Some tips before and after your surgery (July 9 2018 replacement date)

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As someone who is on the other side of a hip replacement I'd like to suggest some tips that will help you in your quest to find a good doctor, overcome fears about whether you should commit, pain control, hospital choice, etc. If you don't mind, at the very least, hearing my experience, I would like to share some things I have noticed throughout this journey. If you want to just get the tips, they are highlighted in red.

First off, I'm 46 years old, young by many standards for a hip replacement. If you are looking at a hip replacement due to OA, make sure it's really necessary. I had AVN stage 3 and I was putting it off for as long as I could. Once the hip head collapsed I was going to be doomed. I really had no choice. I broke it 12 years ago, had the pins removed about 7 years ago, had a core decompression done and finally replaced this last Monday. If your doctor immediately screams out replacement, just be a little wary. He/she might only see you as a number, an inanimate object that they can bank off of. This surgery in the US runs about $45k as a charge to insurance. The docs make a good living off this. My doc did 11 surgeries the day he did mine so a little math...$495K

I see a bunch of fearful posts from folks about the process. My doctor is shooting to do 1000 hips this year! Find a doctor who can do this in his/her sleep. Mine was Stefan Kreuzer in Houston. If you need reference information reach out to me. I will be more than happy to help. There is nothing for you to fear with this process unless you've chosen a crummy doctor. Tip 1: DO YOUR DUE DILIGENCE. Choose a doctor not because he/she is in your hometown. Pick a doc that will give you confidence. If you live in New Orleans for instance, you don't have to have surgery there if no one makes you feel confident; this is a big surgery so pick the best person for you and don't blow this very necessary step of preparation.

I didn't have a choice of my hospital but that was arranged with the world class doctor I chose. I was operated on at Memorial Hermann Hospital/Memorial City in Houston, Texas. Some things they did with me that you should ask your hospital/doctor about pre-op...Tip 2: I had a Pre-Op blood draw/health check one month prior to the surgery and a class about how to deal with a new hip following surgery and what to expect. They spoke extensively about infection and how to prevent it. They asked who was diabetic and/or who smoked. I didn't know that the chance of infection as one of these types of people increases 400%! They suggested that if you were a smoker to start the patch that day. They won't operate on you at this hospital if you are a smoker and they are proud of their less than 1% rate of post-op infection and that's for all surgeries not just hips. Diabetics, are a whole other category because of wound healing. Wound healing is delayed in smokers as well. I have no pity on smokers, you are idiotic to keep that habit up so quit today. I quit ten years ago, it takes willpower just do it. I cannot speak to diabetics but I can speak to type 2s who are growing at an alarming rate across the world. Watch "The Magic Pill", maybe that will instill some incentive for you to lose drastic weight and lose the diabetes tag. I lost 22 pounds before surgery to insure I would recover quickest. I also hit the weight room even though it was painful to walk. I figured at the very least to make my upper body strong enough to help me move around with my walker.

Further about infection...my hospital sent me home with a CHG Exidine (sp?) surgical scrub that I was told to wash with the night before. It is a detailed process, was told to wear clean under clothes and climb into a bed with fresh linens. The next morning I scrubbed with the same CHG soap and put on new clothes and went to the hospital. When I was admitted they took me back to the pre-op prep area where I was asked to strip naked and wipe myself down with more wipes with the cleaner and they left the soap on me as a barrier against infection. They then put the gown on me and shaved me for surgery and then applied more antibacterial agent. Five minutes before they wheeled me into the operating room I was given IV antibiotics they said would kill anything in my body before surgery. Talk about overkill so really ask questions. Ask them if they have a protocol like what I experienced. I was operated on July 9 this last Monday. I'm non weight bearing for 6 weeks due to an earlier surgery that compromised some bone structure. This brings me to another tip.

Tip 3: most people will be partial weight bearing following surgery so confirm this if you can prior. This will make your life so much easier than mine right now. We had a gentle post op PT class the morning following surgery and many if not all walked in with a 60/40 weight split. It was super cool to see people who were limping in my pre-op class a month ago, walking with zero pain. My doc had no clue I would be non weight bearing following surgery because he couldn't see the previous surgeon's mistake. This should make your recovery so much better and you should be driving in 2 weeks so don't worry about recovery times and missing a lot of work. I'm in outside sales and will have to have a walker and crutches for the next 1.5 months. You will most likely only need a cane as you strengthen so don't worry too much about recovery.

