KNEEtalk

The OSTEOARTHRITIS DEPARTMENT => KNEE ARTHRITIS - Total Knee Replacement => Topic started by: knee deep in Goo on August 04, 2006, 05:33:52 PM

Title: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: knee deep in Goo on August 04, 2006, 05:33:52 PM
Well just came back from the OS and I have done everything that I could do to live a pain free life.  I knew this was coming.  So my next appointment is on Sept 11.  I know I am going to get a Gender Solution Girlie Knee in October.  It is going to be a total knee replacement.   4 Days in Hospital and 10 days in an Acute or Subacute care facility.

Also as a side note,  I managed to pull a hamstring muscle in my left leg and obtained a heel spur in my left foot.  I got a cortizone shot in my heel today.

I got a list of Acute and subAcute care spots. Want to check them out with my Insurance.  Thats all I can think of now.  Was pretty scared today waiting in the OS' office alone. But feel its for the better. Since my father seems so negative about a knee replacement.  Sure there are risks.

I held a  prostetic knee in my hand today. Pretty heavy. Ofcourse it was not the zimmer knee but my doctor showed me the spots where the knee would be better for woman.  He said that I could get 30 years out of this knee.  Pretty promising.





Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: mmaxell on August 04, 2006, 05:44:26 PM
HI - I'm getting a new knee in October, too (10/17).  I just saw my OS on Monday for a cortisone injection in each knee and discussed the Zimmer Gender Specific knee.  He said he was 'installing' his first one the next day!  He said they're really not that different, just a little smaller than the ones that they had been making.  Trying to get into a new market, targeting women  ;-) 

Don't mean to burst your balloon, but I'm afraid 30 years is a trifle optimistic - did your OS tell you that??  I'm 50 and I'll be happy with a good 20 years and think that may be over optimistic!!

My OS does One TKR on a Tuesday and I expect to be released on Friday!!  I have my Sweetie to help care for me so I'm expecting to come home.  Do you live alone that you are researching Rehab Facilities??    I'm trusting that the first one will go well enough that I can have the 2nd one done 8 weeks later (well maybe 12, but I'm aiming for 8 ;-) 

Take care - see you later at the HH list ;-)  Melanie in PA
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: Jules on August 04, 2006, 06:30:28 PM
Melanie,
Make it 12 weeks at least in between ops, I had my right TKR on 3rd May and having my left done on 9th August (Wednesday), and I'm just at the right stage with recovery from my right to be able to get the left done. I will be 14 weeks post 1st TKR when I have the second one done.
Best wishes and good luck to you both for October.
Jules
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: knee deep in Goo on August 04, 2006, 06:33:20 PM
Hi Mel,
Well he said 20 to 30 years. Being optimistic by the time I need a revision something else will come on the market.  My went over the nitty gritty on the knee and how it is custom fitted for a woman.  I just got off the phone with my insurance company and they will cover acute care . Kessler in West Orange NJ.  Kessler in East Orange NJ and Kessler at Saddle Brook NJ.

Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: emphatic on August 04, 2006, 08:10:15 PM
Goo,

I'm happy for you. I really hope this knee does everything you need and that it really makes a difference in your life. You deserve it.

Meg
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: UK Girl ! on August 04, 2006, 08:27:17 PM
Hey Goo
Fab news! - and a girlie one!

The time will come round very quickly! -

Fathers will always worry!

take care
anja
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: jzzlvr13 on August 04, 2006, 10:31:57 PM
I'm up October 12 for my second TKR, after three femoral osteotomies. The first went pretty well, considering it was a six hour "complex" replacement....and I did the same thing. I went on a ten day vacation, climbed stairs to the bedroom for the first time in ten years and pulled every, it seems, muscle in the top of my good leg. I'm now on a crutch trying to give the muscles a rest so they can calm down and not kill me when I put weight on it Girls,it's always something...and remember....growing old....not for the feint hearted!
b
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: bonstarr on August 05, 2006, 02:15:03 AM
Hey Knee Deep,
You sure got more than a "pep talk" from your OS.  I'm also getting a Zimmer Gender Specific Knee, as soon as i can schedule the surgery.  My OS also recommends inhouse PT after surgery - he says you get the best results that way. That's fantastic news!   Now you hav a plan of attack, so to speak.  How was your trip to Texas?   8)
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: Jo-knee on August 05, 2006, 04:31:32 AM
Good luck!  I hope things go great for you.  Here's to the end of a long road of pain!  (Is it pink?) ;D

Joanie
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: knee deep in Goo on August 05, 2006, 02:52:03 PM
Thanks Everyone for the well wishes!! Yesterday was pretty emotional for me. I think I was the most upset when calling the Insurance company asking about the acute care facilities.  The rep on the line said Is it for me? I guess deep down going to a nursing home does not put me in a good state emotionally.  Hell I am 36.   Ok so this is growth and facing fears and all that .

I just keep thinking.  The Lame will walk again.  Although I do not consider myself Lame.  IYKWIM
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: rozzzie on August 05, 2006, 04:30:32 PM
 Hi Goo,

Cool!  I Hope that everything goes well.  My TKRs were the best thing I ever did for myself.

The time will fly, October is right around the corner.

Best of luck.

Melanie,  I had a text book recovery and could have done the second at 8 weeks (maybe) but 14 weeks was great, I had a little more time to develop stegnth in both legs prior to the second op.

Hugs

Rozzzie

Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: jzzlvr13 on August 05, 2006, 05:56:30 PM
If you have any help at home and can sleep near your bathroom, you probably wouldn't need a rehab facility. Remember, although you are on crutches, you can bear full weight on your new knee. I only used one crutch almost as soon as I got home and could roam the house at will. My osteotomies were much more limiting (and painful.)
b
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: UK Girl ! on August 05, 2006, 06:20:14 PM
Rozzie - from what you say - is it safe for me to assume that between 4 and 8 weeks there is a great deal of improvement - feel at a bit of a standstill at the moment.
anja
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: rozzzie on August 05, 2006, 11:21:49 PM
YES!  I was able to go back to the gum at 6 weeks and did so.  Started with 5 min on the elliptical  ;D adding 1 min per session if I felt up to it.  I also did LOTS of sled leg presses.  ;D ;D  They are great for adding strength and keeping flexion.

Anja,  You are doing great!  To you it seems slow, but believe me you are doing well!! ;D ;D

HUGs

Rozzzie
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: bonstarr on August 06, 2006, 08:43:29 AM
Hi Knee Deep,
I've had the same reaction when calling skilled nursing facilities and I'm 53.  It totally freaked my out at first, but then realized that if it helps then i will somehow get through it.  Some of the SNF's have separate areas for the short term rehabers.  They all offered tours, but I haven't gotten to that point yet.  One of the things my OS explained to me in my case, was the more surgeries you've had the more pain you could have after & a SKF can administer pain meds stronger than just in pill form.  But  as a general rule, my OS suggests that all of his patients go to inpatient rehap if their insurance will pay - mine will only pay for SKF - he believes that you get a great start in your rehab.  Sounds like your OS agrees, but you may do so well, that he may just tell you to skip it, but you will have been prepared.
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: UK Girl ! on August 06, 2006, 04:12:32 PM
Thanks Rozzie

def going to the gym to sort out the membership this week - such a pain as I haven't been for over a year - just because I couln't because of my knee - I have to do the induction again (waste of money really - and time waiting for the appointment!)

anja
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: bonstarr on August 12, 2006, 09:25:53 PM
Goo,
looks like we may be having surgery around the same time.  10/10/06 for me.
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: UK Girl ! on August 12, 2006, 09:28:58 PM
Hey thanks Rozzie - I expect you have these doubts like me sometimes and have support from someone just ahead of you in the rehab stakes - it's great helping each other.

I like the leg presses the best.
anja
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: knee deep in Goo on August 13, 2006, 05:44:20 PM
http://s109.photobucket.com/albums/n69/AnneHelene/

someone please tell me that my knee doesnt look that bad.
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: UK Girl ! on August 13, 2006, 07:42:08 PM
erm hello? if it wasn't bad you wouldn't be getting a new knee!!!!!!

actually those pics mean nothing to me - I never had the chance to see mine or have them explained !
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: rozzzie on August 13, 2006, 08:09:50 PM
Goo,

Arthritis is really funny; the amount of pain has little to do with the amount of arthritis.  ??? 
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: knee deep in Goo on August 13, 2006, 08:29:40 PM
Your telling me.. I bet that I would have been able to go on for years and years if the darn posterior horn didnt cause so much pain and had the OS poke in.   
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: knee deep in Goo on August 16, 2006, 04:52:27 AM
Going to the dentist tomorrow and having my teeth checked out.   My gum is hurting I been grinding my teeth.  I think this week has been one of the most pain free weeks of this year so far.  often makes me wonder if it will last.  Also I am going to do some camping .. Believe it or not..  What am I thinking .. 
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: UK Girl ! on August 16, 2006, 09:10:41 AM
Hey Rozzie you are right about the arthritis and pain ratio - apparently my knee was incredibly bad and should not have been able to walk on it - yet I didn't even use a stick and not a huge amount of painkillers- so I think I was lucky really.

Goo - I used to love camping, we took the kids every summer - we are now 'posh campers' and use a caravan!! ;D
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: celinenj03 on August 16, 2006, 03:22:32 PM
This sounds so good and so very interesting, I am so glad you are taking agressive measures to get your life back. You are just too young to be living in pain the way you are. I don't know of a single person who regretting their TKR. I see them at my gym and used to see them at PT and they could probably kick my butt! I'll be saying a prayer for you and sending positive vibes your way!  ;D
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: knee deep in Goo on August 17, 2006, 01:38:45 AM
OK had my marathon dentist visit today..   I hate the x-rays and the cleannings.  The dentist drilled down the pointy part of my tooth that has been digging into my gum and put in a new filling that now covers the part that I had chipped off. Thank god no root canal.   

So the hygenist and dentist asked me if I knew I would have to have antibodics prior to any dental procedure after the TKR.  My OS told me that after the TKR - I would have to have antibodics for two years.  hygenist said that most OS's do not tell patients this. Frankly with all my reading and stuff I asked my OS about my teeth ect

So this is the part that I found odd.  The dentist said I would have to ask the OS what antibodic he wants me to take.  That felt kinda strange that the dentist was hands off. However,  I think my dentist is a ding bat anyway.  I hate going to the dentist.  Dentists are evil
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: rozzzie on August 17, 2006, 01:54:56 AM
Goo,  There are soooo many antibiotics and different OSs want you to have different ones.  My OS gave me a sheet with different procedures and the various antibiotics that can be used, I listed it in  TKR and Prophylactic antibiotics   http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=27305.0

It's always best to check with your OS so you take his prefered antibiotic,

HUGs

Rozzzie
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: knee deep in Goo on August 17, 2006, 02:37:27 AM
Thanks Rozzie,   I am printing the post. However, you would think the dentist would be able to assess a patient and the special needs.  Now looking at the post.  I remember when you posted it.  When the time comes I will also ask my OS.  I do not have to see the mean dentist for another six months. 
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: UK Girl ! on August 17, 2006, 08:25:30 AM
Hi Goo and Rozzie
 
I asked my dentist about the antibiotics before treatment and he said that they do not use them - the dental nurse has a TKR and said that she never has them.  I was suprised by this and will see what my OS says when I go back for my post op appt on 31 aug. Personally I would prefer to have them - just in case.
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: bonstarr on August 19, 2006, 03:53:49 PM
I went to 3 different OS's & they had 3 different recommendations as to antibiotics!  The first one (The OS that did 5 of my 7 surgeries) said I would take antibiotics for the rest of my life.  The 2nd opinion said that he didn't believe it was necessary at all.  The OS I'm using said for the first 5 years.  And my dentist - she's never treated anyone who had a TKR & said she would have to research!!! So there you go, 4 different answers - maybe I need to change dentists ?

In my case, it doesn't really matter, because I must be premedicated for any non-sterile procedure (i.e. dental work, colonoscopy, etc.) because I have a mitral valve prolapse (a valve in my heart closes funny, which may allow a back flow of blood, which if infected could be dangerous).  The prolapse it not serious in any way and the only problem to me is palpitations from time to time.

But what I take is four 500mg amoxicillin one hour prior to dental work, which the OS said would be fine to continue.  For any other procedures they alway administer intravenously, so I'm not sure of the dosage.

So I guess there is not a generally accepted practice for this, but if you feel it necessary, I'm sure your OS will work with you if you insist.
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: knee deep in Goo on August 20, 2006, 07:07:26 PM
Don't know what I was thinking but I went camping.
 It was kind of weird. I couldnt walk to the bathrooms I had to ride my bike.  I did do alot of bike riding .  One of the few sports/activities that is good for the knee.    Damage report. several bug bites. one hurt wrist and elbow (had a little bike accident)  (unloader brace saved me from cutting up my leg. ) leg was stiff in morning due to rain over night. I did lay out in the sun and  people watched (canoes and tubing)  Had big time water envy.  Waling to truck and campsite -  hard at first but found my way
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: UK Girl ! on August 20, 2006, 07:32:45 PM
hey LOL Goo - good for you! bet it was great fun - I am amazed you can ride a bike with your knee - that is something I just could not do before my op - sooo frustrating - hey but I can now!! hee hee

Bug Bites - hate them.

did you enjoy it in the end? - and when you going next!? mad woman!
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: bonstarr on August 20, 2006, 09:57:40 PM
Good for you Goo, I'm not a camping kind of girl, but I applaud you!!!!!

I'm with Anja, absolutely can't ride.  Looking forward to the time when my hubbie & I (and the dog) can ride our double bike again.
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: knee deep in Goo on August 26, 2006, 01:07:34 AM
oh boy.  How does one tactfully deal with someone who fears that you are making the wrong decision with a knee replacment. ???    I suppose there is no tactful way but to be solid in ones conviction that it will be the best thing for me.  Do you know how mentally frustrating it is to be subjected to  Uncles and friends of family .. that grill me on the treatment options I had done during the year.  I mean come on..  This ambush attack of elderly people phone calling me  has to stop.      I mean I had to sit alone in the doctors offices.. and confront the pain and sadness.  Do they know the non support is rather draining on me. ?   

I read somewhere the standard for a replacement is .. How far can you walk ? I can tell you I can barely walk a block with out pain.  I can barely manage walking to the ladies room with out pain . 

An elderly lady at work told me today... That when I picked up the phone I sounded so happy and cheerful that if she had not seen with her own eyes the pain on my face and me trying to hide it .. she would never believe it.   

How about a nice walk outside.?   Cant do it.   Sure I can bike ride .. and it feels wonderful .. but if I fall off again.  Would I be able to walk my ass home..  NO.  Life is weird.   Last week on vacation it was warm and wonderful and I felt I could do so much.. This week the mean rain has gotten me and I am pissed off that  I feel under emotional attack that I am making the wrong decision. 


I want to be rebuilt.   Faster stronger able to leap small puddles in a single bound.     I often think back to last october when I started to use heating pads.  Last Nov when I  started Physical therapy.  My goal was to get up the long path to work.   I guess it was sometime in May that a fire drill .. brought my fears and pain levels up to accomplishing it.    July brought a pulled ham string on my good leg.  a shot in my heel on my good leg. Sure my doctor and I have worked hard to get me to this point six months of physical therapy..    I think I am more flexible than most people on this board right now.   Yet the one thing I do not have is stabiltiy in my leg.  the Vargas./valgus.. I forget which .. is really hurting me more...  the more I stay this way .. the more harm i do to my hips. the more I do to my other leg.


I think .. that perhaps being so young ..  many people do not have the perspective of seeing a parent worry about a child.  And I am one of five children but I am the only daughter.  I think an unplanned pregnacy would be taken far better than a knee replacement right now.   Ok so I have to stand my ground and perhaps  just keep in mind to myself.. Its my pain my body .. my future.   This is where you yes people to death.   I think it might be good to have my dad perspective while I start this.. I will just focus on being so irrate at him. instead of an emotional wreck.. I mean..   Sure everyone normal would have anxiety during all this.  Right now my one brother said . he didnt want to give blood .. I am like fine.  ...   i am doing this for me anyway..


anne
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: Jo-knee on August 26, 2006, 06:14:20 AM
Goo,

Amen girl!  I'm so sorry for your pain and frustration, and so thankful for the endless support you have given people here.  Do what ya gotta do.

Joanie
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: UK Girl ! on August 26, 2006, 10:46:10 AM
Hey anne

There is no way that your OS is gonna give you a new knee if you don't need it.

Only you know what pain you are in and all the people who are suddenly coming out of the woodwork with their opinions maybe shoud have been there giving you more help rather than trying to advise on something they know nothing about,

Not being able to walk and the pain you are suffering is not giving you any quality of life - and yeah you are young - but surely that means you need to get your life back - I too am young for this op and realise that when I am older prob about 65 that they won't be  able to do anymore for me but I won't need to be rushing around so much then - I would much rather have my life back now - already I am in the gym 6 weeks on doing stuff I haven't been able to do for years - that feels sooo good - yeah it still hurts but I know with time that is going to go - before my op it was there forever and getting worse!

I don't think you would be where you are now waiting for this op if you didn't need it - we all had second thoughts nearer the time as well - you suddenly get a couple of good days and wonder if you are doing the right thing..................and then a real baddie comes along again- and you do know!

So Ignore the people who suddenly want to be involved - actually no don't - use them in your recovery ;D - make em work hard for you!!!

We are all her for ya! ;D ;D ;D
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: knee deep in Goo on August 27, 2006, 04:48:23 PM
Just did a hour on the yoga ball.  I feel so strong.  but reality sets in when I try to walk.  Been thinking about the word teflon alot lately.  Letting things just slide off me.  Thing that is binding me right now is .. what my OS said.  To fix you up before you get depressed.   You are so right Anja. The OS would put the breaks on it if it was not right for me.  Case in point .  I needed my handicapped parking tag renewed.  He said.  I would not need a perm one.  :)   So maybe this is a life lesson on what its like to have experienced loss of mobility and the inspiration and desire to overcome.

I read before someone who had obi plugs and oats and it failed for them.  I think having one failed surgery after the next would send any one down a deep cavern of depression.  Months ago my next door neighbor said to me.  Why do you want band aid after band aid surgeries ?  She worked for Stryker when they had ben howmedica.  Marketing department and  said she had interviewed  many a TKR recpient.  Her support has ment alot.   She mentioned she had seen studies on 50 years these implants may last if the cement doesnt come loose.   My doctor mentioned 20 to 30 years.  I think deep down .. They just do not have staticial back up. 

one thing that did piss me off this morning is my dad saying .. Perhaps the old fashion knees are stronger.  The guy kind.  The girl kind might not be as strong.   How can you tell your father he is an idiot and that the curve of the metal is designed for a womens bones and not the strength.   You see this is where I say . I cant go and educate people.  I do not have to defend my medical decisions.   I have offered several times for my Dad to sit and hear at the same time as me.  Hell I even signed out my xrays  for the na sayers to have a look.

believe me I am well aware of what this operation means and sometimes it frightens the crap out of me.   fear should not make you walk away from something that can be good for you .  Support can only help the fear be heard and put into a place that is healthy.   


Well the good news is that I am sure that my recovery will be supported.  Just the moments that lead up to the surgery are mind numbing.    Its really weird that everyone's knees are different prior to going into a TKR.  Right now I think I am just an expert on hopping.

I have full range of motion. When i stand my right leg is in a bent state and slanting.  Hell I think if I could stand straight and balance and weight load properly..   I would not be singing the TKR song.

Ok .. so while working out there is this tv show on bravo called work out.    I noticed the trainer had a few people go up the stairs side ways. Sometimes mixing it up by telling them to step up over one step.   Sounds easy right ?   Perhaps I should not try to fall down the stairs .. what a wimp right.

Oh another thing I asked for a journal for my hospital stay.  Omg You would have thought I was asking to be committed to a mental hospital.   A journal .. for what... Well to just write about my feelings and experience. .. Why would I want to remember it ?  I was asked.   

I think there is a cleansing effect that goes on when you just write down what troubles you.

I mean in the big picture of life.. So I have a crap knee and that really is my only heartache at the moment.   Not too shabby.
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: UK Girl ! on August 27, 2006, 05:31:32 PM
hey goo

I took a note book to hospital with me and wrote down what was happening and when and what my feelings were - fab to look back on and it really shows what great progress you are makeing.

hey - tell your dad he's an idiot! and to be grateful that he is not in the same position as you! - silly old bugger - prob in denial that his little girl is hurting so bad!

You go ahead and get it done and three months down the line he will see why you had to have it !
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: bonstarr on August 29, 2006, 03:18:33 PM
Goo,
Our families and especially our parents love us, but that doesn't always mean that they understand us.  Especially dads...mine is rather old fashioned (and into men are stronger than women) and the type that never reveals his feelings, so a journal would be a ridiculous thing to him, as would this website.  I learned a long time ago, that the less I share with the parents, the better, also, the less they worry.  And I confide in my friends instead.

If I remember correctly, your OS is at the Hospital for Special Surgery - a very reputable place, with doctors with the best reputations.  Anja is right, your OS would not even suggest a TKR unless he felt it was the only way to go.
As for your 2nd guessing - it is totally normal from every single thread I have read on this site, everyone goes through it.  My knee doesn't seem anywhere nearly as bad as yours, yet it has effected my daily life enough that my doctor & I think it's the way to go - and when I have a good day, doubt does cross my mind.

We are all here for you and will try to give you all the support you need.  Try to let the teflon work by letting negative comments just slide off of you.

Take care,
Bonnie
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: knee deep in Goo on September 01, 2006, 04:49:21 PM
Actually I will have my TKR in St Joseph's trauma center in Patterson, NJ. 

The waiting for the OS appointment is killing me.  Just give me the date already.   10 days.  Till I see my doctor.

I was driving to work today and there is this song that is called  Had a bad day.   It was my theme song post op in Jan.  When I felt like oh god..   It really cheered me up.   Anyway today driving to work I heard it.. and now feel so emotional and feel like I can cry..but not going too..   That bathroom may be 100 feet away..  but I today I wish I had my sticks with me.

Funny my boss is emotional today too.   She went shopping ..  I was ready to give her my bath and body work coupon for a free thing when she said .. oh you arent going to ask me to pick something up.  I said no...  and than read.. oh .. you wouldnt be able to use it today since it starts on the fourth.    So much for being nice.


Now I am thinking better I keep it and get some nice body lotion for after surgery.  I can use the coupon online.

So today is the start of a long weekend.  I get out of work at 3 today.  YIPPY


So did you know Next week is "NATIONAL PAYROLL WEEK" ?     
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: bonstarr on September 02, 2006, 03:51:02 AM
I can understand how the waiting is frustrating.  I think that you should keep whatever you can for yourself right now. You need to come first for a while, without being mean, sometimes selfish is okay.
It's almost 9 days away.
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: bonstarr on September 02, 2006, 03:09:49 PM
Goo,
Was re-reading the literature for the Zimmer Gender Solutions High Flex knee when I couldn't fall asleep last night and realized that this prosthetic is able to bend 155 degrees.  I guess I read this before, but I got it this time and it made me very happy since I have ability to bend all the way back now and feared I would loose a lot of it.
How about you?

PS - Any objections to telling us your name?

Take Care,
Bonnie
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: knee deep in Goo on September 02, 2006, 03:47:52 PM
Hi Bon

No Objections to my using my name .. It is Anne.

The zimmer knee has the design that will contour our bones better and still provide an excellent range of motion.  Infact before I knew what I was exactly getting.  I surfed the net and went to the styker site.  I think they make the scopion knee and the zimmer site to poke around.   My doctor told me back in April to hold out as long as I could because a new knee was coming out on the market.  That is the Zimmer for women we now know and a new spacer.  And he would also project oh it will at least two years..  .. until he tried everything..  than i'd say back in july the tune changed. to bite the bullet.. lets seriously talk about getting your life back to normal. No more limping..  Lets do it before any depression hits you.  I think what tilted the scale was .. how I was able  to handle a fire drill. Getting out of a building.  I mean i told him i woud get stiff after sitting. When I stood up I felt like I had to get myself planted. I would feel these ice pick pains.  ( the orthovisc really helped)

See I been having small knee chats with my doctor since Jan. after my operation.   At first. I didnt want to hear anything about surgery. The whole experience of getting better from my first surgery was my top priority. Than I started to come around to it and started to read postings on this site.  Very overwhelming at first.  I sit and find technical documents and just cry. It really hit me at the core. That I was to have one of these procedures. HTO or Pkr or TKR but as I read more..  I began to understand why I was not a canidate for an HTO or PKR.  ( I had three compartments with OA)  ACI  very new very unsure .. Didnt want another failure and just be a puppet of surgery.   Also my next door neighbor worked for stryker in the marketing department and said..something very practical to me.  Why keep doing surgery after surgery when these knees will last a very long time once done.    Now mind you  I am only 36   . I have heard that these knees last a very long time .


I never expected this .. at all.  I went in for a small posterior horn tear that showed up on my mri.    If you click on my User info >. I uploaded my scope and xrays to a photobucket link.   I think I know the exact moment my joint collapsed. 

Someone posted the word grief  many months ago and it helped me understand and allow myself to put a feeling to the emotions I had.   At times my younger brother would see me cry out of the blue and say . why are you crying.  I would have these temper trantrums when I couldnt get my bathing suit in the cellar. So i had anger.  Acceptance came when I crutched my way into work and had to accept offers of help. 

when people saw me cructching around faster they thought I was getting better.  Little did they know my arms where getting stronger.  When I transitioned to a cane it was pure hell. and went back to the crutches fast.    the orthovisc shots got me off the cane and crutches..  the unloader brace really  to me now is just a big sign of.. I walk slow becasue my knee is messed up.  keep clear.. unless you want to pick me off the ground.

Rainy days really are insane now for me. Pain levels are really out there.   I think I have talked my father going to this OS doctor visit with me . I know my mom wont.  She has a bad knee as well and feels if the doctor sees her .. he will force her to get a TKR she doesnt want.   I say to her.. wouldnt you like to at  better  pain control.   ??  but I only say that she is old school "polish" /  i guess she can live with her limitations and I see her back hurt and knee hurt.  You can only tell someone to go see a doctor.. They do not have to take your advice.


So to recap..  Yes, This Zimmer knee looks like it is very high end .. top of the line stuff.   So bon are you getting your right knee or left knee done ?

Mine will be my right knee

Regards
Anne

Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: knee deep in Goo on September 02, 2006, 04:35:47 PM
http://www.or-live.com/zimmer/1602/uvp.cfm?video_player_typeID=1
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: bonstarr on September 02, 2006, 04:46:16 PM
Anne (so much nicer to know your name),
It is my left knee.

That's great that your Dad will go with you to your appt on the 11th for 2 reasons, one to reassure himself that the OS is competent (of course he is, but Dad needs reassurance) and also for moral support for you.  It is a tramatic moment when it becomes a reality, even when you are expecting it.  As for your Mom, she has her own issues regarding her own knee, so it kinda makes sense that she can't deal with your knee problems.  Try not to take it personally and just do what you know you have to do.

Anne, it sounds to me like the only thing to do is go forward with the TKR - you are way too young and are missing out way to much, and that's without even discussing your level of pain.

My knee is not as bad as yours even though I've had 7 surgeries, but I'm so tired of my limitations and the pain.  I'm only 53 and if I hurry, I can make up for lost time before I get too old or afraid.

Your OS sounds like a smart man, aside from his surgical skills.  He understands your age, limitations, pain and emotional state.  You are in good hands.

