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"What was missed is that it is also leading to Health inequalities. And it is hardly surprising that if you exclude certain people from getting an operation, there will be less operations. (Not entirely sure if that was sarcasm or not in the OP about this)" Not there case for eveyone so...but if an op carried greater risks and not as much benefit to an obese person but a very much lower risk and greater benefit to someone of whatever the acceptable weight is, then of course there will be inequalities. Can that be helped? I would assume there are already health inequalities with them being obese in the first palce? | |||
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"What was missed is that it is also leading to Health inequalities. And it is hardly surprising that if you exclude certain people from getting an operation, there will be less operations. (Not entirely sure if that was sarcasm or not in the OP about this)" No sarcasm from OP. Don't like postcode lottery. Everyone should be entitled to the same treatment.. wherever you live.. | |||
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"What was missed is that it is also leading to Health inequalities. And it is hardly surprising that if you exclude certain people from getting an operation, there will be less operations. (Not entirely sure if that was sarcasm or not in the OP about this) No sarcasm from OP. Don't like postcode lottery. Everyone should be entitled to the same treatment.. wherever you live.. " Cool, I originally read it as apparent surprise that surgeries went down when they made it a lottery  | |||
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"There is a lot of fatphobia in the NHS. Mainstream ideas of risks and consequences of extra weight are being debunked daily by research. (not all of them, but many)" This! I was misdiagnosed on something for 2 years cos every gp I saw in that time assumed it was a fat related condition. It wasn’t and during lockdown when it was phone appointments and the gp I spoke to didn’t know I was fat meant I finally got correct dx and treatment. | |||
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"Seems fair to me, if there’s limited numbers, why give it to someone that’s gonna get less use out of it " But someone with a knee or knees that are falling to bits cannot increase their activity to get use out of their joints. They become increasingly disabled, yes, they gain weight and live in agonising pain. Then they can't get any assistance to pay for the mobility equipment they need to get out and about and become economically inactive, lacking social contact and isolated from society. Good, innit?  | |||
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"Seems fair to me, if there’s limited numbers, why give it to someone that’s gonna get less use out of it But someone with a knee or knees that are falling to bits cannot increase their activity to get use out of their joints. They become increasingly disabled, yes, they gain weight and live in agonising pain. Then they can't get any assistance to pay for the mobility equipment they need to get out and about and become economically inactive, lacking social contact and isolated from society. Good, innit? "Pretty shit, but unless we can make more operations happen they gotta pick someone somehow. Seems like a decent starting point to me | |||
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"Seems fair to me, if there’s limited numbers, why give it to someone that’s gonna get less use out of it But someone with a knee or knees that are falling to bits cannot increase their activity to get use out of their joints. They become increasingly disabled, yes, they gain weight and live in agonising pain. Then they can't get any assistance to pay for the mobility equipment they need to get out and about and become economically inactive, lacking social contact and isolated from society. Good, innit?
Pretty shit, but unless we can make more operations happen they gotta pick someone somehow. Seems like a decent starting point to me "Seeing as at the moment my pain levels have me contemplating a one way ticket to Switzerland, it's not decent at all. | |||
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"Seems fair to me, if there’s limited numbers, why give it to someone that’s gonna get less use out of it But someone with a knee or knees that are falling to bits cannot increase their activity to get use out of their joints. They become increasingly disabled, yes, they gain weight and live in agonising pain. Then they can't get any assistance to pay for the mobility equipment they need to get out and about and become economically inactive, lacking social contact and isolated from society. Good, innit?
Pretty shit, but unless we can make more operations happen they gotta pick someone somehow. Seems like a decent starting point to me
Seeing as at the moment my pain levels have me contemplating a one way ticket to Switzerland, it's not decent at all. "Are you waiting for a knee op to fix that pain? | |||
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"Seems fair to me, if there’s limited numbers, why give it to someone that’s gonna get less use out of it But someone with a knee or knees that are falling to bits cannot increase their activity to get use out of their joints. They become increasingly disabled, yes, they gain weight and live in agonising pain. Then they can't get any assistance to pay for the mobility equipment they need to get out and about and become economically inactive, lacking social contact and isolated from society. Good, innit?
Pretty shit, but unless we can make more operations happen they gotta pick someone somehow. Seems like a decent starting point to me
Seeing as at the moment my pain levels have me contemplating a one way ticket to Switzerland, it's not decent at all.
