THR Solar7's Upcoming Surgery

Solar7

junior member
Joined
Apr 19, 2023
Messages
81
Age
37
Location
Las Vegas
Gender
Male
Country
United States United States
I'll update the title (or ask mods to do so) as things update, but I'm approved to move forward, and the surgical date will be locked in soon... most likely very late August, or early-mid September. As anyone that's read my threads knows, I'm following up a pretty complicated situation as a younger person (36) where I broke my pelvis last year. I've had lots of doubts about this, but I have avascular necrosis in my femoral head on the opposite side of my break.

Followup scans are showing that the avascular necrosis (AVN) on the soon-to-be-replaced left side has halted if not healed a bit, and the AVN on my right side has recovered to levels that radiologists aren't diagnosing it at all, meaning I'm years away from needing any replacement there, if at all. Regardless, I'm getting my left side replaced. A year ago my cartilage was perfect... now the AVN is starting to hurt it.

What's frustrating is that tonight I was able to singularly balance on my soon to be operative hip for the first time in a while, with no assistance. I've always had the balance of a flamingo, meaning I could stand on one leg practically indefinitely. And on the side of the pelvis that I broke, it's healed so much so that doctors say there's not even evidence of the break. I'm able to stand and balance on that leg like nothing ever happened, and I can pick myself up and out of a chair with it without using my arms or the pre-operative leg (not that I'm planning on trying that out of a chair when surgery is complete, but I have some newfound confidence that I won't be really struggling trying to get into a walker).

I'm having an anterior approach with Mako assist, and while I 100% have listened to the others on the forum here about how approach isn't that important vs. trusting your surgeon and care team, it's what I want. I feel too young to cut through a lot of tissue, I feel the restrictions imposed on a posterior approach are really bad for me given how I normally function, and the chances of a limp from the lateral approach would make me wonder why I bothered with the surgery in the first place if I had to deal with that permanently. Being numb in my thigh and some zaps seem more tolerable long term.

But, that brings me to my next point - I don't have any strong trust in my surgeon or care team. He seems good enough. I guess the best of my limited options. I prefer him to the other insurance covered surgeons. He's not sending any home PT. He's leaving the state for good after my 6 week appointment. If anything goes wrong... I have no idea what we'll do (the we being myself and my parents who are taking care of me and temporarily helping me financially). I really wish I had a wider range of options, but it's either this office, or I pay out of pocket, and I'm at least relatively closer to paying my high deductible in this case.

There's some layers of interest here. If I hadn't quit my job last year, I'd have better coverage for a replacement, but I wouldn't have gone on the vacation where I broke my pelvis, and I wouldn't have gone to the doctor because my career doesn't let time off for doctor/dentist visits. You save those for interviews with other companies. My limp wouldn't be as pronounced without the time I spent in the hospital for that break. So I'd just be coping with no idea there was a problem. It's a mixed blessing I'm unemployed and hurt.

But I can't get a job for better insurance. No one wants to hire someone who needs 8-12 weeks off right off the bat.

It's so scary right now knowing that I can still do a fair amount of things with my legs, getting into this surgery where I don't know what waits for me on the other side. I've limped into some movies this year, and I still have what I call "good leg days" where I can stand like a normal person... and after those three months on crutches/in a wheelchair, I'm afraid to let those days go. Just today I stood for a nice ten minutes talking to my friend that's in from out of town, and while I wasn't walking right, the mostly pain free standing made me wonder if I'm making the right choice.

Lastly, I'm so frustrated with people's expectations of me. Something that has helped me in my career is to "underpromise and overdeliver," but everyone around me, including my surgeon, seems to want to constantly push the best case scenario as if it's the only scenario. I post here, on the hip replacement subreddit, and on a THR Facebook group, and I very much prefer to hear the realism of those going through struggles than hear the miraculous recovery stories. I don't want to get too optimistic about my own recovery, or let people around me set expectations of where I should be and when I should be getting back to work.

