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From YouTube: Senior Moments Hip Knee Replacement
Description
Senior Moments: Hip and Knee Replacement Surgery
trt: 59:36
Produced by San Bruno Cable
Copyright 2013
A
Welcome
to
another
edition
of
senior
moments:
I'm
dolly
semana
vich,
perhaps
you've
heard
of
someone
having
had
or
about
to
have
hip
or
knee
replacement
surgery.
It's
becoming
more
and
more
common
people
are
very
nonchalant
about
it,
and
the
recovery
periods
are
taking
less
and
less
time.
My
father
had
had
his
knee
replaced
and
he
continued
to
be
very
active
well
into
his
90s
in
order
to
better
understand
what
knee
and
hip
replacement
surgery
is
about.
I
had
a
conversation
with
dr.
A
William,
again,
an
orthopedic
surgeon
who
performs
hip
and
knee
replacements,
as
well
as
with
his
daughter,
dr.
Tara
Megan,
a
physical
therapist,
with
a
lot
of
experience,
working
with
hip
and
knee
replacement
patients.
But
first
I
want
you
to
meet
some
people
who
have
had
a
new
hip,
a
new
knee
or
both
had.
B
Back
surgery
first
and
to
help
at
the
back
surgery,
bicycling,
was
suggested
as
a
great
idea.
So
I
was
mountain
biking
up
in
Canada,
Whistler
actually
and
I
fell
off.
My
bike
fell
off
of
it.
I
couldn't
get
up,
I
thought
that
can't
be
good.
So
my
brothers
were
there
yeah,
they're
kind
of
panicky
and
screaming,
and
of
course
it's
all
my
fault.
B
I
should
be
doing
stupid
stuff
like
that
after
I
got
them
to
get
some
ice
put
it
on
there
and
it
just
doesn't
get
any
better
it
just
you
know
just
was
really
painful,
so
I
stayed
there
for
a
couple
days
till
in
vancouver.
The
house
and
lots
of
stairs
couldn't
get
up
the
stairs
either,
and
I
thought
you
know
this
may
be
bigger
than
just
an
alley.
They
really
didn't
give
me
any
options.
B
You
need
a
hip
replacement,
then
we
could
do
it
tomorrow
morning
after
your
surgery,
they
give
some
crutches
and
they
make
you
walk
as
soon
as
possible.
Actually
I
mean
I
just
say
by
the
time
of
us
awake
for
a
good
six
hours
I
was.
I
was
up
and
they'll
show
for
you
back
and
forth,
just
a
little
bit
at
a
time
just
to
get
the
feel
for
it.
I
was
56
when
I
broke
my
hip.
C
C
What
was
the
best
course
of
action,
and
he
spoke
to
my
two
music
surgeon
and
between
us
all.
We
decided
it
was
the
best
thing
to
do
for
the
the
knee
I
did
have
several
injections
in
my
years
before
the
actual
surgery
during
a
jewelry
place
to
me.
I
did
have
after
a
couple
years
of
trying
with
the
injections.
I
did
have
arthas
topic
surgery
and
that
worked
for
a
couple
of
years,
and
then
it
just
got
to
a
point
that
I
couldn't
handle
the
pain
anymore.
C
C
I've
done
it
and
I
know
many
people
that
have
I
have
a
sister-in-law
who's
had
both
knees
and
both
hips
replaced
she's,
88
years
old
and
she's
doing
real
great,
so
I
I,
don't
think
it's
a
problem
but
I.
I
really
think
that
if
you
are
in
pain
and
if
you've
tried
every
other
option,
I
would
suggest
surgery.
I
think
it
is
the
the
only
way
and
the
best
way
to
go
for,
at
least
for
me.
D
The
necessity
for
me
to
have
hip
replacement
surgery
was
a
mobility
excruciating
pain.
I
was
very
active.
Physically
I
I
played
rugby
as
a
young
man,
I
played
soccer
from
the
time.
I
was
maybe
35
until
I
was
16,
at
which
point
I
I
had
a
back
injury
and
the
back
injury
sort
of
led
to
the
hip
and
yeah.
Why
did
the
back
lead
to
the
hip?
I
think
it
was
probably
the
way
I
was
walking
from
my
back
kind
of
had
a
kill
kilter
and
it
it
affected.
D
A
E
Get
the
question
all
the
time
and
people
have
this
impression
that
we
go
in
we
kind
of
operate
and
chop
out
the
knee
and
put
in
something
bionic.
