I Choose...To Love My Scars
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Hi, this is Jenny Garth from the I Choose Me podcast. If you're managing a challenging mental condition, weekly therapy can sometimes feel like it's not enough. You may be looking for a way to spend more focus time on you. That's where Amend Mental Health Treatment Center comes in. I recently took a tour at Amend in beautiful Malibu, California, and the facility is so gorgeous and serene.

The dedicated team of doctors and therapists with deep clinical expertise were amazing. Designed to give you the time and space you need to have that breakthrough. They have two unique locations in Malibu that surround you in natural beauty and pure calm. Find out more at amendtreatment.com slash start.

This election season, the stakes are higher than ever. I think the choice is clear in this election. Join me, Charlemagne Tha God, for We The People, an audio town hall with Vice President Kamala Harris and you, live from Detroit, Michigan, exclusively on iHeartRadio. They'll tackle the tough questions, depressing issues, and the future of our nation. We may not see eye to eye on every issue, but America, we are not going back.

Don't miss this powerful conversation with Vice President Kamala Harris. Tomorrow at 5 p.m. Eastern, 2 p.m. Pacific on the free iHeartRadio app's Hip Hop Beat Station. Curious about queer sexuality, cruising, and expanding your horizons? Hit play on the sex-positive and deeply entertaining podcast Sniffy's Cruising Confessions. Join hosts Gabe Gonzalez and Chris Patterson Rosso as they explore queer sex, cruising, relationships, and culture in the new iHeart podcast Sniffy's Cruising Confessions.

Sniffy's Cruising Confessions will broaden minds and help you pursue your true goals. You can listen to Sniffy's Cruising Confessions, sponsored by Gilead, now on the iHeartRadio app or wherever you get your podcasts. New episodes every Thursday. How do you feel about biscuits? Hi, I'm Akilah Hughes, and I'm so excited about my new podcast, Rebel Spirit, where I head back to my hometown in Kentucky and try to convince my high school to change their racist mascot, the Rebels, into something everyone in the South loves, the biscuits. I

I was a lady rebel. Like, what does that even mean? It's right here in black and white in print. It's bigger than a flag or mascot. Listen to Rebel Spirit on the iHeartRadio app, Apple Podcasts, or wherever you get your podcasts. In California during the summer of 1975, within the span of 17 days and less than 90 miles, two women did something no other woman had done before. Tried to assassinate the President of the United States.

One was the protege of Charles Manson. 26-year-old Lynette Fromm, nicknamed Squeaky. The other, a middle-aged housewife working undercover for the FBI. Identified by police as Sarah Jean Moore. The story of one strange and violent summer, this season on the new podcast, Rip Current. Hear episodes of Rip Current early and completely ad-free and receive exclusive bonus content by subscribing to iHeart True Crime Plus, only on Apple Podcasts. You're listening to I Choose Me with Jenny Garth.

Hi everyone, welcome to I Choose Me. This podcast is all about the choices we make and where they lead us. On today's podcast, I want to tell you something, and most people are pretty shocked when I tell them this. I've had both my hips replaced. Yep.

You know, I live a very healthy life and I think it shocks people to hear that because I work out so hard. I post my workouts. I'm all about healthy and active. But I want to talk about the experience today because I'm on the other side of it now. And maybe...

Somebody listening is going through this experience that I went through. Maybe you're feeling pain. Maybe you're ignoring it. Maybe you know something's not right, but you don't want to go to the doctor. And maybe you're feeling really frustrated. I want you to know that you are not alone.

It was early 2020, right after the shutdown. I had been dealing with hip problems, hip pain, hip clicking pretty much all my life. I used to be a dancer and I would stretch and I would stretch through my hip and it would kind of click.

And it didn't bother me. It didn't hurt that much. It was just a little embarrassing. And the click got louder and louder until it started to become like a clunk. You know, it was my hip joint would feel like it was like clunking into position or clunking as I walked. And eventually it started to basically give out from time to time whenever I would put weight on it.

So it was the winter of 2019 going into 2020 that my family and I had gone on a ski trip. We always like to try to do every winter. And my hips were hurting so badly that I couldn't ski with them. I couldn't

get on the lift. I couldn't get off the lift. I could not go down the mountain. So I had to just sort of sit that out and was like, oh man, this sucks. I don't want this life. I don't want to slow down. I'm too young to have to worry about

you know, pain and not be able to do things because I'm in pain. Like I need to go get this looked at once and for all. So I went and I sought out a doctor, a surgeon who specializes in hips. And I went to see him, got my x-rays, which led me to getting an MRI, which led me to the diagnosis that I needed to have my hip replaced.