Like, my surgeon promised to my mom and I that I'd be driving at two weeks... but not 100% independent to be in my home until six weeks. That's insanely incongruent. How am I going to be able to drive and go do things, but not capable of say... safely taking a shower alone for another month after? Maybe he means a joyride around the neighborhood to see the sun, and not an hour in traffic, but the standards being set by him and the "my 96 year old aunt Eunice rejoined the circus on day three" crowd don't match what I hear here on BoneSmart, or from others who have actually had the procedure. The false positivity is becoming toxic, and will lead to people in my life getting disappointed with me.

Anyways, I figured I'd let my whole story live in this thread instead of the others I'd posted before, and as I get updates, I can ask the community here about other things I should know. Thanks for letting me vent.
 

Mojo333

Staff member since August 15, 2017
BoneSmart Staff
Joined
Mar 8, 2017
Messages
29,280
Age
60
Location
GA
Gender
Female
Country
United States United States
:wave: @Solar7
Im glad the images showed your break is healed and other encouraging improvements.:ok:

This, along with your overall fitness, should get you through your initial short-term recovery phase, with a renewed confidence.:) :-) (:
I know you are still struggling after your long non weight bearing rehab for your broken pelvis, but you will find that you will be remarkably mobile (albeit with discomfort, obviously) right after your surgery.

Glad your date is coming soon....time to get this hip fixed and then the career concerns can be addressed after healing
I didn't have in-home PT prescribed after my BTHR, and as a matter of fact, I delayed the out-patient PT for several months as it was unhelpful.
Lots of great advice and encouragement here, and the forum was a great recovery resource for me.
6 years out, and still grateful double hippy!:chuckmarch:
 
OP
OP
Solar7

Solar7

junior member
Joined
Apr 19, 2023
Messages
81
Age
37
Location
Las Vegas
Gender
Male
Country
United States United States
@Mojo333 thanks. Hoping it goes well, but since I wrote this long post another wrench has been thrown in the gears.

I can't get my pre-surgical CT scan until August 22nd now, and can't pick a surgery date until that's done. Now the window for seeing this surgeon is getting dangerously narrow given when he's leaving. Ugh. Why is this so complicated? I feel like people on waiting lists in other countries are getting this process completed faster than I am.
 

Jaycey

ADMINISTRATOR Staff member since February 2011
Administrator
Joined
Jan 27, 2010
Messages
41,057
Location
Yorkshire
Gender
Female
Country
United Kingdom United Kingdom
@Solar7 Just take things one step at a time. The surgeon's office can just abandon you. If he has signed up to do your surgery I am certain that will happen. Just get to know the support staff in the office. They will be the people you see post op.
 
OP
OP
Solar7

Solar7

junior member
Joined
Apr 19, 2023
Messages
81
Age
37
Location
Las Vegas
Gender
Male
Country
United States United States
@Solar7 Just take things one step at a time. The surgeon's office can just abandon you. If he has signed up to do your surgery I am certain that will happen. Just get to know the support staff in the office. They will be the people you see post op.
Unfortunately the reality is that he and the care team aren't certain it will happen now. We assumed things would go pretty smoothly. They did suggest that I could move to another surgeon, but that means starting over... and as I've shared with you and others, this means a lateral approach, which I'd really not prefer. I know it really shouldn't be about the approach, but I still have my preferences, including robotic assist to help in the process, something none of the other surgeons offer.

As it stands right now, I won't be back in the office to get to know the support staff until 10 days prior to surgery. My dad was nice enough to go check with them for me, and they're unwilling to have another appointment until then.

:gaah:
 
OP
OP
Solar7

Solar7

junior member
Joined
Apr 19, 2023
Messages
81
Age
37
Location
Las Vegas
Gender
Male
Country
United States United States
EKG is done... that's cleared. I have a chest x-ray upcoming next week (no expected problems, I'm a young non-smoker), my pre-op bloodwork is delayed because it needs to be within 30 days of the surgery. But my last round of bloodwork was just fine.

I still need the CT, which is the big restrictor, it's moved up to the 17th. Once I have it, I can set a date if the surgeon and hospital have the space.

Getting closer.

Edit: My iPad's a big fan of cutting out text while typing. Revised.
 
