Washington Orthopaedic Center – Patient Reviews

General Comments

– The team is solid from front office to X-ray to surgery center and everything in between.
– The receptionist Stacy is so very kind and explained about the scheduling that Dr. said. She is so compassionate to the patients.
– You are the answer to my prayers for help with my arthritic legs and the stiff walking. You give me hope!
– This facility and their staff are awesome.
– I enjoyed my 2 visits everyone was amazing! Clean comfortable building. Great to know where to go if I need you again Christy thank you!
– The Staff at the clinic are very professional courteous and expeditious in their services. I would definitely highly recommend their practice to anyone seeking any Orthopedic services.
– I’m so happy you now have an office in Olympia.
– Glad to have such a high quality facility in our area.
– I really like having the Tumwater location as an option

Keith V Anderson M.D. Comments

– Excellent care throughout from everyone. Was very impressed!
– Excellent diagnosis and treatment. I never felt rushed.
– Looking forward to having Dr Anderson fixing Both knees in the near future.
– Very professional help with my shoulder/arm area. Thank yo Dr. Anderson you are the best! Dr. made me feel a lot better about my problem.
– I feel very confident in his care. I am so lucky to have him as the doctor on my leg.

Keith R Birchard M.D. Comments

– Dr Birchard is very personable man. I very happy he is my Dr
– Easy to talk to very understanding listen to my priblem and explained to me what the problem was in laymens terms.
– Outstanding service!
– Dr. Birchard was excellent!
– Keith R Birchard listened to me and answered all questions I had. He did not make me feel rushed or like he had to leave for the next patient.
– Dr. Birchard replaced my left knee in 2014 and it has functioned with no problems. His answering my questions about the steroid injection this time was very clear answers
– A caring professional.
– Everything went well. I guess I always would like more time to understand better. Dr Birchard did well though and I learned about my condition and generally what to expect. Thank you.
– Keith Birchard did a great job.
– I appreciated that he agreed to try a few alternative treatments to help my knee pain before we made the decision to go to knee replacement. He explained things well and when I came in with concerns during the healing he was patient and considerate.
– Dr. B. took a lot of time with me and explained many things for me. He also recommended getting a second opinion on another matter from another Dr. I was pleased with this visit.
– Has been very helpful in my recovery and getting me back to work

Mark Morishige M.D. Comments

– nice, kind, patient. Listened to any questions and gave reccomendations. Told me about what I need to do to continue healing.
– Excellent patient rapport.
– He was decisive clear and competent. I feel 100% better.
– Dr. Morishige was very knowledgeable about the injury to my shoulder and the options available to me. I appreciated his thorough explanation and patience in answering any questions I had.

Michael D Dujela D.P.M. Comments

– We are blessed to have a doctor of this caliber in Lewis County. I feel so fortunate to have found him a and I have great trust in his skill and judgement.
– Competent qualified personable reassuring.
– He’s an awesome Dr….
– If I had a son who was a doctor I would want him to be just like Dr. D!
– Knowledgeable caring and efficient.
– I told him from the start. That I do not want to have Surgery because of my age and don’t want to be off my feet for that long. So he told me about other things that might help. I tried them and the have helped a great deal am getting along pretty good now. Frank
– Thank you so very much Dr. Dujela for your expertise! I sure wish I had contacted you first when my “little” problem started! It would have saved me some critical months…now I need to await yet another month before surgery to fix my achilles. I have already recommended you to many more people! And my primary doctor who I saw yesterday Dr. Judith Son also has great things to say about you!
– Staff provided good information on footwear I should be using and exercises for my feet.
– He is the best
– He always remembers me even if I haven’t seen him for many months or years. Outstanding personal interaction. Thank you Dr. Dujela!
– Excellent service
– The best foot and ankle doctor I have seen. He knows a lot more than the others I have visited.

Scott S Slattery M.D. Comments

– Dr Slattery honestly gave me information about treatment of my right knee.
– Dr. Slattery is an excellent listener and cares a lot of his patients pain and issue and addresses them in a very professional and promptly manner.
– My 4th surgeon visit (over a year and a half time) for my shoulder. I am pleased and will do surgery with Dr. Slattery.
– He has been my ortho for many years I will always return to him as long as he is in practice he’s informative respectful and exstremly passionate about well being of other there is no one better.
– He is very thoughtful and kind answered all my questions does not give advice just suggestions
– Very good care
– He is very professional. He had everything ready for my appointment and the shot was quick and almost painless. He did a good job.
– Dr. Slattery was extremely professional in his approach to my concerns and really listened for a long time before he offered his advice referrals and follow-up suggestions. I so appreciated his approach and how correct he was in his possible diagnosis.
– I felt like the care was personalized and not just a surgical procedure. Please don’t loose that – it takes more time but makes for far better care & outcomes.