And I was blown away because that's not what I was expecting to hear. I don't know why, but I just felt like, oh, I'm too young for this. Kidding, you're hip replaced. That's for old people. My parents are older. They had hip replacements. That sounds like a big deal. And I'm not sure I want to do that. So I sort of sat with that news for a while.

and lived with the pain a little bit more and came to the place where I couldn't even take my dogs on a walk or go like on a family walk around the neighborhood. And I just didn't wanna live like that. I have a younger husband and I'd like to keep up with him. So I opted to go in and get my left hip replaced. And I was so afraid when I went in for that first operation, I had no idea why.

what was going to happen. I honestly, every time the doctor would talk about what the procedure was going to be and, you know, the recovery and all those things, my brain just literally stopped listening. It didn't want to hear anything. So I went into that operation saying, okay, I don't know what you're about to do to me, but do it good because this is really important. And I came out and I was like, wait, what has happened? And then I saw the x-rays. Um,

of what they had done to me. And not until after my surgery did I Google what a hip replacement surgery looks like because I knew I would be too scared and I would back out. But it was really something that had to be done.

So yeah, I learned a lot about hips that spring and I kept it a secret from the world because I was a little embarrassed and I didn't want people to have that perception of me that I was getting old and breaking down. And so really only my family knew and my mom and my best friends and

And it was something that I didn't want to share with anybody. So I kept the recovery to myself. I didn't, you know, post about it or talk about it to anyone.

And I slowly started to recover. And that's when I decided to get in the best shape of my life. I decided I'm not going to let this define me. So what? I have a fake hip. It feels great. Sometimes I forget that I even have it. And I just started getting back into working out, gradually building up more and more strength.

And I think that's about the time that I started sharing my workout videos with you guys. Those first videos that I started sharing were post hip replacement, but nobody knew. And then four years later, my right hip started to give me problems. Started that clicking, started that clunking, started that giving out. And I knew what I had to do. So I went back in to the same surgeon, Dr. Taberi.

And I said, let's do the other one. And the other one was done. It has been a slightly, I expected it to be just like the same recovery time. Frankly, very easy for me personally, because I was in good shape and I was healthy and I'm young. So I expected it to be, you know, piece of cake. The second hip was not as easy to heal. I'm only about five months out from surgery.

my second hip replacement. Having two feels kind of like a different ballgame, but it is slowly healing. And I have returned to the gym and I've built up and I'm pretty much, pretty much back to where I was. I'm still working through the pain and still working on, you know, my body accepting what's going on in there. But

It's a decision that I am glad that I made. And I just want to be able to share that with the world. I want to be able to talk about it and help people who might be dealing with hip pain or any other joint pain. And they might be so scared because it is a very scary thing to go under the knife, you know? And I just want to be able to sort of de-stigmatize the concept that

fake hips are only for old people. That's not true. Everybody, you know, has their different reasons and their different experiences with their bodies. So I just want to share mine in hopes that it maybe could help one of you listening.

So today I want to bring in the surgeon who did both of my hip replacements. I'm very, very grateful to him. He is a board certified orthopedic surgeon who specializes in hip and knee replacements. He is my doctor and I like him a lot. Please welcome Dr. Taberi to the I Choose Me podcast. Welcome, welcome. Thank you so much for joining us.

Thank you. Thanks for having me. This is a big moment for me. I mean, can you believe it that I'm sharing this incredibly intimate story with the world? It's a big deal. It's a big thing that people go through and everyone kind of reacts to it differently. So, yeah, good for you. People, you know, are shocked when I tell them when they find out.

about this, about my hips, my hips that don't lie. They don't get it because I'm so, you know, I'm very healthy. I'm so active. I, you know, share my videos in hopes to inspire others and keep myself going. So people are really shocked when they hear about this. And I'm only 52. Is it common to replace such a youngster's hips?

Well, I guess I would, you know, it would depend on what you mean by common. I mean, to answer the question directly, it's not that uncommon. The average age for this procedure is still in the 60s. So it's certainly below average age, as most people might imagine. Hip arthritis and hip replacements in the 50s is becoming pretty common.

common or pretty frequently done. And, you know, people like me see patients at your age all the time. So... Oh, I thought I was special. Yeah.

Well, I didn't say you weren't special, but we definitely see people your age pretty often. There are different approaches when it comes to hip replacement surgery, right? So what was your approach for my surgery? Yeah, so that word approach typically like for us as surgeons means, you know, putting simply surgery.

How to get into the area you're doing surgery, in this case, the hip. So how do we get there? There are a lot of different ways. The method that I use is sometimes called anterior, sometimes called direct anterior. It basically means going from the front of the hip to get into the hip joint. There are many kinds. Proponents of using that technique, like me, I think do so.

For a few different reasons, in my opinion, and probably the thing that's the most well-established if you look at the published literature, is that people who have the surgery done through that technique have an easier early recovery. You mean from going in the front? Exactly. So...

While it still takes, obviously, a certain amount of time to heal, the milestones that someone might reach during that healing time happens faster through that process.

anterior approach or going through the front than it does through some other approaches, despite the fact that the long-term results of all approaches is really good and probably comparable. Yeah, I kind of like that you went through the front and not the side, honestly. You use robotic assistance in surgeries. So why do you do that? And what are you doing? If a robot is doing the work, what are you doing?

