Richard Angelo, MD, is a board-certified orthopedic surgeon at ProOrtho. On October 3, 2017, Dr. Angelo successfully defended his Ph.D. thesis, "Proficiency-Based Progression Training - Quality Assured Preparation for the Practice of Surgery" at University College Cork (UCC), Ireland:
The related research (Arthroscopy Association of North America Copernicus Initiative) involved task deconstruction and metric validation for an Arthroscopic Bankart Repair; construct validation for the resulting metrics along with a medium fidelity shoulder simulator and cadaver shoulder; and a prospective, randomized, blinded trial of proficiency-based progression (PBP) training compared with the current training (representing the "Apprenticeship Model"), and with simulator enhanced training without the proficiency requirement. PBP training was demonstrated to be far superior to the other two training curriculums. Anthony Gallagher, PhD, DSc, and Eugene Dempsey, MD of UCC served as his PhD advisors.
Rainier Orthopedic Institute launches SwiftPath joint replacement program
The SwiftPath program transforms joint replacement care by preparing patients for joint replacement surgery and selecting the ideal patients for outpatient surgery.
Rainier Orthopedic Institute just launched the SwiftPath Program and hosted their first JointCamp. The SwiftPath program helps to prepare patients for joint replacement surgery and select the ideal patients for outpatient surgery. Rainier Orthopedic Institute joins other Proliance care centers in utilizing this program.
Improving the process of outpatient joint replacement takes institutional commitment and the SwiftPath Program is their valued partner through this journey. Thank you to Dr. Steedman, Dr. Adams, [ROI] Administrator Teri Miller, JointCamp Instructor DeAnna Hungerland and the entire team at Rainier Orthopedic Institute.
"When you can show that patients are doing well, complications are low, patients are happier, and costs are less—those things matter to patients, insurers, employers and all stakeholders in this whole process," said Dr. Steedman.
The timing of this launch is especially good news considering the Centers for Medicare & Medicaid Services (CMS) is about to remove total knee arthroplasty from their inpatient only list. Read more about the rule change at the American Academy of Orthopaedic Surgeons (AAOS).
Over 50 Proliance physicians voted "Top Doctor" by peers
Seattle Met asks medical and nursing professionals in Western Washington: “If you or a loved one needed care, whom would you choose?”
Each year Seattle Met magazine asks medical and nursing professionals in Western Washington: "If you or a loved one needed care, whom would you choose?" The 2017 edition includes 791 doctors, nurse practitioners and physician assistants and more, across 100 specialties.
Voters nominated their most esteemed peers based on years of experience, competency, rapport with patients, patient satisfaction and compliance with care recommendations, and ability to work effectively with colleagues across specialties to deliver the best patient care.
We are honored to have over 60 of our physicians and physician assistants make the list from the following Proliance care centers:
The Tacoma-Pierce County Chamber of Commerce has selected Puget Sound Orthopaedics for the 2017 Spotlight on Business Award.
Congratualtions to Puget Sound Orthopaedics! The Tacoma-Pierce County Chamber of Commerce has selected Puget Sound Orthopaedics for the 2017 Spotlight on Business Award in the large business category. The chamber of commerce honors businesses who have set the standard for exemplary business practices. Puget Sound Orthopaedics received the award because of the outstanding contributions it makes to the local community.
John T. Parker, MD, is offering an innovative new therapy for patients with obstructive sleep apnea. The Inspire® upper airway stimulation system is a fully implantable nerve stimulator, which works to keep your airway from collapsing during sleep. Inspire is indicated for treatment of patients with moderate to severe obstructive sleep apnea who are intolerant of CPAP therapy.
Inspire therapy works by implanting a small device under your skin. The device is placed in an outpatient procedure at our ASC, with no overnight stay involved. Once implanted, the device works by delivering minute electrical impulses to selected nerves innervating the tongue musculature to keep the airway open during sleep. You receive a remote control to activate the device during sleep and inactivate it while awake. Studies have shown the treatment to be highly effective in preventing airway obstruction and to be well tolerated by users. Over 1,600 patients throughout the United States have received Inspire implants.
Dr. Parker, who is board certified in otolaryngology, is the only physician in the state of Washington trained to offer Inspire therapy. Proliance is proud to be among the first to offer this treatment.
Inspire therapy is a breakthrough obstructive sleep apnea treatment option now offered at IMS. While you’re sleeping, Inspire monitors every breath you take. Based on your unique breathing patters, the system delivers mild stimulation to key airway muscles, allowing the airway to remain open during sleep.
Proliance CEO meets with US Department of Health & Human Services
Dave Fitzgerald joined representatives from the Ambulatory Surgery Centers Association to discuss Medicare policies with HHS Counselor John Brooks.
Last week, Dave Fitzgerald, Proliance Surgeons CEO and Ambulatory Surgery Center Association (ASCA) Government Affairs Committee Chairman, joined other select ASCA representatives to speak with John Brooks, the US Department of Health & Human Services (HHS) Counselor for Health Policy. Brooks reports directly to HHS Secretary Tom Price.
During the meeting, they discussed how Medicare payment policies are impacting ambulatory surgery centers (ASCs), including how the Centers for Medicare and Medicaid Services (CMS) can "leverage the high-quality and cost-effective care that ASCs provide" by allowing ASCs to be reimbursed for the same procedures for which hospital outpatient departments (HOPDs) are reimbursed through Medicare. ASCA representatives requested that reimbursement rates for ASCs be updated annually according to the same healthcare market basket that adjusts HOPD payments.
The meeting was very positive, and Mr. Brooks was receptive to our concerns. ASCA will continue to advocate for Medicare payment policies that will encourage the movement of services to ASCs and provide patients with access to our high-quality, lower-cost setting.
The Ambulatory Surgery Center Association (ASCA) is the national membership association that represents ambulatory surgery centers (ASCs) and provides advocacy and resources to assist ASCs in delivering high quality, cost-effective ambulatory surgery to all the patients they serve.
Orthopedic Specialists of Seattle selected as top surgeons
Seattle Met asks medical and nursing professionals in Western Washington: “If you or a loved one needed care, whom would you choose?”
Seattle Met asks medical and nursing professionals in Western Washington: “If you or a loved one needed care, whom would you choose?”
Congratulations to all orthopedic surgeons at Orthopedic Specialists of Seattle! This year we are proud to announce that every surgeon and physician assistant at OSS earned a top spot in Seattle Met magazine's 2017 Top Doctors list. The complete Top Doctors list will be published in the August 2017 issue of Seattle Met magazine.
Seattle Met magazine and Professional Research Services are conducting Seattle Met’s 12th annual peer-review survey in the Seattle area to determine 2017’s Top Doctors, Nurse Practitioners, and Physician Assistants.
For the survey, medical and nursing professionals will be asked to nominate up to five physicians, nurse practitioners, and physician assistants that they deem the best in their field of practice within King, Snohomish, Kitsap, and Pierce Counties. Practitioners may not vote for themselves.
To learn more about OSS physicians and staff, please visitwww.seattleortho.com or call 206-784-8833.
Meet the physicians joining Proliance from Northwest Women’s Healthcare and Seattle Obstetrics & Gynecology Group.
As of April 1, 2017, the obstetrics and gynecology specialty providers of Northwest Women’s Healthcare and Seattle Obstetrics & Gynecology Group will join Proliance Surgeons as Women's Health Alliance.
Need orthopedic surgery? An ambulatory surgery center may be your best bet
People needing orthopedic surgery increasingly find ambulatory surgery centers (ASCs) a compelling alternative to hospitals.
A recent article in Becker’s ASC Review highlights how people needing orthopedic surgery increasingly find ambulatory surgery centers (ASCs) a compelling alternative to hospitals. Unlike hospitals, ASCs offer same-day service—your surgery is performed in the morning and you’re home in the evening. ASCs are also often less expensive compared to hospitals, both for the insurance payer and for the patient.
At Proliance Surgeons, we’re especially prepared to meet the growing demand for same-day surgeries. With 21 ASCs located throughout the Puget Sound area, we’re close at hand regardless of where you live. Our facilities offer consistently safe and state-of-the-art surgical suites and some of the highest-ranked orthopedic surgeons in the country. Our surgeons are so highly rated, in fact, that eight of the top 10 knee replacement surgeons and six of the top 10 hip replacement surgeons in the U.S. are Proliance surgeons (as reported by MPIRICA Health, Inc.).
Proliance helps raise over $460,000 for the Arthritis Foundation
As sponsor of the Seattle-area Bone Bash and Jingle Bell Run events, we support the mission of the Arthritis Foundation, which is to improve lives through leadership in the prevention, control and cure of arthritis.
2016 Jingle Bell Run
Proliance Surgeons was a Silver Sponsor for the 2016 Jingle Bell Run. Team Proliance Surgeons had over 100 members and raised over $10,000, the second highest team total, earning us the title “Top Team VIP.” Our very own Dr. Laura Matsen Ko (Orthopedic Physician Associates) finished second in the women's category 5K run. The 2016 Jingle Bell Run raised over $300,000 to improve lives through leadership in the prevention, control and cure of arthritis.
Dr. Laura Matsen Ko races to second-place finish at 2016 Jingle Bell Run
Proliance orthopedic surgeon finishes second in the women's category at annual event benefiting the Arthritis Foundation.
Congratulations to Laura Matsen Ko, MD for finishing in second place in the women's category at Seattle's 2016 Jingle Bell Run! The annual race benefits the Arthritis Foundation and champions arthritis research.
NPH USA transforms the lives of abandoned and disadvantaged children in Latin America and the Caribbean by supporting the homes, healthcare and educational programs of Nuestros Pequeños Hermanos (NPH, Spanish for "Our Little Brothers and Sisters"). Together, we create families for life, helping children overcome poverty and teaching them the values of unconditional love, shared responsibility and helping others. NPH is currently raising more than 3,400 boys and girls in Bolivia, the Dominican Republic, El Salvador, Guatemala, Haiti, Honduras, Mexico, Nicaragua and Peru.
Dr. Clayton Brandes (POSM) (front row, second from right), his wife and guests at the Proliance table for the 2016 NPH USA Gala.
Proliance Surgeons was a Silver Sponsor for fundraisers benefiting the Swedish Medical Center Foundation and the Arthritis Foundation.
Celebrate Swedish – October 22, 2016
Proliance Surgeons was a Silver Sponsor for the 31st annual Celebrate Swedish event, a fundraiser benefiting the Swedish Medical Center Foundation. We helped to raise $6.1M for innovative research and patient care at Swedish.
The 8th Annual Arthritis Foundation Bone Bash Seattle – October 22, 2016
Proliance Surgeons was a Silver Arm Sponsor for the 8th annual Arthritis Foundation Bone Bash, a costume and black tie event that benefits the Arthritis Foundation. The purpose of the Bone Bash is to raise awareness about the prevalence and seriousness of arthritis, the disease, as well as raise funds to support mission driven programs. Funds raised support research to find a cure, funding for Kids’ Camps, provide public health/educational programs for those who have the disease, and continue their advocacy efforts in the community.
Proliance Director of Clinical Outcomes puts patient satisfaction scores in perspective
AHC Media asks Proliance what patient satisfaction scores really mean.
AHC Media spoke with William Fletcher, Director of Clinical Outcomes at Proliance Surgeons, about patient satisfaction scores in the article "Patient Satisfaction vs. Quality Scores: What They Really Mean." AHC Media provides current and unbiased content regarding clinical practice, scientific research, and healthcare management best practices. See below for an excerpt.
Sometimes patient satisfaction scores are not even an accurate measure of how patients perceive the hospital [or clinic], says William Fletcher, Director of Clinical Outcomes with Proliance Surgeons, a system of surgical practices based in Seattle. Unlike objective measures, a patient satisfaction score can be influenced easily, and usually in a negative way.
“We have found over and over again that the entire list of 25 questions on a patient satisfaction survey can be ruined if a patient has to wait 45 minutes in the waiting room,” Fletcher says. “To that patient, everything was miserable. The doctor was awful, the front office was awful, the back office was awful. Everything was awful because they had to wait 45 minutes.”
A long wait time is a valid complaint and has a place in measuring satisfaction, Fletcher says, but a problem like that can unreasonably affect the rest of the survey. The hospital needs to know that the patient was unhappy with the wait time, but it will be misled if the patient answered the other questions in a negative way out of anger.
“We have surgeons with the highest satisfaction scores I’ve ever seen, but their outcomes are not better than our other surgeons, at least not to any degree that the score would suggest,” Fletcher says. “And we have other surgeons who, for whatever reason, just bottom out on patient satisfaction scores — they get [low] scores — and yet they’re some of the best surgeons in the country.”
Fletcher also notes that patient satisfaction is different from patient-reported outcomes, in which patients are asked how they fared after surgery. That is a valid measure of quality, though it can be influenced by subjective assessments to a lesser degree than satisfaction surveys, Fletcher says. Proliance uses patient-reported outcomes as a key measure of quality.
Proliance also relies on data on quality outcomes from sources such as MPIRICA and ProPublica, a non-profit news organization that publishes information on hospital quality, mostly derived from Medicare data.
“With those sources, we can get a much more accurate understanding of the quality of our physicians than we could ever get by asking patients if they were satisfied with their wait time and if the nurse explained the medication,” Fletcher says.
Proliance Surgeons Foundation raises $50,000 at annual golf invitational
The money raised went to Friend's of the VA Puget Sound Fisher House.
On Friday, September 16, 2016, Proliance Surgeons Foundation presented its 6th Annual Golf Invitational at The Home Course in Dupont, WA. Proliance Surgeons Foundation raised $50,000 for Friend's of the VA Puget Sound Fisher House. The Fisher House supports America's military families in need.
Thank you to our sponsors and all that made the day a success!
Seattle Met partnered with the Professional Research Services survey company to poll health care practitioners licensed by the Washington State Department of Health in King, Snohomish, Kitsap, and Pierce counties, asking, “If you or a loved one needed care, whom would you choose?” Voters nominated their most esteemed peers based on years of experience, competency, rapport with patients, patient satisfaction and compliance with care recommendations, and ability to work effectively with colleagues across specialties to deliver the best patient care. The top vote recipients were vetted with the DOH to ensure good standing before inclusion on the list.
CEO of Proliance Surgeons speaks at congressional briefing
Healthcare Bluebook™ and the Ambulatory Surgery Center Association presented a study that found ASCs reduce outpatient surgery costs for commercially insured patients.
The Ambulatory Surgery Center Association presented a study at a Capitol Hill briefing on June 14, 2016. The study found that ASCs reduce outpatient surgery costs for commercially insured patients by $38 billion annually. Dave Fitzgerald, CEO of Proliance Surgeons, spoke during the briefing.
The analysis was conducted by Healthcare Bluebook™, a national provider of quality and cost data for healthcare services in partnership with HealthSmart®, the nation’s largest independent administrator of health plans for self‐funded employers. The Ambulatory Surgery Center Association (ASCA), representing the interests of more than 5,400 outpatient surgery centers, contributed technical assistance and expertise to the study.
Speaking for Healthcare Bluebook, chief executive officer Jeff Rice, said: “The analysis highlights how important it is for both employers and consumers to understand the large differences in local in-network prices. Both the employer and consumer can realize substantial savings by better utilizing the lower cost ASC providers in their existing networks. By using transparency tools like Bluebook, consumers can understand price differences, compare providers and get better value for their healthcare dollar.
William Prentice, chief executive officer of ASCA said, “The physicians and nurses providing care in ambulatory surgery centers, as well as the millions of patients they have treated, have long-known that ASCs provide a high-quality, low-cost site for outpatient procedures. This study is solid evidence that consumers, policymakers, insurers and employers need to take fuller advantage of the exceptional healthcare value offered by ASCs.
These changes should not inconvenience patients. Most of the providers will be in the same location and will maintain the same phone number. Noticeable changes will include changes to practice names as well as medical and billing forms.
Proliance Surgeons welcomes the following practices: Audiology, Gastroenterology, Orthopedics, Otolaryngology (ENT), Podiatry and Urology.
We recently learned that a surgical technologist employed briefly at Lakewood Surgery Center during late 2011 has been accused of diverting injectable narcotics in California, Arizona and Colorado, and has been charged with criminal activity relating to this alleged diversion in Colorado. These events have raised concern that his actions could have potentially exposed patients to a blood borne pathogen, such as hepatitis B, hepatitis C and HIV.
We are working closely with the Washington State Department of Health and Tacoma-Pierce County Health Department to investigate this matter. At this point, there is no evidence of any exposure to any of our Lakewood Surgery Center patients, as our situation is different from that in Colorado. While we believe the risk of exposure to our patients is extremely low, patient safety is our primary concern and out of an extreme abundance of caution, we are offering free, confidential blood pathogen testing to any and all patients who had surgery at Lakewood Surgery Center during this time period.
Approximately 135 patients who had surgery at Lakewood Surgery Center between October 27, 2011 and December 1, 2011 are being notified of the potential for exposure.
Patient safety and wellbeing is a core value at Proliance and we apologize for any uncertainty and concern this may cause. This situation has saddened us and we are determined to do all we can to help. We are taking these extensive cautionary measures to ensure the safety of our patients.
If you have any questions or require additional information, please do not hesitate to call 206-605-2601.
2016 TAS Webb Moffett Cup presented by Proliance Surgeons
Team Alpental-Snoqualmie wins top spots at annual race.
Team Alpental Snoqualmie (TAS) hosted the TAS Webb Moffett U14 Qualifier #1 at Summit at Snoqulamie West on January 9th & 10th. Proliance Surgeons is a top team sponsor for TAS, a premier junior alpine ski racing program in the Pacific Northwest.
Orthopedic Physician Associates is pleased to announce that Jayashree Srinivasan, MD, is the newest physician to join our group. Dr. Srinivasan is a board certified neurosurgeon with a medical degree from Columbia University in New York City. She has had extensive surgical training and completed both her residency and fellowship at The University of Washington in Seattle. Her office is conveniently located across the street from OPA on the opposite side of Swedish Hospital in the Heath building at 801 Broadway Ste 617, Seattle, WA 98122. For appointments please call Seattle Neurosurgery at 206-623-0922. Welcome Dr. Srinivasan!
Orthopedic Physician Associates ("OPAOrtho") is Seattle's premier provider of orthopedic and musculoskeletal services. Our physicians and clinical staff work together to ensure that you receive complete orthopedic care, whether surgical or nonsurgical, for problems or diseases of the bones, joints, and muscles. OPA physicians are board certified in Orthopedics, Sports Medicine, Physiatry and Anesthesiology and each has advanced subspecialty Fellowship training in Sports, Joints, Foot & Ankle, Spine and Trauma. OPA physicians are known regionally and throughout the world as leaders in their fields. They lecture frequently, train others, and develop new surgical techniques and many of the breakthrough hardware used in today's surgery. Our physicians are the team physicians for many of the area's professional sports teams, including the Seattle Mariners, the Seattle Seahawks, the Seattle Storm, Pacific Northwest Ballet and dozens of collegiate and recreational leagues throughout the greater Seattle area.
For media inquiries only, please contact Kara Dowdall, MSHA, CMPE, Executive Director of Orthopedic Physician Associates at 206-386-2600.
Proliance helps raise over $500,000 for the Washington Arthritis Foundation
Bone Bash and the Seattle Jingle Bell Run/Walk, both sponsored by Proliance Surgeons, fund research and education for arthritis patients.
Bone Bash and the Seattle Jingle Bell Run/Walk for Arthritis were a great success this year. Both events raised a total of over $500,000 to fund research and education for arthritis patients. As an annual sponsor of these events and with help from the Proliance staff, Proliance Surgeons has become a strong partner with the Washington Arthritis Foundation.
The 7th Annual Arthritis Foundation Bone Bash – Oct. 24, 2015
Bone Bash is a costume and black tie event that benefits the Arthritis Foundation. This year's event featured dinner, live music from the Groove Surfers, and both live and silent auctions. The purpose of the Bone Bash is to raise awareness of the prevalence and seriousness of arthritis and to raise funds for mission-driven programs. Funds raised support research to find a cure, provide public health and educational programs, fund Kids’ Camps and continue the Arthritis Foundation's advocacy efforts in the community.
Proliance Surgeons passes the torch to the next Outstanding Community Partner award winner, Wells Fargo.
Jingle Bell Run/Walk for Arthritis – Dec. 13, 2015
Jingle Bell Run/Walk for Arthritis is a fun and festive way to kick off the holidays by doing something good for others. For this annual event, team members dress up in holiday costumes and run or walk a five-kilometer route in downtown Seattle. Funds raised help to find a cure for arthritis, the nation's leading cause of disability. Nearly sixty members joined the Proliance Surgeons team this year, making a difference in the lives of more than 50 million adults and 300,000 children that suffer from arthritis.
Members of the Proliance team pose for a photo at Westlake Center.
Top Doctors were chosen by more than 1,500 doctors, physician assistants, and nurses within the Seattle metropolitan area when asked, "If you or a loved one needed medical care, whom would you choose?" Dr. Downer was chosen out of 11,473 nominations.
If you'd like to make an appointment with any of the highly trained physicians and surgeons at Orthopedic Specialists of Seattle please contact their office at (206) 633-8100.
OPA Ortho physician discusses patellar tendinitis for IRG Sports Medicine Update.
Dr. Jason King of Orthopedic Physician Associates (OPA Ortho) was interviewed on KOMO 97.7 FM for IRG Sports Medicine Update. The spot first aired on Monday, Dec. 7, 2015. Listen below to his discussion of jumper's knee, also known as patellar tendinitis. This condition is most common in athletes who participate in jumping sports, but it can also be caused by injury or trauma to the knee. Learn more about patellar tendinitis by searching our Patient Information Center.
KVI 570 AM will also air the interview on Dec. 12 at 3:00 p.m. and Dec. 13 at 11:00 a.m.
This annual event benefits Friends of the VA Puget Sound Fisher House.
Proliance Surgeons Golf Invitational
More than 100 golfers descended on The Home Course in DuPont on September 18th for the fifth annual Proliance Surgeons Golf Invitational. This year’s event raised $25,000 for Friends of the VA Puget Sound Fisher House.
It was a relaxing day of golf at one of the finest facilities in the Northwest, The Home Course. The format for the day was a four-person scramble with many individual contests on the course. Golfers got to experience live scoring on the golf course through Mobile Scoring and a hosted cocktail hour after golf.
Special thanks to title sponsors USI and Kibble & Prentice.
Several veterans participated in this year’s event, including Jim Martinson (center) who eagle’d a hole!
Dave Fitzgerald presents check to Friends of VA Puget Sound Fisher House Board Members.
Since 2008, veteran and active duty military families have found a “home away from home” in the VA Puget Sound Fisher House. They come from all over the world, with different backgrounds and different needs but united in their love and concern for a hospitalized patient. In the house, they find peace and respite for themselves. Staff and volunteers offer care and support while donations from a generous community meet their material needs and ease the financial stress of being away from home. We’re proud to be part of that community of donors.
Dr. McAllister of Pro Ortho asked to brief Congress
Congress is now considering a bill that would give Medicare beneficiaries access to the advanced surgical techniques, improved outcomes, and decreased pain that are seen when joint replacements are done in outpatient facilities. H.R. 1453 is a bill being sponsored by Devin Nunes (R-CA) and John Larson (D-CT) that would ensure that Medicare patients would have access to the high level of care, personal touch, and cost savings that are available in ASCs. Congressman Nunes and Larson have asked Craig McAllister, MD, to brief Congress on the results of over 300 joint replacements done using MIS techniques and a rapid rehabilitation.
Ambulatory Surgery Centers―known as ASCs―are modern health care facilities that allow advanced surgical care to be provide in a focused, highly specialized, and effective way. The outpatient experience is a convenient, personalized, lower-cost alternative to traditional hospital care.
Besides offering a simpler, more personal way to receive a joint replacement, outpatient joint replacement increases safety and reduces costs. According to a recent analysis by the University of California-Berkeley Nicholas C. Petris Center on Health Care Markets and Consumer Welfare, during the four-year period from 2008 to 2011, ASCs saved the Medicare program $7.5 billion―$2.3 billion in 2011 alone. The Berkeley researchers also found that ASCs have the potential to save Medicare up to $57.6 billion more over the next decade.
These savings occur because ASCs are more efficient, result in fewer complications, involve fewer unnecessary tests and procedures, and do not charge exorbitant facility fees. Medicare pays significantly less—and patients’ coinsurance is less—for the same procedures when performed in ASCs instead of traditional hospital settings.
Eiji Minami, MD, joined the Overlake medical community in 1989. After 26 years, he announced his retirement from the medical practice at the end of September.
"I believe being a physician is a calling in the truest sense. We have been called not only to participate in healing those who are broken, but also in keeping them from breaking," wrote Dr. Minami. "I am truly blessed to have been a part of this great medical community."
Dr. Minami’s patients will continue to receive care from his colleagues at Proliance Surgical Specialists at Overlake.
Proliance Surgical Specialists at Overlake is the premier general and colorectal surgery group in Bellevue, Washington. Our highly trained, knowledgeable, and caring surgeons and staff strive to create an environment of excellence, service, and accessibility for our patients and referring healthcare providers. Consistent with their history of safe innovation, our surgeons have the highest volume of da Vinci® Robotic Single Site™ Cholecystectomy patients in the Pacific Northwest—the Single Site™ platform is the newest and most advanced robotic surgery system available. Joining Proliance Surgeons, Inc., one of the most respected and well run surgical specialty groups in the nation, has allowed us to focus almost exclusively on our clinical interests and provides us with the infrastructure to recruit the highest quality surgical specialists to our practice. It is our commitment to the Eastside community and referring physicians and health care providers to grow our practice and serve the increasingly complex needs of the Eastside population and Overlake Medical Center with skill and compassion. Experience is key when choosing the right surgeon. See below for a sample of our surgeons’ unparalleled experience.
Top Doctors were chosen by more than 1,500 doctors, physician assistants, and nurses within the Seattle metropolitan area when asked, "If you or a loved one needed medical care, whom would you choose?" And out of 11,473 nominations, the following OPA physicians were among the top vote getters:
OPA physician and patient pose with pro-golfer at Boeing Classic
MAKOplasty® patient Martin Selig and Dr. Toomey (Orthopedic Physician Associates) meet Fred Funk.
Stryker MAKO patient Martin Selig was allowed to walk the TPC Snoqualmie Ridge course behind Fred Funk’s threesome on Saturday during the 2015 Boeing Classic. Selig and Funk posed for a picture at the 10th hole tee with Orthopedic Physician Associates (OPA) surgeon Sean D. Toomey, MD. Selig received Stryker MAKO unicompartmental knee arthoplasty (MAKOplasty®) at Swedish Orthopedic Institute, the first facility in the Puget Sound area to perform this new procedure for partial knee resurfacing, designed to treat early to mid-stage osteoarthritis.
OPA surgeons are some of the first in the region to adopt the most current and advanced knee replacement devices, including robotic technology, which assist surgeons by removing and resurfacing only the arthritic part of a knee without sacrificing the entire knee joint. These devices are used in minimally invasive procedures that are performed through a two to three inch incision, which allows our surgeon to preserve as much of the natural bone and tissue as possible while offering less scarring and blood loss, a shorter hospital stay and the ability to return to everyday activities much sooner than with traditional knee replacement surgeries.
Skagit Northwest Orthopedics at Skagit Senior Day in the Park
SNO was one of many vendors featured at Maiben Park in Burlington.
Thursday, August 20, 2015 was a grand day for seniors to enjoy vendors related to seniors at Maiben Park in Burlington. The day began with Greetings from Don Wick, Executive Director of Economic Development Association of Skagit County (EDASC). Many attendees enjoyed dancing and singing to entertainment by Marcia Kester. There were excellent performances by students of the Skagit Valley Academy of Dance and a delicious sack lunch provided to all who attended.
Since 2010, sports medicine physicians from Proliance Orthopedic Associates have been the team doctors for the Seattle Thunderbirds of the Western Hockey League.
Since 2010, sports medicine physicians from Proliance Orthopedic Associates have been the team doctors for the Seattle Thunderbirds of the Western Hockey League. Recently, four Thunderbird players were selected in the 2015 NHL Draft.
Erik Novak, MD, provides in-game medical assistance and advises injured athletes about physical therapy. T-Birds Athletic Trainer Phil Varney had this to say about the top orthopedic care Seattle receives:
"POA has been invaluable to the health and welfare of our athletes. They have specialists in every area of care. The expertise of their physicians paired with their ability to diagnostically evaluate injuries quickly and accurately gives our players a real advantage when it comes to staying on the ice. Whether I have an ankle injury to a dislocated shoulder I know our players are getting the best care possible. I would recommend them to anyone."
Congratulations to Mathew Barzal, Ryan Gropp, Keegan Kolesar and Ethan Bear for being drafted into the NHL. Province Orthopedic Associates’ Sports Medicine specialists are proud to offer their skills and experience to help amateur and professional athletes recover from injury and achieve success in their favorite activities.
Orthopedic Specialists of Seattle now offering platelet-rich plasma treatments
These Platelet-Rich Plasma Treatments will be led by Dr. Mark Reed, who has performed hundreds in a clinical and OR setting.
Orthopedic Specialists of Seattle is pleased to announce the addition of Platelet-Rich Plasma (PRP) treatments to patients in the Greater Seattle Area beginning May 6, 2015. This revolutionary therapy addresses tissue injury by using “healing” components derived from one’s own blood and is used as a non-surgical intervention. These Platelet-Rich Plasma Treatments will be led by Dr. Mark Reed, who has performed hundreds in a clinical and OR setting.
“If you are suffering from a musculoskeletal injury and have not responded to first-line treatments such as immobilization or physical therapy, platelet-rich plasma therapy may be a reasonable option for you,” said Dr. Reed.
What is Platelet Rich Plasma?
Blood is a liquid (plasma) that contains red cells, white cells, and platelets. Platelets are known for their importance in clotting blood, but they are also comprised of hundreds of proteins called growth factors which are important in the healing of injuries. Platelet-Rich Plasma Treatments contain more platelets than what is typically found in blood, so the treatment provides 5 to 10 times richer growth factors than usual to the injured site aiding the overall healing process.
What Kind of Patients Benefit From This Treatment?
The Seahawks Jesse Williams recently underwent PRP injections for his knees and the Mariners’ Corey Hart used it to help treat a hamstring tear. In addition to Williams and Hart,
there have been other numerous professional athletes turning to PRP injections to accelerate the healing process and as an alternative for Corticosteriod injections, oral inflammatory medications or bracing. The low- risk procedure is a reasonable option for patients who would like to avoid surgery or who suffer from persistent pain despite non-operative treatment.
“The risks associated with the treatment are minimal, as we use the patient’s own blood to perform the treatments. While a patient may develop increased transient pain at the injection site, PRP appears to be no different than cortisone injections in terms of the likelihood of complications”, said Dr. Reed.
For more information about Platelet-Rich Plasma Treatments or to make an appointment, visit our websiteor, call 206-633-8100 (Wallingford Office), 206-784-8833 (Ballard Office).
Orthopedic Specialists of Seattle has been providing orthopedic care to the Wallingford community and the greater Seattle community for over 40 years. OSS boasts eight Board Certified physicians that perform highly specialized procedures for orthopedic surgery and general orthopedic care for adults and children including trauma, fracture care, total joint replacement, sports medicine, non-surgical treatment and overuse conditions. Recognized three years in a row as “Top Doctors of Seattle” by Seattle Met each physician is extensively trained and offers a comprehensive orthopedic approach, providing patients with the ability to continue their active lifestyles with a peace of mind. Treatment of injuries is performed in a relaxed setting at either the Wallingford, Seattle Orthopedic Center, or in Ballard at the Tallman Building, part of Swedish Hospital. Orthopedic Specialists of Seattle is the only orthopedic group in the state of Washington that offers Sonocur, a non-surgical treatment for tendonitis. Visit www.orthopedicspecialistsofseattle.com or call 206-633-8100 (Wallingford Office); 206-784-8833 (Ballard Office)
Pro Ortho physicians recognized in Seattle Magazine
Readers vote ProOrtho physicians "Top Doctors of Seattle”
The Pacific Northwest has a lot to be proud of when it comes to affordable, quality healthcare. Experienced and highly trained physicians are sometimes hard to find and with medical care options changing on a daily basis, ProOrtho stands the test of time. The physicians at ProOrtho have the combined experience and expertise to treat a variety of orthopedic injuries to give you peace of mind and get you back to leading a healthy, active life.
Congratulations to the doctors from ProOrtho who have been recognized as “Top Doctors of Seattle” within their respective specialties by Seattle Magazine:
Marco Wen, MD – Spine, Interventional Pain Management, Electrodiagnosis
According to Seattle Magazine, “Our online survey was open to all licensed physicians in the region, from January 12 to February 2, 2015. This includes: medical doctors (M.D.), osteopaths (D.O.), naturopaths (N.D.), oriental medicine doctors (OMD), acupuncturists (LAc), podiatrists (DPM), optometrists (O.D.) and chiropractors (D.C.). The survey asked physicians to name the provider they would seek out or recommend to loved ones in 75 specialty areas, regardless of hospital, clinic or health plan affiliation. Several factors determined who appear on this list; including the number of nominations received by each physician, the area of specialty, the number of practitioners in the specialty, and vote and geographic distribution within each specialty of those nominated.”
ProOrtho offers the widest spectrum of surgical and non-surgical options paired with the most advanced technologies and pain management treatments available. We use a team-approach to orthopedics that combines cross-specialty expertise to produce innovative solutions. Foundational to our alliance is the commitment to provide the highest quality orthopedic care, service and research to deliver the best outcomes for our patients.
ProOrtho has locations in Kirkland, Seattle, Redmond (in the Swedish Medical Center) and Issaquah (Swedish Hospital facilities), and Monroe. Visit ProOrtho’s website at www.proortho.com or call and schedule an appointment with one of their physicians at 425-823-4000. You can also email them at ProOrthoAppointment@proliancesurgeons.com.
Readers of The Daily Herald voted Puget Sound Ear, Nose, & Throat "The Best" for the second year in a row.
Every year Everett's local newspaper The Daily Herald asks its readers to vote for the best local businesses. In this year's 2015 Reader's Choice Awards, Puget Sound Ear, Nose, & Throat was voted the "The Best Ear Nose & Throat." This is the second year in a row that Puget Sound Ear, Nose, & Throatwas voted best.
Ulnar collateral ligament is a fairly common injury. It was first coined “gamekeeper’s thumb” which referred to a chronic injury and slow attenuation of the ligament with repetitive strain. The repetitive strain occurred when gamekeepers wrung the necks of wounded rabbits.
More recently, the term “skiers thumb” has been used and more accurately describes what is seen more commonly now. That is an acute injury to the ligament occurring from a fall on an outstretched hand with the thumb abducted.
The treatment of ulnar collateral ligament injuries is different for partial vs. complete tears. To accurately assess the ligament, the joint is tested in 30 degrees of flexion and in full extension. The test in flexion, evaluates the proper collateral ligament, which lies dorsal and prevents volar subluxation and is the primary restraint to valgus stress with the joint in flexion. While testing in extension assesses both the proper and the accessory collateral ligament. Greater than 30 degrees of laxity in either position is consistent with probable rupture.
Partial tears (stable in flexion and extension) are treated conservatively with immobilization for six weeks. If the joint is found to be unstable in testing or there is a displaced or rotated fracture fragment that is more than one third of the joint surface, surgery is often considered.
One reason that complete ruptures do not do well with conservative treatment is the Stener lesion. In a subset of patients, the ligament becomes displaced proximal and superficial to the adductor aponeurosis. The aponeurosis prevents the apposition of the ligament back to its insertion site. This complication of complete UCL tears, shows a frequency from 33% to 80% in the literature.
There are a few important points to remember. The first is that there is a finite time when a direct repair is feasible. Ideally, the operation takes place within two weeks. After this time, the ligament starts retracting and contracting and makes the repair difficult or impossible. The second is that often times a complete rupture of the ligament is subtle.
Over the summer, I had a slip and fall onto my thumb. I instantly knew that I tore my ulnar collateral ligament. However, I was surprised on how well I could function. Of course there was pain, but the instability was relatively subtle. I saw first hand (pun intended), how easily this diagnosis could be missed. I underwent surgery three days after injury and was back to full activities in three months.
According to Seattle Magazine, “Every year, more than 1,000 doctors have taken time out of their busy schedules to nominate the peers they trust and admire. The 15th annual Top Doctors list is the result of more than nearly 15,000 nominations gathered through a comprehensive, controlled, peer-to-peer survey process, open to all licensed physicians in the region.”
Dr. Barrett was previously named a top doctor for joint replacement in the 2014, 2013, 2012, 2011, 2010, 2009, and 2007. He was also recognized in Seattle Metropolitan Magazine in 2014, 2012, 2011, 2010, 2009, and 2008.
If you have orthopedic issues or require orthopedic care, you can contact Proliance Orthopedic Associates at 425-656-5060. With convenient locations in Renton, Covington, and Maple Valley, Proliance Orthopedic Associates offers top orthopedic care to greater western Washington. Dr. William P. Barrett of Proliance Orthopedic Associates has once again been recognized as one of Seattle Magazine’s Top Doctors in 2015.
The magazine’s 2015 Top Doctors list results from an online survey open to all doctors in the Seattle region, asking physicians to name the provider they would seek out or recommend to loved ones in 75 specialty areas, regardless of hospital, clinic or health plan affiliation.
We’ve compiled a list of famous orthopedic injuries that we thought might pique your interest.
The Internet is a wealth of news and information and celebrities seem to take up a lot of air time. Some newsworthy, others useless, but nonetheless it grabs our attention. Orthopedic injuries sometimes take center stage in the entertainment industry. And while sports figures are usually in the limelight about one injury or another, we’ve compiled a list of orthopedic injuries that we thought might pique your interest.
Pink – During her Funhouse Tour in 2009, the famous singer-songwriter separated her shoulder while on a trapeze.
Jennifer Grey – She had back surgery in 2012 to repair a ruptured disc in her back while performing on Dancing with the Stars season finale.
Liza Minnelli – Years of dancing caught up with her and had knee replacement surgery in 2010.
Bono – U2 singer Bono underwent emergency back surgery in May 2012. His injury: severe compression of the sciatic nerve and a serious tear in the ligament and a herniated disc.
Dana Torres – The Olympic Medal Swimmer had undergone a cutting-edge procedure on her knee to repair severe arthritis in 2010.
Gwyneth Paltrow – When she broke her knee and it was discovered that she had osteopenia, a pre-cursor to osteoporosis.
Kobe Bryant – This basketball player for the Los Angeles Lakers underwent surgery to repair a torn left Achilles tendon in April 2013.
Misty May-Treanor – The Olympian and volleyball superstar underwent surgery to repair a torn Achilles tendon in October 2008, when she injured herself while rehearsing a dance routine for the television series "Dancing with the Stars."
Sprains, strains, or fractures, ProOrtho treats a variety of orthopedic injuries. Call 425-823-4000 to schedule your appointment and let them treat you back to health and make you a star!
Dr. Barrett also discuss his involvement in a new knee implant design that improves motion and stability, while hopefully increasing the longevity of the knee implants. A team of top orthopedic surgeons took the best knowledge to date and spent years researching and testing this new global design to be more user-friendly and friendly to the kneecap.
Proliance Orthopedic Associates: Maple Valley clinic opens 7/6
24060 SE Kent Kangley Rd., Maple Valley, WA 98038
Proliance Orthopedics Associates' new Maple Valley clinic will open on July 6, 2015 at 24060 SE Kent Kangley Rd., Maple Valley, WA 98038. We are currently scheduling appointments for dates after July 6. The Maple Valley clinic will be open Monday through Friday.
If you are looking for an orthopedic doctor in Maple Valley or the surrounding area and would like to schedule an appointment, you can call our Renton location at 425-358-7708.
Proliance Orthopedic Associates is proud to deliver top orthopedic care to greater Maple Valley, WA and the surrounding area. Moving easily and pain-free is important to enjoying the activities of your life. Our orthopedic physicians and orthopedic surgeons are dedicated to helping patients return to the normal activities of life.
Proliance Orthopedic Associates: Best of Renton honors Dr. Cero
We are proud to announce that Dr. Susan Cero received top doctor honors in the Renton Reporter's 2015 Best of Renton issue.
Proliance Orthopedic Associates is proud to announce that POA physician Dr. Susan Cero was voted the area's top doctor in the Renton Reporter's 2015 Best of Renton issue. The honor was voted on by Renton Reporter readers and Dr. Cero received first place in the physicians category.
Dr. Cero is a board-certified orthopedic surgeon who performs a wide range of orthopedic services at POA. She has a special interest in ACL knee surgery and shoulder surgery. Her compassion and expertise continually exceed expectations and help return patients to a healthier lifestyle. Dr. Cero is on the board of directors for POA Ambulatory Surgery Center, and she is a member of the Health Care Advisory Committee for the Washington Policy Center.
If you require quality orthopedic care, contact Proliance Orthopedic Associates at 425-656-5060. With convenient locations in Covington and Renton, Proliance Orthopedic Associates offers top medical care to greater western Washington and beyond.
Orthopedic Physician Associates is pleased to welcome Christopher Wahl, MD, back to Seattle.
Dr. Wahl was former Associate Professor and Team Physician at the University of Washington (UW) for 8 years from 2004-2012, where he cared for the Washington Husky football, men's basketball, women's soccer, tennis and gymnastics squads, among others. Most recently, he served as Associate Professor and Chief of the Division of Sports Medicine at UC San Diego and was the Head Team Physician for the San Diego Chargers.
Dr. Wahl brings back to Seattle a unique skillset. He is fellowship trained in Sports Medicine/Shoulder Surgery and Trauma surgery - with a specific subspecialty interest in treating athletes of all ages with problems related to the knee, shoulder, elbow, and ankle. He has lectured and published extensively on the treatment of high-energy, complex knee ligament injuries, specifically the treatment of the multiple-ligament-injured knee, cruciate ligament (ACL/PCL) reconstruction, cartilage and meniscus transplantation, re-alignment osteotomies, knee arthroplasty (replacement), patellar instability/dislocation and the revision of failed prior surgical procedures. His experience and surgical volume of treating knee dislocations is among the most comprehensive in the country. Dr. Wahl also has published widely and specializes in the surgical treatment of a variety of shoulder and elbow problems including instability/dislocation, instability with bone loss (Hill-Sachs defects/bony Bankart defects), rotator cuff tears, and arthritis.
Dr. Wahl attended medical school and completed his orthopedic residency training at Yale. He completed a Sports Medicine and Shoulder Surgery Fellowship at the Hospital for Special Surgery in New York, where he had his first exposure to professional team athletics assisting Dr. Russ Warren in the care of the New York Giants. He was awarded the A.O. John Border Traveling Trauma Fellowship where he studied with trauma surgeons in Augsburg, Germany and Zurich, Switzerland. After a brief tenure as a clinical instructor at Yale, Dr. Wahl moved to Seattle in 2004 as Assistant (then Associate) Professor and Team Physician for the UW Huskies. He was awarded the American Orthopaedic Society for Sports Medicine Traveling Fellowship and spent five weeks touring to visit with prominent surgeons in Mexico City, Bogota, Buenos Aires, Sao Paulo and Rio de Janeiro. After moving to San Diego in 2012, Dr. Wahl spearheaded the design, development and construction of UCSD's first dedicated sports medicine clinical facility, scheduled to open in August 2015. The facility brings together operative and non-operative providers from several subspecialties. Dr. Wahl developed and galvanized a role for UC San Diego with the San Diego Chargers and the United States Olympic Training Center in Chula Vista, California.
The practice is not limited to elite athletes, however. "I believe that every person and their injury is unique. No single solution fits the particular needs of every patient, so the treatment has to be individualized to a person's activity, their aspirations, expectations, and situation. My job is to learn as much as I can about my patients as individual people, appreciate the nuances of their problem, and work with them to find absolute best state-of-the-art and proven treatment options available. I practice individualized, intensive, progressive and cutting edge treatments with the hope to meet and exceed expectations for a return to a happy, healthy, and active lifestyle."
In his spare time, Dr. Wahl also enjoys a healthy lifestyle cycling, skiing and sailing with his wife, three children and two dogs.
Dr. Wahl will be seeing patients beginning in early June at two OPA locations in Seattle – Laurelhurst and First Hill (located at the Swedish Orthopedic Institute). For appointments please call (206) 523-1422.
About OPA Orthopedic Physician Associates ("OPAOrtho") is Seattle's premier provider of orthopedic and musculoskeletal services. Our physicians and clinical staff work together to ensure that you receive complete orthopedic care, whether surgical or nonsurgical, for problems or diseases of the bones, joints, and muscles. OPA physicians are board certified in Orthopedics, Sports Medicine, Physiatry and Anesthesiology and each has advanced subspecialty Fellowship training in Sports, Joints, Foot & Ankle, Spine and Trauma. OPA physicians are known regionally and throughout the world as leaders in their fields. They lecture frequently, train others, and develop new surgical techniques and many of the breakthrough hardware used in today's surgery. Our physicians are the team physicians for many of the area's professional sports teams, including the Seattle Mariners, the Seattle Seahawks, the Seattle Storm, Pacific Northwest Ballet and dozens of collegiate and recreational leagues throughout the greater Seattle area.
For media inquiries only, please contact Kara Dowdall, MSHA, CMPE, Executive Director of Orthopedic Physician Associates at 206-386-2600.
Skagit Northwest Orthopedics announces new site for surgical care
Skagit Northwest Orthopedics announced today that Island Hospital, located in Anacortes, Wash., will now be the primary inpatient site for orthopedic surgical care of its patients.
Skagit Northwest Orthopedics announced today that Island Hospital, located in Anacortes, Wash., will now be the primary inpatient site for orthopedic surgical care of its patients. Skagit Northwest Orthopedics is a division of Proliance Surgeons, Inc., P.S., a physician-owned and operated medical group with 18 ambulatory surgery centers (ASCs) throughout the Puget Sound region.
Skagit Northwest Orthopedics had also worked with Skagit Valley Hospital for the past 20 years, and recent decisions by the hospital administration and its board of commissioners toward independent physicians made it untenable for Skagit Northwest Orthopedics to continue treating patients at their hospital.
“We’ve enjoyed a cooperative relationship with Skagit Valley Hospital for many years,” said David G. Fitzgerald, chief executive officer of Proliance Surgeons. “But, because of their efforts to hire our physicians and others, we were unable to continue the existing relationship. As a surgical center we offer the highest standard of care at a more competitive price and need to maintain our independence in order to continue to provide outstanding services for all of our patients.”
“Since the majority of our surgeries are already being performed on an outpatient basis at our Mount Vernon location, we expect very little disruption for our surgical patients. Island Hospital is an award-winning, excellent, high quality community hospital with a very high volume of joint replacements and excellent, new facilities,” Fitzgerald said. “We have worked with them for more than 16 years and look forward to working with them in an even more focused capacity.”
“Island Hospital’s management shares our patient-centered values and has demonstrated a strong commitment to developing an orthopedic center of excellence with us that is focused on the community’s needs,” said Dr. Kenneth M. Oates, orthopedic surgeon. “To show our commitment to the community, Skagit Northwest Orthopedics is offering extended hours for urgent care appointments several days a week from 5 to 8 p.m. at our location at 1500 Continental Place, Mount Vernon.”
Skagit Northwest Orthopedics’ 13 board-certified physicians are recognized for their surgical technical excellence and ability to solve simple and difficult orthopedic problems. The surgery center’s team of experts uses the latest techniques and technology to improve care through pain management, physical and occupational therapies for a variety of problems, including frozen shoulder, rotator cuff repair, knee replacement, hip replacement, carpal tunnel syndrome, sports injuries and work-related injuries.
As a full-service orthopedics medical practice, Skagit Northwest Orthopedics offers a comprehensive list of services to patients suffering musculoskeletal conditions, as well as surgical and nonsurgical care for spinal conditions. In addition, skilled podiatric physicians offer the most advanced treatment methods and surgical procedures for chronic and acute foot and ankle care. The surgery center’s group of experts works in several specialties to serve patients’ needs all in one location, including diagnostic digital X-rays available at its offices.
About Skagit Northwest Orthopedics
Skagit Northwest Orthopedics provides the highest level of orthopedic care for problems or diseases of the bones, joints, and muscles, and for pain management and physical and occupational therapy. With offices in Mount Vernon and Anacortes, Skagit Northwest Orthopedics serves patients from Burlington, Sedro-Wooley, Stanwood, Arlington, Bellingham, Everett, Oak Harbor, Island County and Port Townsend, as well as other locations across Washington and Western Canada. Skagit Northwest Orthopedics surgeons are specialty trained in sports, joints and trauma orthopedics, physical medicine and rehabilitation, with various certifications including the American Board of Orthopedic Surgery, the American Academy of Orthopedic Surgeons, the American Board of Physical Medicine & Rehabilitation and the American Board of Electrodiagnostic Medicine. For more information visit our website or call 877-424-4505 or 360-424-7041.
Proliance Eastside ENT is proud to announce that it is participating in the 18th Annual Oral, Head and Neck Cancer Awareness Week®! We will be offering free head and neck cancer screening by appointment during the week of April 13th.
Call 425-451-3710 to reserve your appointment! Bring your family and friends!
In 2015, more than 120,000 people are expected to be diagnosed with Head and Neck Cancers and the early detection gives them a much better survival rate. Recent studies show that screening for and early detection of oral, head and neck cancer is more important than ever for two reasons: oropharyngeal cancer caused by human papillomavirus (HPV) infection is on the rise, especially among younger adults; and HPV-positive cancer carries a better chance of survival than HPV-negative cancer if it’s caught and treated early.
Oral cancer screenings are recommended for every adult especially for tobacco and alcohol users who are traditionally at the greatest risk. However, oral cancer cases are on the rise in younger adults who do not smoke, and recent research indicates this development is due partly to the increase of the human papillomavirus (HPV) virus.
Symptoms associated with oral cancer, include:
A sore in your mouth that doesn’t heal or that increases in size
Persistent pain in your mouth
Persistent pain in your mouth
Lumps or white or red patches inside your mouth
Difficulty chewing or swallowing or moving your tongue
Soreness in your throat or feeling that something is caught in your throat
Orthopedic Specialists of Seattle: Are you green with envy?
We are proud to announce that Orthopedic Specialists of Seattle is officially a green business!
We are proud to announce that Orthopedic Specialists of Seattle is officially a green business! Seattle Public Utilities started the Seattle’s Get on the Map campaign to publicly recognize local businesses that have taken measures to reduce waste, save water and energy, and reduce pollution. There are three tiers: Green, Greener and Greenest.
According to City of Seattle Ordinance #124582, effective January 1, 2015, it is required that residents and businesses prohibit the disposal of food waste and compostable paper from residential, commercial and self-haul garbage. The Get on the Map Campaign encourages community businesses to be active participants in preventing pollution and waste in the Seattle area.
How did OSS get on the map?
Completed a third party green business assessment
Started/expanded recycling for paper, bottles and cans, glass and cardboard
Started recycling food scraps, plants, and wood from: the break room/office/ kitchen
By reducing, reusing and recycling waste, OSS reduces their carbon footprint and complies with Seattle’s recycling laws. OSS is proud to be an ambassador of going green!