WEBVTT - I Choose...To Love My Scars 0:00:01.600 --> 0:00:09.240 You're listening to I Choose Me with Jenny Garth. Hi, everyone, 0:00:09.320 --> 0:00:12.600 welcome to I Choose Me. This podcast is all about 0:00:12.640 --> 0:00:15.800 the choices we make and where they lead us. On 0:00:16.000 --> 0:00:21.480 today's podcast, I want to tell you something, and most 0:00:21.480 --> 0:00:25.360 people are pretty shocked when I tell them this. I've 0:00:25.440 --> 0:00:30.600 had both my hips replaced. Yep. You know. I live 0:00:30.720 --> 0:00:33.040 a very healthy life, and I think it shocks people 0:00:33.120 --> 0:00:35.800 to hear that because I work out so hard. I 0:00:35.880 --> 0:00:40.280 post my workouts. I'm all about healthy and active. But 0:00:41.120 --> 0:00:44.639 I want to talk about the experience today because I'm 0:00:44.680 --> 0:00:49.640 on the other side of it now, and maybe somebody 0:00:49.720 --> 0:00:54.040 listening is going through this experience that I went through. 0:00:54.560 --> 0:00:58.240 Maybe you're feeling pain, maybe you're ignoring it. Maybe you 0:00:59.040 --> 0:01:01.320 know something's right, but you don't want to go to 0:01:01.360 --> 0:01:06.640 the doctor, and maybe you're feeling really frustrated. I want 0:01:06.680 --> 0:01:10.280 you to know that you are not alone. It was 0:01:10.520 --> 0:01:16.200 early twenty twenty, right after the shutdown. I had been 0:01:16.240 --> 0:01:21.720 dealing with hip problems, hip pain, hip clicking pretty much 0:01:21.760 --> 0:01:24.600 all my life. I used to be a dancer and 0:01:24.760 --> 0:01:27.479 I would stretch, and I would stretch through my hip 0:01:27.600 --> 0:01:30.760 and it would kind of click and it didn't bother me. 0:01:30.760 --> 0:01:32.880 It didn't hurt that much. It was just a little embarrassing. 0:01:33.440 --> 0:01:36.360 And the click got louder and louder until it started 0:01:36.720 --> 0:01:40.399 to become like a clunk, you know. It was my 0:01:41.160 --> 0:01:43.400 hip joint would feel like it was like clunking into 0:01:43.440 --> 0:01:48.440 position or clunking as I walked, and eventually it started 0:01:48.520 --> 0:01:53.320 to basically give out from time to time whenever I 0:01:53.360 --> 0:01:57.200 would put weight on it. So it was the winter 0:01:57.440 --> 0:02:01.280 of twenty nineteen going into twenty twenty that my family 0:02:01.320 --> 0:02:04.160 and I had gone on a ski trip we always 0:02:04.200 --> 0:02:07.840 like to try to do every winter, and my hips 0:02:07.840 --> 0:02:11.280 were hurting so badly that I couldn't ski with them. 0:02:11.320 --> 0:02:14.000 I couldn't get on the lift, I couldn't get off 0:02:14.000 --> 0:02:16.360 the lift, I could not go down the mountain. So 0:02:16.440 --> 0:02:18.079 I had to just sort of sit that out, and 0:02:18.400 --> 0:02:21.800 I was like, oh man, this sucks. I don't want 0:02:21.840 --> 0:02:25.560 this life. I don't want to slow down. I'm too 0:02:25.639 --> 0:02:30.399 young to have to worry about, you know, pain and 0:02:30.960 --> 0:02:33.800 not be able to do things because I'm in pain, Like, 0:02:33.840 --> 0:02:36.240 I need to go get this looked at once and 0:02:36.280 --> 0:02:40.680 for all. So I went and I sought out a doctor, 0:02:41.160 --> 0:02:45.400 a surgeon who specializes in hips, and I went to 0:02:45.400 --> 0:02:48.000 see him, got my X rays, which led me to 0:02:48.600 --> 0:02:53.880 getting an MRI, which led me to the diagnosis that 0:02:54.400 --> 0:02:58.920 I needed to have my hip replaced. And I was 0:02:58.960 --> 0:03:03.519 blown away because that's not what I was expecting to hear. 0:03:04.120 --> 0:03:05.919 I don't know why, but I just felt like, Oh, 0:03:05.919 --> 0:03:07.799 I'm too young for this. US kidding. Your hip replace 0:03:07.880 --> 0:03:10.600 that's for old people. My parents