But
it's
really
not
that
dramatic.
It's
more
of
a
an
entry
into
the
joint
to
resurface,
the
Warren
surfaces
to
cushion
the
joint
to
make
it
work
better.
Mm-Hmm.
E
Are
a
number
of
approaches
to
to
getting
into
the
joint
and
minimizing
the
injury,
so
there's
a
term
called
minimally
invasive
that
patients
are
well
informed
now
with
the
internet
and
they
come
to
me
with
those
typical
question.
What
is
this
minimally
invasive?
Do
you
use
it
and
it's
a
trend
that
has
minimized
the
amount
of
damage
from
surgery
it
minimizes
the
incision,
and
it
also
helps
to
preserve
the
the
functioning
muscle
and
tendon
of
the
knee.
So.
A
E
G
E
A
E
B
A
G
A
E
B
E
So
you
can
imagine
that
it
has
surfaces
that
are
in
context
are
the
two
knobs
and
then
the
kneecap
or
the
patella.
So
so
that
when
I
say
resurfacing,
I
mean
that
week
at
the
end
of
the
bone,
by
taking
a
fairly
small
amount
of
bone
away,
and
then
it's
capped
according
to
the
size
of
the
person.
So
the
top
is
metal
and
then
on
the
bottom,
which
is
the
tibia,
which
is
you
know
this
part
here
and.
A
E
E
Does
it
goes
down
with
a
little,
usually
a
little
kind
of
like
a
little
outrigger
down
into
the
bone,
help
stabilize
it?
So
this
is.
This
has
been
evolving
over
Caves
research
to
find
out
the
best
option,
and
so
the
longevity
is
really
quite
good.
These
once
they're
in
there.
If
you
get
a
good
result,
they
generally
don't
they
function
quite
well.
Over
many
decades,
hola.
A
E
People
come
in
because
they
have
a
problem,
they
have
pain.
Typically,
so
that's
usually
the
reason
and
the
pain
is
something
that
interferes
with
their
daily
life
or
maybe
their
recreational
pursuits.
May
we
live
in
a
very
active
area
and
people
who
just
can't
hike
and
run
and
bicycle
and
things
they
come
come
for
help
the.
C
E
It's
it's
a
process
of
dealing
with
something,
that's
interfering
with
their
function
and
usually
it's
pain.
Sometimes
it
can
be
more
instability,
maybe
some
something
a
problem
with
the
joy,
particularly
in
the
knee
joint
that
doesn't
allow
them
to
do
strenuous
physical
activity
and
that
usually
brings
them
to
their
doctor
and
then
many
times
to
the
orthopedic
surgeon
to
get
more
information.
I
was.
D
In
an
airport
and
found
that
I
couldn't
get
to
the
gate,
I
was
on
my
way
to
Los
Angeles
for
a
business
meeting
I
suffered
through
the
meeting
when
I
got
back.
I
met
with
my
general
practitioner
referred
me
to
orthopedic
surgeon
yeah.
He
said
your
bone
on
bone.
You
need
to
have
your
hip
replaced.
Okay,.
F
Yes,
absolutely
and
a
lot
of
doctors,
especially
a
lot
of
surgeons,
try
to
be
as
conservative
as
possible
before
and
usually
surgery,
and
especially
something
like
a
total
joint
is
one
of
the
last
options
that
someone
wants
to
go
through.
It
is
very
you
know,
traumatic
to
the
knee.
There
is
a
rehabilitation
process.
You
always
want
to
try
conservative
things.
F
First,
a
lot
of
people
that
come
in
with
knee
pain
to
us
there's
a
whole
number
of
things
that
can
go
on
someone
who
would
be
maybe
on
the
road
to
since
we're
talking
about
total
joint
someone
who
would
be
on
the
road
to
a
total
joint,
usually
there's
some
wearing
down
of
the
joint
surfaces.
If
not
always,
sometimes
it
can
be.
Someone
who's
really
active
like
dr.
F
A
F
Weight
issues
weights
a
big
issue,
there's
a
statistic
for
every
pound
of
body
weight
and
this
is
not
pound
of
overweight.
This
is
pound
of
body
weight
it
between
six
and
eight
pounds
through
each
knee
going
up
and
down
stairs.
I
believe
the
statistic
is
about
12
pounds
through
each
knee.
So
if
you
are
overweight,
that's
a
huge
force
going
through
the
joints
so.
A
F
F
F
A
F
As
you're
putting
weight
through
your
lower
extremity,
that's
considered
weight-bearing
and
it's
a
great
way
to
take
pain
out
of
the
joint
and
it's
a
really
great
environment,
to
try
to
lose
weight
for
someone
who
is
really
overweight
and
they
want
to
try
to
lose
weight.
But
it
hurts
them
to
load
their
joints,
get
in
the
pool
and
start
walking
around,
maybe
getting
into
a
knocko
robux
class.
Do
some
upper
body
stuff
and
get
some
cardio
going,
but.
F
E
G
Get
up
close,
it's
all
weeds
and
stickers.
Those
big
company,
TV
providers,
may
have
great
introductory
offers.
I've
read
the
fine
print.
You
have
to
sign
a
long-term
contract.
Do
they
offer
free
service
calls
and
just
how
hiding
their
rates
go
after
the
limited
time
offer
expires
at
San,
Bruno
cable,
you
sign
no
long
term
contract.
Our
rates
are
easy
to
understand
without
surprises,
and
if
you
experience
a
problem,
we
offer
free
service
calls
on
the
next
business
day.
Thank
you
for
choosing
San,
bernal,
cable.
D
F
Someone
who
has
never
really
exercised
before
and
they're
not
really
familiar
with
it
and
they
would
like
to
get
their
joints
and
their
body
stronger,
lose
some
weight
prevent
any
type
of
damage
to
their
body.
What
I
would
recommend
is
first
talk
to
your
doctor,
get
cleared
for
your
cardiovascular
system.
Your
pulmonary
system
just
make
sure
everything's.
Okay
and
someone
is
monitoring
your
exercise
regimen.
F
F
Whatever
you
can
do
right
now
do
that
do
that
for
a
few
weeks
until
that
gets
easy,
and
then
you
can
progress
it
a
little
bit
and
just
do
a
little
bit
at
a
time
progressing
every
two
to
three
to
four
weeks,
and
just
you
know,
do
what
your
body
is
capable
of.
Don't
do
too
much.
You
don't
want
to
over
exert
yourself
and
be
sore
for
a
week
and
not
ever.
Do
it
again
and
there's
a
lot
of
references
up
there,
there's
actually
a
lot
of
senior
resources
and
senior
outreach
programs.
F
A
F
You
don't
want
to
overdo
it.
Let's
say
someone
who's,
not
injured,
who
doesn't
have
any
surgeries
wants
to
train
for
a
marathon
you're
not
going
to
go
out
and
run
20
miles
for
your
first
training
run,
you're
going
to
want
run
one,
and
so
you
really
want
to
start
slow
do
what
your
body
is
capable
of
challenging
it
a
little
bit
and
always
just
kind
of
slowly
pushing
your
limits.
Listening
to
your
body,
something
hurts
it's
your
body's
warning
telling
you
something's
wrong!
Yeah!
D
C
I,
also
danced
on
Wednesday
afternoons,
with
my
girlfriends
at
the
Senior
Center
at
the
line.
Dance
at
two
o'clock
in
the
afternoon
with
Cathy
Schmidt,
mostly
I,
think
you
walk
and
to
be
as
active
as
you
can.
That's
the
probably
the
most
important
thing
and
go
about
your
daily
activities
and
doing
what
you
enjoy
I
think.
That's,
probably
the
most
important
thing.
How.
A
F
That's
great,
you
know
a
lot
of
times
what
some
doctors
will.
Try
is
doing
injections
to
help
minimize
pain
and
inflammation,
and
then
they
come
into
physical
therapy.
We
can
try
some
strengthening
if
their
pain
goes
away.
That's
fantastic,
they're,
functional
capacity
can
then
go
back
to
relative
normal
functioning
once
they're
functioning.
You
know
they
got
to
keep
up.
They
have
to
keep
up
with
the
exercises
in
the
strengthening
program,
and
hopefully
that
will
last
for
several
years
before
their
joint
wears
down.
F
A
Often
is
surgery
done
on
people
who
have
damaged
their
their
knee
other
than
just
wear
and
tear
like
sports
injuries
or
like
I,
used
to
be
a
vaulter
Wow
40
years
ago.
So
I
think
about
that
you
just
you
can't
help,
but
they
don't.
