Hip Surgery Sucks
Six months ago, I walked through the door of the Virginia Mason Hospital with a smile on my face and no clue that my world was about to change forever. I had hip pain for almost 4 years and my father, Robert Shaw, accompanied me into the hospital to get it checked out. We checked in and the lady at the counter spoke to us saying, “Head up to the 6th floor and then walk down to the Lindeman Pavilion”. We walked over to the overcrowded elevators and crammed ourselves in and waited. Once we got to the 6th floor we exited and checked in at the Lindeman Pavilion where I was taken into the radiology lab for x-rays. As the x-rays were being taken I thought to myself, “Why would we be taking x-rays for a muscular and tendon problem”. I realized how strange the whole thing was. “Why do I need a specialist for something so minor. “Won't I just need some physical therapy?” I
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I was optimistic for the future and I believed that with some hard training I would be back in shape and winning state in no time. It was a cold Sunday night and my family had just eaten. I walked outside to get some fresh air when my mom ran outside yelling, “The doctor called and your surgery got moved up to this Monday”. I stared at her in shock. I couldn’t believe they had moved it up from three months from now to tomorrow. “We have to be there at 5:00 so we have to get up early” she continued. We woke up the following morning and left immediately. We got there and we were rushed into Pre Op after some tests. I began a long process of poking and prodding as they got me ready. They even made an incision in my back that hurt like heck. They slid in a tube to administer nerve-blocking medicine similar to an epidural. Before long I was in the operating room with a doctor making a stupid joke. I remember him saying, “ What kind of bagel can fly. A plain bagel” I responded by saying, “That's a stupid joke” in a slurred voice as I passed
During the interview, the Physical Therapist I conferred with was very thorough and straightforward in his responses to the questions that were given. I decided to interview another one of my mother’s fellow co-workers, Mr. Stephen Chan, considering his new experiences in the Physical Therapy field. I met with Mr. Stephen Chan at the Kaiser Permanente Outpatient Orthopedic Clinic that is located in Union City. The essential subject matters that we discussed consisted of his Major and Minor in college, the Residency Program that he takes part in, variations of attitudes, and advantages in the workforce.
So i have therapy mondays and wednesday. And when i went back that monday my therapist was surprised of how good i’ve gotten, because i was able to move my knee more and bend my knee more than 70%. She told me that it was good but my goal is 120% or more, for me to get to the next step of surgery. So i focused on that, and i was putting in twice as much as work i usually put in. Because the only thing that's on my mind is to get back on the field and work my way to become stronger and better. Also do what i love to do and enjoy playing with my friends and family. That's the only thing i’m striving for is to come back healthy and strong. And not do the same mistake as i did before to put myself in that situation. Finally almost that time for me to receive a phone call from my sergeant to tell me what i should do before i come in for surgery. She told me to not eat or drink once it's 7:00 because i was scheduled to have surgery at 9:30 and also she told me not to put on any lotion on my knees. So i did what she asked me to, and that whole day i been thinking about what is going to happen and would i ever be the same and how would it take for me to come back and be fully healed. So i went to the hospital it was almost time for me to have surgery and i was kind of scared but i was really looking forward to just get it all over with it. After i got done with surgery i was in so much pain that couldn’t move at all. Because if i even tried to move my leg that i would be in so much pain that i have to drink my pain killers. Once i got home i was in so much pain that i didn’t sleep for a whole week straight. But then i started getting used to sleeping without a problem or pain. But my doctor would always called me and told me what to do or if i had any problem to just give her a call. Then i asked her the next day when i could start walking and stuff. She
In orthopedic surgery, iliac bone graft which is commonly used for treatment nonunion or spinal fusion is contained multipotential stem cells or mesenchymal progenitor cells. These cells are found approximately 1 in 10,000 nucleated cells in the bone marrow. Friedenstein et al. (1970) reported that a rare population of cells was found by plastic-adherent ability (Friedenstein et al., 1970). These cells are capable of proliferation and mesenchymal lineages differentiation (Pittenger et al., 1999, Caplan, 1991). Unique antigens of MSCs (hMSCs) are controversy and the limited popularity of sorting cells techniques are not as widely used as gradient media in MSC isolation. Most MSC populations have been isolated by plastic adherent ability which is similar to that originally used by Friedenstein. Direct BM plating method is commonly used for cells from small animal (Lennon and Caplan, 2006, Nadri et al., 2007) but in human bone marrow, Density gradient centrifugation is the most commonly used method for isolating MSCs.