Are you waiting for a knee op to fix that pain? "No. There's no operation that can resolve my situation. But I know what horrendous, chronic pain is like. | |||
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"I'm 9 stone over weight and been told I will be allowed my knee op. Worth mentioning it was not my weight that caused the injury " Same here  | |||
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"Seems fair to me, if there’s limited numbers, why give it to someone that’s gonna get less use out of it " There's a whole load of assumptions in there. Firstly that the fat isn't because their knee is bad. Secondly that they use the knee less because they are fat. Thirdly that they wouldn't actually benefit more because they are fat. | |||
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"Seems fair to me, if there’s limited numbers, why give it to someone that’s gonna get less use out of it There's a whole load of assumptions in there. Firstly that the fat isn't because their knee is bad. Secondly that they use the knee less because they are fat. Thirdly that they wouldn't actually benefit more because they are fat." Gotta start somewhere if we’re gonna pick people and like I said, they seem like fair assumptions to me | |||
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"Seems fair to me, if there’s limited numbers, why give it to someone that’s gonna get less use out of it There's a whole load of assumptions in there. Firstly that the fat isn't because their knee is bad. Secondly that they use the knee less because they are fat. Thirdly that they wouldn't actually benefit more because they are fat. Gotta start somewhere if we’re gonna pick people and like I said, they seem like fair assumptions to me " I've literally been googling this for last 20mins. Its done by BMI. If its over 30 your fucked. I didn't realise how they were using bmi as an important piece of information. Anyway when i first started reading this thread about it even though it said overweight refused knee replacments I just assumed it was gonna be the dangers of the general anasthetic.  | |||
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"Seems fair to me, if there’s limited numbers, why give it to someone that’s gonna get less use out of it There's a whole load of assumptions in there. Firstly that the fat isn't because their knee is bad. Secondly that they use the knee less because they are fat. Thirdly that they wouldn't actually benefit more because they are fat. Gotta start somewhere if we’re gonna pick people and like I said, they seem like fair assumptions to me I've literally been googling this for last 20mins. Its done by BMI. If its over 30 your fucked. I didn't realise how they were using bmi as an important piece of information. Anyway when i first started reading this thread about it even though it said overweight refused knee replacments I just assumed it was gonna be the dangers of the general anasthetic. "No, it's just an arbitrary BMI cut off and it's not applied in the same way or even at all by all CCGs. It's a postcode lottery. No account is taken of the actual health of the person. My BMI is over 30 but have successfully and safely had three different kinds of surgery in the past 10 yes. Zero issues, complications etc. | |||
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"[Removed by poster at 30/06/22 19:54:33]" Ffs my bloody thumbs. Deleted by accident I’m not typing it all again  | |||
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"BMI is scientifically... Bullshit. By BMI an athlete is less healthy than your average office worker. It does not factor in anywhere what it needs to for purposes of health and was never intended to be used in medicine." It’s not entirely bullshit, it’s a good estimate of stress on the heart I’m sure the doctors choosing to do this have their reasons. And I’m sure if the funding was there they wouldn’t be picking anyone, they’d pick everyone | |||
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"BMI is scientifically... Bullshit. By BMI an athlete is less healthy than your average office worker. It does not factor in anywhere what it needs to for purposes of health and was never intended to be used in medicine. It’s not entirely bullshit, it’s a good estimate of stress on the heart I’m sure the doctors choosing to do this have their reasons. And I’m sure if the funding was there they wouldn’t be picking anyone, they’d pick everyone " It's not the doctors choosing. The BMA says that body mass index should not be used a sole excluding factor. As does NICE, out of interest. It's CCGs inventing these criteria. It's about costs, pure and simple. | |||
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"Seems fair to me, if there’s limited numbers, why give it to someone that’s gonna get less use out of it There's a whole load of assumptions in there. Firstly that the fat isn't because their knee is bad. Secondly that they use the knee less because they are fat. Thirdly that they wouldn't actually benefit more because they are fat. Gotta start somewhere if we’re gonna pick people and like I said, they seem like fair assumptions to me I've literally been googling this for last 20mins. Its done by BMI. If its over 30 your fucked. I didn't realise how they were using bmi as an important piece of information. Anyway when i first started reading this thread about it even though it said overweight refused knee replacments I just assumed it was gonna be the dangers of the general anasthetic. "My bmi was over 30 and i still had knee replacements x 2. They didn't mention weight and didn't weigh me anyway | |||