They
didn't.
Have
those
big
thick
mats
that
you
can
land
on
anymore.
You
landed
on
2-inch
mat,
so
how
about
sports
injuries?
That
may
have
happened
when
when
someone
was
a
child,
you
see
much
of
that.
Yeah.
F
There's
a
lot
of
sports
injuries
and,
unfortunately,
the
sports
injuries
are
occurring
in
younger
and
younger
and
younger
populations.
Uh-Huh
and
part
of
the
reason
is
people
are
starting
to
get
their
kids
involved
in
sports
earlier
on
in
life,
and
the
sports
are
doing
more
adult-type
sporting
activities,
they're.
F
Way
more
and
another
problem
is
they're.
Staying
in
one
sport
year-round,
so
there
are
new
around
soccer
teams
or
year
basketball
teams,
and
so
it's
a
constant
repetitive
strain
to
their
bodies
and
they're,
not
getting
that
cross
training
of
PE
basketball
soccer
and
doing
different
sports,
and
so
that
for
like
a
sport,
repetitive
injury
or
maybe
I
putting
them
at
risk
for
a
traumatic
injury.
How.
E
A
A
E
Is
trauma
and
and
the
more
trauma
you
do
them,
the
harder
is
to
heal,
and
so
so
everything
we
do
is
design
to
minimize
the
impact
particular
on
the
soft
tissue.
You
think
of
a
knee
replacement
is
just
putting
in
a
little
artificial
metal
device,
but
really
most
surgeons
feel
it's
it's
a
procedure
of
soft
tissue.
It's
not
only
getting
the
parts
in
there,
but
you
have
to
make
all
the
tissues
around
at
the
ligaments
that
we
mentioned
myself.
A
E
E
A
E
Surgeon
would
would
say
that
knee
surgery
is
harder
than
hip
surgery,
because
not
only
do
you
have
to
get
all
the
parts
in
there
you,
you
have
to
make
sure
that
the
ligaments
around
our
really
balanced
and
it
takes
it,
takes
experience.
It
takes
training
all
that
together
to
make
a
go
right,
and
so
it's
it's
it's
a
little
bit
more
than
just
what
people
think
we
just
don't
kind
of
run
in
there
and
put
the
parts
and
walk
away.
Yeah.
A
E
E
E
Would
think
it
is,
but
we
actually
the
biggest
advance
that
I
would
say
in
replacement
in
hip,
hip
or
knee
has
been
the
medication
and
we
used
to
use
a
little
morphine
and
pumps,
and
things
like
that
and
everybody
just
got
sick
and
drowsy
and
they
couldn't
do
the
rehab.
So
we've
gotten
away
from
that.
So
nowadays
we
use
a
series
of
medications
that
together
help
the
process,
and
we
also
do
what
are
called
blocks
where
we
block
the
pain
and.
E
D
E
E
A
it's
a
it's
kind
of
a
shorter
process,
so
once
once
it
it's
quite
disabling
once
once
it's
disabling
then
replacements
where
it's
at
so
and
there
are
different
ways
to
do
the
hip
replacement.
The
focus
has
been
on
the
rehabilitation,
the
recovery
you
actually
after
hip
replacement
I've
had
people
go
home
the
next
day.
That's
really.
C
A
E
That
really
aren't
active,
but
people
that
are
active
that
break
their
hip,
which
happens
the
literature.
Now
you
know
strongly
states
that
people
recover
better
and
regain
their
function.
I'm
actually
doing
a
total
hip
in
a
patient
with
a
fracture
in
a
young
enough
age,
where
they're
going
to
be
active
and.
E
A
A
E
We
rarely
use
cement
most
of
the
time
it's
done
with
titanium
and
the
bone
actually
attaches
to
the
prosthesis.
Much
like
a
dental
implant,
which
is
kind
of
where
it
came
from
and
once
it
attaches
it
doesn't
let
go,
and
we
have
some
patients
that
are
over
40
years.
You
know
I
I
just
saw
in
the
other
day,
40
years
with
the
original
hips
do.
A
E
The
type
of
reaction
that
occurs
in
the
bone,
which
causes
it
to
actually
loosen
or
deteriorate,
and
that
means
sometimes
another
surgery.
We've
made
a
lot
of
improvements.
It's
almost
perfect
and
the
hip
is
the
operation
of
the
millennium.