Christy Caple PA-C Comments

– She made me feel like s person..not just a number….thank you…
– I appreciated the professional manner of everyone I cam in contact with. I also very much appreciated the cleanliness of the main lobby area. In previous visits that area needed attention.
– Christy is awesome I was comfortable right away!
– Excellent she’s very thorough and very personable.
– She was extremely skilled in injecting the OrthoVisc into my knees and I really appreciated that! She really listens to your needs is very timely and plans for the future. She gives me hope even tho I am still very stiff but I don’t hurt.
– I made two visits to Wa. Ortho and was very impressed with the swiftness and professionalism of the staff.

Jessica Hannigan PA-C Comments

– She was very courteous and seemed genuinely concerned.
– She was excellent.
– She is awesome
– Thought she was great really liked her.

What is an ASC? By Josie Dekoker RN

RenderedIMy name is Josie Dekoker, and I’m new here! WOC’s newest ASC RN to be exact I graduated from Centralia College in June and obtained my nursing license in July. This is my first nursing job, and I couldn’t be happier to call WOC home. The staff (AKA: Family) here have been so welcoming and helpful in my transition into practice. That coupled with my desire to learn, and the diversity of daily duties makes this job opportunity perfect for me! Besides taking care of patients, I love being able to learn new things every single day. Each day I have a brand new experience.  Whether it be a new question from a patient, to a new surgery or a new opportunity, all of these new things help foster the RN that I am becoming.

You’re probably wondering where I am going with all of this. I am writing, WOC’s ASC blog to be exact.

Do I like to write? Nope. Not even a little bit. However, that’s not what this is about.  This blog is a learning experience, and as I previously mentioned, I love to learn!  As a fresh RN, straight out of school, you can imagine that I have a limited scope of experience in a surgery setting.  And what is the best way to learn? To teach someone else what you know. And I am going to do just that. I am going to teach you the ins and outs of our ASC. You get to join me on this learning journey, and we can learn together. So buckle up! We have a long journey ahead, and I can’t wait to get started.

What better day to start than the beginning of National ASC week! Yes, an entire week to recognize the ASC’s around the country. ASC’s give patients a choice. A choice of where they want to have a surgical procedure. This year marks the 11th anniversary of National ASC week. However, the first ASC has been around for much longer than that.  Our ASC was actually one of the first ASC’s in Washington State! How neat is that?!

Okay, so let’s get started.

What is an ASC?

ASC stands for Ambulatory Surgery Center and is also sometimes referred to as Outpatient Surgery Centers.  Patients who visit an ASC are lucky enough to go home the same day, often within hours, of having a surgical procedure.

Why would someone choose to have surgery in an ASC?

There are many reasons for patients to choose to have surgery in an ASC. Some include, but are not limited to:

  • Lower cost
  • Lower risk of infection
  • More personalized care
  • Shorter “stays.”
  • More relaxed setting for both the patient and family

What procedures does WOC offer to be done in the ASC?

We can do a number of orthopedic cases in our ASC. From the removal of a Ganglion cyst (that bump often on the back of your wrist) to even replacing a total joint! Our surgeons are trained to complete a wide array of procedures.

How do I decide if I should have a procedure at the ASC?

The most important thing you can do is schedule an appointment with one of our providers. The provider will evaluate any ailments, review any surgical and non-surgical options, then discuss the best course of treatment with you. If surgery is the next step, then our surgeons will work side by side with you to decide where your surgery should be completed to provide an optimal recovery and have the best possible outcome for you.

Whatever your orthopedic ailment may be, be sure to give us a call today at 360-736-2889! We look forward to hearing from you soon!

Until next time,

Josie Dekoker

Dr. Birchard Lends a Helping Hand

Dr. Keith Birchard Orthopedic SurgeonAs an orthopedic surgeon, Dr. Birchard prides himself in his hands. For a guy who uses numerous tools most of us have never heard of or could even imagine, his hands are surely his most important tool. And what better way to use his hands than fix others’ hands? Whether Dr. Birchard is in the clinic, the operating room, or out in the local community, Dr. Birchard is always willing to lend a helping hand.