Last edited:

Mojo333

Staff member since August 15, 2017
BoneSmart Staff
Joined
Mar 8, 2017
Messages
29,280
Age
60
Location
GA
Gender
Female
Country
United States United States
Yay :wave:
Closer to getting on the recovery road so you can get back to a healthy happy life.:happydance:
 
OP
OP
Solar7

Solar7

junior member
Joined
Apr 19, 2023
Messages
81
Age
37
Location
Las Vegas
Gender
Male
Country
United States United States
In the spirit of keeping my stuff to one thread from here on out - are there any solid places to look for information about pre-surgery and post-surgery nutrition? "Eat nutritious food" is a common refrain but I really only eat once a day right now and I expect that will have to change post-surgery. I also know my supplements will have to go away ten days before surgery, and be resumed after as possible.

But neither myself or my parents are avid chefs. I'd like to lose 10-15 lbs pre-surgery just to make things easier on my upper body (losing weight is pretty fast and easy for me). But post-surgery I really have no idea what nutritional guidelines to be setting out.

Thankfully I can't stand sweets like candy, ice cream, pastries, soda, so that's not going to be a problem for me.

Appreciate any resources anyone has in advance!
 

benne68

Staff member since February 4, 2022
BoneSmart Staff
Joined
Sep 5, 2021
Messages
2,569
Location
Connecticut
Gender
Female
Country
United States United States
Hi @Solar7

I think you'll find this article helpful:

 

CricketHip

Staff member since June 5, 2019
BoneSmart Staff
Joined
Jul 12, 2015
Messages
7,253
Age
68
Location
PA.
Gender
Female
Country
United States United States
We have many excellent articles on nutrition, especially in regards to pre op and post op recoveries.
I'll leave you a link HERE
 
OP
OP
Solar7

Solar7

junior member
Joined
Apr 19, 2023
Messages
81
Age
37
Location
Las Vegas
Gender
Male
Country
United States United States
Just continuing to laugh about how ridiculously bad my care team has been in spots... went to my my GP's office for pre-op exams with the nurse and to get scheduled for the X-ray last Friday like I mentioned. Well, I called the x-ray provider for an appointment, because they were supposed to call me first. No referral. I call the office for my care team, mid-afternoon... they closed early.

I get forwarded to an answering service for the company that operates these clinics. The person on the other end is mad the office closed early, they're not supposed to do that. They leave a message to figure out why my referral hasn't been processed in nearly a week, and I'm expecting a call back. No call back. So I call again yesterday and finally get a receptionist in the office, who can't get in touch with the nurse or my doctor, but will leave another message, sigh.

Doctor finally calls me back. The nurse told me the wrong clinic to call. Not even like, the wrong office in the correct network, a completely different network, lol. So that's sorted.

I like my general practitioner a lot, but this city's medical care is making me considering a career change to healthcare. I've never encountered so many "oops" moments in my professional life before.
 

djklaugh

Staff member since December 30, 2020
BoneSmart Staff
Joined
Sep 5, 2011
Messages
4,261
Age
76
Location
Oregon
Gender
Female
Country
United States United States
@Solar7 Good grief I've heard of glitches, snafus, etc but your stream of such things has gotta be a record! Sure seems like an intensive course in basic communication skills is needed by practically everyone! :hairpulling: :banghead::holysheep::oyvey:
 

zauberflöte

alpha
Joined
Mar 8, 2013
Messages
5,540
Age
71
Location
Central Virginia
Gender
Female
Country
United States United States
Hi @Solar7 ! That's astounding to me, that the AVN is stopping and/or reversing, and I hope that trend continues! As to your ortho office... sounds like a mess but I hope things will progress more normally asap!

I'll mention the OS remark to you that you'll be driving at two weeks but not independent at home alone for several more. That does seem incongruent on the face of it, but there's more to being totally independent than just piloting a car. I would agree, you could expect to be able to make a panic stop without hesitation at 2 weeks our-- so yes, you can drive! But the first few times out you may want to schedule a little rest at the other end before you turn around and come home, just to see how your energy levels are doing. You will probably have more energy than those of us in our 60's, that's for sure!

