So here's what Dr. Buly said:
[Actually I need to back up, because I got young lady'd this morning in his waiting room and it's been such a long time since that happened that it struck me as kind of funny, although the young lady'er certainly wasn't having a good time - there were 3 of us waiting to see Dr. Buly and this one woman kept asking his assistant all these questions about where was he? (In a meeting) and what time was her appointment? (10.30) and how many people were ahead of her? (5) and where were they? In an attempt to help out with the last question I piped up, "I'm one of them" (I was at 9.45). "I wasn't talking to you, young lady!" she retorted. I hid behind my X-rays and looked at my femur, which has actually healed pretty nicely - it's all fuzzy where it's supposed to be fuzzy and reconnecting to itself. Young Lady.]
Anyway, got in to see the Dr. He's still shockingly bald. It always surprises me for some reason. He seems far too young to be SO bald.
ANYWAY, here's what he said:
The pain could in part be related to the plate (especially the pain that's along the outside of my leg, where the plate is) and most people experience relief when it's taken out. At the same time, although the coverage of the femur is now much better, the hip socket itself is still shallow, so he didn't rule out the possibility that I might need a PAO. I told him I just wanted to do the hardware removal and see how that goes, because frankly, I'm in no rush for this to become an annual springtime event (hey - it's April - how about some hip surgery!). He said that he can also look around in the hip joint when he's removing the hardware and see if there's a labral tear that's adding to the pain.
As for the surgery, it's only 45 minutes long, and will probably be in the afternoon, so I'll spend one night in the hospital and go home the next day. The holes are filled in with spackle (he called it something else but I like the idea of spackle for your bones) and he said that the 4 weeks on crutches with weight bearing is really more of a theoretical precaution than anything else (ie the likelihood of actually cracking the bone is low). The really good news is that during that time I can do non weight bearing exercise like swimming, walking in water and even the stationary bike. (and you can bet I'll be rolling around on my yoga mat too.) So the muscle atrophy which was so much a part of recovery last time won't be as bad by a long shot.
As for blood thinners, horrible greenless diet, early morning needles etc, the pre-op internist that I see the week before surgery will determine if that's necessary again. I vote no, but I don't think my vote counts for much.
Laura H, he says hi. Also I forgot to ask about keeping the hardware but I totally am. You know you'll see some pictures!