Dr. Thielen moved to Maui with his wife and children in 2018. He worked as an Orthopedic Surgeon with the Hawaii Permanente Medical Group from 2018 to 2021. Dr. Thielen is the first surgeon to perform and offer direct anterior total hip arthroplasty surgery on Maui. He also helped pioneer the same day discharge program for patients undergoing total joint replacement surgery at Maui Memorial Medical Center.