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Surgery Tips
Derek McMinn Tips from his Patients PDF Print E-mail
Donald Moseman Jr. LBHR 03APR12

On Jun 23, 2012, at 2:30 PM, Donald Moseman Jr wrote:

Hi friends,

I'm a 48 year old male who competed in collegiate wrestling and still, for the last several years maintained myself in pretty decent condition even though I couldn't run for 5 - 6 years before my hip surgery.  I am hopeful that more of you will feel comfortable sharing your own recovery experiences with the group so we can continue to learn from each other's experiences.

While I've read thousands of posts on hipresurfacingsite, hipsrus and surfacehippy over the past three years, my own experience is limited to my left hip and the time I've shared with my friends on the ward at Edgbaston, my neighbor who had his surgery (McMinn Centre and Edgaston as well) four weeks before us and helped us get ready for ours, and the communications we have had with each other offline.  My takeaway from all this is as follows:  
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Dr. Rogersons tips from his patients PDF Print E-mail
Post Op Tips from Dr. Rogerson’s patient  - Diane Marty LBHR 1/17/11
 
Elbow crutches are supplied by Dr. Rogerson.    A set of occupational therapy adaptive tools are they in your Hip Hab apartment and you’ll get instructions on how to use them.
 
Mandatory purchase:     Dr. Rogerson has his patients sleep with a set of contoured pillows  between the legs for 5-6 weeks post op. 
Two other helpful purchases he suggested are:  forearm crutch bag that is very handy to put small items in:  (www.walkeasy.com)  and ice packs.  The ice packs are polyurethane durable packs by Sammons Preston.   You are really going to need them because they bring great swelling & pain relief!    For me, I was very thankful that my husband got two raised toilet risers (with arms) for our downstairs and upstairs bathroom.  It would have been impossible for me to lower like that and not break the hip precautions stated below!
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Derek McMinn's Tips from his Patients PDF Print E-mail

9/29/10

Logistics:
 
Cal and I spent three weeks at the Premier Inn in Birmingham, on Hagley Road.  Of course, I was in the hospital six nights.  It's a budget hotel, but we recommend it highly.  The restaurant attached to the hotel is very good (we're both into healthy eating), and the buffet breakfast in particular is a great value.  The hotel is a short walk to McMinn's consulting office, and a little more than a mile away from the hospital.  We didn't rent a car.  Cal walked between the hotel and hospital a number of times; it's an easy 30-minute walk though a pleasant residential area--he walked it, I didn't.  We used the local buses a lot (multiple times every day), although there isn't a direct line between the hotel and hospital; it's a complicated connection.  Otherwise, the hotel or hospital can call a cab for you; it's about a $10 fare including tip.  The hotel can be booked on the internet at Booking.com.  Based upon our experience, I would definitely reserve the "triple room for 2 adults and 1 child."  We looked at the "double disabled room," thinking that it might be appropriate, but the "triple room" was much better.  There is a separate fee for internet access.
 
The night before we flew out of Heathrow, we stayed at the Premier Inn at the airport.  It's labeled "M4/J4," signifying the road junction where it's located.  There is a shuttle bus to the airport.  You can reserve this hotel on the above website also.
 
We found it easier and cheaper to fly from San Francisco to London and then take a bus to Birmingham.  There is a bus station at Heathrow. 

 
Dr. Bose Tips from his patients PDF Print E-mail

Vicky also has created a Checklist for patients going to India here India Checklist

Posted on January 20, 2010 Message #154844
Notes From Chennai -10 Days Post Op
Mike Turner RBHR Dr. Bose 11 Jan 2010
We head back State-side tomorrow after a visit just short of three weeks.  Nothing earth shattering I'm sure but here are some fresh thoughts about our trip to India for my RBHR. Hopefully a SurfaceHippy or two soon headed this way will find a tidbit of the information useful.

- I carried about $50 in singles but very early on wished I'd brought $100 or even more. They are priceless for daily tipping and all of the drivers, porters, etc opted for US greenbacks when I offered them dollars or rupees. One driver stated he wanted to have a buck to show his children.

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Dr. Gross Tips from his Patients PDF Print E-mail

Dr. Gross Tips
by Karen Mitchell
RH Biomet uncemented / Dr. Gross (SC) 04/02/08

Here's some info on the knowledge I learned about Dr. Gross:
Dr. Gross is very advanced (for example):

  • He's done over 1500 hip resurfacings
  • He does minimal invasive surgery (small 4 inch incision)
  • He uses your blood to make a mixture to put in the femur cap and along the incision for bone growth and faster incision healing
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Dr. Su Tips From His Patients PDF Print E-mail

Tips from Lori Decemer 28, 2011

Medical Clearance/Pre-Admission Screening – Dr. Su

Hospital for Special Surgery


535 East 70th Street, New York, NY 10021


12.27.11


This is a summary of my Medical Clearance/Pre-Admission Screening at the Hospital for Special Surgery on the Upper East Side of Manhattan (535 East 70th Street, New York, NY 10021). My spouse accompanied me, which turned out to be the right thing to do. (It's important that your spouse or significant other sit through the education class with you so that they know what to expect when you return home/better able to help you. )  Also, I was asked to bring all medications and supplements (vitamins included), so I just took all the bottles - particularly the prescribed medications so they can see the original labels.

The subway stop nearest the Hospital for Special Surgery is the #6 (green) local train, located at East 68th Street and Lexington Avenue.   It’s a few blocks away, and involves an approximately 10-minute walk or so.  Consider taking your cane.  You may very likely have to stand on the subway and it’ll come in handy for the walk to and from the HSS.  Just remember to hang on to it J

Once I arrived at the HSS, here is how my day went:


Stop #1 - 9 AM: Pre-Admission Screening Dept, 3rd Floor.  We proceeded directly to the 3rd floor, to the Pre-Admission Screening Department front desk. 

