Note: This is going to be a bit dense, probably in all senses of the word, since I have few pictures and am by far not an expert on any of this. This is just to talk about what I went through mostly so I can remember some of the details later. Additionally, I'm going to work really hard to avoid trying to cram in a bunch of hip-related puns and jokes, even if they practically write themselves.
Back in July of 2024, I had arthroscopic meniscus surgery on my left knee, with the goal of making it not hurt as much as I ran my 5Ks. That went well and seemed to work - I had a lot less pain in that knee.
| My knee surgery is done! My crutches are huge! |
Somewhere around July of 2025, I started having pain in that knee again, as well as a bit of pain in the left hip. I figured I had pulled a hip muscle or something like that, so I started taking it easy to let it heal.
It didn't heal, and the knee seemed to get worse.
Even just walking around could make it hurt, although it did seem to get better after it got warmed up a bit. This knee pain didn't feel like the partially torn meniscus issue I had had previously - wearing a knee brace didn't seem to help much, for example. I did try using a foam roller on the hip, with mixed results; sometimes it would feel better when I was done and other times it didn't feel any different. At least it never felt worse.
After hobbling through the Brazen Racing New Year's Day 5K (the hills, mild as they are for that course, really ate me up), Mrs Notthat was able to talk me into seeing my knee doctor to try to work out what the issue was. (As a complete surprise, it turns out I can be stubborn and keep putting off what obviously needs to be done. I have no idea where I keep my big boy pants.)
At the doctor, I was still focused on the knee, and was given a cortisone shot to see if that might help (it didn't). As the doctor watched me climb up and down from the table, he noticed me grimacing when I really shouldn't have been, and the idea was hatched that possibly my knee pain was just being referred by a hip issue, which could be the root of the issue.
Look, I'm not a doctor and I understand little about how the body works, but it seemed a bit of stretch that a hip issue could make my knee hurt like that. Fortunately, I listened to him and scheduled a hip x-ray along with the MRI for the knee.
When I came back for the x-ray and MRI, the x-ray was first. The doctor all but giggled when he saw the hip x-ray - it was a classic case of an arthritic hip causing all sorts of chaos. The knee MRI was cancelled and I was referred to Dr Bonner, a hip replacement specialist at SAH Orthopedics. An interesting thing that also happened at this point was that I was issued a Disabled Parking placard.
| At first I felt like an imposter using this, but as the hip degraded, this became a lifesaver. Granted, about half the time I tried to use it, the spaces were filled. |
A "my best guess" thing: While my left hip was in awful shape, my right hip was in really good shape. Why just the left hip is a pretty good question. I never thought to ask any of the doctors, but here's my guess. When I first started doing races sixteen years ago, my right knee had a partially torn meniscus. I found that if I wore a knee brace, the knee largely was not much of an issue. My guess is that it really was still an issue, and I was compensating a bit. Doing that for a bit more than 450 races (5K to 100K) meant that even a little bit of compensation would gradually add up.
I started using a cane a lot - there is an astonishing place in San Carlos called MELP (Medical Equipment Loan Program) where I was able to pick one out for free. (I ended up needing a number of things, like a walker, a shower chair, and an elevated toilet seat - these I was able to get from a friend.)
In early March I met with Dr Bonner at his Washington Health office in Fremont and he concurred - the hip was wildly sub-optimal. Shortly afterwards I received a binder full of hip replacement information (I was getting an anterior approach total hip replacement) which started to lay out what exactly lay ahead of me.
It was a lot.
Surprise dental thing: I never had any idea how dangerous dental cleanings were! I was not allowed to have my teeth cleaned or have any kind of dental work done for two weeks prior to surgery and for three months after the surgery. Bigger surprise - I have to take antibiotics before any dental cleaning or dental work from now on. Wow!
At the end of March I had my pre-op visit with Dr Bonner and I was all set - the surgery would be in late April, and it would be outpatient surgery (assuming all went well - spoiler alert; it turns out one should never assume).
| This is not an x-ray of my hip, but does give a good idea of all the bonus hardware that's going to be installed (and how much existing bone is going to be removed). |
Between then and the operation, I had a wedding to attend, a long-planned river cruise to survive, and I would get to prepay Mrs Notthat for the care she would be giving me by giving her care for a shoulder surgery she needed done between the wedding and cruise. Then, since things weren't exciting enough, our exterior house painting, which was scheduled for mid-to-late May, was moved up to mid-to-late April - right around my surgery.
(Honestly, moving the house painting forward was likely a good thing since, while I was pretty hobbled, I could still do most of the work I needed to do to prep the house for painting. I would not have been able to do any of that with the original dates since I would be post-surgery with all kinds of limitations.)
The wedding went well, Mrs Notthat's surgery went well, and the cruise went well, although I had to skip some of the excursions since they required more walking than I could manage by this point. We got home from the cruise, and I spent the next day readying the house for the painters (taking down lighting, cameras, aggressive shrubs, and stuff like that).
