Johns Hopkins Bayview 4940 Eastern Ave. Baltimore, MD 21224 Suburban Hospital 8600 Old Georgetown Rd. “If you pick the patient appropriately, it’s a win-win for everybody,” he said.Oliver convinced me to go ahead, but it was hard to stay positive. That’s never going to happen.”So, what makes one a viable candidate for outpatient?There are guidelines, Oliver said, but it’s nuanced as well.For his practice, they are looking for patients who are:And most of all, Oliver said, “have that spirit within.”“I’m talking about people who are game,” he said. Healthline Media does not provide medical advice, diagnosis, or treatment. That’s great, he said, but again: for the right patient.He pointed out that as this becomes more popular, insurers may begin to push for the outpatient surgeries as a cost savings. “If you lay someone down for a day, they will want to lay down the next day too,” said Haas. Hip and Knee Replacement Orthopedic Surgeon deals with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. I’d have a visiting nurse meet me when I got home, and his personal cell phone would be my emergency outreach.“This is your choice,” Oliver told me. “We feel strongly it should be physicians who should decide the proper point of care, not insurance. I was given a list of things to have ready at home, too.By surgery day, the house was ready (throw rugs removed, sleeping area on main floor), all my prescriptions were in the cabinet, and my “spirit within” was amped up.My husband dropped me off on surgery morning at 9 a.m. © 2005-2020 Healthline Media a Red Ventures Company. It sounded crazy.I was otherwise healthy, active, and relatively young. I give them the equipment. The new COVID-19 rules meant he had to leave me at the door. Physical therapists came to my home two to three times a week.Other than some brief struggles with a few medications, it was relative smooth sailing.Haas believes part of the reason this works is that at home, people must get up and do things. He specializes in hip and knee musculoskeletal care including primary hip and knee replacement, partial knee replacement, complex hip and knee revision. Is it the future of joint replacement? His NHS practice is based at the Frimley Park Hospital, Frimley Health NHS Foundation Trust and he treats Private patients at: Copyright © Azal Jalgaonkar 2019. I’m cleared to drive and to begin outpatient physical therapy where, Oliver warned me, I’ll be pushing through some pain.I have my eye on the the moderate slopes at the ski resorts this winter.Oliver is happy with my progress. We’re going to do this outpatient.”My immediate reaction was terror. I’ll admit I was anxious about it up until the day. He uses his experience and expertise to offer a honest, professional opinion and keeps you involved and throughout the treatment process. … “We need to be cautious there,” he said. He believes part of my early success is skipping the hospital stay. Joint replacement specialist. More knee and hip replacement surgeries are being done on an outpatient basis, especially in this COVID-19 era. If hip or knee surgery is needed, it will be performed in a state-of-the-art operating unit in one of our hospitals. Less than 8 hours after arriving, I was making my way to the couch and greeting the visiting nurse.Nurses visited that first night and then biweekly for 3 weeks. Orthopaedic hip, knee, hand surgery online consultations available. Our website services, content, and products are for informational purposes only. BMI Meridan, Monday- 8.00 am till 6.00 p.m. Nuffield Hospital, Wednesday- 6.00 pm till 8.00 p.m. “But if you look at the bigger picture, this really hits the sweet spot of decreasing costs while improving care and the patient experience. Specialist hip, knee arthritis, ligament and meniscal injury treatment. “Some people walk to the foot of the mountain, look up and say, ‘Oh, I absolutely can do this’ and hike to the top, no matter what it takes.”Those, he said, are the right people for outpatient joint replacement surgery.“We look at motivation as well,” Haas said. Healthline Media does not provide medical advice, diagnosis, or treatment. I am Consultant Hip & Knee Surgeon and Children's Orthopaedic Surgeon in Surrey, specialising in minimally invasive Hip replacement, Knee replacement, Hip arthroscopy and Knee arthroscopy I see patients of all ages with Hip and Knee pain and have special interest in arthritis and sports injuries. All rights reserved. You’re a perfect candidate for this.”Doubtful, curious, but a bit more open to the concept, this being the age of COVID-19, I agreed. Our website services, content, and products are for informational purposes only. Once COVID-19 hit, he amped up the planning, holding biweekly meetings and bringing a full team together as a cohesive group.“So much of this is just plain good communication,” he said.Setting up protocol with across-the-board acceptance were keys to success.“I had to have buy-in and buy-in is tough to come by with a whole new concept,” he said.But the shutdown allowed Oliver time to make that happen.When the medical center let Oliver and other surgeons know that they could begin elective surgeries again for outpatients, he knew it was time to start.Oliver and his team launched with a first group of people who had already had a knee or hip replacement in the past.“They would know what to expect, and we knew their outcomes from the past,” Oliver said.From there, it was about what doctors say is the most important part of the success: choosing the right patient.“There is no doubt there are people who are a good choice for this and those who are not,” said Haas.