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Sep. 12th, 2005

It is Monday 12th September, already!

Had an appointment with the consultant Mr Grogan, this afternoon about having a hip replacement done.
There are some things the NHS is still good for and if you can get in, with good cause, it can be helpful.

My right hip is the 'good' one of course, as i stand on my right leg all the time, as most of you will know - what with the left one being useless to stand on for any length of time.

So i go see him - he was held in surgery, not a good start but eventually arrived an hour after my appointment was due. i was second on his list. Youngish bloke, appeared competant. The taxi driver actually gave the place a good rep and said famous sportsment come here...
Anyhow, i got in to see him and he looked me over, asked a lot of questions and sent me down the corridor for X-Rays. When i came back, he said immediately you are by no means the worst i have ever seen and there are others in a worse condition than you - but i definitely have a case for getting a new hip. There are some variables however that i need to take into consideration. First, given the amount of pain, not only in the actual hip joint (so strange looking at an Xray of your own bones, don't you think), but in the surrounding area of back, pelvis & groin, what he suggested we do first is put a pain blocking shot [cocktail of stuff including steroids? serious pain stuff anyway] into the hip joint, with local anaesthesia, of course! Let that wear off and after 3-4 hours, when i should be normal again, see how the shot blocks out the pain from the hip. And leave me to assess all that and mull it over, for about two weeks, then have me come in again and discuss/reassess.

What i will be thinking about is
1. just how much the shot blocked the pain - if completely or was there still some residual not coming from the hip but spine etc
2. if completely, then it is the hip and that is what it will be like if we replace the hip joint.
3. if it doesn't, that means i do have pain coming in from other places, and although the joint would be good, i would still need to do something about the rest of it, [and it probably wouldn't be anything he could fix by surgery - or so that was what i was reading from him *shrugs* i could be wrong]
4. This is not some wart removal or even a hysterectomy - this is on the level of major surgery like having my gall bladder removed... i need to think about that
5. The after effects - how long does this keep me mobile? we all know about the disposable society but they do try to make this sorta stuff last. Even then i would, i think, be looking at a possible 10 years? depends on how it goes and how i look after myself - maybe more - which would be good. This last part is what we have not discussed as yet.

i think i surprised him when he manipulated my left leg [he was comparing them i think and testing to see if i needed surgery on that too - i do but not now], as he had assumed when i walked in, it was that one i needed him to look at... i think it had an effect on him, though he covered it well... to what end, i am not sure.. What did surprise me, he has not mentioned weight at all yet.

The final thought for the day is this, only you know the pain you are in. They can guess and given the medical knowledge and expertise, it can be a good one. You are still the expert here on yourself and only you know what pain you can stand and for how long. Which brings me neatly to the next bit, i need to think about. i am now at the maximum of painkillers i can take at this strength - to block more pain, i would need stronger ones. The ones i take, while only being Ibuprofen and Co-Codamol, are of a sufficient strength to make me want to doze, a couple of hours after i take them [especially if i eat too and i need to do that, because the pills will make me feel sick on an empty tummy... Catch 22] - if i take stronger ones, i may fall alseep without meaning to - and i don't think the Hotel will think much of that... (My General Manager, is being very supportive, which is nice - not surprising when he tells you his wife is facing a second knee replacement! and knows something of what you are facing)...

Well, i will go sleep on that... i'll let you know how it turns out...

Comments

( 8 comments — Leave a comment )
samifidler
Sep. 13th, 2005 03:13 am (UTC)
Having choices is stressful, but its also hopeful-whatever you decide at least there is an action available to you- I wish you the best possible outcome
lovejames
Sep. 13th, 2005 11:43 pm (UTC)
Thanks for the support, babe, i appreciate it - but cmpared to what you put up with on a daily basis, my shit pales into insignificance...
Hang in there, lady, we need you.
love,
stretfordditto
Sep. 13th, 2005 03:23 pm (UTC)
Hope you choose the best thing for you. They wanted me to take anti-inflammatory drugs and said if they get rid of the pain then you've got something lol. No thanks, hate taking drugs. I just take Co-codamol when it's really bad. I'm refusing to take brufen cos it causes heart attacks. :( Since I started taking Glucosamine I'm feeling a bit better, I thought I'd be needing a stick soon. I'm waiting for the results of my XRays. :) I think we're a lot of ol' crocks on LJ. :D
lovejames
Sep. 13th, 2005 11:48 pm (UTC)
Thanks, Ditto, i have already progressed to the drugs [and the stick!] as i wouldn't be able to move without them... *shrugs* quality of life, i guess - good luck on the Xrays, mine could have been a lot worse...
Ostio is no fun but it could always be worse!!
Enjoy your life now, don't wait for next year - life is too damn short...
take care, pet
(Deleted comment)
lovejames
Sep. 13th, 2005 11:54 pm (UTC)
Hey baby! nice to hear you - he was talking replacement... when we determine how much it would make a difference, we talk again and i will certainly be asking him about resurfacing - thanks for that!
It is so odd sitting looking at a B&W pic of your own bones, i never get used to it and i have had a few...
i'm no where near as bad as Steve, why the hell are they hanging about?! Get another doctor if your's is dragging feet? if i could get in so quickly, it may be my area had more applicants - Harrogate local clinic is apparently full to bursting for months... i went to Bingley - where the hotshot athletes go, according to my taxi driver... i was impressed by some of the names, even I had heard of!! give him a kiss for me..
See you in October, love
kazzy_cee
Sep. 14th, 2005 07:42 pm (UTC)
Ouch - I think you just have to go for whatever you feel comfortable about. My dad had to have a hip replaced last year because arthritis had actually eaten away the ball joint. But he's had nothing but trouble from it since (and he used his health insurance and went Private!). My mum-in-law has it done a couple of years ago on the NHS and had no trouble at all.

If they are used to treating athletes, I would have thought they sound like a good hospital.

Good luck with whatever you decide.
lovejames
Sep. 15th, 2005 07:23 pm (UTC)
Thanks, babe. Your Dad had a rough time of it... nowhere near as bad for me as yet! still it is best to be aware and on top of this now, to make plans for when it is bad.
i thought the recommendation for the Hospital was brilliant coming from a taxi driver, obviously impressed him...
Thanks for taking the time to reply.
take care
kissy kissy
( 8 comments — Leave a comment )