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Article Category: Highlights

Preventing & Curing Diabetic Ulcers with Wellstar Wound Care

Published on December 01, 2021

Last updated 02:24 PM December 01, 2021

Illustration of diabetic foot ulcer.

When someone is diabetic, a small wound can escalate into a major health issue and, in many cases, lead to an amputation. However, with proper wound care and accelerated healing with hyperbaric medicine, Wellstar patients are partnering with providers to treat wounds like diabetic foot ulcers.

Diabetic foot ulcers can develop if diabetes is not well-managed, and some causes of ulcers include poor circulation and high blood sugar. Ulcers may go unnoticed at first because many people with diabetes are also affected by neuropathy and do not have feeling in their feet, said Dr. Ricardo Duran, Medical Director of the Wound Care and Hyperbaric Medicine Department at Wellstar North Fulton Hospital.

Also, if a diabetic person gets a wound, it may not heal as quickly, as people with diabetes are more likely to also experience poor circulation, immune system deficiencies and elevated blood sugar levels.

“When you combine the lack of sensation in the foot with the lack of healing, that leads to even more damage,” Dr. Duran said.

Foot ulcers should be taken seriously — when a diabetic person has an open wound, their five-year mortality rate increases by about 32%, according to Dr. Duran.


Hyperbaric therapy aids healing

When Venson Rolle developed a foot ulcer, he knew he needed to seek care. In Dr. Duran, he found a healthcare partner dedicated to preventing amputation and keeping him healthy. “Dr. Duran was very patient, and he was ready and willing to do anything possible for me to get the correct treatment to heal all the way,” Venson said.

Dr. Duran helped Venson’s ulcer heal by off-loading the foot with orthotics to prevent further injury, treating him with antibiotics and using hyperbaric oxygen therapy.

A hyperbaric oxygen chamber allows the lungs to get more oxygen. That oxygen then flows through the body, promoting wound healing. It helps repair tissues and treat infections.

“It provides oxygen at high pressure and keeps the tissues alive while the antibiotics work to guarantee that we have a better outcome,” Dr. Duran said about the procedure.

Venson, whose ulcer has healed, said he is grateful that the treatment has improved his quality of life.

“I can’t thank him enough,” Venson said about Dr. Duran.


Preventing diabetic ulcers

Dr. Duran recommends that people with diabetes work with their primary care provider to manage diabetes and monitor their A1C.

People with diabetes should also check their feet every day, looking on the bottoms of the feet and in between the toes for any signs of wounds or ulcers, Dr. Duran said.

“They should not rely on how it feels, because the sensation is abnormal and they might not feel an ulcer,” Dr. Duran said.

Dr. Duran said people with diabetes should also avoid smoking and eat a diet low in carbohydrates and high in protein to help prevent ulcers.

The Wound Care & Hyperbaric Center at Wellstar North Fulton Hospital doesn’t just treat diabetic ulcers — patients can also find treatment for traumatic injuries, burns, pressure ulcers and other wounds. To make an appointment, call (770) 751-2830.

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Ricardo Mauricio Duran North Fulton Medical Center Primary Care
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Illustration of person thinking. Icons show bed, virtual visit on phone, family on couch, person talking to medical provider and ambulance.

Highlights

Feeling Sick? Know Where to Go to Get Care in Douglas

Whether you experience an injury, minor illness or simply need a wellness exam, the most important step you can take is getting the care you need. That way, you can find trained experts for your specific medical needs, stay ahead of potential health issues or even help prevent existing conditions from worsening. 

With primary, virtual, urgent and emergency care services available, as well as retail pharmacies, how do you decide which type of care is best for your medical situation? Learn the differences between each type of medical service Wellstar offers in Douglas County—so you don’t delay and get care right away.

WellstarON

In addition to virtual primary and specialty care appointments, we also provide virtual urgent care through WellstarON for minor medical concerns including allergies, sinus infections, strep throat or urinary tract infections. 

Your WellstarON provider will offer the same personalized, tailored treatments you expect from us. That may include treatment recommendations and prescriptions to manage an immediate health issue, like an antibiotic or cough medicine.

After your WellstarON visit, all Wellstar providers, including your primary care provider or specialist, can see a record of your appointment. You will also be able to access it through MyChart. Keeping all of your trusted physicians in the know is just one way we provide you with continuity of care.

