Depression

[rubyred]

You must be right Danny. I often wondered just how that must feel to be 'bone on bone' I'll find out one day if I don't get fixed now, but i'd rather not get to that stage if I can possibly help it.

I don't have a date set to see Mr Bache, I haven't even got my CT scan date through. The ROH are pretty quick with appointments I've found though so hopefully shouldn't be waiting too long.

Something Mr Bache said that's been playing on my mind. The surgery that's open to me, cartilage depending, is the periacetabular osteotomy and he said he's performed over 100 of these. Mr Treacy mentioned a Mr O'Hara in my last appointment with him, and upon doing some research it appears he's a bit of a master in this surgery and in Dysplasia. I'm not doubting Mr Bache's credentials, but i'm wondering if Mr O'Hara would be a better judge of my cartilage and whether or not i'd be a candidate - especially since Mr Treacy mentioned him specifically for me. I was only meant to be seeing Mr Bache to find out the possibility for a arthroscopy.

[Dannywayoflife]

I must admit when i was researching surgeons in the UK i didnt come accross Mr Bache. I did come accross Mr O'Hara but then i was looking specifically for HR surgeons. The NHS can be problematic at the best of times from my experience The ROH is a centre of excellence tho so im sure you are in good hands.
Danny

[rubyred]

It was Mr Treacy to referred me to Mr Bache for a possible arthroscopy, and whom am I to doubt Mr Treacy! It's just so confusing and ultimately you want the best for yourself.

[Dannywayoflife]

Im sure Mr Treacy wouldnt reffer you to someone who was not an excellent surgeon. I know what you mean. We all want to be seen by the best in the world.

[Dee Dee]

Maybe this will help you

From hip universe
 
Hip U.:  “Can you give us some guidelines about what size caseload would constitute solid experience in PAO--that is, how many cases per year?”
Dr. Ganz:  “Solid experience in indicating [identifying] and executing PAO needs about 25 cases per year.”
Sincerely,
R.Ganz
7 Feb 2006

[Dannywayoflife]

So with over 100 he should be pretty proficient at it then. 

[rubyred]

Thank you all!

I got my CT scan tomorrow! What a quick turnaround. I cannot fault the ROH for their waiting times, they have been exceptional.

I explained to Mr Bache's secretary that I'm travelling from Essex and wondered if Mr Bache was in clinic tomorrow, perhaps I could see him with the result to save me travelling up again in a week or so. He's not in apparently, so he will write to me with the results and I guess go from there.

[Dannywayoflife]

Good luck im thinking about you! ;)

[hernanu]

Great luck, ruby - things will shake out well.

[Anna]

Good luck Michelle,

I hope everything goes well. Please let us know the outcome. Maybe we can book into the ROH at the same time for our PAO'S and have a party in the ward  ;D

x x x

[rubyred]

Well that wasn't the most pleasant experience I've ever had!

The actual CT scan was a breeze, however having the dye injected into my joint space wasn't!! It's all over with, but i'm not off work with pain, pins and needles and loosing feeling in my left leg!!

Oh the joys of dysplasia.

[Dannywayoflife]

Ruby I know what you mean about the intra articular injection! I had to have and adthrogram before my scope and having 25ml of dye injected into my hip was not just uncomfortable it was horrific!!!  Glad that's I've for you now though!
Danny

[einreb]

Well that wasn't the most pleasant experience I've ever had!

The actual CT scan was a breeze, however having the dye injected into my joint space wasn't!! It's all over with, but i'm not off work with pain, pins and needles and loosing feeling in my left leg!!

Oh the joys of dysplasia.

Oh, you poor thing.  I had a 'contrast dye' MRI done well before my surgery.  The Dr injecting it started out very confident then starts complaining that I have no joint space to insert the needle to my hip joint (no kidding!).  I was literally laying on the table screaming f'bombs at him and the nurse.

Weird thing was that there was some sort of pain killer in the injection that took effect after the dye went in.  I was hip pain free for 12 hours.  It was really weird at the time.

Take care Ruby... :) you have a lot of support here!

-Bernie

[rubyred]

It was completely horrific!

He kept fiddling with the needle, moving it around and kept apologising... all the while I'm laying there praying for the local anaesthetic to kick in!

I didn't think my hip could feel any worse. Back on the crutches today :(

[Dannywayoflife]

Yes hopefully non of us will ever have to go through that again! Fingers crossed for you ruby xx

[rubyred]

Thanks guys. Some would say the hard part is now.... waiting for the results x

[hernanu]

Hey ruby... sorry you had to go through that. My daughter had several of those injections for a benign brain tumor when she was young, so I empathize.

Waiting for any results is difficult, I guess my take on this is that this will give you more direction than you have now, and the ability to call the shots better. Sounds like a really good forward step, despite the pain you had to go through.

[rubyred]

Hey ruby... sorry you had to go through that. My daughter had several of those injections for a benign brain tumor when she was young, so I empathize.

Waiting for any results is difficult, I guess my take on this is that this will give you more direction than you have now, and the ability to call the shots better. Sounds like a really good forward step, despite the pain you had to go through.

Hi Hern,

So sorry to hear of what your daughter had to endure. Hope she's well now.

I think you're right. Knowledge is power so they say, and we'll all have a better idea of what we're dealing with when the results come in. Hopefully it shouldn't be too long. Like Anna said, lets book in at the ROH together and have a PAO party on the ward  ;D

[Anna]

Oh my god. This sounds horiffic!! I want to cry! It scares me to think I may have to have this done too as I always seem one step behind you  :'(

Hope you are feeling better now though! Cant wait for the party. The ROH wont know whats hit it  ;D

[rubyred]

You might not need to, Anna. You're under a different surgeon to me and Mr O'Hara might be able to see all he needs to on your xrays/MRI scans. My local hospital ballsed up but not sending the ROH the full MRI (only the report, not the images) so Mr Bache only had an Xray and a note stating what the Radiologist saw to go on - no actual shots of the cartilage.