are older, they had 0:03:10.800 --> 0:03:14.600 hip replacements. That sounds like a big deal, and I'm 0:03:14.639 --> 0:03:16.359 not sure I want to do that. So I sort 0:03:16.360 --> 0:03:19.640 of sat with that news for a while and lived 0:03:19.639 --> 0:03:22.200 with the pain a little bit more and came to 0:03:22.200 --> 0:03:23.840 the place where I couldn't even take my dogs on 0:03:23.880 --> 0:03:26.360 a walk or go like on a family walk around 0:03:26.360 --> 0:03:29.560 the neighborhood. And I just didn't want to live like that. 0:03:29.760 --> 0:03:31.640 You know, I have a younger husband and I'd like 0:03:31.720 --> 0:03:36.720 to keep up with them. So I opted to go 0:03:36.800 --> 0:03:41.200 in and get my left hip replaced. And I was 0:03:41.240 --> 0:03:45.560 so afraid when I went in for that first operation, 0:03:46.280 --> 0:03:49.720 I had no idea what was going to happen. I honestly, 0:03:50.400 --> 0:03:53.080 every time the doctor would talk about what the procedure 0:03:53.120 --> 0:03:55.760 was going to be, and you know, the recovery and 0:03:55.800 --> 0:03:59.240 all those things, my brain just literally stopped listening and 0:03:59.320 --> 0:04:01.400 didn't want to hear anything. So I went into that 0:04:01.440 --> 0:04:04.280 operation saying, Okay, I don't know what you're about to 0:04:04.280 --> 0:04:07.640 do to me, but do it good because this is 0:04:07.760 --> 0:04:12.000 really important. And I came out and I was like, wait, 0:04:12.080 --> 0:04:14.360 what has happened? And then I saw the X rays 0:04:15.000 --> 0:04:17.400 of what they had done to me. And not until 0:04:17.440 --> 0:04:21.040 after my surgery did I google what a hip replacement 0:04:21.080 --> 0:04:23.320 surgery looks like, because I knew I would be too 0:04:23.360 --> 0:04:26.320 scared and I would back out, but it was really 0:04:26.360 --> 0:04:30.760 something that had to be done. So yeah, I learned 0:04:30.760 --> 0:04:34.640 a lot about hips that spring, and I kept it 0:04:34.680 --> 0:04:38.200 a secret from the world because I was a little 0:04:38.200 --> 0:04:42.200 embarrassed and I didn't want people to have, you know, 0:04:42.880 --> 0:04:46.000 that perception of me that I was getting old and 0:04:46.680 --> 0:04:50.960 breaking down, and so really only my family knew, and 0:04:51.040 --> 0:04:55.000 my mom and my best friends, and it was something 0:04:55.040 --> 0:04:57.560 that I didn't want to share with anybody, So I 0:04:57.680 --> 0:05:01.479 kept the recovery to myself. I didn't, you know, post 0:05:01.480 --> 0:05:04.320 about it or talk about it to anyone, and I 0:05:04.560 --> 0:05:08.359 slowly started to recover, and that's when I decided to 0:05:08.360 --> 0:05:10.280 get in the best shape of my life. I decided 0:05:10.640 --> 0:05:14.000 I'm not going to let this define me. So what, 0:05:14.200 --> 0:05:16.880 I have a fake hip. It feels great. Sometimes I 0:05:16.960 --> 0:05:19.839 forget that I even have it. And I just started 0:05:19.880 --> 0:05:23.440 getting back into working out, gradually building up more and 0:05:23.480 --> 0:05:26.320 more strength, and I think that's about the time that 0:05:26.400 --> 0:05:29.640 I started sharing my workout videos with you guys. Those 0:05:29.680 --> 0:05:33.760 first videos that I started sharing were post hip replacement, 0:05:34.040 --> 0:05:39.360 but nobody knew. And then four years later, my right 0:05:39.440 --> 0:05:43.640 hip started to give me problems started, that clicking started, 0:05:43.640 --> 0:05:47.240 that clunking started, that giving out, and I knew what 0:05:47.320 --> 0:05:50.240 I had to do. So I went back in to 0:05:50.279 --> 0:05:54.839 the same surgeon, doctor Tiberry, and I said, let's do 0:05:54.920 --> 0:05:59.520 the other one. And the other one was done. It 0:05:59.800 --> 0:06:03.440 