髖關節置換前線
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Brian Deatrick ，一位在日本居住的美國人。髖關節疼痛困擾了他很多年，在難以忍受疼痛之後多方谘詢，得知人工髖關節置換是最好的治療方法。其後接受了在美國等地各大醫院的檢查，最後決定來劄幌接受石部醫生的手術。手術十分成功，術後也恢複良好，於是發來了以下這封信以及自己的康複視頻。
Background（病情）背景
My right hip pain had grown increasingly worse for several years. I could not sleep on my right side, endured constant pain, and encountered difficulty walking normally. When it reached the stage where turning a certain way wouldcause me to nearly fall, I knew it was time to face hip replacement surgery.
近年來，我的右腿髖關節的疼痛越發嚴重。我逐漸不能向右側臥，也難以忍受這種持續性的疼痛，最糟糕的是我不能正常行走了。當我發現轉到某種特定角度必然會跌倒的時候，我意識到是該進行髖關節置換手術的時候了。
Finding Ishibe Clinic 找到石部基實診所
Online research about total hip replacement in Japan revealed a study showing that surgical success is related to the number of surgeries performed at a medical institution; i.e., experience really does count. More research led me to the institution with the most hip surgery experience of all: Ishibe Clinic. Dr.Ishibe practices "minimally invasive" surgery when feasible, enabling quicker healing and recovery. I was anxious to be accepted as his patient.
日本全髖關節置換術的網上搜查結果表明，髖關節置換手術成功率與醫療機構手術的次數成正比，即經驗致勝。許多資料都直接指向石部基實診所——擁有最豐富髖關節置換手術經驗的醫院。石部醫生根據患者情況進行 “微創”手術——讓創口能更快愈合，因此我下定決心在此就診。
Initial Exam 初診
Before my visit to Ishibe Clinic I had been examined at several clinics and hospitals both Japanese and American. The Ishibe Clinic's exam and Dr. Ishibe's consultation were the most comprehensive and qualified me for the minimally invasive procedure. I was strongly impressed that Dr. Ishibe views the patientas a fellow living human being and not just as the bones seen in the x-ray. The thorough exam, the experience of thousands of surgeries, and his holistic approach to the patient gave me the confidence to proceed with the operation.
我在石部基實診所就診之前，曾在多家日本和美國的診所和醫院接受過檢查。 石部基實診所的常規檢查和石部醫生的問診對我來說是最全麵可靠的的，其團隊也是最有資格為我實行這次微創手術的治療。給我留下深刻印象的是，石部醫生不會把患者簡簡單單的物化成一個個X-光片裏照出來的骨頭，而是把每個人都當成是在這個世界上和自己一樣擁有鮮活生命的同胞。徹底的術前檢查，數以千計的成功經驗，立足患者自身情況整體排查的醫療觀，都堅定了我在此手術的決心。
Operation 手術
The operation was performed at Sapporo Geka Kinen Hospital. Current American practice discharges the patient a day or two after the operation but Dr.Ishibe's method includes recovery and rehabilitation treatment in the hospital before returning the patient into the physical challenges of everyday life.This is particularly important to prevent deep vein thrombosis - blood clots.In America I was told I couldn't travel by air for six weeks after the operation because of the risk of this problem. I flew home from Sapporo the day of my hospital release, only eight days after the operation. I believe that extra treatment time in the 24-hour hospital care environment was very important to my safe and quick recovery.
手術地點是劄幌外科紀念醫院。目前在美國實施手術的慣例是術後一天或者兩天要求病患出院，但是石部醫生的做法是住院期間包含患者的術後康複和複健治療，以保證每位患者能盡可能的回歸到日常生活中，並且麵臨生活中的各種挑戰。這對防止深靜脈血栓的形成 - 血塊尤為重要。在美國的時候，醫生告訴我術後6個星期不能乘坐飛機出行，就是因為存在這種風險。然而在接受石部醫生手術後的第8天出院當天，我便飛回家了。我相信，能使我沒有後顧之憂的正是這24小時全天護理的醫療環境——這額外的康複訓練對我的安全和迅速康複無比重要。
One hears that hip replacement is "routine" because thousands are done annually, but no matter how routine the operation may be, there is nothing routine about it when it happens to YOU. I'm very grateful for the kind and dedicated treatment I received from the hospital staff as well as from Dr. Ishibe and his operating team. It is only their caring and professional service that enables the patient to view the operation as routine. When I was discharged Iactually felt a touch of sadness to part from my new friends.
