The St. Lucie Medical Center Advanced Wound Center is a specialized center dedicated to caring for individuals with wounds that have resisted healing. If you have a wound that has not become significantly better in a month or healed in the last two months, please consider seeking help from our Advanced Wound Center.
Our Advanced Wound Center is staffed by an interdisciplinary team of physicians, nurses, and therapists with extensive experience in healing wounds that have resisted healing despite months, even years, of traditional treatment. The following physicians are members of our wound care physician panel:
- Juan-Carlos Giachino Sr, MD - Medical Director
- S. Darrell Lee, MD
- Berjan Collin, MD
- John Goggin, DPM
- Craig Paul, DPM
- John Perrone, DPM
- Nanjappa Subramanian, MD
Frequently Asked Questions
What Kinds of wounds does the Advanced Wound Center treat?
- Pressure Ulcers
- Diabetic/Neuropathic Ulcers
- Venous Insufficiency Ulcers
- Arterial/Ischemic Ulcers
- Surgical Wounds
- Traumatic Injuries
- Minor burns
- Radiation Injuries
How do I become a patient?
Although most of our patients are referred by their primary care physicians, patients may also self refer to the Advanced Wound Center for treatment. We strongly encourage and strive to maintain close contact with your personal physician for continuity of care. Please call (772) 398-3609 for more information and to make an appointment.
How should I prepare for my first visit to the Advanced Wound Center?
- When you call for an initial appointment you will be asked a few questions about your wound(s) and general health. You will also be asked to provide insurance information so that we can pre-register you for the appointment, so have your health insurance card(s) available. Some health insurances require the patient to have a referral from their primary care physician and/or pre-authorization for wound care visits. This will be discussed with you during the pre-registration process. Our office staff will be able to assist with any authorizations required for the initial and subsequent visits.
- Please prepare and bring the following with you to your first appointment:
- Make a list of all medications you are taking (including over-the-counter medications like aspirin and vitamins).
- Make a list of any allergies you have, to medications and other things.
- Bring copies of any medical records you may have.
- Bring your health insurance card(s) and photo identification with you.
- If you have diabetes, you may bring snack food and medication with you.
- Arrive on time for your appointment. You will be asked to complete a questionnaire about your medical history prior to being seen by the physician.
- Your initial visit will take longer to allow for a full assessment. Please schedule transportation and other appointments to allow for this.
What happens on my first visit?
Before beginning any treatment your assigned physician and nurses will evaluate your wound(s) and review your medical history and general health. This assessment includes identification of the barriers to healing. These barriers include, but are not limited to: nutritional issues, smoking, decreased blood flow, infection, repeated trauma, presence of necrotic (dead) tissue, or other medical problems. We may request information, such as history and physical, office visit notes, and results of previous laboratory and diagnostic tests from your primary physician. Based on the physician’s assessment, he/she may order further laboratory and other specialized tests to help diagnose and treat your wound(s). Educating you about possible obstacles to healing, how to correctly dress and protect your wound(s), and preventing re-occurrence is one of our primary goals. This education will begin at this first visit.
What about insurance?
Your insurance co-payments will be collected at the time of each visit. Arrangements would need to be made with our registration staff for any other payment options.
What types of treatment might I receive?
Based on the comprehensive evaluation described above, a treatment plan is developed which may include the following:
- Debridement (removal of dead or non-viable tissue)
- Advanced dressings including ones designed to inhibit bacterial growth, manage wound secretions, and promote cellular regrowth
- Bio-engineered tissues/growth factor therapy (Apligraf and Dermagraft)
- Lymphedema Therapy
- Hyperbaric Oxygen Therapy
- Compression therapy
- Wound cultures to assess for infection
- Diabetes Education
- Medical Nutrition Therapy
- Patient and caregiver/family education regarding recommendations for care between visits
Will the treatment be painful?
Pain is assessed during each visit, whether it is related to the wound(s) or not. Topical or injectable anesthetics are used before procedures that may cause pain. The physician may recommend a prescription for wound-related pain depending on your needs.
St. Lucie Medical Center Advanced Wound Center
St. Lucie Medical Park
1871 SE Tiffany Avenue
Port St. Lucie, FL 34952
Tel: (772) 398-3609