New Appointments (What to Bring):
  • New Patient Info Sheet
  • Medical Release
After Hours Process:

If you have an emergency, call (509) 466-6393 to page the doctor on call.

If you have a non-emergency question, call (509) 466-6393 and leave a message on the answering machine. A staff member will get back to you as soon as possible.

Prescription Renewal Policy:

All prescriptions refills require 24-hour notice. Please call your pharmacy and have them fax a refill request to our office. We do not manage medication for chronic pain. Please keep in mind that all prescriptions must be handled during normal office hours of Monday through Friday, 9:00 A.M.-5:00 P.M. The on call physician will not refill any medications.

What does fellowship training mean?

A fellowship is an extra, optional, year of training that all of our physicians have undergone. During a fellowship, an Orthopaedic Surgeon focuses on the most advanced treatments and techniques in one subspecialty within Orthopaedic Surgery. This allows our physicians to provide the very best care possible within their respective specialties.

Cast Care:

The casting materials used to from your cast will continue to cure and harden over the next 12 to 24 hours, slightly longer for plaster. During this time, it is important to avoid unnecessary forces to the cast.

To reduce swelling within the cast and provide comfort, it is important to keep the cast elevated above the level of your heart as much as possible for the first 48 to 72 hours. The application of ice enclosed in a sealed plastic bag during this period will also aid in reducing pain and swelling.

Please keep your cast dry. Sponge bathing only should be used around the casted area, and the cast should be wrapped in a plastic bag. If the cast becomes slightly damp it may be dried with a hair dryer, but be careful not to overheat the area. If the cast becomes wet, it may be ruined and may need to be replaced. If this occurs, you may have an increased risk of delaying the healing of your fracture.

Itching beneath a cast is common and can sometimes be controlled by the application of ice, blowing warm air in to the cast with a hair dryer, or the use of an over-the-counter antihistamine. Do not use instruments such as coat hangers, pens, etc to scratch beneath the cast for any reason.

Warning signs to watch for with your cast:
  • Excessive, uncontrolled pain. Especially pain uncontrolled by the use of medications prescribed for you.
  • Numbness, tingling, or weakness of the casted area
  • Change in skin color to the exposed area of the casted area
  • Persistent skin irritation
If any of the above develop and are not relieved by elevation of the casted area contact your physician immediately.

© 2005 by Orthopaedic Specialty Clinic of Spokane, PLLC and LeadingMD, Inc. All rights reserved.