has been a slightly I expected it to be just 0:06:03.520 --> 0:06:07.599 like the same recovery time. Frankly, very easy for me 0:06:07.920 --> 0:06:09.880 personally because I was in good shape and I was 0:06:09.960 --> 0:06:13.640 healthy and I'm young, so I expected it to be, 0:06:14.240 --> 0:06:16.720 you know, a piece of cake. The second hip was 0:06:16.800 --> 0:06:20.720 not as easy to heal. I'm only about five months 0:06:20.800 --> 0:06:26.440 out from my second hip replacement. Having too feels kind 0:06:26.480 --> 0:06:30.640 of like a different ballgame. But it is slowly healing, 0:06:30.920 --> 0:06:34.920 and I have returned to the gym and I've built 0:06:35.040 --> 0:06:39.000 up and I'm pretty much pretty much back to where 0:06:39.040 --> 0:06:43.320 I was. I'm still working through the pain and still 0:06:43.360 --> 0:06:47.200 working on, you know, my body, accepting what's going on 0:06:47.279 --> 0:06:51.400 in there. But it's a decision that I am glad 0:06:51.440 --> 0:06:55.680 that I made, and I just want to be able 0:06:55.680 --> 0:06:57.560 to share that with the world. I want to be 0:06:57.640 --> 0:07:02.200 able to talk about it and help people who might 0:07:02.240 --> 0:07:05.960 be dealing with hit pain or any other joint pain, 0:07:06.000 --> 0:07:08.240 and they might be so scared because it is a 0:07:08.360 --> 0:07:11.360 very scary thing to go under the knife, you know, 0:07:12.080 --> 0:07:14.280 And I just want to be able to sort of 0:07:14.720 --> 0:07:21.280 destigmatize the concept that fake hips are only for old people. 0:07:21.880 --> 0:07:25.120 That's not true. Everybody you know has their different reasons 0:07:25.120 --> 0:07:29.080 and their different experiences with their bodies. So I just 0:07:29.120 --> 0:07:32.280 want to share mine in hopes that it maybe could 0:07:32.320 --> 0:07:35.480 help one of you listening. So today I want to 0:07:35.560 --> 0:07:40.720 bring in the surgeon who did both of my hip replacements. 0:07:41.320 --> 0:07:45.240 I'm very, very grateful to him. He is a board 0:07:45.440 --> 0:07:50.720 certified orthopedic surgeon who specializes in hip any replacements. He 0:07:50.920 --> 0:07:55.040 is my doctor and I like him a lot. Please 0:07:55.080 --> 0:07:59.680 welcome doctor Taberry to the I Choose Me Podcast. Welcome, Welcome, 0:07:59.720 --> 0:08:02.920 Thank you, thank you so much for joining us. 0:08:03.360 --> 0:08:04.560 Thank you, thanks for having me. 0:08:04.800 --> 0:08:07.960 This is a big moment for me. I mean, can 0:08:08.000 --> 0:08:12.480 you believe it that I'm sharing this incredibly intimate story 0:08:12.480 --> 0:08:13.120 with the world. 0:08:14.160 --> 0:08:14.960 It's a big deal. 0:08:15.000 --> 0:08:17.200 It's a big thing that people go through and everyone 0:08:17.280 --> 0:08:18.400 kind of reacts to it differently. 0:08:18.480 --> 0:08:19.920 So yeah, thank for you. 0:08:20.760 --> 0:08:24.120 People you know, are shocked when I tell them when 0:08:24.160 --> 0:08:29.040 they find out about this about my hips, the hips 0:08:29.040 --> 0:08:32.160 that don't lie, they don't get it because I'm so 0:08:32.840 --> 0:08:35.640 you know, I'm very healthy, I'm so active, I you know, 0:08:35.800 --> 0:08:39.520 share my videos and hopes to inspire others and keep 0:08:39.559 --> 0:08:44.400 myself going. So people are really shocked when they hear 0:08:44.480 --> 0:08:48.360 about this, and I'm only fifty two. Is it common 0:08:48.679 --> 0:08:53.160 to replace such a youngster's hips. 0:08:52.440 --> 0:08:54.760 Well, I guess I would. You know, it would depend 0:08:54.800 --> 0:08:57.120 on what you mean by common. I mean, to answer 0:08:57.200 --> 0:09:01.880 the question directly, it's not that uncommon. The average age 0:09:01.920 --> 0:09:05.560 for this procedure is still in the sixties, so it's 0:09:05.600 --> 0:09:07.079 certainly below average age. 0:09:07.160 --> 0:09:08.360 Is you know, most people. 