Tip 4: Get your house prepped and in order in case you have non-weight bearing orders prior to surgery. I had to have my wife go out and buy a bunch of stuff to make me comfortable last minute like a tv tray for eating in bed, a raised toilet because I'm 6'5", etc... Most supermarkets have a home delivery service. Use it and make your life easier. If you've never used it, look up to see if your store brand has an app. Learn it and have your coach/spouse/sig other help with food prep. Tip 5: Download a super useful app called Medisafe. It will help you plan out your meds and will alert you day or night when you need to take your pills. I have now been pain free due to this super useful tool. It's like having a nurse walk into your room to bring you your meds. Tip 6: if you can get your meds ready in the hospital before you leave do it! Chasing around your meds after you are discharged is not fun. Our hospital dropped the ball here but it was partly my fault because I was starting to feel pain once the spinal block wore off and I panicked and asked for Oxycodone. That screwed up my order so we had to pursue outside of the hospital. I ended up not needing it as I took one and it made no dent in my pain like my Tramadol did.

I also was in a pain study paid for by the hospital to get the populace off opiates. I took Tramadol every 4 hours and along with the spinal block I was just fine. Once the block wore off there was no way to not feel aside from taking Morphine. I got everything under control though in about 6 hours and have been in great shape since, even sleeping great now. The appetite never left me. Our hospital had world class food. I had salmon with veggies for dinner that evening even though I was a little nauseous. The flood of drugs they put in your body before and during surgery made me nauseous when I took an afternoon dose of Tramadol. I just laid back my head and felt better after about 20 minutes as I fought the nausea.

From the time I arrived at the hospital on Monday July 9 at 10am to when I left the next day at 4pm that was a total of 30 hours in the hospital. I loved the efficiency of the entire procedure.

If you have any questions, please don't hesitate reply to this post. I have been lucid during the entire 4 days so I even remember them putting in the spinal block and when they asked me to countdown backwards. I remember the recovery area and I have a good recall of conversations with my docs. so don't hesitate to reach out. I love to help others.

I hope this was helpful to any one with fears or questions. Best to you all.

4 likes, 37 replies

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  • Posted

    Excellent information. 2 years ago in the Chicago area my Insurance Company was billed around $85,000. Naturally they didn’t pay that and it cost me $1,000 out of pocket. Posterior approach, no complications and 3 days in hospital.  I doubt if he personally got reimbursed more that $1500.  That’s how the game is played. Every case is different as far as recovery. Key is the best surgeon. My surgeon has 40 years experience with hips but he is not a production line 
  • Posted

    Swimbody, I think I would be worried about a surgeon who did 11 operations in a day. My surgeon in the UK did three, two hips and a knee.
    • Posted

      Mine operates 3 days a week and office hours 2 days a week. I would hate to be patient 11 
  • Posted

    Wow, I am impressed you are so lucid so soon after surgery.  All of your information is spot on.  I a. 1year, 1 month out from my TLHR.  I had my surgery in the morning and went home same day at 5pm.  
    • Posted

      Thank you Staceymaz.  I was not on opioids (I volunteered for a hospital paid study to use Tramadol instead) and that is where the lucid awareness stemmed from.  I also chose to remember everything up until the propofol was injected.  I really wanted to pass down a good gouge for people to know and use before surgery since not many have done so nor could they accurately remember.  Peace.
    • Posted

      Tramadol is a synthetic opioid medication. 
    • Posted

      I get dreadful constipation with Tramadol. In fact that is one of its most common side effects. I also get bad nausea. Friends even get hallucinations. 
  • Posted

    No matter the fact that in UK our surgeons don't do that many procedures in one day and I don't honestly think I would want him too, but on saying that maybe he is fast at

    doing them, how long did it take actually in operating theatre,, I am really impressed with your thread though, you make it sound like they are really proactive in trying to keep you infection free.

    • Posted

      They were AlexandriaGizmo.  Infection is blossoming all over the world as bacteria is gaining a foothold on our antibiotics.  My hospital Memorial Hermann Memorial City is over the top obsessed about infection. They are less than 1% infection rate of all operations.  That's incredible.  They will turn away diabetics and smokers, elitist perhaps but you can choose your doctor and hospital both in the US so if you want a janky hospital filled with the infirm and downtrodden you are more than welcome to.

    • Posted

      Your pre-surgery anti-infection procedure was exactly the same as mine.  Lots of body scrubs w anti-bacteria wipes.  My hospital -Hoag Orthopedic in Irvine-has an unbelievably low infection rate.  It might be because all they do there is Orthopedic surgery so no sick, infectious patients around.
    • Posted

      The ortho department heads must have been at the same conference where they learned about ways to combat infection.  It was a little weird wiping myself down with those diaper wipes before surgery with no clothes on but it will pay off for us when we have no infection.  Stoked that you got through so successfully.
    • Posted

