medicine physician at Texas Primary & Pediatric Care in Irving & Celina, Texas. Dr. Upadhyay’s philosophy in medicine is to help the body care for itself. He strongly believes in the power of preventive medicine and places high importance on the doctor-patient relationship. He is known for being attentive and articulate, and finds joy in educating and counseling his patients. 

Dr. Upadhyay is originally from the Himalayan country of Nepal. He graduated from Nepalgunj Medical College in Nepal and completed his residency training in internal medicine at Presence Saint Joseph Hospital in Chicago, Illinois, where he served as a chief resident. Afterward, he joined the University of Nevada Reno School of Medicine as an assistant professor of medicine and later served as an academic hospitalist and associate program director for their internal medicine residency program. 

In addition to taking care of his patients in the hospital, Dr. Upadhyay also taught medical students and residents in both hospital and primary care settings. During his tenure as the associate program director at the University of Nevada, he developed a quality improvement and patient safety curriculum. He also coached and mentored residents in their quality improvement and patient safety projects. 

In addition to his board-certification, Dr. Upadhyay is a fellow of the American College of Physicians and received several awards and recognitions throughout his medical career. Dr. Upadhyay is fluent in English, Nepali, Hindi, and Urdu, allowing him to better serve the diverse patient populations in his community.

Outside of work, Dr. Upadhyay loves hiking, spending time with his family, and traveling. He is also an amateur cook.

Mihaela Perijoc, MD, MHA, is an eminent board-certified internal medicine physician and functional medicine specialist providing exceptional health care for patients at North Texas Internal Medicine Specialists in Plano, Texas. Dr. Perijoc has outstanding medical skills that she combines with a passion for providing the highest standard of care for her patients.

Dr. Perijoc began her career by obtaining her medical degree from the Institute of Medicine and Pharmacy (Carol Davila), Bucharest, Romania. After qualifying as a doctor, she undertook her residency in internal medicine at St. Vincent Indianapolis in Indiana. Dr. Perijoc remained at St. Vincent to complete a procedural fellowship in internal medicine.

Dr. Perijoc went on to gain valuable experience in high-profile positions at hospitals and health care institutions across Texas, honing her already considerable skills and becoming a leading advocate for raising quality standards. She developed a new model of patient care that emphasizes continuity of care and places the patient at the heart of everything she and her staff do. Dr. Perijoc continually adds to her skill set and is currently pursuing a Master in Functional Medicine degree with George Washington University in Washington, D.C.

Dr. Perijoc is a distinguished figure in her field, undertaking teaching roles at several Texas universities and holding membership of the American College of Physician Executives and the American Medical Directors Association, for whom she is a certified medical director for nursing homes. Dr. Perijoc also provides comprehensive and compassionate care and support for patients and their loved ones at hospice facilities across Texas.

Dr. Perijoc is an extraordinary physician who sets standards other medical professionals rarely match. The residents of Plano are fortunate to have a doctor of her caliber caring for their health.

Venkatesh Madhav, MD, is a double board-certified internal medicine and geriatrics specialist in Plano, Texas. As the founder and owner of TX Primary Care Plus, Dr. Madhav promotes comprehensive and holistic care for anyone over the age of 40.

Dr. Madhav graduated in the 95th percentile from Bangalore Medical College in Bengaluru, India. During his time in medical school, he received several honors and awards, including National Merit Scholarships. 

After earning his medical degree, Dr. Madhav completed his three-year internal medicine residency and geriatrics fellowship at New York Methodist Hospital in Brooklyn, New York. He has been practicing throughout the United States since 2001.

Dr. Madhav is a firm believer in the power of holistic medicine. Since training in India, he is well-versed in alternative medicine therapies that aim to uncover the root cause of illness rather than masking the symptoms.

As part of his mission to provide whole-body care, Dr. Madhav owns a mobile IV Hydration company called RX MD Solutions to provide patients with the hydration, antioxidants, and micronutrients they need to achieve optimal health.

Dr. Madhav is a pioneer in the medical field. He has contributed to 14 research and medical publications and frequently lends his medical expertise to TV and radio programs.

When he isn’t working, Dr. Madhav enjoys spending time with his wife and two daughters at their home in Frisco, Texas. His hobbies include music, travel, and meditation.

Dr. Gurrapu is Board Certified in Internal Medicine and Board Certified in Obesity Medicine with 15+ years of experience proudly serving the state of Texas. Dr. Gurrapu has been working as a hospitalist at major hospitals in the DFW metroplex – Presbyterian Plano, Medical Center of McKinney, Baylor Carrollton, and Harris Methodist in Fort Worth. Dr. Gurrapu is a patient-centric physician who works diligently to provide the best comprehensive care to her patients. Dr. Gurrapu won several awards for the quality of patient care including the “most courteous Physician” award at Baylor Carrollton.

For her consistently outstanding services, Dr. Gurrapu was selected for the prestigious “Physicians Lead” program by Texas Health Resources (THR). Dr. Gurrapu has served on multiple committees in Baylor Carrollton and Texas Health Resources hospitals. She has served on the medical board in Presbyterian Hospital, Plano, and is actively serving on the credentialing committee for Texas Health Resources ensuring high-quality standards for new physicians towards better patient care.

Dr. Yamuna Gurrapu is dedicated to providing comprehensive and preventative medical care to her patients, including diagnosing and treating acute and chronic illnesses, managing complex medical conditions, and providing custom medical weight loss management to her patients.

Dr. Gurrapu is the proud owner of Novéra Med SPA along with her primary care clinic– North Texas Medical Clinic serving Frisco, Plano, Prosper, Texas and the surrounding areas.

 

123 Welcome Our mission here at the Natural Balance Clinic is to introduce the most natural nutrition and supplements to balance the body without using medication. We believe that medication, for the most part, is not the answer for common illnesses. We believe that most diseases and illnesses happen because of the lack of healing nutrients in common food choices. We believe that medications are temporary relief of more in depth medical problems that need serious nutritional attention. We believe that healing should start from inside the body and unless we begin from inside the body, we never can treat outside symptoms because outside body pain and symptoms arise from serious internal imbalance which arise from toxins that we constantly abuse our body with, calling them "food".