0:09:08.160 --> 0:09:11.720 Might imagine hip arthritis and hip replacements in the fifties 0:09:11.800 --> 0:09:16.280 is becoming pretty common or be pretty frequently done. And 0:09:16.480 --> 0:09:19.319 you know, people like me see patients at your age 0:09:19.360 --> 0:09:19.959 all the time. 0:09:20.080 --> 0:09:22.120 So ough I thought I was special. 0:09:23.600 --> 0:09:26.600 Well, I didn't say you weren't special, but we definitely 0:09:26.679 --> 0:09:29.160 see people your age pretty often. 0:09:29.520 --> 0:09:33.080 There are different approaches when it comes to hip replacement surgery, right, 0:09:33.200 --> 0:09:37.160 so what was your approach for my surgery? 0:09:37.520 --> 0:09:40.360 Yeah, so that word approach, typically, like for us as surgeons, 0:09:40.400 --> 0:09:44.160 means you know, putting simply how to get into the 0:09:44.240 --> 0:09:46.200 area you're doing surgery, in this case the hip. So 0:09:46.200 --> 0:09:48.400 how do we get there? There are a lot of 0:09:48.400 --> 0:09:52.840 different ways. The method that I use is sometimes called antir, 0:09:52.960 --> 0:09:57.120 sometimes called direct anterior, basically means going from the front 0:09:57.160 --> 0:09:59.319 of the hip to get into the hip joint. There 0:09:59.320 --> 0:10:02.920 were many kinds proponents of using that technique, like me, 0:10:03.320 --> 0:10:07.360 I think do so for a few different reasons in 0:10:07.400 --> 0:10:09.640 my opinion, and probably the thing that's the most well 0:10:09.760 --> 0:10:13.439 established if you look at the published literature, is that 0:10:14.200 --> 0:10:16.800 people who have the surgery done through that technique have 0:10:17.480 --> 0:10:19.520 an easier early recovery. 0:10:19.520 --> 0:10:22.400 You mean from going in the front exactly. 0:10:23.120 --> 0:10:26.760 So while it still takes obviously a certain amount of 0:10:26.760 --> 0:10:30.160 time to heal, the milestones that someone might reach during 0:10:30.200 --> 0:10:36.400 that healing time happens faster through that antier approach. Boork 0:10:36.440 --> 0:10:39.479 going through the front than it does through some other approaches, 0:10:39.600 --> 0:10:42.520 despite the fact that the long term results of all 0:10:42.559 --> 0:10:45.199 approaches is really good and probably comparable. 0:10:47.360 --> 0:10:49.120 Yeah, I kind of like that you went through the 0:10:49.120 --> 0:10:53.199 front and not the side. Honestly, you use robotic assistance 0:10:53.240 --> 0:10:58.520 in surgeries, So why do you do that? And what 0:10:58.559 --> 0:11:01.200 are you doing if a robot is doing the work, 0:11:01.480 --> 0:11:02.320 what are you doing? 0:11:03.160 --> 0:11:06.000 Yeah, that's a super common question I get from people, 0:11:06.160 --> 0:11:08.880 and I think some people have this image in their 0:11:08.920 --> 0:11:11.880 minds of me having coffee in the break room while 0:11:11.920 --> 0:11:14.720 the robot's doing the surgery, And obviously that's not what 0:11:14.720 --> 0:11:17.319 it is. The best way to describe it as a 0:11:17.400 --> 0:11:20.800 robot is a sophisticated tool or instrument that we use 0:11:20.880 --> 0:11:24.400 to do the surgery that really helps us improve our 0:11:24.480 --> 0:11:27.720 level of accuracy and precision. So it's not the kind 0:11:27.760 --> 0:11:31.080 of robot where I'm sitting in a terminal and using 0:11:31.480 --> 0:11:36.440 joysticks and controllers to move things. It's a robotic arm. 0:11:36.640 --> 0:11:41.559 So every I'm there, you know, doing surgery, doing all 0:11:41.559 --> 0:11:45.360 the steps. It's just certain steps of the surgery, particularly 0:11:46.280 --> 0:11:50.080 taking measurements and kind of preparing the bone