Sorry for the typo. Actually, I had a total hip replacement in 2022. The cardiologist I had then didn't hesitate to approve it and that was the hospital that provided my care from 2014, including 2 open-heart surgeries and the bout with endocarditis. Unfortunately, he retired and there were several other changes that prompted me to change hospitals. I had thought that the hospital system I was moving to would be more progressive than the previous one, but it turns out that despite being a research hospital and affiliated with a medical school, they are cautious to a fault and quick to say "no" if there is the remotest possibility of risk. I think my new cardiologist is attempting to make sense of my records by conducting his own tests, but if he's satisfied that I can have the surgery, I'm not sure he will grant the approval to an outside surgeon and the one within the same system that does TKRs may be hesitant to perform it if my meeting with his NP is any indication. I know I need to be patient, but it's hard to be patient when I cannot sleep at night and thinking about what that must be doing to my heart. This morning, I had my first fall because of this. I had only been able to doze a few minutes before the pain would wake me up. Finally, I sat up on the side of the bed and promptly fell asleep and fell to the floor, getting caught between two pieces of furniture with one arm twisted behind me. Nothing was broken, but I wasn't sure I could get out of that mess. After several minutes, I was able to do so, but then came the problem of getting up from the floor due to the bad leg. Luckily, I was able to reach my phone and call 911. Three guys from the fire department got me up and I was ok--this time. I've been begging for some kind of help here, but the doctors all appear to care more about their protocols and being careful so they don't get sued than actually doing something to help.