Knee Injury

Meet our Physician Assistant, Kelly Vincent!

Hi All!  My name is Kelly Vincent and I am excited and honored to join the Tadje Orthopedic Team as Dr. Tadje’s Physician Assistant.  I am replacing the famous Virginia Jeppeson, NP.  She has only been gone 8 weeks but she is missed greatly by both patients and staff.  Although she left some large shoes to fill, I am up for the challenge and vow to uphold the quality of patient care that Tadje Orthopaedics is known for.

I was born and raised in Bozeman, Montana.  Growing up in Montana, my childhood was filled with everything a native Montanan should experience: Summers at my grandparents’ cattle ranch, hanging out at elk camp, fishing, skiing, camping and everything in between. 

After graduating High School, I moved into the dorms at Boise State to start my first year of college. I was determined to leave small town Bozeman and become independent… But not too independent and not too far from home. I paid my way through college working at Lock Stock and Barrel and Pengilly’s. If you have never been to these local gems, put them on your bucket list. During my junior year, I met my future husband Jesse Vincent.  I graduated Boise State with a Bachelor of Science in Athletic training and moved to Portland, Oregon for my first “real job.”  Fun Fact: I met my roommates on craigslist and we are all still great friends. I worked one year as the head athletic trainer for a high school before deciding to further my education and pursue a career as a Physician Assistant.

Fast forward to May 2013, I married my best friend up at Tamarack and moved, “honeymooned” to Billings, Montana to attend PA school at Rocky Mountain College.  The next 26 months were a blur but I made it out alive with a few extra letters behind my name.  Jesse and I decided to move back to Boise, the town where we met and grew to love.

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Today, we are the proud, exhausted parents of a 16 month old boy, (Jameson) and an English Pointer (Hank).  Jesse is the Superintendent at The Club at SpurWing.  When we’re not working we continue to spend time outdoors fishing, camping, backpacking, and snowboarding.  Jameson took his first backpacking trip at 6 months old, 12 miles overnight in the Sawtooth’s.  Last weekend we camped in the Donnelly area.  Next weekend we are headed to Montana for our annual fishing/camping trip near Anaconda. 

I am looking forward to getting to know current and future patients.  If you’re willing, please share some of your favorite camping spots!

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Favorite Food: Street Tacos

Favorite Candy: Peanut M&M’s

Favorite TV Show: Seinfeld

Favorite Team: Chicago Cubs and Montana State Bobcats

Favorite Local Restaurant: Lock Stock & Barrel

Humanitarian Trip to Cambodia

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In 2017, Dr. Tadje took a humanitarian trip with his son Andrew, to Phnom Penh, Cambodia. They were able to provide much needed assistance to a place called CICFO (Cambodia International Children Friendship Outreach). CICFO is a home where about 30 children live in a family environment, so they can attend school. The children are accepted through an application process and are able to live in this home until they are finished with their education. An organization called CICFO-USA raises funds to support the needs of the CICFO family. The CICFO children travel occasionally to visit their birth families, but CICFO is their true home. The children live as a family, sharing meals, chores, love, and support. CICFO is an upgrade for the children who are used to living in absolute poverty. However, even at CICFO, the children sleep in unbearable heat, packed together on the ground, owning nothing but the clothes on their backs. Dr. Tadje and his son wanted to help.

They spent a week staying with the CICFO family. They worked with Kea Botevy, the head of the home, to tackle projects that would improve the children’s living conditions. Dr. Tadje and his son bought some mattresses for the kids to sleep on and installed fans to help with the intense heat and humidity. The Tadjes were able to create a safer living space by covering exposed wires. They read with the kids and played ball with them. Dr. Tadje was impressed with these amazing, impoverished children. In spite of their circumstances, they are happy and optimistic about life. They are content. They look out for one another and work together to provide a safe and peaceful space to exist and grow. Dr. Tadje was grateful for the opportunity he had to help and learn from the CICFO family.

Written by: Rebecca Howard

Meet the Koubas

Fast Rides, Tough Breaks

By: Rebecca Howard

The Kouba family is the kind of family that’s always on the move. Jennifer and Charlie Kouba
introduced their boys, Austin and Bailey, to motocross at a young age, and they were instantly
enchanted. They ate, slept, and breathed motocross. They spent their time either riding or
thinking about their next ride. But those who know motocross, know it carries a high risk for
injuries. Austin and Bailey have both had a good share of wounds through the years.
Consequently, Dr. Tadje has been a valuable part of their lives over the last decade.


At 13 years old, Austin was speeding around a corner in an intense race at Owyhee Motorcycle
Club when his front wheel lost traction. His whole body propelled into the handlebars with so
much force, his femur fractured. From the stands, Jennifer and Charlie could tell something bad had happened when they saw Austin lying on the ground. They watched the paramedics rush in to assess the situation. Upon seeing Austin’s bone protruding through his motorcycle pants, the paramedics instantly called an ambulance to transport him to the hospital. In the ER, Jennifer and Charlie were overwhelmed with stress and worry as they awaited treatment. When Dr. Tadje walked in to consult with them, they describe feeling instant comfort. Dr. Tadje explained that Austin’s femur had an open fracture, and at age 13, there are 2 possible treatments for this type of injury. Inserting a rigid rod would allow Austin to walk on his leg within a few days, but there would be risk of compromising the growth plate. Inserting a flexible rod would put Austin in a wheelchair for 6 weeks, but it would preserve the growth plate. The Koubas were relieved to find out Dr. Tadje is a father, and asked him what he would do if Austin were his child. Dr. Tadje recommended the flexible rod. Even though the process was longer, Austin’s femur healed beautifully. Dr. Tadje and Austin had an instant bond. It’s a good thing, since they would be seeing a lot of each other throughout the years!


The next time the Koubas needed Dr. Tadje’s help, Bailey was the one in the spotlight. At 12
years old, Bailey was in an off road desert race. As he raced down a sand wash with dozens of
other bikes, he hit some extra rough terrain and flew off his bike. A motorcycle ran over his arm
as it raced past, fracturing his radius. They instantly knew who to call. Dr. Tadje performed the
necessary surgery and Bailey was able to move and shift within the week.


A few years later, Austin was racing at OMC again when his front wheel lost traction and his
shoulder hit the ground hard. Fractured Collarbone. The Koubas wondered if maybe Dr. Tadje
would preach or apply pressure to give up the sport. But they were grateful when all they got
from Dr. Tadje was understanding and support. Austin asked Dr. Tadje to do whatever he could
to get him back on his bike as quickly as possible. Letting it heal on its own would take months, but surgery reduced the time to weeks. So, of course surgery was the answer!


Something similar happened to Bailey shortly after, while arena racing in Utah. He came up
short on a jump and… fractured collarbone. The Koubas brought him back to Boise where Dr.
Tadje fit him in for a quick surgery so the family could take off for a vacation.


Since then, the Koubas have reached out to Dr. Tadje for help on several other occasions. Dr.
Tadje has continued to be close to the family, most recently supporting them as Austin healed
from an open fracture of his forearm.


Now at 20 and 22 years old, Austin and Bailey don’t have as much time for their favorite sport
as they used to. While most of their time is spent working and going to school, they still find
plenty of time for camping, mountain biking, trail riding, racing, and off roading as a family.
Their active lifestyle has shaped them into the people they have become, and they are grateful
for the experiences they have had and for the tremendous care and support have received from Dr. Tadje. They are grateful for his knowledge and personal touch, and that in a very real way, he has made their active lifestyle a possibility. Who knows what the future will bring, but they’ll definitely know where to turn if something goes south.

(Orange Plaid: Bailey, Green: Austin)