for the 0:11:50.080 --> 0:11:53.840 implants and placing the implants. The tools that are used 0:11:53.840 --> 0:11:56.440 to do that. I'm holding them, but so is a 0:11:56.520 --> 0:12:00.800 robotic arm to ensure that we're doing that very accurately, 0:12:00.920 --> 0:12:03.520 very precisely in the way that we want to do that. 0:12:04.160 --> 0:12:07.920 If we don't have that kind of tool, we're usually 0:12:08.600 --> 0:12:10.880 just left to kind of do it based upon visual 0:12:10.920 --> 0:12:15.240 cues and landmarks and things that we reference. So this 0:12:15.320 --> 0:12:18.480 is kind of an added advantage from that perspect That. 0:12:18.559 --> 0:12:23.200 Is just bananas to me that a robot is inside 0:12:23.280 --> 0:12:24.719 my body like that. Yeah. 0:12:24.800 --> 0:12:26.839 Yeah, I was pretty impressed the first time I used 0:12:26.840 --> 0:12:31.080 that technology. Didn't know what to expect. And after you know, 0:12:31.200 --> 0:12:34.000 I've been using now for eight nine years, but after 0:12:34.040 --> 0:12:34.360 doing it. 0:12:34.400 --> 0:12:37.760 The first couple of surgeries that way, I was blown away. 0:12:37.880 --> 0:12:41.000 So definitely became, you know, a big proponent of it 0:12:41.000 --> 0:12:41.520 at that time. 0:12:42.760 --> 0:12:44.800 Well, I guess it's great if it's going to you know, 0:12:44.880 --> 0:12:50.040 make things more precise. Who don't want that? Yeah, So 0:12:50.240 --> 0:12:53.640 when people talk about hip pain, there is sometimes a 0:12:53.800 --> 0:12:57.960 misunderstanding about, you know, what the symptoms are and where 0:12:57.960 --> 0:13:01.120 the pain is. What are the complaints that you see 0:13:01.120 --> 0:13:03.319 and hear the most when people come into your office. 0:13:03.480 --> 0:13:05.560 How do they identify it to you? 0:13:07.080 --> 0:13:07.320 Yeah? 0:13:07.360 --> 0:13:09.120 I like the way you put it, I mean there's 0:13:09.600 --> 0:13:12.839 there's this sort of thought that the hip is in 0:13:12.960 --> 0:13:15.360 a place that the hip is not in. You know, 0:13:15.360 --> 0:13:17.280 we kind of you know, if you ask most people 0:13:17.280 --> 0:13:19.160 where's their hip, they're going to point to this area 0:13:19.240 --> 0:13:23.080 that's kind of towards the outside or back of at 0:13:23.120 --> 0:13:25.400 the top of their leg or you know, that area, 0:13:25.520 --> 0:13:27.920 and the hip is closest to the front of the body. 0:13:28.000 --> 0:13:30.880 So we tend to see the most frequent place that 0:13:30.960 --> 0:13:32.400 the hip joints going to cause pain. 0:13:32.520 --> 0:13:36.199 Really, you know, regardless of what the issue is, is. 0:13:36.160 --> 0:13:38.800 In the front of the hip, sometimes sometimes the groin 0:13:39.040 --> 0:13:41.000 or just kind of to the front and so they 0:13:41.120 --> 0:13:44.240 you know, maybe even slightly to the outside. You can 0:13:44.320 --> 0:13:46.480 get pain on the side of the hip. It's actually 0:13:46.520 --> 0:13:48.319 fairly rare to get pain in the back of the 0:13:48.360 --> 0:13:50.760 hip or buttock area, but that front of the hip 0:13:50.760 --> 0:13:55.320 most common, and it can oftentimes travel into the front 0:13:55.320 --> 0:13:57.680 of the thigh to and even involve the neise sometimes. 0:13:57.720 --> 0:13:59.959 But we'll get patients that come in and they you know, 0:14:00.200 --> 0:14:02.280 first time you ever met them, and they say, my 0:14:02.360 --> 0:14:04.839 hip flexer is killing me. And it's like, well, actually 0:14:04.880 --> 0:14:07.280 it's not your hip flexer, it's your hip joint, so 0:14:07.760 --> 0:14:09.160 that you know, those are the types of things we 0:14:09.480 --> 0:14:12.560 hear most often, and it's totally understandable why it can 0:14:12.600 --> 0:14:13.240 be confused. 