Sunday, November 28, 2010

Questions to ask Your Physician on a First Visit:

This is my preliminary list regarding the initial questions for my first appointment with my surgeon on November 30th. If anyone has additional questions that I missed, let me know.

Discuss any symptoms with my doctor.

How do I know if I need a revision surgery?

If revision surgery is necessary, do I have to receive a replacement hip manufactured by DePuy?

Given the allegations surrounding the problems associated with the devise, should it just be replaced regardless of the presence of symptoms and the severity of them?

Should the surgeon who installed my original hip replacement perform the revision surgery to replace my faulty device?

What tests need to be done for each of the 6 things below and what is the overall plan for monitoring these things?

What is the probability (via data if there is any) or likelihood of any of these conditions below occurring?

What are the symptoms associated with each of these conditions which have been alleged to be caused by this hip replacement? (see other sections of this site for more information on these issues):
  1. Aseptic Lymphocytic Vasculitic Lesion (ALVAL)-
  2. Osteolysis
  3. Metallosis
  4. Cobalt Poisoning
  5. Pseudotumor
  6. Cancer

What are the exact precipitants (describe them) for having the surgery given some of the allegations re problems do not result in pain?

What is the issue with filing with Depuy…Will the patient  have to give up records in order to get reimbursed  for visits like this and or provide releases?

Why have you asked me to register with Depuy prior to this first visit?

What are you going to do with my medical records as they relates to Depuy?

Does my orthopedic surgeon have a financial interest in DePuy?
  • Guarantees to use the product
  •  Financial remuneration for referring patients to Depuy?
  •  other

Why did your letter to patients....
  • Seem to minimize the problem in the light of the evidence?
  • Advise that we should contact Depuy prior to the appointment?
Connie

7 comments:

  1. ALSO, ASK YOUR ORTHOPEADIC SURGEON IF A SALES REPRESENTATIVE FROM THE PROSTHETIC MANUFACTURER WILL BE ATTENDING YOUR HIP REPLACEMENT SURGERY!!! I KNOW ZIMMER CONSISTENLY HAS A SALES REP IN THE OPERATING ROOM DURING THE SURGERY!!! UNBELIEVABLE - SUPPOSEDLY THE DOCTOR OFTEN NEEDS TO ASK THE SALES REP "TECHNICAL" QUESTIONS IF HE IS IGNORANT OF THE PARTICULAR ISSUE. DOCTORS ASKING SALES REP.'S FOR TECHINCAL MEDICAL ADVICE...DURING THE ACTUAL SURGERY??? NOW THAT IS DUE DILIGENCE FOR YOU IN THE MEDICAL PROFESSION. PROFITS MAKE STRANGE BEDFELLOWS TO SAY THE LEAST, ESPECIALLY WHEN PROFITS ARE MADE OVER PEOPLE'S WELL-BEING.

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  2. Hello,

    Well, often times, the reps from many medical device companies selling in the OR are present during surgery, especially when the devices are new to the market.

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  3. I had a Zimmer hip replacement(r) in April 2008. Worked fine the first year except for a fall on ice where I broke a pelvic bone. Then by 2nd fall as in season, I was walking several miles a day. Last year I tried to keep walking and did PT as the pain was worse. And I complained. This year I stopped walking. Pain is bad. The doctors have done tests and say it is arthritis. I attempted to rise from a school chair a week ago and the pain shot from my hip to my foot and set me back down. I thought I broke my femur. Other than soreness, it seems ok. I cannot balance on R leg and am very careful going up and down stairs. About 2 months ago, I attempted to get off a step ladder and lost my footing when my R foot turned inward and I had no feeling on R side from hip on down. I ended up on the floor. Yeah, "I've fallen and I can't get up." Except I managed too. Last January I had a very bad infection in my tonsils and was left with an eyesight problem. Could this be from the cobalt? And within the last 2 months my BP has gone from 90/70 which it has always been, to 145/95. Could these all be symptoms of cobalt poisoning? Or metal poisoning? I do not smoke, drink nor take birth control pills nor did I ever take them more than a few months in my whole life. My doctors keep brushing me aside because I refused more PT. The last round increased the pain and I cannot afford it anymore. And I will not take cortizone injections. Never would put that stuff into my body. If any suggestions can be offered, it would be appreciated. I will be going back to my primary care soon and I want to go prepared.

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  4. Hello Anne,

    Thanks for your comment. First, sorry to hear of your issues. I have a couple of thoughts but first wanted to mention that I am not a medical professional. I have just spent a great deal of time studying the issues related to the hips.

    (1) certain Zimmer hips have been recalled. Were I in your shoes, I would go back to the othopedic surgeon who put your hip in. Here is the post which addresses the Zimmer recall: http://www.mydepuyhiprecall.com/2011/09/other-hip-recalls-in-2008-zimmer-durom.html (copy and paste this URL into your search bar and it will take you to this topic on the blog. The title of the article incase you want to put it in the search box for the blog: Other Hip Recalls: In 2008-Zimmer Durom Implant (5 of x)

    I just posted this a few days ago. I would look at what type of hip you have.

    (2) I would likely choose to go to the orthopedic surgeon and not the general practionier. Likey a GP will not be familiar with these issues.

    (3) symptoms of metal poisoning:

    Here are just some of the metal toxicity symptoms:

    Fatigue, nausea, problems with balance and memory, and also more specific symptoms, such as tinnnitus, vertigo, vision and hearing problems, headaches, and more.

    As you can see, these are all conditions that can be due to all sorts of things, so they are not reliable indicators whether or not you are affected by metal toxicity or chromium or cobalt poisoning. And their absence does not mean much either.

    This is by no means an exhaustive list.

    Hope this helps. let us know how you make out.

    Connie

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  5. Connie, I am trying to post but having a problem. Thankyou for your help. The above post and link led to some very good info and valuable too. If my posts came thru please only allow the one that makes the most sense. I just want to thank you. My GP is sending me back to my ortho. I have calmed down and do realize that there is a process to this that has to be followed. I can be an impatient person and am not finished with life yet. I do not want it taken away from me.
    Thanks again.
    Karen

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  6. I was with a Medicare Advantage plan HMO when I first experienced hip pain in 3/10. I went to my original surgeon who refused to see me because I did not have his insurance. Then my insurance company orthopedic surgeons all refused to see me and my insurance company said I could only go to the original surgeon. I finally relented and got a cobalt test from original surgeon after signing Broadspire paper. Cobalt was 20 and next year was 27. Still no HMO doctor was permitted by insurance company. Any body else caught in the trap of who pays?

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  7. my medicare Advantage HMO will not permit me to see a network doctor and Depuy will not pay until insurance pays so I have no orthopedic surgeon unless I pay out of my pocket. Any body else?

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