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Total Hip Replacement Surgery (THR).


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#1 Joelf

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Posted 03 April 2015 - 11:44 PM

Hi All,

 

Just to show how Scleroderma spreads it's tentacles; I have just undergone surgery for a Total Hip Replacement (THR).  The reason for this is because I've been taking steroids (Prednisolone) for the last five and a half years, and unfortunately one of the side effects it can cause is Avascular Necrosis (another cause can be excessive alcohol; I like a drink with the best of them, but I don't think this is what triggered it in my case! ;) ) Unfortunately, both my hips have been affected and so both will have to be replaced, but I'm only just recovering from the trauma of the first.

 

I don't intend to bore you all with the tedious details of trying to get the operation organised in the first place (further complicated by the necessity of coming off immune suppressants before and after the operation) as having to liaise between the three hospitals I consult for Scleroderma and the hospital dealing with the operation is a logistical nightmare, for which a tenacious and determined personality is required. Briefly, if I hadn't made a complete pest of myself, it wouldn't have happened.

 

However, on the required date for my operation (having successfully been through the pre-med procedure) I presented myself at the hospital and was prepared for surgery. Gruesome as it may seem, I was very keen to watch the whole thing (having seen it on a video on the internet) and felt sure that it might prove interesting. However, unfortunately, after a spinal anesthetic, I found that there was still sensation in my leg when the surgeon tested it and so I had to have a light sedative and missed the whole thing! Ah well, I'll have another chance with the next one! :wink:

 

The first day after the surgery was miserable; I was in a lot of pain and felt that I'd gone through all this trouble for nothing; however, they tinkered around with the pain medication and that did help. I was doing quite well and was due to come home after four days; however, I noticed on the fourth day that I had a hot red rash coming from my wound to my groin. At that stage I was on crutches, so hobbled out to find a nurse to inform her (pressing the buzzer by the bed was a rather hit and miss affair; I once waited ten minutes to be taken to the bathroom!) She was rather dismissive and gave me the impression that I was making an unnecessary fuss; however, I persisted and she sent a doctor to have a look at it. Having already had a DVT on another occasion I was worried that it might happen again and the doctor took a blood test to check my inflammatory markers and after consulting with her senior colleague, they decided it was cellulitis and put me on a course of strong oral antibiotics, which thankfully did the trick.

 

I was a little concerned that if I hadn't noticed it and made a fuss, I would have been sent home with raging cellulitis, which is very difficult to get rid of, once it gets going. However, that does seem to have been the pattern throughout the whole procedure; a sort of do it yourself situation, so therefore I wasn't surprised really. The actual surgery and immediate after care was excellent; I can't fault the treatment I received. It tailed off a little afterwards and the hospital food was "interesting"; I took a photo of the jelly they served up one evening......it was still in lumps!! I'm not quite sure how anyone can mess up making jelly, but there you are!!  :dont-know:

 

Suffice to say I'm very pleased to be home; I was very surprised at how much the whole operation has taken out of me, as I'm normally very resilient and bounce back fairly quickly ( the human rubber ball, that's me! :wink: ) Thank goodness for my long suffering husband, what a complete star he's been at looking after me! :happy:

 

Ah well, one down, one to go!! :wink:


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#2 judyt

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Posted 04 April 2015 - 11:31 AM

Hi Jo,
Interesting to read of your experiences with your hip surgery. Just hope the next one goes well, but you are experienced now and know what to expect. My husband had a Total Hip replacement nearly 10 years ago. His was because of a bone cancer which destroyed both his joint and part of the pelvis. They assured him that there was lots of hot cement put in there as well as a titanium cage to hold it all in place and to date it has gone well. He gets frustrated by not being able to cut his toenails and bend over as far as he could but the alternative is unthinkable.

I am due to be admitted on Tuesday for Mitral Valve surgery and I am hoping that the routine at my hospital is not quite so 'do it yourself'. Actually, I was supposed to be there 2 weeks ago but they were overwhelmed by too many emergencies and transplants. Since this is the holiday weekend I am just hoping that not too many hoons destroy themselves on the roads because that is where the hearts and lungs come from don't they.

Knowing you as we do I am sure that you will be 'up and at em' in no time at all.

Best wishes
Judyt

#3 Joelf

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Posted 04 April 2015 - 07:57 PM

Hi Judy,

I'm pleased that your husband's hip operation was successful;the operation does seem to have a positive outcome. I understand that doing the exercises regularly is half the battle, so I'm doing them religiously.

At least next time I'll know what I'm in for and make sure I get my husband to provide me with some decent laxatives (constipation is one of the worse side effects of the drugs and anaesthesia and the laxatives given by the hospital were worse than useless!! :wink: )

I'm sorry you've got to undergo Mitral Valve surgery; any operation procedure is not something I'd choose. I shall be thinking of you this week and hoping that everything goes well for you.

Best wishes,


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#4 charliehorse

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Posted 04 April 2015 - 10:36 PM

Hi Jo, 

 

I'm sorry to hear about your surgery. Bad care is so disempowering. I wish you speedy healing.

