Index

Topic	Blog Archive  Reference
Introduction	September 2013
How AVN is detected for me? Dr P.N Prasad in Yashoda Hospitals, Somajiguda, Hyderabad- August & Sept 2010	January 2014
1.AVN 1st Opinion -Dr N SomaShekar Reddy Apollo Hospitals Hyderabad- OCT 2010	December 2013
2.AVN 2nd Opinion. Dr Krishna Yarameeli Vivekanda Hospitals -Dec 2010 & January 2011	December 2013
3.AVN 3rd Opinion .Dr Lakshmikanth & Dr.K. Srinivasan-.Bangalore -March & April 2011	December 2013
4. Stem Cell 1st Opinion- Dr.Shrish Dutt Mishra -June 2011- Delhi	December 2013
5. Stem Cell 2nd Opinion. . Consultation discussions & Opinion Removed	December 2013
6.Stem Cell 3rd Opinion Dr. Venkataramana N. K.& Dr.Raju K P BGS Global Hospitals Bengaluru - July 2011	December 2013
7. Stem Cell 4th Opinion Dr.Anant Bagul Chaitanya Stem Cell Therapy Center- Pune- July 20111	December 2013
8. Special Treatment - Dr Peddapalli Appa Rao Consultant Immunologist & Rheumatologist	December 2013
9.Ayurvedic Treatment for Avascular Necrosis- AVN	December 2013
10. Stem Cell banks & Hospitals Affiliations	December 2013
11.Stem Cell 5th Opinion Dr.Arumugam.S Laksha Hospitals & Tri cell International-Chennai	December 2013
12.Stem One Biological-Live100 Hospital Bangalore -DR.H.N.NagaRaj & Dr Kalayan	December 2013
13 Live 100 Hospital Dr.H.N.NagaRaj & Dr Kalayan Bangalore Performed (Failure) Stem Cells	December 2013
14.Dr.Thomas A.Einhorn Stem cell feasibility & Honest Opinion	December 2013
15. Dr A Gurava Reddy Post Stem Cells Consultation	December 2013
16.Bisphosphonate Therapy -Dr.Sanjay Agarwala Hinduja Hospital- Mumbai	December 2013
17. Dr.Ameet Pispati,Bhatia Hospital,Tardeo,Mumbai	December 2013
18.Dr.Vijay C. Bose,Teynampet,Apollo Speciality Hospital ,Chennai done Bilateral THR  like a minor Surgery	April 2014
19. Dr.Vijay C. Bose -THR Surgery Experience	April 2014
20.Precautions after THR	April 2014
21.Tips to Choose Good Hospital & Doctors for Hip Replacement Surgery (THR) in India	April 2014
22. Doctor Reviews & Life after Hip Replacement	April 2014

22. How to recover, Doctor Reviews & Life after Hip Replacement - (Under Construction)

 How To Recover

• Try to do Physiotherapy as much as you can while you are in bed.
• Start walking small distances in your home with using of elbow crutches. 
• Waking practicing the walk  think that " Your learning the walking" and practice
• Initial days practice 5 to 10 mins gradually increase time day by day
• Try to practice walking on the steps
• For getting up the steps use your non operative leg first. Getting down use operated leg first
• Make a trial to drive 2 wheeler or Car after 6 weeks of the discharge date
• Go to the Public places whenever you fell comfort on walking it may increase our confidence level

Doctor Reviews after post Hip Replacement

21st June 2013

First review was happened with Dr Vijay  C Bose  after 3 months i.e 21st June 2013 He reviewed the  X-ray reports and  examined  the leg  & Hip movements also and expressed  hips are working  normal 

21 June 2013 X-ray  1st visit after surgery

15th July 2013

Unfortunately server pain started on the both hips in the First week of July immediately I met the Doctor on 17th July.

He advised stop using two the wheeler and also adviced me use 4 wheeler for  couple of months and advised me use below pain killers for  weeks. After that pain was gradually decreased

14th Feb 2014 3rd visit

After one year from the post operative date again I met Dr Vijay c Bose Reviewed the X-ray and satisfied with my leg movements


Again   Dr asked me come for check up after 1 year i.e 2015

14th Feb 2014 X-ray  2nd  visit after surgery

Life after Hip Replacement

Most of my blog readers asking me How is the Life after Bi lateral Hip Replacement?

First  21 days

First 21 days after discharge from the hospital little bit horrible. I have faced the Below symptoms

• After reaching home getting down and going to the bed is very difficult without family members support we can't get down from the bed
• We can't turn any side that will be a cause for wound on the ankle part. I have suffered 20 days with this wound
• Taken bath sitting on chair.
• Wearing the cloths also difficult for first days
• Used  the pillow between the two legs first 10 days  

After 21 days

I have overcomed  the above problems after 6 weeks

18.Dr.Vijay C. Bose,Chennai done Bilateral THR like a minor Surgery with 100 % Satisfaction

Dr.Vijay C. Bose,Teynampet,Apollo Speciality Hospital ,Chennai done Bilateral THR  like a minor Surgery 

2013 January I have the below symptoms

• By using Elbow crutches also I am not able walk small distances 
• I can't bend to take the fallen items on down
• Sever knee pain on the both legs
• Increased the pain killer dosage 2 to 3
• Even though taking the pain killers also pain was not controlled
• I have decided to go for THR asap due reduced mobility. 