Dr. Birchard grew up in Chehalis as his dad, also an orthopedic surgeon, helped get Washington Orthopaedic Center off the ground. His family was very involved in local community service events and international missions, and these are two aspects of service he still continues today. Simply look for Dr. Birchard’s United Way campaign poster on your right between exits 81 and 79 as you head south on I-5 to see the impact he has on our local community. His medical mission trips in countries like Papua New Guinea, the Dominican Republic, and India have had similar positive effects. Dr. Birchard also continues his participation in Boy Scouts of America by volunteering with his son’s Cub Scout Pack 301 in Chehalis.

Dr. Birchard has a special interest in hands when it comes to surgery. The hand, much like the foot, demands a slightly different surgical approach than other areas of the body like the hip or knee. For example, while there are only three bones in contact within the knee joint, there are twenty-seven bones in each human hand along with countless joints. While the knee performs gross, large, movements, the hand completes fine, small, movements requiring greater precision and accuracy. Due to the more finely tuned nature of the hand, the surgeries sometimes require a greater attention to detail, something Dr. Birchard is an expert at.

Dr. Birchard cheering up patient

Dr. Birchard has been involved in medical mission projects in the Dominican Republic, Papua New Guinea, and India

Among Dr. Birchard’s most commonly performed procedures are trigger finger releases, de Quervain’s releases, and carpal tunnel releases. As you can see below, the following table details the conditions, treatment options, surgery, and rehabilitation periods. These three conditions are often inevitable fixes in order to maintain an active quality of life. Luckily for us, Dr. Birchard has decades of experience working with these conditions and sees a very high rate of success following his corrective procedures.

These three conditions are not uncommon. If you work with your hands on a daily basis, you have a higher risk of developing a condition like carpal tunnel syndrome. A 2010 study completed by the Center for Disease Control and Prevention indicated that 3.1% of employed adults between the ages 18-64 developed carpal tunnel syndrome. In addition, the risk of developing carpal tunnel syndrome was greater with increased age and higher in women.

Hand condition and treatment, trigger finger, de quervain's tenosynovitis, carpal tunnel

If you find yourself with chronic pain similar to one of the descriptions above, place your trust in Dr. Birchard’s hands. He has the experience and knowledge to improve your quality of life in a dramatic way. Give us a call at 360-736-2889 to set up a consultation today.

– Article by Levi Bale

There’s No Replacement for Excellence, But There’s An Excellent Place For Joint Replacements

In a 2013 Consumer Reports article titled Your Safer-Surgery Survival Guide, Centralia’s Providence Hospital was listed as one of Washington’s top rated hospitals for surgery. Other hospitals rated as highly as Providence Centralia hospital were Seattle’s Swedish Medical Center – First Hill and Renton’s UW Medicine/Valley Medical Center. The ratings were produced with the help of MPA, a health care consulting firm, and were categorized by analyzing the percentage of a hospital’s Medicare surgery patients who either died while in the hospital or spent a greater length of time in the hospital than was expected. 27 separate surgeries were examined, although five procedures were main points of emphasis: back surgery, hip and knee replacements, angioplasties, and carotid artery surgery. You can find more information on the safety ratings of Providence Centralia Hospital and other hospitals at Consumer Reports Hospital Ratings.

Providence Hospital - Centralia, Washington

Providence Hospital – Centralia, Washington

In addition to the article by Consumer Reports, Centralia Providence Hospital had zero reports of infection for patients having undergone a total joint replacement in 2016. While we in the US like to think our infection safety guidelines rule out the possibility of infection, this is not always true. In fact, in a 2016 report on hip and knee joint replacement by the American Joint Replacement Registry, 8.4% and 9.3% of total hip and total knee revision surgeries, respectively, indicated an infection and inflammatory response. With more people than ever opting to receive a total joint replacement, it’s extremely important to ensure you will be receiving your replacement surgery from a facility with a proven track record of success.

So what does this say about us?

Washington Orthopaedic Center’s surgeons all have privileges at Centralia Providence Hospital to complete total joint surgeries within their hospital. That means our surgeons complete these procedures, our surgeons and physician assistants track the health status of patients until they leave the hospital, and our surgeons oversee the rehabilitation period of the patients until they have recovered. Thanks to the thoroughness of our surgeons and staff, in conjunction with the staff at Providence Centralia Hospital, our patients having undergone a total joint replacement surgery at Providence Centralia Hospital had the lowest rate of infection in the state for 2016, 0%. This low rate of infection also surely contributed to the outstanding safety rating in the 2013 Consumer Report article on safe surgery.

our patients having undergone a total joint replacement surgery at Providence Centralia Hospital had the lowest rate of infection in the state for 2016, 0%

Joint replacement surgery at Providence Centralia Hospital is continuing to improve every year. This year has seen the addition of two HANA tables, specialized tables that allow our Dr. Slattery to perform his direct anterior approach total hip surgeries. These are the only tables available in the area to perform these procedures, a procedure that often cuts a patient’s recovery time in half when compared to the traditional posterolateral approach that requires more navigation through dense muscle tissue.