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"I broke both my knees when I was 19. I'm 46 now and they really need doing. I've never been overweight and I'm in constant pain with them but keep getting refused as I'm too young (apparently). " Yea, that's another thing they use to not do replace them. They only want to do them once, so they like to wait until you're totally immobile or over a certain age (possibly 65) as they only last around 15 to 20 years. An obese person might wear them out quicker. | |||
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"I broke both my knees when I was 19. I'm 46 now and they really need doing. I've never been overweight and I'm in constant pain with them but keep getting refused as I'm too young (apparently). " As awful as it is this sounds plausible on the basis certain replacement joints have a finite life span before they can start to cause issues themselves! | |||
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"I broke both my knees when I was 19. I'm 46 now and they really need doing. I've never been overweight and I'm in constant pain with them but keep getting refused as I'm too young (apparently). Yea, that's another thing they use to not do replace them. They only want to do them once, so they like to wait until you're totally immobile or over a certain age (possibly 65) as they only last around 15 to 20 years. An obese person might wear them out quicker. " Yeah, they said I'd be lucky to have them done before I'm 65 as they only last about 15yrs. I'm still pretty mobile and try to keep active but I'm often in a lot of pain, especially with the work I do. | |||
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"Some NHS trusts refuse to give replacement knee ops to overweight people. It's a postcode lottery and remarkably, since this rule has been introduced then knee operations have dropped. What is going on here guys. Is this levelling up?" They will also refuse to give them to slim people who are not active. Having said that, I’ve was (and even more now) overweight when I got my second knee replacement, so that’s not actually true that overweight people don’t get a joint replacement. There might be other factors for them refusing. | |||
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"I broke both my knees when I was 19. I'm 46 now and they really need doing. I've never been overweight and I'm in constant pain with them but keep getting refused as I'm too young (apparently). Yea, that's another thing they use to not do replace them. They only want to do them once, so they like to wait until you're totally immobile or over a certain age (possibly 65) as they only last around 15 to 20 years. An obese person might wear them out quicker. Yeah, they said I'd be lucky to have them done before I'm 65 as they only last about 15yrs. I'm still pretty mobile and try to keep active but I'm often in a lot of pain, especially with the work I do." The modern ones can last a lot longer. My Dad (83) has one replaced knee, done with much older technology. It must be about 15yrs old now and it's going strong. His unreplaced knee (declined for good reason) is very disabling for him and is one factor in his recent fall. He broke his C6 vertebra in the fall so having a collapsing knee in an already-wobbly person is not a good thing. He was scheduled for the other knee to be done pre COVID but had a mini stroke so wasn't medically suitable and then he's been removed from the list during COVID. I think it's too late now. | |||
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"Seems fair to me, if there’s limited numbers, why give it to someone that’s gonna get less use out of it There's a whole load of assumptions in there. Firstly that the fat isn't because their knee is bad. Secondly that they use the knee less because they are fat. Thirdly that they wouldn't actually benefit more because they are fat. Gotta start somewhere if we’re gonna pick people and like I said, they seem like fair assumptions to me I've literally been googling this for last 20mins. Its done by BMI. If its over 30 your fucked. I didn't realise how they were using bmi as an important piece of information. Anyway when i first started reading this thread about it even though it said overweight refused knee replacments I just assumed it was gonna be the dangers of the general anasthetic.
No, it's just an arbitrary BMI cut off and it's not applied in the same way or even at all by all CCGs. It's a postcode lottery. No account is taken of the actual health of the person. My BMI is over 30 but have successfully and safely had three different kinds of surgery in the past 10 yes. Zero issues, complications etc."Its just nuts. Bmi can be helpful, but I can't believe it's used to determine if you can or can't. I could understand it being highlighted and maybe a point of concern but to make such a descision just going by it.. | |||
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"Seems fair to me, if there’s limited numbers, why give it to someone that’s gonna get less use out of it There's a whole load of assumptions in there. Firstly that the fat isn't because their knee is bad. Secondly that they use the knee less because they are fat. Thirdly that they wouldn't actually benefit more because they are fat. Gotta start somewhere if we’re gonna pick people and like I said, they seem like fair assumptions to me I've literally been googling this for last 20mins. Its done by BMI. If its over 30 your fucked. I didn't realise how they were using bmi as an important piece of information. Anyway when i first started reading this thread about it even though it said overweight refused knee replacments I just assumed it was gonna be the dangers of the general anasthetic.