We're having rain here too - sucks!
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: bonstarr on September 02, 2006, 04:50:21 PM
Anne,
thanks for the heads up on the 9/14 surgery. not so sure I can watch, I am a bit of a wuss.

are you getting a new patella?
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: knee deep in Goo on September 02, 2006, 04:54:29 PM
he is going to saw off the OA bits and glue it to a thingy.   so I will have half of my patella. 
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: bonstarr on September 02, 2006, 05:19:06 PM
I'm going to have a plastic one.
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: lilly_kc on September 02, 2006, 06:56:16 PM
Me too Me too - new knee in October (26th) - left knee - dont know what brand/type - trusting doc. Thought alot about questioning him / suggesting / etc - decided he would do best at doing what HE is comfortable with and he does alot - many every week.

It will be nice to have annie and bonnie to recuperate with. So far, hubby and other family have been waaay supportive, only one person sort of scary, but like bonnies mom, she has lots of her own pain, and i sure do understand the hesitation. Very cool - two of my sisters who are nurses will stay one week each with me!!!! I feel blessed. Also friend who is doc, said he thought my recuperation would go well and quickly because i am young (hahah), motivated (yes) and healthy otherwise (yes, i try, but not exercising recently makes me feel mushy). 

Nice to meet my October "roommates" - Kathi
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: knee deep in Goo on September 02, 2006, 08:36:20 PM
Lilly I would ask your doctor for the name brand of the knee.  Who knows if there is call back or something defective in the device.  If you hear something weird. You always know what you got.
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: bonstarr on September 02, 2006, 08:59:13 PM
Hi Kathi,
Welcome roomie! it's Anne's Mom with the bad knee, my parents don't even know that I'm having surgery - don't want to worry them.  One of my sisters will come down from NJ the day before the surgery for about 5 days, then my aunt and uncle that live about 3 hours away will take over, my sister will come back if necessary and of course my hubbie will take a few days off. 

Now all we need is Anne's surgery date! 9 more days.
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: knee deep in Goo on September 07, 2006, 05:30:38 PM
Well here is some unsettling news.  My OS just had surgery. He can't stand more than ten minutes.   Welcome to my world.  I will see his partner on tuesday to get the xrays done.  His Partner is the more senior OS.  If I go with the OS I been seeing this whole year my surgery would have to be pushed maybe into Nov. Or if I go with this new OS  I may be able to be on the same track. October.  I cried.. for a bit..  My brother said. These guys do replacments all the time.. So what does it matter who does your surgery.. I told him .. Yeah but its my first knee replacement.   Which brings me to another brother and another conversation. He wanted to know if I wanted to go to this waterfall this weekend.  I been pretty sore lately and been thinking about using the crutches again.  I said that I would love to go. but I would have to bring my crutches. 

Is it a sign from God that I should wait?  Is my fathers praying actually working to delay this surgery?   Do I have enough in me to last to wait for the doctor I know?   Is it really that important ?   
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: UK Girl ! on September 07, 2006, 07:05:15 PM
Oh Goo - real tricky one and not one that you can decide on until you meet the new guy - you will know when you meet him if you have the same trust and respect for his ability - sadly only you can decide!!

sorry you have this dilemma

anja
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: bonstarr on September 07, 2006, 10:45:18 PM
Anne,
So sorry for you and your OS.  Anja's right, you do need to meet with him before making a decision. 

If it's any consolation: I had been using an OS since 1988 - he did 5 knee surgeries on me and we developed quite a repoire.  When he finally told me that I was ready for a TKR - I was unable to take time off, so he told me to come back when I was ready.  When I was finally ready &  had an appt with the OS, we were notified at work that in 2 weeks time our insurance was changing - my OS was not on the new plan.

I freaked out. How could this happen to me??? I knew I couldn't afford to go out of network.  So I went to two different OS's that came highly recommended and chose one. 

Do I regret that my original OS is not doing the surgery, a little.  Do I have faith in the new one's abilities, very much so, I asked every person, doctor & physical therapist I know about him.

Sometimes things happen for a reason.  Something else to consider, what happens if you wait & then due to circumstances beyond your OS control (continued health issues) he can't do it until December or January.  You should think about what's best for you, considering all else being equal????

I'm sorry that this had to happen.
Bonnie
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: knee deep in Goo on September 08, 2006, 02:20:36 AM
HI Anja and Bonnie

Thanks for your support today. It means alot.

I will see this new OS on  Sept 12 instead.  He is listed under the education committee for New Jersey Orthopedic Society.  Actually he is the education coordinator.  So I guess it is not that bad.  I also know that at this point. Who ever can get me up and running/walking with out making my pain extend anymore that it should would be great. It is just when you are a ball of nerves this late in the game so to speak changes are not that easy to accept right off. 

So who knows what this new guy will have to say.  I found myself just crying around six pm today..   This is all messed up.

All my questions to my old Os are now out the window.. and replaced with a new set..  Some of the same questions but to the new OS.

You know when the nurse said that my OS could not stand for 10 minutes.  I thought no way is he going to be able to do a knee replacement and be at the top of his game.

http://www.njos-osnj.org/committees.htm


Oh when I mentioned to my Dad he started to say see .. sign that you should not have it.. ..  How can people be so stupid and insensitive.
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: bonstarr on September 08, 2006, 03:21:27 AM
He's also the Ortho Chairpman at Seton Hall.  Keep busy by compiling your list of questions.  Don't worry about your Dad, he can't help himself, but you can help your self.

I know it sounds cheesy, but, it will be okay.

Bonnie
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: knee deep in Goo on September 08, 2006, 09:24:14 PM
Last night yet again found one of his Old people friends to try to tell me about all the risks and why not to do the TKR.   I simply can not  will not talk to them. .  I do not care if they think I am rude. . But I put the phone down when my father was trying to put a phone in my hand.  I walked away and said I do not want to talk ..   This is not an open discussion for the whol world to give imput on.  Infact . when I ask my mom and dad they dismiss me.  oh your knee again.

Today I was telling my boss.. who constantly is supportive and says I am too young for this.    That  these people are old and how I have a long life to lead yet.  I agreed.  I just told her it was stressful to go threw that crap at home.  I mean 10 months of being in pain.  I thought I was down the home stretch and than feel like I was abandon'd by my Surgeon.  not really but.. still ...  ok maybe I was just used to the fact that this was going to be the surgeon.  LIke my one brother said these guys do mulitple TKR's and its not anything new to them.  Just part of my mental break down of emotions prior to surgery.

Just want it over and done with. 

Wonder what knee I will get now.. same brand ?
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: lilly_kc on September 09, 2006, 01:40:05 AM
I have been going through many of the same emotions, sure do understand the frustration - and my dad is at least verbally being supportive (his knees hurt too, I think there is alot he isnt saying, but not going there).

You will really be ok on this .... me too  :D :D

I called a friend whose hubby is a doc, the head of our regional HMO. She chatted with him and also called the head of the ortho dept here. Their message was the same she said - TRUST the doc I have; we dont have full information (I was inquiring about the minimally invasive surgery) and they we will go nuts trying to learn it all. So I am going to try really hard to do this. And pray. It is sure scary tho. Mine scheduled for 10/26.
We will come out better than we've been for a long time!!!
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: bonstarr on September 09, 2006, 02:22:01 AM
Hi girls,
Anne, it sounds like your dad is really concerned for you - otherwise he wouldn't go through the trouble of asking his friends to talk to you, BUT, it is annoying, fustrating and downright counterproductive just the same.  Maybe you can tell him that you are an intelligent women, have researched this way more than the average person, have consulted with a reputable surgeon, soon to be 2 reputable surgeons, and this is what you are going to do, NO MATTER WHAT.  That it distresses you and the last thing you need in your life is stress, tell him that you appreciate his concern, but it is your choice.  And finally, tell him that you really need his support and would appreciate it if he would go to with you to the OS appt.
Just curious, are you the only daughter among a bunch of brothers?

I've been doing a lot of deep breathing lately - it seems to be helping.
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: UK Girl ! on September 09, 2006, 09:17:07 AM
Anne, when you have your new knee your dad will be able to see how much you needed it! - he cannot feel your pain and so has no real perspective on how it affects your quality of life.

You get him to talk to me and I could so easily tell him that it is the best thing I could have done - yes I do still get pain from the actual op but it is still only week 8 - but the arthritis pain is GONE !! If you could see how much I have done since my op you would be getting everyone a new knee ;D

It is very emotional waiting for the op - and you will have low points after but a couple of months and you will knw you did the best thing for you!
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: knee deep in Goo on September 09, 2006, 04:07:12 PM
Thanks again all for your strong support.  I know the new knee will be the best thing for me.  I also know until tuesday. I will feel in limbo. I am feeling stress of the unknown.   Llike a giant redwood tree has fallin in front of me and I have to climb over it and start thinking about a new path with new options.  I mean that nurse.. really threw me for a loop that my doctor at the moment is really not healthy.  So now really it has given me something to do .. Write down all the questions I have asked my old doctor in the past and reask them to the new doctor. ..Than I start thinking .. how messed up my knee is and how hard of a year its been and that I have to recount it ...  The entire thing... to a new doc... only thing that keeps me sane is that my doctor has notes on me and tape recordings he made after my visists. 
people say change is good. makes you more flexible.  another life lesson.
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: bonstarr on September 10, 2006, 04:28:08 AM
A new knee will give you a new life, different, but new & better & no OA pain.

Hang in there until Tuesday and if need be call Anja & let her have a go of convincing your dad. LOL.  If anyone can do it, my bet is on her!

Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: *Tiffany on September 10, 2006, 04:31:22 AM
Bonstar, Love your avatar. 

Tiffany
Title: Re: I'm Gonna Get a New Knee In October ( Zimmer for Women)
Post by: bonstarr on September 10, 2006, 06:38:26 AM
Thanks Tiffany.  Until a few weeks ago, I didn't even know what an avatar was.  Learn more here than just knee stuff.

Bonnie
Title: Re: setbacks.
Post by: knee deep in Goo on September 12, 2006, 10:04:56 PM
who is bobby orr ?    Ok went to the new OS today and he said,  Knee is horrible.. on its way to being  very bad.  But I am so so so young... and this is my first visit with him.

 He put me on a five light meals a day diet and one hour of excercise. He was thinking PKR was more suitable.  Brought up concerns with PKR and having OA in all compartments of the knee.
Asked his thoughts on the Zimmer knee .  Felt like he didnt really hold the Zimmer knee in high esteem.  Said stryker had knees just as suitable.   Found out my OS had hip surgery.  I have appointment with him in Demember.  So I just got a pep talk today.   This new OS mentioned biofeedback as well.  Also I got a new pain medication.  Loracet.    Can anything be gained or lossed by taking this extra step?. NO.
Title: Re: setbacks.
Post by: bonstarr on September 13, 2006, 01:16:37 AM
Annie, sorry you didn't get what you wanted to hear, but, losing some weight could be great for many reasons and one hr per day of excercise is probably manageable especially with a new pain med.  Maybe the next few months should be about taking good care of yourself and waiting to see your original OS.
When I researched him I noticed that he wasn't listed on the Zimmer site, but was on the stryker site which doesn't mean they only use one prosthesis.
We will still be her cheering you on and I expect the same back from you.

By the way, who is Bobby Orr?
Title: Re: setbacks.
Post by: Jabberjaws on September 13, 2006, 01:24:22 AM
Bobby Orr is a famous American hockey player, now retired.
Title: Re: setbacks.
Post by: Janet on September 13, 2006, 01:47:14 AM
I'm so sorry you are going through this. (And I'm sorry for you OS having to have hip surgery, too!). The stress just has to be enormous.

I am also in the middle of a stressful time over my TKA. As a quck recap, my OS sent me for a consultation about a PFJR because he doesn't do replacements. The replacement doctor (Dr. B) thought a TKR would be better in my case. He sent me for a second opinon. That doctor agreed. Because this all started with a WC injury seven years ago, WC sent me for an IME. That OS totally disagreed and thought I'd be very unhappy with a TKR. I went back to Dr. B with the report, thinking he would say it was just skewed toward denying the claim. But he took the report seriously and is sending me back to my original OS to look at the whole thing again, then the three surgeons will confer. Meanwhile, my TKA surgery is scheduled for Nov. 20. Now I have a small seed of doubt that it is the right thing for me. The last thing I want is to have a TKA and still have the pain and limitations! My knee problems are quite complicated, so it is not a straight-forward answer. The whole situation is very stressful....on top of the stress of thinking about and planning for the surgery itself.

So are you going to wait until December to see your original OS? Did you feel like the partner OS is not interested in taking over your case?

Janet
Title: Re: setbacks.
Post by: knee deep in Goo on September 13, 2006, 03:17:02 AM
I think my original OS is vested in me as a person.  So I made my follow up appointment with the orignal surgeon.  If for what ever reason my OS is not up to full speed I can at least go back to the new OS and say I am incorporating the diet into my life and making my commitment to the excercise.  Which I have done with the excercise already. 


Just thinking about it.  Knee replacements should not be entered into lightly.  I know that the ramafications are huge for a revision as I get older.  So I was just spacing out on my bed after trying the new pain medication.  Watching Big brother and Rockstar supernova.  Thinking how strange.. how strange.. Back to the PKR thought processes.  If i can reduce the weight I would be able to get the partial.  Sweat equity.   Ok perhaps this is part of motivation..   Motivation....  motivate me and I may not forget you..  But than again it is unsettling to know that .. I have OA in every compartment and this OS would do a partial anyway and everyone is  RX happy with the drugs. Keep popping them.  Pop away..  Anything to prevent a knee replacement it seems.    I told the new OS how the mobic made my neck stiff.  He said perhaps living with a stiff neck will outweigh it all.   I talked to him about RSD and nerve damage and bone loss that happens with the knee replacements.   They even said most people have the loss of feeling by the knee since nerves are cut.  I guess in a way, when you see a new doc they have to be vested in your pain and suffering process.  At least more than one visit and Age is against me here.  While I have not hit rock bottom yet it is very interesting to see these doctors besides themselfs not exactly knowing what the right thing to do is.    It is funny in some way since my first OS started with the mindest of a PKR



I looked and Bobby Orr was some hockey player. 

Title: Re: setbacks.
Post by: lilly_kc on September 13, 2006, 03:23:36 AM
Oh Annie how frustrating! You seem to be coping really well, I am impressed. Agree - time wont hurt anything but will surely clarify what you need to do. What kind of exercising are you up to?

I am having trouble since I had to quit jazzercising - EVERYTHING seems to hurt. My next plan is to learn exercises on the exerball. I have lost 25-20 pounds - the first 1/2 on the zone diet, the second part using caloriecount.com
You might check it out - it is helpful for me, ver supportive, like this site.

Hang in there - whenever this thing is decided, we will be here for you!!!
Kathi
Title: Re: setbacks.
Post by: Mitidai on September 13, 2006, 04:03:32 AM
Hi Knee Deep,

You will be so glad you got a tkr.  I had my left tkr in January but becuase of sick leave needing to be built up I have to wait for the right.  That bums me out.  It was locking and I had it scoped today. Same day surgery but it is such a temporary fix. My os told my husband it is bone on bone and I need to just have a replacement probably in two months.  But I still won't have the sick leave.  I think I'll just have to have the tkr done when it's needed and not worry about my sick leave.  My os thought I had a torn meniscus but it wasn't that it turned out to be something else.  He told my husband when he visited with him while I was in recovery but with all the knee jargon my husband didn't remember what it entailed.  So I really don't know why my knee was locking until I see my os to have stitches out.  Just wish this was a replacement and not a scope.

Anyway, congrulations knee deep and a girl knee at that.  I'm going to ask my os if he is doing the female knees yet.

JAN Y
Title: Re: setbacks.
Post by: Janet on September 13, 2006, 03:12:53 PM
Here is what I've been told about partial vs. total replacement. I have had three doctors tell me that if more than one compartment is involved, even mildly, then a TKA is indicated. BUT, I also had another doctor tell me that a TKA is too extreme if one compartment is bad and another is only mildly involved. So once again it comes down to different doctors having different opinions about how to handle the same problem. As a patient, it makes it difficult. But in the long run, I guess we just have to find a doctor we trust and believe they are doing the right thing for us.

By the way, my mom had a TKA on one knee several years ago, and her other knee had gotten progressively worse. Her OS did a quick "diagnostic" arthroscopy to look at the state of her knee and found that only one compartment was bad. He wanted to make sure he was making the right surgical decision and would not be surprised during surgery. A couple of weeks later, she had the partial replacement and is doing very well. If there is confusion over what would be best for you, perhaps this approach would answer the questions??

Janet
Title: Re: setbacks.
Post by: knee deep in Goo on September 18, 2006, 09:47:13 PM
Janet

Thanks for your insite on this.  I had a scope in Jan by the first doctor.  At first he was like PKR than he changed and said TKR . I feel it has to deal with weight.

The second os is like PKR but four years .. drop the weight

Title: Re: setbacks.
Post by: bonstarr on September 25, 2006, 04:00:58 PM
Annie,
Let us know how your appointment with OS went....

Bonnie
Title: Re: setbacks.
Post by: UK Girl ! on September 25, 2006, 09:08:44 PM
Hey annie - why haven't you put your OS visit here - I think that was a good result with him today and if it were me I would go for the TKR !!

anj
Title: Re: setbacks.
Post by: knee deep in Goo on September 25, 2006, 09:15:31 PM
ssssssssssssh  Anja at work....  and can only type so fast.

3rd os visit today .. Said  lateral side crap.  slanty leg indicates Lateral side more OA.   Medial side crap..  Knee cap crap.   He said he would do a zimmer TKR.  Said PKR is not the right choice.
Title: Re: setbacks.
Post by: UK Girl ! on September 25, 2006, 09:16:36 PM
oops sorry shushed!!
Title: Re: setbacks.
Post by: bonstarr on September 25, 2006, 09:26:28 PM
Annie,
This is very good news (in a wierd kinda way).  This is confirmation of your 1st OS who you have a great relationship with and who you trust, but also confirmation of what you already know about your body.

How did you like this OS?  Would you even consider letting him do the surgery?  How did you leave it with him?

Bonnie

PS where else did you post about this  ???
Title: Re: setbacks.
Post by: UK Girl ! on September 25, 2006, 09:28:15 PM
WG's or hens!
Title: Re: setbacks.
Post by: knee deep in Goo on September 25, 2006, 11:00:35 PM
WG or Hens where did I post first. should tell ya.
Title: Re: setbacks.
Post by: bonstarr on September 30, 2006, 05:16:52 AM
Annie,
where are you??????
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on November 06, 2006, 01:15:51 AM
Bonnie

Did your doctor put you in an imobilizer after the operation?  Did you walk round the first or second day?  How many days in the nursing home did you spend?  Did you have at home nurse care after you got sprung out of the Nursing home ?
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: lilly_kc on November 06, 2006, 04:03:16 PM
Hi Annie! Did I say  how glad I am that this is finally on your calendar for realllllll ? I am sure Bonnie will be around soon to answer your questions, but I will tell you how it went for me = 10 days ago now!

I was supposed to be in hospital 3 days, Th-Sun, but actually stayed til Monday due to increased heart rate and concerns about blood clot. I do not think there were any, but they are being precautionary and keeping me on coumadin for a couple months (instead of couple weeks).

After doc signed my knee to mark the side, I asked him what kind of music we would be listening to and he said he liked all music. I was about 1/2 hour later than schedule getting into operating room which was COLD. Had general anesthetic, but before they added that to IV asked the other in room (think there were about 6) what kind of music and they said Doc danced around when ZZ Top played (he is pretty young, lol). Then I was gone.

Woke up in room, no roommate for few hours (same doc was doing her same knee, then got Christie in w me - they called us the Bane (dr. name) twins - same knee, day, age, everything, too weird. Only thing she did different was have spinal instead of GA - she had some kind of reaction, very itchy skin and they gave her benadryl. We both still think the type of anesth. we had was best for us. We didnt talk alot but appreciated having each other there. I have talked to her on the phone couple times this week - we have same visiting nurse, pt. She is not quite as mobile as I am yet, but think we'll end up about the same in a couple weeks.

Had morphine pump and bags of antibiotics (3, took 6 hrs each to drip into IV). No immobilizer. Up w/ PT early n ext morning, sat on side of bed, then when that went ok stood and took 6 sideways steps. Did same thing in evening and sat in recliner for a bit, which I didnt like, hit leg funny, didnt do that again. No immobilizer, but big fat ace bandages on whole leg, taken off Friday before I got out of bed. Saw stitches. Measured incision later - 8", 33 staples. Pretty swollen, still, goes up and down. Ice helps alot. Both PT and nurse remind me to ice every time I see them.

Second night was hardest, lots of hospital noise, got upset, still on morphine, n o percoset yet, i think nurse forget me, and I had sent hubby h ome. Did all kinds of test around raisedh eart rate - so I was awake all night. Things got better fast from there, got hungry, at this hospital, you order from a menu. Never ate everything that looked good, but it was nice to be able to ask for it.

Sunday walking up and down hallway, very tiring, also stood in bathroom to brush teeth and all that. Catheter had come out Friday or  Saturday cant remember. Worried alot about getting to bathroom on time, but it took a few hrs before I needed to go and nurses always helpful. Said it was good to move, drink more, lol. I even drank coffee!

At home, needed pretty much helpfor 2 days, then sent hubby back to work, but he is close by. Havent needed to call him. He brings lunch. We still have freezer full of dinners. I have loaded dishwasher, swept floor etc. Went to church yesterday. Got way tired. Sleeping very good - spreading percocet out from every 4 hours til 5 hrs, working out ok.

This will be so worth it, and worth your wait and frustration. I hope I have not given you TMI, but I remember just wanting to KNOW! Send me a message if I missed something that is on your mind! Kathi
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on November 06, 2006, 04:19:20 PM
kathi
Thank you for so much.. ..   I bet I will have questions  30 more sleeps ya know.. till new knee day
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on November 06, 2006, 09:28:26 PM
Hi,
I had the immobilizer on for a few hours directly following surgery only, then about 5 hours after recovery, I stood up and walked 4 baby steps and then the CPM machine.  I had a morphine pump the entire time I was in the hospital (3 nights).  The I went to the skilled nursing facility for inpatient rehab, because my insurance would not pay for an acute care facility.  I was transported by ambulance, took 2 percocets for the trip and took 2 pillows from the hospital to support my leg - worked out fine.  I got to the nursing home at 8:30pm on friday night and they were not ready for me. I though that I would be there for about 10 to 14 days, but decided to leave after 8 days because I felt like I was not making much progress.  When I saw my OS the next day, he freaked out and said that I had un-rehab.  In other words I went backwards instead of forwards.  I wish that I would have realized sooner and then wouldn't have lost an entire week.  But you are going to a way better type of facility, so don't worry, just be yourself and ask lots of questions.
Each one of us is different going in to our TKR, so we each will have a little different post op experience, plus each OS has their own way of doing things. but we all end up in the same place, working hard in outpatient PT.
I had a spinal and lots of other drugs, because I don't remember a thing.  The femoral block was not offered to me.  I alway do better without general anesthesia - I seem to snap out of it much faster, but that's just me.
BTW, never got to wear slippers in the hospital or rehab because my foot was so swollen, jus t wore those skidfree socks.

Keep those questions coming...

kathi, glad you are doing well, keep up the good work.

Bonnie
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on November 10, 2006, 05:24:46 PM
Annie,
Trying to find out how you are doing.  Let me know where you have been posting

bonnie
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Janet on November 11, 2006, 11:14:56 PM
Oh my gosh, only six more sleeps! After waiting four months, I can't believe it's almost here. I think I'm ready, too. I got a bunch of new "comfy" clothes for my time at home (since I usually only spend money on work clothes....and I don't think my jeans will be too comfortable, either). I had a long phone conversation with Jan L. because she has the same OS and went to the same hospital, so I got a lot of inside "scoop" on what to expect from the patient's viewpoint. Great help! I have three more days of work....and I think I may actually be ready to hand off my work for the next few months. I gave myself Thursday off to get things ready at home. Am getting nervous/anxious/excited. Nothing out of the ordinary, just the usual pre-op stuff. Just think, next week I'll be post-op, lying in my hospital bed watching the Michigan-Ohio State game on TV. Since I'll go to the U of M hospital, thank goodness the game is in Columbus or the traffic woudl be impossible and my hubby probably wouldn't make it to the hospital that day!

Janet
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on November 12, 2006, 12:11:37 AM
Hi Janet,
You sound very organized and ready.  You are right, jeans are not comfy.  Almost 5 weeks postop for me and I haven't worn anything that resembles jeans, only soft cotton, velour, etc.
One thing that was suggested to me was to get a private room, it was a bit more money (although I was only there for 3 night) but worth it!  They brought in a cot and my sister stayed the first night and hubbie the 2nd. Just a thought.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: rozzzie on November 12, 2006, 12:22:02 AM
Janet,

Bonnie is right a private room is great if you can get it.  I had a new hospital and all they had was private. ;D  It sounds like you are already, will be thinking about you.

HUGs

Rozzzie
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on November 12, 2006, 03:02:33 AM
Janet.   If feels like the days are going very fast now.. ..  While I do not have to worry about clothes for the hospital other than a nice robe..  My OS said everything I need there will be provided.  Its nice to get all goodies..  I have like six paper back books..  and my mp3 player. to fill.     I bought some nice shampoo  and shower gel..  and for home i bought some bath salt scrub.. since every morning I am so stiff and a nice hot bath helps ..

Janet when is your date again.  ?    I have to keep track of you and Tiff.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on November 12, 2006, 03:39:44 AM
Annie,
Janet's surgery is 11/17. 6 more sleeps
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: redneb on November 12, 2006, 03:10:27 PM
Hi,
Regarding wearing jeans....I too wasn't able to wear jeans until about 8 weeks after surgery....seemed like the inscision line was hypersensitive to everything....it's better now, but what I did was rub the inscision with different textures to get it used to eventually wearing real clothes...that has helped...wardrobe for me it was jammie bottoms and sweat pants....

take care, red
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on November 12, 2006, 09:44:45 PM
Hi Red,
What a great idea - thanks...as soon as I'm ready to give  up my jammie bottoms  ;D

When was your surgery?  How are you doing?

bonnie

Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: ladypenelope on November 12, 2006, 10:10:44 PM
Hi Bonnie,

I too had a problem with I had my TKR wearing jeans etc., and ended up in the depths of winter wearing flowing summer skirts as they were the only thing that I could tolerate near my knee, eventually after about 6 weeks or so I was able to start wearing what I call soft trousers (pants).  Fortunately didn't go out too much for the first six weeks so it was no problem, just looked a bit weird!!!!!!!! :P

Hope all goes well.  Sandra.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on November 12, 2006, 10:27:12 PM
Hi Sandra,
Long time no speak, hope all is well with you.  Luckily, I live in a warm climate, so anything goes.  Maybe in a few weeks the scar won;t be so sensitive, but I love wearing soft things, always have.  When I was younger, my sisters would always make fun of me shopping because I would buy things because of the way they feel, not look - still pretty much do the same  ;D

take care,
bonnie
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: redneb on November 12, 2006, 10:35:28 PM
Hi Bonnie,
My surgery was Sept 8...so a little over 9 weeks...my knee is doing well, but I have developed hip pain on same side as TKR....swollen and warm....OS is on vacation, but if this continues will go to see him....am going back to work on Monday, part time at first...still taking Percocet....but I'm doing ok...glad I had the surgery, no more grinding, crunching pain in the knee...I don't limp or waddle like a duck any more when I walk....

When was your surgery? and how are you doing?