If you are having any pain in your major joints, don’t hesitate to give us a call at 360-736-2889 to set up a consultation with one of our providers. Washington Orthopaedic Center now has clinics in both Centralia and Olympia, Washington to better serve the public. Remember, there is no replacement for excellence when it comes to major joint surgery, but there is an excellent place for replacement, Providence Centralia Hospital with Washington Orthopaedic Center’s surgeons.

A Review of WOC’s Sports Medicine Seminar

IMG_3998Washington Orthopaedic Center held a comprehensive sports medicine seminar June 3rd in Olympia. In attendance were primary care providers, physical therapists, chiropractors, and athletics trainers from around the region.  All five of our surgeons spoke on 18 different topics over the course of 10 hours, including the effects of platelet-rich plasma injections, direct anterior hip replacement and persistent ankle pain.  They were joined as faculty by Dr. David Brown, a board certified sports medicine family physician who works with Providence Medical Group in Olympia. Dr. Michael Dujela, the national chairman of the Education and Scientific Affairs Committee for the American College of Foot and Ankle Surgeons, led the seminar. We were also able to hold a break out session, which allowed the faculty an opportunity to work in smaller groups and demonstrate physical examinations of the shoulder, knee and foot.

IMG_4002Chances are you have probably experienced the disconnect that is often found in being referred from clinic to clinic…

The disconnect is sometimes unavoidable because each provider prefers every step of treatment to be completed a specific way, and these preferences are not always easily communicated over phone or dictations. A main goal of hosting this seminar for local healthcare providers was to educate them on our treatment protocols, so that our patients are more effectively cared for as they are referred to separate clinics for their rehabilitative processes. For example, Dr. Slattery and Dr. Morishige are both top notch surgeons who have years of experience performing Anterior Cruciate Ligament (ACL) Reconstructions, yet they each prefer a similar, but different technique. The two techniques utilize different angles to reposition a replacement ligament, which could potentially alter the treatment plan of a physical therapist or at least serve as a reference for why a patient may be exhibiting a specific rehabilitative complication. Without knowing the details of which procedure a certain provider prefers, other healthcare professionals may not be able to provide their best quality rehabilitation.

IMG_4012The same goes for us. We took this opportunity to ask questions of our local colleagues as well. We want to know what we can provide to give them the best opportunity to succeed with the patients we send their way. We take pride in personally getting to know our colleagues and we believe it is in our patients’ best interests too, because, although we are a series of separate clinics, we still work toward the same goals for our patients’ benefit. As a rural specialty clinic in this community, we strive to deliver more personalized care than you may receive in a large city hospital. The ability to educate our patients, colleagues, and ourselves, is an integral aspect of maintaining our personalized care.  Thank you to all who were able to attend the seminar, we appreciate you taking time out of your busy schedule to do so.

If you have questions about the chronic joint, muscle, or bone pain you have been experiencing, give us a call at 360-736-2889; we would love to help.

Washington Orthopaedic Center – Patient Reviews

Dr. DujelaDr. Michael Dujela Foot and Ankle Surgeon

Awesome! Fast efficient and makes you feel like you issues are top priority! Have already recommended him to others! He’s my top pick

I feel he is the best at what he does, he is always kind and professional! I highly would recommend him to others and concerns that I may have… Excellence and caring.

He listened to me about continuing with PT and waiting a bit longer before proceeding with surgery. I don’t want surgery unless absolutely necessary and he understood that and went along with me. He told me I would know when the pain was more than I could handle and I could come back and see him then and we would talk about the next step.

Dr. Dujela, As well as his entire staff are kind, professional and informative. It’s obvious that they are treated well by Dr. Dujela. The entire environment of the office is friendly and at ease, yet attentive.

Very positive interaction with Dr. Dujela. I would highly recommend him to others.

Dr Dujela was so kind even though he saw us for a condition he doesn’t usually deal with. We thought he was fantastic!

