Southeast Wound Care & Hyperbaric Medicine

Southeast Wound and Hyperbaric Medicine provides you with state-of-the-art treatment and patient-focused care to treat wounds that have not healed with usual care.


Not sure if the Wound Center is the right place for your specific treatment? Give us a call at 573-334-9637. We will be happy to answer any questions you may have.

Dr. Julianna Lippert-Keck, MD is committed full-time to wound care and hyperbaric medicine, following SoutheastHEALTH patients across the continuum of their care from outpatient to inpatient and coordinating with Home Health and Nursing Home Services. She served fifteen years in the U.S. Navy. As an Undersea and Diving Medical Officer, she was trained by world renowned experts in hyperbaric oxygen therapy, decompression illness, medical effects of radiation, and traumatic and non-traumatic wounds. Dr. Lippert-Keck is committed to excellence and advancements in wound care. She is a Fellow, Academy of Physicians in Wound Healing, Associate in American Professional Wound Care Association, member of the Association for the Advancement of Wound Care, and a member of the Undersea and Hyperbaric Medical Society. As a Board Certified Diplomate of the American Board of Family Medicine and a member of the American Academy of Family Physicians, she recognizes that a patient’s chronic wounds are woven into the patient’s overall health and life circumstances.

Types of Wounds We Treat

  • Wounds that have not healed in four or more weeks with usual care
  • Burns that can be treated as an outpatient (extensive burns require care at a burn unit)
  • Diabetic ulcers
  • Pressure ulcers (bed sores)
  • Blood vessel disease ulcers (ischemic/ arterial/ venous ulcers, vasculitis)
  • Bone infections (osteomyelitis)
  • Post-operative wounds
  • Traumatic wounds
  • Non-healing wounds related to cancer or immunosuppression (such as Rheumatoid Arthritis or steroid treatment)
  • Adjunct therapy for rapid tissue infections
  • Stoma care complications
  • Neuropathic ulcers
  • Wound infections

Treatment Program

Patients with chronic wounds often have underlying serious health problems such as diabetes, heart disease and circulation disorders. Additionally, we recognize that chronic wounds affect mobility, lifestyle, ability to work, and even the relationships with family members or caregivers around you that you may need to rely on more heavily when you have a wound. Your treatment plan is individualized to maximize healing based on your special circumstances. The wound team coordinates with the patient’s Primary Care Provider, Endocrinologists, Cardiologists, Surgeons, therapists, social services and other specialists to optimize the patient’s health and healing.

Types of Treatment

  • Wound consultation and evaluation
  • Hyperbaric oxygen therapy
  • Non-invasive vascular studies
  • Wound debridement
  • Antibiotic therapy
  • Wound vacuum management
  • Total contact casting
  • Cellular and tissue based products
  • Compression therapy
  • Pressure offloading footwear devices
  • Specialty wound care dressings
  • Wound care education for patients, family members, and caregivers

Hyperbaric Oxygen Therapy (HBOT)

The healing power of oxygen is well documented, but air we breathe contains only 20 percent oxygen. HBOT increases the oxygen supply in the blood stream by delivering 100 percent oxygen under pressure in a clear, hyperbaric chamber.

As a patient, you will comfortably recline inside the chamber. Just by breathing, oxygen in your blood will increase.

Benefits of Hyperbaric Oxygen Therapy

  • Encourages production of white blood cells to fight disease and speed healing
  • Reduces excessive swelling
  • Kills many bacteria, including those involved in serious bone infections
  • Stimulates formation of new blood vessels
  • Decreases scarring while speeding healing of disfiguring burns, skin grafts, spider bites and cancer-related radiation problems
  • Improves recovery from diabetic foot ulcers

Conditions We Treat Using Hyperbaric Oxygen Therapy

HBOT is a Medicare-approved treatment for the following diagnoses:

  • Decompression sickness
  • Air or gas embolism
  • Carbon monoxide or cyanide poisoning
  • Exceptional blood-loss anemia
  • Clostridial Myositis and Myonecrosis (Gas Gangrene)
  • Crush injury or compartment syndrome
  • Intracrainal abscess/Actinomycosis
  • Necrotizing soft tissue infection
  • Chronic Refractory Osteomyelitis
  • Delayed radiation injury (osteoradionecrosis and soft tissue radionecrosis)
  • Compromised skin grafts and flaps
  • Enhancement of healing in selective problem wounds
  • Diabetic ulcers extending to muscle or bone

Learn More About Hyperbaric Medicine

Visit these websites to learn more about the benefits of hyperbaric medicine: