Re: Durom Resurfacing in Vancouver But 2 Years

[Guest guest]

Jumping in here - this is why if you possibly can, use a surgeon who does

lots of these operations.

In Birmingham, Mr. Treacy usually operates three days a week and does 5 or 6

a day. I believe Mr. McMinn does about the same. I imagine De Smet is in that

category too.

There's nothing like experience if you want the security of knowing you'll

get a good result.

Des Tuck

In a message dated 5/8/2004 1:01:50 PM Pacific Daylight Time,

tswilson@... writes:

Ted I don't believe that that one doctor does only hip resurfacing,

it's just that he is the biggest proponent of it of the 4. Although

given the amount of operating time these guys are given, perhaps right

now that's all he is doing as they try to get some patients under

their belts (some of these doctors get 4-5 operating days a month -

and the waitlists for hips are increasing at a rate of 9% every wix

months!).

[Guest guest]

Ted I don't believe that that one doctor does only hip resurfacing,

it's just that he is the biggest proponent of it of the 4. Although

given the amount of operating time these guys are given, perhaps right

now that's all he is doing as they try to get some patients under

their belts (some of these doctors get 4-5 operating days a month -

and the waitlists for hips are increasing at a rate of 9% every wix

months!). I believe tho that Dr. Greidanus will refuse to do a woman

in her late fifties and I was told by Garbuz when I wanted one that he

wouldn't even talk to woman over 50 for resurfacing....perhaps he has

changed his mind. Dr. Masri, another one of those doctors and the

newest to do resurfacing of that bunch seems more receptive to a woman

as long as her bones are strong - the problem being of course will you

still have good bones by the time your name comes up. As these

doctors get a better feel for resurfacing I believe they will promote

it more - they say they need more evidence of it working - well we are

all trying to give it to them.

With respect to the Durom v. the others, really there is not a lot of

difference and one of the Durom doctors told me that they are

basically all the same - any claims about better " ratio clearance " etc

are really just that - claims - there is a mathematial formula that

they have to use...(don't ask me the math part)... Every manufacturer

has small differences in the making of the device, or perhaps in the

metallurgy to but it comes down to the one your doctor uses, or your

personal preference if you choose to go somewhere else. Some devices

have more size options and for some people that will become an

important part of their choice.

In your case, if your bones are strong now and there is not a lot of

damage to the surface you are probably fine to wait. It's one of

those things you need to keep an eye on - as a man you will tend to

have better bones than we women but osteoporosis is not unheard of in

men either. It is certainly something you need to keep an eye and if

things get bad either beg Garbuz for an earlier appointment or go to

England or Europe or India (virtually no waitlists in Europe and India

- I believe England you can get in privately pretty fast too).

I can tell you that Cliff and I continue to get stronger and better

ROM even at 18 months out....it still surprises me on a regular basis

and that grin on my face Oct 23/02 has never gone away!!

Best of luck - any questions - ask away.

Pamela

LBHR De Smet Oct23/02

> There is now an approx. 2 year waiting list in Vancouver (Canada).

The 4 doctors here have switched from using the Birmingham prosthesis

to the Durom prosthesis which is approx. $1,000 less. The Durom has

been used with 200,000 patients so far and there is evidence of it

being a superior product IMHO. One of these 4 docors in Vancouver

(all part of the same team) does only hip resurfacing but they all do

not encourage hip resurfacing because they do not feel that there is

sufficient evidence after only 10 years. I insisted with my Ortho. ,

Dr. Garbuz, that I wanted the hip resurfacing and I am now on

an approx 18 month waitng list because I had visited him 8 months

earlier. Should I wait this long or go to Birmingham or somewhere

closer? I am not in severe constant pain and can hit tennis balls

with limited movements. Should I avoid too much movement if my

operation is so far away. Do I risk wearing out the femur bulb bone

if I have very little cartilage left? Any thoughts or opinions are

appreciated. I am gald that I discovered this Yahoo group just a few

days ago. Thanks everybody for your great stories and sharing!

> Ted

>

>

[Guest guest]

Thanks Pamela. I really appreciate what you have said.

Ted

Re: Durom Resurfacing in Vancouver But 2 Years

Ted I don't believe that that one doctor does only hip resurfacing,

it's just that he is the biggest proponent of it of the 4. Although

given the amount of operating time these guys are given, perhaps right

now that's all he is doing as they try to get some patients under

their belts (some of these doctors get 4-5 operating days a month -

and the waitlists for hips are increasing at a rate of 9% every wix

months!). I believe tho that Dr. Greidanus will refuse to do a woman

in her late fifties and I was told by Garbuz when I wanted one that he

wouldn't even talk to woman over 50 for resurfacing....perhaps he has

changed his mind. Dr. Masri, another one of those doctors and the

newest to do resurfacing of that bunch seems more receptive to a woman

as long as her bones are strong - the problem being of course will you

still have good bones by the time your name comes up. As these

doctors get a better feel for resurfacing I believe they will promote

it more - they say they need more evidence of it working - well we are

all trying to give it to them.

With respect to the Durom v. the others, really there is not a lot of

difference and one of the Durom doctors told me that they are

basically all the same - any claims about better " ratio clearance " etc

are really just that - claims - there is a mathematial formula that

they have to use...(don't ask me the math part)... Every manufacturer

has small differences in the making of the device, or perhaps in the

metallurgy to but it comes down to the one your doctor uses, or your

personal preference if you choose to go somewhere else. Some devices

have more size options and for some people that will become an

important part of their choice.

In your case, if your bones are strong now and there is not a lot of

damage to the surface you are probably fine to wait. It's one of

those things you need to keep an eye on - as a man you will tend to

have better bones than we women but osteoporosis is not unheard of in

men either. It is certainly something you need to keep an eye and if

things get bad either beg Garbuz for an earlier appointment or go to

England or Europe or India (virtually no waitlists in Europe and India

- I believe England you can get in privately pretty fast too).