While virtual care is a convenient way to stay well, it should never be used in place of emergency care. If you are experiencing a life-threatening medical emergency, call 911 right away. 

Primary care 

Primary care is ongoing, comprehensive care and preventative medicine that helps you live a full, healthy life. 

Your primary care provider gets to know you and your health history on a deeper level. That means they have a more holistic view of your overall wellness. 

Services include: 

  • Annual wellness exams 
  • Health screenings, labs and imaging 
  • Care for chronic conditions, such as diabetes or high blood pressure 
  • Immunizations for children and adults 
  • Treatment for acute illness, such as the flu or colds 
  • Coordinating care with other specialists 
  • Physical and mental health concerns, such as weight loss or anxiety 

Wellstar has three primary care locations in Douglas County:

8820 Hospital Drive
Douglasville, GA 30134
(770) 947-3000

6043 Prestley Mill Road, Suite B
Douglasville, GA 30134
(770) 941-8100

6095 Professional Parkway, Suite 100
Douglasville, GA 30134
(770) 920-2255

Urgent care

If you’re dealing with a minor injury or illness or need care after your physician’s regular office hours, going to urgent care is often the right choice. Wellstar Urgent Care centers provide quick, convenient care for non-emergency medical conditions. 

Wellstar Urgent Care provides: 

  • Care for minor illnesses and injuries, such as coughs, colds, sprains and broken bones 
  • Treatment for medical issues like bites, burns and cuts 
  • COVID-19 testing and evaluation for patients 12 and older 
  • Lab and X-rays 
  • Sports physicals 
  • Occupational health services 
  • Worker’s compensation services 

Check in online to reduce your wait time at Wellstar Urgent Care in Douglasville.

Emergency care

In a life-threatening medical emergency, every second counts. Never put off getting the proper care when lives are on the line. Remember, driving yourself to the emergency department is dangerous and may delay care, so call 911 for the fastest access to emergency care. 

When the unexpected happens, Wellstar Douglas Medical Center is always ready in a medical emergency. Our trained team provides expert emergency care 24 hours a day for people of all ages. We also have a dedicated pediatric emergency room, specifically designed to treat children. 

Recognize the signs of a medical emergency: 

  • Difficulty breathing or shortness of breath 
  • Chest discomfort or pain 
  • Severe abdominal pain 
  • Fainting or loss of consciousness 
  • Sudden dizziness, weakness or vision changes 
  • Sudden, severe pain 
  • Uncontrolled or severe bleeding 
  • Choking, coughing up blood or severe vomiting 
  • Suicidal or homicidal thoughts 
  • Changes in mental status, such as confusion or unusual behavior 
  • Traumatic injury due to a motor vehicle or other accidents 
Keep reading
Illustration of student using laptop. Backpack and notebook with Kennesaw State University logo. Wellstar and Kennesaw State University logos at bottom of image.

Highlights

HealthyOwlCare

Between adjusting to college life, meeting friends in the dining hall and cramming for that big exam, Kennesaw State University students have a lot on their plates. 

While students maintain those busy schedules, it’s still important they keep up with their health so they can feel their best inside and outside the classroom. Wellstar provides expert student health services, keeping world-class care convenient and on campus.

Services include:

  • Treatment for illnesses like colds or flu 
  • Management of chronic conditions such as asthma or diabetes
  • Primary care check-ups, women’s and men's health, and STD testing and treatment
  • Vaccines 

Click, call or come in—easy online booking helps students take the first step toward taking charge of their health. Visit any of our student health locations on Campus Loop Road in Kennesaw, in University Village in Kennesaw or in University Courtyard in Marietta.

While physical health is an important part of overall wellness, it’s crucial that students look out for their mental well-being too. We offer compassionate, confidential care for mental health concerns with conveniently located offices on the Kennesaw and Marietta campuses. Call (470) 578-6644 to make an appointment. Learn more or book online at ksu-health.wellstar.org. 

Keep reading
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Highlights

Don’t forget your keys to family health—checkups, screenings and vaccinations

This article was originally published on Atlanta Business Chronicle on July 14, 2023.

The key to avoiding health problems is prevention, and the keys to prevention are annual checkups, regular screenings and vaccinations. With the start of the next school year looming in late summer, healthcare experts in Atlanta say it’s a good time for families to get back into the routine of scheduling and keeping these important appointments—not just for children, but for parents too, especially that one parent who tends to be the primary scheduler, often the mother.

