Guest guest Posted December 5, 2008 Report Share Posted December 5, 2008 I live in the SF Bay Area and the drive was 2.5 hours. It was a little inconvenient in that my wonderful sister-in-law, who accompanied me, had only intended to stay in the Hampton Inn for 2-3 nights, but had to stay 5 nights since I developed severe pain on day 3 and was re-hospitalized. Then my husband had to drive up and stay for 2 more nights since I was in the local hospital getting my pain under control. Dr. Coon said I probably had some bleeding in the knee - probably from running around for the first two days after surgery. The drive home was relatively OK since my pain was temporarily under control, but once I got home I totally blew it by unpacking and running around and doing laundry. I should have gone straight to bed - they told me later! The first two days, the knee was mostly numb from all the stuff they put in it (see my last post). Once that wore off, I had some bleeding and whatever, all I can say is that it felt like someone was holding a blowtorch to my leg. As for " assistance " , I did try using the walker the first two days but for some reason, both my wrists (which support your weight when walker-ing) hurt so bad I had to stop using it. I just hopped or walked on the leg after that - no crutches or canes. Possibly this isn't the best way to go! claire Callahan Goodman Diane wrote: and Hollie ? Girls, Could you tell me where both of you live. I am curious how far you 2 traveled for surgery by Dr. Coon. I live in Fresno, Calif., and wonder if it is worth the drive and time. Thank You, Diane Happy Shopper Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 5, 2008 Report Share Posted December 5, 2008 Thanks for sharing that report and your experiences. Very interesting reading! I¹m just looking at the material from my doc . The discharge instructions say to AVOID THE CAR (their caps) for the first month and not drive for 2 months. This is much more restrictive than what I¹ve been reading here and elsewhere. I guess they are giving instructions for the most conservative course. I sure hope to be driving before 2 months. But I guess we are all different and I¹ll just have to do my exercises like crazy and see what happens. There is an online instructional thing that I¹m supposed to look at - emmi, it¹s called for info. I have Kaiser and it¹s their program. , I can¹t believe you were running around like that! You are amazing. Though maybe just a little rest next time around would be a good idea : ) Jackie On 12/5/08 7:59 PM, " Goodman " <goodman156@...> wrote: > I live in the SF Bay Area and the drive was 2.5 hours. It was a little > inconvenient in that my wonderful sister-in-law, who accompanied me, had > only intended to stay in the Hampton Inn for 2-3 nights, but had to stay 5 > nights since I developed severe pain on day 3 and was re-hospitalized. Then > my husband had to drive up and stay for 2 more nights since I was in the > local hospital getting my pain under control. Dr. Coon said I probably had > some bleeding in the knee - probably from running around for the first two > days after surgery. The drive home was relatively OK since my pain was > temporarily under control, but once I got home I totally blew it by > unpacking and running around and doing laundry. I should have gone straight > to bed - they told me later! > > The first two days, the knee was mostly numb from all the stuff they put in > it (see my last post). Once that wore off, I had some bleeding and > whatever, all I can say is that it felt like someone was holding a blowtorch > to my leg. > > As for " assistance " , I did try using the walker the first two days but for > some reason, both my wrists (which support your weight when walker-ing) hurt > so bad I had to stop using it. I just hopped or walked on the leg after > that - no crutches or canes. Possibly this isn't the best way to go! > > claire > > Callahan Goodman > > Diane wrote: > > and Hollie ? > > Girls, > Could you tell me where both of you live. I am curious how far you 2 > traveled > for surgery by Dr. Coon. I live in Fresno, Calif., and wonder if it is > worth > the drive and time. > Thank You, > > Diane > Happy Shopper > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 5, 2008 Report Share Posted December 5, 2008 Diane, I live near Sacramento but would have flown to Europe or India to go to Dr. Coon. Many people from all over the world fly in to him for surgery, you never have to go back for check ups if inconvenient. He just opened a new office in St. Helena (Napa Valley) where you can have surgery too. I look for high volume surgeons and he is the highest I found, 4,000 of these " quad sparing " procedures. I haven't yet heard of another doctor who does them. Much less time in the hospital (less