According
to
Time
magazine
2000,
it
got
cut
a
nice,
it's
the
best
best
operation
every
does
of
ever
devised.
E
G
In
1988,
our
dear
friend,
Paul
Newman
had
a
vision,
a
place
where
kids
with
serious
illnesses
could
just
be
kids,
so
he
founded
a
camp
and
the
joy
of
playing
laughing
and
simply
belong.
You
had
a
profound
effect,
freeing
the
children
to
reach
beyond
their
illnesses
and
discover
new
strength
from
that
one
camp,
serious
fun.
Children's
network
has
grown
serving
30,000
kids
globally
every
year
at
no
cost
to
their
families.
Please
donate
today
to
help
change
a
child's
life
visit,
serious
fund
network
org.
A
Hello
I'm
here
today
with
dr.
William,
macam
and
I'm
here
also
with
his
daughter,
who
is
also
a
doctor
but
she's
a
doctor
of
physical
therapy
and
her
name
is
Tara
McCann.
There's
a
question
I'd
like
to
know
is:
when
is
the
ideal
time
for
someone
to
have
knee
or
hip
surgery?
How
do
you
determine
that
surge.
E
Is
really
the
last
you
know
end
of
the
line
treatment
for
conservative
care,
so
it
does
become
sometimes
difficult
to
know
when
when
to
have
something
done,
but
overall
there's
evidence
that
says:
do
it
a
little
sooner
rather
than
a
lot
later,
don't
be
afraid
there
are
a
lot
of
fears
about
the
surgery
itself.
The.
F
Technology
is
really
fantastic.
These
days,
people
are
very
scared.
Historically,
pretty
scared
of
a
total
drink
sounds
very
daunting.
It
sounds
very
impairing
and
limited,
but
it's
a
really.
You
know.
Up-To-Date
modern
people
are
walking
the
next
day
after
surgery
they
get
back
to
close
to
the
function
that
they
were
before
the
surgery.
Well,
what
would
be
the
problem
if
they
waited
too
long?
Well,
you
don't
want
to
wait
until
you
can't
move
where
you
might
get
weaker.
You
might
gain
compensate
or
learn
compensations
where
your
body
sort
of
loses
its
strength.
F
E
A
F
I've
had
people
who
are
referred
to
physical
therapy
and
they
wait
weeks
because
they're
scared
it's
going
to
hurt
and
it's
going
to
be
really
hard
and
they
just
don't
want
to
go
through
any
more
pain,
and
so
they
wait
longer
and
ultimately,
when
you
first
come
into
physical
therapy,
we're
working
on
pain
management,
we're
working
on
the
inflammation
after
the
surgery,
and
we
start
working
on
gentle
things
first
and
basically
teaching
people
how
to
walk
more
comfortably,
how
to
sleep
more
comfortably.
Now.
A
F
Some
people,
some
doctors,
wait
to
refer
until
they
see
them
for
the
post-op
visit,
which
is
usually
you
know
couple
days
after
to
a
couple
weeks
after
and
then
they
determine
they're
ready
for
physical
therapy.
You
want
to
wait
till
the
incisions
healed,
or
at
least
healing
you
want
to
at
least
let
them
calm
down
a
little
bit.
Give
them
a
couple
weeks
of
just
icing
and
resting
and
sleeping
you
know,
moving
it
like.
We
were
talking
about
the
machine
that
people
get
after
the
surgery.
F
We
don't
want
to
do
it
alone
now,
but
a
lot
of
people
who
come
in
after
total
joint-
and
this
is
not
just
limited
to
total
joints,
but
after
any
surgery,
surgery's,
not
the
fix,
all,
that's
not
the
end,
all
be
all
you've
done.
The
surgery
everything's
fixed.
We
were
talking
a
little
earlier
about
how
you
know.
F
Surgery
is
just
the
beginning,
and
the
rehab
process
is
a
long
process
and
you're
not
in
physical
therapy,
for
the
entire
process
of
rehabilitation
you're
in
physical
therapy
to
learn
what
to
do
to
make
your
joint
functional
again
and
get
you
back
to
the
activity
that
you
want
to
be
doing
is
quickly
and
as
efficiently
as
possible
and
then
get
on
your
own
programs
that
you
can
continue.
It
I
always.
F
A
F
It
depends
on
the
level
of
function
to
you
know.