Enough - let's get to the surgery
On Friday, the morning of the surgery, we had to arrive by 5:30 AM. I had to shower the night before using a special scrubbing sponge with special soap ("do NOT get it in your eyes"), then get up early Friday and do it again. It was an astonishingly early morning. I was not to eat anything, but I could drink plain black tea, so I did that.
That tea was a mistake.
On the way to Washington Health, I started to get a bit queasy (I'm a small bit prone to carsickness, but mostly my stomach can be unhappy with caffeine when it's empty). About a quarter mile from the hospital, it got to be too much - Mrs Notthat pulled into a parking lot and I opened to door and, well, got rid of the tea.
Just great.
After that tummy reset though, I was fine. We checked in, I went into pre-op, and Mrs Notthat was left to her own devices for a long few hours.
I don't remember much useful about the pre-op period - a number of people made marks using a purple pen on various parts of my body (most importantly to mark up the hip that was to be worked on).
I brought a book to read since I guessed that I would spend a lot of time just sitting and waiting for things to happen (I had left my phone with Mrs). I think I may have read a whole page. One person after the other would come in, ask my name and birthdate, why I was there, and whether I thought the Giants would make the World Series. Seriously - I lost count of how many times I was asked my name and birthdate. More marks would be made on body.
Eventually I was rolled into the operating room. The coolest thing was that Hey Jude was playing. That was followed by a song I didn't recognize, probably because it was from this century. The anesthesiologist gave me an epidural (my first ever!), then something else, and that was it. I remember nothing else from that room.
In the recovery room, I woke up and was surprised it was all done. They kept an eye on me for an hour or so. (Another first that I can go a lifetime without having to experience again was having a catheter threaded up my private part into my bladder to drain it. Who was the first person this was tried on? Yikes!) (Oh, and spoiler alert, I did not get to go a lifetime without having to experience this again.)
A "nurses don't get paid nearly enough" thing: How special are the people that unflinchingly will do something like shoving a catheter tube up some random guy's junk? I've got to believe they all have some stories to tell. I tried very hard to act like this was no big deal - it happens all the time - but they had to know that I was extremely anxious about this process (my heart rate had to have spiked a bit).
Eventually they were satisfied that I was doing OK and they rolled me into a more normal hospital room, and finally, Mrs Notthat could join me. It was still morning, and there was a chance I could get released shortly after noon, but not before I got to eat an official hospital lunch! (Another first for me!) Shortly after the lunch, I was able to get dressed, putting back on what I had worn into the hospital that morning.
| In my room, all dressed, hanging out in a recliner that was wildly fussy. |
I was in surprisingly little pain. I was using a walker to get around a bit, including a few walks up and down the hallway, but mostly to go sit on the toilet to try to urinate - this is a big test you have to pass before they will let you go home.
It turned out to be a test that I failed for a very long time.
One affect of the epidural is to make the bladder stop working. If your bladder isn't working, bad things can happen, so they won't let you go until you can prove it's working. We ended up spending all afternoon waiting for the bladder to start working. I drank all manner of fluids to try to encourage it to work (which in the end may have been a bad idea). It was really getting frustrating.
Questions I thought to ask the Dr: Which weighs more - the bone bits you removed from me or the shiny new bits you installed? In other words, will I lose or gain weight? (The answer was that I would gain a small amount of weight, maybe a pound or so.) The second question was whether people ever ask to keep the chunk of bone that was removed? (The answer was yes, all the time. And no, you can't have it.)
I had an official hospital dinner, although the shine had long since worn off the novelty of that. By 8 PM or so, it was becoming evident that there was a good chance I was going to have to spend the night. Both Mrs Notthat and I were exhausted, having gotten up so early, and so we decided that she should go home and try to get a good night's sleep and I would hang out, continuing to try to get the bladder functioning.
So there was another first for me - I had never spent the night in a hospital (as a patient - and I'm not counting when I was born). I had not come prepared for staying the night - I didn't bring any pajamas or a second set of clothes; just what I had worn in that morning, which fortunately, worked out OK for pretend pajamas.
I've always heard that trying to sleep in a hospital is nearly impossible. I had these things on my calves that would periodically inflate, then deflate, I had an IV, and a monitor or two all connected to me (if I rested my hand relatively high for very long, that would set off an alarm). Lots of lights, lots of beeping things, and my calves getting squeezed every few minutes made sure I was not sleeping. At 10 PM it sounded like an addition was being worked on across the hall. Just after midnight, a new nurse, perky as can be, came in and said good morning. They needed to do some tests. Always with the tests.
By 1 AM or so, it was decided that they needed to empty my bladder using a catheter again. Sheesh. After that though, I was left alone for nearly three hours, and I was actually able to get a bit of sleep. Not good sleep, but I was up for whatever I could get. (Note that this actually included being able to lay on the side with the incision!)
