Everyone deserves access to top-quality medical care from a provider they can get to know and trust. For residents of Riverview, Florida, Equilibri Health and Wellness is a premier primary care resource. At the heart of the practice is nurse practitioner Brandi Rhody, APRN, FNP-C, a dedicated healthcare professional with more than 25 years of clinical experience.

Brandi leads Equilibri Health and Wellness and is committed to fostering strong provider-patient relationships. Her compassionate approach and extensive expertise make her a trusted partner in helping patients achieve their health and wellness goals. Patients consistently praise her ability to connect on a personal level, empowering them to take charge of their well-being.

Equilibri Health and Wellness provides a wide range of services for the entire family. From routine screenings and preventive care to chronic disease management, the practice is designed to deliver comprehensive care that prioritizes long-term health. Brandi also offers specialized services, including bioidentical hormone replacement therapy (HRT), medically supervised weight loss, and more.

With a focus on evidence-based care and patient education, Brandi ensures that each visit is a step toward living a healthier and more fulfilling life. Whether you're managing a chronic condition or exploring ways to enhance your overall wellness, you’ll find the guidance and support you need at Equilibri Health and Wellness.

When you’re ready to experience the difference personalized care can make, schedule your initial visit. Online booking is available 24/7, and our friendly staff is always happy to assist by phone during business hours.

Christina Pagan is a board certified physician assistant, and native Floridian. Christina attended Florida Southern College where she received a Bachelor of Science degree. Following graduation from FSC, she attained two Master’s of Science degrees: one from the University Of South Florida in Medicine and one in Physician Assistant studies, graduating with highest honors from Nova Southeastern University- Orlando. Christina chose medicine as a career to use her skills and compassion to make a difference in the lives of people so they are able to enjoy life to their fullest potential. Christina has experience in various medical procedures, diagnosing and treating illness, while empowering her patients to achieve and maintain better health.

Glenn Pfaff, MD, is an established and highly skilled physician with over 39 years of experience in Internal Medicine. He earned his medical degree from the University of South Florida in Tampa and his bachelor’s degree in Zoology from Florida Atlantic University. He is affiliated with Orlando Health and has been working with Access IPC since 2016

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.

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.

Ravneet Sandhu, MD, of Brandon Riverview Medical Associates in Brandon and Riverview, Florida, attended medical school in India before moving to the United States in 1991. She completed her internal medicine residency at Abington Memorial Hospital near Philadelphia and then moved to Tampa, Florida.

Dr. Ravneet Sandhu specializes in treating patients with complex medical issues such as diabetes, COPD, and weight management. As a practicing physician for more than 20 years, she has been able to diagnose many diseases that others have missed.  She always approaches treatment with an open mind and listens carefully to her patients' needs.

Dr. Ravneet Sandhu believes that empathy is the key to quality medical care. She knows that it's essential for providers to fully comprehend how the treatment will impact patients' lives. At Brandon Riverview Medical Associates, her goal is to act as her patients' advocate. She makes every effort to help her patients make informed decisions about treatment.

She feels her role as a physician is to act as a facilitator, providing up-to-date information and recommendations. At each step in the treatment process, she encourages open communication and engages her the patient in an active discussion. Her goal is to empower patients to make their own decisions and feel confident about their medical care.

Dr. Ravneet Sandhu provides each patient with a personalized treatment plan that incorporates her patients' input and preferences. She has a passion for internal medicine and enjoys helping patients manage complex medical problems. She's equally passionate about educating patients in preventive measures that can improve their health and general well-being.

Dr. Sandhu has been married to her practice partner, Dr. Jagdeep Sandhu, since 1992. When not practicing medicine, she enjoys painting, traveling, and spending time with her family and friends.

Gershwin Blyden, MD, PhD, FCP, FACP, is a board-certified hematologist-oncologist and medical director of The Foundation for Sickle Cell Disease Research, with locations in Homestead, Orlando, Lakeland, Jacksonville, Belle Glade, Tallahassee, and Hollywood, Florida. With more than 40 years of diverse experience, Dr. Blyden is an esteemed physician in his field.

After receiving his bachelor’s degree in plant science from the Tuskegee Institute (now Tuskegee University) in Tuskegee, Alabama, in 1967, Dr. Blyden earned a PhD in pharmacology from prestigious Yale University in New Haven, Connecticut, in 1976. Just three years later, he also earned his medical doctorate cum laude from Yale University.

In 1985, Dr. Blyden completed an internal medicine internship at Massachusetts General Hospital in Boston, Massachusetts. That same year, he also finished his hematology/oncology and clinical pharmacology fellowship at Tufts Medical Center in Boston, Massachusetts. 

After graduating and completing his training, Dr. Blyden worked as an adjunct professor for the Barry University School of Podiatric Medicine in Miami Shores, Florida, an associate clinical professor of hematology and oncology at the University of Miami School of Medicine in Miami, Florida, and as an associate professor of clinical pharmacy and director of the Clinical Pharmacology Research Unit at Florida A&M University’s Miami location.

Today, Dr. Blyden is a leader in the field of sickle cell treatment, case management, and research. He provides comprehensive care for chronic diseases, with a special emphasis on sickle cell anemia. 

Dr. Blyden offers a variety of infusion services, school individualized education program (IEP) support, transcranial Doppler ultrasounds, and more.