Some
people
walk
in
and
I
actually
saw
one
of
dr.
mcgann's
patients
who
had
a
total
hip
replacement
and
she
was
walking
the
next
day.
She
was
growing
up
and
down
stairs,
and
so
we
were
working
on
a
little
higher
level
things
with
her
working
on
her
balance,
and
we
do
manual
therapy
where
it's
needed
like
if
they
need
soft
tissue,
massage
or
scar
mobilization.
F
C
B
C
B
G
G
Local
business
and
it
keeps
the
money
in
our
community
I,
had
a
problem
with
my
channels
and
I
called,
and
they
came
out
that
same
day.
I
didn't
even
have
to
sign
a
contract.
The
other
guys
wanted
me
for
two
whole
years.
When
I
called
to
set
up
my
cable
service,
they
asked
if
they
could
come
out
the
next
day.
I
thought
I'd
have
to
wait
a
week
for
an
appointment.
Thank
you
for
choosing
san
bruno
cable.
B
Thing
this
helped
the
mostly
recovered
honestly
is
trying
to
keep
a
positive
attitude.
It
has
been
really
difficult
to
do
that,
especially
when,
at
the
time
that
you
can't
go
anywhere,
you
walk
and
it's
zam.
You
know
it
hits
you
it's
difficult
to
do
that.
But
if
I
look
back
to
see
where
it
was,
you
know
you
need
to
keep
that
in
focus.
You
need
to
almost
make
that
a
picture
in
your
mind
or
maybe
even
a
physical
picture,
something
you
look
at
and
remind
yourself.
B
You
know
I
couldn't
do
this
this
long
ago
and
then
you
measure
that
did
it.
It
is
funny,
but
you
look
at
what
you
can't
do,
rather
than
what
you
can
do
and
I
think
that's
a
long
way
to
looking
at
I
really
think
you
need
to
focus
on.
Where
are
you
going
and
small
increments
are
huge?
You
know
you
need
to
you
need
to
just
about
congratulate
to
solve
for
it
or
a
market,
or
you
know
somehow
celebrated.
B
E
You
mentioned
the
physical,
but
you
know
the
therapists
are
the
great
motivators
in
a
you
know.
There
are
a
lot
of
examples.
I've
had
where
patients
that
they
have
their
procedure.
They
go
see
a
therapist
they'd,
never
encountered
kind
of
like
a
like
an
optimistic
kind
of
approach
to
getting
back
their
function
and
they
change
their
life.
They
get
back
to
activity,
they
lose
their
weight.
It's
almost
like
a
mental
thing,
so
she
mentioned
you
know
the
physical
but
I.
Think
Tara.
Does
a
nice
head
job
on
some
of
these
people.
F
A
E
C
Hip
surgery
is
a
lot
easier
and
now
I
think
today
it
probably
is
even
easier
than
it
was
and
the
time
that
I
had
this
done.
The
I
always
felt
that
the
knee
was
the
most
invasive.
It
was
the
hardest
thing
to
recover
from,
but
it
does
work.
It
takes
maybe
six
months
some
people
might
take
longer,
but
you
wanted
to
walk
properly
with
Cain
with
the
walker
or
a
cane
and
they
eventually
you're
walking
normally
again.
F
You're
always
gonna
have
to
think
of
it
to
a
certain
extent,
I
like
to
tell
people
it's
like
brushing
your
teeth,
where,
if
you
want
your
teeth
to
be
healthy,
you
brush
them
twice
a
day.
You
want,
you
need
to
stay
healthy.
These
are
your
exercises
to
keep
your
knee
healthy
and
so
there's
never
going
to
be
a
time
where
you
don't
think
about
your
knee
and
there
never
should
be
joint
replacement
or
not.
F
There
will
be
a
time
when
you
don't
think
about
it
because
it
hurts
or
you
don't
think
about
it,
because
it
doesn't
help
you
get
up
and
down
the
stairs
or
in
and
out
of
your
car
or
rock
climbing
or
whatever
it
is
that
you
do
there
is
that
point,
and
sometimes
it
can
take
a
year
after
a
total
joint
replacement.
Sometimes
it
can
be
sooner.
Sometimes
it
can
be
two
years
it
all
depends
on
comorbidities.
F
E
Of
people,
though,
the
men
are
used
to
being
physical,
so
they
play
a
little
basketball,
but
they
modify
the
doolittle
half-court.