A little after 4 AM the nurse came back in and something amazing happened - I felt a reasonably urgent need to urinate! I waddled into the toilet and peed into a container. It. Was. Glorious! (Another thing that happened at about this point was that I could suddenly feel a bit of pain. The epidural had indeed worn off finally - this was more like what I had expected.)
I dozed off again then was woken up for a blood test and more of the normal checks. And I peed again!
Breakfast was brought in, Mrs Notthat was able to show up again, and it was looking rosy for me to get to escape. They wanted me to pick out my lunch sandwiches (they were going to let Mrs Notthat have one too!), but I thought it was a waste of time since I doubted I would be there long enough to get them. (I thought wrong on so many things!)
The new issue was that, yes, I was peeing, but the bladder was still quite full. They did not want to release me until the bladder was at a safe level. I was continuing to pee, and was even getting better at larger volumes, but there was still concern.
It was starting to get frustrating again. The sandwich boxes were delivered and we ate them. Finally, a bit before noon, it was decided that it would be safe to let me go. A physical therapist talked me through some exercises I would have to do and showed me how to get in and out of bed. Finally, I was loaded onto a wheelchair and rolled out the front door, where I was shown how to get into a car safely.
And we headed home. About 24 hours later than we had expected.
At the house
That first day home, Saturday, and the next, were mostly spent with me on significant pain pills, icing the hip, elevating my legs, wearing a compression sock on my left leg (this was a challenge to get off and on), doing the various exercises, and getting used to using the walker and raised toilet. I did fine getting in and out of bed. On Sunday I even took a shower, sitting down style.
| I added a "trunk" to the front of the walker (a frunk?) to help with carrying things around. Mrs Notthat was not impressed. True story - Princess tried to take the tennis balls off the walker legs. |
One wild card was going to be our dog. Princess is an elderly, neurotic, surprisingly energetic little thing. We have had to have a baby gate blocking her access to the back half of the house since she has a knack for getting into the kitty litter box and a reputation for peeing in very unacceptable places. The walker was not compatible with the baby gate, which meant the gate had to go (we used it to block off her access to the kitty litter box) - Princess, for the first time ever, had nearly full access to the house.
She loved it once she got used to it. We have a tall bed, so she had to learn how to get up on it (which bugged the cat since he thought only he should have that skill). Princess did OK other than often waking up too early and whining that we were not also awake.
| Princess and Mango hanging out with me on the bed. |
On Monday my home health physical therapist came by. He explained a lot about what I was going to have to do post-surgery (lots of exercises and rest), and what not to do (well, just about anything else that I might want to do). He came by three more times over the next two weeks, adding more exercises, retiring a few, and mostly just telling me that I was doing great.
A reminder thing: The outside of the house was still in the middle of being painted. When I showed up from the hospital, they were still doing repairs and prep work. And then it started raining. They lost two whole days to a storm that was supposed to be minor but decided to be moderate. It was really frustrating to be in the house and not be able to go out and see how it was going (which was likely a good thing for them).
Two weeks after the surgery, we went back over to see the Dr and get fresh x-rays done. He was thrilled with my progress - everything looked great. The fun thing was that I no longer had to wear that compression sock on my left leg (Mrs Notthat cheered), I could start icing only when needed, and I could start ignoring a few of the exercises (don't worry, more would be added).
I had started gradually reducing the amount of hydrocodone I was taking during the middle of that first week, and was completely off of it by early in the second week. At this point I was relying only on ibuprofen and acetaminophen, and even that was winding down by a lot. The only real pain issue I was having was when sleeping, and I eventually figured out that none of those drugs did much to help me with the aches I would feel while trying to sleep - I'm just lousy at sleeping.
| The scar at three weeks - it's just under four inches long. There were no stitches or staples - apparently just some glue. |
My next appointment is at the six-week point after the operation (which is amazingly next week). I've put the walker away but still use the cane most of the time, although I do catch myself getting up and forgetting to grab it. I'm at the point where I have to be very careful not to overdo things, but at the same time, I do still need to gradually start doing more. Several times I've done something that I thought was not a big deal only to find myself exhausted.
But it's all getting better. We went to a movie. I waddled out to the start line of the Sunnyvale Bay Trail parkrun (a case where I may have done a bit too much, mostly due to all the standing around I did there). I made a quick trip to the grocery store.
The best thing is that, while my hip is still a bit sore from the surgery, my knee no longer has any pain! I am still a bit dumbfounded by that. I'm told that long term, I should be able to walk normally and as much as I want to, but I should not entertain notions of running as that, and a few other activities, can prematurely wear out the fake hip bits, which could lead to having to do this all over again.
I'm more than OK with that.
That's it - move along (using a cane if need be)…
PS: One thing that'll be new is that from now on I will likely have to get a bonus security check whenever the TSA are involved. They already seem to target me anyway.

















