Wednesday, May 13, 2009

The Doctor gets hip

Most of my friends are hip to this, but for those of you who may not be...



Summer before last I started having pain in my right hip/groin area. I figured I just aggravated a muscle or something. The problem never went away so I went to see an orthopedist, thinking I must have torn something tendon/ligament-wise. As it turns out I was diagnosed with avascular necrosis (AVN), which is a disease that inhibits blood circulation to the extremeties of bones. Bottom line- the ball of my right femur that fits into the hip socket was basically dying, and there was no cure. My doctor gave me but one option, which was a total hip replacement. I sought out 2 more opinions to be sure, and both of them confirmed the initial diagnosis.


Here are my x-rays of my left and right hips. You can clearly see the difference in the femur heads, with the right being mostly round and the left being all chopped off from necrosis of the bone.

Left (above)




Right (above)

So here I was, a fairly active 47 year old guy, and I had a crumbling hip that was causing me more pain than I had ever experienced or even imagined. I got some pain pills but they only took the edge off- nothing ever made the pain go away. At first I felt like my life had come to a screeching halt and I was pretty distraught over it.

Fortunately though, as the initial collapse of my femur subsided so did the pain, to an extent. But even though the pain was not extreme it was still always there, and it wasn't going away. My doctor recommended that I wait as long as possible for the THR (total hip replacement) as the parts are not yet durable enough to last more than 15-20 years, meaning that if I lived long enough Iwould require another replacement later. I was okay with that, until my doctor then became reluctant to provide me with the pain medication I needed to cope with the problem. So I changed doctors, to one of the guys who I went to for a second opinion. I really liked this guy from the start, and I heard from others that he was the best there was for this condition.


Eventually I got tired of being in pain and went back to see the new doctor again. His name is Kenneth Kress by the way. Dr. Kress advised me that nobody knows what will happen to them in the future, and there was no reason to continue on in pain, and that quality of life is what was important. This validated my feeling that there was no reason to wait until my 60's to get better when my 50's would be wasted, not doing the things I wanted to do in my life.

So now I am going in to get my right hip replaced with metal parts on Monday. I'm first in line, so I told the nurse I didn't want the doctor out partying all night. There's no warming up on somebody else, he has to bring his A game right away. I'm scared shitless, but I can't wait to get this done. I want my life back. Wish me luck.

3 comments:

  1. Best of luck, my friend. Your second doctor is right. In deposing doctors and psychs in my career, I can tell you that all of them (at least the honest ones) will admit that if someone has constant pain (no matter what the level) for any extended period of time, it will lead to depression. Make things right now. Worry about tomorrow, tomorrow.

    My dad had the first of two hip replacements last summer. After a life filled with football all the way through college, twisting and turning walking all over trains his whole life, and the most ridiculously god-awful looking golf swing this side of Charles Barkley, both of his hips started to give out on him about 2 years ago.

    I only have one piece of advice: make sure they care for you post-op correctly. My Dad got shitty care post-op and it led to pressure ulcers. It was so bad his surgeon told him to see an atty. What should have been a recovery period of a few months has now been about a year. He's got a damn good med mal case, but that doesn't make up for the fact that he should have been almost fully recoverd from his second op by now and back to living his normal life.

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  2. my dad is going in for his second one next week. hope you are doing well.

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  3. How were your results? I get my THR in June this year with Kress...

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