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Speaker 1: You're listening to I Choose Me with Jenny Garth. Hi, everyone,

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Speaker 1: welcome to I Choose Me. This podcast is all about

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Speaker 1: the choices we make and where they lead us. On

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Speaker 1: today's podcast, I want to tell you something, and most

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Speaker 1: people are pretty shocked when I tell them this. I've

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Speaker 1: had both my hips replaced. Yep. You know. I live

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Speaker 1: a very healthy life, and I think it shocks people

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Speaker 1: to hear that because I work out so hard. I

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Speaker 1: post my workouts. I'm all about healthy and active. But

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Speaker 1: I want to talk about the experience today because I'm

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Speaker 1: on the other side of it now, and maybe somebody

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Speaker 1: listening is going through this experience that I went through.

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Speaker 1: Maybe you're feeling pain, maybe you're ignoring it. Maybe you

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Speaker 1: know something's right, but you don't want to go to

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Speaker 1: the doctor, and maybe you're feeling really frustrated. I want

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Speaker 1: you to know that you are not alone. It was

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Speaker 1: early twenty twenty, right after the shutdown. I had been

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Speaker 1: dealing with hip problems, hip pain, hip clicking pretty much

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Speaker 1: all my life. I used to be a dancer and

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Speaker 1: I would stretch, and I would stretch through my hip

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Speaker 1: and it would kind of click and it didn't bother me.

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Speaker 1: It didn't hurt that much. It was just a little embarrassing.

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Speaker 1: And the click got louder and louder until it started

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Speaker 1: to become like a clunk, you know. It was my

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Speaker 1: hip joint would feel like it was like clunking into

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Speaker 1: position or clunking as I walked, and eventually it started

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Speaker 1: to basically give out from time to time whenever I

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Speaker 1: would put weight on it. So it was the winter

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Speaker 1: of twenty nineteen going into twenty twenty that my family

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Speaker 1: and I had gone on a ski trip we always

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Speaker 1: like to try to do every winter, and my hips

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Speaker 1: were hurting so badly that I couldn't ski with them.

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Speaker 1: I couldn't get on the lift, I couldn't get off

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Speaker 1: the lift, I could not go down the mountain. So

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Speaker 1: I had to just sort of sit that out, and

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Speaker 1: I was like, oh man, this sucks. I don't want

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Speaker 1: this life. I don't want to slow down. I'm too

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Speaker 1: young to have to worry about, you know, pain and

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Speaker 1: not be able to do things because I'm in pain, Like,

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Speaker 1: I need to go get this looked at once and

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Speaker 1: for all. So I went and I sought out a doctor,

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Speaker 1: a surgeon who specializes in hips, and I went to

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Speaker 1: see him, got my X rays, which led me to

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Speaker 1: getting an MRI, which led me to the diagnosis that

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Speaker 1: I needed to have my hip replaced. And I was

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Speaker 1: blown away because that's not what I was expecting to hear.

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Speaker 1: I don't know why, but I just felt like, Oh,

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Speaker 1: I'm too young for this. US kidding. Your hip replace

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Speaker 1: that's for old people. My parents are older, they had

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Speaker 1: hip replacements. That sounds like a big deal, and I'm

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Speaker 1: not sure I want to do that. So I sort

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Speaker 1: of sat with that news for a while and lived

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Speaker 1: with the pain a little bit more and came to

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Speaker 1: the place where I couldn't even take my dogs on

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Speaker 1: a walk or go like on a family walk around

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Speaker 1: the neighborhood. And I just didn't want to live like that.

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Speaker 1: You know, I have a younger husband and I'd like

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Speaker 1: to keep up with them. So I opted to go

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Speaker 1: in and get my left hip replaced. And I was

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Speaker 1: so afraid when I went in for that first operation,

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Speaker 1: I had no idea what was going to happen. I honestly,

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Speaker 1: every time the doctor would talk about what the procedure

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Speaker 1: was going to be, and you know, the recovery and

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Speaker 1: all those things, my brain just literally stopped listening and

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Speaker 1: didn't want to hear anything. So I went into that

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Speaker 1: operation saying, Okay, I don't know what you're about to

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Speaker 1: do to me, but do it good because this is

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Speaker 1: really important. And I came out and I was like, wait,

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Speaker 1: what has happened? And then I saw the X rays

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Speaker 1: of what they had done to me. And not until

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Speaker 1: after my surgery did I google what a hip replacement

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Speaker 1: surgery looks like, because I knew I would be too

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Speaker 1: scared and I would back out, but it was really

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Speaker 1: something that had to be done. So yeah, I learned

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Speaker 1: a lot about hips that spring, and I kept it

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Speaker 1: a secret from the world because I was a little

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Speaker 1: embarrassed and I didn't want people to have, you know,

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Speaker 1: that perception of me that I was getting old and

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Speaker 1: breaking down, and so really only my family knew, and

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Speaker 1: my mom and my best friends, and it was something

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Speaker 1: that I didn't want to share with anybody, So I

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Speaker 1: kept the recovery to myself. I didn't, you know, post

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Speaker 1: about it or talk about it to anyone, and I

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Speaker 1: slowly started to recover, and that's when I decided to

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Speaker 1: get in the best shape of my life. I decided

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Speaker 1: I'm not going to let this define me. So what,

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Speaker 1: I have a fake hip. It feels great. Sometimes I

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Speaker 1: forget that I even have it. And I just started

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Speaker 1: getting back into working out, gradually building up more and

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Speaker 1: more strength, and I think that's about the time that

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Speaker 1: I started sharing my workout videos with you guys. Those

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Speaker 1: first videos that I started sharing were post hip replacement,

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Speaker 1: but nobody knew. And then four years later, my right

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Speaker 1: hip started to give me problems started, that clicking started,

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Speaker 1: that clunking started, that giving out, and I knew what

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Speaker 1: I had to do. So I went back in to

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Speaker 1: the same surgeon, doctor Tiberry, and I said, let's do

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Speaker 1: the other one. And the other one was done. It

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Speaker 1: has been a slightly I expected it to be just

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Speaker 1: like the same recovery time. Frankly, very easy for me

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Speaker 1: personally because I was in good shape and I was

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Speaker 1: healthy and I'm young, so I expected it to be,

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Speaker 1: you know, a piece of cake. The second hip was

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Speaker 1: not as easy to heal. I'm only about five months

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Speaker 1: out from my second hip replacement. Having too feels kind

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Speaker 1: of like a different ballgame. But it is slowly healing,

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Speaker 1: and I have returned to the gym and I've built

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Speaker 1: up and I'm pretty much pretty much back to where

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Speaker 1: I was. I'm still working through the pain and still

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Speaker 1: working on, you know, my body, accepting what's going on

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Speaker 1: in there. But it's a decision that I am glad

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Speaker 1: that I made, and I just want to be able

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Speaker 1: to share that with the world. I want to be

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Speaker 1: able to talk about it and help people who might

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Speaker 1: be dealing with hit pain or any other joint pain,

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Speaker 1: and they might be so scared because it is a

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Speaker 1: very scary thing to go under the knife, you know,

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Speaker 1: And I just want to be able to sort of

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Speaker 1: destigmatize the concept that fake hips are only for old people.

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Speaker 1: That's not true. Everybody you know has their different reasons

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Speaker 1: and their different experiences with their bodies. So I just

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Speaker 1: want to share mine in hopes that it maybe could

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Speaker 1: help one of you listening. So today I want to

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Speaker 1: bring in the surgeon who did both of my hip replacements.

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Speaker 1: I'm very, very grateful to him. He is a board

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Speaker 1: certified orthopedic surgeon who specializes in hip any replacements. He

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Speaker 1: is my doctor and I like him a lot. Please

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Speaker 1: welcome doctor Taberry to the I Choose Me Podcast. Welcome, Welcome,

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Speaker 1: Thank you, thank you so much for joining us.

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Speaker 2: Thank you, thanks for having me.

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Speaker 1: This is a big moment for me. I mean, can

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Speaker 1: you believe it that I'm sharing this incredibly intimate story

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Speaker 1: with the world.

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Speaker 2: It's a big deal.

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Speaker 3: It's a big thing that people go through and everyone

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Speaker 3: kind of reacts to it differently.

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Speaker 2: So yeah, thank for you.

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Speaker 1: People you know, are shocked when I tell them when

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Speaker 1: they find out about this about my hips, the hips

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Speaker 1: that don't lie, they don't get it because I'm so

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Speaker 1: you know, I'm very healthy, I'm so active, I you know,

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Speaker 1: share my videos and hopes to inspire others and keep

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Speaker 1: myself going. So people are really shocked when they hear

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Speaker 1: about this, and I'm only fifty two. Is it common

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Speaker 1: to replace such a youngster's hips.

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Speaker 3: Well, I guess I would. You know, it would depend

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Speaker 3: on what you mean by common. I mean, to answer

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Speaker 3: the question directly, it's not that uncommon. The average age

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Speaker 3: for this procedure is still in the sixties, so it's

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Speaker 3: certainly below average age.

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Speaker 2: Is you know, most people.

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Speaker 3: Might imagine hip arthritis and hip replacements in the fifties

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Speaker 3: is becoming pretty common or be pretty frequently done. And

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Speaker 3: you know, people like me see patients at your age

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Speaker 3: all the time.

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Speaker 1: So ough I thought I was special.

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Speaker 3: Well, I didn't say you weren't special, but we definitely

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Speaker 3: see people your age pretty often.

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Speaker 1: There are different approaches when it comes to hip replacement surgery, right,

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Speaker 1: so what was your approach for my surgery?

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Speaker 3: Yeah, so that word approach, typically, like for us as surgeons,

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Speaker 3: means you know, putting simply how to get into the

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Speaker 3: area you're doing surgery, in this case the hip. So

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Speaker 3: how do we get there? There are a lot of

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Speaker 3: different ways. The method that I use is sometimes called antir,

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Speaker 3: sometimes called direct anterior, basically means going from the front

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Speaker 3: of the hip to get into the hip joint. There

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Speaker 3: were many kinds proponents of using that technique, like me,

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Speaker 3: I think do so for a few different reasons in

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Speaker 3: my opinion, and probably the thing that's the most well

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Speaker 3: established if you look at the published literature, is that

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Speaker 3: people who have the surgery done through that technique have

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Speaker 3: an easier early recovery.

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Speaker 1: You mean from going in the front exactly.

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Speaker 3: So while it still takes obviously a certain amount of

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Speaker 3: time to heal, the milestones that someone might reach during

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Speaker 3: that healing time happens faster through that antier approach. Boork

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Speaker 3: going through the front than it does through some other approaches,

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Speaker 3: despite the fact that the long term results of all

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Speaker 3: approaches is really good and probably comparable.

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Speaker 1: Yeah, I kind of like that you went through the

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Speaker 1: front and not the side. Honestly, you use robotic assistance

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Speaker 1: in surgeries, So why do you do that? And what

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Speaker 1: are you doing if a robot is doing the work,

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Speaker 1: what are you doing?

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Speaker 3: Yeah, that's a super common question I get from people,

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Speaker 3: and I think some people have this image in their

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Speaker 3: minds of me having coffee in the break room while

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Speaker 3: the robot's doing the surgery, And obviously that's not what

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Speaker 3: it is. The best way to describe it as a

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Speaker 3: robot is a sophisticated tool or instrument that we use

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Speaker 3: to do the surgery that really helps us improve our

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Speaker 3: level of accuracy and precision. So it's not the kind

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Speaker 3: of robot where I'm sitting in a terminal and using

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Speaker 3: joysticks and controllers to move things. It's a robotic arm.

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Speaker 3: So every I'm there, you know, doing surgery, doing all

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Speaker 3: the steps. It's just certain steps of the surgery, particularly

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Speaker 3: taking measurements and kind of preparing the bone for the

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Speaker 3: implants and placing the implants. The tools that are used

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Speaker 3: to do that. I'm holding them, but so is a

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Speaker 3: robotic arm to ensure that we're doing that very accurately,

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Speaker 3: very precisely in the way that we want to do that.

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Speaker 3: If we don't have that kind of tool, we're usually

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Speaker 3: just left to kind of do it based upon visual

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Speaker 3: cues and landmarks and things that we reference. So this

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Speaker 3: is kind of an added advantage from that perspect That.

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Speaker 1: Is just bananas to me that a robot is inside

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Speaker 1: my body like that. Yeah.

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Speaker 3: Yeah, I was pretty impressed the first time I used

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Speaker 3: that technology. Didn't know what to expect. And after you know,

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Speaker 3: I've been using now for eight nine years, but after

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Speaker 3: doing it.

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Speaker 2: The first couple of surgeries that way, I was blown away.

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Speaker 3: So definitely became, you know, a big proponent of it

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Speaker 3: at that time.

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Speaker 1: Well, I guess it's great if it's going to you know,

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Speaker 1: make things more precise. Who don't want that? Yeah, So

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Speaker 1: when people talk about hip pain, there is sometimes a

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Speaker 1: misunderstanding about, you know, what the symptoms are and where

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Speaker 1: the pain is. What are the complaints that you see

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Speaker 1: and hear the most when people come into your office.

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Speaker 1: How do they identify it to you?

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Speaker 2: Yeah?

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Speaker 3: I like the way you put it, I mean there's

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Speaker 3: there's this sort of thought that the hip is in

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Speaker 3: a place that the hip is not in. You know,

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Speaker 3: we kind of you know, if you ask most people

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Speaker 3: where's their hip, they're going to point to this area

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Speaker 3: that's kind of towards the outside or back of at

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Speaker 3: the top of their leg or you know, that area,

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Speaker 3: and the hip is closest to the front of the body.

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Speaker 3: So we tend to see the most frequent place that

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Speaker 3: the hip joints going to cause pain.

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Speaker 2: Really, you know, regardless of what the issue is, is.

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Speaker 3: In the front of the hip, sometimes sometimes the groin

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Speaker 3: or just kind of to the front and so they

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Speaker 3: you know, maybe even slightly to the outside. You can

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Speaker 3: get pain on the side of the hip. It's actually

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Speaker 3: fairly rare to get pain in the back of the

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Speaker 3: hip or buttock area, but that front of the hip

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Speaker 3: most common, and it can oftentimes travel into the front

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Speaker 3: of the thigh to and even involve the neise sometimes.

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Speaker 3: But we'll get patients that come in and they you know,

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Speaker 3: first time you ever met them, and they say, my

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Speaker 3: hip flexer is killing me. And it's like, well, actually

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Speaker 3: it's not your hip flexer, it's your hip joint, so

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Speaker 3: that you know, those are the types of things we

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Speaker 3: hear most often, and it's totally understandable why it can

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Speaker 3: be confused.

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Speaker 1: Yeah, Yeah, that's where I thought I was feeling the pain,

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Speaker 1: and it's right in that same exact area as the

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Speaker 1: hip flexer.

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Speaker 3: Yeah, the hip flexer sits directly across the front of

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Speaker 3: the hip joint, so a hiplexer problem will probably cause

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Speaker 3: pain in the same area. So very easy to confuse them.

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Speaker 3: Even sometimes for us as physicians, they're difficult to distinguish

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Speaker 3: between the two. But yeah, totally understandable to get those

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Speaker 3: mixed up.

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Speaker 1: Are there certain genetics like family history that play into

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Speaker 1: this pain or having to have your joints replaced in

261
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Speaker 1: my case, nip.

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Speaker 3: It's a huge component to this, and you know, you

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Speaker 3: mentioned before that oftentimes people may be surprised that, you know,

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Speaker 3: somebody like you has a hip problem like you have

265
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Speaker 3: and has you know, hip replacement. But genetics is a

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Speaker 3: big component. It's not quite as simple as well, my

267
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Speaker 3: you know, my mom or my dad or my aunt

268
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Speaker 3: had this, so I have it, so then my son

269
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Speaker 3: or daughter has it and so on and so forth.

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Speaker 3: It's probably more complicated genetic component to it, but but

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Speaker 3: very common, it's not. It's not always the you know,

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Speaker 3: person who has a history of just high impact or

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Speaker 3: you know, the overweight individual or things that people most

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Speaker 3: often think are always related to developing these kind of problems.

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Speaker 3: A lot of us just I guess you know, you'd

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Speaker 3: say in terms of genetics, sometimes bad luck.

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Speaker 1: Yeah, and like normal wear and tear. Yep, you've just

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Speaker 1: mentioned something that I wanted to ask you about. If

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Speaker 1: you are overweight or over your you know, like target weight,

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Speaker 1: does that contribute to the pain and the hips or

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Speaker 1: the joints breaking down quicker?

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Speaker 3: That's a great question. You know, there's all kinds of

283
00:15:58,160 --> 00:16:02,200
Speaker 3: data out there. There's some data are associated with higher

284
00:16:02,280 --> 00:16:06,040
Speaker 3: rates of these kinds of procedures in patients whoever weiit.

285
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Speaker 3: But I don't know if I personally believe that that's

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Speaker 3: necessarily the biggest contributor to whether the joint breaks down quicker.

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Speaker 3: My personal feeling is it has a huge component or

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Speaker 3: effect on how the pain is felt. So the way

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Speaker 3: I described that to patients is on a bad hip

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Speaker 3: or knee, more force is going to be more pain, right,

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Speaker 3: And that's usually pretty easy to understand and I give

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Speaker 3: you know, certain examples for you know, or how that

293
00:16:34,760 --> 00:16:38,880
Speaker 3: force is felt. Flat level ground is oftentimes thought to

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00:16:38,880 --> 00:16:41,520
Speaker 3: be about three to four times your body weight in

295
00:16:41,640 --> 00:16:43,640
Speaker 3: terms of walking on flat level ground.

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Speaker 1: Right pressure you're putting on your joints, you mean.

297
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Speaker 3: Yeah, so you know, for every pound, that's three or

298
00:16:49,320 --> 00:16:55,080
Speaker 3: four pounds of force, okay, whereas a sending descending stairs,

299
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Speaker 3: for instance, can be as much as ten times your

300
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Speaker 3: body weight. So it's just kind of like, you know,

301
00:17:00,320 --> 00:17:04,320
Speaker 3: the more weight you're carrying, the more magnified that gets.

302
00:17:04,359 --> 00:17:08,080
Speaker 3: And you know, I'm sure higher impact activities are going

303
00:17:08,160 --> 00:17:11,080
Speaker 3: to have you know, much more than ten x your

304
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Speaker 3: body weight. And so my personal feeling is I don't

305
00:17:14,119 --> 00:17:17,159
Speaker 3: know if it definitely is the biggest factor in how

306
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Speaker 3: quickly your joint wears out, but I do think that

307
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Speaker 3: as your joint is wearing out and becoming painful, it's

308
00:17:23,480 --> 00:17:27,000
Speaker 3: a huge factor on how bad your pain is. And

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00:17:27,040 --> 00:17:30,199
Speaker 3: we definitely see that patients who lose weight will have

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Speaker 3: less pain, So that kind of fits with that.

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Speaker 1: Yeah, I know that over the course of like all

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Speaker 1: the years that I was experiencing pain before I came

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Speaker 1: to visit you, my weight fluctuated up and down, left

314
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Speaker 1: and right, and whenever I would be up even like

315
00:17:43,359 --> 00:17:48,199
Speaker 1: five pounds, my hips would hurt more. So that definitely

316
00:17:48,240 --> 00:17:48,919
Speaker 1: makes sense to me.

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Speaker 2: Yeah.

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Speaker 1: Yeah, I remember right before we went into the operating

319
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Speaker 1: room and you had a mask on. I didn't even

320
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Speaker 1: know what you look like. I mean, it was weird

321
00:17:58,640 --> 00:18:01,439
Speaker 1: like that we were in there the first day. I

322
00:18:01,440 --> 00:18:05,040
Speaker 1: feel like after the COVID lift and you could do

323
00:18:05,080 --> 00:18:09,439
Speaker 1: operations again. And I remember right before they wheeled me

324
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Speaker 1: and I said, hey, I've got that tattoo. Don't forget.

325
00:18:12,880 --> 00:18:16,000
Speaker 1: I need you to really line up my flower. I

326
00:18:16,000 --> 00:18:18,560
Speaker 1: have a really big For those out there that don't

327
00:18:18,560 --> 00:18:19,960
Speaker 1: know what I'm talking about, I have a really big

328
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Speaker 1: hip tattoo. I don't think i'd make that decision again,

329
00:18:23,720 --> 00:18:26,159
Speaker 1: but I asked you, can you please line up my

330
00:18:26,400 --> 00:18:31,760
Speaker 1: rose petal leaves? You looked at me so strangely. Is

331
00:18:31,800 --> 00:18:34,000
Speaker 1: that the first time you had anybody need you to

332
00:18:34,040 --> 00:18:34,360
Speaker 1: do that?

333
00:18:34,920 --> 00:18:39,679
Speaker 3: No, definitely have had to come up before, both in

334
00:18:39,680 --> 00:18:40,600
Speaker 3: the knee and the hip.

335
00:18:41,640 --> 00:18:42,840
Speaker 2: It's just one of those things.

336
00:18:42,960 --> 00:18:45,199
Speaker 3: I mean, I feel like yours is definitely one of

337
00:18:45,240 --> 00:18:51,200
Speaker 3: the ones that that decision got into the tattoo.

338
00:18:50,760 --> 00:18:53,119
Speaker 1: I mean, like right through it more than some.

339
00:18:53,440 --> 00:18:56,160
Speaker 3: Right, Yeah, I had one actually not too long ago,

340
00:18:56,240 --> 00:18:58,080
Speaker 3: where I was concerned about it and actually was able

341
00:18:58,080 --> 00:19:01,720
Speaker 3: to totally avoid it and looking at me like, don't

342
00:19:01,760 --> 00:19:04,320
Speaker 3: worry about it. Worry about my head. Of course, that's

343
00:19:04,359 --> 00:19:06,440
Speaker 3: what we're going to worry about. But yeah, I definitely

344
00:19:06,480 --> 00:19:09,240
Speaker 3: remember that, and I remember telling you that basically, we'll

345
00:19:09,280 --> 00:19:11,160
Speaker 3: do the best we can. We'll do you know, we'll

346
00:19:11,160 --> 00:19:12,520
Speaker 3: do the surgery and we'll do the best we can

347
00:19:12,560 --> 00:19:14,960
Speaker 3: with the incision. And yeah, fortunately I think it worked

348
00:19:14,960 --> 00:19:15,640
Speaker 3: out pretty well.

349
00:19:17,119 --> 00:19:20,680
Speaker 1: So funny things people ask you to do, I'm sure.

350
00:19:27,760 --> 00:19:32,240
Speaker 1: Let's talk about recovery time after surgery like this on

351
00:19:32,320 --> 00:19:35,480
Speaker 1: my first one, when I had my first hip or place,

352
00:19:35,600 --> 00:19:40,080
Speaker 1: I was vacuuming my house three days after the surgery.

353
00:19:40,280 --> 00:19:41,280
Speaker 1: Is that frowned upon?

354
00:19:42,240 --> 00:19:44,120
Speaker 2: It's a great question. I don't know if i'd say that.

355
00:19:44,160 --> 00:19:47,399
Speaker 3: You know, I think I think every in many ways,

356
00:19:47,440 --> 00:19:51,920
Speaker 3: every person is different, right, And so you know, there's

357
00:19:51,960 --> 00:19:54,720
Speaker 3: a reason why when I do surgery, I meet a

358
00:19:54,760 --> 00:19:58,720
Speaker 3: patient or prep patient for surgery, we don't hand them

359
00:19:58,920 --> 00:20:02,960
Speaker 3: a list of here's what you do at what time,

360
00:20:03,160 --> 00:20:06,800
Speaker 3: because one thing three days after surgery is going to

361
00:20:06,800 --> 00:20:09,639
Speaker 3: be absolutely okay for someone to do and totally the

362
00:20:09,640 --> 00:20:10,360
Speaker 3: wrong thing.

363
00:20:10,320 --> 00:20:11,199
Speaker 2: For someone else to do.

364
00:20:11,960 --> 00:20:14,920
Speaker 3: So the best, the best advice I give patients when

365
00:20:15,760 --> 00:20:20,560
Speaker 3: they're recovering is everything you do should be on a gradual,

366
00:20:21,320 --> 00:20:24,320
Speaker 3: incremental basis, And people kind of get that if you

367
00:20:24,359 --> 00:20:25,320
Speaker 3: put it into perspective.