Red
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: UK Girl ! on November 13, 2006, 08:21:40 PM
Hi Red

I too have hip pain which only actually started a few weeks ago (4 months post op) and also get shin and ankle pain - don't know if you had vargus deformity pre op - where leg bows out - but even if not your leg has prob not been in the correct position for some time and needs to get used to being correctly alligned again - well that is my theory anyway - will try to get this confirmed when I see OS again in january
anja
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on November 13, 2006, 08:50:36 PM
oddly enough my ankle has been hurting me now 
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: UK Girl ! on November 13, 2006, 09:05:02 PM
Hi Annie
might be a bit worse for a bit post op - also might have arch trouble on that foot - I did for quite a few weeks but okay now
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: redneb on November 13, 2006, 09:11:18 PM
Hi everybody,
My hip pain started about 7wks post op....I think it's the water class I was taking that did me in....it's a warm water pool, thought I could go above and beyond....but this is a class for wimps!.....I also think it's my body adjusting to walking correctly again....I did have my leg bow out....my OS is on vacation, but I made an appt to see one of his partners on Friday...this has been going on too long and has been affecting my knee and whole leg....

Went back to work today for 5 hours....one hour in, I was dead tired....it's an office job and I found that the longer I sat, the more pain I was in....tomorrow will walk aroung more and bring an ice pack for my hip pain....have to take a nap...too much activity too soon, I think....

My ankle has been aching too, but I broke it 8 years ago and the weather here has been cold and damp....

thanks and take care,
red
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: lilly_kc on November 13, 2006, 09:52:22 PM
ME too (worked today for an hour) - TKR 10/26 - wiped me OUT  but had to pay bills, write paychecks
Guess we need to slowly revise expectations - scheduled myself for two hours on tues and thurs ....
who would know it would take so much out of you!
Hang in, pace ourselves, hugsssss ..... Kathi
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Janet on November 14, 2006, 01:48:04 AM
Well, now I'm not so sure I'll be ready to walk away from the office on Wednesday with everything in order. I stayed two extra hours tonight trying to get things done. Then I got home and had a voicemail message to call the doctor's office.  Now I'm anxious and nervous about what they might want/need. I hope they aren't changing my surgery date (that's the first thing that came into my mind)!! They have it in my chart to call me at work. I hate to come home and not be able to call back until the next day, so I spend the night worrying. The stress is high tonight!!!

Janet
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: UK Girl ! on November 14, 2006, 02:38:26 AM
Hi Janet

they prob just wanna check something!
worst case scenario if they change the date it would only be for a very good reason and for your benefit.

hope the morning comes quick for you, try not to worry

let us know what happens
anja
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on November 14, 2006, 04:46:27 AM
oh maybe they wanted to know if you had disablity paperwork to fill out.. or something.. like.. confirming your surgery time.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Janet on November 15, 2006, 12:54:32 PM
Turned out to be nothing much. I need to pick up my Lovenox prescription at my local pharmacy instead of the hospital pharmacy. I am such a worrier....usually over nothing! Today's my last day of work. Hard to believe it's almost here.

Janet
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: rozzzie on November 15, 2006, 01:39:31 PM
Janet,  Glad you have the Lovenox before you're discharged.  Wishing you the best on Friday.

HUGs
Rozzzie
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: lilly_kc on November 15, 2006, 04:52:08 PM
Janet - you are so close. Keeping you in my thoughts and prayers. Can you send a message to someone about how you are doing????
Soon, like me, you'll be moaning/groaning about the exercises, yet moving more every day. Short term it looks hard, but when I look back three weeks, its like WOWEE!!!!!!
We can DO this! Kathi
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: UK Girl ! on November 15, 2006, 08:54:27 PM
Hi Janet
so glad it was noting serious they called you for - I would have been worried if it was me!

what is Lovenox?

not long now ;D
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Janet on November 16, 2006, 08:26:35 PM
Lovenox is a blood thinner. My OS prefers it instead of coumadin. You have to give it yourself by injection, but you don't have to have your blood drawn to check your blood levels and there aren't any dietary restrictions.

I just found out I have to be at the hospital at 6 a.m. for 7:30 surgery. That's good, except for the early alarm clock! Now that it's here, I'm actually excited! Nervous, too, about the pain levels mostly. But I'll get through it, and be on the way to a better knee. Thanks for all your words of encouragement and good luck to all of you!

Janet
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: UK Girl ! on November 16, 2006, 08:39:05 PM
Hee hee - Hi again Janet - just left a post somewhere else for you!

oh right - bloodthinners - had them only while in hospital and the nurses did the jabs! had a bellyfull of bruises!

(http://www.bestanimations.com/Signs&Shapes/Smileys/Smiley-19-june.gif)

Good Luck
Hugs
anja
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on November 16, 2006, 08:59:36 PM
OH I will have that.. It is a needle into the tummy for blood thinning.

Janet.. I am so excited for you..   a New knee..     17 days before mine 
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on November 16, 2006, 10:39:56 PM
Janet,
so glad I found you...good luck tomorrow.  we are all rooting for you!  take care.


Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on November 16, 2006, 10:44:19 PM
Hi Red,
sorry for not replying sooner.  My surgery was 10/10, so I'm 5 weeks post-op.  I'm doing ok, used a walker for a lot longer than I imagened, until this week, so just began using a cane - so a bit more pain the first few days.  I'm riding the bike at PT (2 miles today) and bent 125 degrees.
Are you feeling ok?
bonnie
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: redneb on November 16, 2006, 11:32:50 PM
Hi Bonnie,
Thanks for the reply...my hip has really been hurting (same side as TKR) and it has been 2 weeks now...it's to the point that it's affecting my whole leg....I see the doctor tomorrow, so maybe he can shed some light on this...it hurts to stand or walik now....right now I'm sitting with a bag of frozen peas on my hip...seems that works along with the Percocet, but I was just starting to wean myself off of that....talked to a physical therapist(I work in a hospital) and he said usually people will get hip pain 6-8 months after a TKR, not 6-8 weeks...so I'm keeping my fingers crossed for tomorrow...
thanks again and take care,
red
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on November 16, 2006, 11:35:29 PM
Red,
Here's hoping that it's something simple.

good luck!
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: redneb on November 17, 2006, 11:31:53 PM
Hi,
I saw my OS today re my hip pain. Turns out it's bursitis. I had that a number of years ago, but don't remember the kind of pain it was. Anyway, I got a shot of cortisone-he has a very good technique, only felt the topical freezing stuff they spray on. He told me that now since I am walking correctly and using muscles, etc, that havent' been used for a long time, the bursa became inflamed. Glad it wasn't anything to do with my new knee, tho. Also, he recommended I up my dose of Celebrex to 200mg, twice a day. A pharmacist I was talking to about my pain also recommended that. So I'll start that today.  Anyone taking Celebrex at that high a dose out there?

thansk,
red
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on November 18, 2006, 12:07:55 AM
Red,
Glad to hear that it was not anything complicated.  I'm sure you will be feeling a whole lot better very soon!
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on November 18, 2006, 04:21:34 PM
Hi Red

I started with celebrex .. hmmmmm maybe the first time was when I had a heel spur on my right foot back in 2004. ish..     And I been growing bone spurs ever since.. all over the place.   My insurance never covered it .. I always had to get preauthorization and the doctors were always giving me free samples to avoid preauthorization paperwork. . Than one day.. I said why dont you just give me an RX that I can send to mail order.. that is covered and than I was given mobic.  It is a cox 1  and something else .. but covered by insurance..

The thing with celebrex is that it is like that vioxx and betra that has been taken off the market.    I believe it causes heart problems..  So just be careful and ask you OS how long you will be popping these pills are are they safe long term. 


I remember taking celebrex 1 a day.. .. I liked it because it took away my period cramps best.  Not so much the inflmation in the foot..   I took it for a while for the knee and really I see no difference between mobic and celebrex.... those big horse pills .. really hurt my tummy..

Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Jo-knee on November 18, 2006, 05:42:05 PM
Red,

I have been taking celebrex 200mg daily now for 3 weeks.  It has made a huge difference for me as now I am able to sleep without pain.  My walking has improved, and I can walk more quickly without nearly as much pain. My hip pain has also improved.  Stairs, however are still difficult.  I know there are some risks with this med especially if taken more than 18 months, for now, for me, it's worth it.  I'll probably wind up back in the OR for an oats procedure by then anyway.  May as well be able to get on with life and not have to have my knee on my brain all the time.  I had bleeding problems with motrin, so this was a good option for me.  Hopefully, my luck won't run out too soon.  Good luck!  Here's to less pain and more mobility everyone.

Joanie
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: redneb on November 20, 2006, 11:35:49 AM
Hi everybody,
Thanks for the replies on celebrex...I have been on what seems to be every NSAID out there...motrin does work for me, but unfortunately doesn't agree with my stomach even tho I take Prilosec....I had taken vioxx before it was banned and that also worked...

Re my hip...got the cortisne on friday and still not doing much for the pain and swellling...am sitting with my ever present bag of frozen peas....made the mistake of sleeping on my hip last nite and WHOA!...won't be doing that again....what concerns me is that since my hip is in so much pain, I wonder what I'm doing to my TKR....oh, well, just have to keep doing the heel slides and all the sitting down excercises....

Have a happy Monday,
thantk,
red
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: arial on November 21, 2006, 05:40:38 AM
Hi Janet
I post under 2 year old "bend it til scream - help" post because i can't seem to send you a private message  - you are obviously more well versed in using this site - please read and reply to that most.
thank you
thank you
many thank yous
arial
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on November 21, 2006, 02:53:55 PM
Janet may not be online for awhile. We expect a shiney new knee Janet to post very shortly.
  Infact.. Janet..  WE Miss you!!
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on November 29, 2006, 08:03:45 PM
Well  I go in for my pre admission testing tomorrow.  I have to fast after midnight and only allowed to drink water. .. I also donate my blood tomorrow..

So today I deem it a fat fest day..   Had a cheese burger that I made.  and  some ice tea.. 
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: UK Girl ! on November 29, 2006, 08:08:51 PM
Good Luck tomorrow - why can't you eat?
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on November 29, 2006, 08:10:27 PM
I think its due to the blood test in the morning to screen if there is a chance in hell I may have diabetes.   I have to eat before I give blood..   
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: UK Girl ! on November 29, 2006, 08:12:32 PM
Oh right - never got tested for that!
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on November 29, 2006, 08:19:14 PM
Been tested a few time to check sugar levels.. every time all normal stuff no worries. ..  OS has his own special set of rules he wants his patients tested during pre op.  Like your urologist has to clear you before the operation.  Like you must see your GP before the operation. ..YOU must do every test medicine has ever created this year before the operation.

I think it is due to the serious nature of the operation.   With my  first operation in Jan .. my OS said I didnt need any of it.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on November 29, 2006, 08:22:51 PM
Oh I just wanted to add.  I went to the dentist in Aug.. and my OS said that he is not as much of a die hard on dental stuff.   A few years ago thats all his mentor stressed.. but I guess medical minds change.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on November 29, 2006, 10:43:09 PM
Annie,
happy testing & donating tomorrow!
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on December 01, 2006, 05:28:04 AM
The girl who lived.  :)   Getting some jitters today and it all started over nursing home stuff.  I am more nervous about that than my operation

I think I am going to go with the epidural and if I am feeling brave.. I may be awake during my knee replacement.

Friday Saturday Sunday Monday  Tuesday   five more sleeps    DEC 6 is blast off day.


How long did everyone have their staples in ?    I cant sleep tonight.  I got my period today.   Which really kinda makes me happy. That I should be all finished before my Operation.

Been quite emotional today.. crying and upset.    I guess.  all normal jitters.   

Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: ladypenelope on December 01, 2006, 05:04:31 PM
Hi knee deep

Just wanted to wish you well for Dec 6, am sure that you will be OK and up and walking next day, I think most of us were albeit on the slow side!!!!
Am trying to remember how long I had my stables in and I think it was about 12 days I had them in, for my PKR I had dissolvable stitches and steri strips, so can't cant that.  I may not have felt the stables going in but boy did I feel them coming out.   

I think you are wise to opt for an epidural, I had that, not sure if you will actually be awake, here in the UK they give you a sedative, so that you are sort of asleep, but I do remember very clearly waking up in the recovery room though, so that proves that I wasn't deeply asleep both times. 

Hope all goes well.  Best wishes.  Sandra.   
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on December 01, 2006, 06:40:09 PM
Annie,
Having the pre-admission tests really lets you know that IT"S actually happening, I freaked out at that time too.  What are your concerns with the nursing home, maybe I can help, having been there.

i think the epidural is a good choice, though I wouldn't want to be even the slightest bit consious, but you seem to be much tougher than me, I am truly a wuss.

Great news that you got your period now, one less thing to worry about.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on December 01, 2006, 07:48:02 PM
 The battle between acute and sub acute care ...

My OS and I have talked in length about acute care for months prior to my surgery.  Yesterday the case manager at the hospital said.  She didnt think I was a candiate for acute care.. that it would be a hard sell to get authorization from the insurance company.  So she was rude  and wasnt listening..   So I actually talked with the PA today at my OS's office and told him what the lady at the hospital did to me yesterday.  He said you are disabled as it is even prior to surgery.  I am too young for sub acute and  need acute  and my OS makes the call on what type of  facility I should be in not the nurse case worker.   So well yesterday after being so upset..  I toured a sub acute place today.    It looks ok.  .. All old people..  A coffee bar..  A tiny room for lunches and stuff.   It is decorated pretty peaceful and  the rehab PT area not bad.    There are nurses on staff and I would be able to have pain management there after surgery  and  PT. OT  7 days a week for two hours.  in subacute..  In Acute care..   I believe its more four hours.. a day.. .. The point being .. The younger I am the faster they want me to rehab and get better as quick as I can.

Even touring the sub acute place.. The admissions department said if the OS was telling you acute than more likely than not you will be in acute..  And pretty much validated that the case worker at the hospital was a bit out of line.. but I was doing the right thing by checking into my options for sub acute care if it came down to it.


So that was my morning.  I also had to pick up an RX from my OS for my pain medication.  Dropped off  paperwork for nj dd and the reed group  ( short term disability insurance company)

Also the reed group called this morning and I told my nurse case worker .. my concerns over acute and sub acute.. and she said that I should be put into acute rehab.   

So thats the drama prior to surgery on it.   I needed this like a hole in the head.   

So here is the count down

Saturday, Sunday, Monday, Tuesday... Wednesday ( blast off )

four more days..     

Nervous wreck on crutches..    When I went to the hospital yesterday.. The put me as a fall risk on the paperwork. 

God feel so old..   Must get my make up bag ready..


Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on December 01, 2006, 08:52:31 PM
Annie,
you did the right thing by talikng to your OS about acute care.  as long as your insurance covers it, it is your doctors call.  I was not so lucky, my insurance does not cover rehab in an acute care facility , only in a skilled nursing facility.  So let your doctor fight for you.  Usually, the differences are the number of times per day you can have therapy (and the length of time) and most importantly the acute care facility will be more aggressive.
so sorry you have to have this added stress right now, when you thought it was taken care of months ago.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Patty0513 on December 02, 2006, 12:01:42 AM
Hi Annie,

I have a question.  Why are you going into any kind of care facility after your TKR??  Why can't you just go home??  I thought that going home after being released from the hospital and receiving in-home PT was standard practice.   Don't you live with your parents?  Can't they help out for a few days?  I am just wondering.

Patty
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on December 02, 2006, 01:15:54 AM
Hi Patty,
I had a TKR in October and standard practice for my OS is to have his patients go to an inpatient rehab facility (acute care).  The reason is that at an acute care facility you get aggressive therapy multiple times per day as opposed to 2 or 3 times per week for 45 minutes at home.  Also, pain management was available, the less pain, the more work you could do.  He felt that his patients got the best results faster which was good for the patient and also reflected well for his stats.
I got 2 opinions, one OS didn't even mention a rehab facility, so I guess it depends on the surgeon. 

take care

bonnie
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on December 02, 2006, 01:23:44 AM
Patty  

I can not say it is a standard practice to send a patient home in the USA.  Even the three books I bought on knee replacements talk about the upswing on SNF. Infact Bonnie just returned from one.  

I pay for healthcare insurance and if one of the entitlements is to have the best agressive rehab on my knee. Why not?  There will be pain management.  Less stress on the family. (I seen what my first operation this year placed upon my family. I seen how they handled my other medical concerns this year and I really can not depend upon there backassed ways to dictate what is best for me.)
 I am very young and need the best possible outcome with out saying .. if only. I handled the first month differently.  This will not be my first and only TKR expected in my life time.  I will outlive this joint implant. I need the best and strongest outcome.

Plus I feel strongly about this..  My OS would not encourage me to go to a SNF if he thought there was no gain to be made by doing so.   Plus I would not be spending most of my OS visits talking about Acute care vs sub acute care and which rehabs he would put his family members in and which places his family members had settled for since there insurance didnt cover.   Like Bonnie his Aunts insurance didnt cover acute care. Only sub acute care.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Patty0513 on December 02, 2006, 01:26:19 AM
Hi Bonnie,

Thanks for the info.  I guess it does depend on the surgeon.....my OS has not mentioned it.  How long were you in the acute care facility?  Do you really think it is better?  Personally, I just want to come home.


It sounds like your rehab is going fairly well....are you pleased so far?  Hope the kidney tests turn out OK.

Patty
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on December 02, 2006, 01:58:18 AM
Hi Patty,
I was not in acute care, my insurance wouldn't cover it although I would have preferred it. I was in a SNF, a skilled nursing facility.  I'm not certain what sub-acute is and I'm not certain if these things are different state to state.

From reading these boards, it seems that most TKR's do well whether they go straight home or to inpatient rehab. If you have a good support system and your OS will prescribe home PT, you will be fine.  How old are you if you don't mind me asking.  I'm 53.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: lilly_kc on December 02, 2006, 02:15:32 AM
Hi all!

I came home from hospital after 3 days, after TKR 10.26. Seemed standard - doc didnt say anything else. PT came to home for 2 weeks, then I started going to them. I am 55 yrs old, in midwest USA.

Do know that a church friend is having bilateral hip replacement next month, and he will be in rehab part of hospital for couple weeks.

I did fine at home, and was SO GLAD for my own bed. Hubby had to help me into shower once, but then I managed most everything on my own - even swept front porch! They sent a walker home with me, but never used it - only for balance while doing home exercises, which I am still doing, twice a day, about 1/2 hr, 45 min or so each time - getting easier.

Have nice weekend - cold here, but snow stopped! Kathi
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: L. Thomas.net on December 02, 2006, 02:40:58 AM
I'm on for Dec 18

My OS is on the "education board" for Zimmer.  He explained how the Gender Knee research was done..very interesting.  There is a "body farm" at the University of TN.  Bodies are "buried" under different situation (underwater, in containers etc) and they removed and examined from time to time. :o  Measurements are made and referenced concerning progress of decay.  It seems that over some time a huge amount of info has been garhered on bone measurements. What is neat is the fact that they can actually take a piece of decayed bone and recreate a three dimentional model of the original bone.    The information on knee measurments is what started the ball rolling at Zimmer.

My OS is "eat up" with it.  He thinks that on the horizon ...... before surgery you will have an x-ray and the "brand" and size of the knee replacement will be determined prior to surgery...with not guess work on "fit"...how about that?

Oh yeah..I don't know what"brand" knee replacement I will get (obviously he favors Zimmer)....he said it would be the one that "fits" the best and he wouldn't know that until he got in there.  ::) I guess I will know as soon as him.  I have always had spinals with knee surgeries and he prefers them...
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on December 02, 2006, 01:33:29 PM

I went for my Xrays Thursday.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: rozzzie on December 02, 2006, 07:13:24 PM
Annie,

Sending good wishes your way.

Rehab or not is definitely dependent on the OS.  While looking I saw 3 that you had to go to rehab and about 4 where they rarely sent anyone to rehab.  I was in the hospital 2 nights then a 2 hour drive home with stops every half hour.  The first was for lunch at a Mexican restaurant. ;D  My OS's protocol called for out patient PT starting on day 4 after surgery.  Getting in and out of the car is part of his therapy and encouraged you to go out often.

Rozzzie
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on December 02, 2006, 08:35:37 PM
 ;D Thank you for your well wishes all lilly c,ladypenelope,   Rozzie,and L.Thomas  ( I will get the Zimmer knee - The girlie one )   My OS mentioned how they gained the measurements from donor bones. But it is interesting that they put it in water.  I am sure I am benefiting from years and years  of science.   Infact it is one thing my OS thought about when he had me on his plate of things ..  There is a new knee coming out on the market.. Let me encourage my patient enough that we are waiting till it is FDA approved. This was back in FEB of 2006.  I think the Zimmer knee was approved in  May 2006.   I saw another OS who didnt think highly of the zimmer knee. He loved the styker knee.  The Third OS I saw said frankly there is just a very very fine line between the high flex knee and the gender solution knee and he would not have a problem installing the high flex knee if it fit the patient better.  It all comes down to the fit.  Which is why the xrays and the skill of the person picking out the knee are really are best friends next to the anthesiologist.. :)

This morning I must confess. I called the Acute care place and left a message to speak with the admissions department.   If nothing else its the most self empowering thing I can do. Is to bug health care providers just days away from my surgery.   Perhaps its a blessing to have something to do. Looking not at the operation as stressful but the after care? ??    I mean it will be only a 10 day stay and I can spring myself out if I feel I not gaining anything from it.  Plan a, Plan b and plan c.    I hope I can hear from Bonnie and her first hand experience on aftercare.

I will be talking with the OS office on Monday I had asked if he could take photos of my knee. :) all open and goey. :) 


In my discharge planning guide  it defines the following:
Acute rehabilitation provides 3- 6 hours of intensive and agressive rehabilitiavted care per date. ( It is like knee replacement boot camp.)
Subacute care provides 1-3 hours of vicorous physical therapy each day
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Jo-knee on December 03, 2006, 06:46:22 AM
Annie,

Good luck and here's to a new knee future for you, and many many way less painful days in the near future.  Will you have access to a computer?  Maybe call somebody to keep us all updated?  Be brave!

Joanie
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: UK Girl ! on December 03, 2006, 10:46:24 AM
Hi Annie

hee hee not long now!! ;D shiny new knee time.

As far as rehab goes - we go home between 4 and 7 days in the UK - there is no facility to go to rehab - personally I was glad to be home - I was bored in the hospital - and as I was very mobile it was the best thing for me.

The best thing for you is just to see how it goes - rehab is not like prison - you can go home whenever you feel ready and that is only reallly for you to decide - but being young you will prob find you want to get out! - I was at a party on day 6 - - that was after going shopping as well -  it was great fun to be out and showing off my new knee ( yeah I did have walking sticks  and some pain but I reckon it was all part of the physio)

You go with how you feel. - hopefully good! ;D

Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: redneb on December 03, 2006, 11:27:25 AM
Annie,
What a great Christmas present for you!...a shiny, new knee...I'll be thinking of you in the next few days...be strong and remember, the best is yet to come....

take care,
red
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: dmturner on December 03, 2006, 10:22:41 PM
Hi Anne,

I've just read this entire thread, and I'm so excited for you.  Good luck, good luck, good luck!!  I'm getting a new knee in January but don't have the date yet, so I'm really watching everyone's progress.  I know my OS uses Zimmer, but until I have my next appointment with him, I won't know the exact details. 

I'm going to ask my OS if some pictures can be taken in surgery of my knee also.  I'm on worker's comp. and have a 3d party lawsuit going, so I think the actual surgery photos might be helpful.  I never got any with first surgery in '04 for TPF, but then I didn't know what was happening.  This is my 5th surgery since 9/04, so I'm getting a little smarter with each one.

I'm really excited about getting my new knee, but I'm already a little scared, which I'm sure will get worse the closer I get.  I'm trying to look ahead to next summer and actually being able to do some of the things I haven't been able to do the past two summers because of pain and weakness.

So I'm rooting for you, hope all is successful, pain is minimal, and your family will be there for you.  Take care.

Donna T. :)
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on December 04, 2006, 02:25:32 AM
Annie,
3 more sleeps!!!!!!!!!!

Are you here?
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on December 05, 2006, 04:35:12 AM
It is about 11:15  and I tore up my room looking for my MP3 player.   How can you loose a big pink Mp3 player??  I am praying to saint anthony that I will find it.  I am making myself very busy.   This time tomorrow ..  I only have to sleep and than wake up and drag myself to the hospital.     I am going with the epidural.   I figure i can compare a heel injection to a spine needle

I have a lovely chat with Bonnie today and I cant thank  Bonnie enough for listening to me and giving me all your wisdom and support.

Anja & Bonnie,  Hoppy, - YOU kept me sane and centered.  It really is a gift that I can share my experience with you and you allowed me to peek in to your experience. 


Nettan Thank you for being there from the start and wishing me luck always. You inspire me  and I wish you all the best with your upcoming operations. 

A year ago this month I had my first ever MRI   Dec 9, 2005--  Virginia Slims had a slogan..  "You have come a long way baby"   That's how I feel .   That this is a path of inner growth.  Some people say that a warrior would go out into the wild and seek a vision quest.  My Vision for us all is .. for Health and Happiness that fill our days  for the coming years.   There is a vast growing that happens when something like this happens and I think only time allows us to mature into this fate and having good mentors that encourage everyone on to the next step.   

Ok I think I am getting mushy .. and  maybe need to find a comfy spot to rest and watch  some good movies. 


Hugs to all
Anne
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: UK Girl ! on December 05, 2006, 11:37:41 AM
Bloody Hell mate - you sound like you are leaving us forever - not so - you will be back so soon with that shiny new knee moaning about a new pain!! good healing pain!!

This is a brilliant site as we can share our moans and groans and the happy times!

Hope the MP3 turns up - I only used mine once - so maybe you won't need it too much. Sleep and physio are really the only things you get to do in hospital and hopefully there will be some nice other patients to chat to.

You will prob be quite calm when you get up today and tomorrow knowing the waiting game is done - that really is the torture in the whole scheme of it!

I had an epidural once and it was okay.

One more sleep!!

(http://images.google.com/images?q=tbn:6HmvQWMygbqmsM:http://www.fibrodoc.org/images/sleep.2.gif)
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: celinenj03 on December 05, 2006, 12:22:34 PM
Prayers for you today Annie! I am so happy for you to get this behind you and to restore you to the quality of life you deserve. I look forward to reading your progresses. God bless you today and always, :).
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: dmturner on December 05, 2006, 03:51:44 PM
Hi Anne,

Good luck tomorrow!!  I'm sure all will go well and that this will be the beginning of it all turning around for you.  Make sure you diary everything.  Those of us coming up on this surgery will be closely watching.

Take care.

Donna T. :)
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on December 05, 2006, 07:00:44 PM
OS office called.  Must check into hospital by 9 AM.   No food or drink after midnight .. It is about 2 pm now..   Been sleeping most of the morning.  Took a nice long relaxing bath.  Shaved my legs and put some nice body lotion on it.   Very glad on the decision to buy tons of bath bombs and bubble bars.  ..  feel very pampered and soaking in water.    Very glad that I took the week off prior to surgery..  While I didnt do much.  I had some great relax time..

Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: L. Thomas.net on December 05, 2006, 07:11:54 PM
It is about 11:15  and I tore up my room looking for my MP3 player.   How can you loose a big pink Mp3 player??  I am praying to saint anthony that I will find it.  I am making myself very busy.   This time tomorrow ..  I only have to sleep and than wake up and drag myself to the hospital.     I am going with the epidural.   I figure i can compare a heel injection to a spine needle

I have a lovely chat with Bonnie today and I cant thank  Bonnie enough for listening to me and giving me all your wisdom and support.