現今，醫療界已經把髖關節置換術歸類於“常規”手術，因為每年都會實行數千例，但無論手術如何常規，當它發生在你身上時，與你而言，便是一場非“常規”的治療。我非常感謝能夠從醫院工作人員以及石部醫生和他的醫療團隊得到如此貼心熱誠的待遇。正是因為他們細致的關懷和專業的服務才能使患者安心的把一場性命攸關的手術，以平常心視為“常規”。事實上，當我出院的時候，我已然感受到了即將與新朋友分離的不舍。
Rehabilitation （出院後的）複健
The Ishibe Clinic teaches the patient how to perform daily rehabilitation at home and I've followed those instructions. Of course, Ishibe Clinic advice and assistance is only a phone call or email away. The 60-day checkup showed good progress and encouraged me to exercise harder and be more physically active.
石部基實診所會教給患者一套如何在家進行日常複健的方法，我每天堅持做這套動作。雖然診所僅僅會通過一通電話或簡單的郵件來協助，督促你完成家中的複健，但是60天之後的複查顯示出了我這段時間良好的進展，這一結果也鼓勵著我更加努力地鍛煉身體，積極運動。
Six Months Recovery Report
六個月之後的康複報告
I am writing this exactly six months after the operation. I do not need a cane or other supportive device. I walk normally and most of the time I forget that I had an operation at all. I only have to remember not to bend my knee to less than 90 degrees to my body, and if I forget, my hip reminds me. Otherwise,there is no pain. I can't sit cross-legged but being an American that was always difficult for me, so I don't miss it. I was advised to give up my hobby of sea kayaking but found that with a little care getting in and out of the kayak I'm paddling as happily as before the operation, twice on the Sea of Japan within the last week. As the attached video shows, I can even do an amateurish country style tap-dance. Ballroom dancing lessons are in my near future plans.
術後六個月我寫了這篇文章。我不再需要拐杖或其他輔助裝置。已經恢複了正常行走，甚至大部分時間我都忘了我曾經有過一次手術。我隻需要記住不要把膝蓋彎曲到和身體少於90度角的位置，如果我忘了，這個時候我的髖部會提醒我——你做過手術呢！除此之外，就沒什麽問題了，也不會感到疼痛。我不能盤腿坐——但對於一個美國人來說，這本身也是一個挺難的動作，所以我也不會犯這種錯誤。醫生建議我放棄海上皮劃艇這個愛好，但我自己感覺隻要上下船的時候小心一點兒好像也可以劃一劃。上周我在日本海上劃了兩次，發現和術前一樣可以從中得到快樂。我傳了一段視頻，可以看到我甚至可以當一個業餘的鄉村風踢踏舞愛好者。舞廳舞課已經作為近期計劃提上日程。
I only have one regret about my hip replacement operation: I wish I had done it sooner! Thank you, Dr. Ishibe, and all the kind people at your clinic and the Sapporo Geka Kinen Hospital.
我現在對於接受髖關節置換術唯一的後悔之處是：沒再早點兒進行手術！謝謝你，石部醫生，以及您診所和劄幌外科整形紀念醫院的所有善良的工作人員。
Brian Deatrick
Kyotango, Japan
本文解釋權最終歸石部基實診所所有，轉載請注明出處。文章冗長，感謝您的閱讀，如有疑問或合作歡迎添加微信chaoxinghuan垂詢或掃碼關注公眾號，以及加入人工髖關節膝關節置換交流群（扣扣群）808457412，我們會盡力解決您的疑問。