In an Atlanta Business Chronicle panel discussion in partnership with Wellstar, physicians from Wellstar and Cobb & Douglas Health District discuss why checkups are important and how families can overcome obstacles to stay on track with preventative care.



Taking care of the family and the family’s No. 1 manager

David Rubinger, Atlanta Business Chronicle market president and publisher: When we think about family wellness and how it intersects with our daily work routines, it can get very complicated, given how busy working professionals are. We’re trying to figure out a way to manage not only our children’s health, and maybe our parents’ health if we’re in the sandwich generation, but our own health. The checklist is longer and longer every day. Let’s start with the basics. We’re a few weeks away from the start of school. Dr. Stinson, what are you telling your parents of kids of school age right now?

Dr. Carrie Stinson, Chief, Pediatric Service Line, Wellstar: The summer is a great time to get caught up on all the things that fall through the cracks during the busy school year. Our lives are very hectic, and when school starts back, things get even busier.

One big thing is the annual well-child exam. Every child should have a well-child exam every single year. When you have babies and toddlers, it’s routine — you’re scheduling these frequently. When kids get older and busier, these visits may feel less important and fall off your radar.

Well visits are important every year. They focus on the comprehensive health and well-being of your child. Pediatricians focus on physical health, development, emotional, social, and even behavioral health. During these visits, the care team collects information on patient and family history, talks about developmental milestones and how your child is doing in school socially. We also assess sleep habits and nutrition. As they become adolescents, well-child exams become even more important as we ask questions about your child’s mental and sexual health.

Those are important conversations to start having and your pediatrician can be a great facilitator. Sometimes parents are uncomfortable talking about those topics with their children even at an early, pre-adolescent stage, so those well checkups are really great places to get insight on how to approach sensitive topics.

Rubinger: Dr. Stinson, since COVID, tell me what you’re seeing that’s different in terms of talking to both parents and children. I am sure the pandemic took some families off their schedules for well checkups. How has the doctor-patient pediatric conversation changed over the past couple of years?

Dr. Stinson: What we’re hearing from our pediatricians since COVID is also what we’re hearing in the news. The behavioral and mental health crisis that we’re experiencing in this country has been really impactful on children, especially teenagers. During COVID, the social isolation of being out of school for periods of time had a significant impact on adolescents. The rise in social media popularity during that time also had a negative impact on pediatric mental health.

Our pediatricians are really seeing that impact now. They’re feeling the strain our teenagers are experiencing. We’re seeing many more cases of depression and anxiety, and cases that escalate to dangerous proportions such as suicidal thoughts and actions.

We’re trying to respond to it by increasing the resources in our communities, but it’s hard to move fast enough to keep up with the demand. At Wellstar, we are developing an integrative model for behavioral health into our pediatric offices. Five of our pediatric practices will have embedded behavioral health professionals, so pediatricians can make direct referrals and patients have immediate access to behavioral health providers in their pediatric office setting.

Rubinger: Dr. Greaves, the mother might be the caretaker who takes care of the child. Most mothers would put their kid’s health ahead of their own health. Tell me what you are experiencing in terms of women’s health as it relates to those people who are the caretakers. What are the issues that they’re having to face to address their own needs?

Dr. Paula Greaves, Chief, Women’s Health Service Line, Wellstar: Women are usually considered the CEOs of their households and the drivers of healthcare in the community. Most women are the care bridge between several generations. They take care of their children, their parents, their partners and at times their communities.

Unfortunately, they sometimes forget to take care of themselves. As physicians, it is our duty to ensure that women are made aware of the warning signs their bodies may be sending them and encourage them to seek help earlier to improve health outcomes.

There are nine signs that I tell my patients to watch out for:

  1. Fatigue: Most women think, “Oh, I’m tired. It’s because I’m doing too much or I’m not getting enough sleep.” But fatigue can be a sign of something more than simply lack of sleep. It could be thyroid dysfunction. It could be menstrual irregularities causing them to be anemic and thus feeling fatigued. It could be heart disease. Fatigue could also be a sign of depression or menopausal symptoms. Every household should own a blood pressure monitor, and women should know their numbers (blood pressure, weight, and last menstrual period).
  2. Women should be aware of physical changes within their bodies, including breast changes. Changes in the texture of the skin or a lump or pain in the breast should always be checked out.
  3. Bloating is another subtle symptom to be aware of. Most women feel bloated and think, “Oh, it’s time for my menstrual cycle, so that’s why I am bloated.” But bloating can be a sign of a gastrointestinal problem or an enlarged pelvic organ. If you have bloating that doesn’t resolve after one or two cycles, let your doctor know.
  4. Chest discomfort, shortness of breath and pain or discomfort in the jaw, neck, shoulder, or arm are also red flags. Heart attack signs and symptoms can be completely different in women than the typical ones seen in men. Heart disease is the number one killer of women, so it is very important that these signs are not ignored.
  5. Lung cancer isn’t just a smoker’s disease. If you notice an unusual cough or wheezing, have it checked out.
  6. Weight changes: Either too much weight gain or unexpected weight loss should be mentioned to your physician. Fluid retention can also affect weight gain.
  7. Blood in the urine or stool should be reported.
  8. Irregular or heavy periods—heavy enough to change pads every hour or soil through clothes.
  9. Skin changes such as discolorations, new moles or growths are definitely worth having a professional take a look.


Rubinger:  Is there ever a situation, Dr. Stinson, where you are treating a child and you see a mother whom you can tell is having health issues, even without an exam? As a pediatrician, do you ever say, “Hey, I think you need to get that checked out?”

Dr. Stinson: As pediatricians, we really focus on the whole family. While we’re seeing the child, we’re also interacting with the parents, guardians, grandparents, or whoever’s bringing the child in to see us on a routine basis.

I think we often get questions from family members about their own health because of exactly what Dr. Greaves mentioned. People think, “I am in a doctor’s office. I don’t have time to go to my own doctor. Let me just see if I can get this question answered.

While being careful not to give medical advice to a patient who is not ours or who is outside of our scope of practice as pediatricians, we are very willing to give recommendations on where that person should seek care. One benefit of our health system is we have the expertise to take care of patients from before they’re born until they need end-of-life care. We have a scope of providers within our system who can help with pretty much any problem that might come up. I would not hesitate to refer a patient to Dr. Greaves and say, “This mom is really worried about her own health. Can you please help? She’s very busy, but her symptoms sound concerning. Can you maybe work her into your schedule?

I practice in the hospital, and we have sent several parents to the emergency room in our hospital for their own health while we’re taking care of their child in the pediatric unit.

How providers are addressing rising mental health needs

Rubinger: Dr. Memark, you get to look at this from the standpoint of two counties that are in great need of public health support. What are the trends that you’re seeing at a 30,000-foot view? What do you see within your communities that your organization tries to address?

Dr. Janet Memark, District Health Director, Cobb & Douglas Health District: From my point of view, one of the big things that we do at Cobb & Douglas Public Health is a large community health assessment. Dr. Greaves is actually a member of our board. We just finished a 2016-2020 five-year assessment. This was at the beginning of the pandemic, so keep that in mind. Our next assessment will capture 2021-2025. One of the things that was surprising to me was looking at causes of death in our communities. The assessment showed that in older people, it’s what you’d expect. For example, in Cobb County for those age 75 and older, the leading causes of death are things like vascular disease, stroke and Alzheimer’s. For ages 65 to 74, it’s heart disease and cancer. But when we started looking at the lower age groups, I was very surprised at what I saw:

  • For people in their 30s and 40s, the leading cause of death was accidental poisonings, and that includes drug abuse and drug overdoses. Number two was suicide.
  • For ages 25 to 34, number one was overdoses and poisonings and number two was suicide.
  • For ages 20 to 24, motor vehicle accidents were number one. Suicide was also number two for this group.
  • For 15 to 19, suicide took the number one spot. Number two was motor vehicle accidents.
  • For 10 to 14, number one was motor vehicle accidents followed by suicide.


After the timeframe studied in the assessment, we went through two more years of the pandemic, which affected almost everyone’s mental health in one way or another. We’ve heard on the news how pediatricians in medical school are now being trained on how to provide more extensive mental healthcare because there just aren’t enough mental health experts.

It’s wonderful to hear Dr. Stinson say they are really trying to bolster up mental health screenings for our young people during their pediatric visits. I’d also like to add that we have high rates of maternal mortality in Georgia. The state Department of Public Health did a deep dive and found that mental health is a huge component of maternal mortality. You see these same themes of mental health running through several different medical specialties.

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