Shoulder – Rotator cuff tears
Loma Linda Orthopedic
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Philosophy of Care:
"I treat patients not x-rays".... What does that mean? It means that I take time to get to know my patients on a personal level and address their wishes and concerns. There is so much more to patient care than x-ray findings. How is your overall health? What to Expect: Personal attention from your physician. When you come for an office visit, your exam and questions will be performed and answered by me. I do not use physician assistants and residents are in the clinic with me once a week in a peripheral role. Phone messages are to be returned the same day. I am very particular about that last point. I believe in direct open communication between patient and physician. My patients are given the direct phone number to my medical assistant and surgery scheduler as opposed to a general front office recorded message with numerous options to chose from. I am directly involved in ALL details and aspects of the surgical procedure: from positioning and setup of the patient to wound closure, dressing and sling application. In fact, I believe my residents would prefer if I was less involved. This also includes post-op care in the hospital. You will see me personally every day you are in the hospital including weekends following surgery with only rare exception. Social factors such as family/friend support, living situation, use of assistive walking devices, and type of employment are discussed. I am concerned about the patient as a complete individual, not only as someone with shoulder arthritis or a fractured bone. The individual characteristics of each patient are vital to a successful outcome. Medicine is both an art and a science. I believe in open and direct communication between patient and physician. Patient questions that need a physician response are answered only by me. I do not use physician assistants in my practice.
Reverse Prosthesis - Shoulder Replacements My Training and Experience: I completed my shoulder fellowship in 2004. I was fortunate as that was the same year the FDA approved the use of the Reverse Prosthesis making me one of the first users of this product in the United States. This prosthesis has been used successfully in Europe since the mid 80s. We have been blessed at Loma Linda University as we have done over 500 shoulder replacements since starting here in 2004. I do this procedure through a mini incision of 3-4 inches in length. I teach other Orthopaedic Surgeons the shoulder replacement procedure as a faculty member at instructional courses. My Orthopaedic Surgery residency training at Wayne State University in Detroit, Michigan was very heavy in traumatic injuries which has served me well as we are a level 1 trauma center at Loma Linda University.