Who you'll work with
Dr. Morton leads your care and makes every surgical decision. Alongside him is Justin Kapono Grandalen, PA-C, a physician assistant on the Pacific Bone & Joint team, and around them the people who keep everything moving. Every patient's journey touches the same core roles:
- Care coordinator — schedules visits, gathers records and imaging, verifies benefits, and for traveling patients keeps testing, surgery and follow-up on a single trip; travel and lodging coordination can be arranged when you want it
- Surgical scheduler — books your operation, pre-op testing, and facility logistics, and keeps every moving piece aligned
- Physician assistant — Justin Grandalen, PA-C, sees patients alongside Dr. Morton for evaluations and follow-up visits, answers the clinical questions that come up between appointments, and coordinates with the surgical and physical therapy teams
- Clinical team — assists in clinic and surgery, teaches your pre- and post-op protocols, and fields the "is this normal?" calls during recovery
- Billing advocate — verifies benefits before you're seen, handles prior authorizations, and explains costs in plain English before anything happens

The service standards behind the roles
Standards the team actually holds: inquiries answered within one business day; insurance verified before your first visit, not after the bill; costs explained up front — including self-pay quotes in writing; and for fly-in patients, a written plan covering testing, surgery and follow-up before you book a flight — with travel and lodging coordination available through the Rapid Recovery Concierge if you'd like that arranged too. A patient review said it best: "Living in Hawaii you have expectations that everything is done on Hawaii time… Not the case with Dr. Morton. No delays, his staff plans for the unexpected."
Justin Kapono Grandalen, PA-C — Physician Assistant, Pacific Bone & Joint
Justin Kapono Grandalen, PA-C, is the physician assistant on the Pacific Bone & Joint team. In an orthopedic practice, a physician assistant is a licensed clinician who evaluates and treats patients as part of a surgeon-led team. You'll meet Justin in clinic alongside Dr. Morton for evaluations and follow-up visits; between appointments he is often the person answering your clinical questions and coordinating with the surgical and physical therapy teams so your plan stays on track. You can always ask to see or speak with Dr. Morton himself.
Put faces to the voices
These are some of the people on the other end of the line — across the Pacific Bone & Joint clinic and PB&J Physical Therapy. Full bios are being added to this page; consider these the first introductions. More of the team will appear here as photos are ready.
Carol — Pacific Bone & Joint

Riana Esmena-Faria — Pacific Bone & Joint

Bryson Naito — PB&J Physical Therapy

Chelsea Miller — PB&J Physical Therapy

Kelcie — PB&J Physical Therapy

Built around access
The team runs the systems that make the practice reachable: telehealth for every island and time zone, walk-in orthopedic urgent care in West Oahu, a Hilo clinic on Hawai‘i Island, and the Rapid Recovery Concierge program for patients having a hip or knee replaced. Wherever you enter, the same people carry you through — no starting over, no repeating your story.
Medically reviewed by Paul N. Morton, MD, FAAOS, FAAHKS — board-certified orthopedic surgeon, fellowship-trained in adult hip & knee reconstruction and orthopedic trauma.
This page is for education only and isn’t a substitute for an exam and personalized advice — schedule a consultation to discuss your situation.

