Shishir Shah 2013-06-12 00:46:52
Dr. Shishir Shah, DO, CWS received his BS in aeronautical engineering from Rensselaer Polytechnic Institute and a Doctorate in osteopathic medicine from Midwestern University. His career began at JPL/NASA where he worked with software algorithms for satellite orbit decay and advanced propulsion technologies. He has worked in biomedical product design & development and in business development for labs and technology companies. He has researched vocal tract simulation at Northwestern University. He worked at outpatient and emergency room facilities in Illinois, Indiana and Arizona. He consulted with CIGNA Healthcare on cost containment. He co-implemented one of the largest wound-care clinical delivery models and advises hospitals, startups, pharmaceutical companies and law firms. Dr Shishir Shah, DO CWS is a wound specialist practicing for over 10 years in Maricopa County. Currently, he is a medical director of several wound centers in Phoenix. For more information, please feel free to call ExamWorks at (866) 800-4637. As a nation, we and the medical media are consumed with the big dangers. Our personal health concerns are often preoccupied with the possibility of cancer, a stroke, diabetes or catastrophic events. While these concerns are valid, we cannot overlook the less publicized problems. Too often, the medical world sees injuries and disabilities related to back injuries, chronic joint issues and nerve impingements. In many cases, however, the largest organ system in the body is overlooked—the skin. Skin ailments and injuries can present themselves in various forms. The simplest ones to identify are the rashes, lacerations, burns and animal bites that we often see in the emergency room and urgent care facilities. These are the injuries that can occur as a result of a sports accident, a car accident, an occupational exposure, an environmental injury or simply “being at the wrong place and at the right time (for injury).” These injuries are obvious on the surface and are the sort of injuries people associate with the skin. While most individuals do well and heal quickly without much medical intervention or complications, this is not always the case. A number of individuals proceed to have lacerations that reopen, skin that gets infected with MRSA or strep, severe burns that cause scars and contractures and blunt trauma that cause soft-tissue hematomas. Many individuals can continue to develop long-term skin sequelae due to underlying chronic ailments such as Rheumatoid arthritis, chronic pain syndrome and steroid use. Other skin manifestations that get overlooked in the injury setting are those individuals who have spinal cord disabilities or require various surgeries. In such cases, surgical incision sites can reopen, resulting in chronic wounds that require frequent dressings, debridement of necrotic skin, skin flaps or grafts and vascular surgeries. Many immobile individuals can develop pressure ulcers that require long-term care and multi-specialty involvement. Wounds and subcutaneous injuries are often a consequence of many other underlying medical issues. Such injuries may require both medical and forensic expertise. When “open” skin manifestations become chronic, then the individual should seek out a wound specialist. They are best able to manage the specific issues that come along with this manifestation. Specialists in this area are physicians with varied backgrounds, but they specialize in wound care and often have the designation of certified wound specialist (CWS). These specialists work at hospital-based wound centers and skilled nursing facilities. They are known for healing venous and diabetic foot ulcers as well as limb salvage and surgical wound complications, but can manage almost any skin opening or wound. Some wound specialists are versed in the area of medical legal expertise, chart review, and long-term disability as well as personal injury. ExamWorks, an international independent medical exam company, retains wounds specialists with a blend of skills necessary for medical review, forensic analysis, examination expertise and medical-legal savvy. The next time you encounter a client with a chronic wound or skin injury, consult a wound specialist.
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