But at two weeks I was certainly not sleeping like a baby through the night, and the recovery fatigue for all of us is very very real. Your body is putting most of its energy into healing the large insult to your hip, and there may be nap attacks, a day when you just feel physically slammed, a day when you're unwilling to do a single thing-- interspersed with days when you feel wonderful-- so wonderful that you overdo things and crash the next day.

A good number of people on here over the years have had to recover alone at home. They put a good deal of organizational elbow-grease into it, and succeeded-- with help and preparation. Every recovery is different, even one person's two hips. My first (age 61) was the harder one, but even then by the time two weeks were up I was ready to let DH do his customary three-days-per-week overnight business travel, and care for (well, clean up after) a special-needs adult child who unexpectedly came home from school during that time.

I think the bottom line will be, after a few weeks you will be driving and showering and navigating many things quite well, with that post-op energy drain (there's an article in the library on that...) coloring just how much you can accomplish in any one day.
 
OP
OP
Solar7

Solar7

junior member
Joined
Apr 19, 2023
Messages
81
Age
37
Location
Las Vegas
Gender
Male
Country
United States United States
CT Scan was completed today... as long as the scan is accurate, that's the last of my scans.

That means... I made the call to schedule the surgery today. Had to leave a message, but I could hear back tomorrow or Monday and have to make the decision. :scary:

Oof. Here goes. Might be getting a Bonesmart signature soon!
 

Jaycey

ADMINISTRATOR Staff member since February 2011
Administrator
Joined
Jan 27, 2010
Messages
41,057
Location
Yorkshire
Gender
Female
Country
United Kingdom United Kingdom
@Solar7 You have come a long way my friend! A hard decision I know. And the waiting is the worst part of this process. We are with you all the way!
 
OP
OP
Solar7

Solar7

junior member
Joined
Apr 19, 2023
Messages
81
Age
37
Location
Las Vegas
Gender
Male
Country
United States United States
Yeesh, I've been a Xenforo mod on two other forums so long I forgot that permissions are locked to edit thread titles or your own older posts after a while.

I have a surgery date: September 18th, 2023. A month from today. I *might* push it back at the request of my mom. But unlikely given the urgency of the departing surgeon.
 

Layla

Staff member since November 20, 2017
BoneSmart Staff
Joined
Jun 26, 2017
Messages
35,786
Gender
Female
Country
United States United States
Do you want your thread title edited? If so, please let us know and we'll make the change. :)
Congrats on getting a date! Wishing you a nice weekend and comfort as you await your surgery date.
@Solar7
 
OP
OP
Solar7

Solar7

junior member
Joined
Apr 19, 2023
Messages
81
Age
37
Location
Las Vegas
Gender
Male
Country
United States United States
Do you want your thread title edited? If so, please let us know and we'll make the change. :)
Congrats on getting a date! Wishing you a nice weekend and comfort as you await your surgery date.
@Solar7
Can we just update it to something like "Solar7's Upcoming Surgery" and consolidate the main post to something like:

"Wow, this has been a journey, from an unexpected injury, to a lot of hurdles with medical care... this has been a big challenge! More info as needed, but moving along to my operation."

Thanks!
 

Layla

Staff member since November 20, 2017
BoneSmart Staff
Joined
Jun 26, 2017
Messages
35,786
Gender
Female
Country
United States United States
Hi again. I edited your title, but I am not sure Admin would want me to delete your initial post in favor of what you quoted above, if that's what you meant.

It is part of your story leading to your joint replacement and I am sure some will relate and many may find your journey interesting. You may also enjoy reflecting back at a later date and not only realize how far you've come, but how grateful you are for the opportunity at the second chance the surgery can offer. Thoughts?
@Solar7
 

BoneSmart #1 Best Blog

Staff online

  • Layla
    Staff member since November 20, 2017
  • Jamie
    Staff member since Feb, 2009

Forum statistics

Threads
63,424
Messages
1,567,384
BoneSmarties
38,466
Latest member
blondie14
Recent bookmarks
0
Top Bottom