“The purpose of a doctor or any human in general should not be to simply delay the death of a patient, but to increase the person’s quality of life.” Orthopedic surgeons treat a number of conditions that affect the bones, joints, muscles, tendons, and nerves. The training to become an orthopedic surgeon requires multiple years of hard work and studying, but in the end, the success is worth all the stress and struggle experienced on the way. Most doctors must dedicate every fiber of their being, countless hours of work, and years of stress in their chosen profession. Medicine is only for those who can’t imagine doing anything else.
A year and three months ago, I was at football practice. I was on the defensive line. I tripped up the running back, but the running back landed on my left ankle. The result was a fracture on my left tibia. I played on my injury for two weeks. At that moment, I was not able to play football for the rest of the year. During this summer, I injured my back. I began to accumulate information about how to treat my injuries. While I was researching, the words physical therapy popped up. I clicked on them, and the article discussed what a physical therapist does. When I was halfway down the article, it stated that a physical therapist helps people with injuries like mine. After researching, I decided to be a physical therapist.
The hip joint is a large ball and socket joint designed to withstand significant stresses such as supporting our body weight when running and jumping, in addition to the normal wear and tear of daily activities such as walking and stair climbing. The hip joint is comprised of the head (“ball”) of the femur (“thigh bone”) and the acetabulum (“socket”) of the pelvis. Surrounding the hip joint are many tough ligaments that provide support and protection to prevent the dislocation of the joint but allow a wide range of movements. The strong muscles of the hip region also help to hold the hip joint together, to move the bones and prevent dislocation. Cartilage lines both the acetabulum and the head of the femur, providing a smooth surface and preventing friction between the moving bones and allowing them to glide smoothly past each other. Between the layers of the hyaline cartilage, there are synovial membranes that secrete watery synovial fluid to lubricate the joint. It is this cartilage that is the primary source of pain in a hip joint with osteoarthritis (OA).
I had just finished facing my fears watching the metallic needle slip so seamlessly under my skin into the veins of my nervous, clammy hand. Hugging my Mom like it could have been the last time I saw her, seeing my dad's face stern and worried. I wheeled down the hall into this operating room, white was all I saw, a bed in the middle for the surgery to go down. As I lay on the bed waiting to be put under I remember seeing the blue masks of the people to be operating on me, I had to put all my trust in them, trusting someone you seen for less than 5 seconds with your life. Absolutely terrifying. The nurse slipping the fluid into my IV as I lay on my back looking up at the white ceiling, this cold sensations rushed over me. Then suddenly, I was out.
Total Hip Replacement (THR) is a surgical procedure that relieves pain from most kinds of hip arthritis, thus helping to improve the quality of life for the majority of the patients that undergo the operation. Arthritis simply means "inflammation of a joint." Arthritis can occur in any joint in the body. The main symptom of arthritis is pain which usually worsens with activity and weight bearing. This pain may be relieved most of the time through rest. There are over 100 types of arthritis but less than a handful account for over than 95 percent of the hip replacements that are performed. Some of these include Osteoarthritis (causes deterioration of the cartilage and the growth of bone spurs), Rheumatoid arthritis and Osteonecrosis of the femoral head. Doctors suggest that before considering hip replacement surgery for arthritis that the patient tries a number of non-operative interventions. Your doctor may have you consider little things such as weight loss (most arthritis is caused due to the weight bearing on a joint), activity modification or even the use of a cane. Patients should consider THR when daily living activities become harder to accomplish due to the pain. These activities would include walking, climbing stairs or other moderate pastimes. Anti-inflammatory medications which will help reduce the inflammation from the arthritis and reduce your pain may also be prescribed by the patient's doctor.
Total hip replacements due to osteoarthritis is common among the middle aged and elderly population ( Ref). In a study conducted in Brazil, researchers looked at several factors that impacted returning to activities of daily life to determine which rehabilitation protocol was more effective. This study focused on the care received post operatively for fifteen days after total hip replacements related to osteoarthritis had been performed. In this study participants were evaluated to measure the outcomes of using two different rehabilitation protocols for activities of daily living, mobility, and pain*.
