Dear kneeproblem, marthajean, jk, and all -

In my own case (thankfully - not any of yours), I had an obviously "oversized" upper section
of the prosthetic... which was steadily denied by the original surgeon, but then he sort of
"pointed me in the direction" of the surgeon who ended up doing my revision (because of
the oversized upper component)... and later I learned that a significant amount of his business
was revisions of this surgeon's original surgeries. My wife (an RN) learned this from nursing
staff who are also members of the same local gym we go to. As I talked to others locally who
had these sorts of problems - requiring revision, I found it was common that local surgeons
had this sort of "arrangement" with other local sugeons. Around here (in Oregon), most of
the sirgeons don't do their own revisions - tending to insist nothing is really wrong... and that
it will eventually "get better".

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Compltely different subject.... I wonder if people who tend toward an overactive inflammation
response (which is the immune system) share a common genetic heritage. Per my previous,
there isn't much incentive for surgeons to learn more about how to spot higher risk patients
or persons who are genetically predisposed toward greater than usual inflammation response
(which would definitely complicate - if not prevent "a normal recovery").

The reason I bring this up is because I just did that 23&Me testing and have significant
Neanderthal inheritance (yes, I know that some gals think we are all "cavemen", but I'm
being serious). Just FYI - many Western Europeans do have significant Neanderthal
genetic inheritance (no eyebrow ridges, but ?). Anyway... I would be interested in any
person's further comments - once again... who has a greater stake in finding a solution,
than people who are having these problems ? Personally, I think at some point they will
isolate common characteristics which identify elevated risk - and maybe solutions. The
answers are probably in our genes, blood and other body chemistry. Discussion of this
can only help educate us all further... and thanks for your input, comments, or questions.
https://www.livescience.com/56567-your-ancestry-influences-inflammation-levels.html
Thanks - and best all,

John