Five hours after Dr.
Robert Gorab made an incision nearly 5 inches long in the top
of my right thigh and took out my arthritic right hip to
replace it with a titanium and ceramic version, I was walking
down the hall at St. Joseph Hospital in Orange, Calif.
With a walker, of course.
I wasn't setting any records, and I hear
that walking that soon after surgery is fairly routine. Still
I was impressed.
And I've been walking every day since then.
In fact, now I walk around the house on my own or outside with
a cane and only occasionally use the walker.
Gory details:
Somehow they got me on what looked like the
world's smallest operating table and stuck my feet in
"ski" boots. The anesthesiologist said I might feel
a sting. I said I didn't feel anything and woke up in the
recovery room.
Using his special operating table, Dr. Gorab
had rotated my leg different directions to enable him to
remove the right hip bone without cutting through muscle or
tendon. It's called the "anterior approach" and is a
fairly new procedure.
The anterior approach to hip replacement
technically is more difficult than the traditional approach,
he says, but "once you learn it and you're comfortable
with it, it's pretty straight forward. It's a matter of
repetition."
He used X-rays to make sure all the
components were in the right position and to make sure the
legs are equal.
The entire procedure was done in 45 to 60
minutes.
I had a private room in the hospital — St.
Joseph's is such a popular orthopedic hospital there's an
entire floor for patient recovery and all rooms are private. I
had a TV, computer keyboard, in-room dining menu, the option
of having friends join me for meals or even sleep on the
adjacent couch.
Before I could start to really enjoy myself,
they kicked me out. Two days after surgery.
The upside:
I've been at the keyboard, checking my
e-mails, since Day One.
Five days after surgery, I climbed into an
electric cart and tooled around Wal-Mart. On the sixth day, I
pushed my own grocery cart up and down a few aisles. By day
10, I could do the entire grocery store, using the cart as a
walker.
Honest evaluation:
Pain? From the incision. Tolerable with
medication.
"This usually is a surgery that has a
quick recovery," Gorab says. "You might have a few
aches for six to 12 weeks."
The hospital's home health department sends
nurses and therapists as needed.
A few precautions:
I had to learn to monitor pain medication.
Too much too often put me to sleep.
And the pain medication stopped a regular
daily function, requiring some over-the-counter stuff to
return to regularity.
Plus some additional observations:
This is real surgery. The incision really
hurts. Yes, it's important to move around — even when it
hurts.
I do expect to be on my own soon. Gorab says
about three weeks of therapy is all I will need. I have daily
exercises — strengthening leg and thigh muscles and helping
with balance.
But my weeks of aqua therapy, improving
balance overall, had already strengthened some of those
muscles. That's the real reason I was able to move ahead so
quickly.
"You have the strength and agility I
usually only see in my younger patient group," said
physical therapist Monica Mattias.
Ah, I never equated lifting my leg off the
bed with feeling younger again.
Isn't it interesting how our priorities
change over the years?