Anja & Bonnie,  Hoppy, - YOU kept me sane and centered.  It really is a gift that I can share my experience with you and you allowed me to peek in to your experience. 


Nettan Thank you for being there from the start and wishing me luck always. You inspire me  and I wish you all the best with your upcoming operations. 

A year ago this month I had my first ever MRI   Dec 9, 2005--  Virginia Slims had a slogan..  "You have come a long way baby"   That's how I feel .   That this is a path of inner growth.  Some people say that a warrior would go out into the wild and seek a vision quest.  My Vision for us all is .. for Health and Happiness that fill our days  for the coming years.   There is a vast growing that happens when something like this happens and I think only time allows us to mature into this fate and having good mentors that encourage everyone on to the next step.   

Ok I think I am getting mushy .. and  maybe need to find a comfy spot to rest and watch  some good movies. 


Hugs to all
Anne
Oh the spinal isn't too bad. I've had one with all 5 knee surgeries. They give you so much "good juice" that you don't even care what is happening.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: L. Thomas.net on December 05, 2006, 07:34:02 PM
I can hear some of you now...We know, We know…  you’ve already told us so give it a break..  But I am excited about the 18. ;D  I don’t think worry will be on my mind. 

The hospital has so many amenities that I almost want to check in today. 8)  All visitor and patients have valet parking.  In the atrium there is a quiet area where the grand piano is usually playing (Christmas carols right now).  There are hot spots  just off the atrium for wireless internet and there is wireless internet in the rooms. 

 I have told the people that will be visiting (100 miles from home) to be sure to stop in the atrium at the Starbuck’s kiosk for a cup coffee on the way up. ;)  I’m not sure if my room will have the coordinated cherry furniture or not ::). 

I want to remember to tell them to check the calendar on “Bistro Blvd” to see if there are any cooking classes or demonstrations the day they visit. :D

I am just a little disappointed :P that everyone else will be having such a good time.  The insurance has only approved 3 days.  :'(???
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on December 05, 2006, 07:43:38 PM
L.Thomas

Please feel free to vent and go on and on as much as you want.  Going to the hospital is not an everyday event.  There is valet parking at my hospital but it is in the heart of the "hood".   I know my room will have a flat screen tv and the floors had been done recently and I will have my own room..

Coffee.   hmmmm.   The drug that works wonders.

I cant imagine going to a cooking class at a hospital. Since hospital food is know for its yak food.

I wish you the best of luck..    Anja and Bonnie will be around to keep you centered ..
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: UK Girl ! on December 05, 2006, 07:48:50 PM
Hi Annie

This time tomorrow - all done YIPPEEEEE !!! new knee!

How are you going to keep in touch - we need to know how you are doing!
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on December 05, 2006, 09:19:13 PM
I have asked my brother to email you and  I have Bonnie's phone number...and she has mine.. 

Yes I am excited..  I sat down and prep'd my mom on what to expect..    My Dad seems a nervous wreck.(.He bought a new dryer and the owner of the place was going to get his leg ampuated and he told my dad that his father had a knee replacment and the first day he had the worse pain .. You know that look of worry a parent has well he has it now.  I think the trade off is worth it.. The ability to move around again for a day or two of bad pain.  .. This operation is a blessing to me. 

Sat my mom down and requested Coffee to be brought to me the following day.   Gave her the phone number to my OS's office . I told her I programmed the phone number in the phone at home.   She keeps repeating my OS's name.   I had her and my dad sign the living will I made out.   I reminded her that the green paper is for my blood donation and the pink paper is an extension of allowing the blood work I had on Thursday .. to be extented to tomorrow.    I told her we go to the outpatient section for the operation.. and than will be brought to another area for a few days stay..   I gave her my insurance coverage for acute care and for sub acute care. ,  I told her that someone would have to pick up my disablity paperwork and than fax it over.. to my workplace.


So my mom is getting a new dryer on Friday..    and we were sitting and talking and I told her to say goodbye to my old knee.   She thinks I gone mad..   ..   I found my Rosary beads..  and glasses..   I suppose I will have to give up on the search for the MP3 player.   

Family is having a roasted chicken tonight..   and I asked for a half gallon of ice tea..  .. 

My mom bought a new robe for me.. Zipper front..  Pink.  Made of the fleece material

My cousin is also having an operation tomorrow.  In August he lost one of tips of his fingers.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: lilly_kc on December 05, 2006, 09:26:54 PM
Annie - good thoughts, wishes and prayers are with you for your surgery tomorrow. You are right - it will be so worth it, and you have been waiting so long! "see" you soon  :D :D Kathi
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on December 05, 2006, 09:30:09 PM
Thanks Kathy.   My knee will be great ..   
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: UK Girl ! on December 05, 2006, 10:01:21 PM
look forward to hearing from your brother and bonnie! ;D
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on December 05, 2006, 11:37:17 PM
Annie,
Just got home from PT and errands.  Didn't want you to think I forgot about you  :D

We all inspire and support one another (you included). When one of us is down the others pick up the slack.

One more sleep, if you can...and then a shiny new knee.

Maybe your MP3 is with your DVD???? I guess you like pink? (pink robe, mp3), a girlie girl!

Here's to a great surgery and a speedy recovery and a cute doctor????

Big Hugs,
Bonnie
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on December 06, 2006, 12:33:19 PM
Ok its a little bit past 7:30 here and going to be out the door by 8 am.  Couldnt sleep at all last night.   Hungry, Thristy and in pain..  Cold outside..    .. Yet very excited to get the show on the road. 

hugs to all..
Annie
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Janet on December 06, 2006, 06:23:06 PM
Annie:

I know you won't see this before your surgery, but I hope things go well for you. This is the first time since my surgery (11/17) that I felt like getting on the computer. Just think, the next time you post, you'll have a new knee!

Janet
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: plantgeek58 on December 06, 2006, 06:41:19 PM
Hi Annie,
Just wanted to add my good wishes to everyone else's. I'll be sending lots of prayers and healing wishes your way. Hope everything goes smoothly and you're soon out of pain.
Terre
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on December 07, 2006, 01:52:55 AM
Hi everyone,
Annie Update!!!
I spoke to Annie's Mom earlier this evening.  Annie was still in recovery when I spoke with her (about 6pm) and she got to see her for just a moment.  The surgery went very well, the OS said there was a lot of arthritis.  She was told to call around 8pm to see if they were going to transfer her to her own room. 
I will try to call tomorrow evening and get more news.

Hi Janet,
Good to see you posting...how are you doing?

bonnie
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: UK Girl ! on December 07, 2006, 07:41:32 AM
Hi this is anne's brother.

Im writing to you because she asked me to keep you updated on her status.  Her surgery was moved from 9am est to 12 pm est it was an 2 hour surgery. She had epidorial (sp) so she was up when they were operating on her and its was a success. After the surgery they put her in recovery from 3pm-11pm est at night.  They have a draining tube in her knee also a machine to keep it moving.  She says that the knee pain she felt is no more just that pain of the surgery thats just about it for today. ill try and post another message tommorrow.


Hi All - this is what annies brother sent - Great news! ;D

Big Hugs to annie! ;D
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: plantgeek58 on December 07, 2006, 02:26:31 PM
So glad to hear things went well! HUGS, HUGS, HUGS!!!!
Terre
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: lilly_kc on December 07, 2006, 02:59:08 PM
Yeaaaaaa  ;D  ;D  ;D ;D
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: redneb on December 07, 2006, 06:56:51 PM
Hey, Annie's brother...tell her she has come to the other side and will be so happy......YAY!

Red
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: celinenj03 on December 08, 2006, 08:46:23 PM
God bless you and your BRAND NEW knee!!!! So happy for you to have it done! YAY!  ;D
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: UK Girl ! on December 10, 2006, 09:13:53 PM
Hi All - received this from Annies brother today
They're moving her to a care place where they help her walk again with her new knee.  She was saying 10 days due to her being young and healing faster as to older people which tend to heal slower, also her doctor was saying could be 10 days or so.  Well i got her a portable dvd player and all her movies. also my parents stay with her so shes not too bored....

but seems like this care place isnt all that great practially gotta get on peoples cases in order to get stuff done. also seems the nurse's have some what of a hard time understanding english. so hopefully her doctor can arange a better place for her.   Will do on the hug.

The days are flying by now so hopefully she will be posting again soon!

Big Thanks to her brother for keeping us updated!

Anja
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: L. Thomas.net on December 11, 2006, 03:08:54 AM
Sound great. I am not far behind 12-18-06.  I am getting excited, but a little apprehensive. It seems there is a great deal of diffrence among TKA'er recovery.  I hope all continues to go well.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: ladypenelope on December 11, 2006, 09:59:00 AM
Hi L.Thomas.net

Just to say good luck for tomorrow and yes there is light at the end of the TKR tunnel  :)

Hi Anja

Pleased to note that Annie is doing OK and that she is out at the other end of the tunnel, so to speak. 

Don't work too hard selling all those Christmas trees!!!!!

Best wishes Sandra.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: UK Girl ! on December 11, 2006, 09:23:39 PM
Hi All

thanks Sandra - sick of the sight of those trees - get soaked everytime I pick one up - wish the weather would dry up!!

Just to let you all know - Annie's Mom spoke to Bonnie today and they are going to move her to a more suitable rehab place - Bonnies post is on my Post op tkr thread.

anja
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on December 15, 2006, 01:37:43 AM
Don't know what I was thinking, but didn't think to post here about Annie, so here are my previous posts:

"Just touched base with Annie's mom, she left the hospital on saturday & went to the sub-acute rehab facility.  She was doing well in the hospital, but was not happy at the rehab facility, (no food, no walker) so she spoke to her doctor and they are moving her today to another one.  Annie's mom was trying to get out the door to collect Annie's things, so we didn't talk for long, but I told her to give her a hugs and kisses from all of us.


from 12/13/06:
Regards to all from Annie.  Had a nice chat with her this morning and then her therapist arrived.  She is settling into the inpatient rehab facility, trying to get stronger, and says her pain seems to be under control."


Annie we all wish you an easy rehab!
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: UK Girl ! on December 15, 2006, 07:15:00 PM
But when is she coming home?

Giver her my love and best wishes ;D

anja
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on December 15, 2006, 11:25:45 PM
Anja,
Just spoke to her and sent regards.  She's hoping to be home before Christmas, she needs to be able to navigate stairs first.  She sounds great.

Bonnie
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Jo-knee on December 16, 2006, 05:45:59 AM
Yay for Annie!
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Mag on December 18, 2006, 02:52:56 PM
 ;)  Hi everyone" First of all, I've to say that I speak portuguese.
English, I love, but is not easy to comunication in it.

I'm Mag, from Brazil, south America!
I'm new member of this forum, reading about all of you, with has problem in the knees, just like I do.

Knee Deep in Goo, Annie, wrote: I'll have the surgery on wednesday, Nov. 29.
Now is done! Praise The Lord!

I wonder to know about your surgery. How you are, if has pain or not, how is your mind.

CONGRATULATIONS! :-*
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: plantgeek58 on December 18, 2006, 06:33:11 PM
Hi Mag,
Welcome to the boards. You communicate very well.
I'm from New Hampshire, a small state in the northeastern part of the US. I live on the seacoast, am married, have 3 kids and have problems with both knees. My right knee is worse than my left, due to an ice skating accident when I was 21. (I'm 49 now.)
This website is a great place to get information and support. You'll make a lot of great friends here. Looking forward to hearing more about you and your knee situation.
Terre
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on December 19, 2006, 11:02:12 PM
Hi all

Well I am home.. Came home yesterday and just settling into a routine today.  Big hugs to Bonnie for keeping my spirits high.  So much to think over and put into words.  I will in the next few days. 

Hugs

Annie
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: UK Girl ! on December 19, 2006, 11:07:23 PM
hey Annie - great to see you back!  want a full report as soon as!!

Hope you are doing okay - keep up the pain meds! and don't over do it - wow must be 2 weeks tomorrow! - disco at the wekend then!

Take care - good to have you back !

big hugs
anja
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: dmturner on December 20, 2006, 01:35:26 AM
Welcome home, Annie!!  How are you doing?  I'm keeping you in my thoughts and prayers and hope that everything is progressing as it should.  You take care of yourself, and we'll all be looking forward to hearing how your surgery and recovery have been going.

Donna T.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: plantgeek58 on December 20, 2006, 02:38:02 AM
Hi Annie,
Great to hear that you're home for the holidays. Hope all is going well. Check out the 3-word story when you get a chance. You got included in it. Hugs!
Terre
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on December 20, 2006, 03:32:59 AM
Annie, So very glad you're home...I'lll bet your own bed feels fantastic, as least for the first night.

Take it easy, especilally on those stairs.  Will try to check uo on you later this week.

Bonnie
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: rozzzie on December 20, 2006, 11:24:41 AM
Annie,  Glad your back home.    Keep up with the pain meds and do your exercises faithfully.

Hope you're feeking better everyday.  Fill us in when you can.

HUGs

Rozzzie
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: lilly_kc on December 20, 2006, 04:56:20 PM
Annie - welcome home! Every day will be better and better. Take care, pace yourself! Kathi
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on December 20, 2006, 05:15:04 PM
The past few weeks went so fast and there is so much to tell about my experience.   Well  I best give some background if you are new to my story.   I am 37 and I had two knee surgeries this year.

It all started last year.  I was getting these ice pick pains on the medial side of my knee joint. The MRI showed I had a small tear in my posterior horn. So I had Chrondroplasty and a partial Meniscus removal and was told as soon as I awoke from the scope that I would need a knee replacement. This was in January 2006 year.  So now a fast foward to December 2006.   I had a total knee replacement on December 6.2006

I left for the hopsital around 8 am in the morning. The hospital said to be there by 9:00 Am
.  Went to the front desk and was told to go directly to my pre op room.  I was handed a fresh gown and some tan socks and was told that I would have the surgery around 10:00 Am. About that time I was rolled down into the surgical waiting room.   I decided to go with a spinal and than have an epidural for post op. The operation was delayed two hours or so since another patient had to have an emergency apendectomy.   My OS came to chat with me a few times.  I sent him a gift basket that was suppost to be delivered after the operation.  He said he enjoyed it but loved the card I sent to him more.

Once in the surgical suite,  Things moved pretty fast.  I was given the spinal and I was pretty nervous about it but it wasnt that bad.  I told the doctors. I do not want to be up for the operation.  I remember them covering me and putting air heater on my chest.  It was like a plastic floating device that was attached to a big hose that blew in hot air.   I remember at one point of the operation I was awake and heard the doctor hammering and  cutting the bones.   I remember the one doctor saying that I was awake and that I would not remember it and I said.. oh No.. I will remember this. Than the doctor sedated me again to make me sleep. I woke up again in the room when the doctor was closing me up.  I was glued and taped shut.   I was given a cortizone shot in my left knee and my left heel as well and than went into the recovery room around 4 in the afternoon.

My parents came in briefly and I was wide awake. They had been told I would be in the recovery room until 10 pm.

I remember the nursings taking my temps. After surgery it soared up to 108, 104, 103 and than back to normal.  I was given ice and apple juice.  I had a foley tube for 2 days. I was not aware of that going in.

I do remember after the fever dropped I was given a transfusion from my leg drain.  It was not much about 1/4 of a pint.  The blood I donated prior to surgery was not used.

After the transfusion I was able to call my parents on the nurses cell phone and they came down to see me around 10:30 when I was transferred to my room.


Once in my room I was given apple juice and jello.  The TV was turned on as well as the phone.  I had to share my room and a few minutes later my new roommate Sally was brought in.  We started talking and kept talking to 3 am in the morning.   I think the people in the other rooms complained that we talked so late into the night.  I think Sally is like 70 ish. She had her hip done by my doctor. So we had alot to talk about.

Well thats the end of the first day.


Oh I want to say that the pain can be compared to be rolled over by a bus several times.  I was given a morphine pump that didnt seem to do anything. I was given morphine injections that didnt seem to do anything. Finally they gave some kind of injection with codine that only can be given once every 72 hours...  I had a bad time with the pain the first two days.    The second day the pump started to beep and the nurse took out the battery.   I called home  and my mom and dad called the OS office as an emergency an half hour later I had another morphine shot and than the anthesiaologist had to give me a balst of lidocaine into my epidural.  I took my first steps the second day.  Didnt get very far..  but the PT said I did pretty good considering I had a no feeling in my legs since I had the balst.   My OS came up to visit and made sure I was ok.   Also was told me and Sally were up all night talking. 
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: plantgeek58 on December 21, 2006, 04:29:12 AM
Wow, Annie,
Sounds like the first couple of days you were put through the mill! That fever must have had the doctors and nurses scrambling. Thank goodness it came down fast. How is the pain now? I hope it's better and you're resting more comfortably. Take it easy and post when you can.
Terre
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Jo-knee on December 21, 2006, 06:28:59 AM
Annie,
Glad to see you posting again, that means you're home and able to for us worry warts.  Are you getting around better?  Can you tell a difference already?  I know it's awfully soon, and I'm sounding nosey, but I just want so much for things to be better for you.  Now, for yet another round of PT... be like the Nike commercial and "just do it."  Hope your doc didn't chew you out too badly for your all night chatting sessions.
Joanie
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: UK Girl ! on December 21, 2006, 09:37:24 PM
Hi Annie - how are you? we need an update ;D
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on December 22, 2006, 07:49:24 PM
So sorry for not posting the last few days.

So  I guess I left off at day one and talked about the pain a bit on day two.  Did my first steps on day 2.  Getting out of bed and trying to place the foot on the floor was my biggest struggle.  Plus getting the leg up on the bed I must say was a hard time.     I had the cpm machine in the hospital and was at 35 degrees.  At night again talking with my roommate Sally .  We both had been given abiem but around 3 pm we would always awake.   It was good to have a buddy in the hospital.   Although she was in her 70's she would let out a soft cry at night for her mom.  I would call over and ask her If she was ok and than ask if she wanted me to ring for the nurse.  During my time of intense pain while waiting for the Lidocaine injection to happen she would tell me stories and try to calm me down.   At night we would both watch PBS and they had this German Christmas special on and it was soothing us both down.


Day three.  The catherter was taken out.  I was being sent down to get an ultra sound to check for DVT.  When they got me in the hall I started to puke so they brought me back into the room to clean up and than also my epidural needle was taken out.   

The ultra sound for the DVT was short and sweet.  It was negative. Which is what we all want to see.     Also  due to the stress of the operation I have to monitor my blood glucose levels.  It was 245 after the operation.  I had to get 2 units of insulin if it was above 151.    Also my OS resident came up a few times.  Plus my OS who operated on me came up a few times.   And the evil OS his partner came up to check up on his --"teeny booper patient"

This was my last night in the hospital. YIppy..  I thought at the time..   .......





Today  Friday  Dec 22.    I keep working on bending and streching my leg.  I must say the post op tightness is a bitch to deal with.    I am getting down stairs on crutches and can step a few steps with out assitance with cruch, cane, or walker.   The incision site looks great.  A small thin line with steri strips and glue.  No red spots or anything..    The lateral side seems to have the most numbness and the dry skin.  I try to put a little lotion close to the area.    I have a hard time sleeping at night .   I spend most of my time building up a pillow mound that I can put my legs on and let gravity help my flexion.  Doing leg lifts while sitting down is a bit painful.    I think my first operation this year was harder really in the post op with ROM .    Yesterday I went to my GP for a quick post op check up.  We are going to monitor my sugar levels over the next three months.  This morning I was down to 109  .   Family keeps wanting to test the machine out too.    They are in the 80's.  My GP said he is really not overly concerned about the level and I am at the point that diet control will get it down. Which means I am learning to love  sugar free life and fat free milk.   My nephew is coming over today.. his birthday .. age 2.

It is really strange that after this operation I feel like I am getting stronger and stronger every day.   I am actually saying it and believing it.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: JBL on December 22, 2006, 11:17:11 PM
Hi everyone,

Annie welcome back sorry I missed seeing you when you first arrived home, your sure had an interesting time, talked till 3am, its good you had some company it does make a difference while in hospital.  Its such a big operation and recovery as you know, there's no hurry take it easy each day it does get better everybody heals at different rates..  When does your OS recommend going to the pool..  Do you have PT person coming to your house or do you have to go outpatient rehab...
Take care Annie yo are doing awesome, keep up all the good work....

Hi to all I have missed, have a sensational Xmas.........

Huge Hugs   Love Gayle and Milo  :-*

Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on December 25, 2006, 10:42:53 AM
It is about 5:30 in the morning and just tested my glucose level. 119.   I made it downstairs and am very hungry.  Trying to be good.  But it is Christmas time and since the operation my sugar levels have to be watched.   It is very weird poking one's self with a mini needle three times a day to test. 

I have to wait a bit before I inject the lovenox. My poor tummy by my belly button has a few black and blues. The shot itself is not that painful.  Twice a day.   I should count how many more days I will have to do this.

My leg gets very stiff in the morning and some weird dry patches of skin.  Two of the 12 steri strips have fallen off.    I must say the incision site is looking very good.  If I do say so myself.  I still have the magic marker on my leg.  Since I am not allowed to get it wet.  Purple indeed is my color.

I got pretty brazen this week and shaved both my legs.   I had a fear that I would just cut myself and bleed to death..lol.   


I keep a kyro cuff on my knee pretty often.  At times I feel the knee is a bit warm.

I do not feel as though I have a big metal chunk in my knee.  The muscles if anything are very stiff.  Not really swollen at all.  Just pretty stiff. 

I can see the holes from the blood drain.  They are pretty tiny.  They are on the lateral side  on the top of the knee.

oh what else..   The back side of my leg had a pretty nasty black and blue .. Didnt hurt.     I guess some of the blood dripped down to my lower leg and it appears black and blue ish.    Leg is not swollen and I have a bit of black and blue  from the blood on my ankle area.     all getting lighter each day.   


doing a leg lift is so hard to start.   I use a yoga belt.   

I have my first OS appointment on  Dec  29


Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Jo-knee on December 27, 2006, 03:10:28 AM
Annie,

As a teenager I had a poster of a kitten hanging on a tree branch, and the caption said, "Hang in there baby!"

Joane
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on December 27, 2006, 10:56:28 PM
Hi Annie,
How are you feeling?

Happy Belated Merry Christmas.  So glad you were home.
Hugs,
bonnie
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on December 28, 2006, 09:43:45 PM
The pain levels are going down each day.  However swelling, a backache and a hot knee at times have entered my life.  I keep icing the darn thing.  The incision area  is neat and clean.

Sleeping is the worst still.   I could take sleeping pills I suppose .   Also dry skin has entered my life.   I have a foot brush with a pumice stone that I keep using. .. oh to sit in the tub and just exfoilate.

I have a bit of crying that lasts only a few seconds.  I suppose that is normal.

Off to the OS office tomorrow.  Report card Doing ok .  Looking foward to get the green light to do aqua therapy.  Still getting my lovenox injections daily.    Any one get light bleeding  daily after this operation?  Seems to happen when I start activity .   Also.  I think I have my monthly friend.    It is so light its hard to tell and frankly  I have had light bleeding every day.   I am told not to worry.  Stress of operation.

glucose level today was 104.   My mom said I looked like I was loosing weight.   

Pain is getting a bit less but I suppose it will go up again when I start the pt.    keep your fingers crossed. I hope I can do aqua.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on December 28, 2006, 10:50:35 PM
Hi Annie,
glad to hear that the pain is diminishing.  Could the light bleeding be a resullt of the blood thinner??  At my last OS appt he made a comment about my dry skin and said it was normal.
Take whatever you need to for sleep, the more I slept the better I felt, except for the stiffness, which took just a little waking to go away.
Crying is normal too,but laughter is the best medicine, so try to find a funny movie.

take care of yourself & I will call soon,

Hugs
bonnie
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on December 29, 2006, 08:27:38 PM
Hi all

Day 23

Just came home from the OS office and he said everything is great. He is happy with my ROM.   Said it was excellent.   He picked off bits of the super human glue and said I can coco butter the area.
I got a refill for pain meds,and mobic and sleeping pills.  After I finish my stomach shots I am to start a coated asprin once a day.   I got an RX for  PT lan and Aqua.  Doc said looks like I can go back to work next month if I feel up to it.

I talked about the heat coming from the implant he said not to worry.  I have little inflamation.  He said he worries more when my body temp has a fever for that is a sure sign of infection. 
His assistant said I looked like I lost weight.  :)

Also he said that when it snows to expect pain and the implant will feel cold..  This coldness should lessen each year.

We also talked about my left knee.    It is not in good shape.. but he and I feel I can hold off for years on this one.  I will have to have that knee replaced in about five years or so.   I have  Bad OA in that knee as well.

I told the doctor since I left the nursing home I was not in formal PT .. I was just doing my own.. he gave me a script for lan and aqua.   But he said i was doing pretty good .. Than he talked about crossing my legs to improve the bending ..

The tightness has lessened thank god..on my quad ...

We talked about the loss of feeling on the left side of my knee and he advised that should come back in time.. They cut a nerve during surgery.

All and all he said I was doing excellent.  He commented that this point he checks to see if his patients need MUA's  and said I am no where near needing one.


I admitted my late night TV habit .. and he said turn off the tv and sleep.   We talked about sleeping pills..



You know you hear all the horror stories and in my case I wanted to know what to be aware of  and so far..   I suffer from dry skin.. and impatience.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on December 29, 2006, 09:40:40 PM
Annie,
Great OS report!  Does that make you feel more confident? 

Hope you get some sleep.

bonnie
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: plantgeek58 on December 30, 2006, 04:58:57 AM
Wow, Annie,
If dry skin and impatience are the worst of your worries, that's AWESOME! I know it hasn't been a walk in the park, but it's good to hear that you are doing well. And hey, what's wrong with a little late night TV? The best shows are on then!
Terre
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on December 31, 2006, 01:11:33 PM
(http://i109.photobucket.com/albums/n69/AnneHelene/glued.jpg)     Taken after first walk to chair - Taken Dec 7


(http://i109.photobucket.com/albums/n69/AnneHelene/Dscf2410annecropped.jpg)   Me and my Nephew   Taken Dec 22
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on December 31, 2006, 01:13:40 PM
http://i109.photobucket.com/albums/n69/AnneHelene/glued.jpg?t=1167570758     I think you can see the glued and taped knee better here.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on January 01, 2007, 12:14:16 AM
Cool photos!

Happy New Year!

hugs,
bonnie
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on January 01, 2007, 09:27:23 PM
Just sitting here waiting for my audio books to download into my mp3 player.   It was found under my bed.  Go figure.  I wonder if Anja found her snow globe. 

Anyway I was sitting here and looking at my scar and put coco butter on it.   Just thinking how friday .. while sitting with the doctor in the office..   We talked and he pulled the glue off and a few bits of dried skin .   I thought to myself again.. how many people do you trust to pull your scabs off.   I suppose it goes with the same question .. who do you trust with a hammer and a saw on your bones.

( sipping my Bailey's)   
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Janet on January 02, 2007, 03:10:51 AM
Annie:

It sounds like you are doing really well. Remind me again, when was your surgery? My mind just isn't as clear as normal with all the meds I'm on!

