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General Joint Surgery Information

What's a Physician Assistant (PA)?

A PA is a professional healthcare worker who has extensive training to assist or "extend" a doctor's time. They assume many roles depending on where and for whom they work. In rural areas they often work independently from physicians and are often the only medical care available in some remote communities. In the operating room they assist in the surgery, holding instruments and helping to close incisions. They cannot perform essential parts of the surgery but make it possible for the case to go faster, thus decreasing the opportunity for complications. In specialty offices such as orthopedics, they often see healthy patients who are coming in for a check-up but have no problems to report.

These professionals are trained more rigorously than RNs and are therefore allowed more independence from the physician. They have several years of study in anatomy, pharmacology, diagnostic medicine and other areas similar to medical school courses. They are a resource too often underutilized.

In our patient setting, it is more and more difficult to get healthy patients in for regular check-ups, and regular check-ups prevent problems from becoming severe. We are beginning to use our PAs more extensively to see follow-up patients. If you see the PA first, you will always get to speak to the doctor before you leave. However, the PA will take your history and do the physical exam and make notes of the visit. This will allow the doctors to see more patients in a day and keep the schedule from backing up for weeks.

Please help us make these appointments beneficial for everyone. Tell the appointment desk if you are coming in for an annual check or whether there is a problem. A "problem visit" to us means that you have had a recent fall and cannot put weight on the leg; you have developed redness, swelling and fever; you have a surgical wound that will not heal; or another joint that we have not operated on is bothering you enough that you want to consider surgery on that leg. Problem visits will be scheduled with the doctor. If you have questions about your activities, vague discomfort only at certain times that does not keep you from daily activities, or soreness stemming from your most recent surgery, the PA can help you more quickly than the doctor can. In fact, a phone call to the office may be able to ease your mind about the problem and you won't have to wait to see the doctor.

 

For More Information

Want to learn more about joint replacement surgery and about joint problems? Click on the topics below to read a variety of articles on everything from managed care to going through a metal detector with a joint implant.

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