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Wound Care

The Comprehensive Wound Healing Center at Fatima Hospital
Are you one of more than 6 million Americans who suffer from chronic, non-healing wounds? Whether caused by complications from diabetes, pressure sores, traumatic wounds or other vascular disorders, chronic wounds can be incredibly disruptive to everyday living.

Don’t just wait for your wound to heal. Our Comprehensive Wound Care Center is here to get you moving again. We bring together recognized medical experts utilizing the latest treatments to care for your wounds. And it happens in a place where we understand the difficulties posed by chronic, non-healing wounds.

(Click here to learn about recent investments in our Wound Care Center including private rooms, new equipment and enhanced treatments: http://www.fatimahospital.com/news-and-events/post/wound-care-center-adds-private-rooms-new-equipment-enhanced-treatments)

We offer a variety of innovative treatments -- including hyperbaric oxygen therapy -- customized to meet your needs. You have an entire team including diabetes education specialists, specially-certified nurses, podiatrists, surgeons, vascular specialists, and primary care physicians working together on your behalf.

Our services are available in the community at our North Providence (Fatima Hospital, 200 High Service Avenue) and Lincoln (2 Wake Robin Road, Suite 204) locations.

During your course of treatment, we work with your physician to assure complete continuity of care. To learn more, call us at 401-456-3011 or ask your doctor if you could benefit from our services.

Dealing with Problem Wounds
Our team of wound care specialists work collaboratively with your doctor to ensure the best outcome for you. Our Center is made up of a team of experience professionals that includes:

  • Physicians with advanced training in wound management;
  • Nursing staff trained in the care of chronic wounds;
  • Technicians who perform non-invasive studies and various therapies;

Your Course of Treatment
The first step is to identify the type of wound you have and the underlying problems causing the wound. After this, we create a program specifically tailored to your needs with treatment options that include:

  • Infectious disease management
  • Physical therapy
  • Vascular evaluation
  • Laboratory evaluation
  • Nutritional management
  • Pain management
  • Diabetic education
  • Nuclear medicine
  • Radiology
  • Debridement

Once a treatment plan has been initiated, you will visit the Center on a regular basis for wound care. In most cases, we will educate you on caring for your wound at home between visits, as well as how to protect your wound from further complications. You are the most important part of your healing process and can positively impact the effectiveness of your care.

To download the Patient Referral Document; click here

Please contact a member of our staff with any other questions you may have regarding your treatment.

Meet our Wound Care medical staff
Dr. Robert Indelgia, emeritus medical director
Dr. Robert Indeglia, MD, is the emeritus medical director of the Comprehensive Wound Healing Center at Fatima Hospital. He has special expertise in cardiothoracic surgery, advanced wound care and Hyperbaric Oxygen Therapy. Dr. Indeglia is board-certified in General Surgery and Cardiothoracic Surgery. He received his medical degree from Georgetown University and completed his internship and residency at the University of Minnesota. Dr. Indeglia has held a number of leadership roles at area hospitals including Chief of Cardiothoracic Surgery at both Fatima Hospital and The Miriam Hospital and Chief of Thoracic Surgery at Roger Williams Medical Center. He has clinical interest in advanced wound care, Hyperbaric Oxygen Therapy, vascular and cardiac disease.

Wound Center leadership: Dr. Andrew Lemoi, Phillip Zingale, PA-C
Andrew Lemoi, DPM
, is recognized as a Certified Wound Specialist by the American Board of Wound Management. He is board certified in foot and ankle surgery. Dr. Lemoi received his Doctor of Podiatric Medicine degree from Temple University of Podiatric Medicine. He completed his residency at Cambridge Hospital. Dr. Lemoi has clinical interest in sports medicine, advanced wound therapies and Hyperbaric Oxygen Therapy. He is a geriatric/elder care provider at skilled nursing facilities throughout Rhode Island.

Phillip Zingale, PA-C, received his medical education at Hershey Medical College in Pennsylvania. A board certified physician’s assistant, he has clinical interest in advanced wound therapy and surgery. He speaks English, German, Italian, and Spanish.

Elizabeth Conklin, MD
Elizabeth Conklin, MD, who is a general surgeon, has clinical interest in the areas of advanced wound care and hyperbaric medicine. She received her medical degree from University of Vermont, College of Medicine.  Dr. Conklin completed an internship at Rhode Island Hospital/Brown University and her residency at University of Vermont. She is board certified in general surgery, wound and hyperbaric medicine.

Joseph Domenico, DPM
Joseph Domenico, DPM, has special interest in podiatry and wound care. He received his medical degree from Temple University and completed his internship and residency at Memorial Hospital in Rhode Island. Dr. Domenico has a clinical interest in diabetic limb salvage. He is board certified by the American College of Foot and Ankle Surgeons.

Andrea Goldfarb, MD
Andrea Goldfarb, MD, received her medical degree from the University of Rochester and completed her residency at UMass Medical Center. She is board certified in Emergency Medicine and Underseas & Hyperbaric Medicine. Dr. Goldfarb has clinical interest in emergency medicine, advanced wound care, and hyperbaric medicine.

Dominic Roda, DPM
Dominic Roda, DPM is an honors graduate of the New York College of Podiatric Medicine.  He completed his residency training at Roger Williams Medical Center in Providence, RI.  Dr. Roda is certified in treating all conditions of the foot including conditions necessitating forefoot and rearfoot/ankle reconstructive surgery.  He is a member of the American Podiatric Medical Association and is published in their journal and other medical literature. 