I loved that he was direct and didn’t beat around the bush or try to sugarcoat the problem. He told me exactly how it was and what needed to be done. He is an excellent Doctor.

I think Dr Dujela is wonderful and we are so lucky to have his expertise in our area.

Dr. Dujela is very personable and easy to talk to. I was very comfortable asking questions. He made me feel like he had all the time in the world to answer all my questions. It was a very nice experience and I would highly recommend him.

Anderson Small Image WebDr. Anderson

Doctor Anderson has always been my first choice. He lets me know all the options.

Great care. Dr. Anderson was very good. All encounters with the surgery center was positive.

Everyone was very kind and helpful.

Very happy the staff went out of there way for me and I’m blessed to have such great care thank you

Professional and personal.

I think he’s the best doctor I’ve ever seen

With his support staff, he is very efficient; staff is friendly, concerned about patient status and questions

I was very pleased I will come back to Dr Anderson thank you

Dr. BirchardDr. Keith Birchard Orthopedic Surgeon

Everything was amazing. I can’t believe how friendly everyone was and how patient they were with me.

Thank you so much for fixing my ankle …strong enough to use it …so close to perfect.. anything less than perfect is a age thing. Now if the rest of this body can keep up… always felt good leaving your office
Dr. Birchard is great! Very good doctor.

Dr. Birchard clearly explained my x‐rays, my need for surgery, what the surgery would involve and my follow up care needs. He answered all of my questions and treated me respectfully.

Very relaxed atmosphere, so unlike other doctors. I felt he took time to listen to my story of how I injured my knee and the symptoms I am experiencing. Then after explaining his diagnosis, explained the options of how to proceed. Plus his assistant walked me through the next steps. Exceptional service from all I encountered during my visit.

Been going to WOC 2006 and I wouldn’t go to any other Dr.

I have already recommended Keith Birchard to several people. He does excellent work and has a wonderful bedside manner. Takes good care of me and my knees!

Dr. Slattery

Scott Slattery, MD

I look forward to having Dr Slattery provide the treatment that is needed for my shoulders.

Dr. Slattery was awesome and very helpful. He listen to my concerns and responded with professional and caring answers. Thank you Dr. Slattery!!

I have been thrilled with all of the services and treatment I have received from Dr. Slattery and his staff; and have recommended him and Washington Orthopedic to many others.  

I asked Dr. Slattery to give me a cortizone shot in my knee to try to help the constant pain I’ve had since my complete knee replacement. He gave me the shot and it has helped tremendously. As a result, the constant pain has lessened. I’ll check back with him when the shot wears off to see what he recommends for future treatment. I appreciated that he listened to me. 

I was very nervous about Dr Slattery, all orthopedic surgeons before him I had dealt with were arrogant and seemed in a hurry to be done with me instead of really listening. I felt Dr. Slattery truly listened to my complaints and answered all my questions without being condescending. He was quick to get to my diagnosis and remedy my problem instead of throwing a bunch of “well let’s try this first” approaches. I very much appreciated his and his staff attentiveness and prompt responses to my questions and concerns!

Christy Caple

I felt really comfortable with Christy and she listened to what I had to say. She’s awesome

I was told the steroid injection could take up to 3 weeks to work for my bursitis in my right hip. It actually made a huge difference in my ability to stand, walk and shift my weight on to that hip with in the first 24 hours! I am grateful.

Was very professional yet personable always made sure to ask if I had any more questions. Made sure I understood what was going on and our plan of action.

Christy, was top‐notch, as was her MA, Debbie! Made me feel at ease, relaxed, and part of the team, instead of feeling left out or out of loop. She, explained things at my level and assisted with techniques that will help me with knee issues.

Christy knows her job well, has great bedside manner and explains things in simple terms that are easy to understand for a layman.

The Clinic

This is a great place.

Impressed with the professional, courteous, organized treatment at WOC.

I really appreciated that I could do all pre appointment paperwork prior to visit. It was great to receive a lanyard and card case for my phone. Nicely done

WOC Celebrates National Physical Fitness & Sport Month

May has been honored as National Physical Fitness and Sport Month since President Eisenhower formed the President’s Council on Youth Fitness in 1956. In addition to the month of May as a whole, is National Senior Health and Fitness Day was held on May 31st. With summer right around the corner, and the arrival of all the warm weather we’ve been waiting for, the time has come to get back outside and start being active again. The employees and families of Washington Orthopaedic Center took an early leap into summer this month. This is how we have been celebrating this month!

