Sunday, August 5, 2012

A hip replacement, then revision, now a shoulder replacement?

My shoulder has been bothering me for several years and just like my hip, it has deteriorated such that, I can;t move it anymore.  I  decided to see a surgeon who does shoulders for a consult. (Surgeons that do hips do not do shoulders.)   The surgeon told me I had to replace my shoulder as it was end stage arthritis and the cartilage was gone.  Just what I didn't want to hear. 

What was interesting about this discussion was the length of the meeting and  responses to my questions:

Q What kind of material do you use on Shoulders?

We use metal on poly.  Why do you ask?

Q I had a hip revision with the Depuy hip and..... (he just interrupted me in mid sentence..)

A Well, you don't have to worry about that because we don't use metal on metal.  We have been using metal on poly for 20 years and there have never been any problems.  the metal on metal folks were all trying to out do themselves to find something better and some of the physicians started using them and they caught on.  Turns out the friction caused the problems.

Q oh really well what are you going to do about the oxidative stress that would be induced yet again with a new surgery on my shoulder considering  my existing issues with stage 4 renal cell carcinoma?  I really can't afford to exacerbate my current condition.

I don't know anything about that.  You have to ask your oncologist.  So, are you going to move ahead with the shoulder replacement or would you like to think about it and call my secretary? BTW/ask your Oncologist to send me a permission note to do this surgery.

Q  Good lord...I just thought, get the heck out of this place fast.

I think it is amazing that some surgeons view their practice as a production line whereby there is no discussion about a thing.  I was so shocked by this 3.2 minute meeting that I walked out in complete disbelieve.  This guy had no clue what the issues were and in fact was completely uninterested.  You can be sure I won't be back there again.

Just for grins and giggles, I am going to look at the shoulder research to see if there some issue with those materials as well.

Sorry I have not updated you on my current medical situation.  This is a hip blog and while there was a connection between the hip revision and the recurrence of my cancer once I was in remission, I feel as though my progress in that area might be out of scope for the blog.  I will update you tomorrow and thanks for the requests on my status guys!  I have spent a considerable amount of time on the direction for my therapy


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