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It is possible to be Happy (at times) and in pain. You may need to adjust your life style and learn to accept that. Dont give up on seeking MDs and treatments for AVN that will improve your quality of life. Once you've done your best to solve the AVN puzzle, then it is up to you to find some happiness. I think it starts with liking who you are ... find a way to be happy with "who you are" !! Unfortunately I believe the quality and cost of healthcare and your healthcare insurance can greatly impact the Happiness factor!