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« Fat, Happy and Fly like the Wind! | Main | Weight watchers is still a diet »

December 03, 2012


The first surgeon I saw to get my (injured) knee repaired told me he wouldn't do it unless I had gastric bypass surgery. I walked out.

My second surgeon said that while I am younger than most knee replacement candidates, the fact that there was no cartilage in my knee anymore and I had tried all the non-surgical things I could meant I could have surgery whenever I was ready to. I hadn't lost a pound between these two visits, either.

I hadn't been able to exercise for years because of the deterioration of my knee. I don't get how anyone is supposed to be able to function with damaged knee(s), fat or not.

My friend's cousin died after some kind of bariatric surgery because she needed knee surgery and couldn't get it otherwise.

Thanks for bringing this study to our attention!

This is something I worry about. Having hip dysplasia and arthritis, I will eventually need a hip replacement. Being fat and unwilling to have weight loss surgery, I anticipate difficulty finding a surgeon willing to operate on me.

These data have been around for a long time. The problem is with surgeons. Surgeons are often not as well informed as other physicians and don't keep up with the literature. They are often reluctant to operate on fat patients not because of any danger, but because it takes longer to operate on a larger body with more fat "in the way" and surgeons are paid by the procedure, not by their time.

I do _really_ _slow_ exercise, 10 seconds up, 10 seconds down, two to six repetitions for most exercises. It doesn't make me less obese, it doesn't make me especially strong.

But it does seem to protect my joints pretty well. Obviously for someone that already has any deterioration of their cartilage or bones in their joints, it won't work.

For anyone else, I respectfully suggest you consider slow exercise. It might be a way to strengthen the muscles that protect your joints without hurting your joints in the process. I am not a doctor, use at your own risk, etc...

Thanks, Mike S. The hip joint is already severely arthritic as well as weirdly shaped. My doctor did recommend some strengthening exercises, which I do daily. I also swim, walk in the pool, and do water aerobics.

Yes, you can get cosmetic sgreury without health insurance. Health insurance generally won't cover cosmetic sgreury at all because it's not a medical problem. If you're getting cosmetic sgreury because you suffered severe burns or had a mastectomy, insurance may cover those types of situations.

I was in a car accident messed up my knee muscles and I’m in a lot of pain. I first saw the Orthopedic Surgeon 10 weeks ago, at that time I was 400lbs. He said I needed surgery to correct my knee But he wouldn't operate on me until I lost 100lbs.

I'm now down to 375lbs, I’m following a very strict diet and this is as fast as I can lose. I don’t want to keep dealing with this pain for any longer than I have to. I really hope this is a true medical necessity and not some sort of weird fat prejudiced thing.

My next appointment is in January and I intend to ask a few questions. Thanks for this information.

I was found to have osteoarthritis in both knees. One knee is worse than the other, bone on bone, he said. That surgeon told me I needed to lose 50 lbs before he'd operate. I weigh 284 lbs. He said I needed to have a "come to Jesus moment" about losing weight. I imagine that he has absolutely no idea how many "come to Jesus moments" in my lifetime I have already had about losing weight. I don't feel like he has confidence in me to heal or himself to do the surgery on someone who is overweight. I don't think I want to go into major surgery if he is not expecting a good outcome.

I went to another surgeon, he said he would be able to do the surgery whenever I decided to. The problem with being so heavy is that the knee replacements wear out faster the more you weigh. Then he gave me a cortisone shot in the knee to relieve the pain. He hit something when he did the shot and it hurt so bad I almost threw up. I have had the shots before and never experienced that. So I am not too sure about how surgery would go with him.
I am planning on meeting with a different orthopedic surgeon the next time I need a cortisone injection in the joint. This surgeon, according to an aquaintance, will do knee replacement on someone who is overweight. I guess you could say that I am shopping around for a surgeon. My insurance allows me to go to different orthopedic surgeons within a reasonable passage of time. But in thinking about it, I wouldn't even get my floors refinished, or house painted after talking to only one professional, if we have an option, why should we even consider consulting with only one surgeon before having knee replacement surgery done.

Thanks L for your insight.. The analogy about talking to 3 professionals in regards to my house really hit home. In the very least I need to do that for myself, thanks for the reminder.

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