than 24 hours) so less chance of infection, and his hospitals have very low infection rates anyway. I've had both hips resurfaced and flew from California to South Carolina to go to Dr. Gross who had done over 1,000 of them. I'm so glad I did. Recovering quick is the way to go, and with this technique your quad muscle never loses its strength or size. At 7 weeks I have 145 degrees flexion and have had one PT session, you don't even have to have PT if you don't want to. Because my husband had heart surgery I wasn't able to have PT but am OK anyway. and I got to know each other over this surgery. I would recommend you fly up to San Francisco, drive to Napa Valley and have a wonderful surgery, it's so comforting to know you're in the hands of a great surgeon. Hollie > Diane wrote: > > and Hollie ? > > Girls, > Could you tell me where both of you live. I am curious how far you 2 > traveled > for surgery by Dr. Coon. I live in Fresno, Calif., and wonder if it is > worth > the drive and time. > Thank You, > > > Diane > Happy Shopper Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 14, 2009 Report Share Posted November 14, 2009 Dear Hollie, I live in South Bay Area and looking for doctor to do THR in Bay Area or close by. You mentioned that you looked for high volume surgeons. Could you tell me what is the source of such information? Where I can look by myself. Also, I was told that some implants for THR allow jogging. Is this true? thank you for help. Boris > > > > and Hollie ? > > > > Girls, > > Could you tell me where both of you live. I am curious how far you 2 > > traveled > > for surgery by Dr. Coon. I live in Fresno, Calif., and wonder if it > is > > worth > > the drive and time. > > Thank You, > > > > > > Diane > > Happy Shopper > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 14, 2009 Report Share Posted November 14, 2009 Hollie, one more thing. I went to Dr. Coon St. Helena hospital website and got impression that Dr. Coon is doing mostly knee replacement, not hip. Is this right? Boris > > > > and Hollie ? > > > > Girls, > > Could you tell me where both of you live. I am curious how far you 2 > > traveled > > for surgery by Dr. Coon. I live in Fresno, Calif., and wonder if it > is > > worth > > the drive and time. > > Thank You, > > > > > > Diane > > Happy Shopper > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 15, 2009 Report Share Posted November 15, 2009 Hollie, I live in South bay Area, near San . I need to have THR and looking for a doctor in Bay Area or close. You mentioned that you looked for high volume surgeons. Could you tell me what is this, where I can look? what is the source? Also, I was told that some implants (for THR not resurfacing) allow jogging. What do you know about it? Thanks for help. Boris > > > > and Hollie ? > > > > Girls, > > Could you tell me where both of you live. I am curious how far you 2 > > traveled > > for surgery by Dr. Coon. I live in Fresno, Calif., and wonder if it > is > > worth > > the drive and time. > > Thank You, > > > > > > Diane > > Happy Shopper > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 15, 2009 Report Share Posted November 15, 2009 Hello Boris, Dr. Coon only does knees. He does have a " partner " in his St. Helena office that does hips. I don't know much about him, the hip doc, he has done about 50 hip resurfacings, but don't know how many hip replacements. There is no site that I know of that lists the number of procedures. I ask the doc's office and also ask about their infection rate. Do you know if you want a hip replacement or a resufacing? There is more information on hip resurfacing docs at surfacehippyinfo.com , they all do hip replacements too. I've heard good things about a Dr. Gilbert in the Bay Area, he would be on the above mentioned site for more information. I've only had resurfacing, I can jog. I don't know much about hip replacement restrictions. My husband had a hip replaced and he has lots of restrictions, he could never jog. You can call Dr. Coon's office either in Red Bluff or St. Helena to get more info on the hip doctor sharing his office in St. Helena. www.osiresearch.com . Hollie > > > > > > and Hollie ? > > > > > > Girls, > > > Could you tell me where both of you live. I am curious how far you 2 > > > traveled > > > for surgery by Dr. Coon. I live in Fresno, Calif., and wonder if it > > is > > > worth > > > the drive and time. > > > Thank You, > > > > > > > > > Diane > > > Happy Shopper > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 15, 2009 Report Share Posted November 15, 2009 The source of infomation for more successful procedures done by high volume surgeons is a research paper I found at surfacehippyinfo.com . Hollie > > > > > > and Hollie ? > > > > > > Girls, > > > Could you tell me where both of you live. I