Lounge Doctor

Seeking Advice, Need Both Hips Replaced

ScruzEngineer

new member
Joined
Nov 24, 2021
Messages
1
Age
50
Location
Soquel, CA
Gender
Male
Country
United States United States
Hello and I'm excited to find a forum where perhaps I can get some good advice. Due to severe OA in both hips, I need two total replacements. Currently I am on disability due to this issue as the pain and instability severely limit my mobility.

My biggest hurdle seems to be weight: due to a high BMI (just over 50), the first two surgeons said they could not operate. I have been diagnosed with DVT, but besides that, I am in reasonably good health (no prior health issues, no diabetes or cholesterol issues, etc.)

Any recommended surgeons near Santa Cruz, CA?

Also, I am in need of health insurance as I was "terminated for medical reasons." Any thoughts on Kaiser versus say Dignity Health for my issues?

Thanks for any help you can provide, I appreciate your time and assistance.
ELI
 

djklaugh

FORUM ADVISOR
Forum Advisor
Joined
Sep 5, 2011
Messages
2,914
Age
74
Location
Oregon
Gender
Female
Country
United States United States
@ScruzEngineer Welcome to BoneSmart :welome: I'd say get the insurance issue sorted first - I have Kaiser in Oregon and have been very happy with them (insured by them for 40+ years and worked for Kaiser -not in orthopedics - for 24+ years) - like any big bureaucracy there are problems but over all they provide very good medical care. I've had bilateral hip replacements and 2 shoulder replacements through Kaiser and have done very well with those surgeries. I do not know anything about Dignity Health. Perhaps someone else here will have information for you.

Since Kaiser is an HMO it is hard to get info on surgeons within the system as they do not have individual websites and usually do not show up on any other rating site. Within the system (if that is the way you choose to go) you will need to see a primary care physician first and get a referral to an orthopedic surgeon. I do not know what Kaiser in California's policy on BMI measurements and surgery might be. Do the best that you can now to lose some weight ( difficult I know when your hips hurt!)

And do ask specifically to be referred to a surgeon who is willing to do bilateral hip replacements - IMO that is the best way to go when one has 2 deteriorating hips. BTHR=one hospital stay, one surgery, one recuperation and more rapid return to a normal gait - all the reasons my surgeon gave me for doing both at once. Though having said that, and not being a doctor and not knowing your medical situation - there might be medical reasons why BTHR would not be a good option for you. That decision would be up to the surgeon.

Best of luck to you and do keep us informed on how you are doing. We do like to help.
 

SunSequitur

new member
Joined
Nov 24, 2021
Messages
1
Age
55
Gender
Female
Country
Canada Canada
@ScruzEngineer First of all best of luck with everything. I am just at 7 wks post op from RTHR. Doing phenomenally well. I was right on the cusp of having a BMI that was too high for surgery. I struggled because my hip was too painful to move or exercise and I have hypothyroidism Which just aiding in packing on the pounds. Consuming a balanced but low 1000-1100 calories a day and I could not lose an ounce. Once my Surgery was confirmed and surgeon assessed me it Was very clear that my weight was his only, but a large, concern for complications. So once we agreed to move forward I enlisted the help of my GP and endocrinologist to help me drop weight. In the 3 month lead up to surgery they put me on liguratide (Saxenda is the trade/ brand name) and I lost 38 lbs that brought my BMI into a very safe zone for the surgery. (I am still quite overweight and continue to work on it but this gave me a great head start ). My surgeon was thrilled. And as I said my surgery and recovery went really, really well. Once you get your insurance sorted it might be worth a consult with your docs about getting medication help/ support to help with weight lose to help set you up for the most successful outcome possible.

All the best!
 

Going4fun

graduate
Joined
Jul 23, 2018
Messages
866
Age
59
Gender
Male
Country
United States United States
Dr. Michael Parks at the Hospital for Special Surgery in New York City operates on patients with high levels of obesity. There was an article in the newspaper that said he is on some committee for an orthopedic association dealing with weight and joint replacement.

I suggest you google him and find his office number and call and tell the office of your situation and ask if Dr. Parks can recommend anyone on the west coast who is comfortable operating on people with your weight situation.
 

New

OneStep App

BoneSmart #1 Best Blog

Staff online

Members online

Forum statistics

Threads
57,673
Messages
1,471,256
BoneSmarties
35,391
Latest member
irving95
Recent bookmarks
0

Top Bottom