I had my TKR on Nov. 17 and an MUA on Dec. 21. Befor the MUA, I was about 50 without any warm-up and only about 85 with sobbing and my PT pushing as much as I could tolerate. Plus I was in pain all the time, which was out of control. Am doing well now since the MUA. I go to PT five days a week right now, but hope to get back to 3 days a week after this week. The last time they measured (Thursday?), I was at 111. I am ecstatic about that! I also have full extension. Because of all my pain problems, my pain management doctor has me on several different drugs which do help the pain, but leave me kinda "fuzzy," so I'm not driving yet. I also have a peripheral nerve block for three days after the MUA which deadened my leg and was great because I didn't have  pain, but left my strength back to almost nothing, so we are now starting to work on that again. I see my OS again on Wednesday, and I think he'll be really pleased with my progress.

All in all, I'm just happy to be bending my knee! But I'm now past that euphoric stage of the first days after the MUA, and am back to realizing how much hard work this all is. I'm not sure how far behind I am now, but don't see any way I'll be able to go back to work at the beginning of February like I had hoped. For now, I'm just taking it one day at at time. My next goals are to use a cane instead of a walker and to be able to drive. Do you set goals for yourself? How is aqua PT? I'd like to give that a try sometime.

Janet
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Mag on January 02, 2007, 09:42:59 PM
Thank you.
I'm from Brasil. A big country in the South America.
I live on Rio de Janeiro, am married, have 2 daughters and four grands
children. I have problems with both knees. My right knee is worse than my left. It started four years ago, nobody knows why. (I'm 56 now.)


Hi Mag,
Welcome to the boards. You communicate very well.
I'm from New Hampshire, a small state in the northeastern part of the US. I live on the seacoast, am married, have 3 kids and have problems with both knees. My right knee is worse than my left, due to an ice skating accident when I was 21. (I'm 49 now.)
This website is a great place to get information and support. You'll make a lot of great friends here. Looking forward to hearing more about you and your knee situation.
Terre
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Mag on January 02, 2007, 09:50:52 PM
 ;) Hi Annie,
How are you feeling?

Happy 2007.  So glad you were home.
Hugs,
Mag
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on January 02, 2007, 11:49:41 PM
Hi all

Goals  ==   This week goal is going down the steps with one crutch.   I tried it and even stepping sideways I am very stiff and a bit nervous.   I start formal outpatient PT on Monday.  The place I did aqua closed down and my OS is encouraging me to do more land.   

Right now my knee is getting kinda warm and stiff feeling.  Yet the rest of my body feels cold.   I have finished my stomach injections and now take an asprin at lunch daily.  My glucose was  131 around 2 pm and at 4 pm it was done to 113.

Hi Mag
Every day stronger and stronger..

Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: L. Thomas.net on January 03, 2007, 12:37:02 AM
Everything is coming up roses...

2 weeks out of TKA and PT says I will be able to toss the walker next week.  Not quite skipping up and down the stairs yet, but one-footiin-it all over the place.
Sounds too good to be true.

I got the new "nickel free" Zimmer knee...just my luck, it is not available in the gender solution yet.
Well I am still one satisfied customer.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on January 03, 2007, 12:41:32 AM
I have the zimmer gender solution knee.  I suppose if your knee is a high flex knee there are only minor changes in it.

I maybe used the walker three times since home.  I like the crutches or cane more.  OS said use what I am comfortable with.    started to go up the stairs last night with one crutch.. and came down today with one...  going down the stair case sideways.. 

Baby steps.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: L. Thomas.net on January 03, 2007, 01:24:38 AM
Yeah, I know that the difference is only a few cm but it's kind of like looking into the candy case and saying "I want that one and that one" ....but I can only have one.  I think that I will be fine with my rom.  It has just been 2 weeks since surgery and I have 115 rom already.  I guess I just wanted my cake and eat it too. 
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: lilly_kc on January 03, 2007, 03:10:57 AM
LouAnn - that sounds wonderful!!! Are we not blessed to have such great docs and technology to help with our knees when we need it? The golden age of TKR is so right!

Katie - thanks (yet again) for your words of wisdom / resolutions. I have been really thinking about vitality - mine is not quite to "normal" for me since surgery - but I have decided to ACT AS IF, do little things that are a slight struggle every day. I think it will make a difference.

Have also been wondering how Ellen is doing - hope she is out dancing up a storm and doesnt have time for us!
Happy 2007 friends - a new chapter to write!
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Jules on January 03, 2007, 07:35:07 PM
Knee deep,
Glad to hear you are doing well and you sound so positive, which is a great attitude to have and will help with your recovery.
Keep with the rehap to the letter and you will recover quicly and with good results.
I am 8 months post TKR right knee and PFR left knee 4 months ago, having a lateral release again on the PFR next week and hoping that will be the last op for a long time (no: 13 in 5 years), but I am genereally getting there now, which is hard before some next surgery to know I will be struggling again after just getting some normality back again after the last op.
I still have some pain on the TKR knee, but think I need to build up the muscles more.
Keep up the good work.
Jules
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Janet on January 03, 2007, 08:46:46 PM
I saw my OS today and he is very happy with my progress. He says by 12 weeks I should be caught up (to those who didn't have an MUA). So my original plan to go back to work at the beginning of February may still be possible, but the middle of February sounds more reasonable (that would be 12 weeks). I am allowed to progress to a cane now. I'm glad about that, but a little nervous too. I don't mind the walker and I like the feeling of stability it gives. It also allows me to concentrate on walking with a correct gait. Since my knee injury seven years ago, I have never been able to walk with a normal gait, and it is something I am very aware of and want to correct with my TKR. My OS said the prosthesis I have is made to go to 125-130, and he thinks I can get to 120, but he will be happy with 115, which is only 4 more degrees from wher I am now. And I can reduce my PT to 3 times a week instead of going every day. The only thing that still leaves me concerned right now is the pain I have on the medial side. It doesn't bother me too much during the day, but I have trouble sleeping. I have to lay on my back because my knee hurts too much to lay on my side. But I have achy pain and then sharp pain every 15-20 minutes and I have to sit up and massage my knee until it calms down. Then the same thing happens 15-20 minutes later. The only relief I get is by sleeping in the CPM. He said to continue sleeping in the CPM and see what happens. He also wants me to mention it to my pain management doctor on Friday. I think I'll push the problem harder with the PM doctor because it is something that really bothers and worries me. I don't want to have to sleep in the CPM forever! Anyway, that's my news. Mostly good and a little concerned....not too bad for 6 1/2 weeks post-TKR and 2 weeks post-MUA.

Annie: When you go to outpatient PT, ask them to show you how to do stairs. I have been doing them with a cane since my second week post-op, even when I was still using the walker and not putting much weight on my leg. By this time, you should be able to do stairs (using your good leg only, so I'm not talking foot-over foot) once you learn the proper technique. I also used the Lovinox injections, once a day for 28 days. Not much fun, but better than getting blood drawn all the time with the Coumadin. I celebrated when I didn't have to poke myself anymore! Are you doing your home exercise program? My knee feels warm and stiff until I do my exercises, then it feels better.

It sounds like everybody is doing as well as can be expected. Keep up the good work, and let's stay in touch. It really helps to "talk" to others who are going through this at the same time.

Janet
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: L. Thomas.net on January 04, 2007, 01:12:24 AM
Thanks for all the support.  I thought I had knee problems, but I can just get off my pitty pot!  I guess I am not following the thread too closely.  I walked up and down stairs before I left the hospital.  I do still one-foot-it after the first 2 steps, but every day there is improvement.   The PT's that I have had post surgery told me to remember good legs go up (to heaven) and bad legs go down (to hell)...one foot up the stairs using your good leg leading, and one foot down the stairs using your bad leg leading.

Surgery was 2 weeks ago Monday and the last 2 days I have been walking around the house without walker or cane.  Today I used a crutch outside.  I have a Healthrider softstrider treadmill next to my bed.  I can adjust the speed to .5 mph and can increase the incline to 10 degrees.  I practice my gait at a slow pace for 15 or so mins a day.   I can hold on and watch my steps so that I can keep the gait smooth.

I also have a recumbant bike that I am using working on getting that pedal all the way around. 

So you see in addition to the regular PT I am working at this "back to normal thing".  I am careful to talk with my PT about how long and what I am doing in addition to the PT protocol.

I have to tell you about my PT.  I was at a basketball game at TTU and they were announcing the "new Godlen Eagle Sports Medicine Center".  I can't do PT at the center with my OS group because it is 100 miles from my home.  My insurance will cover this PT.  With the other surgeries PT has always been..1st visit evaluate then the next 3 visits work then 4th visit reevaluate and adjust with PT assisatants doing the supervision.

I must admit, this "PT center??" reminds me of going into a boy's locker room but it is a private session with the PT.  First he evaluates the progress from the last visit and then he adjust the exercises.THEN I have the full 30 PT session and after the session I have my leg iced for about 20 mins while he goes over my home PT program until the next visit.  So my PT ends up being an hour long.   Did I live right this year or what?

I hope this recovery will keep on being such a positive experience.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on January 04, 2007, 01:38:46 AM
Maybe I had all my pity parties In early Jan 2006 and well maybe till May 2006.  My recovery from my first operation was long and never fully recovered at all. Which brought me to my second surgery last year.  My TKR.    Now I can honestly say..   I been using crutches and know how to get up and down stairs with them properly..   I am just wanting to push myself and be appliance free.   

I been told going up and "down" steps are the most complex move your muscles can do.   I am not sweating my progress on it. Since I know I will get there.


I think pity parties happen when we become frustrated that things are not progressing as we thought they would.  Or we realize we are in grief from loss of movement.    I really feel I can only go up .. in my mobility since I lost much of it and gaining it back  fast and furious..

I dont have to deal with a slanty leg..   I dont have to deal with mind blowing ice pick pain.

No I am dealing with life with no concentrated sugars and no whole milk.   My glucose was 91 today at 3 pm when I tested it.  Not bad at all.


I stopped all the lovenox shots but at night I swear I think I feel my arms blowing up like balloons.   I keep my legs raised and compress it.  Ice it..

Oh will the dry skin stop..... 

I am coco buttering my scar and it seems to be healing nicely.

I feel this tightness near my foot that suggests a bit of edema..   Nothing really to be concerned about overly at the moment. 
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on January 04, 2007, 03:40:30 PM
Oh what a bitch it was to find a spot to sleep last night.  My hip and lower back seem to be screaming at me when I need to sleep.

Major accomplishment last night.  I got into a nice hot bath..  Awwwww and got out of the tub.  I must admit I had to figure out a new way to get out of the tub.   

Anybody have any great suggestions.   I used to be a roll over and get up on the right knee .   Last night I just used my left side and got up straight.  I really can say for a few seconds I thought I bit off more than I could chew.   There is nothing like getting into a tub of hot water and soaking.

Looking back on my applicances .. walker and  bath bench.. ..   I depend on them less and less.  Infact  the walker is like a wall decoration.  The bath bench is a clothes horse.

It is hard to believe that Jan 6 2006 .. It will be one month.  2 days away.  .. time flies.

I lost a bit of feeling on my left side .. since my nerve was cut.  I have been assured that it will come back to it normal self.   

Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Jo-knee on January 04, 2007, 06:40:29 PM
Annie,

I'm so glad you seem to be finally getting some peace.  It's likely, things will keep getting better for you.

Joanie
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on January 06, 2007, 07:00:12 PM
Today is my month anniversary with the new knee and well I was thinking  how wonderful it is to step and not have the OA pain.
A month sure does go fast.  So much progress.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: UK Girl ! on January 06, 2007, 10:28:50 PM
wow that has gone quick - how are the stairs going - I am amazed that you didn't master this in the rehab place - they wouldn't let us out of hospital until this was achieved and had us doing it on day 3 or 4.

keep up the good work!

How are the pain meds going?
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on January 06, 2007, 10:55:45 PM
I been shakey on the stairs for over a year.    Being able to bend to 90 and getting up with crutches was fine with me to get my ass home from the skilled nursing place. (Bonnie ) :) understands

Having enough flexation to make my OS happy at my first post surgery visit was my main goal.  All else will come with time.  I can flex more and more each day.  Infact I had both knees  bent on the bed  and last week I could only stick that position for maybe a few seconds.  Today I had it over five minutes.

Today a family member mentioned that today was one of the days they noticed I am not limping as sharply :)  It is such a wonderful thing to hear that it has me a bit teared up to think it is all coming together.  I also think of how hard I was on myself last year for not healing as fast as I saw others healing and really coming to grips that a TKR was my future.    Just a ton of emotion last year.

On the meds side.  Back on mobic-  Generic was approved so it's great to pay 30.00 dollars less a month.  Off the lovenox injections.  Taking an asprin a day.   Still have to monitor my blood glucose and take one pill in the morning and one at night.  I am on endocet now. 10 mgs  1-2  every 4 to 6 hours.

I am loving the fact that I can get in the bath tub and have a nice bubble bath and work on breaking up scar tissue. .

I love it that I can take walks and see the flowers that are in bloom due to it being very warm for this time of year.   I think my tulips are popping up.    A sure sign of rebirth.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: dmturner on January 06, 2007, 11:42:32 PM
Hi Annie,

I'm so happy that things are going well for you.  I can't believe it's been one month since your surgery.  Time really does fly.  I have 18 more sleeps before mine, and it seems to be rushing up on me.  I've been on crutches at work the past couple of weeks.  At home I'm usually ok without them.  I'm happy I have an OS who isn't making me wait to have the surgery (he feels that quality of life is very important--I'm with him!!), but I am nervous about it, especially about the pain.  I know I can handle it, but I've been through four surgeries in the past 29 months, and I'm really tired of it all right now.  I'm just hoping that I'll be able to work as hard as I need to after this to get my new knee as good as it can possibly be.  My OS and PT think I'm so strong and it should be no problem, but they don't know how I'm feeling inside.  My podiatrist mentioned to me that after I'm completely rehabbed from the knee that we'll have to start thinking about more surgery on my opposite ankle.  I wish he hadn't of said that cause now that's on my mind too.

Anyway, this coming week I have to give a pint of blood and possibly (if it gets approved by my worker's comp. in time) have neurotomies on three levels of my spine.  My doc does that on Mondays and Wednesdays, so it may not be until the following Monday.  I need to have that done so that I'll be able to rehab the knee.  Then the following week, I have to give another pint of blood, go to the podiatrist, get two crowns finished up, go to a class at the hospital for joint replacement, see the anesthesiologist, get my blood work and ekg, have my pre-op physical with my primary care doc, have a class with my PT on how to use the CPM machine at home, and work but only four hours a day (I'm on limited duty).  I hope that when I go back to work after all of this, I'll still be on restriction.  If I'm not, I'll be on my feet 10 hours a day, lifting heavy parcels, pushing and pulling heavy equipment, etc., etc.  I want this knee to last 30 years (wouldn't that be nice).  My OS said I'd be off for three months and probably PT for another two - three months after that.

Here's a question for you.  Were you able to exercise and strengthen your quad before surgery?  My knee has been so painful these past few weeks that I've not been able to do much of anything.  If anything, I feel like it's getting weaker.  Not good!

I'm really gonna need you guys to get through this.  I've been kind of feeling bad cause I feel as though everybody has so much on their plate that they're not going to be able to be there for me.  My hubby can only take a couple of days off of work.  My sister, who I was really counting on when I came home, just got a job so will only be able to be there on the weekends.  My daughter-in-law will do what she can but has a three year old that she has to get to preschool and back, babysits on Mondays for someone else's son, and works on Wednesdays and Thursdays.  My son who still lives at home works three days a week and goes back to the community college on January 15 two days a week.  My OS said if I have enough help at home I won't have to go to rehab.  Do you think once I get home I can get to the bathroom and back by myself right away (it's right next to my bedroom) if my hubby puts food and drink in cooler for me??  My mind is racing on how this is all going to work out.  I guess once I'm home PT will come to my house the first week or so and a nurse will come to the house to draw blood for coumaden levels.  I don't think I have to give myself shots, thank God, cause I don't think I could do it.

Oh, please, let this all work out ok.  Ok, gotta go for now.  Thanks for listening.

Donna T.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on January 06, 2007, 11:54:46 PM
Donna please lean on me as much as you need to.   I would be more than happy to call you if you want.

Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on January 07, 2007, 12:20:16 AM
Donna on my good days  I would go use the recumbant bike at work for 30 minutes if I could tolerate it  and than do leg extensions  5 pounds ..   I try for 30 reps.  .. I would do straight leg lefts about 30 . no weight on my ankle.   I was also doing aqual excercise in the pool

It was trickey bcos I always felt something else was being added to my plate.  My OS having his hip done in Aug. .. in October I passed a kidney stone and was in no mood for excercising and than  a week before my surgery  I had to attend my uncles funeral .. I think I overdid it  and than had an issue with my left leg.    You ever see that movie terminator when the guts of the terminator just keep going by a  thread .   

I strongly believe now that all these events helped me to be a stronger person in some ways preparing me for what happened post surgery.   

Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Janet on January 07, 2007, 01:27:41 AM
Donna: I think you would feel more secure if you could plan for someone to be with you at least the first few days you are released, if not the first full week. You may not be able to lift your leg by yourself by the time you go home (I couldn't). Buy a leg lifter befor you go to the hospital, or make sure they provide one before you leave the hospital. That way, you will be able to move your leg by yourself until your quad kicks in. Will you have home PT if you don't go to rehab? That's what I did. I had home PT for about a month before I went to outpatient PT.

Friday was the 7-week post-TKR mark for me, 2-weeks post-op MUA. I'm happy with my progress, but it is much slower than I expected. I am using the cane almost exclusively now at home, but don't feel secure with it away from home. But here's my pity party....I can't drive yet! I saw my pain management doctor on Friday and he said I shouldn't drive with the meds I'm on. I was devastated. We had planned for me to drive this week. My husband had to go out of town (he has been holding off since my surgery). Luckily my sweet daughter has changed her schedule and I switched some PT appointments so I can get there three times this week. I'm not sure when I will be able to drive again, which really worries me. I don't see the PM doctor again until February 2, so I guess it won't be before then. And I also found out that I will stay on these meds until I am totally rehabbed, my OS has released me and I am free of pain. Then we will slowly start removing the meds, one at a time, to make sure my pain doesn't rebound. This sounds like a much longer process than I ever expected. I'll do whatever it takes to rehab and recover properly....and I certainly don't want that pain to return. But I am really bummed out right now, and lonely, too, with my husband gone. And this is all pretty stressful on my family. My husband keeps telling me not to worry, just to heal. He feels guilty that he has to go out of town, but I certainly understand that he has to work. It really is true that in some ways, your whole family has surgery.

Thank goodness for this forum....I know you'll "listen" to me!

Janet
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: lilly_kc on January 07, 2007, 07:51:23 PM
Donna and Janet - we are all ears. Many of us have lived through the BIG concerns that you both have. It is sooooo hard and scary to be dependent - dont we just hate feeling "out of control"????

To answer your question, Donna - yes, I think you will be able to get to bathroom ok. I could do that before leaving hospital. I never used a leg lifter, just used my other leg under operated one, to get it up on couch etc. I could not get it high enough to get into CPM, so used towel for that. Keep phone beside you, and bottle of water. You will be fine. Lots of people committed to me, and not very many actually worked out. Lots of phone calls checking up on me, and it was nice to know I could say "please come help me" but I never did. Sort of appreciated the time to sleep. Slept LOTS, not sure I would have done that with ppl around. My recuperation was fast and good, think the sleep helped.

Janet - didnt have the MUA, which sounds challenging to put it mildly, but my pain went away all at once, not gradual at all, around week 5-6. Get refill on percocet, then really didnt need even tylenol. Weird. It is good for our kids to help us - so many of them learn to take and dont know the joys of giving. Plus, it is a good life lesson that your parents are not super-people!

Well, enough philosophizing for today! I think we are STRONG and can borrow each other's strength on the bad days. Take care, hugssssss, Kathi
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: celinenj03 on January 08, 2007, 04:37:37 PM
Anne, I love reading your progress! I'm so happy the whole procedure is behind you now and it's all recovery. God bless you on your journey back! ;D
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on January 08, 2007, 06:52:25 PM
Today went to outpatient PT for the first time since my release from  the SNF. one month and two days.  ;D   My Flexation is 117 degrees  and my extenstion is at zero.   The PT advised the incision is low, neat and clean.  I mentioned that I was glued.  Apparently something pretty new since she mentioned she never heard of it.    Bike 10 mins. Yoga ball and yoga belt 30 reps   straight leg raises 30 reps. . tens machine 15 min.   Ice 15 minutes.  ;D ;D ;D ;D ;D ;D

I am stiff now.  Go figure !!


Celinenjo3- It's about time for me isnt it ?  Something went right.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: UK Girl ! on January 08, 2007, 08:05:30 PM
Hi Annie

I am sure that I saw a post somewhere that yu got the all clear to drive - have you done it yet?

I remember that I first drove at 4 weeks - be careful - it is amazing how painful just a slight knee turn can be - but you soon get used to doing it slightly differently.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Janet on January 08, 2007, 08:20:23 PM
Annie:

Good for your....117 and 0! That's great. I find I get different readings depending on who's doing it and the position I'm in. Last measurements were 111 on my back and 109 on my stomach, extension is 0. I'm very pleased, since just two weeks ago I couldn't get past 70 or so. Now I'm working hard on building up my quad which was shot with the nerve block after the MUA. But that's coming around, too. I'd love to get a few more degrees flexion and get to 115, even 120, but I would be happy even with where it is now if there wasn't any pain and I could use the full range that they measure. (Before the TKR, I measured at 120, but could only use about 90.)

Keep up the good work. I'm glad you're doing so well!

Janet
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: plantgeek58 on January 08, 2007, 10:12:59 PM
Annie,
Congratulations! It's almost scary when you find yourself doing well for a change, isn't it? BTW, what's a tens machine? I've heard the term before, but have no idea what it is.
Terre
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: L. Thomas.net on January 08, 2007, 11:30:02 PM
I had tens therapy with my reconstruction in 02.  They put little ekg pads on the 4 corners of my knee.  Then they adjusted to strenght of the "tingle" to the level I said was comfortable. You could feel little tingles going in different direction around the knee..verticle, horizontal, diagonally. I really couldn't tell a difference.as far as pain or anything.  I found the most relief was the ice packs.  I am sooo gald my new OS sent me home from surgery with an Iceman. I am almost in heaven.

I get in and out of the hot tub like I am getting on and off a horse.  Of course that won't work in a ground level tub.

I feel pretty positive about my rehab.  Surgery 3 weeks ago today.  I am walking, stable but slowly to be sure, on my "own" 2 legs.  I am walking on the treadmill 30 min daily and doing all the regular PT exercises.  I must say I am plesantly surpirsed that I have needed so little pain meds.  Believe me...I am prepared if I need them.  My OS and PT both tell me I do a better job with PT if I take something 30 mins before PT.  Who am I to argue? ( I don't want to hurt)


geee..got the bill from the hospital (of course we know that the insurance will hack the price)...$38,000...$11,000 for the joint.  I don't know if $$$t is because I had Zimmer's new nickel-free implant or not.  Oh well, so far everything is go. 
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: plantgeek58 on January 09, 2007, 03:58:50 PM
Oh duh!  Tens is just another name for e-stim! I should have known that.  :-[
Terre
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Patty0513 on January 09, 2007, 07:08:00 PM
Hi Ladies,

I am having both knees replaced this year and am reading everyone’s posts with interest, trying to get a handle on all of the rehab protocols.  It seems like there is no “standard” rehab for TKRs. 

In a different TKR-related thread, I asked Annie about the gap between her being released from the SNF and starting formal PT.  Rather than answer my question, she opted to send me a rude PM.  So, I am going to ask all of you about your rehab protocols.  If you did go to some type of rehab facility or SNF after being released from the hospital, when did you start formal PT?  For those that went home from the hospital, when did you start formal PT.  Did you start with home PT or going to a PT facility?  How long did you attend formal PT?

Thanks for taking the time to answer my questions.

Patty
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Janet on January 09, 2007, 11:47:02 PM
Patty:

I went home after my TKR and started home PT two days later. I had home PT for about a month, then went to outpatient PT. I probably would have started OP sooner, but was having problems and ended up having a manipulation. That's when I started outpatient PT....straigth from the hospital to PT without going home first!

Janet
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: JBL on January 10, 2007, 12:41:22 AM
Hi Patty,

Here in Australia its seems to be the norm that hospital stay is 7 days then go to rehab facility for 7 days then outpatient for 1 month --  during these times pt is happening at all the time.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Patty0513 on January 10, 2007, 01:12:12 AM
Janet and Gayle,

Thank you so much for your replies.  I appreciate all of the information.

Gayle, 7 days in the hospital?!  Boy am I glad that I am not in Australia.  :)

Thank you both again for taking the time to respond to my questions.

Patty
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on January 10, 2007, 07:04:23 PM
127 flexation today.

10 mins bike
3 10 count  heel raises
5 min knee massage
30 leg presses using yoga belt
30 heel sides with yoga belt
30 straight leg raises
30 side leg raises
30 side leg raises using a milk crate box
30 on the belly  lifting the leg things.

15 min tens with pads on quads
10 mins ice.

30 mins shopping  --    :)

Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: plantgeek58 on January 10, 2007, 07:23:36 PM
Yay Annie!

Shopping makes everything feel better! Hope you hit some good sales!

Terre
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on January 10, 2007, 11:24:53 PM
Annie,
30 minutes of shopping - priceless!!!!!!!!!!!!!!!  You are doing great, I am so very happy  for you.  Keep up the great work.

Patty,
I spent 3 days in the hospital, 8 days in a skilled nursing facility and the day after my release, I saw my OS who demanded I start PT that very day, because they were not "aggressive enough" in the SNF and he was very unhappy with my flexion.  I went to outpatient PT 5 times that first week, then down to 3 days.  Unless you can go to an acute care facility that works closely with your OS, my advice would be to arrange for home PT at first.

Today is 3 months post op for me, yeah!
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on January 10, 2007, 11:48:40 PM
Janet & Kathi, glad to hear you are both doing well.

Donna, how long will you be in the hospital?  That sort of determines the rest I would say.  If you are there 3 days you may need some help for about a week, if your in the hospital longer, then maybe you'll need someone only 5 days.  I had a great gadget, that saved me so many times, called a reacher - made out of metal and can pick up things youve dropped or even get the blanket to cover your toes when you can't reach - I got mine in a surgical supply store for $14.95. An ice chest at the beginning is a good idea, but once your comfortable walking on your own, you will want the movement  :)
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Patty0513 on January 11, 2007, 03:56:10 AM
Hi Bonnie,

Thanks for answering my questions..........AGAIN.   :)  I appreciate all of your help!  Good luck at the OS tomorrow.

Patty
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on January 11, 2007, 04:30:51 AM
Patty,
I understand your dilema and your worry, so no problem.  We try to plan ahead each and every detail as best as possible - sometimes it works out and sometimes it doesn't.  The SNF did not work for me.  But we have the luxury of reading different opinions here and then deciding. so ask away.

I'm also getting my hip xrayed tomorrow, just to be sure there's nothing there except for a body realignment issue.

take care
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: JBL on January 11, 2007, 12:27:34 PM
Hi all,

Patty it also depends on what your OS says or recommends you do, what does he say... the OS's all over the world seem to have  different protocol procedures with Replacements and go with what works for them.  I was not happy being in hospital for 7 days wanted out in 3  and with the second knee surgery was exactly the same, but then I could never bear the thought of giving myself the blood thining injections that is needed everyday, was very happy the nurses did it..  Everyone is different is their pain levels as well, from me personally Patty talk to your OS find out what he recommends and just go with the flow - it will be done and all over before you know it....