I can tell you that Cliff and I continue to get stronger and better

ROM even at 18 months out....it still surprises me on a regular basis

and that grin on my face Oct 23/02 has never gone away!!

Best of luck - any questions - ask away.

Pamela

LBHR De Smet Oct23/02

> There is now an approx. 2 year waiting list in Vancouver (Canada).

The 4 doctors here have switched from using the Birmingham prosthesis

to the Durom prosthesis which is approx. $1,000 less. The Durom has

been used with 200,000 patients so far and there is evidence of it

being a superior product IMHO. One of these 4 docors in Vancouver

(all part of the same team) does only hip resurfacing but they all do

not encourage hip resurfacing because they do not feel that there is

sufficient evidence after only 10 years. I insisted with my Ortho. ,

Dr. Garbuz, that I wanted the hip resurfacing and I am now on

an approx 18 month waitng list because I had visited him 8 months

earlier. Should I wait this long or go to Birmingham or somewhere

closer? I am not in severe constant pain and can hit tennis balls

with limited movements. Should I avoid too much movement if my

operation is so far away. Do I risk wearing out the femur bulb bone

if I have very little cartilage left? Any thoughts or opinions are

appreciated. I am gald that I discovered this Yahoo group just a few

days ago. Thanks everybody for your great stories and sharing!

> Ted

>

>

[Guest guest]

-Ted, interesting tidbit about the Durom....we are basically in the

same boat...waiting for surgery and not really knowing when to

say " just do it " ...anyway...I am a female..age 51..and wondering if I

should be taking fosomax/actonel in the meantime for bone

strengthening...hmmm...I posted a thread about this but got no

responses....I'm worried that my bones will become osteoporetic

during my " wait " time. Any thoughts on this anyone? Susie

- In surfacehippy , " Pamela Jansen "

wrote:

> Ted I don't believe that that one doctor does only hip resurfacing,

> it's just that he is the biggest proponent of it of the 4.

Although

> given the amount of operating time these guys are given, perhaps

right

> now that's all he is doing as they try to get some patients under

> their belts (some of these doctors get 4-5 operating days a month -

> and the waitlists for hips are increasing at a rate of 9% every wix

> months!). I believe tho that Dr. Greidanus will refuse to do a

woman

> in her late fifties and I was told by Garbuz when I wanted one that

he

> wouldn't even talk to woman over 50 for resurfacing....perhaps he

has

> changed his mind. Dr. Masri, another one of those doctors and the

> newest to do resurfacing of that bunch seems more receptive to a

woman

> as long as her bones are strong - the problem being of course will

you

> still have good bones by the time your name comes up. As these

> doctors get a better feel for resurfacing I believe they will

promote

> it more - they say they need more evidence of it working - well we

are

> all trying to give it to them.

>

> With respect to the Durom v. the others, really there is not a lot

of

> difference and one of the Durom doctors told me that they are

> basically all the same - any claims about better " ratio clearance "

etc

> are really just that - claims - there is a mathematial formula that

> they have to use...(don't ask me the math part)... Every

manufacturer

> has small differences in the making of the device, or perhaps in the

> metallurgy to but it comes down to the one your doctor uses, or your

> personal preference if you choose to go somewhere else. Some

devices

> have more size options and for some people that will become an

> important part of their choice.

>

>

> In your case, if your bones are strong now and there is not a lot of

> damage to the surface you are probably fine to wait. It's one of

> those things you need to keep an eye on - as a man you will tend to

> have better bones than we women but osteoporosis is not unheard of

in

> men either. It is certainly something you need to keep an eye and

if

> things get bad either beg Garbuz for an earlier appointment or go to

> England or Europe or India (virtually no waitlists in Europe and

India

> - I believe England you can get in privately pretty fast too).

>

> I can tell you that Cliff and I continue to get stronger and better

> ROM even at 18 months out....it still surprises me on a regular

basis

> and that grin on my face Oct 23/02 has never gone away!!

>

> Best of luck - any questions - ask away.

>

> Pamela

> LBHR De Smet Oct23/02

>

>

>

>

> > There is now an approx. 2 year waiting list in Vancouver

(Canada).

> The 4 doctors here have switched from using the Birmingham

prosthesis

> to the Durom prosthesis which is approx. $1,000 less. The Durom has

> been used with 200,000 patients so far and there is evidence of it

> being a superior product IMHO. One of these 4 docors in Vancouver

> (all part of the same team) does only hip resurfacing but they all

do

> not encourage hip resurfacing because they do not feel that there is

> sufficient evidence after only 10 years. I insisted with my

Ortho. ,

> Dr. Garbuz, that I wanted the hip resurfacing and I am now on

> an approx 18 month waitng list because I had visited him 8 months

> earlier. Should I wait this long or go to Birmingham or somewhere

> closer? I am not in severe constant pain and can hit tennis balls

> with limited movements. Should I avoid too much movement if my

> operation is so far away. Do I risk wearing out the femur bulb bone

> if I have very little cartilage left? Any thoughts or opinions are

> appreciated. I am gald that I discovered this Yahoo group just a

few

> days ago. Thanks everybody for your great stories and sharing!

> > Ted

> >

> >

[Guest guest]

Hi Susie

From my understanding of it bones don't go osteoporetic too fast............

My femur and head were going that way but hadn't been used properly for 35

years at that point........... They were still good for resurface at 53 and

within 6 months were showing signs of regain.......... I didn't take any

extra calcium or fosomax type stuff............ that gain came simply from

reuse of the bones properly re weight bearing...........

