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Author Topic: Failed Surgery... where to turn?  (Read 1100 times)

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Offline EricIsDesperate

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Failed Surgery... where to turn?
« on: August 22, 2007, 04:03:43 AM »
I won't go into details of my knee issue history; you can read all my previous posts on this board (i think you can click on my name and read anything I've posted)....

The point of this topic is to pose a question:
After having bi-lateral arthroscopy leading to the full excision of both Plica and some smoothing of the underside of the patella due to chondral changes... my left knee is "ok" (no better no worse).  However my right knee is horrible.  Worse pain, loss of ROM, clicking/grinding, etc.  Had second opinion leading to Orthovisc injections (last injection was July 6th) and told to come back in November... The injections eased the pain from stairs, but very little else.

Now I have a choice... do I go to a new doctor (most likely Dr. Stephen Hunt... who studied in Vail as I'm told) for an eval... or do I go back to the first surgeon and complain --> ie: "Doctor, my knees are worse because of your surgery... what the hell did you do"... I have not been back to the first surgeon in over 3 1/2 months so I'm sure he doesn't know how bad off I am... but part of me doesn't want to go back since the entire rehab time he kept saying "Just give it time" even though I kept complaining that I was getting worse..

So do I go to Dr. Hunt or the original surgeon?

trainwreck

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Re: Failed Surgery... where to turn?
« Reply #1 on: August 22, 2007, 04:52:07 AM »
You don't know for sure the first MD made your knee worse.  Every surgeon has a different approach some cut some are conservative.  I get the feeling you aren't confident or particularily like your original doctor.  If I felt that way about my surgeon I would definately try somone else.  There are tons of orthos out there and I won't go to somone I don't have confidence in and like as a person.  My knees are very important (just like yours) and I won't let just anyone work on them.  You should see whomever you want but I suspect you want to try the other surgeon.
Trainwreck

Offline Doc79316

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Re: Failed Surgery... where to turn?
« Reply #2 on: August 22, 2007, 12:27:51 PM »
Hi,

I'm inclined to agree. Aside from which, you may have more choices or be clearer about the direction you want to go in with your knees if you got a second or even third and fourth opinions. Whatever a surgeon suggests, you don't have to go along with it. And no surgeon worth his salt would object to you approaching other doctors.

I think one thing you must stick to though is making sure you see OSs who specialise in knee joint problems. This way, you may end with conflicting ideas/opinions but you can always ask a lot of question s as to why a particular doctor reaches a certain conclusion. On the other hand, you could end up with all the surgeons saying the same thing.

Also, you need to like and trust your OS. You should like him/her as a person and trust in their work 100%. After all, when you're lying in the operating theatre with the insides of your knee exposed you are very vulnerable. You are literally trusting them with your life! So, try to find someone whom you'd actually WANT to see you in that position. Once you've found that OS, stick to them like glue.

In addition, you need to ask about rehab times. Each OS has their own protocol for certain operations and where one surgeon may say you can be PWB for a time, another may insist on you being NWB for even longer. Make sure that your physio team attached to your hospital have therapists who can deal with and have experience of severe knee problems. After all, you could have a fantastic OS but if your aftercare isn't up to sctratch them you'll be fighting a losing battle from day one.

I hope this has been of some use to you.

Take care,

Laura x
Left knee surgery
08/06/02 - L/Release
13/08/03 - Fulkerson TTT
05/06/05 - Stabilisation & Medialisation/Tendon Transfer
13/01/06 - Proximal Hamstring Superior Stabilisation
06/03/06 - RSD/CRPS diagnosed
20/07/06 + 03/04/07- Excision of scar tissue
30/07/07 - PKR suggested by OS (no date yet)

Offline jathib

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Re: Failed Surgery... where to turn?
« Reply #3 on: August 22, 2007, 01:01:01 PM »
If you go to any doctor and tell them that the first doctor made your knee worse then you're not likely to get a lot of doctors willing to help. Sometimes surgery just doesn't work and it's nobody's fault. For all you know, it could be your fault. Since you obviously don't like your first doctor I don't know why you'd bother to go back especially since you haven't bothered to tell him there is a problem in the last few months. So go to another doctor and tell them your knee hurts. Just because someone studied at a certain place doesn't make them the best doctor around. I mean isn't Vail a tourist spot for skiiers? Not much studying going on around there.

Offline EricIsDesperate

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Re: Failed Surgery... where to turn?
« Reply #4 on: August 24, 2007, 06:34:20 AM »
Jathib:  Yes... but I was told on this board by MULTIPLE people that Dr. Steadman is the top of the game when it comes to these things.  And Stephen Hunt was his protege as I am told by many. 

Regarding the other comments... I liked my original surgeon at first.  He was calm and laid back and well known in the sports medicine community and did great knee work.  However, I do feel he was slightly aggressive with the surgery.  I was concerned but he told me, "Don't worry... 3 months and you will be back to 100 percent.  Sooner maybe, but lets say 3 months"   Well, its been 8 months now and I'm worse.  I would be happy to be at a point where everything is the same.  But my right knee is so bad that Ive now become addicted to percocets due to pain (I'm only 25 years old!!).  I am out of percocets as of this week and its terrible.  Advil does nothing. 

Anyways, the original doctors laid back personality turned out to be the downfall.  From the first week post-op I knew something was wrong.  I told him, "I am no doctor, but I know my body... and something fishy is going on".  He said, "Give it time"... 3 months later I went to him and said, "The pain is worse, the knee is clicking/grinding, I can barely walk, and I lost ROM".  He said, "Give it time".  5 months post op I still was not even 30% healed.  He said, "Give it more time".  I got frustrated with the laid back answers.  I needed my knees for my job (Environmental Scientist during the week and professional wrestler on weekends).  My crappy knees have caused me to give up wrestling which was an income booster.  Goodbye $$$.  And my job... well... I'm not as profitable to the company, so I am not being given raises... goodbye $$$ lol.

Knowing what I know now... I wouldn't have done the surgery.  But hindsight is 20/20 right?  I just pray I will be able to dance at my wedding next year... and play with my kids.. I'm too young and fit for this

Offline Jaci

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Re: Failed Surgery... where to turn?
« Reply #5 on: August 24, 2007, 03:13:20 PM »
Just because someone studied at a certain place doesn't make them the best doctor around. I mean isn't Vail a tourist spot for skiiers? Not much studying going on around there.

I agree that studying in a certain place does not necessarily make them the best doctor. However, on the matter of not much studying going on in Vail you are misinformed. The fellowship program at Steadman Hawkins is one of the most prestigious programs out there. The OS that are accepted into it are among the top in their field. 
 
http://www.steadman-hawkins.com/

http://www.shsmf.org/

http://www.shsmf.org/edServices.asp

http://en.wikipedia.org/wiki/Richard_Steadman



Jaci


« Last Edit: August 24, 2007, 03:25:26 PM by Jaci »
10/03 Twist injury
12/03 Menisectomy- tears ACL, MCL, & LCL missed by OS
Arthrofibrosis ROM 38-68
3/04- 4/08 Multiple scar tissue procedures:
6 scopes w/LOA, AIR, LR, chondroplasty, synovectomy, bone spur & plica removal
3 insufflations, many injections
Chronic AF, patella infera, IPCS















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