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Alan Barnes MBE - updated - FOUR YEARS ON

     
The Hip Resurfacing gave me back my life. As I said after ten weeks I could do everything but run properly. To be able to run properly took a year. Darren Fern the surgeon, who was brilliant, told me that it was because the muscles needed to learn how to trigger again.

I have played a game of beach football, rowed sailed dinghies and used the small 11 foot inflatable off the lifeboat. I have not experienced any problems with the hip, nor have I had a moment of pain from it since the operation. Two summers ago Tricia and I toured Southern Ireland on the motor-bike. We had a fantastic time, what lovely people.

Life has been good to me. I have been able to fully serve my time with the RNLI with no restrictions; the hip has stood up to some very bad weather. I’ve had no reason to doubt it. It’s very resilient and doesn’t get sea sick!   Falmouth Lifeboat Station had the honour of Her Majesty the Queen naming our new lifeboat, “The Richard Cox Scott” at the start of her Golden Jubilee tour.
  Case Study - Alan Barnes
     
I was then coxswain of the boat taking the Queen and HRH The Duke of Edinburgh for a trip around Falmouth Harbour.

The award of the MBE in the Queen’s Birthday Honours list has honoured me. I finally finished with the RNLI on the 18th of July this year, after 28 ½ years service.
     
There is no doubt that the final 4 ½ years wouldn’t have been possible without the Hip Resurfacing. Tricia and I believe that I have been extremely lucky to get this chance. I owe huge vote of thanks to Corin and Darren Fern. We look forward to a long and active retirement. Thank you.


Alan Barnes MBE - July 2005
  RNI Lifeboat
 
When Alan Barnes leaves home on a Sunday morning to go down to the quay in his hometown of Falmouth, it’s no ordinary boat he is getting ready to take out in the waters around the coast of Cornwall. Alan is Coxswain of the Falmouth Lifeboat, the largest boat in the Royal National Lifeboat Institute’s fleet of offshore rescue vessels.
 
Although Alan’s full-time job is as Media Resources Manager at the Higher Education Centre in Falmouth, he is on-call 24 hours a day, and can expect his pager to call him out on a “shout” about 25 times a year. Day and night, and sometimes in the most appalling weather conditions, the RNLI crews risk their own lives to assist vessels in trouble around the UK coastline.

Alan has been involved with the Falmouth Lifeboat for 26 years, and was elected Coxswain by the other members of the crew in 1991.

Since the Falmouth Lifeboat Station was established in 1867, lifeboat technology has changed greatly, and today Alan is in charge of the Richard Cox Scott, a 17 metre Severn Class all-weather lifeboat, which bristles with advanced location and rescue equipment. Ten medals for gallantry have been awarded to Falmouth crew over the years, and in 1995 Alan himself received the Thanks of the Institute for his “high standard of seamanship and leadership” when rescuing the crew of two from a catamaran which was dismasted and had a fouled propeller in gale force winds and high breaking seas.

His attitude to those who need to call on the services of the RNLI is typically philosophical. “No-one ever goes out meaning to get into difficulty. I never judge anyone – we’re just there if we are needed. I feel very privileged to have had 26 fantastic years with the RNLI, serving the public and those working on the sea” is the way Alan sums up his passion for the sea, and for helping those in trouble.

But in recent years, it looked like Alan would have to give up his position with the RNLI, after arthritis of his hip proved more and more debilitating, to the point where he could no longer safely carry out his duties.

“For me things got progressively worse over a two-year period. First it was pain when I tried to get out of bed in the mornings. This was followed by pain towards the end of a working day. As time went on this got progressively worse. After two years I had an X-ray, which led to the appointment with Mr Fern”.

One of Alan’s other passions in life is riding his 1000cc BMW motorcycle. “By now it was a major job to get off my motorbike, followed by the agony of getting the hip to “click” back in place so I could walk. I did lots of swimming, as it seemed the only thing that kept the joint at all loose. Just before the appointment for the operation I knew that it was hospital or give up the bike, and worse still the Lifeboat. I was becoming unsafe onboard in heavy weather and I wasn’t prepared to allow myself to become a liability to my crew”.