Jesus Sosa, MD, CWS-P
Jesus Sosa, MD, CWS-P, an experienced surgeon certified in Wound Care, has joined the Comprehensive Wound Care Center at Fatima Hospital. For the last five years, Dr. Sosa served as a Wound Care Specialist at the St. Anne’s Center for Wound Healing. He previously held positions with Vohra Wound Physicians and the Steward Physician Network. Dr. Sosa is board-certified by the American Board of Wound Management. He completed his surgical residency at the University of Medicine and Dentistry of New Jersey after receiving his medical degree from Rush Medical College of Rush University Medical Center.

Hyperbaric Oxygen Treatment

Sometimes, your physician will recommend hyperbaric oxygen treatment (HBOT) as part of your treatment.  For many people, this treatment can be incredibly helpful. Hyperbaric oxygen treatment is used to treat a variety of conditions including:

  • Enhancement of healing in selected problem wounds
  • Crush injuries
  • Necrotizing soft tissue infections
  • Osteomyelitis
  • Radiation tissue damage
  • Skin grafts and flaps
  • Diabetic wounds of the lower extremity
  • Acute traumatic injury

Hyperbaric Oxygen Treatment: simple and effective
For decades, HBOT has been used effectively to treat chronic wounds. Simply put, this treatment involves patients lying comfortably in a clear, pressurized chamber where they breathe 100% oxygen. The treatment quickly delivers high concentrations of oxygen to the bloodstream, which assists in the healing process of wounds and is effective in fighting certain types of infections. It also stimulates the growth of new blood vessels and improves circulation. Treatment can be administered daily and the number of treatments you receive will depend on your diagnosis.

When you arrive for treatment
After an initial consultation and examination at the Center, you will be ready to begin your treatment. When you arrive, you will receive thorough instructions regarding your treatment.  Before starting, you will change into a 100% cotton garment provided by the Center. For safety reasons, no other clothing may be worn inside the hyperbaric oxygen treatment chamber.

What to expect
Once you are comfortably positioned inside the chamber, the pressure will gradually be increased and the temperature will temporarily rise. You may experience fullness in your ears as a result of the increased pressure. The technician will instruct you in ways to help clear the pressure and relieve any discomfort. Most treatment sessions in the chamber last approximately two hours. While undergoing treatment, you may watch TV or videos, simply relax or even sleep.

Getting ready for your visit
For safety reasons, there are certain items not allowed inside the hyperbaric chamber. Please do not wear or bring the following into the chamber during your treatment.

  • Makeup
  • Perfume
  • Aftershave
  • Hairspray/hair oils
  • Wigs/hairpieces
  • Nail polish
  • Alcohol or petroleum based products
  • Cell phones/pagers
  • Metallic items (such as jewelry, titanium frame eyeglasses, keys, watches and coins)
  • Flammable materials or heat producing items (heating pad, lighters, cigarettes)
  • Hearing aids
  • Food, gum or candy

Ask our staff for advice on wearing contact lenses during treatment. You should also refrain from smoking or the use of any tobacco products over the entire course of treatment. Tobacco use will prolong and even prevent healing of a wound site due to its constricting effect on the blood vessels in your body.

If you are sick or on medication
You should inform the staff at the Center if you have a cold or cough, the flu, sore throat, chills, nausea, vomiting or diarrhea. Tell us about any medications you are taking or changes in medication during the course of your treatment.

If you are diabetic, please eat properly and continue to take your prescribed medication to control blood sugar level. Your blood sugar level will also be checked before, during and after each visit to the Center.

The possibility of side effects
Hyperbaric Oxygen Treatment is safe but can occasionally bring with it minor side effects. You may experience temporary vision changes that should return to normal within weeks after your therapy is completed. Our physicians recommend that you not change the prescription of your eyewear during the course of your treatment. Some patients experience fatigue during treatment.  This is completely normal and we are here to listen should any of these side effects occur.

Other Important Information
Hyperbaric Oxygen Treatment is usually administered on an outpatient basis. You may drive yourself to the Center for treatment and should allow up to two and half hours for each visit.  Medicare and most health care plans reimburse for hyperbaric oxygen treatment for “currently accepted indications.” Our courteous and professional staff is here to help you with all your personal insurance issues.

We look forward to serving you.  Please contact a member of our staff with any other questions you may have regarding your treatment schedule.

We have developed this list of Frequently Asked Questions to answer many common questions patients have about Hyperbaric Oxygen Treatment. If you have other questions, please ask us!

What is Hyperbaric Oxygen Therapy? How does it work?
This therapy is used to treat some medical conditions. The treatment takes place in a chamber that is transparent. During treatment, you can watch TV, a movie, or just relax. You lie on a stretcher inside the pressurized chamber and breathe one hundred percent oxygen. Your blood carries the extra oxygen to your injured area.

How do I find out if HBOT is for me?
If you have a wound that hasn’t healed in four weeks, ask your doctor if HBO is appropriate for you.

Can someone stay with me during HBOT?
To protect the privacy of our patients, family members may not remain with you during your treatment. A waiting room is provided for their comfort. A trained staff member is always in the room during treatment. You can communicate with them at any time during your treatment or visit.

What should I wear?
Our first concern is your safety. We will provide you with clothing to wear during your treatment. Please do not wear any of the following items when you come to the center for HBO therapy:

  • Makeup
  • Wigs or hair pieces
  • Nail polish that has been on less than 24 hours. You can paint your nails at least 24 hours before an HBO treatment.
  • Loose fitting dentures
  • Contact lenses
  • Deodorants
  • Skin lotions
  • Perfume cologne or aftershave
  • Jewelry, including watches and earrings
  • Hair spray or oils
  • You cannot have anything in your mouth such as: gum, loose dentures, or candy during treatment.

Again, if you have any questions about clothing or other items that are appropriate, please ask us.