368
00:20:25,359 --> 00:20:26,040
Speaker 2: Most people are.

369
00:20:26,520 --> 00:20:28,800
Speaker 3: You know, the best examples to use is like professional

370
00:20:28,840 --> 00:20:32,080
Speaker 3: athletes recovering from a sports injury. Most people kind of

371
00:20:32,640 --> 00:20:36,639
Speaker 3: see that where you know, if a you know, athlete

372
00:20:36,640 --> 00:20:39,560
Speaker 3: has an injury, they don't just after they're done healing,

373
00:20:39,640 --> 00:20:41,959
Speaker 3: like go back to playing full tilt. They work their

374
00:20:41,960 --> 00:20:43,520
Speaker 3: way up, they do certain things. You know, they do

375
00:20:43,520 --> 00:20:44,960
Speaker 3: this much and then this much and then this much,

376
00:20:46,119 --> 00:20:50,200
Speaker 3: and so, whether it's vacuuming three days or anything else,

377
00:20:50,240 --> 00:20:53,119
Speaker 3: I would just tell a patient, hey, like start with

378
00:20:53,200 --> 00:20:54,960
Speaker 3: a little bit, and then do a little more, and

379
00:20:55,000 --> 00:20:57,360
Speaker 3: then do a little bit more, and that way, if

380
00:20:57,359 --> 00:20:59,159
Speaker 3: you do reach a point where you've overdone it a

381
00:20:59,200 --> 00:21:02,200
Speaker 3: little bit, it won't have been by very much because

382
00:21:02,240 --> 00:21:05,520
Speaker 3: you have just previously done something that was totally well tolerated.

383
00:21:05,720 --> 00:21:08,000
Speaker 3: So that's great to hear that you were able to

384
00:21:08,040 --> 00:21:10,560
Speaker 3: do that. Some patients wouldn't be ready to do that

385
00:21:10,720 --> 00:21:13,199
Speaker 3: three days and that's okay. I've definitely seen plenty of

386
00:21:13,200 --> 00:21:17,040
Speaker 3: examples of patients were also young and healthy, take longer

387
00:21:17,040 --> 00:21:18,960
Speaker 3: to get there and then have great outcomes.

388
00:21:18,960 --> 00:21:20,520
Speaker 2: So everyone's just a little bit different.

389
00:21:21,000 --> 00:21:25,679
Speaker 1: I think I would advise against it personally because I

390
00:21:25,760 --> 00:21:29,359
Speaker 1: feel like I really did try to like just forget

391
00:21:29,359 --> 00:21:31,760
Speaker 1: that the surgery ever happened and just move forward. And

392
00:21:31,800 --> 00:21:35,000
Speaker 1: I tried to just like you know, grin and bear it,

393
00:21:35,320 --> 00:21:39,680
Speaker 1: and then that ended up I think making my recovery

394
00:21:39,720 --> 00:21:42,199
Speaker 1: a little more difficult on the first one. Although the

395
00:21:42,280 --> 00:21:46,040
Speaker 1: first hip recovery was very, very smooth, I just think

396
00:21:46,080 --> 00:21:49,800
Speaker 1: that I probably could have taken it a little easier.

397
00:21:50,320 --> 00:21:53,560
Speaker 3: Yeah, we see that all the time, and sometimes, yeah,

398
00:21:53,720 --> 00:21:54,240
Speaker 3: I tell.

399
00:21:54,080 --> 00:21:56,840
Speaker 2: Patients, you know, break people up into like three groups.

400
00:21:56,840 --> 00:21:59,560
Speaker 3: There's like the underachievers, the overachievers, and the people in

401
00:21:59,600 --> 00:22:02,879
Speaker 3: the middle. And probably the ones I worry about the

402
00:22:02,960 --> 00:22:04,320
Speaker 3: least are the ones in the middle.

403
00:22:04,720 --> 00:22:06,399
Speaker 2: You know, like people might think it's.

404
00:22:06,240 --> 00:22:09,600
Speaker 3: The overachievers, right, and maybe vacuuming at three days and

405
00:22:09,640 --> 00:22:11,480
Speaker 3: doing everything that you did it was a little bit

406
00:22:11,520 --> 00:22:15,280
Speaker 3: of that. But you know, the people in the middle

407
00:22:15,320 --> 00:22:18,760
Speaker 3: tend to smooth, you know, go smooth sailing through recovery,

408
00:22:18,800 --> 00:22:22,399
Speaker 3: whereas the others, you know, may need a little bit

409
00:22:22,440 --> 00:22:26,320
Speaker 3: of adjustment here and there based on you know, what

410
00:22:26,320 --> 00:22:27,200
Speaker 3: their activities are.

411
00:22:27,720 --> 00:22:29,760
Speaker 1: What does a typical recovery look like with most of

412
00:22:29,760 --> 00:22:32,840
Speaker 1: your patients, Like how long? And you know those kind

413
00:22:32,880 --> 00:22:35,480
Speaker 1: of details. What do you say? Yeah, I mean it's

414
00:22:35,480 --> 00:22:36,400
Speaker 1: different for everyone.

415
00:22:36,640 --> 00:22:38,480
Speaker 3: It's it is so different, and I hate to just

416
00:22:38,800 --> 00:22:40,159
Speaker 3: it's kind of like a cop out. I feel like,

417
00:22:40,240 --> 00:22:45,080
Speaker 3: almost amusing. But I generally tell visions this, and I

418
00:22:45,119 --> 00:22:47,840
Speaker 3: tend to be in this regard a little conservative because.

419
00:22:47,640 --> 00:22:48,159
Speaker 2: I don't want to.

420
00:22:48,520 --> 00:22:49,919
Speaker 3: I don't want pisions to go and just think, oh,

421
00:22:49,920 --> 00:22:53,080
Speaker 3: it's a big deal. So I generally tell people, you know,

422
00:22:53,080 --> 00:22:56,400
Speaker 3: there's about three months of tissue healing. The first month

423
00:22:56,400 --> 00:22:58,639
Speaker 3: of that is the main part of it, you know,

424
00:22:58,680 --> 00:23:00,440
Speaker 3: so when you get to end of a month, people

425
00:23:00,480 --> 00:23:02,359
Speaker 3: are film pretty good. Here are allows of you know,

426
00:23:02,359 --> 00:23:04,560
Speaker 3: of course, from the beginning, as you know what many

427
00:23:04,640 --> 00:23:06,720
Speaker 3: may not. You're allowed to put your weight on your

428
00:23:06,800 --> 00:23:07,520
Speaker 3: leg right away.

429
00:23:07,760 --> 00:23:09,200
Speaker 2: You're allowed to walk right away.

430
00:23:09,400 --> 00:23:12,359
Speaker 1: That's crazy to me. I did not expect that. You

431
00:23:12,359 --> 00:23:16,440
Speaker 1: guys like cut my hip off, basically saw my leg off.

432
00:23:16,480 --> 00:23:18,800
Speaker 1: I don't know why you did. In there, but I

433
00:23:18,920 --> 00:23:22,240
Speaker 1: was up like two hours later walking around on a walker.

434
00:23:23,359 --> 00:23:23,600
Speaker 2: Yeah.

435
00:23:23,680 --> 00:23:25,439
Speaker 3: I mean, it's one of the things that we've learned

436
00:23:25,600 --> 00:23:27,480
Speaker 3: is just better for people. You know, if you go

437
00:23:27,600 --> 00:23:31,040
Speaker 3: back far enough, and I'm talking pretty far back, people

438
00:23:31,119 --> 00:23:33,320
Speaker 3: used to be in bed for days or weeks, you know,

439
00:23:33,359 --> 00:23:34,919
Speaker 3: after this surgery, and that's you know, this is a

440
00:23:34,920 --> 00:23:38,439
Speaker 3: long time ago. But there's not the right thing, you know,

441
00:23:38,520 --> 00:23:41,800
Speaker 3: I mean complication rates and we're much higher getting blood

442
00:23:41,800 --> 00:23:45,720
Speaker 3: cuts and other problems. So the surgery is definitely progressed.

443
00:23:46,080 --> 00:23:49,360
Speaker 3: You know, our materials have progressed, the techniques have progressed.