Alan was eventually referred to an Orthopaedic Surgeon at the Royal Cornwall Hospital in Truro. “He told me that I needed a hip replacement, but that I would not be able to go back to the lifeboat” recalls Alan. “I replied that surely in this day and age, medicine and science must be able to offer me something better than that!”

His surgeon went on to explain that a relatively new type of hip replacement, developed by a British company in Cirencester, would enable Alan to get back to near-normal activities, and certainly back to the lifeboat, but that it was not approved for use in the local Trust at the time. “I don’t care” responded Alan, “if it can get me back on the boats, that’s what I want”.

“The limited range of movement and high dislocation rate of conventional hips caused concern” explains Consultant Orthopaedic Surgeon Mr E D Fern. “Alan would inevitably get into situations where his hip replacement was in danger of dislocating, or worse, fracturing around the stem if he fell in rough seas in wet conditions. Almost by definition, he was unlikely to be at sea unless the weather was foul! I felt that he would be a danger to himself and others if he slipped at a critical moment and ended up needing urgent medical attention himself. The immense stability of the Hip Resurfacing would allow him to forget that he had an artificial joint, and be able to concentrate fully on his own safety, and that of his crew.”

So a couple of months later, as a result of sheer determination by patient and surgeon, Alan was admitted to the Royal Cornwall Hospital for his Hip Resurfacing operation.

“The first day after the operation, I was up on crutches, but feeling a bit sore and bruised” recalls Alan. “On day two I walked along the corridor, and went home five days after the operation. I think from then on, my recovery was down to sheer determination to get back to normal as quickly as possible, and that was the key. I only used two crutches the first time I walked - it was actually easier with one. Ice packs helped reduce the bruising and swelling. I did a lot of exercising specifically to get my muscles working again, including doing leg lifts lying on my side every day, and well remember on the fourth day home being able to lift my leg off the bed and move it in and out for the first time”.

“I believed that after the operation what I achieved would be down to me, and that I had to avoid as much muscle wastage as possible. I did push myself and yes it hurt but it was well worth it”.

“Two weeks after coming home I was able to drive the car. The staples were out of the wound and the swelling and bruising nearly gone. Five weeks on I persuaded the local hospital to give me a walking stick and ditched the crutches, great. After six weeks I moved a lifeboat out of a boatyard after repair, fantastic even though it was only a half a mile trip. Then I was lucky enough to have a trip up river on a local tug. The ladder down the jetty was the hard bit. But if you think and plan you get around the obstacles sensibly. Both these were trips on flat river water. After eight weeks I started swimming again”.

“ My goaI was to regain the strength to get on and off the motorbike. I knew that if I could do that I would be ready to go back onboard the lifeboat”. He decided that his personal criterion for getting back to work would be that if he could ride his bike to Poole and back without any pain, he would be ready for work again. “I did the 200 mile ride nine weeks after the operation, and went back to sea the following week”.

“We then went to Antibes in the South of France for a week. I walked right around the Monte Carlo grand Prix Circuit. I came back and presented myself for the RNLI medical I needed to go back to sea – fantastic, no problems. Two nights later the first Lifeboat call. It was great to be back!

“I could do squats, stand on either leg, even trot. What took almost a year was to be able to run properly. A year on though I did play a game of beach football, and scored a goal!

Alan’s wife Trish explains the impact that his arthritis had on both of them. “We had planned to travel round Europe on the bike when Alan retires, but that plan had disappeared because of the arthritis. Not only was he in constant pain, but also the disease had taken away some of the most important things in his life – the lifeboat and his motorbike. The difference is absolutely amazing. He’s back to normal and enjoying life just as before. It’s made so much difference to me as well. And we are again planning our trip around Europe on the BMW in a few years time”.

“Life is great, well worth everything I went through” is the way Alan sums it up. “ Tricia and I enjoy country walks, which we can now do again. This summer we’re going to Southern Ireland on the motorbike. I recently had the great honour of Coxswaining the new Falmouth Lifeboat with HM the Queen and the Duke of Edinburgh on board when she named the boat at the start of the Jubilee tour”.

“I can’t thank Corin, Mr Fern and the staff of Treliske Hospital enough - you gave me back my life”.