Patient Stories ~ Profession: Health Care

Dawn

Hobbies: Barrel Racing, Cycling/ Mountain Biking, Gardening/ Horticulture, Quad Riding
Doctor: Winston J. Warme, MD

Briefly describe your symptoms and the medical condition that brought you to see the doctor.

I was in a barrel racing accident and broke my humerus, injured my elbow, and injured my SC joint; my elbow and SC joint requiring surgery.

What one or two things stand out to you about your experience with your doctor and their team?

Excellent care! Dr. Warme is very patient and a very good listener. Everything he tells you regarding expectations and outcomes is right on. There were no surprises.

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Betty

Doctor: Kashagra, Verma MD

Briefly describe your symptoms and the medical condition that brought you to see the doctor.

I was experiencing numbness and weakness in my left leg as well as pain and numbness in my right leg. I was unable to walk more than a block without having to sit down and rest my legs. It was interferring with my day to day life to the extent I couldn't attend my grandchildren's school events, work in my yard, or even go for walks.

What one or two things stand out to you about your experience with your doctor and their team?

Dr Verma and his team were new to me. On My first visit I realized he was an honest and straight talking doctor. I didn't like everything I heard, but every bit of it was true. I learned to respect the fact that he would tell it like it is, work hard to help me find a solution, and listen carefully to what I had to say. All qualities I believe are important in a doctor parient relationship.

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Shannon

Hobbies: Family, Hiking/ Camping, Jogging/ Running, Pets
Doctor: Winston Warme

Briefly describe your symptoms and the medical condition that brought you to see the doctor.

5+ years of progressing arthritis/bone spur formation and pain of the sternoclavicular joint. I wasn't able to tolerate my arm hanging at my side for periods of time after my arm was at rest, primarily in the mornings after waking up. I could not raise my arm above my head without pain and I also couldn't do any strenuous activity on my right side (I am right handed) including carrying my 2 year old son. I consulted with 2 other orthopedic doctors prior to being referred to Dr.Warme. One of those physicians diagnosed thoracic outlet syndrome (which I don't believe I have) and sent me for physical therapy, which only helped a small amount. Once at UW, we tried a steroid injection in the joint initially because I was hesitant to jump right into surgery. The steroid injection took the pain away for 1-2 glorious weeks but it returned, so we moved forward with a surgical debridement of the SC joint. I am currently 6 weeks post op, and feel better than I thought I could. The pain is gone and other than strengthening the muscles in my shoulder and back that I have compensated with for years, I feel more normal now than I have in a long time.

What one or two things stand out to you about your experience with your doctor and their team?

Dr. Warme and his whole team including MAs, nurses, fellows, residents, PAs and every other staff member I encountered were caring, friendly and knowledgable. Dr. Warme is the only (attending) surgeon I encountered in my journey as a patient that never made me feel rushed, listened to my concerns and understood my disease process and needs.

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Diane

Hobbies: Hiking/ Camping
Doctor: Dr. Warme

Briefly describe your symptoms and the medical condition that brought you to see the doctor.

Fractured Clavicle- 10 Lessons
When I fractured my clavicle friends and co-workers figured I’d done it hiking or skiing and had an exciting story to accompany my injury. I wish. Despite an active lifestyle, my injury occurred while commuting to work on the bus. An unexpected hard stop had me airborne, ping-ponging down the aisle, landing on my head and L upper extremity. I’m sure it was exciting to watch, anyway. Lesson #1- Remember to hold on when standing/walking on a moving bus.
I was sure I was just fine; I’m a nurse, and can easily assess my own injuries. Right. Hitting my head hard clearly impacted my assessment and decision making skills. A couple days later when the pain reached excruciating levels, I decided I needed an x-ray, which clearly showed the clavicle fracture. Lesson #2 - Health care professionals are not always reliable at self-diagnosis; and #3- Head injuries make for stupid decisions.
Dr. Warme was encouraging and supportive, advising that my fracture would likely heal without any intervention.
At my 4 week recheck appointment, I was SURE I would have x-ray evidence of my amazing powers of healing; instead, much to my dismay, the fracture had worsened and displaced. Healing normally was now much less assured. Lesson #2 re-visited. Slow learner.
Again Dr. Warme was encouraging and supportive. He took the time necessary to discuss options in detail, which greatly assisted in making the decision to proceed with surgery. As a surgical nurse, I know enough about surgery to be wary. Add to that, I’d never had surgery myself. Lesson #4- Transitioning from nurse to patient was going to be interesting.
I underwent an open reduction, internal fixation with a clavicle pin about a week later.

