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So far SilverOrtho has created 91 blog entries.

What is an ASC? By Josie Dekoker RN

My 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 [...]

2018-07-25T20:26:59-07:00Uncategorized|

Dr. Birchard Lends a Helping Hand

As 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 [...]

2018-07-17T23:32:17-07:00Uncategorized|

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 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 [...]

2020-12-31T21:07:29-08:00Uncategorized|

A Review of WOC’s Sports Medicine Seminar

Washington 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. Chances 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 [...]

2020-12-28T19:11:39-08:00Uncategorized|

Washington Orthopaedic Center – Patient Reviews

Dr. Dujela 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 [...]

2020-12-31T21:07:26-08:00Uncategorized|

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! May 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 [...]

2020-12-31T21:08:30-08:00Uncategorized|

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: 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 [...]

2020-12-28T19:11:39-08:00Orthopedic News|

What You Need to Know About Osteoporosis

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, [...]

2019-06-18T16:38:31-07:00Orthopedic News|

Washington Orthopaedic Center Patient 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 [...]

2020-12-28T19:11:38-08:00Uncategorized|

Q & A with Jessica Hannigan – WOC Physician Assistant

Q1.) You're originally from North Carolina. What, besides a job, made you want to move to the Pacific Northwest? Everyone has always raved about the beauty of the pacific northwest and how there are endless opportunities for outdoor adventures. Being from the mountains of western North Carolina, outdoor activities such as hiking, camping, skiing and boating have always been a part of my life so I wanted to move to an area where I could continue those activities. Q2.) What are you most excited to see and/or do in Washington? I am very excited about seeing Olympic National Park/Forest. I am also looking forward to experiencing these "summers" that all the Washington natives say make the rainy months bearable. Q3.) Becoming a Physician Assistant (PA) isn't the easiest thing to do. What was the hardest part of becoming a PA for you, and what do you recommend to others who want to become a PA? The hardest part of becoming a PA was learning that you are not always going to have or know the answer to everything and that it is okay to say "I don't know but I will find out for you." I recommend to others wanting to become a [...]

2018-07-17T22:28:46-07:00Uncategorized|
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