Sand and misery challenge in castle rockMay 6th: The Sandy and Misery Challenge

The much anticipated local mud run, hosted by the Cowlitz Valley Runners in Castle Rock, started us off this month.  This was our second year at the event and yet again, it did not disappoint.  Our WOC team “We Know Bones,” participants all finished the grueling 3.1 mile course through various obstacles including piles of tires, lakes, man sized crawl-through piping, and quicksand-like mud pits. Although we did suffer a few cuts and bruises along the way we all had our fair share of fun. Josh, one of our X-ray Technicians, participated in the event for the second time. Although he doesn’t run regularly, he had this to say about the challenge, “More than anything I love being able to get outside and be active with others from the community. I really love the social aspect of being able to do something like this.”

Capital City Marathon runner

May 21st: Capital City Marathon

Washington Orthopaedic Center was also proud to be part of the Capital City Marathon this year. As a part of our local sport medicine community, we felt it was our job to let our patients know that we are active too! None of us ended up completing the entire marathon, but Shebby, our Surgical Technician, did complete the half marathon portion of the race. Several others also took part in the 5 mile race held that same day.

All Month Long: Slow Pitch & Mountain Biking

Many of our employees chose to take part in outdoor recreation all month long by participating in activities they grew up loving.

Andrew, our Certified Athletic Trainer, grew up loving baseball and even had the opportunity to take his love of baseball to George Fox University where he played for four years. Now that he has a full time job and a family to take care of, he has slightly less time for baseball, but he does still take time for the occasional local slow pitch game. When asked why he continues to participate he said, “It’s definitely a competitive outlet. It’s different from everyday life and let’s me express my competitive drive.”

russ&sharonRuss and Sharon, seen to the right, also continue to compete. The two of them are frequent mountain bikers, often taking off after work to get a few miles in, and recently competed in a mountain bike competition near Mount Hood. As a long time competitive motocross rider, Russ knows what it’s like to go head to head with other riders as they compete for the best time trial. However, this was Sharon’s first bike competition. Although she was really nervous at first, she said she absolutely loved the competition and had a lot of fun. In the end, Russ finished 5th out of 40 people and Sharon finished third out of 10.

There are plenty of ways to stay active in a community like ours! Staying fit isn’t always easy and remaining healthy isn’t either. That’s why we want you to know that we are here for you when you get injured.  Call us at 360-736-2889 if you find yourself needing help recovering from your recent athletic injury.  Stay active with us at Washington Orthopaedic Center!

An improved Approach to Tendonitis Treatment: Platelet-Rich Plasma Injections

Platelet-rich-plasma (PRP) injections have been making headway in medicine for the last decade due to their effective treatment of common tendonitis pain. While PRP injections are most often used to heal the chronically inflamed tendons of your ankle, knee, and elbow, they have also been used to treat fractures, tears, and arthritis as well. The procedure is most popular among active individuals and is often utilized by professional athletes, such as Tiger Woods and Rafael Nadal to name a few. We all know the road to recovery from a chronic overuse injury can often be an irritating one, and while this treatment may be a solution to your problem, let’s first go over what this procedure is as well as the pros and cons.

The Procedure:blood cells

Platelet-rich plasma injections are injections of, you guessed it, platelets directly into the injured area. To do this, the nurse first draws your blood. After a quick process to separate the blood into its components, the doctor then takes the platelet portion and injects the platelets directly into the area of interest. Why platelets? While platelets are commonly known for their blood clotting effects, platelets also contain a high concentration of growth factors that help speed up recovery. After a brief period of continued discomfort after the injection, the body then begins to utilize the concentrated growth factors to repair the chronically injured area.

The Pros:

  • The procedure only takes about 30 minutes.
  • The injections are site-specific.
  • The cost of treatment is a fraction of other, more invasive, treatment options like surgery.
  • No foreign material is being injected into your body; it’s a concentration of your own healing mechanisms.

The Cons:

  • The procedure is moderately invasive, due to the drawing of your blood.
  • Numbing agents cannot be used before injecting the injured site.
  • Insurance doesn’t always cover the cost.

kayaking injury elbow painIf you are an active individual seeking out help with relieving your pain and improving your function, this procedure may be for you. Several of our providers, including Dr. Slattery, Dr. Dujela and Dr. Morishige, have been administering PRP injections for years. A couple of them have even tried the treatment themselves. In fact, Morishige has had several PRP injections to help with his chronic tendonitis from competing as a D-1 athlete during college and can attest to its success on himself.