Take Care

Huge Hugs Gayle and MIlo  :-*
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Janet on January 11, 2007, 08:22:22 PM
Annie:

Good for you! I'm jealous of your 127. It's interesting how different PT protocols are. Here's what I did today in PT:

10 minutes bike (went all the way around, yea!)
Hamstring and calf stretches
Calf raises (standing up onto toes)
45 straight leg raises with 1 lb. weight
45 side leg raises with weight
45 long arc quads with weight
20 step ups onto 4" step
45 repititions on the Total Gym

No shopping, darn it! And we aren't icing after PT because they don't want to tighten me up once they get me good and loose. I've always had ice after PT before, so I was worried I would be really sore and swell up. But so far, so good. I still ice on my own a couple times a day because my OS wants me to. He says it brings blood to the area which promotes healing.

Tomorrow I have a different PT. It will be interesting, because he usually does a different set of exercises with me. Because of my schedule, I wasn't able to get to PT when he was there until Friday this week. I like him better because he seems to push me harder.

Janet
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on January 11, 2007, 08:38:45 PM
I have my PT tomorrow at  12:40.    They have a total gym at the place as well but I have not been on it.   I have a pilates machine at home but  I  am afraid that If I get on the floor I may struggle to get up.

Its one of those afternoons I would love to get into the pool.

Going to coco butter my knee up .. So itchy in one spot today.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: dmturner on January 12, 2007, 12:43:24 AM
Hi!

I couldn't get on today until now.  I worked this morning, and had to go and donate blood this afternoon.  In between, I had to make calls to my federal workmen's compensation (nightmare) claims  examiner in Chicago to find out why she denied the radiofrequency neurotomies on my back scheduled for Monday.  I'd been trying to reach her for three days, and finally today was the charm.  She had authorized the diagnostic medial branch block which I had in December; she had authorized the referral to pain management doctor who does the procedure I'm supposed to have; then she denies the procedure--does this make any sense?????  So I reached her, and she said she was looking through my file, and indeed she has authorized the previous back procedures and appointments, so she's going to authorize the procedure for Monday.  I'm happy about this, but it's a full time job trying to get things to happen the way they are supposed to.  I've actually had a lot more luck than many dealing with workmen's compensation, but it's still a hassle.  I used to go through the postal claims guy in my area (the middle man so to speak), but about a year ago, he told me to just deal with the higher ups myself because I seemed to have better luck than he did--hmmmmm.  I bet he makes big bucks to do his job--hmmmmm again!  Anyway, I'm now waiting for her email to arrive at the bill payment/authorization place so that my doctor will have the approval by Monday.  I just called them, and the email doesn't show up yet because their system hasn't been updated.  You'd think she could have faxed it, but no, they don't do that.  Do I wonder why everything takes so long??  Okay, I'm done for now venting on that one.

I'm only 13 days away from TKR now, and I can't believe how fast the time is going.  My OS says I'll be in the hospital 3-4 days, and since surgery is on a Wednesday, that means out on Saturday or Monday (they won't release anybody on Sunday).  I'm not going to have much help at home.  My son starts the new semester at college this coming Monday, and hubby has a fairly new job and doesn't want to ask for too much time off.  He'll be there the day of my surgery and probably the day I come home.  He says I need to come home on Saturday so he can be there with me.  I said that I don't know if I'll be ready or not to come home on Saturday--I can't base that decision on his work schedule.  So I guess I'll see how I am and maybe I'll have to go to rehab, and maybe not.

Next week will be really busy.  Monday I have the back procedure (outpatient w/sedation)--hubby will drop me off and I just asked college son to come to hospital after school so I'll have a ride home.  He says to me "How long will I have to wait for you?"  I said probably an hour or two, and he doesn't really want to have to wait around that long.  He kindof hurt my feelings.  I'd wait forever for him.  Tuesday morning I have joint replacement class at the hospital as well as seeing anesthesiologist and ekg/blood work.  Tuesday afternoon I give my 2nd unit of blood at blood bank.  Wednesday, I have to see my podiatrist and perhaps get cortisone in side of foot, then off to lunch with the girls--yeah!!  Thursday, I go to the dentist to have two crowns finished up.  Friday, I go to my primary physician for pre-op physical.  I need to plan something good for the weekend (I don't think I'm going to include hubby or son--haha).  Monday of surgery week I go to physical therapist for a lesson on how to use CPM and get to take one home.  Tuesday I get my hair colored so I'll look cute at hospital (extremely important)!!  Wednesday is TKR day.  I also work four hours a day and will work through day before surgery.  I need to get everything set up at home so I'll be as comfortable as I can be when I get home. 

Annie, you are doing fabulous.  I hope I take after you.

Well, gotta go has some supper.  Take care, and talk to you later.

Donna
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: lilly_kc on January 12, 2007, 02:29:18 AM
Donna you are doing fabulous too! I cannot believe the list you have next week. Amazing how tough we are, huh?

Most of my "helpers" didnt work out either, althChunk ough hubby could come home at lunch etc. Sis came from California during 2nd postop week, which I appreciated. Eight siblings in same town, hardly saw. Dad and brother came by couple times. Hmmmmm.

Ya know that one day at a time thing - think you are living it this week! Take care, hugs, Kathi

Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: dmturner on January 12, 2007, 02:51:03 AM
Hi  Kathi,

Thanks!  Yes, next week will be busy, but I'm kindof happy it is.  I won't have too much time just to sit around and dwell on everything coming up.  I'm not too nervous today.  I think I'm getting pretty ready just to have it over with.

I think I'll probably be fine at home.  I'll probably just want to sleep much of the time anyway, and my bathroom is right next to my bedroom.  I hope since they're doing my left leg that I'll be able to drive pretty quickly so I can take myself to PT.  How hard are steps when you first get home--doable if you go slowly??? 

Yesterday was a good day.  I thought my laptop was broken, but I got out the manual, and it was just a little thing that I was able to fix myself--yeah!!  I definitely want my laptop working when I'm recovering.

Off to bed--have to be at work at 5:00 a.m.  Then I'm going to IHOP for breakfast with my sister.  I'm supposed to be dieting--oh well.

Take care.

Donna
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on January 12, 2007, 04:44:42 AM
For me steps are my biggest challenge.  In my case, There was an incredible amount of pain trying to do it when the implant is new.   (  EVen raising the leg on to the bed was a huge challenge for me.  I had to have one of those hoops with a wire to help me for about 2 weeks.   Even with a medical bed.

I am sure everyone's will have their own unique set of mountains to climb.

Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Patty0513 on January 12, 2007, 05:05:18 AM
Gayle,

I will definitely discuss these things with my OS before surgery.  Until then, I am just reading about everyone's recovery and experiences.  Thanks for helping out.

Bonnie,

I hope that you have a great trip and I hope that you get the hip issue resolved soon.


Patty
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on January 12, 2007, 08:18:17 PM
10 mins on bike
15 minutes message and streches with  PT
30 knee bends with yoga ball and yoga belt that looks like a ladder
30  heel sides

Flexion measured at 130

30 straight leg raises
30 side leg raises.
30  things on the milk cart
 30 things on the tummy

15 minutes with tens machine.   contracting quad ten seconds .. letting it relax 10 seconds

30 leg presses - 40 pounds
30 toe raises  30 pounds

15 minutes ice.


Hip sore - knee warm -  No cane today at all
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: L. Thomas.net on January 13, 2007, 10:47:22 PM
Gayle,

I will definitely discuss these things with my OS before surgery.  Until then, I am just reading about everyone's recovery and experiences.  Thanks for helping out.

Bonnie,

I hope that you have a great trip and I hope that you get the hip issue resolved soon.


Patty

I don't know if anyone has suggested that you check with your OS about a cryotheropy unit to take home but my Don Joy Iceman has truly been my salvation.  There are several manufactures of cryotherapy units and I don't have a clue on rating them.  I do know that recovery from even the simple debridement if I had the unit I didn't need pain Rx.  I do need pain Rx for this TKA but I can't imagine the pain I would be in if I didn't have the unit.  It controls the swelling soo well.

My OS Rxed it for me when I was in the hospital and now it is MINE.  If yourn OS doesn't want to do that, they have them on e-bay. 


Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: SallyW on January 14, 2007, 04:33:05 AM
I've read this thread with interest and a bit of trepidation, as it appears that I will need a tkr as soon as I am "old enough" (many of you have had that discussion with your OS). My being "old enough" may come sooner than I've thought....at any rate, I'm starting to get nervous. Why the catheterization post op? If you are allowed/encouraged to WB as soon as you are awake, why aren't you allowed to use the bathroom? Or is it more that your "plumbing" is shut down, so you can't go voluntarily?

It must be the plumbing shut down - isn't it? After all, I remember being in some pretty excruciating pain after several of my other "major" operations (and wearing the immobilizer as well), but I still was able to "hop to it"! I see that some of you have had epidurals - is that the reason for the catheter? I've never had an epidural - I've always had excellent experiences with generals and am a litte scared of anything different...at any rate, I was able to "go" after I woke up...

The positive outcomes that many of you are having sound wonderful (being able to walk without shrieking - ahhh!), but for some reason the idea of your post op pottying experiences makes me cringe!

Is a three day hospital stay fairly standard, even for those in the "younger" age range? I could see a longer hospital stay being necessary for older folks, but aren't the risks of complications less for those who are younger (40 - 50)? Goo, it sounds like you went to a rehab facility afterwards (if I've read everything correctly) - I dunno. Aside from it being helpful to have PT "in house" and not having to arrange transportation to get there, I'd rather recover in my own house (no stairs here).
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: UK Girl ! on January 14, 2007, 09:14:27 AM
Hi Sally

It appears that our surgeons all have different protocols.

When I had my TKR last year, it was op on Monday pm, home friday pm.  No cathetor!, bed pan for the first couple of hours, then commode for the rest of that day then off to the bathroom on a zimmer frame the next day, then sticks. I think the reasoning behind the cathetor is because of the drains in your knee - bit awkward getting around with them - but as soon as they are out - usually the following day then certainly in our hospital it was - off you go- use that new knee! The other reason is if you have a femerol nerve block you will have trouble walking-so until that wears off it is only really possible to negotiate getting from your bed onto the commode. My block came off quite early the next day so I was able to get on with it. Although painfull it was quite amazing that I could full weight bear on my new knee straight away. The longer you don't move about with the new knee the harder it is to build the muscles back up - it is amazing that no use of them makes them so weak in such a short time.

Good luck when you have yours!
anja

ps you can read my post op thread on the following link      http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=28257.0



Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: L. Thomas.net on January 14, 2007, 08:44:03 PM
I am 57 and I had my surgery on a Monday and came home on Thursday.  I did have a cahteter.  I thought it was the best idea I ever heard of.  I remember the pain of struggling to get out of bed and on the pot that first day after even those simple debridements.  All tubes, including the IV were removed the day after my tka surgery.  I was in a joint replacement center and most of my hospital stay was spent in Physical Threapy and Occupational Therapy.  My OS wanted to make sure  I had pain under control with oral medication before I was discharged.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Janet on January 15, 2007, 03:19:54 PM
I am 49 and had my TKR on a Friday and came home Monday morning. I never got up to go to the bathroom. The first 24 hours I had a catheter and an epidural (a godsend for pain control!) and a drain, so it would have been hard to get up and move around.After that,I still used the bed pan all the time. I'm not sure why I didn't get up to "go," but it was okay with me. It would have been a major production to get out of bed and get to the bathroom. Before going in, I was worried about the bed pan and thought it was awful. But when the time came, it was a blessing. You just have a different frame of mind when you are in the hospital.

Janet
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: chrisrobt on January 15, 2007, 06:04:46 PM
I've read this thread with interest and a bit of trepidation, as it appears that I will need a tkr as soon as I am "old enough" (many of you have had that discussion with your OS). My being "old enough" may come sooner than I've thought....at any rate, I'm starting to get nervous. Why the catheterization post op? If you are allowed/encouraged to WB as soon as you are awake, why aren't you allowed to use the bathroom? Or is it more that your "plumbing" is shut down, so you can't go voluntarily?

It must be the plumbing shut down - isn't it? After all, I remember being in some pretty excruciating pain after several of my other "major" operations (and wearing the immobilizer as well), but I still was able to "hop to it"! I see that some of you have had epidurals - is that the reason for the catheter? I've never had an epidural - I've always had excellent experiences with generals and am a litte scared of anything different...at any rate, I was able to "go" after I woke up...

The positive outcomes that many of you are having sound wonderful (being able to walk without shrieking - ahhh!), but for some reason the idea of your post op pottying experiences makes me cringe!

Is a three day hospital stay fairly standard, even for those in the "younger" age range? I could see a longer hospital stay being necessary for older folks, but aren't the risks of complications less for those who are younger (40 - 50)? Goo, it sounds like you went to a rehab facility afterwards (if I've read everything correctly) - I dunno. Aside from it being helpful to have PT "in house" and not having to arrange transportation to get there, I'd rather recover in my own house (no stairs here).

I guess at 62 I would fall in the "older" group; almost a year ago, I had a MIS rTKR on Tuesday morning and went home Thursday morning.  I awakened with a catheter (I had an epidural which didn't take so was converted to a general) which was removed after about 24 hours.  I remember ringing for help to the BR my second night and when no-one came, I got up and went by myself using my walker.  My main problem in the hospital was with the Percocet which was given for my almost non-existent pain; it gave me hallucinations.  Once I switched to vicodin (mostly for pain associated with PT) I did great.  I started home PT the day after I got home (they had me walking the day after surgery in the hospital) and switched to outpatient PT at three weeks post-op (and I drove myself to that appointment)

My main problem at one year is with arthritis in my right ankle...made worse by my increased activity level.

Christine
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: UK Girl ! on January 15, 2007, 08:00:39 PM
Hey Annie - just read your post from 3 days ago - you are doing great!
How are you today? Bored yet?
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on January 15, 2007, 10:08:36 PM
Hi all
I feel puffy  in my foot.   I have this ultra tiny spot on my incision site that is a bit oozing. No bigger than a match head.  This is something that I suppose festered during the night and I did not even notice it.   Asked her if she thought it was OS call material. She said no.   I mean when should we worry about infection??   No fever.  I bought one of those baby ear temp things for  24.99

When I came home today from PT I felt so tired. The PT manually did some streches with me and asked me if I had my knee cap replaced.  I had it sawed and a tab put in the back of it.   So I suppose its replaced as well.  I asked her when I would be able to get up off the ground gracefully.  The sad news is it may never be graceful.  I also asked about kneeling. She said not now.. Soon I will be able to kneel. 

I also did a little grocery store shopping.   I was so happy to find they make grape juice with no sugar added just splenda. 

It is raining again today. The kind of rain that makes you cold to the core kind of rain.


I was reading some of Laura's posts before and remembered some of my really bad days.  I thought of the bad times and pain when I had to go to the grocery store. Now that pain just doesnt exist and for some reason I cry when I think what a life changing surgery this has been.   

I have my OS appointment on the 26th and keep thinking that it will go something like... sniff cry.. sniff cry.  The PT said I am making her job easy.  I suppose the whole of last year I was in training to make her job easy.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: UK Girl ! on January 15, 2007, 10:22:16 PM
life changing surgery! damn right.

You have your own knee cap!  they have to take the back of it to get the replacement bit on - some do get a new knee cap as well - I have my own!

No such thing as graceful for us - well I don't manage it.

it makes the knee quite sore to kneel on it - make sure you do the weight bearing on your other knee!

I too had a bit of oozing quite a while after - dunno why that happens but it seems to heal really quick as well.

Have a good rest now!
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on January 16, 2007, 04:08:57 PM
Hi Annie,
Your PT must trully love you - making her job so easy.  I have a plastic knee cap, not my own, so I am totally bionic.

When I saw my OS last week, I asked about his protocol for premedication with antibiotic.  He said he is of the opinion that you take it for life, anytime there may be blood. 

Also, just a note, at the airport - Just walking next to the metal detector (not through it) to the area for the pat down, I set off the alarm!  We all need to get used to the pat down at the airport - from now on...

Keep up the great work!
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: DRSKIER on January 17, 2007, 02:09:01 PM
Annie: Been so impressed with your recovery..Just one thought,tho...Watch that open, oozing match head sized area on your incision..
Keep the cocoa butter away from it--keep it clean and dry..By the time you show a temperature from an infected joint, it might be too late! You do not want it to become systemic---Do not put any lotions or butter or scented products on the open area..It might not be a wasted call to the OS' office for their advice... You are doing so well, you do not want to risk an incisional infection... good luck
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on January 17, 2007, 02:46:39 PM
Hi all

Drskier
I see my OS next friday. That little area is healing.  I have a water proof band aid on it.   I put some iodine soap on it the other night to clean the area.  I am keeping my eye on it.   I been also taking my temp and nothing abnormal.

I will put this question again on my list to the OS. How paranoid should I be when I have a wound?  I thought I saw a bit of dry glue pop out. My PT thinks it was a stich that didnt disolve properly.  I dont remember him saying he internally stiched me.. Just super human glue.
 I also want to ask him if it too soon to do dental work.  I am hoping he says can I wait a few.  My dimwit dentist wants me to ask him what antibodtics I should be on for dental work and than she would be happy to refill it if need be.

Keep warm peeps

Also I understand anytime there is any fever  I should head to the DO and get antibodics ASAP.   I will ask him about that as well.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on January 17, 2007, 03:51:23 PM
annie,
my OS gave me a form letter for my dimwit dentist stating the correct dosage and type of atibiotic - amoxcillian, 2 grams??

i have to take 4 amoxicillian prior to dental work now for a mitral valve prolapse, so hopefully its the same dosage
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: UK Girl ! on January 17, 2007, 07:32:09 PM
My dentist knew what to prescribe - but was not keen to do so ::) so my os did him a letter - and the dentist said that it wasn't necessary after a year - so will get back to my os to see what his thoughts are - it's not my dentist that would get infected!
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: L. Thomas.net on January 17, 2007, 09:03:23 PM
I think I wasted 2 weeks of rehad.  I am not an MD but I just want to let you know what has been going on with me.  At my pre-surgery physical my PCP wanted to keep me on coumadin until I was walking "normal"....so when the coumadin clinic relesased me (OS had me on coumadin for 2 weeks) I contacted my PCP.  She put me on a much higher dosage.  I coldn't believe I was not progressing in my recovery anymore than I was.  I could not get the swelling down, was never totally pain-free, kept an elevated temp (99), and was completely exhausted most of the day.

Well to make a long story short, I called my PCP yesterday and told her that my OS said after 2 weeks it was safe to stop coumadin.  I also told her that if I needed to saty on coumadin that she was going to give me something "bigger" for pain.  The result was I stopped coumadin.

I woke up this morning and I cannot believe how much better I fee alreadyl.  I just keep thinking how much stronger I would be if I had not taking the coumadin longer than the 2 weeks my OS ordered.
I must say those poor rats that eat ??warfrin??sp (generic coumadin) have my sympathy.

I must be "Super-Healing-Woman".  My incision had been completely closed for 2 weeks.  I am very pleased with how it looks.  It is low and very small (1/8"wide in the largest place and actually no scar at all in about 1/3 of the incision.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: lilly_kc on January 19, 2007, 07:50:05 PM
Wow LouAnn, that makes you think! I doubt if the PT was "wasted" because you are doing so well, it had to help! But I have been on coumadin since surgery ten weeks ago. Although I am doing well, have stamina back, planning other knee replacement next month - truly makes me wonder what other ways it affects you.

I had a "possible" embolism following surgery, hence the longer timeframe, taking 4mg day. Hoping to be done following next surgery, or at least after a short time.

Thanks for sharing your experience - soooo glad to hear all is well with you!
Kathi
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on January 19, 2007, 10:59:27 PM
Another week of PT gone by.  Each session lasts about 2 hours followed by 3 hours of rest :).

I saw someone posted about the implant and how strong it is.    I was wondering if anyone experienced the implant just feeling heavy at times.  If you had one of those ankle weights attached to your knee?  Sometimes when in bed and trying to move my leg from one postion to another. I feel a difference.  There is a discomfort in the morning if I do not take a 3 pm pain med dose.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: chrisrobt on January 20, 2007, 12:17:51 AM

 I also want to ask him if it too soon to do dental work.  I am hoping he says can I wait a few.  My dimwit dentist wants me to ask him what antibodtics I should be on for dental work and than she would be happy to refill it if need be.


My OS asked me not to do any dental work for about 2 months following the TKR; the dose of amoxicillin is indeed 2 gms.  I am having a colonoscopy Monday so will take on Levaquin before going to the clinic; I'm not looking forward to the prep which starts Sunday at noon...

Christine
MIS rTKR 1/17/06
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on January 20, 2007, 03:54:46 AM
Hi Annie,
My leg felt heavy, but getting better now - I think it was that muscles were weaker, defineitley getting stronger now, so when I lift my leg, it feels "lighter".
Wow 2 hours of PT - my insurance will only pay for 45 minutes at a time - I hate dealing with insurance companies, now mine is saying that I have a $20 copaymt per visit, grrrr.  That will be my project for Monday.

Hope your doing well.

bonnie
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: lilly_kc on January 20, 2007, 04:02:46 PM
Yes! That prosthesis felt like a doorstop to me when I held it! I agree with Bonnie, time helps with the heavy feeling - now it just feels sturdy, and I love that. There is only one movement that is difficult and I have been able to do 3 with alot of work - that is lying on side with legs bent, new knee on top, and lifting leg. Must be a muscle we didnt work on in PT or I just dont use in real life.

My PT was only 1/2 hour twice a week, but the home exercises were about 45 min. morning and night. I dont do them much anymore since I am jazzercising and working full time and running around in general. If I havent done enough, leg gets twitchy at night and I will do some stretching, ROM exercises etc. Only downside - unoperated leg is hurting pretty bad since I have been going so much. Couple tylenol take care of it, and only few more weeks til it gets NEW also. Whew!

Happy Saturday, have a great weekend, dont forget to take care of yourselves (we dont do too well at that, do we?)
Kathi
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: UK Girl ! on January 20, 2007, 07:45:11 PM
Hey Annie - it is in bed when I always manage to hurt myself when moving around - it is like I push with my foot to turn over but it huts me at the top of my shin like I am pushing the bit inside my shin bone against the bone - which is probably what it is due to the knee not moving in the same way as a 'real one' but it is still painfull! grrrr
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on January 21, 2007, 06:19:18 PM
Hi Kathi,
Can't believe your 2nd TKR is right around the corner and can't believe you're able to jazzercise!

Enjoy your weekend.

Annie, I here the temp is dropping....
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on January 21, 2007, 06:40:48 PM
Hey Bonnie

Yes it really is so cold here.   We had a little bit of snow friday.  Really cold days like now  I just burrow under my feather bed and comforter.


At night my arm has started to swell a bit.  I am not sure what that is about.  I have a tiny bit of edema on my right leg but nothing that makes me feel like watermellon leg.   I took some aqua ban.   I am not sure if I should call the OS office tomorrow or the GP
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on January 21, 2007, 06:56:40 PM
annie,
what's aqua ban?  where exactly is the swelling in your arm and leg?  it's probably from burrowing under your comforter  :)
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on January 21, 2007, 08:38:39 PM
aqua ban is something you can take to get rid of water retaining..    I seem to be puffy everywhere..
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: UK Girl ! on January 21, 2007, 08:46:34 PM
Annie - I don't think it would be wise for you to take Aquaban - not with your previous history of stones - have a chat with your GP first! Please!!
anja
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: DRSKIER on January 22, 2007, 05:19:02 PM
Annie: Call someone! The overall puffiness is not normal and should not be treated on your own--it could be indicative of anything from cardiac issues, blood clots, infection..It should be dealt with quickly by a medical professional..Is your small incision wound still oozing?
Puffiness and "feeling" heavy in the joint could be a warning sign you do not want to ignore..Get up and move to keep the blood moving..Inactivity is not good--so burrow out and move about!  good luck
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on January 22, 2007, 05:42:21 PM
Annie, Have you called your GP or OS yet?  Let us know.
bonnie
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: dmturner on January 22, 2007, 06:20:21 PM
Hi Anne,

Let us know how you're doing.  It can be scary having something like that and not knowing the cause.  Hopefully you've gotten to the bottom of it.

Thanks much, Anne, for all your support.  Your sharing your experience throughout all of this has been extremely helpful.

Take care.

Donna
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on January 22, 2007, 06:37:28 PM
Hi

I called the OS office  I told the one guy Ron who is an MD and doing his internship with my OS. Ron thought I should come in  and check things out.   I told him during the day I do not have as much swelling but for the last few nights .. I am and its waking me up.  He said due to inactivity at night and now I am active.   I said I had my normal appointment on Friday but he changed me to tomorrow.

I told him I had my compression stockings on and taking an asprin at night and in the morning.  He said it didnt matter. He wants me to come in

My small bit is not oozing at all any more.

a
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on January 22, 2007, 06:43:48 PM
Good, at least you won't have to worry about it.

Hugs,
bonnie
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on January 22, 2007, 06:52:24 PM
Had PT this morning

10 mins on recumbent bike
30 in's and out's with a yoga ball and yoga strap on feet
30 heel slides with yoga strap
30 leg presses with 50 pound weights
30 heel raises with 50 pound weights
5 mins on tread mill and working on my heel toe moves

30 straight leg raises with one pount weight
30 side leg raises with one pound weight
30 tummy leg raises with one pound weight
30 inside leg raises with one pound weight

15 mins on tens machine with contracting my quad
10 mins with PT getting my leg messaged
15 mins ice

one car ride home..
One emergency call  to OS that something may be wrong...  with left arm shoulder, boob ,  chest and Jaw.. along with  lower leg puffy at night over to right arm puffy

two bra cups  Runneth over.




I would hate to start stomach injections again.. uggggh.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on January 22, 2007, 07:06:57 PM
Annie,
I applaud you that you can even remember all of the excercises you did.

Maybe the boob part is because you're 9 days away from you know what -
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on January 22, 2007, 07:22:22 PM
At least I am a full D now.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on January 22, 2007, 07:40:04 PM
don't get too used to it...
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Janet on January 22, 2007, 07:42:09 PM
Annie:

I'm glad you're going to the doctor tomorrow. Something is obviously "out of whack" and needs to be corrected! We'll be anxious to hear what they say.

That's a lot of PT exercises! Here is my latest PT routine:

10 minutes warming up on bike (takes about 8 minutes before I can around forward)
20 reps of leg extensions with biofeedback
45 reps of step-ups and going back down backwards
45 reps of step-downs
45 reps of side step-ups
45 reps on the Total Gym
30 reps each of forward and backward standing leg extensions with red theraband

All in all, it only takes about 45 minutes. We don't ice after. From my past experience, it seems that my PT schedule is a little light. But I am always quite sore afterwards, so maybe it is just right. And all the other exercises (like all the leg raises), I do at home. It takes me a full hour or more to do my home exercises.

We don't do anything that specifically targets my flexion. I keep measuring at 110, it hasn't changed. They seem content with 110. My OS thinks I can get to 115 or even 120. Can that happen without working on it at PT? (I do work on it on my own) I see my OS next Wednesday and I'm afraid he'll be unhappy with my 110.

How long are you at PT? Do you ever work on your flexion? What is your ROM?

Janet
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: lilly_kc on January 22, 2007, 07:45:24 PM
Janet, I am almost 3 months post op, released from PT several weeks ago, with 105 flexion. Doc was fine with it, too - said it would gradually come back. I can do anything so guess that is the important thing. Still worry a little about going down steep steps, but go slow and it works out ok.
If you can take more time off, I would. Once you're back, you cant go back, lol. Take advantage of it and you'll heal faster.


