I have an orthopedic condition called osteonecrosis or avascular necrosis (AVN). AVN is a painful and debilitating bone disease that typically affects long bones, is caused by a loss of blood supply to the bone, and can lead to bone degeneration and the collapse of joint surfaces. AVN can happen for many reasons. In my case it was the result of medications — steroids —given for a misdiagnosed condition of Multiple Sclerosis (MS) in 1994. That was my third strange neurological episode over several years of what was suspected to be MS, but never confirmed. Since then I have had over 24 orthopedic surgeries, most complicated to stabilize my bones. As such I have become an activated empowered patient to the best of my ability. Although I live in California, I travel the country for medical care, but most of my doctors are in Colorado because I found a fantastic facility dedicated to keeping patients active with a keen awareness of keeping your body strong. I have found far less success with orthopedic specialists in California, and that includes the "top facilities".