0:14:13.559 --> 0:14:16.520 Yeah, Yeah, that's where I thought I was feeling the pain, 0:14:16.640 --> 0:14:19.400 and it's right in that same exact area as the 0:14:19.440 --> 0:14:20.120 hip flexer. 0:14:20.520 --> 0:14:24.040 Yeah, the hip flexer sits directly across the front of 0:14:24.080 --> 0:14:28.160 the hip joint, so a hiplexer problem will probably cause 0:14:28.160 --> 0:14:31.200 pain in the same area. So very easy to confuse them. 0:14:31.240 --> 0:14:34.440 Even sometimes for us as physicians, they're difficult to distinguish 0:14:34.440 --> 0:14:37.840 between the two. But yeah, totally understandable to get those 0:14:37.880 --> 0:14:38.320 mixed up. 0:14:38.520 --> 0:14:43.200 Are there certain genetics like family history that play into 0:14:43.240 --> 0:14:47.880 this pain or having to have your joints replaced in 0:14:47.880 --> 0:14:48.560 my case, nip. 0:14:48.880 --> 0:14:52.760 It's a huge component to this, and you know, you 0:14:53.120 --> 0:14:56.840 mentioned before that oftentimes people may be surprised that, you know, 0:14:56.880 --> 0:14:59.560 somebody like you has a hip problem like you have 0:14:59.600 --> 0:15:02.280 and has you know, hip replacement. But genetics is a 0:15:02.280 --> 0:15:04.800 big component. It's not quite as simple as well, my 0:15:04.920 --> 0:15:06.760 you know, my mom or my dad or my aunt 0:15:07.360 --> 0:15:09.960 had this, so I have it, so then my son 0:15:10.040 --> 0:15:11.760 or daughter has it and so on and so forth. 0:15:12.080 --> 0:15:14.720 It's probably more complicated genetic component to it, but but 0:15:14.920 --> 0:15:18.960 very common, it's not. It's not always the you know, 0:15:19.080 --> 0:15:22.280 person who has a history of just high impact or 0:15:22.720 --> 0:15:26.200 you know, the overweight individual or things that people most 0:15:26.320 --> 0:15:29.920 often think are always related to developing these kind of problems. 0:15:30.240 --> 0:15:32.560 A lot of us just I guess you know, you'd 0:15:32.600 --> 0:15:34.720 say in terms of genetics, sometimes bad luck. 0:15:36.360 --> 0:15:40.400 Yeah, and like normal wear and tear. Yep, you've just 0:15:40.520 --> 0:15:43.440 mentioned something that I wanted to ask you about. If 0:15:43.720 --> 0:15:47.840 you are overweight or over your you know, like target weight, 0:15:48.400 --> 0:15:52.200 does that contribute to the pain and the hips or 0:15:52.240 --> 0:15:54.240 the joints breaking down quicker? 0:15:54.880 --> 0:15:58.080 That's a great question. You know, there's all kinds of 0:15:58.160 --> 0:16:02.200 data out there. There's some data are associated with higher 0:16:02.280 --> 0:16:06.040 rates of these kinds of procedures in patients whoever weiit. 0:16:06.120 --> 0:16:08.800 But I don't know if I personally believe that that's 0:16:08.840 --> 0:16:13.280 necessarily the biggest contributor to whether the joint breaks down quicker. 0:16:14.600 --> 0:16:18.400 My personal feeling is it has a huge component or 0:16:18.960 --> 0:16:22.120 effect on how the pain is felt. So the way 0:16:22.160 --> 0:16:24.800 I described that to patients is on a bad hip 0:16:24.880 --> 0:16:28.480 or knee, more force is going to be more pain, right, 0:16:28.520 --> 0:16:31.960 And that's usually pretty easy to understand and I give 0:16:32.040 --> 0:16:34.720 you know, certain examples for you know, or how that 0:16:34.760 --> 0:16:38.880 force is felt. Flat level ground is oftentimes thought to 0:16:38.880 --> 0:16:41.520 be about three to four times your body weight in 0:16:41.640 --> 0:16:43.640 terms of walking on flat level ground. 