My bmi was over 30 and i still had knee replacements x 2. They didn't mention weight and didn't weigh me anyway "Im glad to hear it. Hope all went well. | |||
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"There are many operations they refuse or reluctant to carry out on obese people due to increase danger in the op itself and the prolonged recovery times." The worst part is that they deny it based on their renowned BMI calculator that is known for being incorrect. C | |||
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"Seems fair to me, if there’s limited numbers, why give it to someone that’s gonna get less use out of it There's a whole load of assumptions in there. Firstly that the fat isn't because their knee is bad. Secondly that they use the knee less because they are fat. Thirdly that they wouldn't actually benefit more because they are fat. Gotta start somewhere if we’re gonna pick people and like I said, they seem like fair assumptions to me I've literally been googling this for last 20mins. Its done by BMI. If its over 30 your fucked. I didn't realise how they were using bmi as an important piece of information. Anyway when i first started reading this thread about it even though it said overweight refused knee replacments I just assumed it was gonna be the dangers of the general anasthetic.
My bmi was over 30 and i still had knee replacements x 2. They didn't mention weight and didn't weigh me anyway
Im glad to hear it. Hope all went well."It did | |||
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"Seems fair to me, if there’s limited numbers, why give it to someone that’s gonna get less use out of it There's a whole load of assumptions in there. Firstly that the fat isn't because their knee is bad. Secondly that they use the knee less because they are fat. Thirdly that they wouldn't actually benefit more because they are fat. Gotta start somewhere if we’re gonna pick people and like I said, they seem like fair assumptions to me I've literally been googling this for last 20mins. Its done by BMI. If its over 30 your fucked. I didn't realise how they were using bmi as an important piece of information. Anyway when i first started reading this thread about it even though it said overweight refused knee replacments I just assumed it was gonna be the dangers of the general anasthetic.
No, it's just an arbitrary BMI cut off and it's not applied in the same way or even at all by all CCGs. It's a postcode lottery. No account is taken of the actual health of the person. My BMI is over 30 but have successfully and safely had three different kinds of surgery in the past 10 yes. Zero issues, complications etc.
Its just nuts. Bmi can be helpful, but I can't believe it's used to determine if you can or can't. I could understand it being highlighted and maybe a point of concern but to make such a descision just going by it.."Is it nuts though? Are we really to believe that you can get to the point of being on a list for a knee replacement without ever seeing a doctor? And you tell them your BMI over the phone and they decide there? Maybe I’m wrong, but if you need a knee replacement, you’ve probably seen a fair few doctors. And I’m pretty sure they probably put a little note in your file to say whether your a very active carpenter with loads of muscle and a BMI of 31 vs someone that has never exercised in their life with a BMI of 31 I get that it’s not an entirely fair assessment going off BMI, but I think it’s a pretty good assessment. For the most part, if someone has a BMI of 35, in a country where There’s an obesity crisis, I don’t think it’s unfair of a doctor to assume it’s because they’re, not that they are a super star athlete And on top of that, like my first point, you don’t get to the point of a knee replacement without seeing a few doctors along the way. I’m sure they’re capable of adding a note to your file | |||
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"Seems fair to me, if there’s limited numbers, why give it to someone that’s gonna get less use out of it " On the other hand, how easy is it to lose weight if you are unable to do any exercise? requiring a knee replacement could certainly prevent you from being able to exercise. Cal | |||
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"Seems fair to me, if there’s limited numbers, why give it to someone that’s gonna get less use out of it On the other hand, how easy is it to lose weight if you are unable to do any exercise? requiring a knee replacement could certainly prevent you from being able to exercise. Cal" And on the other other hand, how bad do you really want it? If they told me I’d have to lose weight to get the operation, I’d lose weight. Might not be easy, but if you really wanted it you’d make it happen | |||
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"Personally if people won't help themselves by losing weight then I back the NHS in refusing some treatments. I've had a knee problem (arthritis) , following an op since I was 19. If I don't keep my weight under control it gets really bad, so I work at trying to stay fit and not get too fat. More people need to look after themselves. " I agree. There are a few ops where people are required to lose weight. Depends how bad you want it I guess. There are obviously reasons. where there are medical reasons for being unable to lose weight then it should be looked at individually. | |||
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"Seems fair to me, if there’s limited numbers, why give it to someone that’s gonna get less use out of it There's a whole load of assumptions in there. Firstly that the fat isn't because their knee is bad. Secondly that they use the knee less because they are fat. Thirdly that they wouldn't actually benefit more because they are fat. Gotta start somewhere if we’re gonna pick people and like I said, they seem like fair assumptions to me I've literally been googling this for last 20mins. Its done by BMI. If its over 30 your fucked. I didn't realise how they were using bmi as an important piece of information. Anyway when i first started reading this thread about it even though it said overweight refused knee replacments I just assumed it was gonna be the dangers of the general anasthetic.