Tests after tests including MRI’s, X-rays, and experimental procedures were performed to show I had five ruptured disks in the lower lumbar section of my back. Tedious Examination done by a group of doctors concluded I had a crippling disease of the spinal column called spinal stenosis. Spinal stenosis is a narrowing of the spinal canal that causes compression of the spinal cord. (Lohr,1) If this disease was ignored any longer, it would lead to many other problems affecting other areas of my back to help support this weakness. It was an extremely rare case for an athlete my age.
At the facility my father attended, I saw professionalism of the physical therapist first-hand as he showed compassion and empathy to my father and that is when I obtained my passion to become a physical therapist. My father was far from being an easy patient to work with. On certain days, my father would arrive depressed and be in no mood to participate in any of the treatments or modalities. Instead of giving up on my father’s impossible case, the physical therapist spent hours researching the rare condition and found the best way to approach the situation. With the help of the physical therapist, my father began to develop a positive outlook on life. The physical therapist helped my father maintain his muscle mass as well as making my father feel as if he is not alone in dealing with his aggressive disease. From my father’s experience, I learned that a physical therapist is not only there for the patient physically, but also mentally. The physical therapist never failed to put himself in my father’s shoes, leaving his compassion and empathy to inspire me to incorporate it into my work as a physical therapy aide and hope to continue to do so as a student and professional in the field of physical
I have been exposed to the medical field my whole life. My Mom was a nurse and I would love to listen to the stories she told about her time in the hospital. If anybody asked me at the age of five what I wanted to be when I grew up, I would say “a nurse like my mom.” A few years later I decided I wanted to be a doctor from the few times I got to watch the television show “ER”. The beginning of my interest in physical therapy was when I met my fourth grade pen pal, Elmo, at a nursing home. Elmo had muscular dystrophy and only retained control of his right arm and pinky which allowed him to manouver his wheelchair. During one visit where we got to spend the whole day with our pals, the physical therapist at the nursing home came to see Elmo. I was allowed to stay and I remember thinking it was so cool that there was one person to help Elmo retain the little muscle tone and mobility he had left. In sixth grade, my class went to the hospital to sing Christmas caroles and I remember the coolest place being the physical therapy room. I thought it was amazing how patients were learning to walk again or throw a ball.
Before I was born, my grandfather was involved in numerous surgeries on his left knee to fix torn ligaments as a result of his line of work. As time went on, the physical effort took a toll on his good knee, prompting additional surgeries. At the time, doctors suggested a bone or joint fusion surgery to help with the type of injury he sustained. It was a permanent procedure ultimately resulting in the inability to bend at the joint and making his left leg two inches shorter than his right. Everyday tasks that I had taken for granted, such as driving a car, using the restroom, and even standing for long periods of time became impediments to daily living. Having heard about this traumatic and chronic experience, it remained in the back of my mind for some time. It was not until I was 13 years old when I had my first encounter with an occupational therapist during an appointment that I
through the Eyes of a Participant Observer." Chiropractic & Manual Therapies. Vol. 20, No. 1, 19 Jan. 2012, p. 1. EBSCOhost. 2017 October 25.
Oh my God! TJ!“ It was just my mom.She was crying and calling my name again and again.I was so embarrassed and disappointed of my self.I had let her down. After, two of the EMT guys put us on an ambulance. Finally,we made our way to the hospital. My friend john and me were sent in palo alto medical center. It took us about fifteen minute to get there. My friend john was alright. He had a couple of stitches in his head and his arm. He got relieved after a couple of tests but, I was severely injured. I was lying on a hospital bed and thinking what I would have done in the past. Cause this terrible accident happened to me. I was sent to el camino hospital, where I went to the operation theater for my hipbones surgery.The doctor told me after surgery that my hipbones was fractured the reason they had to put a plate in hipbones to stay together.Although, my left arm was also fractured the reason I could not feel my arm. After surgery, they took me to the other room and gave me a couple of injections. Momentarily, I went to sleep. I woke up in the next day and thinking hopefully it was just a dream,but it’s not. I opened my eyes and saw a couple of relative looking me like a stranger. My dad came over my bed and gave me a hug and I literally started crying after thinking about the accident. I could not believe after a massive car accident I was still alive. Doctors kept in hospital couple of