There are several locations in the South Sound Region that offer this treatment, however our Board Certified Orthopedic Surgeons, Dr. Slattery and Dr. Morishige, and our RN’s bring a level of expertise that is not found anywhere else. Specifically, Dr. Slattery has a subspecialty in Orthopaedic Sports Medicine and Dr. Morishige is fellowship trained in Orthopaedic Sports Medicine. Dr. Dujela also has extensive training and years of experience administering PRP injections. The location of the injection can be the most important factor concerning the success of the treatment, and we assure you that we can provide the best possible outcome thanks to our training. On top of all this, Washington Orthopaedic Center offers this procedure for a fraction of the price that other offices may charge. Be active in your journey to an improved quality of life. Give us a call at 360-736-2889 to set up a consultation today.

What You Need to Know About Osteoporosis

Man helping elderly woman with osteoporosis walk

If you are 1 in 2 women or 1 in 4 men over the age of 50, your life is affected by osteoporosis. But what really is osteoporosis, and what effects might it have on your life?

Osteoporosis literally means “porous bone”

It is typically the result of poor bone formation and or excessive bone loss, which eventually leads to a decrease in bone density. Factors that affect your bone density include age, hormone levels, activity status, and diet. However age tends to be the overarching culprit for the changes, as the other three factors often change along with age.

For example, sex hormones decrease in both females and males as we age. For females, menopause greatly decreases estrogen output, and for males, testosterone begins a gradual downward slope beginning around age 30. Bone density is negatively impacted as both of these hormones decrease. Yet, although everyone does experience a decrease in their sex hormones over time, other factors such as activity status and diet can help offset those effects.

Physical activity and forms of exercise are well known methods to maintain or improve bone density as you age. Wolff’s Law, developed in the 19th century by Julius Wolff, explains this idea perfectly, “bone function changes cause bone structure modification.” This means that, to a point, our bodies adapt to increased loads, such as increasing our bone density as we begin lifting weights, dancing, or running. However, just like everything, too much exercise or physical activity can result in an increased risk of injury or an increased production of the stress hormone cortisone, which decreases bone density when made it too great amounts or for extended periods of time.Osteoporosis_Locations

Diet also plays a critical role in fending off osteoporosis

Most of us probably grew up being told to drink milk to keep our bones strong. To a point this is true because milk contains calcium, which is a key contributor to improving bone formation. Yet, while calcium is important, maintaining a calorically and nutritionally rich diet may be just as, or more, important. This is why eating disorders are HUGE contributors to poor bone health. Not only do eating disorders greatly decrease the consumption of calories, once again activating the release of cortisone, but they also decrease the essential nutrients needed to build more bone and limit bone degradation. Eating a nutritionally and calorically dense diet is a sure way to maintain good bone health.

Osteoporosis is affecting more lives than ever

In fact, in a report for the US Surgeon General in 2004, the number of hip fractures, due in large part to osteoporosis, is expected to double or triple in frequency by the year 2020. With so many people being affected by osteoporosis, you probably know of someone who has broken their hip and the difficult return they have taken to regain their normal lives. Maybe you even know someone who has been taken care of by one of our surgeons at Washington Orthopaedic Center for a hip fracture. As a family centered clinic, we strive to bring our patients the best personalized and quality of care available. We sincerely wish you the best of health, but if anything should happen please be aware that we are here to help. Give us a call at 360-736-2889 to schedule an appointment with us today!

-Article by Levi Bale

Washington Orthopaedic Center Patient Survey

orthopedic patient from washington orthopaedic center taking a survey

Staff and Facility Comments

  • The receptionist to schedule my MRI was awesome. She went the extra mile to get my appointment scheduled at good time for me as I travel a ways to get there. She was a 10. [visit for Keith V Anderson, M.D.]
  • I’ve been visiting WOC for about four years and have always had excellent care from all staff. I drive from Olympia to this clinic because of the quality of care I receive. [visit for Scott S Slattery, M.D.] 
  • Facility was clean, large waiting room, [visit for Scott S Slattery, M.D.] 
  • THE BEST CARE FROM PEOPLE THAT CARE—-THANKS— [visit for Scott S Slattery, M.D.] 
  • mostly excellent. dr n did a great job on my leg years back. [visit for Scott S Slattery, M.D.] 
  • This organization is Top Drawer. Everyone I associated with has been GREAT. [visit for Scott S Slattery, M.D.] 
  • Excellent. [visit for Michael D Dujela, D.P.M.] 
  • Every one is great [visit for Michael D Dujela, D.P.M.] 
  • Would recommend this provider to anyone who would need their service [visit for Keith R Birchard, M.D.] 
  • Courteous like no other ortho in WA.State. [visit for Michael D Dujela, D.P.M.] 
  • The whole staff we dealt with were amazing, patient, compassionate and professional!! [visit for Scott S Slattery, M.D.] 
  • The staff at Washington Orthopedic Center is awesome! All are friendly and extremely competent and professional. The Anesthesiologist is EXCELLENT. I consider myself most qualified to make this assessment, given that I have undergone several procedures here. And let me just add that my confidence and appreciation for the Washington Orthopedic Center facility has grown with each experience. My sincere thanks! [visit for Keith R Birchard, M.D.] 

