All day Wednesday and Friday Morning are reserved for Surgery Time. The Office is staffed and I'm available if needed or if no Surgeries are scheduled
Clive, IA
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WHY should I bring my child to a Pediatric Orthopaedist?
“Back in the Day” ... the general muscle and joint aches and other musculoskeletal complaints in children were part of the routine care of the “General Practitioner” (now called Family Practice Specialists). The routine broken bone and the, very rare, sports injury were the mainstay of the “Community Orthopaedists”. These Community Orthopaedists, for the most part, no longer exist. Everyone is now sub-specialized in Total Joints, Spine, Trauma, Sports Medicine, etc. with their entire time being devoted to Surgery. They don’t want to see a patient unless it is a condition that they can operate on. The vast majority of Pediatric muscle, bone and joint complaints are non-operative! Therefore they don’t want to care for the pediatric population. The care of the pediatric patient is defered to their “Mid-Level Providers” (non-physicians). When they do have to provide orthopaedic care to the pediatric patient, they do so in the way the learned, in the 3 months that they had to learn the entire spectrum of pediatric musculoskeletal conditions, 15 years ago. During this time there have been dramatic advances in all aspects of Orthopaedics. Therefore their educational time has been spent on keeping up with the advances in their chosen subspecialty. As such, their expertise in caring for the pediatric patient has stagnated into the last century! During this time the number of kids participating in organized sports (a good thing) has sky rocketed. The number of injuries and the types of injuries are dramatically different. More importantly, our approach to pediatric musculoskeletal problems, particularly fractures, has dramatically changed. The “three months at home in a Body Cast is no big deal” is no longer acceptable by the family or the physician.
WHY am I in Private Practice in the middle of Iowa?
Iowa is unique in many ways. (People from Minnesota insert your own joke here.) In most other locations the major academic and research universities are located in the major population areas. Pediatric Orthopaedics was, and in many places still is, the property of Academic Institutions. In Iowa the vast majority, probably more than 2/3rd’s, of the population is several hours from the University of Iowa. Since most “Community Orthopaedists” provide care to the pediatric population only reluctantly, and then possibly in an antiquated manner, this would leave an ever expanding pediatric population with an ever expanding need for orthopaedic care having to choose between costing the family an entire day and and expensive amount of travel for routine orthopaedic care, or receive care from someone for whom, providing that care takes away from what they really want to be doing, such as Total Joints. Therefore I am in Iowa because I felt that the Pediatric Patients, their Families, and their Primary Care Providers deserved 21st Century Orthopaedic Care conveniently and locally!
