Dr. Brem's integrated wound healing approach to wound care begins with the patient’s first visit, which may include examinations by a range of physician specialists. Depending on the patient’s condition, these may include a general surgeon, a plastic surgeon, an orthopedic surgeon and/or a vascular surgeon, as well as specialists in nephrology, podiatry, cardiology, infectious diseases, diabetes, neurology, gastrointestinal disorders, pain management and geriatric medicine. These specialists will then combine their findings to develop a comprehensive treatment plan.
The initial patient evaluation also includes tests for blood chemistry (including blood lipids and blood glucose levels), blood flow in the limbs, kidney and thyroid function, and nutritional status. Since each of these factors can influence a wound’s ability to heal, the results of this comprehensive evaluation will help guide the patient's treatment plan.