Frequently Asked Questions

View frequently asked questions and answers. Click to expand the answer.

Do I need a referral or prior authorization from my primary care doctor?

It depends on your health insurance plan. Please refer to your health insurance plan for more information. Our office staff can help answer your questions.

Why do I need a wound care doctor?

When a wound does not heal for about six weeks with conventional treatment, a trained and experienced wound care specialist can help patients with wounds that resist to heal using different wound care modalities from basic wound care to latest advanced treatments.

Do you accept my insurance?

We accept major insurance carriers, which are subject to change at any time without notice. Please contact your health plan to confirm physician and hospital participation status.

How much copay will I have?

Your copay will depend on your health insurance plan. Contact your health insurance plan. Most insurance plans have either copay, deductibles and/or coinsurance. Copays may be different for a specialist office versus a primary care physician. Copays may be different for the physician’s office versus hospital services. Our office staff can provide these amounts on your first visit.

How long will it take to heal my wound?

The time it takes to heal a wound varies with each wound. Each wound is treated based on its underlying cause. Each wound heals differently. The time it would take to heal a wound depends on several factors – age, nutritional status, smoking, type and number of medical problems, and many more. At your first visit, a physician will perform a thorough evaluation, order tests and can give you an approximate time frame, whenever possible.

What is hyperbaric oxygen therapy?

Hyperbaric oxygen therapy can increase the amount of oxygen that is delivered to a wound in diabetic patients and improve healing. This therapy is given in a chamber where patient breathes 100% oxygen. This treatment provides more oxygen to the wound and improves healing. Not all patients can get this therapy. Our wound care specialist will explain more about this therapy if you are a candidate for this therapy.

What is debridement?

It is a procedure performed by a physician where dead cells and tissues that hinder the healing of wound are removed from an open non healing wound to prepare the wound for healing. Debridement can be of different types-conservative sharp, enzymatic, autolytic, mechanical, and a few more. During your office visits, a wound care physician will provide more information about the type of debridement that might benefit you for healing your specific wound.

What are skin substitutes?

Bioengineered skin substitutes, also called Cellular and Tissue Based Products, are biological products containing enzymes, cells, proteins or hormones derived from human tissues, which are applied over the wound to assist with healing of some chronic non healing wounds. Your physician will tell you more about this product if these substitutes are right for treating your specific wound.

What is epidermal grafting?

Epidermal grafting is a procedure performed by a trained physician, where patient’s own (epidermis) skin is taken from one healthy site and applied over the wound, using an epidermal (skin) harvesting system.

What are transcutaneous oxygen studies?

Transcutaneous oxygen studies are noninvasive physiologic studies to assess tissue oxygen tension and blood perfusion in the capillary bed. These studies are performed to help the physician understand the condition of tissues around the wound and find an effective way to heal your specific wound.

Why do we need vascular studies?

Some wounds do not heal because of lack of blood supply to the wound. Vascular studies are performed to analyze bidirectional vascular flow, vein availability and quality, vein mapping with various methods such as duplex scan, duplex ultrasound, etc.
These studies are important because if there is not enough blood reaching the wound. the wound may never heal so revascularization by a surgeon is required to reestablish the blood circulation in the area of the wound and can save the limb.

What is total contact casting?

Off loading of a wound is done to distribute the weight and relieve pressure to allow the wound to heal, especially for diabetic neuropathic foot ulcers. Total contact casting is one of the many offloading techniques, where a cast is applied on the lower leg with a specific technique. Other offloading devices include walkers, shoes, orthotics, felted foam.

What is compression therapy?

Compression therapy is commonly used for treating venous leg ulcers to control swelling or edema in legs and to allow the wound or ulcer to heal. Graduated compression is applied by a trained nurse or physician with the help of multiple layers of short stretch bandages from toes to the knees.

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Contact us! Dr Jayesh Shah, P O Box 780764, San Antonio, TX 78278; Email: timeoxygen@gmail.com

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