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	<title>Comments for Jimmy Chow, MD</title>
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	<link>http://www.chowhipandknee.com/blog</link>
	<description>Answers to your hip &#38; knee questions</description>
	<lastBuildDate>Thu, 14 Oct 2010 18:44:23 +0000</lastBuildDate>
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		<title>Comment on &#8220;Submit a Testimonial&#8221; form is now working. by Chad Haring</title>
		<link>http://www.chowhipandknee.com/blog/?p=93&#038;cpage=1#comment-70</link>
		<dc:creator>Chad Haring</dc:creator>
		<pubDate>Thu, 14 Oct 2010 18:44:23 +0000</pubDate>
		<guid isPermaLink="false">http://www.chowhipandknee.com/blog/?p=93#comment-70</guid>
		<description>Dr. Chow;

I  mentioned one or two additional comments on what to expect, Post-Op, might be worthy of consideration in your &quot;new hip owner&#039;s manual&quot;. 
	1. During the first 2-6 hours, post-op I was apparently still be dealing with the affects of the spinal-anesthesia and had difficulty urinating. It would be good to know the spinal-anesthesia may affect your bladder/urethra muscles occasionally making it difficult to initiate. (The duty-nurse advised me he was to catheterize me if I didn&#039;t pass urine within a certain period; I think it was 6-hours post-op. This was great motivation and I ultimately did pass a few ounces; apparently enough to satisfy the requirement.)  The RN also mentioned at one point I was expected to demonstrate I could experience a normal bowl-movement before discharge. They never followed-though on that assessment. 
	2. I became quite nauseous for several hours after being moved to my room on Monday afternoon. I assume this was a reaction to the anesthetic, but was unexpected. I would certainly not have tried to eat the evening meal they brought me had I suspected that reaction. 
	3. I observed some swelling in the affected hip during the second day and third days at home. Apparently this is normal and not a concern. However, not knowing, I called Ashley on Wednesday as my right upper thigh was (I thought) quite swollen. She said &quot;normal&quot; and also that I could apply cold compresses to the area if I wished.  
	4. The pain I realized for the first four or five days post-operatively was mild overall, but &quot;migrated&quot;. Wednesday there was more pain in my right buttock. Later the primary incision seemed the most pronounced pain. During the weekend (5th - 6th days) the smaller incision (where I believe you insert the &quot;pin&quot; to maneuver the femur during the procedure) was VERY tender; it awoke me from a sound-sleep if I moved-around enough to contact it. 
	5. On Monday the 4th I suddenly developed a 2-3&quot; diameter bruise just above my tail-bone. No pain, but a fairly remarkable bruise I initially couldn&#039;t understand. I&#039;ve concluded it was where I was administered the spinal injection? 

At 2.5 weeks I&#039;m doing very well, and am experiencing no restrictions what so-ever from the procedure. Thanks very much!  I started a one-day-per-week PT series with the Rehab Dept of the W&#039;burg hospital on Tuesday. The Director of Rehabilitation there,  Ms. Tara Littell, PT, DPT, is MOST impressed with how quickly I&#039;ve recovered. She said she&#039;s worked with many hip and knee replacements and has never seen anyone recover as quickly as I have. She had many questions about the procedure, which I answered to the best of my ability. I still exhibit some muscular / tendon restrictions to full mobility, but have a series of specific exercises to work on between sessions at the PT Facility.  And, I thought you might appreciate hearing Ms. Littell&#039;s professional reaction to your procedure.