Take care, Kathi
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on January 23, 2007, 01:17:06 PM
Hi all

I work on my flexion every time I go to PT.    The yoga ball and the yoga strap excercise does it.   I have to bend my knees into my chest and hold it for a five count with the yoga belt. While the yoga ball supports my legs.    I am at 130 flexion and zero extension.      It hurt quiet a bit and my arms worked out so much to get the knees to bend.  I rather do it myself than have the PT try to force my legs to bend.    An old lady who goes to the same PT screams all the time because she is manually worked on.  Also part of her excercises is walking around the gym with the PT holding the seat of her pants.  When I was in the SNF the PT did that when I was using a walker the first few days..  Didnt last long after that I was just pushing myself and than would get yelled at that I was going to fast with the walker to slow down. Yeah good times .. Good times.   The first few weeks are a horror.  In the SNF I was maybe at 66 flexion than worked up to 76 flexion and than 86 flexion and doing 30 steps with crutches.  I willed myself to be solid on those crutches ..at day 8.  The SNF would not allow me to walk alone unsupervised in the hall with my walker.  Only in the wheelchair.  At that point I would take the leg rests off and have my good leg support my right leg.. to keep it off the ground and it would be a game how long can I go unsupported and keep that leg lifted.   Than it became how fast can I wheel myself to avoid the old peoples

Another excercise is the leg press.  I my core body is  laying down on this bed thing.   I have to bend my knees in and than straighten them.   50 pound weights as resistance.


I suppose the total gym ..  works on flexation depending how low you go.  It is an assisted squat  you are doing ..
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: UK Girl ! on January 23, 2007, 01:23:05 PM
Hi Annie

Did you find that she SNF (no Idea what it stands for) helped or held you back? - I am amazed they didn't let you walk and get on with it - we had not choice the day after the op - it was 'up you get and see how it works' and luckily it worked well :)
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on January 23, 2007, 01:36:37 PM
Snf = Skilled Nursing Facility. ( Camp Everyone dying.)  http://www.youtube.com/watch?v=j0mIp0Me7OU  /This song sums up my experience

I believed it helped in a strange way.  I was so motivated to get out of the place. When they had me on the mock stair case and had me bend my knee on the step 30 times.  I kept pushing pushing really hard. Also seeing  the very elderly who did not even want to "try hard"  Pushed me to Push as hard as I could ...  I was like oh hell no...   ..  I am not staying here longer than I would ever want to stay at camp dying.

Also I had one of those electronic hospital beds at night where I would raise my legs  and let gravity help pull me down to 90 degress.   In the skilled nursing place . I did not have a cmp machine. Only my kyrocuff
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: UK Girl ! on January 23, 2007, 01:43:35 PM
Thanks Annie!

We don't get to use the CPM at all here! I only got to use the cryocuff in hospital once when I begged them to get me some Ice - don't think much of ther aftercare at all really - No one seems to have any time - it's not the staff but the system we are in.

The ward I was on was full of old people and know what you mean about them - all waiting for God - why bother have it done if you're not gonna make the effort!
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Janet on January 23, 2007, 10:16:19 PM
In the hospital, I was surprised they didn't have my leg elevated and didn't use ice. I finally asked for ice and they brought a little ice bag that wasn't even that cold and barely covered my patella. When I got home, I used my ice machine a little, but preferred two bags of peas on top and a gel pack under the knee. And we built a tower of pillows on the couch where I could elevate my knee....I mean really elevate it! I'm glad those days are past.

I spoke too soon. I was at PT longer yesterday and it was hard. He said we are really going to push hard with the quad now. That's fine with me (I think....keep those pain meds close at hand). I know I have a stubborn quad. Ever since  I had the quad tendon rupture seven years ago, my quad doesn't respond quickly or get very strong. Anyway, yesterday I did the leg press, only 40 pounds. I thought I could do more, but my PT said to take it easy the first time. He was right, I was very sore last night!

I suppose it doesn't matter that I don't work on flexion at PT. I work on it at home. My PTs don't "push" on patients' knees much. They mostly expect you to do it yourself. And I never let a PT push on my leg unless they promise to stop if I say to. In the past during other rehabs, I wish I had that promise! I'm getting smarter in my old age. But the few times my current PTs did push, I've never had to yell at them to stop. They are very attuned to how much I can take.

Oh, aren't these days fun? I can't wait to be rehabbed! I just spent an hour doing my home exercises, and have another 20-30 minutes to do tonight. I am determined to have a good outcome, but it is tiring and sometimes painful! But why come this far and quit? No way!

So ladies (and gents)....on to painless knees and strong legs! We can do it! We'll be happy in the end!!

Janet
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on January 24, 2007, 06:57:26 PM
Well another day at PT.

I started at  11:00 am and ended at 1:00 pm

10 mins on bike thing with arms
3 heel lifts streches
5 mins on tread mill speed 1.6  to practice gait.
30 leg presses at 50 pounds
30 toe presses at 50 pounds
15:00 mins on tens machine .. holding quad for ten seconds.  relaxing for ten seconds
30 straight leg raises with one pound weight
30 side leg raises with one pound weight
30 tummy raises with one pound weight
30 crate supporting my left leg while i lift my right leg on the side raises with one pound weight   ( never remember what its called)
New machine today.
Its that long bar machine that you have to raise your legs and it had  30 pound weights.. I did that 30 times
Another new machine today
I sit on it and than I have to bend my knees in and control the weights .. 30 pounds. I did that 30 times

15 min leg message by Pt
15 mins of ice

One tire woman  <<<<


 Side note :  Saw OS yesterday. He is so pleased with my progress.   Even his residents cant believe how well I am walking.   Its very hard to believe last month I had my TKR.   Six more weeks of PT ordered . 

I asked about  infections and tempatures.    He said that there is no set temp I should worry about for a knee infection.  I would have incredible pain and it would be swollen like a watermellon.   He also looked at the little bit of area I had a bloody oozing thing last week and he said it was fine. Prob a stich my body rejected and its fine now..      ( Pretty much gave me the stop being paranoid speech)

We talked about my swelling on my leg and he said that it was not that bad .. keep wearing my stockings if I see swelling take my asprin..   Arm he said that I should see my GP and not blow it off.  . I said to him well my blood pressure is fine   ..  he said dont blow it off.

Now I went to the GP yesterday..  See I didnt blow it off.    The GP said that nothing is wrong.   My fingers were not swollen. Blood pressure is good.  My diabetes is under control .

What I did notice yesterday is that sitting for long periods of time really bother me.



oh one more thing.  I got my RX  for my dentist..    Five tabs of amoxcillian  one hour prior to dental work.


Pain med - percocet 10/325  - one every three hours  - when needed
Sleeping pills - Ambiem  5 mg.   I can take 2  if I am not falling asleep with one five mg
Anti inflamitory - Mobic generic 10 mg  one tab a day
bufferred asprin one tab a day at noon.


Left knee.   OA  - knee is snap crack and pop but no pain & little joint space.. ..     Maybe in six months we may start orthovisc on it.    No value to scope this knee.     This is one situation where I can see the knee is shot but the pain level is not there... .. So when you hear the phrase. "When its time .. You know when you know.. "  is so true.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Janet on January 24, 2007, 09:20:20 PM
Annie:

Congratulations on doing so well! It must be nice to amaze your OS! Good for you, girl! Wow, that's some PT regimen. Keep up the good work. Are you using a cane? Just wondering.

I'm glad you went to your GP. But I'm especially glad there's nothing wrong.

I also find sitting is hard....and it is especially hard to get up and get moving again after I've been sitting. That's one of the things I worry about when I go back to work.

Janet
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on January 24, 2007, 11:08:35 PM
No Cane  :)   
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: L. Thomas.net on January 25, 2007, 03:19:27 AM
Thanks Annie!

We don't get to use the CPM at all here! I only got to use the cryocuff in hospital once when I begged them to get me some Ice - don't think much of ther aftercare at all really - No one seems to have any time - it's not the staff but the system we are in.

The ward I was on was full of old people and know what you mean about them - all waiting for God - why bother have it done if you're not gonna make the effort!

I just wanted to cry when I read you didn't get a cryotherapy unit.  That seems almost sinful.. I hope if you have to have anything else your OS will Rx you one or you can get one.  I know that the marketplace here sometimes has them and they almost always have some on e-bay.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: L. Thomas.net on January 25, 2007, 03:33:53 AM
I will be 5 weeks out of TKA on Monday and Tuesday will be my last day of Rx PT.  My OS is releasing me from PT but not to go back to work.  So I guess my formal PT is over. 

I must say it was the best PT I have ever had.  He really watched what I did and was always checking to make sure the exercises were challenging but not painful.  I do have a program for home.  I feel fortunate that I have weights, recumbant bike and treadmill at home so the only PT stuff I won't be able to do is the total gym.

My home PT is pretty much like I have seen posted here except for #of reps and #of pounds and the color of the theraband.

I went to a sports medicine facility.  That is all they did.  And as everyone knows, knees is what sports medicine is all about.

I think I know why I am having so much pain.  I am on my leg too long.  I have figured out that I can only be on my leg for about 4-5 hours a day.  I am going to try to increase the time about 45-60 mins a week.  I could never figure out what everyone was saying when they told me to anticipate my pain.  My`TKA pain doesn't come until I have waaayyyy over-done-it.  So I am just going to start depending on the clock and not my knee.  With all the other knee junk I could tell when to stop because my knee hurt and I just stopped.  It's not that way for me with this surgery.  I have not had to use ice for almost 2 days.  I have needed 1 pain pill (not counting PT pain pill).  I know not to get my hopes up but I actually feel that the pain is getting better.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: L. Thomas.net on January 25, 2007, 03:41:19 AM
I suppose the total gym ..  works on flexation depending how low you go.  It is an assisted squat  you are doing ..
Quote

I use the total gym.  Did you use that blue "balance disc"  That was tough for me.  I always wanted to do it as soon as I warmed upon the days he wanted me to do TG.  My first words after I got in the gym were "Hi Scott, Are we doing the total gym today?"
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on January 26, 2007, 12:30:01 AM
Annie,
So glad all is good!!!!!!!!!!!!!!!!

Sitting at my desk at work is tough, went to work two days, five hours per day so far..breaking in slowly
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on January 26, 2007, 05:27:40 PM
Hi all

OMG it is so so cold out..     Just came back from PT and I am shocked that I  am at  132 flexation. 

Had some weird tibia pains last night when there was some high winds.  Maybe the rods were cold or something or the pressure of the wind.  Who knows.  Gone now...   Also there is no OA pain now...  Sometimes I am in shock on how fast of a turn around my walking existence has been.    We are still in January and I can say.. Last month in Dec I had my knee replaced.  .. unreal.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on January 26, 2007, 05:47:20 PM
http://www.zimmer.com/z/ctl/op/global/action/1/id/507/template/PC/navid/121

Found this on the zimmer web site its a overview of the TKR surgery.

(http://www.zimmer.com/web/images/products/surgery/knee_replacement9.jpg)   This is what was done to my knee cap.

(http://www.zimmer.com/web/images/products/surgery/knee_replacement8.jpg)

(http://www.zimmer.com/web/images/products/surgery/knee_replacement7.jpg)


(http://www.zimmer.com/web/images/products/surgery/knee_replacement3.jpg)    I always wondered what this looked like.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on January 26, 2007, 06:29:46 PM
Annie,
132 is fantastic! You are really doing well.

Before my surgery, I was always banging my bad knee and it would hurt so much, well yesterday at work I had a drawer open and swiveled my chair around and wap, knee banged right into the side of the drawer - I yelled ouch instinctively but guess what, it didn't hurt at all  :)  I guess that's what happens when you have a prosthetic device!
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on January 29, 2007, 01:40:55 PM
We had snow last night.   No friggin way I am going down the steps and on to the icy path to the truck.     I called my PT and cancelled it for the day.

I had no sugar added ice cream last night that made me so gassed up.  My stomach was making sounds that only drum rolls would compare too.   I also find that the splenda added ice cream is good to get rid of a bit of constipation.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: Janet on January 29, 2007, 05:33:34 PM
I don't have my pre-TKA pain either. I can sit with my knee bent and have no pain behind the patella. Because I protected my knee for so many years by sitting with my knee only slightly bent, I have to make sure I am really bending my knee while I sit now. I am so happy I can bend my knee! But now the pain I have is when I'm weightbearing, all on the medial side. That's where the scar tissue was that caused me to have an MUA. But that's getting better, too. I actually walked through the grocery store the other day (leaning on the cart). My knee wasn't happy, and I had quite a bit of pain later that day. But I did it! And next time will be better. I just wish I get totally off my "breakthrough" pain meds, but I still need a couple every day. Once I'm off these meds, I can start weaning off all the other meds with my PM doctor. The best thing is that I feel more like myself every day! Yea!

It's really cold this week and getting colder. I heard we will have a high of 15 later this week. I think I'll hibernate after all, never leaving the house until it's 80!! Actually, tomorrow is my trial run to work to say hello and have lunch. No work involved! But we're supposed to get snow overnight, so I'm not sure.

Keep warm, everyone, and stay away from icy sidewalks!

Janet
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on January 31, 2007, 05:38:23 PM
Hi all


I had this pinching at PT today and the therapist said she thinks it is scar tissue.  Which is normal and expected.  Her words.    Right now it feels like I am being pinched.   I had far worse pain prior to surgery when walking but I sure will be happy when this pain goes away..   .  My Flex is 132 extension 0    -- Cranky baby 10.

I have to see my urologist on 2/5 -- as follow up from the October stone I passed.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: bonstarr on January 31, 2007, 06:57:51 PM
I have "normal & expected for up to a year".  Not really what I wanted to hear, but oh well...

hope the pinching goes away quickly!
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on February 02, 2007, 06:29:56 PM
Hi all

Well its a cold day here. They say snow but I dont see any coming down.   I went to Pt this morning as my three day a week ritual.  Today I had to be  manipulated for extension in PT.    I was tearing and I hate it when other patients see you cry.. and you know the PT is pushing hard for a reason and  just have to accept that its for the best that the pressing hard will not make you walk like a limping duck with a lead leg.   Ok maybe a bit over the top dramtic.     But after I did some excercises I had to be streched out again by my PT after the tread mill.   Leg up .. and that one where they put your leg over the side of the PT bench and bring it back to strech the quads.  Ofcourse this makes the hip all sore.

She asked me if I was still icing my knee. I said yes...    So I am thinking maybe the crappy weather is making me stiff.

I came home and my younger brother is like whats up.. I told him and ofcourse he blamed me for not keeping up with my excercises.  Also another gem this week was.. There is nothing wrong with you .. (walk faster up the stairs.  sigh sigh sigh.. you go so slow)    I suppose they have unrealistic expectations ..  Yeah just shove some rods in that knee and she is good to go ...

 Mind you  my flexation is  132  .. just my extension was not at zero today.  :( :( :( :o :o :o :o   Oh boy    I just hate when the PT people do that.. I suppose its worse after the operation when your body is more stilff


I did some retail therapy and bought some nice nail polish and a heated blanket which I wanted for the longest time.   I stopped and looked at this 2 dollar tooth whitener kit and pondered why it was so cheap and .. well the directions where in spanish.  The crap people buy for a bargin.   I resisted and put it down.   


I bought some shrimp and steak and stuff clams at the supermarket.   Yet feel too crabby to cook right now  I also bought some apple cider.. with cinnamon..  not booze cider.  .   

Days like today I am glad I can take my pain meds every three hours.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: L. Thomas.net on February 02, 2007, 11:10:38 PM
Hey Goo

I just got finishing editing my TKA in TN 06 diary.  I was released from PT last Monday  :) and will be going back to work this Monday  ??? part time for a couple of weeks.  I have it worked out to leave during the day if I need.  I was just wondering if you knew how much longer you would be in PT?

One of the questions that I had before my surgery was concerning complications.  My OS said there were none that happened more than 10% of the time.  Most of the complications were in the 2% or less :o.   

Say Hello to LESS ::) ..  I have an unusual (but not rare) "fixable" complication.  I thought the pain I have been having was "normal". 

It seems that the post in the replacement that replaces the posterior ligament is trying to slip out of place (related to my knee hyperextension) .  I have to sleep in an immobility brace >:(  until I go back in March (and boy do they mean immobile).  I am not to use anything for support during the day. He said that we would start with the least invasive and see how that works.  He gave me BIG TIME pain Rx 8)  but I haven't even needed an asprin for pain since I started sleeping in the brace. Too soon to say cured yet  :-X .    I think I'll wait until March.
Title: Re: On the TKR path again - Hoppy New Knee - Coming Soon DEC 6
Post by: knee deep in Goo on February 02, 2007, 11:45:31 PM
My OS has me on endocet 10 mg/325 one ever three hours -- blah blah when needed.   You know a few times I saw in my OS's office older people with their walkers and an immobileizer brace.  Come to think of it always older men.

You know ..  I can't say what is normal pain for anyone after a TKR.  After PT the pain levels soar and I am like wow this is almost like  a few days post surgery pain for several hours.  I get my ice cuff and my TV remote and my juice and I hunker down until  I feel like returning to the land of the living and I think.  When is this going to end??

Sorry to hear you have to wear a brace to bed.  I had to wear a unloader brace - while not to bed..  Certainly I can say .. I felt like susage leg.. when trying to limp around with it on.

I think my feather bed has seen its last triple folded day to act as a leg raiser.   I got my orange yoga ball out and was allowing gravity to work on my extenstion.   

As for PT - My OS has always been liberal about giving an RX for it and I allowed a certain dollar amount for out of pocket this year for a cafe 125 plan.    As for the time out of work ..   I am in no rush to be uncomfortable when I am allowed a big cushion of time .  There is no prize  for going back to work to sit there in pain in stockings and heels and trying to take pain meds .


The silver sneaker set  at PT- It takes about a year to feel normal and not need pain meds and some of these girls are totally bionic.

So I know my flexion is good and my extention -- well my PT will pound me down on the table if I am not were I should be sticking.
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: bonstarr on February 05, 2007, 12:36:22 AM
Hi Annie,
How are you doing?  Are you staying warm?

If your watching the Superbowl, you can see that it's pouring here!

Have I gone mad or did the name of your thread change??

bonnie
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: knee deep in Goo on February 05, 2007, 04:27:32 AM
September 23, 2004
Genetic Factors Influence Development of Knee Arthritis
Via Reuters:

Genetic factors appear to play a role in the development of arthritis of the knee, according to a report in the Annals of the Rheumatic Diseases.

Previous studies investigating possible genetic contributions to knee arthritis have been inconclusive, the authors explain, but recent studies suggest that the amount of cartilage in the knee, which is influenced by genetic factors, may determine the risk of arthritis.

The study was conducted at the Menzies Centre for Population Health Research in Tasmania, Australia.

I believe this  has some truth to it since my mom has OA and a knee that needs replacement but she refuses to do it.   My OS said to her while I was in the hospital if she waits too long he wont be able to correct it properly but she will not even go in for an xray.
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: Janet on February 05, 2007, 07:28:42 PM
My mom is also "full" of arthritis. She has had a hip replacement, a knee replacement, a partial knee replacement and a shoulder replacement. She needs to have the other shoulder done but is putting it off. She's the bionic grandma! My TKR was due to damage following an injury, so it wasn't the wear and tear kind of my mom's. But I still worry that some day I will be "full of it" like she is, especially since we are so alike in so many ways.

Janet
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: knee deep in Goo on February 05, 2007, 07:33:48 PM
Hi
Just got back from PT and my hamstring was very tender today when I got my tissue massage.  I almost kicked  her again.  She put the stim on this time for pain relief the first time I had stim for pain relief in many many months.  After the two hours of pain and torture . I went to the urologist and well he found red blood cells and wants me to go for an ultrasound.  Yet he finds the level of red blood cells unimpressive.   I am just so sick of going to doctors.   I asked him if I had to go and do the ultrasound since he said everything was so unimpressive. He said I dont have to do it now I can wait a month.  So I am thinking ..  a month????  I think he is wasting my time..  If he is unimpressed with the pain levels and red blood cells.


I see my OS on friday.  I want to talk to him about this  scar tissue my Pt says I have .. This hamstring soreness and her pressing on my leg for extenstion.  When I get up in the morning I felt stiff for the past few days only caulked it up to bad weather..
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: bonstarr on February 06, 2007, 01:37:05 AM
Doctors, it's always something....

Keep warm.
bonnie
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: dmturner on February 06, 2007, 03:37:38 AM
Hi,

I can't believe how cold it is!!!  I got home from hospital yesterday, and I don't plan on going out until spring--lol.  Anne, I've heard that our new knees will feel really cold in this kind of weather but that eventually we'll feel normal again (relatively speaking). 

What is your PT saying about scar tissue??  You seem to be doing so well with your ROM.  I had such terrible swelling and bruising with my surgery, but that seems to be getting better every day.  My home health PT came to the house today, and I reached 0 extention and 103 flexion.  I'm still in sooo much pain though.  I hope it gets better soon.  I guess it's already better than it was a week ago, but it's not getting better fast enough.  I'm sitting with CPM on for a couple of hours before bed.  Then ice and sleep.  I look forward to going to my regular PT, but I think I'll take the home care for a few weeks so I don't have to go out, plus I want to be able to drive myself to therapy, and that's not going to happen for a couple of weeks anyway.

Talk to you tomorrow, and thanks so much for your support.  Anne, you're my knee hero!! :)

Donna
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: knee deep in Goo on February 06, 2007, 04:11:49 AM
The pt said scar tissue is normal and if I didnt have it she would worry.  But I am the one getting pinched by it often enough to say it is downright uncomfortable.   I noticed I now have a tiny black and blue where she massaged today on the medial side hamstring.  My extension seems to be a hair off lately. 

Donna 103 flexion that is wonderful and zero extension.   I am sure you OS will have you driving soon.  I was about the same when he gave me the green light to drive.  It is a bit overwhelming getting into the car or truck for the first few times.   I only had a cpm machine for 3 days while in the hospital.   I tell you what helped me the most with the flexation is the yoga ball and that green step ladder yoga belt and just pulling my legs in.  Oh boy did I pull ..  and pull. 


Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: knee deep in Goo on February 06, 2007, 06:35:14 PM
(http://media.arstechnica.com/journals/science.media/Tai_Shan.jpg)

Well me and my new lovely knee have existed for two months together.  I must say the heat that once was there is gone and I am so glad. A good sign indeed.  Certain movements such as sitting on a chair and getting up from a chair..  Getting into a truck cause some uncomfortable moments.    I still do steps one by one.. and I really dont care if I have to continue to do so for many years.   I am not the greedy sort.   My one goal is to be able to sit on the floor and get my self up.  I figure if I can do that I can camp come summer.  Another dream would be .. to walk down and up the side banks of the delaware river.

I think my world has been flipped so drastically in the last two months and my brain has been trying to comprehend all the things I can do now.  After a year of hermit like behavior to not bring pain on myself.   My goal in PT is to work on my Gait and not pop out my right leg to the side. Only heel toe heel toe.   After so many months of walking strange with a limp.  My PT is keeping the ever watchful eye on me.  Black and blues and all.   I know I will be sorted back better than I have been in years.
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: UK Girl ! on February 06, 2007, 06:52:45 PM
Hi Annie - have you tried going up stairs normally yet - whe I did it I thought it was going to be really hard, and it was the first few times but suddenly it got to where I didn't even think about what I was doing and making those steps keeps the muscles exercised and stronger.

It's quite  funny how things change - my OS said NO running and suddenly the other day I found myself running after a customer that had left something in the shop - I haven't run for years and didn't even think about what I was doing until after.

It really is a new lease of life - don't forget you are only 2 months post op and I am nearly 7 - wow what a difference.
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: knee deep in Goo on February 06, 2007, 06:55:24 PM
It is hard on my left knee. I feel pressure that shouldnt be there .
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: knee deep in Goo on February 06, 2007, 08:09:56 PM
Just got the mail in.  A bill from my OS.  Says I owe $18,200.00 for athroplasty knee medial/ lateral.   I called his office  left a voice mail and than checked my aetna web site.  I do not even see the claim being entered and rejected on the procedure submitted/ approved/rejected bit. 
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: UK Girl ! on February 06, 2007, 08:23:39 PM
so what are you saying - has the insurance not approved it? ???
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: knee deep in Goo on February 06, 2007, 08:26:15 PM
I called up the billing company that was on the invoice. Got much further than calling the billing department at the OS office. They billed to the wrong insurance company.. Dumbasses.   They billed to cigna not aetna. The Lady on the phone fixed it right off.   Shame they do not do quality control on the billing before the send out invoices.
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: knee deep in Goo on February 06, 2007, 08:30:30 PM
Just thought I look at other stuff I see on my insurance recap.

The skilled nursing home fee billed to the insurance company was  2310.00 and insurance covered at 100% ,  The hospital stay was billed at 47755.00 but aetna brought them down to 4137.00  and insurance covered at  100%.  My anesthisa bill was 2400.00 and insurance covered at 100%.

Amazing how expensive things are.
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: UK Girl ! on February 06, 2007, 08:32:07 PM
wow Loadsa money - thank goodness for insurance!  Glad they got that sorted.
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: knee deep in Goo on February 06, 2007, 08:41:46 PM
I also wanted to add over here in the USA they have to get pre authorization from insurance before placing in an implant.  Plus at my age the OS had to show proof of what he has done in order to extend the natural life of my right knee before going to the surgery of last resort.
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: UK Girl ! on February 06, 2007, 08:45:41 PM
That is good though - showing he had done everything possible - at least you know it was the only route to take!

I had to see two consultants from London hospitals before my OS would do the op - He is very young for a consultant here so I suppose he was doing it also for his own peace of mind that it was our last resort.
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: knee deep in Goo on February 06, 2007, 08:57:26 PM
MY OS is about the same age as me 36 or 37.   He even teaches residents in the hospital.   Shame I dont remember my resident doctor's name.  He is the one who glue'd me back up and watched me during my time in the recovery room and pulled out my blood drain.. and came a few times into the room to check on me.  When he wasnt doing that my OS was in the room checking on me or his partner Dr Evil  ..  and if it wasnt one of them . .It was the  GP resident or my inpatient doctor.   Even my Anthesia guy Ian came up to give me a lidocaine injection and it was the most comforting thing to see the same people in the surgery room coming up to help you along the way.  Even with all the pain..     The worst part was that Saturday- Monday.( The first SNF thing that I am not suppost to dwell on )
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: Janet on February 09, 2007, 04:27:20 PM
Annie:

It sounds like we are going through a similar thing with the back of our knees. My hamstring tendon is very irritated. As I walk more, it prevents me from bending my knee back like I should when I walk. We are working hard on gait training every PT session, since I haven't walked normally since my quad tendon rupture seven (almost eight now) years ago. I have to remember to have a good heel strike, then back to toe push off without lifting my hip so I don't have to clear my toes from the ground. I also have to remember to take smaller strides. I already walk at a snail's pace, it doesn't seem right to take smaller strides. But it does help me keep my balance better and not "fall off" onto my good leg. My OS says my tendon is sore because they have to pull the bones around when they are doing the replacement and that tendon gets pulled, too. My PT says it's sore because it has to work overtime keeping my knee from bending too far during activities like walking. All I know is that it hurts and it's not getting any better.

My hospital bill was about $25,000. My insurance paid their usual "reasonable" amount, but I didn't owe anything. Because I had paid my deductible last year and we don't have co-pays, all my hospital, doctor, anesthesia, etc. bills will be paid with nothing due for me. Starting this year, I will have to pay $500 deductible, then my insurance wil pay 100% for the rest of the year. I am extremely fortunate to have this kind of insurance! Along with the fact that my employer is paying my full salary while I am out of work, I am one lucky girl....and I can try to get back to a normal life! The only bad thing is that they only allow 25 PT visits per year. I scheduled my surgery so I could have 25 visits in 2006 and 25 visits in 2007. But because of the problems I had with the scar tissue and needing the MUA, I am behind in my rehab. I had to go 5 days a week for two weeks, which really ate up my allowance. I wish I could stay in PT as long as necessary, but I will have to quit in another month.