Yeah, that's a super common question I get from people. And I think some people have this image in their minds of me having coffee in the break room while the robot's doing the surgery. And obviously that's not what it is. The best way to describe it is a robot is a sophisticated tool or instrument that we use to do the surgery that really helps us.

improve our level of accuracy and precision. So it's not the kind of robot where I'm sitting in a terminal and using joysticks and controllers to move things. It's a robotic arm. So every time I'm there, you know, doing surgery, doing all the steps, it's just certain steps of the surgery, particularly

taking measurements and kind of preparing the bone for the implants and placing the implants, the tools that are used to do that, I'm holding them, but so is a robotic arm to ensure that we're doing that very accurately, very precisely in the way that we want to do that. If we don't have that kind of tool, we're usually just left to kind of do it based upon visual cues and landmarks and things that we reference.

So this is kind of an added advantage from that perspective. And that is just bananas to me that a robot is inside my body like that. Yeah. Yeah, I was pretty impressed the first time I used that technology. Didn't know what to expect. And after, you know, I've been using that for eight, nine years. But after doing it the first couple of surgeries that way, I was impressed.

you know, blown away. So definitely became, you know, a big proponent of it at that time. Well, I guess it's great if it's going to, you know, make things more precise. Who doesn't want that? Yeah. So when people talk about hip pain, there is sometimes a misunderstanding about, you know, what the symptoms are and where the pain is. What are the complaints that you see and hear the most when people come into your office? How do they identify it to you?

Yeah, I like the way you put it. I mean, there's this sort of thought that the hip is in a place that the hip is not in. You know, if you ask most people where's their hip, they're going to point to this area that's kind of toward the outside or back of the top of their leg or, you know, that area. And the hip is closest to the front of the body. So we tend to see the most frequent place that the hip joint is going to cause pain really, you know, regardless of what the issue is.

is in the front of the hip. Sometimes the groin or just kind of to the front and to the, you know, maybe even slightly to the outside. You can get pain on the side of the hip. It's actually fairly rare to get pain in the back of the hip or buttock area, but that front of the hip most common and it can oftentimes

into the front of the thigh too and even involve the knees sometimes. But we'll get patients that come in and the first time you ever met them and they say, oh, my hip flexor is killing me. And it's like, well, actually it's not your hip flexor, it's your hip joint. So those are the types of things we hear most often and it's totally understandable why it can be confused. Yeah, yeah. That's where I thought I was feeling the pain and it's right in that same exact area as the hip flexor. Yeah, the hip flexor sits directly...

across the front of the hip joint. So a hip XR problem will probably cause pain in the same area. So very easy to confuse. And even sometimes for us as physicians, they're difficult to distinguish between the two, but

Yeah, totally understandable to get those mixed up. Are there certain genetics like family history that play into this pain or having to have your joints replaced? In my case, the hip. It's a huge component to this. And you mentioned before that oftentimes people may be surprised that somebody like you

has a hip problem like you have and has, you know, hip replacement, but genetics is a big component. It's not quite as simple as, well, my, you know, my mom or my dad or my aunt had this, so I have it. So then my son or daughter has it and so on and so forth. It's probably more complicated genetic component to it, but, but very common. It's not,

It's not always the, you know, person who has a history of just high impact or, you know, the overweight individual or things that people most often think are always related to developing these kind of problems. A lot of it's just, I guess, you know, you'd say in terms of genetics, sometimes bad luck. Yeah.

Yeah. And like normal wear and tear. You've just mentioned something that I wanted to ask you about. If you are overweight or over your, you know, like target weight, does that contribute to the pain and the hips or the joints breaking down quicker? That's a great question. You know, there's all kinds of data out there. There's some data that are associated with

higher rates of these kinds of procedures in patients who are overweight. But I don't know if I personally believe that that's necessarily the biggest contributor to whether the joint breaks down quicker. My personal feeling is it has a huge component or effect on how the pain is felt. So the way I describe that to patients is on a bad hip or knee,

more force is going to be more pain, right? And that's usually pretty easy to understand. And I give, you know, certain examples for, you know, or how that force is felt. Flat level ground is oftentimes thought to be about three to four times your body weight in terms of walking on flat level ground. Like pressure you're putting on your joints, you mean? Yeah. So, you know, for every pound, that's three or four pounds of force. Wow. Okay. Yeah.

Whereas ascending, descending stairs, for instance, can be as much as 10 times your body weight. So it's just kind of like, you know, the more weight you're carrying, the more magnified that gets. And, you know, I'm sure...

Higher impact activities are going to have, you know, much more than 10x your body weight. And so my personal feeling is I don't know if it definitely is the biggest factor in how quickly your joint wears out. But I do think that as your joint is wearing out and becoming painful, it's a huge factor on recovery.