No, it's just an arbitrary BMI cut off and it's not applied in the same way or even at all by all CCGs. It's a postcode lottery. No account is taken of the actual health of the person. My BMI is over 30 but have successfully and safely had three different kinds of surgery in the past 10 yes. Zero issues, complications etc.
Its just nuts. Bmi can be helpful, but I can't believe it's used to determine if you can or can't. I could understand it being highlighted and maybe a point of concern but to make such a descision just going by it..
Is it nuts though? Are we really to believe that you can get to the point of being on a list for a knee replacement without ever seeing a doctor? And you tell them your BMI over the phone and they decide there?
Maybe I’m wrong, but if you need a knee replacement, you’ve probably seen a fair few doctors. And I’m pretty sure they probably put a little note in your file to say whether your a very active carpenter with loads of muscle and a BMI of 31 vs someone that has never exercised in their life with a BMI of 31
I get that it’s not an entirely fair assessment going off BMI, but I think it’s a pretty good assessment. For the most part, if someone has a BMI of 35, in a country where There’s an obesity crisis, I don’t think it’s unfair of a doctor to assume it’s because they’re, not that they are a super star athlete
And on top of that, like my first point, you don’t get to the point of a knee replacement without seeing a few doctors along the way. I’m sure they’re capable of adding a note to your file "I have a BMI of 33 point something, maybe even 34, and I play competitive wheelchair basketball, can push 5k in 30mins and completed the Manchester 10k quicker than many people on foot. I can lift far more in the gym than average for a woman. I'm a hell of a lot fitter than many people with healthy BMIs. | |||
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"Fed up with waiting for my two replacements I looked at the option of going private. Best quote I could get for treatment at a local private hospital was just below £30000, Ironically it would be the same surgeon as at the local NHS hospital. Question is do I take equity release on my house to pay for it and deprive my grandkids of their inheritance. The situation is not helped by my age (82) and that I have heart issues. " Have they not offered you a steroid jag into the knee? It can work very well or it will not work at all, I had one which lasted just 3 weeks. That was 3 weeks of zero pain at Xmas | |||
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"Seems fair to me, if there’s limited numbers, why give it to someone that’s gonna get less use out of it There's a whole load of assumptions in there. Firstly that the fat isn't because their knee is bad. Secondly that they use the knee less because they are fat. Thirdly that they wouldn't actually benefit more because they are fat. Gotta start somewhere if we’re gonna pick people and like I said, they seem like fair assumptions to me I've literally been googling this for last 20mins. Its done by BMI. If its over 30 your fucked. I didn't realise how they were using bmi as an important piece of information. Anyway when i first started reading this thread about it even though it said overweight refused knee replacments I just assumed it was gonna be the dangers of the general anasthetic.
No, it's just an arbitrary BMI cut off and it's not applied in the same way or even at all by all CCGs. It's a postcode lottery. No account is taken of the actual health of the person. My BMI is over 30 but have successfully and safely had three different kinds of surgery in the past 10 yes. Zero issues, complications etc.
Its just nuts. Bmi can be helpful, but I can't believe it's used to determine if you can or can't. I could understand it being highlighted and maybe a point of concern but to make such a descision just going by it..
Is it nuts though? Are we really to believe that you can get to the point of being on a list for a knee replacement without ever seeing a doctor? And you tell them your BMI over the phone and they decide there?
