Thursday, September 6, 2012

Another second opinion

I had a phone consult last night with another OS. He is "sure" that I have a delamination defect of the cartilage of the acetabulum. (I will put in an article abt it). He sounded pretty certain abt it, he said he sees it a lot in ppl with continued pain after hip scopes. I asked him why my current OS wouldn't see this, he said "you have to know to look for it". He also thinks my new labrum is not functioning and not providing a suction seal. He would like to go in and repair the delamination defect by microfracturing under it and anchoring it down and removing the new labrum and re-creating it again (I think). I clearly am not to happy with this, a 5th surgery? Seriously? I asked him if he thought this could wait, he said if I was within a comfortable pain zone yes but if I was in a lot of pain no bc it meant I was doing more damage. Well, let me tell you something, I don't reach out across the country for second opinions if I am not in a lot of pain.
He also suggested I not have surgery with the same OS again, or, if I chose to, to make sure that he spoke with him. I didn't like that surgery was the only option, I don't think he did either, he kept saying how bad he felt for me. To be honest, I don't need anyone to feel bad for me, I always say there are no "feelings" in orthopedics, just go in and fix it!!
I was clearly not about to hop on a plane and let him operate on me based on a phone conversation, and a diagnosis that he can't prove or see but feels strongly about. So I asked him if he'd be willing to speak to my OS and discuss this with him, bc really, no one knows what the inside of my hip looks like other than him, he's seen it 4 times. He said he'd be happy to so hopefully they will speak in the next few weeks. I did warn my OS to expect a phone call from him, and he said he'd lookout for it and let me know once they spoke. So once I know what is going I will report back!

http://hiparthroscopy.net/pdf/publications_lectures/Arthroscopic_Treatment_for_Chondral_Lesions_of_the_Hip_T_G_Sampson.pdf

7 comments:

Abigail said...

Interesting! Could you at least get a good ski trip out of it if you do decide to have surgery #5?

(I had #5 last winter and while I waited too long and there is permanent damage and things are definitely not perfect due to irreversible prior surgeries, its definitely better than before and was worth it!)

It will be interesting to hear what BK has to say. Best of luck!

Susie said...

Umm, not a ski trip, maybe some rice a roni ;-) I know u have ur issues w him!

Abigail said...

Rice a roni? I dont get the reference, but perhaps you will enjoy visiting Alcatraz?

(When I was last in the bay area I didnt think my hip would let me make it up the hill so we didnt go. :-( Now that it will, my husband no longer lives there and I have no good excuse for flying across the country.)

Susie said...

You don't remember the rice a roni commercial from he 80s/ 90s? "the San Francisco treat" I think it was prob one of the most memorable commercial jingles ever! Google it!

Abigail said...

"Make it with velveta it melts bettah."

Hotchickie said...

Heyy, I had a reconstruction in Jan 2012 and then I continued to have pain, and had to have another labral reconstruction done on top of my existing one this past june. This too was my 5th surgery and I believe it has finally worked. You can also send your imaging to Dr. Philippon and he will assess your case for free. Something to think about! Hang in there! I hope that you get some answers regarding your continued pain.

Susie said...

Hotchickie- how did they determine that u needed a second reconstruction? What was used for it? Did MP do all 5 surgeries?