How bad your pain is. And we definitely see that patients who lose weight will have less pain. So that kind of fits with that. Yeah. I know that over the course of like all the years that I was experiencing pain before I came to visit you, my weight fluctuated up and down, left and right. And whenever I would be up even like five pounds, my hips would hurt more. So that definitely makes sense to me. Yeah. Yeah.

Yeah, I remember right before we went into the operating room and you had a mask on. I didn't even know what you look like. I mean, it was weird like that. We were in there the first day, I feel like after the COVID lift and you could do operations again. Yeah.

And I remember right before they wheeled me and I said, oh, hey, I've got that tattoo. Don't forget. I need you to really line up my flower. I have a really big, for those out there that don't know what I'm talking about, I have a really big hip tattoo. I don't think I'd make that decision again.

But I asked you, can you please line up my rose petal leaves? You looked at me so strangely. Is that the first time you had anybody need you to do that? No, definitely have had that come up before, both in the knee and the hip. It's just one of those things. I mean, I feel like yours is definitely one of the ones that that incision is

got into the tattoo. I mean, more than some, right. Yeah. I had one actually not too long ago where I was concerned about it and actually was able to totally avoid it. And patients looking at me like, don't worry about it. Worry about my head. Of course, that's what we're going to worry about. But yeah, I definitely remember that. And I remember telling you that basically we'll do the best we can. We'll do, you know, we'll do the surgery and we'll do the best we can with the incision. And yeah, unfortunately I think it worked out pretty well.

So funny things people ask you to do. I'm sure. Hi, this is Jenny Garth from the I Choose Me podcast. If you're managing a challenging mental condition, weekly therapy can sometimes feel like it's not enough. You may be looking for a way to spend more focus time on you. That's where Amend Mental Health Treatment Center comes in. I recently took a tour at Amend in beautiful Malibu, California, and the facility is so gorgeous and serene.

The dedicated team of doctors and therapists with deep clinical expertise were amazing. Designed to give you the time and space you need to have that breakthrough. They have two unique locations in Malibu that surround you in natural beauty and pure calm. Find out more at amendtreatment.com slash start.

This election season, the stakes are higher than ever. I think the choice is clear in this election. Join me, Charlemagne Tha God, for We The People, an audio town hall with Vice President Kamala Harris and you, live from Detroit, Michigan, exclusively on iHeartRadio. They'll tackle the tough questions, depressing issues, and the future of our nation. We may not see eye to eye on every issue, but America, we are not going back.

Don't miss this powerful conversation with Vice President Kamala Harris. Tomorrow at 5 p.m. Eastern, 2 p.m. Pacific on the free iHeartRadio app's Hip Hop Beat Station. Hey, friends. I'm Jessica Capshaw. And this is Kamala Luddington. And we have a new podcast, Call It What It Is. You may know us from Graceland Memorial, but...

Did you know that we are actually besties in real life? And as all besties do, we navigate the highs and lows of life together. And what does that look like? A thousand pep talks. A million I've got yous. Some very urgent I'm coming over's. Because, I don't know, let's face it, life can get even crazier than a season finale of Grey's Anatomy. And now here we are, opening up the friendship circle. To you. Someone's cheating? We've got you on that. In-laws are in-lying? Let's get into it.

Toxic friendship? Air it out. We're on your side to help you with your concerns. Talk about ours. And every once in a while, bring on an awesome guest to get their take on the things that you bring us. While we may be unlicensed to advise, we're going to do it anyway. Listen to Call It What It Is on the iHeartRadio app, Apple Podcasts, or wherever you get your podcasts.

Hey, fam. I'm Simone Boyce. I'm Danielle Robay. And we're the hosts of The Bright Side, the daily podcast from Hello Sunshine that is guaranteed to light up your day. Every weekday, we bring you conversations with the culture makers who inspire us. Like our recent episode with dancer, actor, host of Dancing with the Stars, and now novelist, Julianne Hough.

I feel really whole. I feel like the last few years I've really unraveled a lot, which is part of what this book is about. And I really feel so content, which is a word that used to scare the crap out of me. And I love that word now. Listen to The Bright Side from Hello Sunshine on the iHeartRadio app, Apple Podcasts, or wherever you get your podcasts. ♪

Hey, it's Mike and Ian. We're the hosts of How to Do Everything from NPR's Wait, Wait, Don't Tell Me. Each week, we take your questions and find someone much smarter than us to answer them. Questions like, how do you survive the Bermuda Triangle? How do you find a date inside the Bermuda Triangle? We can't help you, but we will find someone who can. Listen to the How to Do Everything podcast on iHeartRadio.

Let's talk about recovery time after surgery. Like this on my first one, when I had my first hip replaced, I was vacuuming my house three days after the surgery. Is that frowned upon? It's a great question. I don't know if I'd say that, you know, I think, I think every, in many ways, every person is different. Right. And so, you know, there's a reason why when I do surgery, I meet a patient or prep patient for surgery and,

we don't hand them a list of here's what you do at what time because one thing three days after surgery is going to be absolutely okay for someone to do and totally the wrong thing for someone else to do. So the best advice I give patients when they're recovering is everything you do should be on a gradual, incremental basis.

And people kind of get that if you put it into perspective. Most people are, you know, the best examples used is like professional athletes recovering from a sports injury. Most people kind of see that where, you know, if an athlete has an injury, they don't just, after they're done healing, like go back to playing full tilt. They work their way up. They do certain things, you know, they do this much and then this much and then this much. Mm-hmm.

And so whether it's vacuuming three days or anything else, I would just tell a patient, hey, start with a little bit and then do a little more and then do a little bit more. And that way,

If you do reach a point where you've overdone it a little bit, it won't have been by very much because you have just previously done something that was totally well tolerated. So that's great to hear that you were able to do that. Some patients wouldn't be ready to do that at three days and that's okay. I've definitely seen plenty of examples of patients who are also young and healthy take longer to get there and then have great outcomes. So everyone's just a little bit different. I think I would advise against it personally because I,

I feel like I really did try to like just forget that the surgery ever happened and just move forward. And I tried to just like, you know, grin and bear it. And then that ended up, I think, making my recovery a little more difficult on the first one. Although the first hip recovery was very, very smooth. I just think that I probably could have taken it a little easier. Yeah, we see that all the time. And sometimes...

I tell patients, I, you know, break people up into like three groups. There's like the underachievers, the overachievers and the people in the middle. And probably the ones I worry about the least are the ones in the middle. You know, like people might think it's the overachievers, right. And maybe vacuuming at three days and doing everything that you did. There's a little bit of that, but yeah,

The people in the middle tend to go smooth sailing through recovery, whereas the others may need a little bit of adjustment here and there based on what their activities are. What does a typical recovery look like with most of your patients? How long and those kind of details? What do you say? It's different for everyone. It is so different. It's kind of like a cop-out, I feel like, almost, that I'm using. Yeah.

I generally tell patients this, and I tend to be in this regard a little conservative because I don't want to, I don't want patients to go in and just think, oh, it's no big deal. So I generally tell people, you know, there's about three months of tissue healing. The first month of that is the main part of it. You know, so when you get to end of a month, usually people are feeling pretty good. You're allowed to, you know, of course, from the beginning, as you know, but many may not.

You're allowed to put your weight on your leg right away. You're allowed to walk right away. That's crazy to me. I did not expect that. You guys like cut my hip off, basically sawed my leg off. I don't know what you did in there, but I was up like two hours later walking around on a walker. Yeah. I mean, it's one of the things that we've learned is just better for people. You know, if you go back far enough and I'm talking pretty far back, um,

people used to be in bed for days or weeks, you know, after this surgery. And that's, you know, that was a long time ago. But it was not the right thing, you know? I mean, complication rates were much higher, getting blood cuts and other problems. So the surgery has definitely progressed. You know, our materials have progressed. Yeah. Our techniques have progressed. So now...

promoting that, you know, activity early is a really good thing. Well, for me, it was kind of like switching one pain for another. Like I switched the pain of the hip hurting, what brought me to you, for the pain of the incision and then especially the pain from

I'll never forget when I saw the x-ray afterwards for the first time and I saw what was in my femur bone. Like what you put a metal spike down pretty far into the femur bone. I mean, it looked really far to me. But for me, just my body adjusting to having that in my bones was really probably the most painful part for a while. Yeah, I think...

I think that happens, you know, oftentimes, you know, one of the things is the way the force is transmitted, you know, from your body weight changes a little bit because it's just, it just goes through a different sort of fashion than when, than when you have your native hip in there. So there's adjustment period there. And there's a period of time where, you know, the bone has to grow into the implant. So a lot of patients will say what you said, which is,

I was pretty quickly able to feel the difference in the symptoms I had. And then there's some patients who they don't, it kind of feels the same and then they start recovering and things just kind of start going away. But yeah, a lot of people do say that they can feel that it's a different type of pain and soreness that they have from surgery than when they had. Yeah, it's all that tissue. It's all that tissue trying to like reconnect to the new thing that's in there, the foreign object, you know?

Are there things people can do to prolong the life of a knee or hip? That's a great, I mean, it's a very, very good question. I get asked that a lot. It depends on, to me, it really depends on how you look at that. I don't know, like if you're just one of these people who have, you know, genetically more likely to have your joint wear out, I don't know how much there is you can do. I mean, there's certainly no proven, you know, supplement. I mean, there's a lot of things out there that are getting looked at and, you

Theoretically, it may help, but there's nothing definitively proven that's going to prevent that. To me, the biggest thing I tell patients is, going back to that example I gave about force, the best thing you can do is have less force on your joint. There's really three ways to do that. Two of them are more important than the third, in my opinion.

Those two are trying to maintain a lower weight because obviously that makes sense, lower weight, less force like we talked about before. And the other is building muscle strength. And I think without getting into a lot of detail, you know, physics will show us that the stronger the muscles are that cross the joint, the lower something called joint reactive forces, which is a force that goes across the joint. So, yeah.

I think that's really important. And especially for people as they get older, that there's a lot of benefit to focusing on muscle strength and, you know, and some, some level of strength training can really, it's not going to preserve your cartilage necessarily, but it may make your joints hurt less, you know? And then that third thing I mentioned is, you know, which activities you choose, you know, high versus low impact. And not that that's not important, but if you're just someone who, you know,

lives to run you know and that's just something you love to do and mentally really you know beneficial for you i'm not telling you not to run if you know if your body does well with it but yeah for a lot of people especially if you have a joint issue cycling or swimming i mean those are going to be better tolerated because they're lower impact on your joints

Yeah, yeah. I recently read a study that said that bicycling can improve your knee joints. Is that true? Yeah, I think, you know, I've heard kind of what you're referring to. And I think it's kind of like what I just mentioned, where it's a really good way to exercise both cardiovascularly as well as, you know,

some form of muscle strength too, in a relatively low impact manner compared to some other things. So, you know, I think those things can all help you and particularly the strength training in terms of, um,

taking the force off the knee or the hip. But I don't know if it's like really preserving cartilage, although there's some theories that joint motion is beneficial for cartilage health. But I don't know if we have that data to really say that that's the case. Sorry, I have so many questions for you. Is there a type of patient that you usually see come into your office more than others, like athletes, dancers, or is it just regular old people like me?

Oh, I wouldn't call you regular old people. All kinds. I mean, really. Yeah. I think that's, I think as time's gone on and we've had success with the procedure and also people are active, you know, longer. We're seeing all sorts of people. I mean, I see everyone from,

hate to say it, but it's not common, but I've seen people have this surgery in their 20s. And then I've seen people in their 90s, you know, so age can be all over. And, you know, just it's not like I said, it's not always the overweight patient. It's not always the marathon runner who's pounding on their joints all the time. It's not always, you know, any particular person. It can be it could be really, you know, anybody. Mm hmm.

Hi, this is Jenny Garth from the I Choose Me podcast. If you're managing a challenging mental condition, weekly therapy can sometimes feel like it's not enough. You may be looking for a way to spend more focus time on you. That's where Amend Mental Health Treatment Center comes in. I recently took a tour at Amend in beautiful Malibu, California, and the facility is so gorgeous and serene.

The dedicated team of doctors and therapists with deep clinical expertise were amazing. Designed to give you the time and space you need to have that breakthrough. They have two unique locations in Malibu that surround you in natural beauty and pure calm. Find out more at amendtreatment.com slash start. This election season, the stakes are higher than ever. I think

the choice is clear in this election. Join me, Charlemagne Tha God, for We The People, an audio town hall with Vice President Kamala Harris and you, live from Detroit, Michigan, exclusively on iHeartRadio. They'll tackle the tough questions, depressing issues, and the future of our nation. We may not see eye to eye on every issue, but America, we are not going back.

Don't miss this powerful conversation with Vice President Kamala Harris. Tomorrow at 5 p.m. Eastern, 2 p.m. Pacific on the free iHeartRadio app's Hip Hop Beat Station. Hey, friends. I'm Jessica Capshaw. And this is Kamala Luddington. And we have a new podcast, Call It What It Is. You may know us from Graceland Memorial, but...

Did you know that we are actually besties in real life? And as all besties do, we navigate the highs and lows of life together. And what does that look like? A thousand pep talks. A million I've got yous. Some very urgent I'm coming numbers. Because, I don't know, let's face it, life can get even crazier than a season finale of Grey's Anatomy. And now here we are, opening up the friendship circle. To you. Someone's cheating? We've got you on that. In-laws are in-lying? Let's get into it.

Toxic friendship? Air it out. We're on your side to help you with your concerns. Talk about ours. And every once in a while, bring on an awesome guest to get their take on the things that you bring us. While we may be unlicensed to advise, we're going to do it anyway. Listen to Call It What It Is on the iHeartRadio app, Apple Podcasts, or wherever you get your podcasts.

Hey, fam. I'm Simone Boyce. I'm Danielle Robay. And we're the hosts of The Bright Side, the daily podcast from Hello Sunshine that is guaranteed to light up your day. Every weekday, we bring you conversations with the culture makers who inspire us. Like our recent episode with dancer, actor, host of Dancing with the Stars, and now novelist, Julianne Hough.

I feel really whole. I feel like the last few years I've really unraveled a lot, which is part of what this book is about. And I really feel so content, which is a word that used to scare the crap out of me. And I love that word now. Listen to The Bright Side from Hello Sunshine on the iHeartRadio app, Apple Podcasts, or wherever you get your podcasts.