444
00:23:49,400 --> 00:23:50,080
Speaker 2: So now.

445
00:23:51,680 --> 00:23:56,840
Speaker 3: Promoting that, you know, activity early is really good thing.

446
00:23:57,680 --> 00:24:02,720
Speaker 1: Well, for me, it was kind of like switching one

447
00:24:02,760 --> 00:24:06,800
Speaker 1: pain for another, like I switched the pain of the

448
00:24:06,920 --> 00:24:11,080
Speaker 1: hip herting what brought me to you for the pain

449
00:24:11,320 --> 00:24:17,600
Speaker 1: of the incision, and then especially the pain from I'll

450
00:24:17,600 --> 00:24:19,679
Speaker 1: never forget when I saw the X ray afterwards for

451
00:24:19,720 --> 00:24:23,240
Speaker 1: the first time and I saw what was in my

452
00:24:23,560 --> 00:24:28,359
Speaker 1: femur bone, like what you put like a metal spike

453
00:24:28,640 --> 00:24:32,159
Speaker 1: down pretty far into the femur bone. I mean it

454
00:24:32,200 --> 00:24:35,119
Speaker 1: felt really it looked really far to me. But for me,

455
00:24:35,520 --> 00:24:40,240
Speaker 1: just my body adjusting to having that in my bones

456
00:24:41,040 --> 00:24:44,359
Speaker 1: was really probably the most painful part for a while.

457
00:24:46,240 --> 00:24:51,160
Speaker 3: Yeah, I think I think that happens, you know, oftentimes.

458
00:24:51,880 --> 00:24:54,120
Speaker 3: You know, one of the things is the way the

459
00:24:54,160 --> 00:24:58,200
Speaker 3: force is transmitted, you know, from your body weight changes

460
00:24:58,200 --> 00:25:03,119
Speaker 3: a little bit because it just goes through a different

461
00:25:03,160 --> 00:25:06,160
Speaker 3: sort of fashion than when when you have your native

462
00:25:06,200 --> 00:25:08,240
Speaker 3: hip in there. So there's adjustment period there, and there's

463
00:25:08,280 --> 00:25:11,040
Speaker 3: a period of time where you know, the bone has

464
00:25:11,080 --> 00:25:14,200
Speaker 3: to grow into the implant. So a lot of patients

465
00:25:14,280 --> 00:25:17,160
Speaker 3: will say what you said, which is I was pretty

466
00:25:17,240 --> 00:25:20,639
Speaker 3: quickly able to feel the difference in the symptoms I had,

467
00:25:21,119 --> 00:25:24,159
Speaker 3: And then there's some patients who they don't. It kind

468
00:25:24,160 --> 00:25:25,919
Speaker 3: of feels the same, and then they start recovering and

469
00:25:26,000 --> 00:25:28,080
Speaker 3: things just kind of start going away. But but yeah,

470
00:25:28,080 --> 00:25:30,160
Speaker 3: a lot of people do say that they can feel

471
00:25:30,160 --> 00:25:32,639
Speaker 3: that it's a different type of pain and soreness that

472
00:25:32,680 --> 00:25:35,880
Speaker 3: they have from surgery than when they had.

473
00:25:36,880 --> 00:25:39,600
Speaker 1: Yeah, it's all that tissue. It's all that tissue trying

474
00:25:39,640 --> 00:25:42,480
Speaker 1: to like reconnect to the new thing that's in there,

475
00:25:42,720 --> 00:25:46,000
Speaker 1: the foreign object. You know, are there things people can

476
00:25:46,040 --> 00:25:49,320
Speaker 1: do to prolong the life of a knee or hip.

477
00:25:49,880 --> 00:25:51,840
Speaker 3: It's a great I mean, it's a very very good question.

478
00:25:51,920 --> 00:25:54,159
Speaker 3: I get asked that a lot. It depends on to me,

479
00:25:54,320 --> 00:25:55,840
Speaker 3: it really depends on how you look at that. I

480
00:25:56,400 --> 00:25:58,439
Speaker 3: don't know, like if you're just one of these people

481
00:25:58,520 --> 00:26:02,239
Speaker 3: who have, you know, genetically more likely to have your

482
00:26:02,280 --> 00:26:03,840
Speaker 3: joint wear out, I don't know how much there is

483
00:26:03,840 --> 00:26:08,840
Speaker 3: you can do. I mean there's certainly no proven you know, supplement.

484
00:26:09,119 --> 00:26:10,359
Speaker 3: I mean, there's a lot of things out there that

485
00:26:10,400 --> 00:26:13,879
Speaker 3: are getting looked at and theoretically it may help, but

486
00:26:13,960 --> 00:26:17,240
Speaker 3: there's nothing definitely proven that it's going to prevent that.

487
00:26:18,000 --> 00:26:22,120
Speaker 3: To me, the biggest thing I tell patients is going

488
00:26:22,200 --> 00:26:25,680
Speaker 3: back to that example I gave about force. The best

489
00:26:25,720 --> 00:26:28,160
Speaker 3: thing you can do is have less force on your joint.

490
00:26:29,359 --> 00:26:31,920
Speaker 3: There's really three ways to do that. Two of them

491
00:26:31,920 --> 00:26:34,640
Speaker 3: are more important than the third, of my opinion. Those

492
00:26:34,720 --> 00:26:38,560
Speaker 3: two are trying to maintain a lower weight because obviously

493
00:26:38,640 --> 00:26:40,600
Speaker 3: that makes sense lower weight, less force, like we talked

494
00:26:40,600 --> 00:26:45,399
Speaker 3: about before, And the other is building muscle strength, and

495
00:26:45,440 --> 00:26:48,560
Speaker 3: I think, without getting into a lot of detail, you know,

496
00:26:48,880 --> 00:26:53,320
Speaker 3: physics will show us that the stronger the muscles are

497
00:26:53,400 --> 00:26:58,080
Speaker 3: that cross the joint, the lower something called joint reactive forces,

498
00:26:58,119 --> 00:27:00,600
Speaker 3: which is a force that goes across the joint. So

499
00:27:01,800 --> 00:27:04,680
Speaker 3: I think that's really important, and especially for people as

500
00:27:04,680 --> 00:27:08,680
Speaker 3: they get older, that there's a lot of benefit to

501
00:27:09,600 --> 00:27:12,359
Speaker 3: focusing on muscle strength and you know, and some level

502
00:27:12,359 --> 00:27:15,320
Speaker 3: of strength training can really it's not going to preserve

503
00:27:15,400 --> 00:27:19,800
Speaker 3: your cartilage necessarily, but it may make your joints hurt less,

504
00:27:20,000 --> 00:27:22,320
Speaker 3: you know. And then that third thing I mentioned is

505
00:27:22,720 --> 00:27:25,200
Speaker 3: you know which activities you choose, you know, high versus

506
00:27:25,240 --> 00:27:28,520
Speaker 3: low impact, and not that that's not important, but if

507
00:27:28,520 --> 00:27:31,840
Speaker 3: you're just someone who lives to run, you know, and

508
00:27:31,920 --> 00:27:36,560
Speaker 3: that's just something you love to do, and mentally really

509
00:27:36,640 --> 00:27:38,600
Speaker 3: you know, beneficial for you. I'm not telling you not

510
00:27:38,640 --> 00:27:41,120
Speaker 3: to run if you know, if your body does well

511
00:27:41,160 --> 00:27:44,439
Speaker 3: with that. But yeah, for a lot of people, especially

512
00:27:44,480 --> 00:27:48,240
Speaker 3: if if you have a joint issue, cycling or swimming,

513
00:27:48,320 --> 00:27:51,240
Speaker 3: I mean those are going to be better tolerated because

514
00:27:51,600 --> 00:27:53,320
Speaker 3: they're lower impact on your joints.

515
00:27:53,840 --> 00:27:56,359
Speaker 1: Yeah. Yeah, I recently read a study that said that

516
00:27:56,800 --> 00:28:01,760
Speaker 1: bicycling can improve your knee joints. Is that true?

517
00:28:02,000 --> 00:28:02,160
Speaker 2: Yeah?