Some
some
of
the
tennis
players
play
a
little
different
rule
there
in
the
singles
they
say
you
have
to
hit
it
to
my
half
of
the
court,
where
you
know
so.
I
don't
have
to
run
over.
So
you
can.
A
E
A
F
Those
prevention
is
very
important
and
I
think
people
should
start
preventing
before
it
happens.
You
know
everyone
should
be
doing
something
healthy
for
those
strength
of
their
joints
at
this
at
any
point
in
time,
getting
on
a
really
good
strengthening
its
stability
program,
a
lot
of
weight
bearing
exercises
are
really
really
good
for
the
stability
of
the
knee,
someone
can
see
a
physical
therapist
for
a
prevention
program
is.
B
F
Or
two
visits
just
to
come
in
have
a
professional
examination
and
evaluation
and
then
come
up
with
an
individualized
program,
so
I'm
going
to
absolutely
do
that.
A
lot
of
people
come
in
and
ask
about
glucosamine
or
chondroitin
and
other,
like
joint
juices,
there's
no
harm
in
trying
them
as
far
as
studies
show
and
people
trying
them
as
far
as
I'm
concerned,
but
there's
not
tons
of
evidence
out
there.
That
proves
that
they'll
help.
Whenever
someone
asks
me
about
them,
I
always
say:
if
you
want
to
try
it,
it
probably
won't
hurt.
F
You
maybe
ask
your
doctor
first
and
then,
if
it
helps
great,
if
it
doesn't,
let's
try
something
else.
So
sometimes
there's
kind
of
an
up
and
down
that
they're
not
proven
they'll
help
they're
not
proven
they
won't
they'll
hurt
you,
people
can
try
them.
Some
people
swear
by
them
and
some
people
there's
no
change.
So
when.
A
People
are
sleeping,
sometimes
they
sleep
over
and
bring
the
knee
down
and
it
turns
their
leg
funny
for
either
the
hip
or
the
knee,
and
then,
of
course
they
stay
like
that
all
night
and
in
the
morning
the
knee
hurts
them
in
the
hip,
hurts
and
all
of
the
muscles
in
between
hurt.
Do
you
see
that
often.
F
And
then
very
often
yeah,
and
that
is
actually
true
for
a
lot
of
knee,
hip
and
low
back
patients.
Look
people
can
have
low
back
pain
when
they
wake
up
in
the
morning.
It's
because
they're
in
that
exact
position,
and
especially
women,
because
women
have
hips,
and
so
our
hips
are
wider
than
our
knees.
F
Our
knees
knock
together
and
so
I
always
recommend
for
side
sleepers
of
lower
body
injury
and
anyone
who
just
wants
to
prevent
lower
body
injury
just
put
a
pillow
between
your
knees
when
you're
on
your
side,
because
that
basically
keeps
your
knees.
Apart
keeps
everything
in
line
making
sure
it's
between
your
ankles
and
your
knees,
and
that
can
help,
and
it
keeps.
F
Get
all
the
muscles
in
alignment
Lee
yeah,
so
they're
not
overrun
the
backs
not
twisted,
but
that
position
of
the
knee
that
you
mentioned.
We
call
that
valgus
and
that's
pretty
typical
of
someone
who
has
a
worn-down
joint
as
they
go
into
this
sort
of
collapsed.
Valgus
me,
and
that
tells
us
a
lot
of
things
when
we
see
cut
someone
walk
in
with
a
valgus
knee
we're
thinking,
okay,
they're
joint
surfaces
where,
where
there
is
that
valgus
is
probably
worn
down,
so
you
can
actually.
F
D
A
F
One
of
the
bottom
lines
that
we
can
summarize
from
this
conversation
is
don't
be
terrified
of
the
joint
replacements.
The
technology
is
really
fantastic.
These
days
and
people
get
back
to
functioning
everyone's
different.
It's
a
long
process
and
you
have
to
work
at
it,
but
they're
through
getting
the
joint
replacements.
You
can
decrease
a
lot
of
your
pain.
You
can
increase
your
function
and
you
can
get
back
to
where
you
want
to
be
I.
Think.
A
E
E
But
here
you
can
actually
go
see
an
orthopedist
if
you
need
to,
but
you
know,
usually,
a
good
start
is
just
a
primary
care
doctor
that
hasn't
interested
it,
whether
they
have
an
interest
many
times,
they'll
they'll
order,
an
MRI
or
something
like
that
and
then
refer
them
on
to
the
next
person
like
an
orthopedist,
so
so
usually
starting
with
the
primary
care
doctor
and
it's
a
pretty
simple
conversation
and
they
can
kind
of
just
maybe
even
try
a
few
simple
things
before
you
reach
the
point
where
you
maybe
should
see
a
specialist.