Hey, it's Mike and Ian. We're the hosts of How to Do Everything from NPR's Wait, Wait, Don't Tell Me. Each week, we take your questions and find someone much smarter than us to answer them. Questions like, how do you survive the Bermuda Triangle? How do you find a date inside the Bermuda Triangle? We can't help you, but we will find someone who can. Listen to the How to Do Everything podcast on iHeartRadio. Let me ask you this. Does bone density...

play a part in whether or not your joints are going to last? Yeah, not really. That's super commonly asked or confused. And I think the reason why is the word osteoporosis sounds a lot like osteoarthritis. I was going to ask you about that. It's very confusing. Osteoporosis, osteoarthritis. What is the diff? Yeah.

Osteoporosis refers to a bone density problem, lower bone density.

And it's a, you know, you get to a certain level of bone density below kind of, for lack of a better description, what it should be. You have osteoporosis. So that refers to lowering of your bone, the density of your bone mineral. So it's essentially, you know, like your bones are sort of weaker. Common, you know, more common in people as they age. And in particular, the most common demographic would be, you know, older women, right?

because of the hormonal changes that happen after menopause. So that has a huge impact on your bone density. Not to say that men can't get it or but but yeah, and the classic would be like lower, lower weight, older women.

Whereas osteoarthritis is a condition that refers to wearing out or loss of cartilage. And cartilage and bone are totally separate tissues, despite the fact that articular cartilage,

which is the main type of cartilage we're talking about today, sits on top of the bone in the joint. So like in the hip, the ball, the bone has a layer of articular cartilage and the socket has that layer too. And the friction between two normal cartilage surfaces that are lubricated by a normal joint fluid is incredibly low. But that whole situation doesn't have anything to do with the bone density. Mm-hmm.

Yeah, I think you were the first person that told me I had osteoarthritis. You said it so gingerly, too. You were like afraid to tell me I think that I had arthritis, which I think was a good decision because, yeah, I was like, what? Yeah, I don't know. I mean, it's...

I can't recall that specific, but I would say sometimes people just don't like that term, especially like when I'm seeing a younger patient because they just kind of classically associate that with like an older person's problem. So oftentimes rather than just say, oh, you've got osteoarthritis, I just say,

Well, your cartilage is wearing out and kind of explain the condition more rather than just label it. Yeah, yeah. Yeah, nobody wants to hear that they've got arthritis, but most of us are walking around with arthritis. I'm sure the number one question that your patients ask you is, well, maybe not, but

How long are these hips going to last? Am I going to have to get a hip replacement on my hip replacement? Yeah, that's a really good question. And it's a common question. And we've talked about that, I think. But best way I can describe it, and a lot of times I think we, like we as a profession, like, you know, surgeons, we don't do a good job with this. Like, to be quite honest, it's easier for us to just say, oh, 20 years, 30 years. But those are all guesses. And so what I mean by that is,

materials have improved a lot. And that's a great thing for, you know, somebody, especially like you who's younger and active. And so what I usually tell vision is first answer is I don't know how long it's going to last, but that's good. Here's, here's why. The reason I don't know is if you go back to materials that were used, you know, probably over 20 to 25 years ago that were the most commonly used things using very special techniques, which I won't get into the details of,

we can detect the very first tiny amount of wear starting even at year one after surgery. Now, it's not something you would see on an x-ray, but again, using a special technique that we mostly use for research purposes, you could start detecting that.

There's wear and tear on my new hips after a month? No, I'm saying this is materials used back- A long time ago. Over 20, 25 years ago. Okay, got it. So in those cases, you were seeing that very early stage of starting of wear and those hips would go on to do well for quite a long time after that. With more modern materials-

which started being used around the year 2000 and became, you know, within five years of that really commonly used. And even since then, there have been some additional modifications and improvements. But if you look at those and you look at the in vivo, which means in people data using those same very special techniques,

We can't even detect that first little bit of wear that we used to detect at year one. And now we're at over year 20. So that's good news. That's good news. Very good news for everyone, particularly, you know, young, active people like you. Yeah, because, you know, I got no interest in having my hips replaced again. It wasn't the worst thing ever. But yeah, I wouldn't I wouldn't be like, yeah, I'm getting my hips replaced again.

Yeah. And, you know, it would never be the right thing for somebody like me to tell a patient, oh, you're never going to need to have it done again. But, you know, because I can tell you now, here's what the data is that you're, you know, in the early year 20, 22, whatever. But I don't know what's gonna happen year 30, 40, 50. And, you know, with a young patient, we assume they might live that much longer. So but it's very encouraging. Like it certainly is possible that, you know, even a young person may go their whole life without needing another surgery.

Well, you better stay in the business a lot longer because I don't plan on going to anybody else for my next joint replacement. Just you. I appreciate that. And I don't plan to go anywhere. I love my job. I feel very lucky that I get to do what I do. Oh, I love that. I'm so glad you love it. Before I let you go, I would like to ask you in the name of this podcast, what was your last I choose me moment? Give me a good one. I don't know how good it's going to be.

