Thursday 14 April 2011

Hiplog - the check-up

It's fifteen months since my new hip and I went for a check-up to the consultant.  It was a friendly reunion, he is a very nice man.  He immediately  (well, first he greeted me and asked how I and the hip am*) asked if I'm aware of the problems with and recalls of a lot of metal-on-metal hips.  Thanks to Pamela's Hip Headlines, I do indeed.  Several styles are now not used after failures, sometimes quite soon after insertion and they don't use them at all in Norwich, and hadn't done even before the problems were confirmed nationally and internationally.

His next question was whether I had any problems with my other hip and I said I suspect that I'm in the early stage of arthritis there too.  As the x-ray, although of my right side, would show both, he would look at it.

The passageway to the x-ray place is down a slope - I suspect it was originally built with stairs - and I remembered back to when it was so difficult to walk down when I was there in January 2010.  This time, I trotted down speedily and hopped on the bed with agility.  When I went back to see the consultant, he said that the new hip is perfect, and I could see that it was.  Text book stuff.  It looks fine, though I have to say, it's weird to think of that long porcelain spike inside my femur.  I suppose it's that long to add stability.

The other hip, he agreed with my suggestion that I'll need a new one in five or six years.  There's just the start of arthritic wear.  If I hadn't had one, I'd not be aware of such early signs.  He said, I do have unusually shallow sockets - the right one particularly so, which was why it went first, but the other one is shallower than average too.   I'm not thrilled of course, but I'd rather know - my regret is not that I'll need an operation, but for the gradual decline that I can expect to start in about three years time.  We talked it over, fairly briefly as we were in complete agreement, and I said that I'd rather have it done sooner next time.  My doctor had initially suggested waiting until I was over sixty if I could, and I'd got fixed on that - I knew a long time ago that I couldn't wait that long, but I could see the point of hanging on as long as possible, because of future revisions.  The second time, there's no point in waiting and I don't want to be hobbling round with a stick again.  Also, this hip cost around £12,000 all told and I jolly well don't want to damage it by limping heavily with the other leg.

So we shook hands and I thanked him, and he said that when I want to discuss it, to ring the hospital and make an appointment or, if I want to see him on the NHS, to speak to my GP and ask him for a referral.  In any case, he'll take a look at my operated hip in about five years, so the two events might even combine.          


*Slight grammar alert there, but I concluded that now the hip is part of me, I shall treat us as a single entity.

6 comments:

Rate My Sausage said...

Your hips look Fine to me....

Dave said...

I must admit I'd always assumed I would have thought of a replacement part as being an alien intruder, but I now realise that I never think of the replacement lens in my left eye at all.

Z said...

The weirdness is that I can't feel it at all. I can sometimes feel the scar and occasionally I know there's a difference in my hip (more the new edge of the socket, a slight soreness that doesn't bother me) but you'd think a whacking spike in my thigh would cause some sensation.

I am sorry for my poor removed hip, and rather enjoy having all these different materials inside and part of me.

If I were to have cataracts (a detached retina would be an emergency and so worrying that I'd just be grateful for my sight to be saved), I'd ask if it were possible to have the sight I have with a lens, only better - sort sight in my left eye, long sight in my right. That would be perfect, as my brain already expects it.

Z said...

*short. As you realised.

luckyzmom said...

I will be visiting my hip doctor the 25th as he wants to see me annually. No significant problems although I do wonder about what type of replacement I have. I have a "knowing" that it is there that is kinda like an ache but not really. So far my left looks good.

Z said...

Several of my friends don't know what type of hip replacement they have, but my consultant discussed it with me first. They are good in Norwich, it was where the operation was originally pioneered in England and they still make a speciality of it. They also keep careful records and discuss medical news events, which is why they picked up on the metal-on-metal implant problems early. The "knowing" you describe is it exactly. But it's fine, I don't mind being reminded how much better it is now than it used to be! Glad your other hip is good, I'm disappointed about mine starting to go so soon, but pretty resigned.