am curious how far you 2 > > > traveled > > > for surgery by Dr. Coon. I live in Fresno, Calif., and wonder if it > > is > > > worth > > > the drive and time. > > > Thank You, > > > > > > > > > Diane > > > Happy Shopper > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 16, 2009 Report Share Posted November 16, 2009 Hollie, do you remember what paper was about? Was it only about resurfacing knee/hip or total replacement as well? Boris > > > > > > > > and Hollie ? > > > > > > > > Girls, > > > > Could you tell me where both of you live. I am curious how far you 2 > > > > traveled > > > > for surgery by Dr. Coon. I live in Fresno, Calif., and wonder if it > > > is > > > > worth > > > > the drive and time. > > > > Thank You, > > > > > > > > > > > > Diane > > > > Happy Shopper > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 17, 2009 Report Share Posted November 17, 2009 Boris, Here is part of the paper on hip resurfacing volume having better outcome, although I know there is an older research paper I could not find that states similar findings. To read the whole document go to: http://www.orthosupersite.com/view.asp?rID=37423 I don't think it is a stretch to interpret these same results to any kind of surgery, and hip resurfacing surgeons can also do hip replacements, with resurfacing being a more difficult procedure for surgeons. You may also be interested in the list of hip resurfacing doctors, some in the Bay Area, who would also do hip replacements. It seems logical that if these surgeons are good at resurfacing, they would also excel at hip replacement. List: http://www.surfacehippyinfo.com/index.php?option=com_content & task=view & id=135 & It\ emid=81 Hip resurfacing sites, like this one, have more information than any site I could find when I needed my knees TKR'd, and probably hip replacement. That is why these are taken from that site. Hollie LR hips resurfaced 2006, 2007 Dr. Gross South Carolina LR Knee Replacements 2008, 2009 Dr. Coon California Outcome of hip resurfacing may be dependent on experience By Brockenbrough 1st on the web (February 27, 2009) LAS VEGAS — A new study links outcomes of hip resurfacing to the hospital volume of resurfacing cases and, thereby, the surgeon's experience. To evaluate the impact of operative volume on hip resurfacing outcomes, J. Shimmin, MD, and colleagues used the Australian Joint Registry to identify nearly 9,000 hip resurfacings performed at 196 hospitals between September 1999 and December 2006. The investigators used revision as an endpoint for survivorship. They found that 74% of hospitals performed fewer than 30 procedures during the 7-year study period, while 64% of hip resurfacings were performed at 16 " high-volume " hospitals, or those that performed more than 100 cases. Overall, the researchers found that 3.1% of resurfacings were revised. The investigators categorized the hospitals into the following four groups according to their volume of cases performed during the study period: •fewer than 25 cases; •25-49 cases; •50-100 cases; and, •more than 100 cases. They then compared the cumulative rate of revision at 4 years among the hospital groups. At 4 years, the investigators discovered a 6% revision rate for centers performing fewer than 25 cases, a 5.6% rate for those performing 25-49 cases, a 4.7% rate for hospitals doing 50-99 cases, and a 2.7% revision rate for those performing more than 100 cases. After adjusting for patient age and gender, the investigators discovered that the risk for revision was 66% greater in hospitals performing the least amount of cases. " In this study, hospital volume is primarily a reflection of the operative experience of the individual surgeons, " Shimmin said at the American Academy of Orthopaedic Surgeons 76th Annual Meeting, here. " The outcome of hip resurfacing is strongly dependent on the experience of the surgeon and hospital performing the procedure. Even when adjusted for age and sex of the patients, the risk of revision at low-volume centers was 66% greater than a higher volume center, and this supports the need for increased training of surgeons before undertaking hip resurfacing, " he said. Reference: •Shimmin AJ. The effect of operative volume on the outcome of hip resurfacing. Paper #316. Presented at the American Academy of Orthopaedic Surgeons 76th Annual Meeting. Feb. 25-28, 2009. Las Vegas. For full article click here > > > > > > Dear Hollie, > > > I live in South Bay Area and looking for doctor to do THR in Bay Area or close by. You mentioned that you looked for high volume surgeons. Could you tell me what is the source of such information? Where I can look by myself. Also, I was told that some implants for THR allow jogging. Is this true? thank you for help. > > > Boris > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 