518
00:28:02,200 --> 00:28:05,280
Speaker 3: I think, you know, I've heard, I've heard kind of

519
00:28:05,280 --> 00:28:09,160
Speaker 3: what you're referring to, and I think I think it's

520
00:28:09,240 --> 00:28:12,199
Speaker 3: kind of like what I just mentioned where it's a

521
00:28:12,240 --> 00:28:17,280
Speaker 3: really good way to exercise both cardiovascually as well as

522
00:28:17,359 --> 00:28:21,159
Speaker 3: you know, some form of a buscle strength too, in

523
00:28:21,480 --> 00:28:24,960
Speaker 3: a relatively low impact manner compared to some other things.

524
00:28:24,960 --> 00:28:27,479
Speaker 3: So you know, I think those things can all help you,

525
00:28:28,160 --> 00:28:31,960
Speaker 3: and particularly the strength training in terms of taking the

526
00:28:32,000 --> 00:28:35,080
Speaker 3: force off the knee or the hip. But I don't

527
00:28:35,080 --> 00:28:38,480
Speaker 3: know if it's like really preserving cartilage, although there's some

528
00:28:38,560 --> 00:28:42,600
Speaker 3: theories that joint motion is beneficial for cartilage health, but

529
00:28:42,600 --> 00:28:44,640
Speaker 3: I don't know we have that data to really say

530
00:28:44,680 --> 00:28:45,920
Speaker 3: that that's the case.

531
00:28:46,440 --> 00:28:48,840
Speaker 1: Sorry, I have so many questions for you. Is there

532
00:28:48,880 --> 00:28:51,960
Speaker 1: a type of patient that you usually see come into

533
00:28:51,960 --> 00:28:56,760
Speaker 1: your office more than others like athletes, danswers or is

534
00:28:56,800 --> 00:28:58,720
Speaker 1: it just regular old people like me?

535
00:28:59,480 --> 00:29:02,800
Speaker 2: Oh, I would call you regular old people all kinds.

536
00:29:02,840 --> 00:29:05,320
Speaker 3: I mean, really, yeah, I think that's I think it's

537
00:29:05,360 --> 00:29:08,120
Speaker 3: time's gone on, and then we've had success with the procedure,

538
00:29:08,200 --> 00:29:12,040
Speaker 3: and also people are active, you know, longer.

539
00:29:12,600 --> 00:29:13,640
Speaker 2: We're seeing all sorts of people.

540
00:29:13,680 --> 00:29:16,640
Speaker 3: I mean, I see everyone from hate to say it,

541
00:29:16,680 --> 00:29:19,640
Speaker 3: but it's not common, but I've seen people have the

542
00:29:19,680 --> 00:29:23,560
Speaker 3: surgery in their twenties and I've seen people in their nineties,

543
00:29:23,600 --> 00:29:27,960
Speaker 3: you know, so age can be all over and you know,

544
00:29:28,240 --> 00:29:30,640
Speaker 3: just it's not like I said, it's not always the

545
00:29:30,680 --> 00:29:34,800
Speaker 3: overweight patient. It's not always the marathon runner who's pounding

546
00:29:34,840 --> 00:29:36,840
Speaker 3: on their joints all the time. It's not always you know,

547
00:29:36,880 --> 00:29:39,800
Speaker 3: any particular person that can be. It could be really

548
00:29:39,880 --> 00:29:40,560
Speaker 3: you know, anybody.

549
00:29:41,160 --> 00:29:52,840
Speaker 1: Mm hmm. Let me ask you this. Does bone density

550
00:29:54,080 --> 00:29:57,239
Speaker 1: play a part in whether or not your joints are

551
00:29:57,240 --> 00:29:58,200
Speaker 1: going to last?

552
00:29:58,440 --> 00:29:59,760
Speaker 2: Yeah? Not really.

553
00:30:00,720 --> 00:30:05,160
Speaker 3: There there that super commonly asked or confused. And I

554
00:30:05,520 --> 00:30:09,480
Speaker 3: think the reason why is the word osteoporosis sounds a

555
00:30:09,560 --> 00:30:11,280
Speaker 3: lot like osteoarthritis.

556
00:30:11,320 --> 00:30:17,360
Speaker 1: I was going to ask you about that. It's very confusing. Osteoporosis, Yeah, osteoarthritis.

557
00:30:17,600 --> 00:30:23,480
Speaker 3: What is the osteoporosis refers to a bone density problem,

558
00:30:24,000 --> 00:30:28,040
Speaker 3: lower bone density, and it's a you know, you get

559
00:30:28,080 --> 00:30:32,120
Speaker 3: to a certain level of bone density below kind of

560
00:30:32,160 --> 00:30:35,440
Speaker 3: a lack of better description, what should be you have osteoporosis.

561
00:30:35,640 --> 00:30:39,840
Speaker 3: So that refers to lowering of your bone the density

562
00:30:39,880 --> 00:30:43,000
Speaker 3: of your bone mineral. So it's essentially, you know, like

563
00:30:43,040 --> 00:30:47,280
Speaker 3: your bones are sort of weaker. Common you know, more

564
00:30:47,280 --> 00:30:49,880
Speaker 3: common in people as the age, and in particular the

565
00:30:49,920 --> 00:30:54,400
Speaker 3: most common demographic would be, you know, older women because

566
00:30:54,480 --> 00:30:58,120
Speaker 3: of the hormonal changes that happen after metopause, so that

567
00:30:58,160 --> 00:31:01,120
Speaker 3: has a huge impact on your bone city not to

568
00:31:01,120 --> 00:31:04,360
Speaker 3: say that men can't get it or but but yeah,

569
00:31:04,400 --> 00:31:09,000
Speaker 3: and the classic would be like lower weight older women,

570
00:31:10,960 --> 00:31:15,000
Speaker 3: whereas usal earth rightis is a condition that refers to

571
00:31:15,160 --> 00:31:19,400
Speaker 3: wearing out or loss of cartilage and cartilage and bone

572
00:31:19,560 --> 00:31:26,080
Speaker 3: or totally separate tissues. Despite the fact that our articular cartilage,

573
00:31:26,840 --> 00:31:30,080
Speaker 3: which is the main type of cartilage we're talking about today,

574
00:31:30,720 --> 00:31:34,000
Speaker 3: sits on top of the bone and the joint. So

575
00:31:34,160 --> 00:31:37,680
Speaker 3: like in the hip, the ball, the bone has a

576
00:31:37,800 --> 00:31:41,800
Speaker 3: layer of articular cartilage and the socket has that layer too,

577
00:31:42,480 --> 00:31:47,800
Speaker 3: And the friction between two normal cartilage surfaces that are

578
00:31:48,080 --> 00:31:51,640
Speaker 3: lubricated by a normal joint fluid is incredibly low. But

579
00:31:51,760 --> 00:31:53,600
Speaker 3: that whole situation that we're out and do with the

580
00:31:53,640 --> 00:31:54,400
Speaker 3: bone density.

581
00:31:56,280 --> 00:31:59,600
Speaker 1: Yeah, I think you were the first person that told

582
00:31:59,600 --> 00:32:03,800
Speaker 1: me I had ast you arthritis. You said it so

583
00:32:04,040 --> 00:32:07,120
Speaker 1: gingerly too. You were like afraid to tell me I

584
00:32:07,120 --> 00:32:12,480
Speaker 1: think that I had arthritis, which I think was a

585
00:32:12,480 --> 00:32:15,800
Speaker 1: good decision because yeah, I was like, what, Yeah, I

586
00:32:15,840 --> 00:32:16,200
Speaker 1: don't know.

587
00:32:16,200 --> 00:32:19,800
Speaker 3: I mean, it's I can't recall that a specificy. But

588
00:32:19,800 --> 00:32:22,240
Speaker 3: I would say sometimes people just don't like that term,

589
00:32:22,360 --> 00:32:24,560
Speaker 3: especially like when I'm saying a younger patient, because they

590
00:32:24,680 --> 00:32:27,560
Speaker 3: just kind of classically associate that with like an older

591
00:32:27,560 --> 00:32:30,800
Speaker 3: person's problem. So oftentimes, rather just say, hell, you've got

592
00:32:30,800 --> 00:32:34,080
Speaker 3: to do athritis, I just say, well, you're you know,

593
00:32:34,240 --> 00:32:36,560
Speaker 3: your cartilage is wearing out, and kind of explain the

594
00:32:36,600 --> 00:32:37,480
Speaker 3: condition more.