0:16:43.760 --> 0:16:46.200 Right pressure you're putting on your joints, you mean. 0:16:46.360 --> 0:16:49.280 Yeah, so you know, for every pound, that's three or 0:16:49.320 --> 0:16:55.080 four pounds of force, okay, whereas a sending descending stairs, 0:16:55.120 --> 0:16:57.000 for instance, can be as much as ten times your 0:16:57.000 --> 0:17:00.120 body weight. So it's just kind of like, you know, 0:17:00.320 --> 0:17:04.320 the more weight you're carrying, the more magnified that gets. 0:17:04.359 --> 0:17:08.080 And you know, I'm sure higher impact activities are going 0:17:08.160 --> 0:17:11.080 to have you know, much more than ten x your 0:17:11.080 --> 0:17:14.080 body weight. And so my personal feeling is I don't 0:17:14.119 --> 0:17:17.159 know if it definitely is the biggest factor in how 0:17:17.240 --> 0:17:19.400 quickly your joint wears out, but I do think that 0:17:19.840 --> 0:17:23.440 as your joint is wearing out and becoming painful, it's 0:17:23.480 --> 0:17:27.000 a huge factor on how bad your pain is. And 0:17:27.040 --> 0:17:30.199 we definitely see that patients who lose weight will have 0:17:30.280 --> 0:17:31.960 less pain, So that kind of fits with that. 0:17:32.520 --> 0:17:35.240 Yeah, I know that over the course of like all 0:17:35.240 --> 0:17:37.560 the years that I was experiencing pain before I came 0:17:37.600 --> 0:17:40.440 to visit you, my weight fluctuated up and down, left 0:17:40.480 --> 0:17:43.320 and right, and whenever I would be up even like 0:17:43.359 --> 0:17:48.199 five pounds, my hips would hurt more. So that definitely 0:17:48.240 --> 0:17:48.919 makes sense to me. 0:17:49.480 --> 0:17:50.440 Yeah. 0:17:50.600 --> 0:17:54.920 Yeah, I remember right before we went into the operating 0:17:55.000 --> 0:17:56.680 room and you had a mask on. I didn't even 0:17:56.680 --> 0:17:58.600 know what you look like. I mean, it was weird 0:17:58.640 --> 0:18:01.439 like that we were in there the first day. I 0:18:01.440 --> 0:18:05.040 feel like after the COVID lift and you could do 0:18:05.080 --> 0:18:09.439 operations again. And I remember right before they wheeled me 0:18:09.480 --> 0:18:12.800 and I said, hey, I've got that tattoo. Don't forget. 0:18:12.880 --> 0:18:16.000 I need you to really line up my flower. I 0:18:16.000 --> 0:18:18.560 have a really big For those out there that don't 0:18:18.560 --> 0:18:19.960 know what I'm talking about, I have a really big 0:18:20.040 --> 0:18:22.840 hip tattoo. I don't think i'd make that decision again, 0:18:23.720 --> 0:18:26.159 but I asked you, can you please line up my 0:18:26.400 --> 0:18:31.760 rose petal leaves? You looked at me so strangely. Is 0:18:31.800 --> 0:18:34.000 that the first time you had anybody need you to 0:18:34.040 --> 0:18:34.360 do that? 0:18:34.920 --> 0:18:39.679 No, definitely have had to come up before, both in 0:18:39.680 --> 0:18:40.600 the knee and the hip. 0:18:41.640 --> 0:18:42.840 It's just one of those things. 0:18:42.960 --> 0:18:45.199 I mean, I feel like yours is definitely one of 0:18:45.240 --> 0:18:51.200 the ones that that decision got into the tattoo. 0:18:50.760 --> 0:18:53.119 I mean, like right through it more than some. 0:18:53.440 --> 0:18:56.160 Right, Yeah, I had one actually not too long ago, 0:18:56.240 --> 0:18:58.080 where I was concerned about it and actually was able 0:18:58.080 --> 0:19:01.720 to totally avoid it and looking at me like, don't 0:19:01.760 --> 0:19:04.320 worry about it. Worry about my head. Of course, that's 0:19:04.359 --> 0:19:06.440 what we're going to worry about. But yeah, I definitely 0:19:06.480 --> 0:19:09.240 remember that, and I remember telling you that basically, we'll 0:19:09.280 --> 0:19:11.160 do the best we can. We'll do you know, we'll 0:19:11.160 --> 0:19:12.520 do the surgery and we'll do the best we can 0:19:12.560 --> 0:19:14.960 with the incision. And yeah, fortunately I think it worked 0:19:14.960 --> 0:19:15.640 out pretty well. 0:19:17.119 --> 0:19:20.680 So funny things people ask you to do, I'm sure. 0:19:27.760 --> 0:19:32.240 Let's talk about recovery time after surgery like this on 0:19:32.320 --> 0:19:35.480 my first one, when I had my first hip or place, 0:19:35.600 --> 0:19:40.080 I was vacuuming my house three days after the surgery. 