17, 2009 Report Share Posted November 17, 2009 All surgery results have a strong correlation with the number of surgeries performed by a doctor as well as how often the procedure is performed by that surgeon -- not resurfacings specifically. Outcome is also linked to how often a HOSPITAL performs a procedure as well. The " standard " advice is that an OS should have performed at LEAST 100 of the procedure -- whether it be resurfacing, anterior approach or whatever as that would mean theoretically that the OS has mastered the procedure. On Nov 17, 2009, at 11:23 AM, rosey9932000 wrote: > Boris, > > Here is part of the paper on hip resurfacing volume having better > outcome, although I know there is an older research paper I could > not find that states similar findings. > > To read the whole document go to: http://www.orthosupersite.com/view.asp?rID=37423 > > I don't think it is a stretch to interpret these same results to any > kind of surgery, and hip resurfacing surgeons can also do hip > replacements, with resurfacing being a more difficult procedure for > surgeons. > > You may also be interested in the list of hip resurfacing doctors, > some in the Bay Area, who would also do hip replacements. It seems > logical that if these surgeons are good at resurfacing, they would > also excel at hip replacement. > > List: http://www.surfacehippyinfo.com/index.php?option=com_content & task=view & id=135 & It\ emid=81 > > Hip resurfacing sites, like this one, have more information than any > site I could find when I needed my knees TKR'd, and probably hip > replacement. That is why these are taken from that site. > > Hollie > > LR hips resurfaced 2006, 2007 Dr. Gross South Carolina > LR Knee Replacements 2008, 2009 Dr. Coon California > > Outcome of hip resurfacing may be dependent on experience > By Brockenbrough > 1st on the web (February 27, 2009) > > LAS VEGAS — A new study links outcomes of hip resurfacing to the > hospital volume of resurfacing cases and, thereby, the surgeon's > experience. > > To evaluate the impact of operative volume on hip resurfacing > outcomes, J. Shimmin, MD, and colleagues used the Australian > Joint Registry to identify nearly 9,000 hip resurfacings performed > at 196 hospitals between September 1999 and December 2006. The > investigators used revision as an endpoint for survivorship. > > They found that 74% of hospitals performed fewer than 30 procedures > during the 7-year study period, while 64% of hip resurfacings were > performed at 16 " high-volume " hospitals, or those that performed > more than 100 cases. Overall, the researchers found that 3.1% of > resurfacings were revised. > The investigators categorized the hospitals into the following four > groups according to their volume of cases performed during the study > period: > > •fewer than 25 cases; > •25-49 cases; > •50-100 cases; and, > •more than 100 cases. > They then compared the cumulative rate of revision at 4 years among > the hospital groups. > > At 4 years, the investigators discovered a 6% revision rate for > centers performing fewer than 25 cases, a 5.6% rate for those > performing 25-49 cases, a 4.7% rate for hospitals doing 50-99 cases, > and a 2.7% revision rate for those performing more than 100 cases. > After adjusting for patient age and gender, the investigators > discovered that the risk for revision was 66% greater in hospitals > performing the least amount of cases. > > " In this study, hospital volume is primarily a reflection of the > operative experience of the individual surgeons, " Shimmin said at > the American Academy of Orthopaedic Surgeons 76th Annual Meeting, > here. > > " The outcome of hip resurfacing is strongly dependent on the > experience of the surgeon and hospital performing the procedure. > Even when adjusted for age and sex of the patients, the risk of > revision at low-volume centers was 66% greater than a higher volume > center, and this supports the need for increased training of > surgeons before undertaking hip resurfacing, " he said. > > Reference: > > •Shimmin AJ. The effect of operative volume on the outcome of hip > resurfacing. Paper #316. Presented at the American Academy of > Orthopaedic Surgeons 76th Annual Meeting. Feb. 25-28, 2009. Las Vegas. > For full article click here > > > > > > > > > > > Dear Hollie, > > > > I live in South Bay Area and looking for doctor to do THR in > Bay Area or close by. You mentioned that you looked for high volume > surgeons. Could you tell me what is the source of such information? > Where I can look by myself. Also, I was told that some implants for > THR allow jogging. Is this true? thank you for help. > > > > Boris > > > > > > > Quote Link to comment Share on other sites More sharing options...
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