I think where you are menapause wise may also play a role here

though.......... which is why they dish out the fosomax as many don't

understand that it doesn't matter how much calcium you eat the body requires

other chemicals to actually process it............ My OS said later in the

day we may consider me taking fosomax - I come from a long line of

osteoporic women.......... but at this point my body is doing quite fine on

its own............

So the long and short will be how long you have to wait............ and what

weight bearing exercise you can do now........ for again I am not even sure

just taking fosamex without weight bearing exercise will make much

difference to a femur........ i.e. the brain will not necessarily 'know'

that that is where you meant the bone build up to happen..........

Edith LBHR Dr. L Walter Syd Aust 8/02

> -Ted, interesting tidbit about the Durom....we are basically in the

> same boat...waiting for surgery and not really knowing when to

> say " just do it " ...anyway...I am a female..age 51..and wondering if I

> should be taking fosomax/actonel in the meantime for bone

> strengthening...hmmm...I posted a thread about this but got no

> responses....I'm worried that my bones will become osteoporetic

> during my " wait " time. Any thoughts on this anyone? Susie

>

[Guest guest]

Hi Susie

From my understanding of it bones don't go osteoporetic too fast............

My femur and head were going that way but hadn't been used properly for 35

years at that point........... They were still good for resurface at 53 and

within 6 months were showing signs of regain.......... I didn't take any

extra calcium or fosomax type stuff............ that gain came simply from

reuse of the bones properly re weight bearing...........

I think where you are menapause wise may also play a role here

though.......... which is why they dish out the fosomax as many don't

understand that it doesn't matter how much calcium you eat the body requires

other chemicals to actually process it............ My OS said later in the

day we may consider me taking fosomax - I come from a long line of

osteoporic women.......... but at this point my body is doing quite fine on

its own............

So the long and short will be how long you have to wait............ and what

weight bearing exercise you can do now........ for again I am not even sure

just taking fosamex without weight bearing exercise will make much

difference to a femur........ i.e. the brain will not necessarily 'know'

that that is where you meant the bone build up to happen..........

Edith LBHR Dr. L Walter Syd Aust 8/02

> -Ted, interesting tidbit about the Durom....we are basically in the

> same boat...waiting for surgery and not really knowing when to

> say " just do it " ...anyway...I am a female..age 51..and wondering if I

> should be taking fosomax/actonel in the meantime for bone

> strengthening...hmmm...I posted a thread about this but got no

> responses....I'm worried that my bones will become osteoporetic

> during my " wait " time. Any thoughts on this anyone? Susie

>

[Guest guest]

I had my right hip resurfaced by Dr De Smet in January and when I left I asked

him about taking osteoporosis med cause I will have to do the second hip

sometimes... He said " yes anything to keep your bone strong is good " . so I am

taking Fosamax (my GP gave me half the dose recommended cause I am only

" borderline " and it is to keep me from going down in this period where I cannot

walk much - my other hip being a limitation -

Sunita

R BHR jan 2004

Re: Durom Resurfacing in Vancouver But 2 Years

-Ted, interesting tidbit about the Durom....we are basically in the

same boat...waiting for surgery and not really knowing when to

say " just do it " ...anyway...I am a female..age 51..and wondering if I

should be taking fosomax/actonel in the meantime for bone

strengthening...hmmm...I posted a thread about this but got no

responses....I'm worried that my bones will become osteoporetic

during my " wait " time. Any thoughts on this anyone? Susie

- In surfacehippy , " Pamela Jansen "

wrote:

> Ted I don't believe that that one doctor does only hip resurfacing,

> it's just that he is the biggest proponent of it of the 4.

Although

> given the amount of operating time these guys are given, perhaps

right

> now that's all he is doing as they try to get some patients under

> their belts (some of these doctors get 4-5 operating days a month -

> and the waitlists for hips are increasing at a rate of 9% every wix

> months!). I believe tho that Dr. Greidanus will refuse to do a

woman

> in her late fifties and I was told by Garbuz when I wanted one that

he

> wouldn't even talk to woman over 50 for resurfacing....perhaps he

has

> changed his mind. Dr. Masri, another one of those doctors and the

> newest to do resurfacing of that bunch seems more receptive to a

woman

> as long as her bones are strong - the problem being of course will

you

> still have good bones by the time your name comes up. As these

> doctors get a better feel for resurfacing I believe they will

promote

> it more - they say they need more evidence of it working - well we

are

> all trying to give it to them.

>

> With respect to the Durom v. the others, really there is not a lot

of

> difference and one of the Durom doctors told me that they are

> basically all the same - any claims about better " ratio clearance "

etc

> are really just that - claims - there is a mathematial formula that

> they have to use...(don't ask me the math part)... Every

manufacturer

> has small differences in the making of the device, or perhaps in the

> metallurgy to but it comes down to the one your doctor uses, or your

> personal preference if you choose to go somewhere else. Some

devices

> have more size options and for some people that will become an

> important part of their choice.

>

>

> In your case, if your bones are strong now and there is not a lot of

> damage to the surface you are probably fine to wait. It's one of

> those things you need to keep an eye on - as a man you will tend to

> have better bones than we women but osteoporosis is not unheard of

in

> men either. It is certainly something you need to keep an eye and

if

> things get bad either beg Garbuz for an earlier appointment or go to

> England or Europe or India (virtually no waitlists in Europe and

India

> - I believe England you can get in privately pretty fast too).

>

> I can tell you that Cliff and I continue to get stronger and better

> ROM even at 18 months out....it still surprises me on a regular

basis

> and that grin on my face Oct 23/02 has never gone away!!

>

> Best of luck - any questions - ask away.

>

> Pamela

> LBHR De Smet Oct23/02

>

>

>

>

> > There is now an approx. 2 year waiting list in Vancouver

(Canada).