It's sort of happened. It sort of hasn't happened yet, but it's actually something I did today in preparation of something that's going to happen. But my kids go to or they attend a school that has a different start date than a lot of schools in the area. So it's a little bit of a tradition where my wife and my kids go to Disneyland at the end of the summer during a weekday and

kind of like a little family day, you know, spend together before going back to school. And I don't usually go. I'm very busy. I work a lot. Sometimes I think that maybe too much, but anyhow, my little girl asked me if I was coming. And so I decided to arrange my schedule so that I'd be available to spend the day with them. So kind of,

you know, decided that that would be a good priority for, for me, you know, just to be able to kind of spend the day with them during that time rather than, you know, do one more other thing. Oh, okay. So in choosing to spend more quality time with your family, that is an I choose me moment for you because you've had to be absent because of your line of work.

Yeah, I mean, well, I think there's a lot of times where a lot of these experiences I miss. And so basically, I suppose I was kind of for me choosing not to miss this one. I love that. That's very nice. Thank you, Dr. Taberi, for joining us today. Absolutely. Thank you. I hope we helped a lot of people today. Me too. So, yeah, I'm still on this journey, this hip journey. Yeah.

I'm learning every day to accept it and to love my body and to love my scars. Like, you know, it's kind of daunting to put on a bathing suit to begin with, but it's also, you know, showing my scars to the world. If that's a real like sort of...

head trip and you really need to choose to accept it and, and love your scars. And that's where I am right now. I'm still recovering and you know me, I'm not stopping. So this is going to go well and I'm going to be full throttle, full steam ahead.

because that's just the way I am. But it felt really good to share that with all of you. We're such a united community and I love getting to open up to all of you on this intimate level. And thank you to Dr. Taberi for coming on the podcast and giving us all that amazing insight. As we continue to choose ourselves each week, I want to really try something this week with you that I've implemented in my life.

When was the last time you spent time stretching? I enjoy doing it. I do it every night. It's part of my wind down routine before I go to bed. Sometimes I do it in the middle of the day. I have a mat, I put it out and I just stretch my body and it feels so good to get in those muscles and get in those joints and create some space and get that blood flowing to places where it's maybe cut off.

So maybe you're a morning person. You want to do it after you have your morning coffee. Maybe you like to do it right before you go to bed, regardless of when you do it. This week, I want to challenge you to try and get in touch with your body and have some me time stretching. It sounds so simple, but so many of us I know aren't doing it.

Give it a try this week and see how you feel. I bet you are going to feel great and you want to keep doing it. Thanks for listening to I Choose Me. You can check out all our social links, take a look at our show notes and follow us and rate us and review us because they love it when you do that and I love hearing from you. Remember to use the hashtag I Choose Me. I will be right here next week and I hope you will choose to be here too.

This election season, the stakes are higher than ever. I think the choice is clear in this election. Join me, Charlemagne Tha God, for We The People, an audio town hall with Vice President Kamala Harris and you, live from Detroit, Michigan, exclusively on iHeartRadio. They'll tackle the tough questions, depressing issues, and the future of our nation. We may not see eye to eye on every issue, but America, we are not going back.

Don't miss this powerful conversation with Vice President Kamala Harris. Tomorrow at 5 p.m. Eastern, 2 p.m. Pacific on the free iHeartRadio app's Hip Hop Beat Station. Curious about queer sexuality, cruising, and expanding your horizons? Hit play on the sex-positive and deeply entertaining podcast Sniffy's Cruising Confessions. Join hosts Gabe Gonzalez and Chris Patterson Rosso as they explore queer sex, cruising, relationships, and culture in the new iHeart podcast Sniffy's Cruising Confessions.

Hey friends, I'm Jessica Capshaw. And this is Camilla Luddington. And we have a new podcast. Call it what it is.

You may know us from Graceland Memorial, but did you know that we are actually besties in real life? And as all besties do, we navigate the highs and lows of life together. Big or small, we're there. And now here we are opening up the friendship circle to you. Listen to Call It What It Is on the iHeartRadio app, Apple Podcasts, or wherever you get your podcasts.

This season on the new podcast, Rip Current.

Hear episodes of Rip Current early and completely ad-free and receive exclusive bonus content by subscribing to iHeart True Crime Plus only on Apple Podcasts.

Do you ever wonder where your favorite foods come from? Like what's the history behind bacon-wrapped hot dogs? Hi, I'm Eva Longoria. Hi, I'm Maite Gomez-Rejon. Our podcast, Hungry for History, is back. And this season, we're taking an even bigger bite out of the most delicious food and its history. Saying that the most popular cocktail is the margarita, followed by the mojito from Cuba, and the piña colada from Puerto Rico. Listen to Hungry for History on the iHeartRadio app, Apple Podcasts, or wherever you get your podcasts.