Divine Inspirations
Alexandria
744-2557

I DO Bridal & Tuxedo
Alton
875-4848

Wooden Soldier Ltd
Bartlett
356-5643

Modern Bride & Formal Shop
Rte. 101
Bedford
472-4933

Betty Dee Fashions
Berlin
752-5141

Sherry's Veils
Bow
493-2775

Heidi's Bridal Boutique
Claremont
542-3345

Linda's Country Lane Bridal
Claremont
543-0882

A Day to Remember Bridal
Boutique
1 North Main St.
Concord
228.8031

Cassie’s Bridal
41 North Main Street
Concord
227-0561

The Perfect Dress For You
Concord
856-8829

Two Hearts Bridal Boutique
Dover
743-1433

Custom Bridal Veils
Exeter
778-6440

Townsend's Bridal & Formal
Center
Exeter
778-0280

William Fitz Bridal
Fitzwilliam
585-9555

Bridals by Giuseppe
Freedom
236-4543

Maria Antonieta Couture
Bridal
Gorham
839-5440

Country Bridals and Formal
Wear
17 Main Street
Jaffrey
532-7641
Divine Inspirations
Alexandria
744-2557

I DO Bridal & Tuxedo
Alton
875-4848

Wooden Soldier Ltd
Bartlett
356-5643

Modern Bride & Formal Shop
Rte. 101
Bedford
472-4933

Betty Dee Fashions
Berlin
752-5141

Sherry's Veils
Bow
493-2775

Heidi's Bridal Boutique
Claremont
542-3345

Linda's Country Lane Bridal
Claremont
543-0882

A Day to Remember Bridal
Boutique
1 North Main St.
Concord
228.8031

Cassie’s Bridal
41 North Main Street
Concord
227-0561

The Perfect Dress For You
Concord
856-8829

Two Hearts Bridal Boutique
Dover
743-1433

Custom Bridal Veils
Exeter
778-6440

Townsend's Bridal & Formal
Center
Exeter
778-0280

William Fitz Bridal
Fitzwilliam
585-9555

Bridals by Giuseppe
Freedom
236-4543

Maria Antonieta Couture
Bridal
Gorham
839-5440

Country Bridals and Formal
Wear
17 Main Street
Jaffrey
532-7641
Divine Inspirations
Alexandria
744-2557

I DO Bridal & Tuxedo
Alton
875-4848

Wooden Soldier Ltd
Bartlett
356-5643

Modern Bride & Formal Shop
Rte. 101
Bedford
472-4933

Betty Dee Fashions
Berlin
752-5141

Sherry's Veils
Bow
493-2775

Heidi's Bridal Boutique
Claremont
542-3345

Linda's Country Lane Bridal
Claremont
543-0882

A Day to Remember Bridal
Boutique
1 North Main St.
Concord
228.8031

Cassie’s Bridal
41 North Main Street
Concord
227-0561

The Perfect Dress For You
Concord
856-8829

Two Hearts Bridal Boutique
Dover
743-1433

Custom Bridal Veils
Exeter
778-6440

Townsend's Bridal & Formal
Center
Exeter
778-0280

William Fitz Bridal
Fitzwilliam
585-9555

Bridals by Giuseppe
Freedom
236-4543

Maria Antonieta Couture
Bridal
Gorham
839-5440

Country Bridals and Formal
Wear
17 Main Street
Jaffrey
532-7641
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When Cuts & Scratches Don't Heal Quickly
by Dr. Walter Kwass
Counter
The Applaud Women publication is dedicated to women in New Hampshire and northern Massachusetts. It's purpose is to inspire, inform, and
applaud local women. The core of the magazine is our inspirational women's articles, most of which feature local women but occasionally we are
able to interview national women who we feel provide a unique inspiration for our readers. Our other articles cover topics of interest such as food
recipes, home, garden, beauty, health, fashion, dating, parenting, seniors, finance, business, hair care, skin care, advice, real estate, insurance,
weddings etc. Each issue has a feature section as well. Many of our articles are written by local business people who provide information
relevant to their business expertise. The Applaud Women website is also a resource center for local women including the most comprehensive
listings of Restaurants, Weddings, Female doctors and Hotels. It also includes a number of informational pages with links, articles and RSS feeds
to both local and national websites of interest to women in NH & n. MA. To read the publication
click here then click on the cover image to turn
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For most people, cuts and scratches heal within days or weeks. But for those whose natural healing process is
hampered, a simple sore can become a complex medical problem. Without proper treatment, these wounds can
cause severe health risks and may result in life-threatening infections, debilitating health problems, and even
amputation.

Chronic and non-healing wounds can result from a number of factors, including diabetes, poor circulation, trauma,
vascular disease, and immobility, which can cause pressure ulcers, more commonly known as bed sores.

If you have a wound that won’t heal, you’re not alone. About 7 million Americans experience this problem. Non-
healing wounds are on the rise largely due to an aging population and an increase in diabetes: 18.5 million
Americans have diabetes and about 1.8 million of them will suffer from a problem wound.

To help these patients, many hospitals are adding wound care to their list of services. Wound care centers are
outpatient, hospital-based programs that employ highly skilled teams of wound care specialists, including a case
manager who will oversee every aspect of each case; thorough training for patients and families on caring for a
wound at home; educational materials and resources related to prevention, nutrition and hygiene; and ongoing
communication so primary care doctors receive frequent progress reports.

As skin ulceration and non-healing wounds are common symptoms of both artery and vein disease, it often falls to
the vascular surgeon in a community to manage these difficult problems as part of the overall care of vascular,
diabetic, and elderly patients.

Special vascular testing can help pinpoint the cause of a wound and may explain the reasons it has failed to heal
with conventional treatment.

Wound care centers employ the most technologically advanced therapies in infectious disease management,
physical and occupational therapy, laboratory evaluation, nutritional and pain management, diabetic education,
nuclear medicine, radiology and debridement. They also address any underlying causes to help stop a recurrence.

But treatment options also include state-of-the-art Hyperbaric Oxygen Therapy, which is prescribed for about 20
percent of patients. Patients breathe 100 percent oxygen while relaxing in a pressurized chamber. The high
concentration of oxygen goes into the blood stream and the wound bed to rapidly accelerate healing. It effectively
fights certain types of infections, stimulates the growth of new blood vessels and improves circulation. It is also used
to treat crush injuries, osteomyelitis (bone infection), skin grafts and flaps, brown recluse spider bites, and diabetic
wounds of the lower extremity.


Walter Kwass, MD is Medical Director of the Center for Wound Care and Hyperbaric Medicine at Merrimack Valley
Hospital, 140 Lincoln Ave. in Haverhill, MA. He is a Diplomate of the American Board of Surgery and the Vascular
Board of The American Board of Surgery. He received board certification in Vascular Surgery in 1987 and
recertification in 1997 and in 2007. His interest in the management of difficult wounds began with his vascular
surgical career as a fellow at the New England Medical Center in Boston. He helped develop a prototype wound
clinic at The Hospital of St. Raphael in Connecticut in the early 1990’s under the direction of his vascular team. Dr.
Kwass is known for his expertise in vascular ultrasound and the vascular laboratory for non-invasive diagnosis. He
has had experience in ultrasound scanning since 1985, including both performance and interpretation of
procedures. He has been director of vascular laboratories in a number of settings and will continue this role as part
of his responsibility as Medical Director. Dr. Kwass and his staff can be reached at 978-420-1405.