Maybe I’m wrong, but if you need a knee replacement, you’ve probably seen a fair few doctors. And I’m pretty sure they probably put a little note in your file to say whether your a very active carpenter with loads of muscle and a BMI of 31 vs someone that has never exercised in their life with a BMI of 31
I get that it’s not an entirely fair assessment going off BMI, but I think it’s a pretty good assessment. For the most part, if someone has a BMI of 35, in a country where There’s an obesity crisis, I don’t think it’s unfair of a doctor to assume it’s because they’re, not that they are a super star athlete
And on top of that, like my first point, you don’t get to the point of a knee replacement without seeing a few doctors along the way. I’m sure they’re capable of adding a note to your file
I have a BMI of 33 point something, maybe even 34, and I play competitive wheelchair basketball, can push 5k in 30mins and completed the Manchester 10k quicker than many people on foot. I can lift far more in the gym than average for a woman. I'm a hell of a lot fitter than many people with healthy BMIs. "Congrats | |||
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"Fed up with waiting for my two replacements I looked at the option of going private. Best quote I could get for treatment at a local private hospital was just below £30000, Ironically it would be the same surgeon as at the local NHS hospital. Question is do I take equity release on my house to pay for it and deprive my grandkids of their inheritance. The situation is not helped by my age (82) and that I have heart issues. Have they not offered you a steroid jag into the knee? It can work very well or it will not work at all, I had one which lasted just 3 weeks. That was 3 weeks of zero pain at Xmas " I did take up the offer of Steroid jabs but they only lasted a couple of weeks  | |||
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"Some NHS trusts refuse to give replacement knee ops to overweight people. It's a postcode lottery and remarkably, since this rule has been introduced then knee operations have dropped. What is going on here guys. Is this levelling up?" I have had problems with my knee for years. Seen many NHS physiotherapists and nothing has been done. They refuse to replace my knees due to my age. Been in so much pain in the last 6 months that I have paid to see a private physiotherapist who diagnosed the problem within 10 minutes. Paid to have a private ultra sound and the damage to one of my knees is irreversible and could have been delayed if I had been diagnosed earlier. I have paid to have a cortisone injection and hyaluronic acid in my knee and it has made such a difference but unfortunately the pain relief is only temporary. Maybe you should look into it to get some temporary relief. Know you get a cortisone injection through the NHS but heard it's a long process. | |||
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"Seems fair to me, if there’s limited numbers, why give it to someone that’s gonna get less use out of it There's a whole load of assumptions in there. Firstly that the fat isn't because their knee is bad. Secondly that they use the knee less because they are fat. Thirdly that they wouldn't actually benefit more because they are fat. Gotta start somewhere if we’re gonna pick people and like I said, they seem like fair assumptions to me I've literally been googling this for last 20mins. Its done by BMI. If its over 30 your fucked. I didn't realise how they were using bmi as an important piece of information. Anyway when i first started reading this thread about it even though it said overweight refused knee replacments I just assumed it was gonna be the dangers of the general anasthetic.
No, it's just an arbitrary BMI cut off and it's not applied in the same way or even at all by all CCGs. It's a postcode lottery. No account is taken of the actual health of the person. My BMI is over 30 but have successfully and safely had three different kinds of surgery in the past 10 yes. Zero issues, complications etc.
Its just nuts. Bmi can be helpful, but I can't believe it's used to determine if you can or can't. I could understand it being highlighted and maybe a point of concern but to make such a descision just going by it..
Is it nuts though? Are we really to believe that you can get to the point of being on a list for a knee replacement without ever seeing a doctor? And you tell them your BMI over the phone and they decide there?
Maybe I’m wrong, but if you need a knee replacement, you’ve probably seen a fair few doctors. And I’m pretty sure they probably put a little note in your file to say whether your a very active carpenter with loads of muscle and a BMI of 31 vs someone that has never exercised in their life with a BMI of 31
I get that it’s not an entirely fair assessment going off BMI, but I think it’s a pretty good assessment. For the most part, if someone has a BMI of 35, in a country where There’s an obesity crisis, I don’t think it’s unfair of a doctor to assume it’s because they’re, not that they are a super star athlete
And on top of that, like my first point, you don’t get to the point of a knee replacement without seeing a few doctors along the way. I’m sure they’re capable of adding a note to your file "I saw my GP once regarding my knees, i then saw an orthopedic surgeon once, then had the pre op appointment where i saw a lower down the scale doctor,then the next time i saw anyone was the same orthopdic surgeon on the day of the op. No one mentioned my weight nor was i weighed. | |||
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"Seems fair to me, if there’s limited numbers, why give it to someone that’s gonna get less use out of it There's a whole load of assumptions in there. Firstly that the fat isn't because their knee is bad. Secondly that they use the knee less because they are fat. Thirdly that they wouldn't actually benefit more because they are fat. Gotta start somewhere if we’re gonna pick people and like I said, they seem like fair assumptions to me I've literally been googling this for last 20mins. Its done by BMI. If its over 30 your fucked. I didn't realise how they were using bmi as an important piece of information. Anyway when i first started reading this thread about it even though it said overweight refused knee replacments I just assumed it was gonna be the dangers of the general anasthetic.