      Yes I am doing great.  Back to almost all of my pre-surgery activities.  I started playing tennis again at 3 1/2 months,  am swimming 60 laps at least three days a week and 3 mile walks on the weekend.  It sounds like you are off to a great recovery.  Make sure and do all of the little PT home exercises. I was off of all pain med by about 8 days, and was outside walking w a cane.  Ok so I was really slow, but hey I was trying.  Driving at 2 weeks, and went to a wedding at 11 days after surgery.  Well I wasn’t dancing or anything but I got there.  I was allowed to walk on treadmill and ride stationary bike for 30 minutes each and started PT at six weeks.  I was, am still am, very disciplined with my exercise and stretching routine.  Take good care of your incision, my husband cleaned it twice a day for me.  I would say it was pretty well healed by 4 weeks.
    • Posted

      Did your doctor put one of those two week bandages on your scar?  I don't recall the name of the special bandage but the hospital gave me one extra to bring with me to my appointment at week two (next Monday).  The PA told me they run $150 per bandage!  I can shower with it and all I have to do is dab it when I get out of the shower.  Didn't know if you had a similar one.  My wife won't have to touch my scar it seems.  They swear everything happens underneath that magic bandage.  

    • Posted

      I don’t really recall “magic bandage”.  I was really concerned w my scar- I am a woman and I like to swim for exercise.  It was pretty red for a few months but is now back to just a little darker than my skin tone.  I tried all sorts of lotions(after scar was totally healed).  I used Bio Oil on it for quite a few months and Egyptian Magic.  I can’t say they helped much.  But I had Anterior method and my scar is pretty small compared to some older types of surgery 3 1/2 inches.  Yes I measured.  I have grown used to it and don’t worry about it much anymore.  You will probably consider it a badge of courage.
    • Posted

      I just had dissolvable stitches and a dressing that I could shower with. I showered the day after surgery in hospital even. I think the nurse cut off the ends of the stitches ten days later and removed the dressing and that was it.
    • Posted

      Wow this has really heartened me. I’m due to have THR age 51 in August. I’ve been panicking about how much activity I will regain but this sounds wonderful 
    • Posted

      I thought I would be very limited when I got home and was amazed how active I could be. My muscles were quite weak as I had been in a wheelchair before surgery and had really not been out of the house for six months. On getting home I actually walked about without any support but by furniture surfing. I even went out to lunch the first day home. This may have been overdoing it a bit as I was quite tired. My sister stayed to help for a week and after that I managed on my own.
    • Posted

      Crikey what a difference. I’m not as bad as that now, I just don’t see the point in waiting. If I need it I need it. It’s lovely to read how successful it’s been for you 
    • Posted

      Hmm, infirm and downtrodden... I’m  pleased that in the UK we have our National Health Service, which for all its faults,  is fairer and offers more inclusive healthcare. 
    • Posted

      Strongly agree to disagree.  The infirm and downtrodden have their own hospitals (notice plural) in Houston alone.  The medical business has done this on their own coupled with donations and some city donations.  Look up Ben E. Taub Hospital.  Obamacare is not needed in this country.  
    • Posted

      In UK it is often said thank goodness we do not have the American system when people gripe about the NHS!
    • Posted

      From a The Guardian article that is wildly slanted in its approach...

      [b]https://www.independent.co.uk/voices/healthcare-uk-usa-systems-nhs-insurance-differences-donald-trump-a8195761[b].html

      The author spoke of his experience with regards to Obama's AHA. He said he got "affordable" family insurance for $700 a month and then had to pay down a $6000 deductible.  I have a $436 a month family plan through my employer that has a $2500 deductible.  Where did this guy do a good job of investigative journaljism?  I got exquisite care at my hospital.  All nurses and doctors treated me extremely well.  Two gave me phone numbers to call them if I had problems at home.  My own doc called me twice in the first week to check on me.  Even used his first name to introduce himself, not Dr.  Wonderful.  Infection rate is low in the US...not everywhere mind you but it's a great place to get operated on.  The two main websites that are hip replacement forums are out of the UK.  I love most of the UK folks I've met over the years, love travelling there but man there are a lot of whiny folks.  The two main websites are filled with some of the most negative griping people on earth.  I had my hand slapped at another site for appearing too dominating in my posts.  One crotchety old hag of a nurse said I needed to cool my rhetoric.  Amazing!  I sell for a living, I'm not changing anything..if the service I received somewhere was incredible, I'm going to post about it or write a review, I'm going to complain very little as that is how I was raised and I am going to try to get you to go get the same wonderful treatment I was given.  What is wrong with that?  If you live near Houston you would be foolish to not explore what we have to offer as it is known as a place to get healed and overcome some serious illnesses other places cannot address.

       

    • Posted

      I think I do agree with the article to a certain extent. The NHS comes into its own with emergency surgery. Elective has long waiting lists however. I had both elective and emergency surgery last year on the NHS and it was exemplary and FREE. The surgeons were both brilliant. I have also had private consultations recently where I can see someone immediately rather than queue and I find I wait to see someone in a room rather like a second class hotel rather than the sterile NHS look. In some ways I prefer the NHS look. 

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