> The 4 doctors here have switched from using the Birmingham

prosthesis

> to the Durom prosthesis which is approx. $1,000 less. The Durom has

> been used with 200,000 patients so far and there is evidence of it

> being a superior product IMHO. One of these 4 docors in Vancouver

> (all part of the same team) does only hip resurfacing but they all

do

> not encourage hip resurfacing because they do not feel that there is

> sufficient evidence after only 10 years. I insisted with my

Ortho. ,

> Dr. Garbuz, that I wanted the hip resurfacing and I am now on

> an approx 18 month waitng list because I had visited him 8 months

> earlier. Should I wait this long or go to Birmingham or somewhere

> closer? I am not in severe constant pain and can hit tennis balls

> with limited movements. Should I avoid too much movement if my

> operation is so far away. Do I risk wearing out the femur bulb bone

> if I have very little cartilage left? Any thoughts or opinions are

> appreciated. I am gald that I discovered this Yahoo group just a

few

> days ago. Thanks everybody for your great stories and sharing!

> > Ted

> >

> >

[Guest guest]

-Thank you Sunita!!!! Fosomax makes sense to me. How old are you?

I'm starting to get worried that I might be too old for a

resurf...I'm 51 and female...that's a gray area for re-surfing, I

think. Susie

- In surfacehippy , " Sunita Romeder "

wrote:

> I had my right hip resurfaced by Dr De Smet in January and when I

left I asked him about taking osteoporosis med cause I will have to

do the second hip sometimes... He said " yes anything to keep your

bone strong is good " . so I am taking Fosamax (my GP gave me half the

dose recommended cause I am only " borderline " and it is to keep me

from going down in this period where I cannot walk much - my other

hip being a limitation -

> Sunita

> R BHR jan 2004

> Re: Durom Resurfacing in Vancouver But 2

Years

>

>

> -Ted, interesting tidbit about the Durom....we are basically in

the

> same boat...waiting for surgery and not really knowing when to

> say " just do it " ...anyway...I am a female..age 51..and wondering

if I

> should be taking fosomax/actonel in the meantime for bone

> strengthening...hmmm...I posted a thread about this but got no

> responses....I'm worried that my bones will become osteoporetic

> during my " wait " time. Any thoughts on this anyone? Susie

>

> - In surfacehippy , " Pamela Jansen "

> wrote:

> > Ted I don't believe that that one doctor does only hip

resurfacing,

> > it's just that he is the biggest proponent of it of the 4.

> Although

> > given the amount of operating time these guys are given,

perhaps

> right

> > now that's all he is doing as they try to get some patients

under

> > their belts (some of these doctors get 4-5 operating days a

month -

> > and the waitlists for hips are increasing at a rate of 9% every

wix

> > months!). I believe tho that Dr. Greidanus will refuse to do a

> woman

> > in her late fifties and I was told by Garbuz when I wanted one

that

> he

> > wouldn't even talk to woman over 50 for resurfacing....perhaps

he

> has

> > changed his mind. Dr. Masri, another one of those doctors and

the

> > newest to do resurfacing of that bunch seems more receptive to

a

> woman

> > as long as her bones are strong - the problem being of course

will

> you

> > still have good bones by the time your name comes up. As these

> > doctors get a better feel for resurfacing I believe they will

> promote

> > it more - they say they need more evidence of it working - well

we

> are

> > all trying to give it to them.

> >

> > With respect to the Durom v. the others, really there is not a

lot

> of

> > difference and one of the Durom doctors told me that they are

> > basically all the same - any claims about better " ratio

clearance "

> etc

> > are really just that - claims - there is a mathematial formula

that

> > they have to use...(don't ask me the math part)... Every

> manufacturer

> > has small differences in the making of the device, or perhaps

in the

> > metallurgy to but it comes down to the one your doctor uses, or

your

> > personal preference if you choose to go somewhere else. Some

> devices

> > have more size options and for some people that will become an

> > important part of their choice.

> >

> >

> > In your case, if your bones are strong now and there is not a

lot of

> > damage to the surface you are probably fine to wait. It's one

of

> > those things you need to keep an eye on - as a man you will

tend to

> > have better bones than we women but osteoporosis is not unheard

of

> in

> > men either. It is certainly something you need to keep an eye

and

> if

> > things get bad either beg Garbuz for an earlier appointment or

go to

> > England or Europe or India (virtually no waitlists in Europe

and

> India

> > - I believe England you can get in privately pretty fast too).

> >

> > I can tell you that Cliff and I continue to get stronger and

better

> > ROM even at 18 months out....it still surprises me on a regular

> basis

> > and that grin on my face Oct 23/02 has never gone away!!

> >

> > Best of luck - any questions - ask away.

> >

> > Pamela

> > LBHR De Smet Oct23/02

> >

> >

> >

> >

> > > There is now an approx. 2 year waiting list in Vancouver

> (Canada).

> > The 4 doctors here have switched from using the Birmingham

> prosthesis

> > to the Durom prosthesis which is approx. $1,000 less. The

Durom has

> > been used with 200,000 patients so far and there is evidence of

it

> > being a superior product IMHO. One of these 4 docors in

Vancouver

> > (all part of the same team) does only hip resurfacing but they

all

> do

> > not encourage hip resurfacing because they do not feel that

there is

> > sufficient evidence after only 10 years. I insisted with my

> Ortho. ,

> > Dr. Garbuz, that I wanted the hip resurfacing and I am

now on

> > an approx 18 month waitng list because I had visited him 8

months

> > earlier. Should I wait this long or go to Birmingham or

somewhere

> > closer? I am not in severe constant pain and can hit tennis

balls

> > with limited movements. Should I avoid too much movement if my

> > operation is so far away. Do I risk wearing out the femur bulb

bone

> > if I have very little cartilage left? Any thoughts or opinions

are

> > appreciated. I am gald that I discovered this Yahoo group just

a

> few

> > days ago. Thanks everybody for your great stories and sharing!