 

To help get the ball rolling, I thought a little J & W laughter might help: 'Honoria Glossop was one of those robust, dynamic girls with the muscles of a welter-weight and a laugh like a squadron of cavalry charging over a tin bridge.' And: 'It was one of those still evenings you get in the summer, when you can hear a snail clear its throat a mile away.'  :VeryHappy:


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#5 Joelf

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Posted 04 April 2015 - 10:54 PM

Oh thanks so much, Charliehorse. :thank-you:

 

The books are full of so many wonderful phrases and I only have to read a few of them to cheer myself up immensely!! :happy:


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#6 quiltfairy

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Posted 05 April 2015 - 08:56 AM

Hi Joelf,

 

Sorry to hear about your surgery; I hope you heal fast. I am on the mend from my neck surgery and doing good. Yes I do agree with you about hospital food; they kept bringing me stuff I could not eat as I had a terrible sore throat. Some of the food was even unrecognizable, but I am glad it tasted better than it looked.

 

So please keep healing up and if okay Happy Holidays. :flowers:



#7 Joelf

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Posted 05 April 2015 - 09:09 AM

Thanks so much, Quiltfairy :thank-you: and I'm so pleased to hear that you're doing well after your surgery.

I'm glad your hospital food tasted better than it looked; sadly mine didn't!! :wink: :sad:


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#8 Shelley Ensz

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Posted 05 April 2015 - 03:36 PM

Hi Jo,

 

One thing you didn't mention was that as soon as you got out of the recovery room, the first thing you did was to let me know you had online access and could get into the Forums!  I also see you didn't mention that you prepared all the April news ahead of time so that even the newsroom wouldn't suffer in your absence.

 

I'm delighted that your surgery went so well, and especially glad that you were right on top of the cellulitis so that it didn't get out of hand.  It is fabulous to have you "back" in the forums, although I think the only time you were really gone was the few hours that they had you thoroughly knocked out with anesthesia.  I think if you had only had the spinal, as planned, you might have live blogged the whole event, as I had jokingly requested. :blink:

 

Here are some Get Well flowers for you. :flowers:


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Shelley Ensz
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#9 Joelf

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Posted 05 April 2015 - 07:35 PM

Ah well, you can see I've got my priorities right, Shelley; make sure I can get onto ISN and the Forums, no matter what!!

Actually, one good thing about the hospital was that their internet speed was much quicker than mine is at home!! There's always a bright side!! :wink:

Thanks so much for the flowers. :thank-you:


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#10 Buttons

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Posted 06 April 2015 - 02:16 AM

I'm so glad that you've got the first one over with and now you know what to expect from the next one.

 

It does take time getting over a major operation so do remember to take some proper rest along with doing your exercises. A friend of mine had both her hips replaced at the same time! Quite amazing really.

 

Anyway, Take care Jo 

 

Buttons :balloons:



#11 miocean

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Posted 06 April 2015 - 02:22 AM

Dear Jo,

I am glad to hear you are home and on the mend. 

 

Judyt,

Best wishes with your surgery!

 

quiltfairy,

So glad you are doing well after your surgery!

 

What would the medical machine do without us?

 

miocean


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#12 Joelf

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Posted 06 April 2015 - 04:55 AM

Thanks so much, Miocean and Buttons. :thank-you:

 

Two hips replaced at the same time!.....I'm filled with admiration!!

 

I certainly couldn't compete with that, having one done nearly killed me!! :wink: :lol:


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#13 Kathy D

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Posted 14 April 2015 - 08:41 PM

Are you healing well Jo?  


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#14 Joelf

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Posted 15 April 2015 - 04:42 AM

Thanks so much for asking, Kathy; I'm happy to say that my wound is healing very nicely, the cellulitis has been vanquished and each day my hip is feeling a little more stable and I'm able to walk a little more.

I've been given a dozen exercises to do three times a day; it's absolutely imperative that this timetable is adhered to, as the exercises are designed to strengthen the muscles that hold the prosthesis in place;during the surgery they are cut through in order to implant the metal ball and spike in the femur and so to begin with the joint felt very unstable. However, each day does bring a little improvement; being me and rather impatient, I have to be careful that I don't overdo it.:wink:

When the next hip is done, I shall have matching scars on each thigh, but sadly, my bikini wearing days are over, so it won't matter too much!! :wink: :lol:

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#15 Margaret

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Posted 15 April 2015 - 01:02 PM

One of the big no-nos with hip replacement is that you're not suppose to cross your legs, either.  I guess along with no bikini, there won't be anymore mini skirts?!?!?   :lol: :lol:

 

Margaret



#16 Amanda Thorpe

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Posted 15 April 2015 - 01:16 PM

Hello Jo

 

You are really quite remarkable. 

 

Margaret you are quite right! After Ma had her hip done she was so obsessed with no leg crossing that even I wasn't allowed to cross my own legs! Why?! Nevermind.

 

Take it easy Jo and remember that you will soon be better than before...they have rebuilt you...better than before...if that's possible!

 

Take care.


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#17 Joelf

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Posted 15 April 2015 - 07:40 PM

Thanks so much, Amanda and Margaret. :thank-you:

You're absolutely right; crossing the legs is an absolute no-no, as well as bending the hip in a tighter angle than 90 degrees and twisting.

So I'm afraid doing the twist in a mini skirt will just be a distant memory for me.......ah, happy days!!  :wink:  :lol: :lol:


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