My stitches are out, phew. They were really grossing me out already. My appointment went well, actually, this is probably the best appointment I have ever had. There was no talk, mention or suggestion of a future surgery! I think I turned a new page! Dr. Kelly was happy with my ROM so far, and even secretly pleased that I had been in bed for so long since it seemed to help the hip a lot. He showed me all of the scope pics, there were tons, I think more than my other 2 surgeries combined. Also the before and after x-rays. He had tons of pictures of my psoas, it looked beautiful! He said he was really nervous going in that the psoas was really going to be an issue and he had promised me he wouldn't cut it. "You were right" he said, and repeated it!! I explained that I hadn't meant to give him a hard time about it, but I truly believed from the bottom of my heart that the psoas was fine. I explained that it had always been tight and tender but hadn't changed in the whole interim of pre and post surgery and rehab. He even had a final shot of the psoas as he was coming out, just to make everyone happy!
He said there was a lot of scar tissue that he removed. The cartilage on the femoral head looked great, it was not perfect on the acetabulum but not too bad. It had been damaged slightly from the cam impingement. Now for the cam.....it was there. Duh, haven't I been having impingement for a while now! The CT-scan should have picked it up, they measured the alpha angle, I have to look up the report, I believe that an alpha angle under 50 is normal and mine was 34 (don't quote me on that). Well, it turns out that I had 'special cam impingement'. It was not typical, which is why it was initially missed, it was very subtle, but not mild, meaning, it sure as hell was there but difficult to see. Just my luck! So he shaved it down and gave me a normal looking femoral head which no longer impinges ! YAY!!
I explained about the nausea and he regretted not being able to get my beloved Dr.Jules for anesthesia, but at least being in bed and doing nothing has helped with the pain. He wants me to take it easy with rehab, go slow, especially in the beginning and not to overload the other leg. Right now, it is good, and has not lost anything!
So now it all falls in the hands of rehab! I think we can handle this!!! :-)
Oh, I forgot to ask for my op-report, I will call first thing Monday morning!
Showing posts with label post-op changes CT scan. Show all posts
Showing posts with label post-op changes CT scan. Show all posts
Wednesday, November 21, 2007
Monday, September 17, 2007
Today's accomplishments
I sit in front of my computer with a CT scan report and Dr. Millis' address!
Here's what happenned:
I forgot that I was pissed off at Dr. Kelly's office staff and I called them to get the report. It worked, they had 'just received it' and she was going to 'put it on his desk'. I asked her to fax me the report and leave him a note to call me.
I have the report, but no phone call as of today (we know how this goes).
So....here are some lovely excerpts from the report:
-Evaluation of the osseous structures demonstrates a deformity in the anterior aspect of the head-neck junction of the right hip. This may represent a postsurgical site for a femoral dysplastic bump and correlation with the clinical history is requested.
-Findings suggestive of postoperative change in the anterior aspect of the head-neck junction of the right hip presumably representing resection of the dysplastic bump. There is irregularity to the cortex in this location, however, this does not appear to represent subchondral cystic change.
Are you still with me? Did you notice anything funny? If you are a die-hard "Goodnight Nobody" fan, you should have. Ready....WHY THE HELL ARE THEY SEEING POST-OP CHANGES ON THE FEMORAL HEAD NECK JUNCTION WHEN THERE WAS NO SURGERY THERE. AHHHHHHHHHH
Ok, glad to get that off my chest! The report is dated the day of my scan at 3:32pm, my appt was at 2pm, that is pretty good. The friggin' radiologist could have called me to find out what exactly was done during surgery, or called Kelly's office.
So I am waiting to speak to Dr. Kelly on that!
I called Dr. Millis' office to find out what to do. I left a message, on a machine, and got a call back on the same day from a real live person who was actually helpful. Maryanne was super nice, took my information and told me to send my stuff (x-rays, MRI's, CT scan, office notes and op-reports), Dr. Millis will look at them and determine if I should come in or not. The only problem is that I do not have the x-rays, I will have to call for them tomorrow, and I anticipate a headache. I hope they will come as quickly as the MRI CD did so I can send off my package!
I will also write an intro letter at some point tomorrow and post it here, so my story can be clear here from beginning to end.
So...did you catch that 'femoral head-neck' thing or am I just the queen of anal/crazy/neurotic!!
add on- I just remembered that I also asked for a copy of my last office visit note. That was when we had our discussion about the cam impingement and the possibility for a revision. Here is what the note says:
"She is here regarding bilateral hips, left side is 8 weeks out. She is doing well from the left side. On the right side she did have this twisting injury and had developed increasing pain on the right side. It really has not gone away.
At this time we are going to see how she does with the injection. She is going to call us in one week and let us know."
Hmmmm, is that really what happened????????
Here's what happenned:
I forgot that I was pissed off at Dr. Kelly's office staff and I called them to get the report. It worked, they had 'just received it' and she was going to 'put it on his desk'. I asked her to fax me the report and leave him a note to call me.
I have the report, but no phone call as of today (we know how this goes).
So....here are some lovely excerpts from the report:
-Evaluation of the osseous structures demonstrates a deformity in the anterior aspect of the head-neck junction of the right hip. This may represent a postsurgical site for a femoral dysplastic bump and correlation with the clinical history is requested.
-Findings suggestive of postoperative change in the anterior aspect of the head-neck junction of the right hip presumably representing resection of the dysplastic bump. There is irregularity to the cortex in this location, however, this does not appear to represent subchondral cystic change.
Are you still with me? Did you notice anything funny? If you are a die-hard "Goodnight Nobody" fan, you should have. Ready....WHY THE HELL ARE THEY SEEING POST-OP CHANGES ON THE FEMORAL HEAD NECK JUNCTION WHEN THERE WAS NO SURGERY THERE. AHHHHHHHHHH
Ok, glad to get that off my chest! The report is dated the day of my scan at 3:32pm, my appt was at 2pm, that is pretty good. The friggin' radiologist could have called me to find out what exactly was done during surgery, or called Kelly's office.
So I am waiting to speak to Dr. Kelly on that!
I called Dr. Millis' office to find out what to do. I left a message, on a machine, and got a call back on the same day from a real live person who was actually helpful. Maryanne was super nice, took my information and told me to send my stuff (x-rays, MRI's, CT scan, office notes and op-reports), Dr. Millis will look at them and determine if I should come in or not. The only problem is that I do not have the x-rays, I will have to call for them tomorrow, and I anticipate a headache. I hope they will come as quickly as the MRI CD did so I can send off my package!
I will also write an intro letter at some point tomorrow and post it here, so my story can be clear here from beginning to end.
So...did you catch that 'femoral head-neck' thing or am I just the queen of anal/crazy/neurotic!!
add on- I just remembered that I also asked for a copy of my last office visit note. That was when we had our discussion about the cam impingement and the possibility for a revision. Here is what the note says:
"She is here regarding bilateral hips, left side is 8 weeks out. She is doing well from the left side. On the right side she did have this twisting injury and had developed increasing pain on the right side. It really has not gone away.
At this time we are going to see how she does with the injection. She is going to call us in one week and let us know."
Hmmmm, is that really what happened????????
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