> > > Ted

> > >

> > >

[Guest guest]

> Hi Susie

>

> From my understanding of it bones don't go osteoporetic too

fast............

> My femur and head were going that way but hadn't been used properly

for 35

> years at that point........... They were still good for resurface

at 53 and

> within 6 months were showing signs of regain.......... I didn't

take any

> extra calcium or fosomax type stuff............ that gain came

simply from

> reuse of the bones properly re weight bearing...........

>

> I think where you are menapause wise may also play a role here

> though.......... which is why they dish out the fosomax as many

don't

> understand that it doesn't matter how much calcium you eat the body

requires

> other chemicals to actually process it............ My OS said

later in the

> day we may consider me taking fosomax - I come from a long line of

> osteoporic women.......... but at this point my body is doing quite

fine on

> its own............

>

> So the long and short will be how long you have to wait............

and what

> weight bearing exercise you can do now........ for again I am not

even sure

> just taking fosamex without weight bearing exercise will make much

> difference to a femur........ i.e. the brain will not

necessarily 'know'

> that that is where you meant the bone build up to happen..........

>

> Edith LBHR Dr. L Walter Syd Aust 8/02

>

> > -Ted, interesting tidbit about the Durom....we are basically in

the

> > same boat...waiting for surgery and not really knowing when to

> > say " just do it " ...anyway...I am a female..age 51..and wondering

if I

> > should be taking fosomax/actonel in the meantime for bone

> > strengthening...hmmm...I posted a thread about this but got no

> > responses....I'm worried that my bones will become osteoporetic

> > during my " wait " time. Any thoughts on this anyone? Susie

> >

[Guest guest]

> Hi Susie

>

> From my understanding of it bones don't go osteoporetic too

fast............

> My femur and head were going that way but hadn't been used properly

for 35

> years at that point........... They were still good for resurface

at 53 and

> within 6 months were showing signs of regain.......... I didn't

take any

> extra calcium or fosomax type stuff............ that gain came

simply from

> reuse of the bones properly re weight bearing...........

>

> I think where you are menapause wise may also play a role here

> though.......... which is why they dish out the fosomax as many

don't

> understand that it doesn't matter how much calcium you eat the body

requires

> other chemicals to actually process it............ My OS said

later in the

> day we may consider me taking fosomax - I come from a long line of

> osteoporic women.......... but at this point my body is doing quite

fine on

> its own............

>

> So the long and short will be how long you have to wait............

and what

> weight bearing exercise you can do now........ for again I am not

even sure

> just taking fosamex without weight bearing exercise will make much

> difference to a femur........ i.e. the brain will not

necessarily 'know'

> that that is where you meant the bone build up to happen..........

>

> Edith LBHR Dr. L Walter Syd Aust 8/02

>

> > -Ted, interesting tidbit about the Durom....we are basically in

the

> > same boat...waiting for surgery and not really knowing when to

> > say " just do it " ...anyway...I am a female..age 51..and wondering

if I

> > should be taking fosomax/actonel in the meantime for bone

> > strengthening...hmmm...I posted a thread about this but got no

> > responses....I'm worried that my bones will become osteoporetic

> > during my " wait " time. Any thoughts on this anyone? Susie

> >

[Guest guest]

> Hi Susie

>

> From my understanding of it bones don't go osteoporetic too

fast............

> My femur and head were going that way but hadn't been used properly

for 35

> years at that point........... They were still good for resurface

at 53 and

> within 6 months were showing signs of regain.......... I didn't

take any

> extra calcium or fosomax type stuff............ that gain came

simply from

> reuse of the bones properly re weight bearing...........

>

> I think where you are menapause wise may also play a role here

> though.......... which is why they dish out the fosomax as many

don't

> understand that it doesn't matter how much calcium you eat the body

requires

> other chemicals to actually process it............ My OS said

later in the

> day we may consider me taking fosomax - I come from a long line of

> osteoporic women.......... but at this point my body is doing quite

fine on

> its own............

>

> So the long and short will be how long you have to wait............

and what

> weight bearing exercise you can do now........ for again I am not

even sure

> just taking fosamex without weight bearing exercise will make much

> difference to a femur........ i.e. the brain will not

necessarily 'know'

> that that is where you meant the bone build up to happen..........

>

> Edith LBHR Dr. L Walter Syd Aust 8/02

>

> > -Ted, interesting tidbit about the Durom....we are basically in

the

> > same boat...waiting for surgery and not really knowing when to

> > say " just do it " ...anyway...I am a female..age 51..and wondering

if I

> > should be taking fosomax/actonel in the meantime for bone

> > strengthening...hmmm...I posted a thread about this but got no

> > responses....I'm worried that my bones will become osteoporetic

> > during my " wait " time. Any thoughts on this anyone? Susie

> >

[Guest guest]

> Hi Susie

>

> From my understanding of it bones don't go osteoporetic too

fast............

> My femur and head were going that way but hadn't been used properly

for 35

> years at that point........... They were still good for resurface

at 53 and

> within 6 months were showing signs of regain.......... I didn't

take any

> extra calcium or fosomax type stuff............ that gain came

simply from

> reuse of the bones properly re weight bearing...........

>

> I think where you are menapause wise may also play a role here

> though.......... which is why they dish out the fosomax as many

don't

> understand that it doesn't matter how much calcium you eat the body

requires

> other chemicals to actually process it............ My OS said

later in the

> day we may consider me taking fosomax - I come from a long line of

> osteoporic women.......... but at this point my body is doing quite

fine on

> its own............

