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Ms.Kim Reiser - Mountain Hiker More
I continue to be excited and thankful about my progress. At the end of week 4, I was hiking at the edge of the wilderness again and doing stream crossings in the crystal clean mountain water. (photo attached) During the 6th week, my hiking time was up to 8 hours on relatively easy terrain along the headwaters of the Dearborn river. My quads and hamstrings are building strength daily and the ROM is almost back to normal. I still am challenged by a full squat but I keep working on it each day using props for support.
Birmingham Hip Resurfacing Surgery - Preoperative investigations - Joint Replacement Surgery
JOINT REPLACEMENT SURGERY
Preoperative preparation Protocol
(For Dr. Vijay C. Bose patients)
Joint Replacement surgery has seen many recent developments and now gives consistently gratifying results using appropriate implants in the respective age groups. However it is a major surgical undertaking and must be given the utmost care and preparation. It is never an emergency procedure and thus the patient must be in an ‘Best possible condition’ at the time of the surgery.
Preparation and investigations for the surgery is done from 3 different profiles.
- Fitness to have anaesthetic
- To detect hidden sources of infection in the body
- To help the surgeon in the technical planning for the operation
| Fitness to have anaesthetic | To detect hidden infection |
| Hb%* | Urine culture* |
| TC / DC / ESR* | Dental opinion* |
| Bld sugar (Random)* | required if one has any kind of skin lesion however minor - Dermatologist consultation* |
| Bld.Urea* | |
| Sr. Creatinine* | |
| Platelet count* | Technical planning |
| PT/PTT* | Recent x-ray |
| Chest x-ray* | May be required |
| ECG* | CT scan |
| Routine urine examination* | 3D reconstruction |
| Echo cardio gram - * Required only if older than 40yrs of age | Special x-rays eg: lateral view, Wt -bearing films & Full-length films |
| Other special tests if any ( please ask the doctor) |
