Am I too fat to have a hip replacement? 

One major challenge with this and i totally respect all your points. Being turned away has a massive effect on. Your pma. Your ability to try and stay at your weight or loose weight. To be rejected from even being put on the nhs waiting lists delays your treatment, doesn't give you an target to work towards. Worse still steroids injections are offered to treat the pain which degrades the bone in the joint. Nsaids destroy yoyr kidneys and linjng to stomach. So all these delays worsen your health. Meanwhile a patient goes from being able to work ft to only pt now money is harder which makes better food gym or physio harder... then as pain get worse maybe gerd... maybe needing crutches to release the hip everytime they stand. As pain gets worse the ability to sleep becomes impossible sometimes. Tbis affects the bodys response to inflamation, weightloss, cognitive function. By now the patient goes from a full life to barely leaving home, having to find food however because getting prepping and cooking take time and energy that cause more pain. Some days you can't sit, stand, walk up stairs, lay down. Lack of bladder control adds to the humiliation.

Thank you for explaining this. I believe the hospitals in the USA need to hear this. I myself have a higher BMI. I had my left hip replaced at this weight in 2016- 2017. No complications, went very well. Now, my right hip needs to be replaced and for the past almost 3 years, I have been suffering in extreme pain and not 1 surgeon in the USA will help me due to the hospital policies. I know the risks, yet they are refusing to help me. I have no quality of life at the moment, I struggle everyday with this extreme pain. The medical society in the USA answer is "Here, take these opiates, they will help the pain" and than turn around and state that there is a epidemic in the USA with opiates. Good God! They are the ones creating it. I need help, can you help me?

My Sister was on NHS Wait List for Hip Replacement from Junec2021. In October Hip collapsed! Consultant said must be able to stand! She cannot! No Care Plan! No replies to Complaints! 8 Months later in bed in Nursing Home. They would not let her stay in Hospital

Just been watching your videos, and they are really informative. Thank you. I was recently diagnosed as having avascular necrosis in both my hips, due to the steroids given to me while I was in hospital being treated for Covid. I have been told that I will need total hip replacement for both hips and will need to lose weight before this. Also the Dr is reluctant to operate due to my age (36). Going to try my best to lose as much weight as possible but as you state, it's difficult with reduced mobility because of the hip problems. Thanks again for the videos, really helpful.

I've lost over 100 lbs yet my doctor still won't do my surgery. Of course he I'll have to find a new doctor now. He didn't care much for it when I said either schedule the surgery or write me a script for oxy. Because the only two viable options to me are get the surgery or become a drug addict.

How about sharing with us the numbers so we can understand your assertions. Below a BMI of 40 what are the risks, complications and how long does surgery take. What about a BMI of > 50, same questions. As it is right now my opinion is that a person with a BMI of less than 40 doesn’t need surgery and isn’t in any significant pain. Whereas anyone with a BMI above is in a significant amount of pain and desperately needs surgery. Is there any mystery why the BMI>50 is depressed? If I were being cynical I might think that the insurance companies are using my insurance rate to write out bonuses to the BMI

With all due respect Dr., Personally I feel that yes, doing surgery on a larger size person will require extra work. However, you can not tell me that, all the possible risk (infections, more surgeries, pulmonary embolism etc) mentioned do not happen on skinny ppl as well. Smaller Ppl who have surgeries do have complications as well. It's at chance you take no matter what the size. I'm tired of hearing the discrimination against plus size person's. Either you can do the job or not. Period.

Thank you for this

I have a BMI of over 35 and am finding really hard to lose weight. My lower leg over-the-counter past 2 weeks on the side that requires the hip replacement has become ridged and I am finding it really hard to walk and or bend my knee and foot on that side. I am becoming really worried that I am going to lose my leg. I don't know what to do. I have been told that there are no blood clots in my leg, and everything seems normal but was not given any direction as to what to do about it. I am so worrid

My mother is 68 years old and desperately needs a hip replacement but has been continuously turned down because of being slightly obese. She cant lose weight because of thyroid issues and her immobility. Her diet is healthy and low caloric. What should she do?

Doctor, thank you for the info! At least there is hope..could you tell us the answer to this...if you are obese and have hip replacement, what is the % that patient will have severe complications? What are the percentages if a normal weight?

only that your a true pro Jeremy. have a great British bank hol 3 cheers for our queen.

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