>

> So the long and short will be how long you have to wait............

and what

> weight bearing exercise you can do now........ for again I am not

even sure

> just taking fosamex without weight bearing exercise will make much

> difference to a femur........ i.e. the brain will not

necessarily 'know'

> that that is where you meant the bone build up to happen..........

>

> Edith LBHR Dr. L Walter Syd Aust 8/02

>

> > -Ted, interesting tidbit about the Durom....we are basically in

the

> > same boat...waiting for surgery and not really knowing when to

> > say " just do it " ...anyway...I am a female..age 51..and wondering

if I

> > should be taking fosomax/actonel in the meantime for bone

> > strengthening...hmmm...I posted a thread about this but got no

> > responses....I'm worried that my bones will become osteoporetic

> > during my " wait " time. Any thoughts on this anyone? Susie

> >

[Guest guest]

> Hi Susie

>

> From my understanding of it bones don't go osteoporetic too

fast............

> My femur and head were going that way but hadn't been used properly

for 35

> years at that point........... They were still good for resurface

at 53 and

> within 6 months were showing signs of regain.......... I didn't

take any

> extra calcium or fosomax type stuff............ that gain came

simply from

> reuse of the bones properly re weight bearing...........

>

> I think where you are menapause wise may also play a role here

> though.......... which is why they dish out the fosomax as many

don't

> understand that it doesn't matter how much calcium you eat the body

requires

> other chemicals to actually process it............ My OS said

later in the

> day we may consider me taking fosomax - I come from a long line of

> osteoporic women.......... but at this point my body is doing quite

fine on

> its own............

>

> So the long and short will be how long you have to wait............

and what

> weight bearing exercise you can do now........ for again I am not

even sure

> just taking fosamex without weight bearing exercise will make much

> difference to a femur........ i.e. the brain will not

necessarily 'know'

> that that is where you meant the bone build up to happen..........

>

> Edith LBHR Dr. L Walter Syd Aust 8/02

>

> > -Ted, interesting tidbit about the Durom....we are basically in

the

> > same boat...waiting for surgery and not really knowing when to

> > say " just do it " ...anyway...I am a female..age 51..and wondering

if I

> > should be taking fosomax/actonel in the meantime for bone

> > strengthening...hmmm...I posted a thread about this but got no

> > responses....I'm worried that my bones will become osteoporetic

> > during my " wait " time. Any thoughts on this anyone? Susie

> >

[Guest guest]

Thanks Edith for your thoughts! I've not had a bone scan but I did

happen across a bone " screening " one day at a public event...the heel

test...it concluded that I had osteopenia...don't know just how

reliable this screening tool is but...I think I might give fosomax a

try just to be on the safe side. I, too come from a long line of

osteoporetic women. What you say about the weight bearing certainly

makes sense and I am in the midst of a self-improvement conditioning

program...I'm a protrusio acetabulum (Otto Pelvis) person and am

truly losing range of motion fairly fast...it's scarey...but I can

sure climb up and down our stairs every day with varying amounts of

pain and I'm gonna try an eliptical trainer and water aerobics...any

other suggestions? Water aerobics is not weight bearing...and the

eliptical machine is..I guess.. about as weight bearing as I'm gonna

be able to tolerable but it's probably not that great. I have been

watching my diet very closely and have lost mostly all of my extra

weight but I'm about a week away from joining the nearby fitness

center..my tempoary job is about to end and free me up for my job of

getting myself into shape. Thanks for all of your helpful

suggestions. Susie

> Hi Susie

>

> From my understanding of it bones don't go osteoporetic too

fast............

> My femur and head were going that way but hadn't been used properly

for 35

> years at that point........... They were still good for resurface

at 53 and

> within 6 months were showing signs of regain.......... I didn't

take any

> extra calcium or fosomax type stuff............ that gain came

simply from

> reuse of the bones properly re weight bearing...........

>

> I think where you are menapause wise may also play a role here

> though.......... which is why they dish out the fosomax as many

don't

> understand that it doesn't matter how much calcium you eat the body

requires

> other chemicals to actually process it............ My OS said

later in the

> day we may consider me taking fosomax - I come from a long line of

> osteoporic women.......... but at this point my body is doing quite

fine on

> its own............

>

> So the long and short will be how long you have to wait............

and what

> weight bearing exercise you can do now........ for again I am not

even sure

> just taking fosamex without weight bearing exercise will make much

> difference to a femur........ i.e. the brain will not

necessarily 'know'

> that that is where you meant the bone build up to happen..........

>

> Edith LBHR Dr. L Walter Syd Aust 8/02

>

> > -Ted, interesting tidbit about the Durom....we are basically in

the

> > same boat...waiting for surgery and not really knowing when to

> > say " just do it " ...anyway...I am a female..age 51..and wondering

if I

> > should be taking fosomax/actonel in the meantime for bone

> > strengthening...hmmm...I posted a thread about this but got no

> > responses....I'm worried that my bones will become osteoporetic

> > during my " wait " time. Any thoughts on this anyone? Susie

> >

[Guest guest]

Dear Susie,

I'm 60 and I was resurfed in November. Someone 64 was being resurfaced

at the same time, and I know a 67 year old man who was resurfaced. The

only worry for woman our age, as I understand it, is whether there is

osteoporosis and this has affected the bone density. My OS told me that

recently some woman in their late 50's were resurfaced and the bone

underneath crumbled because of osteoporosis that had not been fully

checked out.

Eleanor

Re: Durom Resurfacing in Vancouver But 2 Years

-Thank you Sunita!!!! Fosomax makes sense to me. How old are you?

