2017 January PASO Magazine
A monthly look at life in the remarkable community of Paso Robles.
A monthly look at life in the remarkable community of Paso Robles.
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Dr. William F. Sima now offering<br />
outpatient joint replacement procedures<br />
According to Dr. William F.<br />
Sima, “We are very excited to<br />
now offer outpatient anterior<br />
total hip replacement, total knee replacement surgery<br />
and uni-compartmental knee replacement for<br />
our select patients.”<br />
Same day outpatient total joint replacement<br />
procedures represent the next trend in arthroplasty<br />
surgery. Dr. Sima explains, “Many surgeries done<br />
today as outpatient procedures were once regarded<br />
as ‘inpatient procedures.’ These include ACL<br />
reconstruction, rotator cuff repair, upper extremity<br />
surgery and arthroscopy. Just a decade ago, a<br />
cholecystectomy (gallbladder removal) was performed<br />
as an inpatient procedure. Improvements<br />
in surgical techniques and anesthesia protocols<br />
have allowed surgeons to safely perform these<br />
operations in a dedicated surgical suite where patients<br />
can safely return home the same day as their<br />
procedure. Patient selection, medical optimization<br />
and perioperative care and planning are essential.”<br />
Common patient apprehensions regarding pain<br />
control and becoming dependent on others have<br />
been addressed and optimized. Dr. Sima says,<br />
“We have a better understanding of the entire pain<br />
pathway and can therefore effectively control pain<br />
BUSINESS<br />
using a combination of approaches beginning at<br />
the level of the tissue all the way up to the central<br />
nervous system.” Patients are independent the<br />
same day of surgery and can demonstrate the<br />
ability to transfer from a bed, a chair, and to ascend<br />
and descend a flight of stairs.<br />
To make all of this possible requires a team of<br />
individuals dedicated to the entire care experience<br />
including perioperative care, imaging anesthesia,<br />
postoperative management and outpatient therapy<br />
providers. For patients who are appropriate<br />
candidates, and are medically optimized, the surgeon<br />
efficiently controls the local environment and<br />
therefore can directly improve overall patient and<br />
satisfaction in the outpatient setting. For more information,<br />
visit williamsima.com or call 434-5555.<br />
<strong>January</strong> <strong>2017</strong>, <strong>PASO</strong> <strong>Magazine</strong> 39
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