No, it's just an arbitrary BMI cut off and it's not applied in the same way or even at all by all CCGs. It's a postcode lottery. No account is taken of the actual health of the person. My BMI is over 30 but have successfully and safely had three different kinds of surgery in the past 10 yes. Zero issues, complications etc.
Its just nuts. Bmi can be helpful, but I can't believe it's used to determine if you can or can't. I could understand it being highlighted and maybe a point of concern but to make such a descision just going by it..
Is it nuts though? Are we really to believe that you can get to the point of being on a list for a knee replacement without ever seeing a doctor? And you tell them your BMI over the phone and they decide there?
Maybe I’m wrong, but if you need a knee replacement, you’ve probably seen a fair few doctors. And I’m pretty sure they probably put a little note in your file to say whether your a very active carpenter with loads of muscle and a BMI of 31 vs someone that has never exercised in their life with a BMI of 31
I get that it’s not an entirely fair assessment going off BMI, but I think it’s a pretty good assessment. For the most part, if someone has a BMI of 35, in a country where There’s an obesity crisis, I don’t think it’s unfair of a doctor to assume it’s because they’re, not that they are a super star athlete
And on top of that, like my first point, you don’t get to the point of a knee replacement without seeing a few doctors along the way. I’m sure they’re capable of adding a note to your file
I saw my GP once regarding my knees, i then saw an orthopedic surgeon once, then had the pre op appointment where i saw a lower down the scale doctor,then the next time i saw anyone was the same orthopdic surgeon on the day of the op.
No one mentioned my weight nor was i weighed."I should have added that i had an MRI scan that my GP sent me for | |||
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"Seems fair to me, if there’s limited numbers, why give it to someone that’s gonna get less use out of it There's a whole load of assumptions in there. Firstly that the fat isn't because their knee is bad. Secondly that they use the knee less because they are fat. Thirdly that they wouldn't actually benefit more because they are fat. Gotta start somewhere if we’re gonna pick people and like I said, they seem like fair assumptions to me I've literally been googling this for last 20mins. Its done by BMI. If its over 30 your fucked. I didn't realise how they were using bmi as an important piece of information. Anyway when i first started reading this thread about it even though it said overweight refused knee replacments I just assumed it was gonna be the dangers of the general anasthetic.
No, it's just an arbitrary BMI cut off and it's not applied in the same way or even at all by all CCGs. It's a postcode lottery. No account is taken of the actual health of the person. My BMI is over 30 but have successfully and safely had three different kinds of surgery in the past 10 yes. Zero issues, complications etc.
Its just nuts. Bmi can be helpful, but I can't believe it's used to determine if you can or can't. I could understand it being highlighted and maybe a point of concern but to make such a descision just going by it..
Is it nuts though? Are we really to believe that you can get to the point of being on a list for a knee replacement without ever seeing a doctor? And you tell them your BMI over the phone and they decide there?
Maybe I’m wrong, but if you need a knee replacement, you’ve probably seen a fair few doctors. And I’m pretty sure they probably put a little note in your file to say whether your a very active carpenter with loads of muscle and a BMI of 31 vs someone that has never exercised in their life with a BMI of 31
I get that it’s not an entirely fair assessment going off BMI, but I think it’s a pretty good assessment. For the most part, if someone has a BMI of 35, in a country where There’s an obesity crisis, I don’t think it’s unfair of a doctor to assume it’s because they’re, not that they are a super star athlete
And on top of that, like my first point, you don’t get to the point of a knee replacement without seeing a few doctors along the way. I’m sure they’re capable of adding a note to your file "From what ive read the carpenter with bmi 31 wouldnt get it either. Thats the point. Its not case by case but 1 rule for everyone. | |||
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"Some NHS trusts refuse to give replacement knee ops to overweight people. It's a postcode lottery and remarkably, since this rule has been introduced then knee operations have dropped. What is going on here guys. Is this levelling up?" Sorry dont agree. Had my knee surgery and at the time I weighed 21stone, they gave me an epidural instead of knocking me out. Carl | |||
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