I'm starting to get worried that I might be too old for a

resurf...I'm 51 and female...that's a gray area for re-surfing, I

think. Susie

- In surfacehippy , " Sunita Romeder "

wrote:

> I had my right hip resurfaced by Dr De Smet in January and when I

left I asked him about taking osteoporosis med cause I will have to

do the second hip sometimes... He said " yes anything to keep your

bone strong is good " . so I am taking Fosamax (my GP gave me half the

dose recommended cause I am only " borderline " and it is to keep me

from going down in this period where I cannot walk much - my other

hip being a limitation -

> Sunita

> R BHR jan 2004

> Re: Durom Resurfacing in Vancouver But 2

Years

>

>

> -Ted, interesting tidbit about the Durom....we are basically in

the

> same boat...waiting for surgery and not really knowing when to

> say " just do it " ...anyway...I am a female..age 51..and wondering

if I

> should be taking fosomax/actonel in the meantime for bone

> strengthening...hmmm...I posted a thread about this but got no

> responses....I'm worried that my bones will become osteoporetic

> during my " wait " time. Any thoughts on this anyone? Susie

>

> - In surfacehippy , " Pamela Jansen "

> wrote:

> > Ted I don't believe that that one doctor does only hip

resurfacing,

> > it's just that he is the biggest proponent of it of the 4.

> Although

> > given the amount of operating time these guys are given,

perhaps

> right

> > now that's all he is doing as they try to get some patients

under

> > their belts (some of these doctors get 4-5 operating days a

month -

> > and the waitlists for hips are increasing at a rate of 9% every

wix

> > months!). I believe tho that Dr. Greidanus will refuse to do a

> woman

> > in her late fifties and I was told by Garbuz when I wanted one

that

> he

> > wouldn't even talk to woman over 50 for resurfacing....perhaps

he

> has

> > changed his mind. Dr. Masri, another one of those doctors and

the

> > newest to do resurfacing of that bunch seems more receptive to

a

> woman

> > as long as her bones are strong - the problem being of course

will

> you

> > still have good bones by the time your name comes up. As these

> > doctors get a better feel for resurfacing I believe they will

> promote

> > it more - they say they need more evidence of it working - well

we

> are

> > all trying to give it to them.

> >

> > With respect to the Durom v. the others, really there is not a

lot

> of

> > difference and one of the Durom doctors told me that they are

> > basically all the same - any claims about better " ratio

clearance "

> etc

> > are really just that - claims - there is a mathematial formula

that

> > they have to use...(don't ask me the math part)... Every

> manufacturer

> > has small differences in the making of the device, or perhaps

in the

> > metallurgy to but it comes down to the one your doctor uses, or

your

> > personal preference if you choose to go somewhere else. Some

> devices

> > have more size options and for some people that will become an

> > important part of their choice.

> >

> >

> > In your case, if your bones are strong now and there is not a

lot of

> > damage to the surface you are probably fine to wait. It's one

of

> > those things you need to keep an eye on - as a man you will

tend to

> > have better bones than we women but osteoporosis is not unheard

of

> in

> > men either. It is certainly something you need to keep an eye

and

> if

> > things get bad either beg Garbuz for an earlier appointment or

go to

> > England or Europe or India (virtually no waitlists in Europe

and

> India

> > - I believe England you can get in privately pretty fast too).

> >

> > I can tell you that Cliff and I continue to get stronger and

better

> > ROM even at 18 months out....it still surprises me on a regular

> basis

> > and that grin on my face Oct 23/02 has never gone away!!

> >

> > Best of luck - any questions - ask away.

> >

> > Pamela

> > LBHR De Smet Oct23/02

> >

> >

> >

> >

> > > There is now an approx. 2 year waiting list in Vancouver

> (Canada).

> > The 4 doctors here have switched from using the Birmingham

> prosthesis

> > to the Durom prosthesis which is approx. $1,000 less. The

Durom has

> > been used with 200,000 patients so far and there is evidence of

it

> > being a superior product IMHO. One of these 4 docors in

Vancouver

> > (all part of the same team) does only hip resurfacing but they

all

> do

> > not encourage hip resurfacing because they do not feel that

there is

> > sufficient evidence after only 10 years. I insisted with my

> Ortho. ,

> > Dr. Garbuz, that I wanted the hip resurfacing and I am

now on

> > an approx 18 month waitng list because I had visited him 8

months

> > earlier. Should I wait this long or go to Birmingham or

somewhere

> > closer? I am not in severe constant pain and can hit tennis

balls

> > with limited movements. Should I avoid too much movement if my

> > operation is so far away. Do I risk wearing out the femur bulb

bone

> > if I have very little cartilage left? Any thoughts or opinions

are

> > appreciated. I am gald that I discovered this Yahoo group just

a

> few

> > days ago. Thanks everybody for your great stories and sharing!

> > > Ted

> > >

> > >

[Guest guest]

don't worry Susie and check with your OS. I am 61! and De Smet did not hesitate

to resurface my hip however here in Vancouver the OS don't want to take any risk

whatsoever!

De Smet told me there was a very small risk of femoral head fracture but he said

he only had one or two in his 1000 surgeries.

Who is your surgeon in Vancouver?

sunita

Re: Durom Resurfacing in Vancouver But 2

Years

>

>

> -Ted, interesting tidbit about the Durom....we are basically in

the

> same boat...waiting for surgery and not really knowing when to

> say " just do it " ...anyway...I am a female..age 51..and wondering

if I

> should be taking fosomax/actonel in the meantime for bone

> strengthening...hmmm...I posted a thread about this but got no

> responses....I'm worried that my bones will become osteoporetic

> during my " wait " time. Any thoughts on this anyone? Susie

>

> - In surfacehippy , " Pamela Jansen "

> wrote:

> > Ted I don't believe that that one doctor does only hip

resurfacing,

> > it's just that he is the biggest proponent of it of the 4.

