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The friendly staff at DC Hand - The Hand and Upper Extremity Institute of Greater Washington
at Office of Orthopaedic Medicine & Surgery welcomes your inquiry at (202) 835-2222 and is ready to provide you with answers.
To schedule an appointment, please call our office or you can use our secure online appointment request form.
The Office of Orthopaedic Medicine and Surgery
1015 18th St Suite 300 NW
Washington, DC 20036
Phone: (202) 835-2222
General Fax Number: (202) 969-1798
Physical Therapy Fax Number: (202) 659-8724
Please direct questions about billing, scheduling or insurance issues to our front office at: firstname.lastname@example.org
Dr. Raizman can be reached by patients and potential patients at email@example.com
Please do not contact Dr. Raizman with either solicitations or emergencies - if you have an emergency, call 911, and if you need to reach one of our physicians urgently, call our office at 202.835.2222
Our regular office hours are Monday – Friday from 8 a.m. to 4:30 p.m.
Physical therapy hours are Monday - Thursday from 7:30 a.m. to 5 p.m. and Friday from 7:30 a.m. to 3:30 p.m.
If you have an urgent medical need and need to talk to our doctors after our regular hours, please call the Office of Orthopaedic Medicine & Surgery at (202) 835-2222. A doctor is on-call 24 hours a day. Your call will be returned promptly.
In the event of a life-threatening medical emergency, call medical emergency services at 911 immediately. DO NOT WAIT! Inform the emergency room staff that you are a patient of the Office of Orthopaedic Medicine & Surgery, and they will contact us.
We accept most insurance plans and workman's compensation. If you have a question related to your bill or insurance, please contact the billing specialists at (202) 835-2222.
|DC Hand at the Office of Orthopaedic Medicine & Surgery participates with the following insurance plans:|
|Please contact your insurance company or you may call our office at (202) 835-2222 to find out if we accept your insurance plan. If your insurance plan requires you to pay a co-payment, co-insurance, and/or a deductible, you will need to pay at the time of your visit. For your convenience we accept cash, checks, Visa, MasterCard, Discover and American Express.|
|Dr. Raizman and his colleagues admit patients and have privileges to perform surgery at the following facilities:
|Prescriptions and refills for established patients of the Office of Orthopaedic Medicine & Surgery are routinely issued during our regular office hours. You can make your request by calling our office at (202) 835-2222. No refills are issued during the evenings, weekends, or holidays, as the doctors do not have access to your medical records during those times. It is helpful to anticipate your refill needs to avoid an interruption in your medication therapy.|
Frequently Asked Questions
Your upper extremity includes everything from the tips of your fingers to where your neck and arm meet, including your shoulder joint, chest muscles, and collarbone; the nerves around your neck and arm; your elbow, wrist, hand and fingers. Upper Extremity surgery runs the gamut from carpal tunnel and hand fracture surgery, to arthroscopic surgery of the shoulder and elbow, to fracture care, arthritis surgery and nerve reconstruction.
Hand Surgeons are typically either Orthopaedic or Plastic Surgeons who do a special fellowship training in Hand Surgery. Some programs only train surgeons in hand surgery and leave out the elbow and shoulder. A hand and upper extremity fellowship includes hand, wrist, elbow and shoulder. While many Orthopaedic or Plastic Surgeons perform some hand surgery procedures, complex cases are typically referred to a fellowship-trained hand and upper extremity surgeon. Dr. Raizman performed his Hand and Upper Extremity fellowship training at the Cleveland Clinic.
Dr. Raizman operates primary out of the Massachusetts Avenue Surgery Center in Bethesda, as this often provides the most benign and comfortable experience for our patients. For cases such as shoulder replacement where an overnight stay is anticipated, Dr. Raizman and colleagues operate out of Sibley Memorial Hospital in the Palisades. When Dr. Raizman performs surgery on congenital differences or pediatric patients, he often utilizes Georgetown University Hospital. He also holds privileges at George Washington University Hospital and Suburban Hospital.
This varies with the patient and the type of surgery. Most hand and wrist surgery can be performed with a nerve block performed by the anaesthesiologist along with moderate sedation. This provides long term pain relief. Longer surgery, surgery on the shoulder, and surgery where muscle relaxation is important typically requires a general anaesthetic. The options will be discussed with the anaesthesiologist at the time of surgery in order to provide the safest care. Dr. Raizman usually injects a long-acting pain medication into the area where he performs surgery to help control post-operative pain.
This is probably the most important question! Dr. Raizman will go over with you a general outline of post-operative treatment, what you can and can't do and for how long. This is highly individualized and often needs to change depending on how your recovery and rehab is progressing. A few things we can tell you, though:
1. Expect not to drive home from surgery - though some surgeries can be performed under local anaesthesia only, we still recommend that you have a ride to and from the surgery center or hospital.
2. If you have pain, it will likely be worst in the 2-3 days right after surgery - Dr. Raizman will give you pain medicine. Stay ahead of the pain (i.e. - take the medicine when you are just starting to get achy; don't wait for the pain to get worse). The best treatments for pain: ICE and ELEVATE! Especially in the first few days.
3. Start thinking early about what help you will need - imagine living with one hand or one arm while you begin your recovery. Dr. Raizman's colleague, Dr. Charles Eaton, has a great guide HERE.
4. Return to work depends on what you were doing and how strenuous your job is, relative to your hands. We recommend not working while you are taking any narcotic pain medicine. Dr. Raizman will release you for regular or light duty with specific restrictions depending on your specific case. With carpal tunnel surgery or trigger finger release, patients who perform light work or desk jobs are often able to return to work within a few days.
After surgery, you will follow up regularly with Dr. Raizman so that he can monitor your progress and answer questions. Dr. Raizman and his partners are always available for emergencies through our answering service. Additionally, Dr. Raizman is very responsive to his patients' email inquiries.
Day of Surgery Questions:
Please wear comfortable clothing that is easy to remove. Wear comfortable shoes that require minimal work to get on and off - remember your operative hand or arm will be bandaged and immobile, so anticipate! Think - what can I put on and off with one hand?. Leave all jewelry at home, including body pierces. If you wear contact lenses, you will probably have to remove them for the surgery, so consider eyeglasses. No need to put on make-up - we like you the way you are.
You refrain from eating and/or drinking prior to surgery in order to prevent the contents of your stomach from coming up and going down your windpipe while under anaesthesia - this is serious, so please follow the recommendations - nothing to eat or drink (and that includes water and gum) for 8 hours prior to surgery.
We generally request that you hold all medications until after your surgery. We will usually hold diabetic medicines and manage your blood sugar at the surgery center or hospital. We generally will have patients take, with a sip of water on the morning of surgery, blood pressure and heart medications, acid reflux medications, anti-seizure medications, Parkinson's medications, and asthma medications/inhalers. Please bring all of your medications with you to surgery, especially inhalers.
Herbal medications may have harmful effects on the surgery. Many of these remedies may effect your clotting mechanism and interfere with the anesthetic agents. We generally request that you stop these medications two weeks before surgery. Please remember to mention these remedies with your surgeon at the preop visit and when being asked about your current medications.
Feel free to bring a friend or family member with you. Dr. Raizman typically goes to speak with whoever came with you to explain how surgery went and answer questions. Please let Dr. Raizman know if you want to keep this information private from your guest.
If you are not feeling well, we need to know! Please call the office (202-835-2222) to make us aware. Oftentimes, it will not affect the surgery, but sometimes it is prudent to reschedule your surgery until you are feeling better.