Sports 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

Tina's Long Road to Recovery

Tina's Long Road to Recovery

By: Rebecca Howard

Tina Fitzgerald used to be a medtech. But in 2013, one of her patients accidentally parked an electric wheelchair on top of her right foot. It took 6 people to finally remove the chair. Her foot had been completely crushed. Her active, outdoorsy lifestyle came to a screeching halt. She found a doctor who performed and failed 2 foot surgeries. She was left unable to work, with daily pain and a foot that hardly functioned.

 

Fast-forward to Christmas day, 2016. Tina and her husband were heading into a friend’s house to celebrate, when Tina slipped on some black ice. She fell hard on her left hip and hit her head on the side of the house. She woke up a few moments later in terrible, nauseating pain. But it was Christmas and she was embarrassed about the fall, so she decided to just keep the pain to herself.

 

Days went by and the pain didn’t improve. She thought maybe it was her bulging disk acting up. She took ibuprofen, but nothing helped. No matter what she did, it felt like she was being stabbed in the groin. She couldn’t walk up stairs, she couldn’t get into a car, she couldn’t dress herself, she couldn’t push her handicapped dog in his stroller. Going anywhere was excruciating. It even hurt to lie down. She was used to limitations because of her foot, but this was beyond anything she had experienced. 6 months went by and she kept hoping for relief, but the pain was actually getting worse. She needed answers. Now.  

 

She went into her spine doctor, who gave her a spine injection, but it didn’t help. One day, she thought maybe a bath would bring some relief. But when she couldn’t get out by herself, she told her husband she had to go see a pain manager right away. The doctor did an X-ray of her back and ordered an MRI. The MRI came back normal, but Tina and her husband knew with absolute surety that something was wrong. They kept trying to find someone to help, but no one would listen.

 

One day when she stood on her tip toes to put a coffee mug on the top shelf, she felt a distinct and painful separation in her hip. Her foot felt like it was 100 lbs. That was the last straw. She went to ER, but they wouldn’t do another MRI since her last one had been normal. Tina and her husband were beyond frustrated. They were desperate for answers and a reprieve from the constant pain. Her spine doctor agreed to order another MRI, this one for her leg instead of her back. They weren’t even home before they received a phone call that she had a fracture in the neck of her femur.

 

Tina’s husband had been seeing Dr. Tadje for some issues with his shoulder, and really liked him. He called to find out if Dr. Tadje treated femur fractures. They found out he does! Happy day! They talked to Teia, the office manager, and told her their situation. She consulted Dr. Tadje, and he agreed to perform surgery for Tina the next morning. Finally, someone who would listen and agree to help! At that point, she had been coping with her fractured hip for 9 months.

 

Tina met Dr. Tadje the next morning before the surgery. Because of the 2 failed foot surgeries in her past, she was terrified of a bad outcome. Dr. Tadje reassured her that he had spent time the night before researching the best method to treat her fracture. She was within inches of needing a full hip replacement, but since she had a small portion of bone still intact on one side, he would be able to attach some screws so her natural bone could heal. And best of all, he was able to find a way to make her hip immediately weight bearing. She had been expecting to be confined to a wheelchair for 6 months, so this was very good news.

 

When she woke up after the surgery, she was surprised and excited to find that the pain was gone! No more stabbing. After one night in the hospital and some training from a physical therapist, she was up and moving with her walker. It was a miracle! A complete turnaround within a day! Now, a few months later, her limitations from this injury are non-existent, and her quality of life is markedly better. She only wishes she would have known about her “rockstar,” Dr. Tadje, for her foot surgeries. Dr. Tadje has given Tina her life back, and she’s excited to live it to the fullest.  

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)