What.
E
Mri
is
a
magnetic
resonance
study
that
actually
shows
pictures
of
the
soft
tissues
in
the
knee
and
the
bone.
So
it
can.
It
can
detect
changes
in
the
bone.
That's
not
seen
on
an
x-ray,
and
it
can
also,
more
importantly,
I
think,
just
define
what
might
be
a
soft
tissue
problem
and
not
an
arthritis,
maybe
something
fairly
simple,
like
a
cartilage
meniscus
problem,
something
that's
easily
treated.
E
F
G
Temptation
is
everywhere,
empower
yourself
to
resist
temptation.
Hey,
hey,
hey,
take
a
look
at
this
all
the
flavor.
You
crave
all
the
energy
you
need
in
one
little
box
of
sugar
zoo.
No
things
I
can
see
where
you're
coming
from
take
a
look
at
these
double
fudge:
stackers,
the
perfect
snack
anytime,
let's
just
say,
there's
nutritional
information
right
on
the
box.
That's
okay!
We
have
a
list
list,
yeah
a
grocery
list.
Why?
So
we
don't
get
sidetracked
end.
G
E
F
Know
a
couple
of
people
who
exercise
every
single
day
and
I
always
tell
them,
take
a
rest
at
least
every
two
days.
Do
you
exercise
one
day
you
can
exercise
the
next
day
and
take
a
day
off,
maybe
do
something
else.
Maybe
do
some
little
exercises
in
your
home
and
do
something
different
than
what
you
did
the
pre
the
previous
day
or
just
take
a
rest
day.
F
Very
important
yeah
so
like
we
were
talking
about
with
the
rehab
process,
it's
not
just
the
joint
that
was
replaced
or
it's
not
just
a
joint,
that's
injured
or
in
pain.
It's
a
whole
body
thing
and
if
you
have
the
stability,
if
you
have
you
know
the
low
above
and
below,
and
everything
else
is
nice
and
strong
and
stable.
Your
whole
body
is
going
to
be
benefiting
from
that.
F
F
Is
very
important,
especially
when
you're
loading
the
joints,
if
you're
standing
in
a
position
where
your
knees
are
kind
of
in
that
valve
is
position.
They're
collapsed
a
little
bit.
What
does
that
mean
where
your
knees,
basically
kind
of
people,
call
it
knocking
together
when
I
knees
knock
together?
That
can
put
extra
stress
on
certain
portions
of
the
knee
and
certain
compartments
of
the
knee
and
that
can
cause
pain
or
wearing
down
in
that
area.
F
F
E
E
A
B
Recovery
time
is
longer
than
let
to
tell
you
it's
going
to
be,
and
you
need
to
stay
really
focused
on
doing
the
exercise
and
just
because
one
day
doesn't
work
as
well
as
the
other
one.
You
know
forget
that
day
go
on
the
next
one
and
put
a
smile
on
it.
Then
just
keep
going
I
mean
DD,
you
really
don't
have
an
option
by
not
doing
the
exercises.
You're
not
going
to
heal
and
I
can
see
why,
for
all
the
people,
this
may
be
a
death
sentence.
B
C
Entire
experience
is
very
interesting.
It
was
difficult
at
times.
I
do
recommend
it
for
anyone.
That's
having
these
problems,
but
I
think
you
should
also
think
of
all
your
options.
Injections.
Arthas
are
this
topic
for
the
knee
problem
of
making
sure
you
do
your
physical
therapy
before
trying
to
keep
your
body
in
great
shape
and
healthy.
D
D
A
Has
come
a
long
way
within
my
lifetime?
People
are
much
more
active
and
more
conscious
of
their
health
than
ever
before.
Well,
this
may
be
better
for
your
heart
and
lungs.
It's
causing
a
lot
more
stress
on
your
hips
and
knees
hip
and
knee
replacement
surgery
has
helped.
Many
people
continue
to
lead
active
lives
well
into
their
old
age.
I
hope
you
enjoyed
this
edition
of
senior
moments.
I'm
dolly
semana
Richard,
see
you
next
time.