What one or two things stand out to you about your experience with your doctor and their team?

Dr. Warme and team were interested in my circumstances, my lifestyle, and my particular anatomy- in short; they were committed to me and my care. They utilized their surgical knowledge and expertise to afford me the best outcome. Having surgery is a bit of a trust exercise. If you’re going to walk off that cliff, it’s imperative to trust your team. They made that part easy.

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Alec

Hobbies: Cycling/ Mountain Biking
Doctor: Winston J. Warme, MD

Briefly describe your symptoms and the medical condition that brought you to see the doctor.

I am a competitive road bike racer, and crashed hard on my shoulder in a race. I knew immediately that the clavicle (collarbone) was broken. It actually did not hurt that bad as long as I immobilized my arm in the sling given to me by the EMT at the race. But, any range of motion with the shoulder was very uncomfortable and made things like bathing, getting dressed, and working quite difficult.

What one or two things stand out to you about your experience with your doctor and their team?

Dr. Warme was fantastic. He got me into his clinic quickly. He assessed my injury, and also how it would affect me specifically. He considered my job and also my hobbies. He explained that clavicle fractures can be managed non-operatively, but that my specific type of break had a high chance for poor bone healing if surgery was not done. Knowing that I was eager to recover and get back on the bike, he had me in the OR only 3 days after the accident. And the surgical result was perfect!

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Gail Ann

Hobbies: Family, Gardening/ Horticulture, Reading, Travel
Doctor: Winston J. Warme, MD

Briefly describe your symptoms and the medical condition that brought you to see the doctor.

I had been in a car accident 6+ years prior and a MD in Spokane finally identified the problem - no surgeon in this area would even look at it. He referred me to Dr. Warme. My medial clavicle would float out towards my throat and override the sternum causing constant headaches and pain.

What one or two things stand out to you about your experience with your doctor and their team?

I saw the PA first and she did a thorough review and then I saw Dr. Warme. He was the fourth surgical person I saw and he 1) knew what the problem was and 2) knew it was difficult to impossible to live with due to decreased function and daily pain.

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Paul

Hobbies: Family, Football, Hiking/ Camping, Jogging/ Running, Other, Reading, Soccer, Swimming
Doctor: Winston J. Warme, MD

Briefly describe your symptoms and the medical condition that brought you to see the doctor.

Sternoclavicular subluxation that began when my arm was pulled on by a patient I was treating. The pain was immediate and since it was an L&I claim I had to go the route of Physical Therapy for 4months before they decided I should see a surgeon. I had limited range of motion, pain in neck from bone pulling muscles downward, and a real nasty click and pop when either pulling my shoulders back or shrugging my shoulders.

What one or two things stand out to you about your experience with your doctor and their team?

Dr. Warmes bedside manner is the greatest. He really took time to know who I was and showed genuine concern for what I was going through. Not only is he an amazing surgeon but he is an amazing guy all around.

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Carrie

Hobbies: Hiking/ Camping, Horseback riding
Doctor: Winston J. Warme, MD

Briefly describe your symptoms and the medical condition that brought you to see the doctor.

Pain in the collarbone/sternum area, tingling/pain down right arm. Lack of range of motion. Dislocation that I was able to reduce on my own on daily basis.
Bone spur on sternum dislocating collarbone at joint.

What one or two things stand out to you about your experience with your doctor and their team?

The professional approach, yet still warm and understanding. Organized and confident.

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