Run so as to win.
— 1 Cor 9:24
 
 

I’ve been blessed with great mentors during my medical training, including Dr. Robert Coles, Dr. Tom Huntsman, Dr. Dana Covey, Dr. Matthew Provencher, Dr. Marc Phillipon, Dr. Peter Millett, Dr. John Feagin and Dr. Richard Steadman.  And yet, the most amazing and gratifying part of my orthopaedic practice is the education and insight awarded to me every day by my patients.  They test and refine my skills and show me my blind spots and my shortcomings.  I am always grateful to my patients for what they teach me.

I am committed to cultivating an exceptional team.  They share my vision for excellence, compassion, and attention to detail.  I know your experience of our practice is shaped by many moments when I am not present in person: scheduling visits, requesting forms and letters, seeking answers to basic questions, grappling with insurance issues and bills, etc.  My team and I know that our patients deserve our availability for great service and timely responses to questions and concerns.  We are always working towards a patient experience that we would appreciate for ourselves and our own families.

As a fellowship-trained sports medicine orthopaedic surgeon, I specialize in the treatment of shoulder, hip and knee conditions.  Over the years I have been involved in numerous research projects and have

published papers and book chapters about the care of sports injuries and the best techniques and treatments for them.  You can view my CV here.  Most of the surgeries I perform are done arthroscopically: using very small incisions and a camera or “scope” in your injured joint to facilitate repairs.  I also perform open, traditional surgeries when they are indicated.  My most common procedures include: rotator cuff repair, shoulder labral repair, clavicle fracture repair, hip labral repair, correction of hip impingement, ACL reconstruction, multi-ligament knee reconstruction, meniscus repair, cartilage repair or regeneration, patellar instability correction, and the routine treatment of fractures.  I utilize both platelet rich plasma (PRP) and stem cells derived from your own bone marrow (BMAC) to augment healing when indicated.

This year I have decided to start a private, solo practice to pursue my vision for integrated care with greater integrity and freedom. My team and I are so excited to welcome you to our new location in CDA, while we continue to contract all of our surgical care at the region’s only 5 star facility, Northwest Specialty Hospital!

-Dr. Dewing

 

Professional Background

I graduated high school from St. John’s International School in Waterloo, Belgium, where I made friends with students from over fifteen different countries.  My time in Europe gave me both a wonder for the rest of the world and a deep love for my own country.  I went to Harvard College on a Navy ROTC scholarship and discovered the joys and sufferings of rowing.  Crew became a focus that at times overshadowed my coursework, but refined my experience of teamwork, the essentials of maximum individual focus and effort realized only in the synchrony and synergy of coordinated, interdependent movement and drive.  Those experiences on the rivers and lakes of the Eastern states, Regattas in San Diego, Honolulu and even on the River Thames at Henley in England still shape me today.  They inspire my commitment to building teams in clinic and in the operating room that are always hungry to be better, always seeking the best outcomes for my patients.

A career in medicine took shape after I completed a wilderness first aid course at the SOLO school in North Conway, NH in 1993.  I loved studying physiology and anatomy in the great classroom of the outdoors.  I led a number of week-long adventure trips for the Harvard Freshmen Outdoor program.  After a semester as a teaching assistant for one of my college heroes, Dr. Bob Coles, I found my way into medical school at Columbia in NYC.  Those four years in the city were filled with great academic challenge, some of the best friendships of my life, and countless hours training for endurance races, marathons and triathlons.  The hours I spent running and riding the length of Manhattan were the necessary balance to the rigors of med school.  My first clinical rotation was in orthopedics, and my attending, Dr. Jack Henry (in NYC on sabbatical from his job as the team doctor for the Spurs) took me through my first surgical approach for a knee replacement.  A year later, I spent a formative month learning surgery during the day and barn building after work with Dr. Tom Huntsman, a reconstructive surgeon in Cooperstown, NY.  After that, I was hooked on surgery.

My Navy career started in 2000 with a surgery internship at the Navy Hospital in San Diego.  The events that followed were sudden and unpredicted.  I met the love of my life and started working as a Battalion Surgeon for the USMC one month before 9/11.  This resulted in a year of long-distance courtship and deployments to East Asia and Iraq, where my unit was part of the breach and the first four months of combat operations in Baghdad.  Our wedding was postponed by nine months, and two weeks after my return from the desert I started my orthopedic surgery residency in San Diego.  It was not an easy transition!

Many things happened during my four years of residency training.  I found a home in the Catholic Church after many years of soul-searching.  We started a family, which has since grown to five wonderful children, an answered prayer that we shared with each other on our first date!  I discovered a love for sports orthopedic surgery, thanks to some amazing mentors, including Drs. Dana Covey and Matthew Provencher.

We took our first Navy assignment to Guantanamo Bay, where I worked for a year as the sole orthopedist for the base, before departing to Vail, Colorado for my fellowship at the Steadman Hawkins Clinic.  (Out of the frying pan, into the freezer!)  The sports fellowship was one of my most intense learning experiences; and the surgical excellence of my professors set a very high standard which I aspire to each and every day.  We returned to San Diego, where I had the privilege to train residents from the Navy program and from UCSD.  I became the director of sports medicine and the orthopedic consultant to SEAL Teams 3, 5, and 17, as well as the BUDS program.  It was a very intense six years of academic research, a busy surgical practice, and one final deployment to Afghanistan in 2011.  My seven months in the Helmand Valley in support of the Marines, were very difficult, but very rewarding.  We saved many lives, but in doing so we were forced to perform many upper and lower extremity amputations.  Once again, the essentials of team building and team effort from my past became the main effort of my life and work.  After returning, I published a story about our work there in a book called The One I’ll Always Remember, edited by Gary Bloomfield.

We moved to Spokane in 2015, seeking a more peaceful and family-friendly town in which we could settle down for good and raise our five children.  It has proven to be just that.  We have made wonderful friendships, found a great Catholic parish and a vital community of the faithful, and have recently been inspired to help start a classical, Catholic high school downtown.  I have retired from the Navy and have worked with some dedicated people to design and build a sports medicine clinic that integrates surgical care with outstanding non-operative services, physical therapy, team coverage for EWU and the Sounders, and multidisciplinary consultations in nutrition, massage and sports psychology.  We work every day to build a team with a shared vision for excellence, so that every patient that comes to see us feels the benefit of our focus and coordination.  I am honored to be a part of such a fantastic team and to care for so many amazing people!

Come, O Holy Spirit:
enlighten my understanding
to know your commands;
strengthen my heart against the wiles of the enemy;
inflame my will…
I have heard your voice,
and I don’t want to harden my heart to resisting,
by saying ‘later… tomorrow.’
Nunc coepi! Now!
Lest there be no tomorrow for me!
O, Spirit of truth and wisdom,
Spirit of understanding and counsel,
Spirit of joy and peace!
I want what you want,
I want it because you want it,
I want it as you want it,
I want it when you want it.
— St. Josemaria Escriva
All this I do for the sake of the gospel, so that I too may have a share in it. Do you not know that the runners in the stadium all run in the race, but only one wins the prize? Run so as to win. Every athlete exercises discipline in every way. They do it to win a perishable crown, but we an imperishable one. Thus I do not run aimlessly; I do not fight as if I were shadowboxing. No, I drive my body and train it, for fear that, after having preached to others, I myself should be disqualified.
— 1 Cor 9:23-27