> Although

> > given the amount of operating time these guys are given,

perhaps

> right

> > now that's all he is doing as they try to get some patients

under

> > their belts (some of these doctors get 4-5 operating days a

month -

> > and the waitlists for hips are increasing at a rate of 9% every

wix

> > months!). I believe tho that Dr. Greidanus will refuse to do a

> woman

> > in her late fifties and I was told by Garbuz when I wanted one

that

> he

> > wouldn't even talk to woman over 50 for resurfacing....perhaps

he

> has

> > changed his mind. Dr. Masri, another one of those doctors and

the

> > newest to do resurfacing of that bunch seems more receptive to

a

> woman

> > as long as her bones are strong - the problem being of course

will

> you

> > still have good bones by the time your name comes up. As these

> > doctors get a better feel for resurfacing I believe they will

> promote

> > it more - they say they need more evidence of it working - well

we

> are

> > all trying to give it to them.

> >

> > With respect to the Durom v. the others, really there is not a

lot

> of

> > difference and one of the Durom doctors told me that they are

> > basically all the same - any claims about better " ratio

clearance "

> etc

> > are really just that - claims - there is a mathematial formula

that

> > they have to use...(don't ask me the math part)... Every

> manufacturer

> > has small differences in the making of the device, or perhaps

in the

> > metallurgy to but it comes down to the one your doctor uses, or

your

> > personal preference if you choose to go somewhere else. Some

> devices

> > have more size options and for some people that will become an

> > important part of their choice.

> >

> >

> > In your case, if your bones are strong now and there is not a

lot of

> > damage to the surface you are probably fine to wait. It's one

of

> > those things you need to keep an eye on - as a man you will

tend to

> > have better bones than we women but osteoporosis is not unheard

of

> in

> > men either. It is certainly something you need to keep an eye

and

> if

> > things get bad either beg Garbuz for an earlier appointment or

go to

> > England or Europe or India (virtually no waitlists in Europe

and

> India

> > - I believe England you can get in privately pretty fast too).

> >

> > I can tell you that Cliff and I continue to get stronger and

better

> > ROM even at 18 months out....it still surprises me on a regular

> basis

> > and that grin on my face Oct 23/02 has never gone away!!

> >

> > Best of luck - any questions - ask away.

> >

> > Pamela

> > LBHR De Smet Oct23/02

> >

> >

> >

> >

> > > There is now an approx. 2 year waiting list in Vancouver

> (Canada).

> > The 4 doctors here have switched from using the Birmingham

> prosthesis

> > to the Durom prosthesis which is approx. $1,000 less. The

Durom has

> > been used with 200,000 patients so far and there is evidence of

it

> > being a superior product IMHO. One of these 4 docors in

Vancouver

> > (all part of the same team) does only hip resurfacing but they

all

> do

> > not encourage hip resurfacing because they do not feel that

there is

> > sufficient evidence after only 10 years. I insisted with my

> Ortho. ,

> > Dr. Garbuz, that I wanted the hip resurfacing and I am

now on

> > an approx 18 month waitng list because I had visited him 8

months

> > earlier. Should I wait this long or go to Birmingham or

somewhere

> > closer? I am not in severe constant pain and can hit tennis

balls

> > with limited movements. Should I avoid too much movement if my

> > operation is so far away. Do I risk wearing out the femur bulb

bone

> > if I have very little cartilage left? Any thoughts or opinions

are

> > appreciated. I am gald that I discovered this Yahoo group just

a

> few

> > days ago. Thanks everybody for your great stories and sharing!

> > > Ted

> > >

> > >

[Guest guest]

Did I miss something when Ted stated " The Durom has been used with

200,000 patients so far and there is evidence of it " Was he stating

that 200,000 Duron resurfacing devices have been used on patients?

That's more than all the manufactures combined!!!

Michigandar Mike

Bilateral, Dr.DeSmet 4/2003

> > being a superior product IMHO.

There is now an approx. 2 year waiting list in Vancouver

(Canada).

The 4 doctors here have switched from using the Birmingham

prosthesis

to the Durom prosthesis which is approx. $1,000 less. The

Durom has

been used with 200,000 patients so far and there is evidence of

it

being a superior product IMHO. One of these 4 docors in

Vancouver

(all part of the same team) does only hip resurfacing but they

all

do

not encourage hip resurfacing because they do not feel that

there is

sufficient evidence after only 10 years. I insisted with my

Ortho. ,

Dr. Garbuz, that I wanted the hip resurfacing and I am

now on

an approx 18 month waitng list because I had visited him 8

months

earlier. Should I wait this long or go to Birmingham or

somewhere

closer? I am not in severe constant pain and can hit tennis

balls

with limited movements. Should I avoid too much movement if my

operation is so far away. Do I risk wearing out the femur bulb

bone

if I have very little cartilage left? Any thoughts or opinions

are

appreciated. I am gald that I discovered this Yahoo group just

a

few days ago. Thanks everybody for your great stories and haring!

Ted

[Guest guest]

Hi Susie

I had my right hip resurfaced at age 53, after four years of it

being " locked " into a limited range of motion and losing bone density.

I know lots of other women in their 50's and older who have had it

done, so don't listen to the OS's who refuse to resurf post-menopausal

women. They are just being conservative. I recently met at woman in

her 70's who was off to Belgium for a resurf from Dr. DeSmet. She is

still playing tennis,

and has good bone density.

Now I'm almost 7 months post-op, I love my new mobility, and I'm

so glad I didn't have a Total Hip Replacement, as was originally

recommended, because I've still got most of my femur intact, and it's

getting stronger all the time.

n

rBHR Oct.17/03 McMinn