Some of my friends  suggested me Dr Vijay C Bose for THR. Immediately I made a Google search on him and viewed his Profile http://www.hipresurfacingindia.com/Surgeon_Vijay_Bose_Profile.php

Why I have chosen Dr Vijay C Bose for THR

• He was performed more than 1000 hip replacements and listed in tophipsurgeons.com  
• I have read his patient-testimonials also http://tophipsurgeons.com/patient-testimonials-vijay-c-bose.html
• Till now there is no single negative  & failure comments by his patients any Social media sites
• His  Youtube videos really helped to come for conclusion to choose the best doctor
• In telephonic conversation he spoken very well in prior to appointment
• Successes rate is also high
• No difference in leg length after THR taken feedback from the previous Parients
• Chennai is nearer to Hyderabad comparative to  Mumbai

Appointment With Dr Vijay C Bose

• I have taken Dr Vijay C Bose appointment on 19 Jan 2013. After reviewing fresh X-ray he conformed me that I have to undergo for THR .
• Expressed his sympathy on me I went for Stem cell therapy. He explained me most of the laboratories asking him to perform the stem cells therapy but he refused it 
• Explained me in a detail manner about the surgery & different types of implants which was available in market and their performance and durability
• As per my age & profession Dr Vijay suggested me to go for Delta motion Ceramic replacement

19. Dr.Vijay C. Bose -THR Surgery Experience (Under Construction)

Dr.Vijay C. Bose THR Surgery  Experience

I am writing my  pre ,post operative experiences .This will be help full for the patients those who are planning for THR.

13 February 2013


7:00 AM

I have started to chennai  with my family members on 13th Feb morning flight to Chennai.My cousion booked a guest house we stayed there upto 4.00PM

5.00 PM

I have admited in the hospital.The admission procedure went very smoothly.I have taken the private room. After admiting into the Hospital hospital Staff  informed to Dr Vijay C Bose.

7.00 PM
Dr Babuji from anesthesia dept came and studied my case.I am very much comfortable with him He will speak Telugu. I expressed my concerns about the IVS. He assured me he will take take

Asked me start the Breathing exercises.

7.30PM 
Given me the normal Diet 

8.00 PM 
Samples collected for Routine Blood tests and Taken Chest X-ray & Hip lateral pelvis x-rays

8.30 PM
 Dr Vijay C Bose came and checked what are the pending completed  tests and informed me next day operation time is 8.00 AM

He confirmed me the 6th day I can go back to Hyderabad and assured me I can walk easily in the airport  which is true 

9.00PM 
Nurses asked me take a bath  twice with medicated lotion

9.30 PM
Went to sleep

13th Feb X-ray before Surgery

Report

14th Feb 2013-BiG Day

5.00AM n
Nurses waked me up done routine checks 

6.00 AM
Taken bath with twice with medicated lotion

7.00 AM
Wearied a sox and given a injection to reduce the operation tension

7.40 AM 
Shifted to OT

In OT Dr Bapuji   give me IVs on Left-hand side. In the IV’s he injected the anthelia .Hardly with in 2 mins anthelia effect started on me.

8 AM to 12 PM
Surgeries done

1.00PM
 I was in semi conscious 

4.00 PM
Shifted me to room

After shifting the to room I didn't had much pain on the surgery part.Pain management was done excellent by Dr Vijay C Bose

I was thirsty statred taking water after 18 hrs. Same night I have taken the liquids llike milk & Coconut water 

No Side effects observed like High fever, infection ,Bleeding from the wound etc...

IV fluids continued the whole night

 ( contd.....)

17th Feb X-ray after Surgery

Discharge Summary

 24 March X-ray

Discharge

20.Precautions after THR

Precautions  after THR

• Try to Use the pillow between the two legs
• Use western toilet avoid Indian toilet
• Don't sit in the ground at least 3-6 months
• Sit in front seat in the car.
• India Indica is the best car for AVN patients w.r.t to comfort
• Take front row seat in the flight for more leg space
• Try to avoid 2 wheeler driving at least 3 months. I did a small experiment on this
• Don't gain the weight
• Try to avoid walking on wet floor
• Use the Elbow crutches until you feel comfort & confidence on your walk
• When your going to a Shopping mall  or any crowded  place it is advisable to use the Elbow crutches 
• Visit the Doctor consultation as per your schedule given at the time of discharge
•  Avoid taking Alcohol & Smoking at least 6 months

21.Tips to Choose Good Hospital & Doctors for Hip Replacement Surgery (THR) in India