Christy Caple, PA-C Comments

  • I have found Christy to be patient, understanding and gracious. I was thrilled to find my referral from another doctor was to see her for this new problem. Her attention to my situation at my previous visit allowed her to successfully treat my condition at that time, providing a simple answer and quick and lasting relief. 
  • Thank you Christy for your time. Also would like to say this group of people are on it. They all work together very well 

Keith R. Birchard, M.D. Comments

  • Very personable. He made the injury understandable.  
  • He was very helpful and respectful of my situation. I appreciate how he took the time to listen to what I had to say.  
  • Thank you for getting things going quickly on my medical issues
  • Dr. Birchard is the first Orthopedist in Washington State that understand my factor 5 problem and support me. Not talking that I MUST have knee replacement. Thanks to Him I do not have to go back to Texas.The shots I got in Texas was SUPARTZ. iI feel so much better from the shot he gave me last Monday. Thank you Dr. Birchard.
  • Enjoyed meeting this Dr. explained my options and willing to work with my request. Understood my condition and my needs.  
  • He spoke loud enough for my husband, the patient to hear.  
  • Dr. Birchard has successfully treated me for several impairing hand conditions. He is an excellent doctor and surgeon!

Keith V. Anderson, M.D. Comments

  • I have been a patient of Dr Anderson for various ailments for over twenty years and he has always been number.
  • Dr. Anderson has performed 8 surgeries on me and all have improved my quality of life. 
  • He’s a gem. So well trained, skillful surgeon, kind, caring individual. Because of his excellent surgery skills, my amputation healed very well, and I walked myself to the altar when I got married 10 months later. So great to have him attend wedding! He’s very humble, too. Some surgeons have super-sized egos! Not Dr Anderson. He’s a wonderful doctor! 
  • Excellent 
  • I found Dr Anderson’s “bedside manners” exceptional! Very knowledgeable. I feel very comfortable having him as my family orthopedist.  
  • Real clear about what I need to do.
  • Very professional office. 

Michael D. Dujela, D.P.M. Comments

  • I was treated with compassion even tho my reason to visit was not an emergency. The nurses were very helpful and answered my questions. Dr. Dujela was very open to me about what I could do for my neuropathy. 
  • He was very good to explain what was wrong and treatment for the condition i really liked him 
  • Dr Dujela and his staff are the BEST 
  • A very efficient Dr. Office staff was exceptional.
  • This was definitely one of my better surgical experiences
  • World class doctor and staff. I trust him completely! 
  • Dr. Dujela was awesome, felt like I was listened to. Also like your waiting room, soft music and not the news! 
  • Dr. Dujela was very kind along with all of the staff. I have never experienced such a respectful and kind staff for treatment. Thank you. 
  • He is the best doctor ever.
  • Not much to say but Dr. Dujela has a great ear and listens to you,that give me great respect for him.

Scott Slattery, M.D. Comments

  • I have been thrilled with all of the services and treatment I have received from Dr. Slattery and his staff; and have recommended him and Washington Orthopedic to many others.  
  • I asked Dr. Slattery to give me a cortizone shot in my knee to try to help the constant pain I’ve had since my complete knee replacement. He gave me the shot and it has helped tremendously. As a result, the constant pain has lessened. I’ll check back with him when the shot wears off to see what he recommends for future treatment. I appreciated that he listened to me. 
  • I was very nervous about Dr Slattery, all orthopedic surgeons before him I had dealt with were arrogant and seemed in a hurry to be done with me instead of really listening. I felt Dr. Slattery truly listened to my complaints and answered all my questions without being condescending. He was quick to get to my diagnosis and remedy my problem instead of throwing a bunch of “well let’s try this first” approaches. I very much appreciated his and his staff attentiveness and prompt responses to my questions and concerns!