595
00:32:37,400 --> 00:32:41,360
Speaker 1: Rather than just label yeah, yeah, yeah. Nobody wants to

596
00:32:41,400 --> 00:32:43,280
Speaker 1: hear that they've got arthritis, but most of us are

597
00:32:43,280 --> 00:32:48,880
Speaker 1: walking around with arthritis. I'm sure the number one question

598
00:32:48,960 --> 00:32:52,520
Speaker 1: that your patients ask you is, well, maybe not, but

599
00:32:53,120 --> 00:32:54,920
Speaker 1: how long are these hips going to last? Am I

600
00:32:54,960 --> 00:32:56,880
Speaker 1: going to have to get a hip replacement? On my

601
00:32:56,960 --> 00:32:57,680
Speaker 1: hip replacement?

602
00:32:58,080 --> 00:33:00,720
Speaker 3: Yeah, that's a really good question, ues and it's a

603
00:33:00,760 --> 00:33:03,440
Speaker 3: common question, and we've talked about that, I think, but

604
00:33:03,960 --> 00:33:06,000
Speaker 3: the best way I can describe it, and a lot

605
00:33:06,000 --> 00:33:09,000
Speaker 3: of times I think we like we as a professional,

606
00:33:09,120 --> 00:33:12,360
Speaker 3: you know, surgeons, we don't do a good job with this. Like,

607
00:33:13,200 --> 00:33:15,719
Speaker 3: to be quite honest, it's easier for us to just say, oh,

608
00:33:15,760 --> 00:33:18,640
Speaker 3: twenty years, thirty years, but those are all guesses. And

609
00:33:18,720 --> 00:33:22,560
Speaker 3: so what I mean by that is materials have improved

610
00:33:22,640 --> 00:33:26,680
Speaker 3: a lot, and that's a great thing for you know, somebody,

611
00:33:26,760 --> 00:33:30,560
Speaker 3: especially like you, whos younger inactive and so what I

612
00:33:30,600 --> 00:33:33,240
Speaker 3: usually television is first answer is I don't know.

613
00:33:33,240 --> 00:33:36,920
Speaker 2: How long it's going to last. But that's good. Here's

614
00:33:36,960 --> 00:33:37,520
Speaker 2: here's why.

615
00:33:38,280 --> 00:33:40,640
Speaker 3: The reason I don't know is if you go back

616
00:33:41,600 --> 00:33:44,960
Speaker 3: to materials that were used, you know, probably over twenty

617
00:33:45,000 --> 00:33:47,200
Speaker 3: to twenty five years ago, that were the most commonly

618
00:33:47,280 --> 00:33:51,800
Speaker 3: used things, using very special techniques which I won't get

619
00:33:51,800 --> 00:33:56,840
Speaker 3: into the details of, we can detect the very first

620
00:33:57,000 --> 00:33:59,720
Speaker 3: tiny amount of wear starting even at year one after

621
00:34:01,400 --> 00:34:04,960
Speaker 3: now it's not something you would see on an X ray,

622
00:34:05,080 --> 00:34:07,880
Speaker 3: but again using a special technique that we mostly use

623
00:34:07,920 --> 00:34:10,239
Speaker 3: for research purposes, you could start detecting that.

624
00:34:11,040 --> 00:34:13,240
Speaker 1: There's rare and tear my new hips.

625
00:34:13,400 --> 00:34:15,920
Speaker 2: After all, I'm just saying these are I'm saying these are.

626
00:34:16,000 --> 00:34:19,279
Speaker 2: This is materials used back a long time ago, over

627
00:34:19,320 --> 00:34:20,520
Speaker 2: twenty twenty five years ago.

628
00:34:20,680 --> 00:34:21,359
Speaker 1: Okay, got it.

629
00:34:21,680 --> 00:34:24,640
Speaker 3: So in those cases you were seeing that very early

630
00:34:24,680 --> 00:34:30,200
Speaker 3: stage of starting of where and those hips would go

631
00:34:30,239 --> 00:34:32,680
Speaker 3: on to do well for quite a long time after that.

632
00:34:33,920 --> 00:34:38,880
Speaker 3: With more modern materials which started being used around the

633
00:34:38,960 --> 00:34:42,480
Speaker 3: year two thousand and became you know, within five years

634
00:34:42,520 --> 00:34:46,920
Speaker 3: of that really commonly used, and even since then there

635
00:34:46,960 --> 00:34:51,400
Speaker 3: have been some additional modifications and improvements. But if you

636
00:34:51,440 --> 00:34:54,480
Speaker 3: look at those and you look at the n VIVA,

637
00:34:54,560 --> 00:34:58,840
Speaker 3: which means in people data, using those same very special techniques,

638
00:34:59,480 --> 00:35:03,239
Speaker 3: we can't even detect that first little bit aware that

639
00:35:03,280 --> 00:35:05,279
Speaker 3: we used to detect that year one, and now we're

640
00:35:05,320 --> 00:35:07,719
Speaker 3: at over a year twenty.

641
00:35:07,960 --> 00:35:09,560
Speaker 1: So that's good news.

642
00:35:09,640 --> 00:35:12,480
Speaker 3: Okay, that's good news, very good news for everyone, particularly

643
00:35:12,520 --> 00:35:13,920
Speaker 3: you know, young active people like you.

644
00:35:14,840 --> 00:35:18,680
Speaker 1: Yeah, because you know, I got no interest in having

645
00:35:18,719 --> 00:35:22,000
Speaker 1: my hips replaced again. I mean, it wasn't the worst

646
00:35:22,040 --> 00:35:24,680
Speaker 1: thing ever, but yeah, I wouldn't. I wouldn't be like, Yay,

647
00:35:24,760 --> 00:35:26,640
Speaker 1: I'm getting my hips replaced again.

648
00:35:27,400 --> 00:35:29,839
Speaker 3: Yeah, and you know it would never be the right

649
00:35:29,880 --> 00:35:32,200
Speaker 3: thing for somebody like me to television. Oh, you're never

650
00:35:32,239 --> 00:35:34,920
Speaker 3: going to need to have it done again. But you know,

651
00:35:34,920 --> 00:35:36,799
Speaker 3: because I can tell you, now, here's what the data

652
00:35:36,920 --> 00:35:39,440
Speaker 3: is that you're you know, in the early year twenty

653
00:35:39,560 --> 00:35:42,920
Speaker 3: twenty two whatever, But I don't know, it's Gonnapen year

654
00:35:42,960 --> 00:35:46,080
Speaker 3: thirty forty fifty. And you know, with the young patient,

655
00:35:46,080 --> 00:35:47,080
Speaker 3: we assume they.

656
00:35:47,000 --> 00:35:48,320
Speaker 2: Might live that much longer.

657
00:35:49,239 --> 00:35:52,360
Speaker 3: So but it's very encouraging, like it certainly is possible,

658
00:35:52,400 --> 00:35:54,560
Speaker 3: or that you know, even a young person may go

659
00:35:54,640 --> 00:35:56,440
Speaker 3: their whole life without needing another surgery.

660
00:35:57,480 --> 00:35:59,960
Speaker 1: Well, you better stay in the business a lot longer,

661
00:36:00,040 --> 00:36:02,520
Speaker 1: because I don't plan on going to anybody else for

662
00:36:02,640 --> 00:36:04,440
Speaker 1: my next joint replacement.

663
00:36:04,560 --> 00:36:04,759
Speaker 2: Just you.

664
00:36:05,200 --> 00:36:07,400
Speaker 3: I appreciate that, and I don't plan to go anywhere.

665
00:36:07,440 --> 00:36:10,120
Speaker 3: I love my job. I feel very lucky that I

666
00:36:10,160 --> 00:36:10,560
Speaker 3: get to do.

667
00:36:10,520 --> 00:36:10,799
Speaker 2: What I do.

668
00:36:11,239 --> 00:36:13,440
Speaker 1: Oh, I love that. I'm so glad you love it.

669
00:36:13,840 --> 00:36:16,040
Speaker 1: Before I let you go, I would like to ask you,

670
00:36:16,960 --> 00:36:19,920
Speaker 1: in the name of this podcast, what was your last

671
00:36:20,040 --> 00:36:23,520
Speaker 1: I choose me moment? Give me a good one.