The Pre-Admission Screening clerk at the front desk gave me several forms to complete, including a form where I recorded all of my medications and supplements, dosage and frequency. (I advise you ask for 1-2 copies of this form, since I was asked to provide this info again 2 x later in the day - it will save you from having to write out all this information again.)

Once the paperwork is completed, you will then meet with a clerk in that department who will review that paperwork with you.

Stop #2:  Pre-Surgical Testing  (same location on the 3rd Floor) with a nurse. Here, your medical history will be recorded on an intake form; all your vitals will be taken and you will be asked to provide a urine sample (make sure you do not void within at least 30 minutes prior to this part of the visit).

The nurse will also draw about 5 vials of blood (just a suggestion, but consider drinking a bottle of water about an hour and a half of your appointment – your veins will become more prominent).   I just had bloodwork done with my primary care doctor last week, took a copy of those lab results with me - but the HSS would not accept it. So, you can't get around the lab work.

The nurse will also take your vital signs, so wear a loose-fitting top that will enable a blood pressure cuff to fit easily onto your arm.

The nurse will also record your temperature and pulse, and apply leads to your upper torso to take an EKG. The nurse will give you the EKG recording on paper, which I needed to later hand-deliver to Dr. Holloman, the physician assigned to do my medical consultation.

At this point, it was about 10:45 AM and I was starting to get hungry. I didn't have to say a thing - the nurse asked if I wanted a sandwich and something to drink! (Just one sandwich, however, so consider packing something for your companion/spouse to eat - or share the sandwich!).  They have a refrigerator stocked with sandwiches and small cans of juice, soft-drinks and water.  Very impressive.

Conversation with the nurse was nice - she said a lot of celebrities go to the HSS for their surgery (another endorsement!).

Stop #3 - 10:30 AM/3rd Floor/Radiology:  X-Ray of Chest and Pelvis
.  This was pretty quick. Had to shed street clothing and don a hospital gown. Pretty straight forward. (Man, this hospital has it going on - they were waiting for me!)  They offer a comfortable seating area with television monitors, so my husband was able to stay occupied.

Stop #4 - 11:00 AM/8th Floor: Education Class.  Very well-done interactive PowerPoint presentation delivered by Regina Cannon, R.N. M.A., O.N.C. Here, we received an informative spiral-bound book entitled "Your Pathway to Recovery" – Guide to Total Hip Replacement. It also contains a CD (again, geared specifically to total hip replacement patients), with the complete presentation on it for later viewing.  We were encouraged to review that CD again just before surgery (in my case, just a few days away). Good thing we brought our computer with us so we can view it! Caution:  This presentation and video is primarily geared for patients undergoing a THR, but Regina made comments when appropriate for hip resurfacing patients like me.  (This was the only very slightly disappointing aspect of my visit, since I am having a hip resurfacing.)

Once the video was over, we went over special devices, exercises, how to get out of bed, out of a chair, out of a car - and angles to avoid for THR (which involve a 90-degree restriction; Dr. Su does not have a 90-degree restriction for hip resurfacing - as many of us already know).

Regina also had one of the Physical Therapists come in to address the group (there must've been 12 or more people in this class) and then finally, a member of the Case Management team came in to talk about discharge planning and home care services.

Stop #4 - 1:30 PM/6th Floor: Medical Clearance with Dr. Holloman.  Didn't have to wait too long (no longer than 15 minutes). This visit is akin to having a physical with your primary care physician. This is where, again, you will be asked about your medication and supplements, so just hand him/her (depending on the doctor assigned to you) a copy of the list you filled out when you first arrived.

Dr. Holloman is a great doctor - young and very knowledgeable. He asked me questions about my family history, any heart, lung issues, etc.... Good idea to have this information available, so if you are unclear about your own history, it's a good idea to get up to speed on this beforehand.

It was about 3 o'clock by the time we wrapped up.  We were very hungry by then, so it’s a really good idea to pack some water and snacks to get you/your companion/spouse through the day.

Good luck!

Lori

Torn Left Hip Labrum
Dr. Su LBHR Scheduled 12.30.11 (FRIDAY!!!!!!!)

 

Tips from Vince - Bilateral Dr. Su patient

The cab from JFK or Newark was about $45 plus tip. The car service (Lincoln Continental) was about $52 plus tip. Credit cards are accepted. The waiting line for a cab at the airport was quite long. If you call for the car service it will conveniently pick up at the airport or Belaire (call 212-777-7777 for the car service). You need not be apprehensive about having a bilateral. The anesthesiologist will put in a couple blocks so you that thighs will be numb when you wake up. He also will take your blood pressure low so you will lose little blood. I was standing up with a walker the day after surgery, with good color, and with no joint pain. Sliding your rear end in and out of bed can be a tricky if you are sweaty. My nurse technician put baby powder on my sheet so my rear end would slide more easily across the sheet. I drank a lot of ginger ale, even in recovery if you ask for it.

Vince
Bilateral BRH Dr. Su 08-22-08

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Dr. Vijay Bose Preoperative PDF Print E-mail

Birmingham Hip Resurfacing Surgery - Preoperative investigations
JOINT REPLACEMENT SURGERY
Preoperative  preparation Protocol

(For Dr. Vijay C. Bose patients)

Joint Replacement surgery
has seen many recent developments and now gives consistently gratifying results using appropriate implants in the respective age groups. However it is a major surgical undertaking and must be given the utmost care and preparation. It is never an emergency procedure and thus the patient must be in an  ‘Best possible condition’ at the time of the surgery.

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YPO