0:19:40.280 --> 0:19:41.280 Is that frowned upon? 0:19:42.240 --> 0:19:44.120 It's a great question. I don't know if i'd say that. 0:19:44.160 --> 0:19:47.399 You know, I think I think every in many ways, 0:19:47.440 --> 0:19:51.920 every person is different, right, And so you know, there's 0:19:51.960 --> 0:19:54.720 a reason why when I do surgery, I meet a 0:19:54.760 --> 0:19:58.720 patient or prep patient for surgery, we don't hand them 0:19:58.920 --> 0:20:02.960 a list of here's what you do at what time, 0:20:03.160 --> 0:20:06.800 because one thing three days after surgery is going to 0:20:06.800 --> 0:20:09.639 be absolutely okay for someone to do and totally the 0:20:09.640 --> 0:20:10.360 wrong thing. 0:20:10.320 --> 0:20:11.199 For someone else to do. 0:20:11.960 --> 0:20:14.920 So the best, the best advice I give patients when 0:20:15.760 --> 0:20:20.560 they're recovering is everything you do should be on a gradual, 0:20:21.320 --> 0:20:24.320 incremental basis, And people kind of get that if you 0:20:24.359 --> 0:20:25.320 put it into perspective. 0:20:25.359 --> 0:20:26.040 Most people are. 0:20:26.520 --> 0:20:28.800 You know, the best examples to use is like professional 0:20:28.840 --> 0:20:32.080 athletes recovering from a sports injury. Most people kind of 0:20:32.640 --> 0:20:36.639 see that where you know, if a you know, athlete 0:20:36.640 --> 0:20:39.560 has an injury, they don't just after they're done healing, 0:20:39.640 --> 0:20:41.959 like go back to playing full tilt. They work their 0:20:41.960 --> 0:20:43.520 way up, they do certain things. You know, they do 0:20:43.520 --> 0:20:44.960 this much and then this much and then this much, 0:20:46.119 --> 0:20:50.200 and so, whether it's vacuuming three days or anything else, 0:20:50.240 --> 0:20:53.119 I would just tell a patient, hey, like start with 0:20:53.200 --> 0:20:54.960 a little bit, and then do a little more, and 0:20:55.000 --> 0:20:57.360 then do a little bit more, and that way, if 0:20:57.359 --> 0:20:59.159 you do reach a point where you've overdone it a 0:20:59.200 --> 0:21:02.200 little bit, it won't have been by very much because 0:21:02.240 --> 0:21:05.520 you have just previously done something that was totally well tolerated. 0:21:05.720 --> 0:21:08.000 So that's great to hear that you were able to 0:21:08.040 --> 0:21:10.560 do that. Some patients wouldn't be ready to do that 0:21:10.720 --> 0:21:13.199 three days and that's okay. I've definitely seen plenty of 0:21:13.200 --> 0:21:17.040 examples of patients were also young and healthy, take longer 0:21:17.040 --> 0:21:18.960 to get there and then have great outcomes. 0:21:18.960 --> 0:21:20.520 So everyone's just a little bit different. 0:21:21.000 --> 0:21:25.679 I think I would advise against it personally because I 0:21:25.760 --> 0:21:29.359 feel like I really did try to like just forget 0:21:29.359 --> 0:21:31.760 that the surgery ever happened and just move forward. And 0:21:31.800 --> 0:21:35.000 I tried to just like you know, grin and bear it, 0:21:35.320 --> 0:21:39.680 and then that ended up I think making my recovery 0:21:39.720 --> 0:21:42.199 a little more difficult on the first one. Although the 0:21:42.280 --> 0:21:46.040 first hip recovery was very, very smooth, I just think 0:21:46.080 --> 0:21:49.800 that I probably could have taken it a little easier. 0:21:50.320 --> 0:21:53.560 Yeah, we see that all the time, and sometimes, yeah, 0:21:53.720 --> 0:21:54.240 I tell. 0:21:54.080 --> 0:21:56.840 Patients, you know, break people up into like three groups. 0:21:56.840 --> 0:21:59.560 There's like the underachievers, the overachievers, and the people in 0:21:59.600 --> 0:22:02.879