 I have known the family of Mrs. Eshodhamma for many years now. Ms. Tara, Eshodhamma's daughter, has been consulting me for many years. I have known the family of Mrs. Eshodhamma for many years now. Ms. Tara, Eshodhamma's daughter, has been consulting me for many years now. My son has been in the hospital for many years. I have been in the hospital for many years now. Outdoor operation. We are working on this. We know that it is a patient and the doctor is at an emergency. After that we are working on that operation. So how I told him that he is suffering from an operation. And we will discuss it later. Then we will see the doctor performing that operation in the central hospital. At the age of 58, I cooked with the Anganwadi programme and presented to me with severe pain both knees. and was diagnosed with severe grade 4 osteoarthritis of both her knees, we offered her a bilateral totally replacement to reduce her pain, increase her mobility and improve her quality of life. She underwent staged bilateral totally replacement at Manipal Hospital Jainagar, a year and a half ago. Her post-operative recovery was uneventful and she quickly resumed her profession. She greatly benefited from totally replacement like most patients do. A week ago she came to my office with her daughter Tara for Tara's backache and casually told me she visited Tirumala. I passed it off initially thinking she may have gone there by car but when she told me she walked up 3400 steps she caught my attention. She showed me the video and she was climbing like anyone else. It may not have been the wisest thing to do. She never took my consent for that. Having taken the stairs up to Tirumala myself about 6-7 times I know it's no easy task to scale 3400 steps. However, when Mrs. Ashodhamma told me that it was a pre-emptive prayer that she would climb up to Tirumala if her surgery went well I was speechless and couldn't stop admiring the grit and determination of this lady. When she came to my office, she told me that she had done everything she had done. She told me that she had done everything in between. She told me that she had done everything in between. As a matter of fact, another patient of mine who is a lot older than Mrs. Ashodhamma who used to restrict herself to her home would avoid social gatherings because of her knee pain and deformity Now goes up the stairs of Chamundi Hills on a regular basis after having both her knees replaced. Amongst people who have undergone total knee replacement and have restricted their activity to just essential walking and probably just a brisk walk in the park these people have taken it to a different level. Even today there is a stigma against knee replacement with the sentiment that the surgery has failed in people whom they know Many times I have seen patients who have been advised knee replacements and have ignored such advice for various reasons and landed up in a situation where they are now either unfit to undergo such kind of procedure because of old age or associated illnesses I have been in between but I have not been able to meet doctors who have been to Malathi Manipal Hospital or to any other hospital I have not been able to meet them I have been to Malathi Manipal Hospital and I have been able to meet them Mrs. Ashodhamma is a good example of how knee replacements change one's lifestyle for good She definitely will be an inspiration for people who are suffering from long term knee pain due to advanced stage of osteoarthritis to improve their quality of life