I said 'no' to the men with knives

The best decision Paul Flynn ever made was to cancel a hip replacement operation

Two weeks ago, Stewart Andersen wrote of the success of his hip replacement operation and celebrated his relief from pain. Here, the Labour MP for Newport West relates a very different experience.

"For chrissake. Don't do it. We're doctors. We kill people."

It was an extraordinary statement from a Harley Street surgeon as we sipped tea in the House of Commons Strangers cafeteria. He had come along to advise me on hip operations for an adjournment debate I had been granted in June 1993.

He had asked me about my own staggering gait. "That's why it's tea, not drink," I explained. "I don't use the bars here. When my fellow MPs see me ricocheting from wall to wall down the corridors, they know it's not the booze, it's arthritis."

Rheumatoid arthritis has plagued me since childhood, and 14 years ago I was forced to retire as a chemist because my hands were not obeying the messages from my brain.

Selected as candidate in 1986 for the then Tory seat of Newport West, my family cheerfully decided that PPC (Prospective Parliamentary Candidate) in my case meant Poor Pathetic Cripple.

So my interest in the subject was personal as well as professional. I was a few weeks away from a planned hip operation in my local Newport Gwent Hospital, to be followed by a knee replacement six weeks later.

My visitor shook his head sadly. "Can you do your job as an MP adequately?" he asked. Probably over-compensating, I have always been hyperactive, with a record-breaking parliamentary workload. "Then cancel the operation. You're too young at 58." I phoned the hospital and called it off. It was the best decision I ever made.

As a chemist I pride myself on knowing something about medicinal drugs. A good rough guide is that there are two categories: those that have nasty side-effects, and those that have nasty side-effects we have yet to discover. For this reason, for decades my body had been a drug-free zone.

The greatest sickness of our society is our belief that there is a drug for every pain, grief and shock. Our bodies are miraculously resourceful in creating their own painkillers. Very recently, we learnt that the brain creates a chemical identical to the active substance in cannabis. Our random highs of unexpected pleasure are free and legal.

Like millions of others, pain has been my constant companion, sometimes treacherous, sometimes merciful. You can take a painkiller and the pain might last an hour. It can also go away in 60 minutes of its own accord. It is my belief that the relief from pain is more to do with the body's own internal defences than with the external effects of a drug. In addition, pain is subjective and people perceive it in different ways.

For centuries, humankind has withstood the onslaught of pain without drugs or surgery; in recent years, drugs that produced multiple side- effects, such as Opren, have been withdrawn.

Drugs should be our last, not our first, resort. My hero is the man who underwent a vasectomy without anaesthetic, or discomfort. It is not stoicism or courage, simply a technique we can all use by playing mind tricks that deny pain the attention it does not deserve.

In a dentist's chair, I maintain my peace of mind by mentally composing my next speech. When sleep is blocked by pain, always magnified by the small hours, rest comes by imagining I am listening to a speech by John Major.

Later, when I had cancelled my operation, I saw the surgeon again professionally for a formal second NHS opinion. "While we would take every care of you at the operation," he said comfortingly, "there are risks associated with the surgery." There was a danger of a pulmonary embolism and always a chance of infection. He used the word "amateurs" to describe some of the non-specialist surgeons carrying out operations to boost NHS production targets. That might explain the increasing number of operations that have to be redone. As many as one in 10 has to be "revised" or, as he quaintly put it, "the wreckage has to be cleared up".

The object of my debate had been that the NHS has become obsessed with through-put figures at the expense of quality control. There is no way we consumers of hip operations can discover the success record of the surgeon, the infection rate of the operating theatre or the failure rate of the prosthesis. In Sweden, they have a complete record of all the protheses they have ever used. One type was put into 5,000 patients. They all needed revision operations within four years. The Swedes stopped using it.

The same thing might have happened here. There is no way of finding out. There are more than 30 different replacement hips hawked around by profit- greedy companies. One is different from the others because it is blue. The surgeon's personal advice to me was to work out when I planned to die and have a new hip installed 10 years before. He assumed my condition would continue to deteriorate.

For no reason I can fathom. my health has mysteriously and wonderfully improved. I have been almost pain-free for two years. My limp has gone. In the past month I have run for the first time in 15 years.

Like the seasons, the pain and infirmity will certainly return. The experience of a recent writer on this page prompted him to advise readers to seize the chance of a hip replacement operation and, of course, I wish him good health. But my advice is to stop taking the tablets and say no to the men with knives.