Choosing a Good Doctor & Good Hospital  for THR

• Do the search on the Doctor & Hospital. Spend your time as much as you can.
•  If you see any negative comments try to contact the reviewer and get the feedback
•  Take the Doctor prior experiences on the THR. Find out his successes rate
• Watch the Surgery procedure videos for knowing the Surgery processes
• Take the phone numbers from Doctor earlier treated patients & talk to them directly
•  Compare the costs with other hospitals
•  Come to a conclusion where you are planning for a surgery
•  Find out the Dr will come for rounds or not until  discharge
•  Observe whether Doctor will answer to your questions or not?
•  Always better to choose a single room to avoid the other patients infections
• Take the feedback from the old patients regarding the length difference  between right & left legs
•  Leg length difference is the most important factor  in THR.
• Hyderabad one of the  reputed Doctor performed THR to my father in 1999. He made THR with 3 inch difference left & right legs 
•  Check which implant is  suitable for you. Generally it depends on your daily activities & age
• Check with that hospital is associated with your insurance company or not?
•  It is better have cashless treatment
•  Submit your insurance papers at least 10 -15 days prior so that we  might be knowing how much amount is approved for the surgery
•  Check with your doctor his availability  in the city until your discharge date.
• If he is going anywhere after your surgery it is advisable to postpone your surgery date

.

How AVN detected for me?

How AVN is detected for me?
Dr P.N Prasad in Yashoda Hospitals, Somajiguda, Hyderabad- August & Sept 2010

I got a pain on my right leg. I have suffered with pain approximately 2 weeks. I have consulted Dr P.N Prasad in Yashoda Hospitals .Initially he asked come up with a x-ray with pelvis on both hips. X-ray report was normal 
 


Initial X Ray






















He advised me to take the pain killers for one week. After 1 week pain went to severe. 

• Immediately I met him with the following symptoms
• I am not able to stand on my own 
• With the help of others support I am standing and sitting
• I am not able to climb small steps in office      

Dr Prasad was very intelligent. He asked me to go for MRI on both hips.MRI was done on 6th Oct 2010 in Yashoda Hospitals.MRI Radiologist diagnosed it was AVN stage -2

MRI

                   

Dr Prasad suggested me to go for second opinion

1.AVN 1st Opinion -Dr N SomaShekar Reddy Apollo Hospitals Hyderabad- OCT 2010

Dr Prasad suggested me to go for second onion. I have discussed this issue with my cousin Dr Srinivas sarma, he advised to meet Dr N SomaShekar Reddy in Apollo Hospitals Hyderabad.

I have taken his appointment I met him .By seeing MRI & x-ray reports he suggested me to go for Core Decompression and also suggested me to use Elbow crutches for support. I have taken his medicines nearly  2 months. 

I am little bit scared about the Core decompression   i.e. drilling of the bone etc hence I didn't meet him further

2.AVN 2nd Opinion. Dr Krishna Yarameeli Vivekanda Hospitals -Dec 2010 & January 2011

My father’s friend suggested me to meet Dr Krishna Yaramelli in Vivekananda Hospitals Somajiguda, Hyderabad to get one more opinion. My mother & myself met him in Dec 2010 .He asked me to take one MRI to assess the Stage of AVN. Due to my office work I met him in January 2011. He suggested me to for Traction's & Core Decompression at that stage. He suggested me to go for THR in future

Some of the reviews I read that Tractions will not help for AVN hence I didn't met him further


03 Jan 2011-XRay

3.AVN 3rd Opinion .Dr Lakshmikanth & Dr.K. Srinivasan-.Bangalore -March & April 2011

Bangalore Doctors-Dr Lakshmikanth & Dr.K. Srinivasan- March & April 2011

My cousin & colleague Don't know about AVN suggested me to meet these Doctors  Dr Lakshmikanth & Dr K. Srinivasan to walk normally. Dr Lashmikamth OP is in Apollo hospitals Bangalore.    Dr K.Srinivasan OP is in Near Ganesha Temple,Malleswaram,Bangalore

They are very keen about AVN and suggested me to go for THR immediately without searching  any 2nd option like Core Decompression.

X-RAY 11 March 2011

 I am very much scared about the THR and I have started R&D as their any other available approaches for AVN my thought are simple " if blood circulation  is stopped to particular area can  Doctors  regenerate the Circulation? or else if blood transfuse the to particular  area will that part  blood and circulation will be restored?"

with this thoughts  I have started my R&D. I got a good progress on that finally I found that Stem cells will help me on this matter.

 In Boston Dr.Thomas A. Einhorn  is already performed and he published the video in his site http://www.adult-stem-cell-hip-surgery.com/ and I have seen patients Interview in FOX news. After 1 year I have sent my reports for his review for feasibility of Stem cell therapy.Please see his comments in upcoming post

At that time in India Dr are not performing this procedure I didn't identified a single doctor done this therapy  my college Shiva fwd below email about stem cell therapy in New Delhi Dr. Shrish Dutt Mishra