About
Philosophy of care
Even though I am a surgeon, the majority of my patients are treated without surgery. Most conditions that I see in the office can be treated in a conservative manner with education and observation, medications, custom splinting and hand therapy or injections. Surgery is reserved for those patients who fail conservative treatment and feel that they can't live with the current level of symptoms. Acute hand trauma is often the exception. Occasionally, a hand condition is severe enough to warrant surgical intervention. I feel it is important to educate the patient about the expected outcome, risks and benefits to make that decision a team decision.
My goal is to improve a patient's quality of life by decreasing pain and improving function. My philosophy combines conservative medical care, patient education and state-of-the-art surgical procedures.
I really enjoy sitting down and talking with my patients and trying to solve the problems that interfere with their function. I have a diverse practice from young children to the elderly. Although I see a lot of common problems, the patients are what make the thought process infinitely variable and stimulating. I have a hard time accepting electronic medical records and computers in the exam rooms, as they take away from actual dialogue.
Why I entered medicine
When I was growing up I actually did NOT want to be a physician. My father was a general surgeon in solo practice who worked seven days a week almost 365 days a year. He was an excellent doctor, but unfortunately I did not get to spend a lot of time with him.
Because I enjoyed math and science, I decided to become a biomedical engineer and enrolled at Bucknell. It's funny how things change. During the summer before my junior year of college, I worked in a research lab in Boston doing ventilator research. This involved dissections and fluid dynamics. I quickly found my love of anatomy far surpassed that of engineering. In addition, my father passed away that school year and then something clicked in my head to pursue medicine. I regret not spending time observing my father with patients and in the operating room.
I decided during my first month of medical school when I met the orthopaedic surgery residents at Temple Hospital. They were some of the happiest, hard-working residents, and I liked how they put things back together. I felt it would be a natural progression from my mechanical engineering degree. In the midst of all the basic sciences and lectures on pharmacology, microbiology and histology, Joe Thoder gave a one-hour lecture on hand surgery. Every part of what he talked about excited me.
Across all of the subspecialties in orthopedics, hand surgery made the most sense to me. It dealt with small, delicate and mechanical structures that required precision to fix. Hand surgeons treat a variety of patients, young and old, who present with discrete problems with multiple solutions (many non-surgical) and almost immediate satisfaction with their results.
Community involvement
Community and charity involvement is very important to me. Every month, my hand surgical partner Pat McDaid and I staff a free hand surgery clinic with the help of Good Shepherd Hospital. We started this in 2009 with Randy Wolfe, who is a certified hand therapist. Surgery, office visits and therapy are performed at no cost to the patient.
I also have been traveling to Guatemala over the past nine years to participate in surgery mission work. I take my family and some colleagues, including my therapists and physician assistant. To learn more about this work, please visit talsaniahands.org.
'No act of kindness, no matter how small, is ever wasted.' -- Aesop
Personal interests
I enjoy soccer, skiing, running, fitness and traveling.
Education
Undergraduate
Bucknell University, Bachelor of Science (BS), 1986
Medical School
Temple University School Of Medicine, Doctor of Medicine (MD), 1991
Training
Internship 1992
Temple University Hospital, Philadelphia, PA
Residency 1993
Orthopaedic Surgery, Temple University Hospital, Philadelphia, PA
Residency 1994
Orthopaedic Surgery, Temple University Hospital, Philadelphia, PA
Residency 1995
Orthopaedic Surgery, Temple University Hospital, Philadelphia, PA
Residency 1996
Orthopaedic Surgery, Temple University Hospital, Philadelphia, PA
Fellowship 1997
Hand Surgery, Thomas Jefferson University Hospital, Philadelphia, PA
Certifications
American Board of Orthopaedic Surgery - Orthopaedic Surgery
American Board of Orthopaedic Surgery - Hand Surgery
Publications & Clinical Trials
Conditions Treated
- Arthritis
- Bone Graft
- Bone Spur
- Bones and Joints
- Broken Arm
- Bursitis
- Carpal Tunnel Syndrome (CTS)
- Cellulitis
- Chronic Pain
- Cubital Tunnel Syndrome
- Dupuytren Contracture
- Edema
- Elbow Injury
- Fracture
- Ganglion Cyst
- Arthritis
- Bone Graft
- Bone Spur
- Bones and Joints
- Broken Arm
- Bursitis
- Carpal Tunnel Syndrome (CTS)
- Cellulitis
- Chronic Pain
- Cubital Tunnel Syndrome
- Dupuytren Contracture
- Edema
- Elbow Injury
- Fracture
- Ganglion Cyst
- Hand Conditions
- Hand Fracture
- Hand Injuries
- Hand Osteoarthritis
- Joint Pain
- Limb Pain
- Orthopedic Trauma
- Osteoarthritis
- Osteoarthritis of Hands
- Shoulder Disorders
- Sports Related Injury
- Sprains and Strains
- Stress Fractures
- Tendonitis (Achilles Tendonitis, Rotator Cuff Tendonitis, Tennis/Golfer's Elbow, Trigger Finger, De Quervain's)
- Upper Extremity Injuries
- Wrist Fracture
Services Offered
- Amputation
- Arm Surgery
- Joint Aspiration
- Biopsy
- Bursa Injection
- Carpal Tunnel Syndrome Surgery
- Cortisone Injection
- Surgery For De Quervain Tenosynovitis
- Arthroscopy of Elbow
- Elbow Tenotomy
- Excision of Metacarpal and Carpal
- Excision of Radius or Ulna
- Foreign Body Removal
- Dislocations
- Hand Tendon Transfer
- Amputation
- Arm Surgery
- Joint Aspiration
- Biopsy
- Bursa Injection
- Carpal Tunnel Syndrome Surgery
- Cortisone Injection
- Surgery For De Quervain Tenosynovitis
- Arthroscopy of Elbow
- Elbow Tenotomy
- Excision of Metacarpal and Carpal
- Excision of Radius or Ulna
- Foreign Body Removal
- Dislocations
- Hand Tendon Transfer
- Hand Surgery
- Injection of Tendon
- Joint Drainage
- Joint Injection
- Laceration Repair
- Nail Avulsion and Excision
- Nail Bed Surgery
- Open Reduction Internal Fixation
- Orthopedic Surgery
- Orthopedic Trauma
- Orthopedics
- Partial or Complete Resection of Bone
- Removal of Bone and Soft Tissue
- Second Opinion for Surgery
- Soft Tissue Injection
- Steroid Injection
- Suture/Staple Removal
- Trauma Care
- Trauma Surgery
- Wrist Fusion
- Triangular Fibrocartilage Complex (TFCC) Repair
- Trigger Finger Surgery
- Arthroscopy of Wrist
- X-ray
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