Best regards,
Chad Haring</description>
		<content:encoded><![CDATA[<p>Dr. Chow;</p>
<p>I  mentioned one or two additional comments on what to expect, Post-Op, might be worthy of consideration in your &#8220;new hip owner&#8217;s manual&#8221;.<br />
	1. During the first 2-6 hours, post-op I was apparently still be dealing with the affects of the spinal-anesthesia and had difficulty urinating. It would be good to know the spinal-anesthesia may affect your bladder/urethra muscles occasionally making it difficult to initiate. (The duty-nurse advised me he was to catheterize me if I didn&#8217;t pass urine within a certain period; I think it was 6-hours post-op. This was great motivation and I ultimately did pass a few ounces; apparently enough to satisfy the requirement.)  The RN also mentioned at one point I was expected to demonstrate I could experience a normal bowl-movement before discharge. They never followed-though on that assessment.<br />
	2. I became quite nauseous for several hours after being moved to my room on Monday afternoon. I assume this was a reaction to the anesthetic, but was unexpected. I would certainly not have tried to eat the evening meal they brought me had I suspected that reaction.<br />
	3. I observed some swelling in the affected hip during the second day and third days at home. Apparently this is normal and not a concern. However, not knowing, I called Ashley on Wednesday as my right upper thigh was (I thought) quite swollen. She said &#8220;normal&#8221; and also that I could apply cold compresses to the area if I wished.<br />
	4. The pain I realized for the first four or five days post-operatively was mild overall, but &#8220;migrated&#8221;. Wednesday there was more pain in my right buttock. Later the primary incision seemed the most pronounced pain. During the weekend (5th &#8211; 6th days) the smaller incision (where I believe you insert the &#8220;pin&#8221; to maneuver the femur during the procedure) was VERY tender; it awoke me from a sound-sleep if I moved-around enough to contact it.<br />
	5. On Monday the 4th I suddenly developed a 2-3&#8243; diameter bruise just above my tail-bone. No pain, but a fairly remarkable bruise I initially couldn&#8217;t understand. I&#8217;ve concluded it was where I was administered the spinal injection? </p>
<p>At 2.5 weeks I&#8217;m doing very well, and am experiencing no restrictions what so-ever from the procedure. Thanks very much!  I started a one-day-per-week PT series with the Rehab Dept of the W&#8217;burg hospital on Tuesday. The Director of Rehabilitation there,  Ms. Tara Littell, PT, DPT, is MOST impressed with how quickly I&#8217;ve recovered. She said she&#8217;s worked with many hip and knee replacements and has never seen anyone recover as quickly as I have. She had many questions about the procedure, which I answered to the best of my ability. I still exhibit some muscular / tendon restrictions to full mobility, but have a series of specific exercises to work on between sessions at the PT Facility.  And, I thought you might appreciate hearing Ms. Littell&#8217;s professional reaction to your procedure.</p>
<p>Best regards,<br />
Chad Haring</p>
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		<title>Comment on &#8220;Submit a Testimonial&#8221; form is now working. by Linda</title>
		<link>http://www.chowhipandknee.com/blog/?p=93&#038;cpage=1#comment-63</link>
		<dc:creator>Linda</dc:creator>
		<pubDate>Sun, 10 Oct 2010 21:56:24 +0000</pubDate>
		<guid isPermaLink="false">http://www.chowhipandknee.com/blog/?p=93#comment-63</guid>
		<description>Chad, I am planning to have the Superpath near the end of November.  I am 61 years old and I have been doing Egoscue Therapy E-cises for the past 17 months in an effort to stop the pain.  While the pain is reduced to a level that I can function as a teacher and walk my dog everyday, the pain is such that I want to improve the quality of my life.  I wonder how old you are and how much you can really get around ten days after the surgery.  I am wondering if my muscle memory will be at a higher level because of the 17 months of stretching exercises.  No two people are the same, I am just looking for all the information I can regarding the recovery process after the surgery.  Any more information you can share is greatly appreciated.  Sincerely, Linda</description>
		<content:encoded><![CDATA[<p>Chad, I am planning to have the Superpath near the end of November.  I am 61 years old and I have been doing Egoscue Therapy E-cises for the past 17 months in an effort to stop the pain.  While the pain is reduced to a level that I can function as a teacher and walk my dog everyday, the pain is such that I want to improve the quality of my life.  I wonder how old you are and how much you can really get around ten days after the surgery.  I am wondering if my muscle memory will be at a higher level because of the 17 months of stretching exercises.  No two people are the same, I am just looking for all the information I can regarding the recovery process after the surgery.  Any more information you can share is greatly appreciated.  Sincerely, Linda</p>
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		<title>Comment on &#8220;Submit a Testimonial&#8221; form is now working. by Chad</title>
		<link>http://www.chowhipandknee.com/blog/?p=93&#038;cpage=1#comment-56</link>
		<dc:creator>Chad</dc:creator>
		<pubDate>Mon, 04 Oct 2010 14:59:29 +0000</pubDate>
		<guid isPermaLink="false">http://www.chowhipandknee.com/blog/?p=93#comment-56</guid>
		<description>At the end of my first week following a complete hip replacement via SuperPATH and am doing very well, thanks! Some minimal pain but &quot;minimal&quot; is key; not delibating nor restrictive. I&#039;ve been walking, driving and using stairs (carefully) since the day following surgery. I believe I continue to have some restrictions to full-motion form the affected hip due to muscle-memory. I have been trying some minimal stretching exercises to extend the range of motion and will probably consult our local (and excellent) PT unit at the Wickenburg Community Hospital. I&#039;m more than pleased with the results of my procedure with Dr. Chow; have already recommended SuperPATH to a neighbor with hip issues.</description>
		<content:encoded><![CDATA[<p>At the end of my first week following a complete hip replacement via SuperPATH and am doing very well, thanks! Some minimal pain but &#8220;minimal&#8221; is key; not delibating nor restrictive. I&#8217;ve been walking, driving and using stairs (carefully) since the day following surgery. I believe I continue to have some restrictions to full-motion form the affected hip due to muscle-memory. I have been trying some minimal stretching exercises to extend the range of motion and will probably consult our local (and excellent) PT unit at the Wickenburg Community Hospital. I&#8217;m more than pleased with the results of my procedure with Dr. Chow; have already recommended SuperPATH to a neighbor with hip issues.</p>
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		<title>Comment on Patellofemoral replacement by Brittany</title>
		<link>http://www.chowhipandknee.com/blog/?p=30&#038;cpage=1#comment-7</link>
		<dc:creator>Brittany</dc:creator>
		<pubDate>Thu, 09 Sep 2010 20:40:37 +0000</pubDate>
		<guid isPermaLink="false">http://www.chowhipandknee.com/blog/?p=30#comment-7</guid>
		<description>Excellent write up, bookmarked the site with interest to read more!</description>
		<content:encoded><![CDATA[<p>Excellent write up, bookmarked the site with interest to read more!</p>
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		<title>Comment on In total hip replacement, I have heard a larger ball (femoral head) is &#8220;better&#8221; for post-operative motion limits, etc.  Can you set me straight here, please? by Zoraida Anzures</title>
		<link>http://www.chowhipandknee.com/blog/?p=58&#038;cpage=1#comment-6</link>
		<dc:creator>Zoraida Anzures</dc:creator>
		<pubDate>Tue, 07 Sep 2010 19:31:43 +0000</pubDate>
		<guid isPermaLink="false">http://www.chowhipandknee.com/blog/?p=58#comment-6</guid>
		<description>Thanks for putting this up. I am thankful for it.</description>
		<content:encoded><![CDATA[<p>Thanks for putting this up. I am thankful for it.</p>
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