672
00:36:24,719 --> 00:36:25,759
Speaker 2: I don't know how good it's going to be.

673
00:36:25,800 --> 00:36:30,320
Speaker 3: It it sort of happened, it sort of hasn't happened yet.

674
00:36:30,360 --> 00:36:35,319
Speaker 3: But there's actually something I did today in preparation of

675
00:36:35,360 --> 00:36:40,640
Speaker 3: something that's gonna happen. But my kids go to a

676
00:36:40,920 --> 00:36:43,400
Speaker 3: they attend a school that has a different start date

677
00:36:43,440 --> 00:36:45,919
Speaker 3: than a lot of schools in the area. So it's

678
00:36:45,960 --> 00:36:49,920
Speaker 3: a little bit of a tradition where my wife and

679
00:36:50,000 --> 00:36:52,719
Speaker 3: my kids go to Disneyland at the end of the

680
00:36:52,760 --> 00:36:57,399
Speaker 3: summer during a weekday, and I'm like a little family day,

681
00:36:57,560 --> 00:37:00,719
Speaker 3: you know, spend together before going back to school. I

682
00:37:00,719 --> 00:37:03,319
Speaker 3: don't usually go. I'm very busy at work a lot.

683
00:37:04,040 --> 00:37:09,640
Speaker 3: Sometimes I think that maybe too much. But anyhow, my

684
00:37:09,680 --> 00:37:13,440
Speaker 3: little girl asked me if I was coming, and so

685
00:37:13,520 --> 00:37:17,560
Speaker 3: I decided to arrange my schedules so that I'd be

686
00:37:17,600 --> 00:37:22,480
Speaker 3: available to spend the day with them. So kind of,

687
00:37:23,480 --> 00:37:26,160
Speaker 3: you know, decided that that would be a good priority

688
00:37:26,280 --> 00:37:28,840
Speaker 3: for for me, you know, just to be able to

689
00:37:28,920 --> 00:37:30,839
Speaker 3: kind of spend the day with them during that time

690
00:37:30,920 --> 00:37:31,920
Speaker 3: rather than you know.

691
00:37:31,920 --> 00:37:33,040
Speaker 2: Do one more other thing.

692
00:37:33,600 --> 00:37:38,239
Speaker 1: Okay, So in choosing to spend more quality time with

693
00:37:38,320 --> 00:37:41,200
Speaker 1: your family that is, and I choose me moment for

694
00:37:41,280 --> 00:37:44,759
Speaker 1: you because you've had to be absent because of your

695
00:37:44,800 --> 00:37:45,400
Speaker 1: line of work.

696
00:37:46,200 --> 00:37:48,640
Speaker 3: Yeah, I mean well, and I think there's a lot

697
00:37:48,640 --> 00:37:51,960
Speaker 3: of times where a lot of these experiences I miss

698
00:37:52,880 --> 00:37:57,480
Speaker 3: And so basically I suppose I was kind of for

699
00:37:57,560 --> 00:37:59,480
Speaker 3: me choosing not to miss this one.

700
00:38:00,160 --> 00:38:04,400
Speaker 1: I love that. That's very nice. Thank you, doctor Taberry

701
00:38:04,560 --> 00:38:06,120
Speaker 1: for joining us today.

702
00:38:06,840 --> 00:38:07,719
Speaker 2: Absolutely, thank you.

703
00:38:08,200 --> 00:38:09,840
Speaker 1: I hope we helped a lot of people today.

704
00:38:10,520 --> 00:38:11,440
Speaker 2: You too.

705
00:38:14,040 --> 00:38:18,080
Speaker 1: So yeah, I'm still on this journey, this hip journey.

706
00:38:19,400 --> 00:38:24,040
Speaker 1: I'm learning every day to accept it and to love

707
00:38:24,120 --> 00:38:27,120
Speaker 1: my body and to love my scars. Like you know,

708
00:38:27,520 --> 00:38:33,640
Speaker 1: it's kind of daunting to put on a bathing suit

709
00:38:34,480 --> 00:38:38,440
Speaker 1: to begin with, but it's also you know, showing my

710
00:38:38,520 --> 00:38:42,239
Speaker 1: scars to the world. If that's a real like sort

711
00:38:42,280 --> 00:38:46,440
Speaker 1: of head trip, and you really need to choose to

712
00:38:46,480 --> 00:38:49,799
Speaker 1: accept it and love your scars. And that's where I

713
00:38:49,800 --> 00:38:53,759
Speaker 1: am right now. I'm still recovering, and you know me,

714
00:38:53,880 --> 00:38:57,360
Speaker 1: I'm not stopping, So this is going to go well,

715
00:38:57,560 --> 00:39:01,000
Speaker 1: and I'm going to be full throttle, full steam ahead,

716
00:39:01,719 --> 00:39:03,800
Speaker 1: because that's just the way I am. But it felt

717
00:39:04,120 --> 00:39:07,440
Speaker 1: really good to share that with all of you. We're

718
00:39:07,480 --> 00:39:11,080
Speaker 1: such a united community and I love getting to open

719
00:39:11,160 --> 00:39:13,799
Speaker 1: up to all of you on this intimate level. And

720
00:39:13,920 --> 00:39:16,800
Speaker 1: thank you to doctor Taberry for coming on the podcast

721
00:39:16,840 --> 00:39:20,360
Speaker 1: and giving us all that amazing insight as we continue

722
00:39:20,360 --> 00:39:24,439
Speaker 1: to choose ourselves each week. I want to really try

723
00:39:24,480 --> 00:39:29,279
Speaker 1: something this week with you that I've implemented in my life.

724
00:39:29,480 --> 00:39:33,279
Speaker 1: When was the last time you spent time stretching. I

725
00:39:33,360 --> 00:39:36,959
Speaker 1: enjoy doing it. I do it every night. It's part

726
00:39:36,960 --> 00:39:39,560
Speaker 1: of my wind down routine before I go to bed.

727
00:39:40,000 --> 00:39:41,600
Speaker 1: Sometimes I do it in the middle of the day.

728
00:39:41,600 --> 00:39:43,880
Speaker 1: I have a mat, I put it out and I

729
00:39:44,120 --> 00:39:48,440
Speaker 1: just stretch my body and it feels so good to

730
00:39:48,600 --> 00:39:52,279
Speaker 1: get in those muscles and get in those joints and

731
00:39:52,320 --> 00:39:56,760
Speaker 1: create some space and get that blood flowing to places

732
00:39:56,800 --> 00:40:01,080
Speaker 1: where it's maybe cut off. So if you're a morning person,

733
00:40:01,160 --> 00:40:03,520
Speaker 1: you want to do it after you have your morning coffee.

734
00:40:03,560 --> 00:40:04,880
Speaker 1: Maybe you like to do it right before you go

735
00:40:04,920 --> 00:40:07,880
Speaker 1: to bed. Regardless of when you do it, this week,

736
00:40:07,960 --> 00:40:11,279
Speaker 1: I want to challenge you to try and get in

737
00:40:11,320 --> 00:40:15,120
Speaker 1: touch with your body and have some me time stretching.

738
00:40:15,760 --> 00:40:18,960
Speaker 1: It sounds so simple, but so many of us I

739
00:40:19,040 --> 00:40:22,440
Speaker 1: know aren't doing it. Give it a try this week

740
00:40:22,760 --> 00:40:25,960
Speaker 1: and see how you feel. I bet you are going

741
00:40:26,040 --> 00:40:28,480
Speaker 1: to feel great and you want to keep doing it.

742
00:40:28,960 --> 00:40:31,600
Speaker 1: Thanks for listening to I Choose Me. You can check

743
00:40:31,600 --> 00:40:33,640
Speaker 1: out all our social links, take a look at our

744
00:40:33,680 --> 00:40:36,800
Speaker 1: show notes, and follow us and rate us and review

745
00:40:36,880 --> 00:40:39,319
Speaker 1: us because they love it when you do that, and

746
00:40:39,440 --> 00:40:42,920
Speaker 1: I love hearing from you. Remember to use the hashtag

747
00:40:42,960 --> 00:40:45,640
Speaker 1: I Choose Me. I will be right here next week,

748
00:40:45,680 --> 00:40:48,920
Speaker 1: and I hope you will choose to be here too,