Janet
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: bonstarr on February 09, 2007, 10:23:35 PM
Janet,
Maybe you could work something out with PT once you run out of insurance coverage.  That happened to me just 6 weeks after surgery!  The beginning of the year (2006) I had been to the chiropractor serveral times, then in May my office changed inurance plans - I never even thought to check how many visits I was allowed because the prior plan was according to what was medically necessary.
Anyway, my PT worked with me and I ended up paying the same as what they accepted from the insurance company - $80 per session, rather than $170 - 220.  It's a lot of money, but worth it.  And I rationalized that since I was getting paid the whole time I was out, I had to bite the bullet, so to speak.
But I urge you to explain the situation and ask if they will offer you special consideration.

take care,
bonnie
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: knee deep in Goo on February 09, 2007, 11:11:20 PM
Hi all

Just came back from the OS.   I had xrays taken and given new pain meds.  Ultram, Darvocet and Endocet plus lidoderm patches.  I was givne the green light to stop PT and start swimming again.  Returning back to him on March 23.  Right now my back is killing me.  I went to PT this morning and than off to my OS after.  I showed him my black and blues and how the pt was pushing down on my knee for extention .. He said my leg was straight and I have to remember I do not have a natural knee. .  I also told him about laying on the belly and three pounds at pt he said to contriue that at hom just lay on the bed.
I was also telling him about the other patients in PT.   How I seem so much further than them.   I told him the name of the OS these other patients went too.  He said .. oh I know Mark.  he is about quantity..  he will get you in and out in 30 mins for a tkr ..  and it is hard as hell to get in touch with him if you ever need him.   Than he said he had a few patients come to him after because of crappy service.

We talked about his hip and how he noticed at four months he stopped limping.


I should scan my xray .. I really want to frame it and stick it in my fathers face.. 
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: dmturner on February 10, 2007, 12:32:53 AM
Hi,

I just got my bill for the four days in hospital and surgery (doesn't incliude doctor fee or week at rehab), and it totalled $42,900.00.  The actual Zimmer gender knee cost $15,500--WOW!!  I guess I'm lucky cause I'm under worker's compensation, so all of my bills get paid, and i get paid for 40 hours whether I'm working or not, and OS says I'll probably be out three months.  I'm thinking I may get back before then, but I'm not going to push it.  I'm so tired from having five surgeries in 2 1/2 years.  I also will get all the PT I need.  As far as that goes, I know my sister got hurt a couple of years ago and ran out of PT appointments with her insurance, and she made a deal with PT to pay what the insurance would have, so sometimes they will make those kinds of arrangements with you.

I'm now 16 days out of TKR surgery and doing pretty well.  I'm sleeping well, thank God!!  I think that really helps.  I still have home health care coming for blood draws (coumadin) and PT.  I'm using the CPM two to three times a day for two hours at a time.  I  get to keep it for two more weeks.  I'm going to try dowining my meds a little starting tomorrow and see how that goes (just a little).  I had PT this afternoon, and he says I'm doing well--ahead of the game.  I'm at 0 extension and had 110 flexion.  He helped me to walk with a came today, although just for a very short distance.  It didn't feel too bad.  Otherwise, I'm on the walker.  I'm still very tired, stiff and sore.  I'm so glad I had this done, though, cause I see the promise of a more normal life just around the corner.  I want to post a TKR Diary, but I just haven't had the energy to do it.  I'm hoping the energy level will go up some next week.  I have lots of things I'd like to get done while I'm home.  I guess for right now I just have to take care of myself and try to heal. 

You know, something the PT said today was that I would probably not get over 120 degrees flexion, that that's all they allow.  I think I've read or heard that this Zimmer knee can get more than that.  Annie, what do you know about this, and how is your ROM right now two months out?? 

Tomorrow should be a good day cause my two sisters are coming over for the day.  They're bringing breakfast (doughnuts)--yippee!!  I've been kind of lonely this week, so I'm really looking forward to it.  My friends and family all work or go to school during the week, so I'm on my own most of the time.  I'm a people person, so it's hard.  I'm hoping I'll be able to drive in a couple of weeks so that I can get out of the house a little, and I might add that I hope it's LOTS warmer than right now.

Talk to you later.

Donna

Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: L. Thomas.net on February 10, 2007, 01:08:33 AM
I have a Zimmer High Flex Nickel Free knee.  I am 6 weeks out of surgery as of last Monday.  I went back to work this week.  I have 130+ ROM right now but I still have some swelling.  PT and OS both say that the ROM will increase.  They also said the ROM after surgery depends on the range of you had before the surgery.
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: dmturner on February 10, 2007, 01:42:40 AM
That's what I needed to hear.  My flexion was really good before the surgery, so I'm hoping to get a good portion of it back.  I worked soooo hard after my TPF to get it back and now if I work hard again, I hope to get it back again.

Thanks much.

Donna
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: knee deep in Goo on February 10, 2007, 02:44:25 AM
My OS said today that 130 and anything above was icing on the cake.   Again having the range before surgery helps.

Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: Janet on February 10, 2007, 03:28:18 AM
Donna:

It sounds like you are doing great. My flexion is 105-110 now, and I am at 12 weeks post-op today. My OS told me he thinks I will be at 115 by two years. Two years! It's amazing to think we can continue to improve that long! Anyway, I found this interesting. He said that most times a person only needs 90 degrees to be happy. But those few times when you need more, like getting up from a chair, you really miss the extra degrees. You need 105 to get up from a chair, so he always stresses to his patients to get to 110 if possible because it's not good to be stressing the prosthesis at it's farthest point. I hope I said that clearly enough so you understand what I mean. Anyway, to already have 110 is fabulous. And with full extension too! Keep up the good work.

Janet
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: knee deep in Goo on February 10, 2007, 01:28:40 PM
Donna is doing great.  I would not rush back to work if you are still sore.  If you are given a big cushion of time use it up.  Like Donna I am getting full pay and since this was my second surgery in 2006 I reached all my caps on insurance deductables and so far I had to shell out 100.00 for the ambulance transfer to the skilled nursing facility and  44.00 for tv and phone at the snf
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: knee deep in Goo on February 10, 2007, 02:38:08 PM
(http://i109.photobucket.com/albums/n69/AnneHelene/TKRknee.jpg)     My metal bits.

(http://i109.photobucket.com/albums/n69/AnneHelene/glued.jpg)

Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: UK Girl ! on February 10, 2007, 08:27:23 PM
snap! ;D
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: knee deep in Goo on February 10, 2007, 09:26:04 PM
I have to get to the craft store and get a frame .. for my xray.   I asked my OS just about everything and he showed me all the cemented areas.   I really look upon it as  a badge of honor now ..  all the hell...  and i suppose when i think about how i ache i can look at them and say.. things could be worse.
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: UK Girl ! on February 10, 2007, 09:32:38 PM
it is quite amazing - but apart from coming to this site I never think about my new knee other than when people ask how it is!
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: L. Thomas.net on February 11, 2007, 03:33:30 PM
I know that day is coming for me....I just can't wait to say "What, oh yeah that knee surgery."
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: UK Girl ! on February 11, 2007, 05:59:43 PM
and then you get days like today when it's very cold and wet and ouchy ouchy ::) so just sitting in my armchair with a cuppa and choccies now ;D
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: dmturner on February 11, 2007, 07:10:37 PM
Hi,

I can't wait for the day when my knee is not the uppermost thing on my mind--I'm hoping by this summer.  I'm sitting in the CPM machine right now, then have to do my knee exercises and take a shower.  My knee was really hurting last night, and my hip is hurting quite a lot too.  I think I have to make sure I'm walking straight on with the walker and not throwing my leg out at all.  I just sent my husband to pick up another prescription of pain meds.  Thank god for pain meds!!

Well, have a good Sunday!

Donna
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: UK Girl ! on February 11, 2007, 07:26:10 PM
Hi Donna - by the summer you will be just like me! ;D

It is early days for you!
Using a walker is not the easiest thing to make you walk right..  I too had hip pain at the start - just where your whole leg has been used to being in the wrong position and takes time to get it retrained - some days I still get him pan - but less and less often now!

Enjoy your day!
anj
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: Janet on February 12, 2007, 01:36:05 AM
Donna: I agree, pain meds are my best friends now....well, except for my cyber friends! Remember, not only are you healing from a major surgery, but your body has to relearn how to do things correctly. Before your TKR, you were probably compensating because of pain and now you have to try to do it "right."

Anja: Just relaxing with a cup of cocoa and chocolates sounds really good right now. I did have fun this afternoon going to a movie with my daughter and my son's girlfriend. Just a girls' afternoon out. But then I got home and did my exercises then made dinner and cleaned up. Now I'm pretty sore and ready to take it easy.

Have a good night. Talk to you all soon.

Janet
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: lilly_kc on February 12, 2007, 08:07:41 PM
Donna - for sure, keep on top of the pain. Have had days now (3 1/2 mos post op) when I dont think about knee - it is almost weird. BUT gotta get the other one fixed in couple weeks, OUCH .... better short term ouch I think.

I found that the CPM machine hurt hip if it was set too high. PT okayed keeping it down under100 or 110 (I am pretty short and it was really whacking me around). Doc didnt have any problem with that either. Others on here have better flexion than I do, but I can do anything I want so that is my measure.

Take care, you are on downhill side now. Hugs, Kathi
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: L. Thomas.net on February 19, 2007, 06:50:53 PM
Hi Donna - by the summer you will be just like me! ;D

It is early days for you!
Using a walker is not the easiest thing to make you walk right..  I too had hip pain at the start - just where your whole leg has been used to being in the wrong position and takes time to get it retrained - some days I still get him pan - but less and less often now!

Enjoy your day!
anj

You have no idea how encouraging it is to hear someone say in 6 months it will be good.  I see improvement but I’m not where I want to be.
Thanks
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: Janet on February 19, 2007, 07:37:42 PM
My OS tells me that everyone is at about the same place by six months post-op. I keep thinking three more months and I'll feel good! And the next three months will definitely be better than the last three. By six months I expect to be on with my new life!

I always used the CPM set no higher than 100. The machine's not really meant to help increase your ROM as much as it to keep your knee moving and loose. And if you have the CPM set at 100, that doesn't mean you will measure at 100. And Kathi's right that what really matters is being able to do what you want, not what your final measurements are. My OS told me that people don't need more than 90 for most daily activities, but they really miss the extra flexion for those activities where they need it. To get up from a chair, you need 105. He likes his patients to get at least to 110 because it is better not to be stressing your prosthesis at its end points. So I think the more flexion you get, the better it is...but you don't need to get "normal" flexion to be happy with your knee. On the other hand, it is vital that you get full extension or you won't be able to walk without a limp.

Janet
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: lilly_kc on February 21, 2007, 07:56:22 PM
I second all that Janet said; we get older and wiser, huh?
Kathi
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: knee deep in Goo on February 21, 2007, 08:12:38 PM
 I noticed that after I stopped going to PT three days a week my requirements for medication have gone down.  Yippy.  Maybe one darvacet a day and an ultram.  Not yet three months yet..  but I suddenly feel that walking and braking the car are a bit easier than it was two weeks ago.   I think I feel my left knee cap moving around more and notice the pain from that much more than my implant knee. 

Believe me I am not looking for any problems with my left knee and I know I may have a few years with it and it is going to be a pretty hard sell to be under 40 and have both knees replaced. . I dont want to hear the words.. or my OS tell me to save my walker or my canes or my bathtransfer seat or my walker..     


I am zooming along pretty good and hope the better weather allows me to take long walks that I can enjoy.. 
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: Patty0513 on February 21, 2007, 08:31:31 PM
It is great that you have been able to cut down on the pain meds.  I hope that you are continuing to do the PT exercises at home.  If the patella on the left knee is "moving around" then I would suggest doing the PT exercises with the left leg as well, as it sounds like the quads are weak on that leg. 

If you truly want to prevent or at least delay a TKR on the left leg, then now is the time to start doing everything that you can to keep your knee from deteriorating further.  You probably know all of these, but here goes any way...........

Lose weight - the single most important thing you can do to slow the wear and tear on your joints.
Keep your quads as strong as possible.
Use the joints by doing knee-friendly workouts - biking, walking, swimming.
Eat a healthy diet that includes the good Omega fats.
Take glucosamine/chondroitin supplements (can't hurt).

Good Luck.
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: L. Thomas.net on February 23, 2007, 04:09:35 AM
My OS told me he didn’t ask anyone to do anything different before surgery (diet) but after surgery he would keep after me.  I need to get rid of about 20 pounds.  Did you know that for every 1#over your weight range that it add 3# of stress to your knee.  That got my rear in gear!!
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: dmturner on February 23, 2007, 04:20:34 AM
Hi,

I saw my OS on Tuesday, and he's happy with my progress.  I am now allowed to drive as long as I'm not on the drugs, so I'll have to be careful with that.  I start out-patient PT on Monday.  I'm trying to go down on the meds, but the last couple of days I've been very teary, stiff, and hurting when walking, so I may have to go up a little again.  I'm walking around the house now without help although limping a little and slow going.  I just worry that it won't stop hurting, but I just need to get that out of my mind.

Going to bed now--just so tired out but not really doing anything.

Take care.

Donna T
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: L. Thomas.net on February 23, 2007, 04:31:03 AM
Gee Donna I never thought I would get to the palce that I would say it will get better.  I am two weeks ahead of you so you can look forward...not too long
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: dmturner on February 23, 2007, 03:44:52 PM
Hi,

Many people have said that between weeks 4 and 6 I'll see noticeable improvement, and that's where I'm at now.  I can't believe it's been a month already since the surgery.  I know I'm doing well; I'm just impatient.  That's probably a good thing cause I'll work harder to get back from this.

Have a great day all.

Donna
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: Janet on February 24, 2007, 12:57:11 AM
Donna:  You WILL see a noticeable improvement soon! But don't be surprised, worried, disappointed, etc. if you still need to be taking some pain meds. We all hope to get off the meds as soon as possible, but it doesn't make sense to be in pain if you can help it. Your second month post-op will go even faster than the first, especially now that you can drive (yea!) and go to outpatient PT. Before you know it, you'll be in great shape!

Janet
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: L. Thomas.net on February 24, 2007, 02:03:59 AM
Hi,

Many people have said that between weeks 4 and 6 I'll see noticeable improvement, and that's where I'm at now.  I can't believe it's been a month already since the surgery.  I know I'm doing well; I'm just impatient.  That's probably a good thing cause I'll work harder to get back from this.

Have a great day all.

Donna

Dog Gone...I don't know why I didn't believe it ::) when everyone said there is a "magic" 8 week, but there is  :D :D.  I worked full time this week and I really didn't think about my knee except that everyone was saying they couldn't tell which leg I had the surgery on when I was walking.   8)

My administrator actually teased that I didn't have surgery but just wanted to take a few weeks off...."WANT TO SEE MY SCAR?"  He laughed.

I did go home tired and I did have some swelling...iceman worked an hour or so.... I was ready to go again.
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: Mag on March 03, 2007, 01:29:15 AM
Hi, everyone!
I NEED TO HEAR THE SUCESS stories!
I need to do surgey TKR, on my two knees,  but I’ve no courage. I only hear unsuccess…I’m so afraid.
Who has passed by, please tell me, the success is the minority?
I would like to know if people who did, are taken any pain meds, like strength tylenol and motrin?
hugs
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: L. Thomas.net on March 03, 2007, 01:56:46 AM
I am guessing you are talking about doing both knees at the same time.  My OS says no problem.  If you need both replaced he will do them at the same time or 3 months apart.  I know 2 people that had both at the same time and they are very happy with the results.

If you are talking about TKA..I will have to say I am satified now and I know it will get better.  It was a hard surgery. and I did have an "unsual but not rare" condition that was causing pain.  I thought that pain was the normal pain but it wasn't. I had basically no other pain except when I overdid it. My OS was very concerned that pain be controlled.  He  did a lot of things to keep me from having pain.  I think I have covered that in my post-op diary. 


Actually everyone I know that has had TKA says it is the best thing that they have done.  I knew for 8 years that I needed TKA.  Once I told a TKAer that I knew it was about time because when someone was in the handicapped stall I waited for it to be empty.  She didn't crack a smile and said "handicapped...that ought to tell you something,"  I called and scheduled the surgery as soon as the office opened.

You will have a lightbulb moment.  I think you need to wait until you feel that moment.  When I scheduled surgery I was sure that I wanted to do it and I was almost scared I would get sick or something and would have to rescheduled.

Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: lilly_kc on March 03, 2007, 03:22:00 PM
Mag - I second LuAnn's words. I had a TKR in October and have zero pain, can do anything. It is soooo awesome. I took pain medication for 6-8 weeks, then was able to stop completely. My particular doctor won't do two knees at once due to increased chance of blood clots (I had one anyway, lol - pretty common I think) and I am scheduled for other knee next month. Very anxious to have two sturdy legs to stand on! The pain is great for couple weeks, but very very worth it.

You will know when it is time. Kathi
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: L. Thomas.net on March 04, 2007, 01:03:59 AM
Hi, everyone!
I NEED TO HEAR THE SUCESS stories!
I need to do surgey TKR, on my two knees,  but I’ve no courage. I only hear unsuccess…I’m so afraid.
Who has passed by, please tell me, the success is the minority?
I would like to know if people who did, are taken any pain meds, like strength tylenol and motrin?
hugs


I needed demerol for about 2 weeks almost around the clock. I had fentnyl patch for 2 weeks and a nausea patch for a week. I needed some medicine for a couple of weeks after that.  At 6 weeks out of surgery I was back at work and needed no pain medicine.  At 8 weeks I was back to normal.  I am still working on my range of motion so when I stress it I am uncomfortable but I don't need pain meds.   With my recovery the pain didn't decrease in intensity.  I could tell the pain was decreasing as far as how much of the day I needed demerol.  After my "quirk" was fixed I didn't have any pain, except when I over-did-it.  I can sit down and get up without problems, I can't skip down the stairs but I do go foot over foot.  I am walking on the treadmill at 3mph and I have been riding a bike at a normal speed after my staples were taken out @ 10 post surgery.
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: Mag on March 07, 2007, 03:22:05 PM
L. Thomas.net, lilly_kc
I thank you very much by the answer.
Do you know hoe long time, after the surgery, people can drive a car?
hugs & kisses
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: Janet on March 07, 2007, 03:25:39 PM
You have to remember that most people who are posting on this board have had some kind of complication. You don't hear a lot of "success" stories because those people are off living their lives, no need for posting questions on this forum. But as one of those who have had a harder time and some complications, I am still glad I had it done. While it is taking longer and was much harder than I anticipated, I know I will still have a good outcome....it's just taking longer than I hoped.

As to driving a car, it depends on which leg is having the surgery. And it also depends on how much pain medication you are taking. Obviously, you can't drive a car while taking narcotics.

Janet
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: Mag on March 07, 2007, 06:58:44 PM
Thank you, Janet.

It's true...."those people are off living their lives". I never thought about it. Could be wonderful is they came here to tells us "success", it wolud encourage us.
I need to do in both knees. But the doctor wants to do one each time.
In time: I'm from Brasil, South America, and some words can seams diferent. I hope you all can understand me.
Thanks a lot.

You have to remember that most people who are posting on this board have had some kind of complication. You don't hear a lot of "success" stories because those people are off living their lives, no need for posting questions on this forum. But as one of those who have had a harder time and some complications, I am still glad I had it done. While it is taking longer and was much harder than I anticipated, I know I will still have a good outcome....it's just taking longer than I hoped.

As to driving a car, it depends on which leg is having the surgery. And it also depends on how much pain medication you are taking. Obviously, you can't drive a car while taking narcotics.

Janet
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: lilly_kc on March 07, 2007, 07:20:30 PM
Mag - you are doing a great job speaking English. Yes, it is very understandable.

I had one knee done in October, because my doctor also only will do one at a time. I feel great, and am not on any medication. I can do anything - aerobics exercise, stairs are slow but ok, shopping. I am glad it was only one, though. My other leg helped to lift and move the operated leg while it was getting stronger. I was off work about a month.

I am having other knee replaced next month. Hope it goes as well! I think you will be glad once you are finished with it :-)
Kathi
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: L. Thomas.net on March 08, 2007, 01:19:02 AM
L. Thomas.net, lilly_kc
I thank you very much by the answer.
Do you know hoe long time, after the surgery, people can drive a car?
hugs & kisses


I did not drive until I was off pain med.  But I am sure that I could have dirven before that time.  I probably could have dirven @ 2 weeks.
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: Mag on March 08, 2007, 02:01:18 PM
Kathi,  :D

I'm very glad 'cause you can understanding me.
My doctor also want to do only one at a time.
"aerobics exercise, stairs are slow but ok, shopping"....   your words're like a bells to my ears. I thank God!
The other knee replaced you'll have next month, will goes very well. I'm sure.
You deserve! God wants too!

hugs  ;)




Mag - you are doing a great job speaking English. Yes, it is very understandable.

I had one knee done in October, because my doctor also only will do one at a time. I feel great, and am not on any medication. I can do anything - aerobics exercise, stairs are slow but ok, shopping. I am glad it was only one, though. My other leg helped to lift and move the operated leg while it was getting stronger. I was off work about a month.

I am having other knee replaced next month. Hope it goes as well! I think you will be glad once you are finished with it :-)
Kathi
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: L. Thomas.net on March 08, 2007, 09:35:41 PM
Thank you, Janet.

It's true...."those people are off living their lives". I never thought about it. Could be wonderful is they came here to tells us "success", it wolud encourage us.

You have to remember that most people who are posting on this board have had some kind of complication. You don't hear a lot of "success" stories because those people are off living their lives, no need for posting questions on this forum. But as one of those who have had a harder time and some complications, I am still glad I had it done. While it is taking longer and was much harder than I anticipated, I know I will still have a good outcome....it's just taking longer than I hoped.



I think there is a 3rd reason.  I think some people just want to have more information and some people want to just go through it.  I posted because I wanted to have knowledge that comes from 1st hand experience.  The OS have the technical part down pat, but the experience of life with TKA is something they can only find out from others... Sort of like the OBGYN telling you what child birth is going to be.
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: Mag on March 09, 2007, 12:35:05 AM
Dear Thomas,
I didn't understood:
Sort of like the OBGYN telling you what child birth is going to be.
Could you explain to me?
hugs
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: chrisrobt on March 09, 2007, 01:24:29 AM
Thank you, Janet.

It's true...."those people are off living their lives". I never thought about it. Could be wonderful is they came here to tells us "success", it wolud encourage us.
I need to do in both knees. But the doctor wants to do one each time.
In time: I'm from Brasil, South America, and some words can seams diferent. I hope you all can understand me.
Thanks a lot.


Mag, I guess you could say that I am one of those successes" off living their lives; I had a MIS rTKR Jan 17, 2006 and was driving within three weeks post-op (remember, the right leg is the one you drive with).  My only  complication is a bit or RSD in my right foot which gives me decreased sensation (but I'm betting it will eventually clear) and "unmasking" of some arthritis in my right ankle.  Joint replacement for ankles is still in the dark ages, so I just live with that (doesn't give me too much trouble).

I had little or no post-op pain which I attribute to having the minimally invasive procedure.  I was given 70 vicodin at the time of my discharge from the hospital (2 days post-op) and was amazed at 10 days when I went in for staple removal when they asked me if I wanted a renewal.  I had about 50 left!!!  I generally took one an hour before my PT appointments and am still not sure I really needed them.

Christine
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: L. Thomas.net on March 09, 2007, 01:44:29 AM
Dear Thomas,
I didn't understood:
Sort of like the OBGYN telling you what child birth is going to be.
Could you explain to me?
hugs


An Obgyn is a medical doctor who delivers babies.  In the United States most doctors that deliver babies are men.
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: UK Girl ! on March 10, 2007, 06:09:00 PM
Annie - have you abandoned you thread - where are you?
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: knee deep in Goo on March 10, 2007, 08:49:10 PM
Hi all .

I did not abandon my tread.  Well I kinda did..  My harddrive decided it needed to be replaced. 

Getting stronger every day which is a good thing.   I find walking eases the pain.  Driving is getting more tolerable.  Everytime I pressed on the brake it felt like I was being jabbed.  The worse pain seems to be at night .  So I am trying to prevent late night wakings up.  So I am doing the ambiem to try to restore a normal sleep pattern.

Someone mentioned success stories.    I believe each person has to define their own level of success. 

 Whether going back to Sports or just trying to carry a bag of grocery's into the house unaided.

I believe it is better to have the mindset of thinking this is where I am now and this is how I can cope with what is going on now. 



Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: bonstarr on March 10, 2007, 09:18:04 PM
Hi there Annie!  So sorry you had computer issues.  But it's great to hear that your driving, even if a bit painful - being independent is the key.

keep up the good work
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: Janet on March 10, 2007, 09:21:38 PM
Annie;

I'm glad your computer is fixed and you are back online. I agree that each person has to define their own level of success. I just want to be able to walk with a normal gait at a normal pace with no pain....something I haven't been able to do for the last eight years. And I'm getting there....slower than I'd like, but on the right path. You say you are getting stronger and your driving is better, so those are good things to celebrate!

I hope the Ambien works for you. I read a newspaper article the other day that said women (in general) complain about not sleeping well. Add a medical condition on top of that, and there are real problems.

Janet

P.S.  I definitely came to the site looking for information. I know more about my knee now than I ever imagined. I think educating yourself so you can ask intelligent questions is really important. On the flip side, it is sometimes hard for me when I read how well people are doing since I've had a much harder time. What's good is seeing everyone progressing at their own pace and working toward a good outcome (for them) in the end. Just my two cents worth!
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: UK Girl ! on March 10, 2007, 10:14:38 PM
Hi Bonnie - cool - glad it was your hard drive that let you down - was getting worried for you there!!

I reckon that women naturally sleep badly as we have that inbuilt 'mummy' thing - lets face it - the men sleep right through the kids waking at night and we hear every last snuffle!

Hope your pills help you get back in that sleep pattern! I sleep best between - 6am and 8 am - unfortunately the exact time when I should be getting out of bed but my duvet just won't let me go! ;D

Good to see you back hun

anj ;D ;D
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: Mag on March 12, 2007, 12:02:27 AM
.......Someone mentioned success stories. I believe each person has to define their own level of success. 
Whether going back to Sports or just trying to carry a bag of grocery's into the house unaided.
I believe it is better to have the mindset of thinking this is where I am now and this is how I can cope with what is going on now.

Hi, Annie,
You are all right. Each person has to define their own level of success. 
Right now, I can’t do Sports or carry a bag of grocery's into my house.
When I got it, I’ll be very happy.
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: Mag on March 12, 2007, 12:05:18 AM
Dear Thomas,
I didn't understood:
Sort of like the OBGYN telling you what child birth is going to be.
Could you explain to me?
hugs

An Obgyn is a medical doctor who delivers babies.  In the United States most doctors that deliver babies are men.

 :D  Thanks
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: Plumb on December 09, 2009, 02:19:11 AM
Knee just turned 3 years.   I really don't like to go back and read my old posts.  .. I just want to comment.  I been very blessed by this surgery. 
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: bonstarr on December 09, 2009, 03:44:05 AM
Congratulations Plumb!  i celebrated 3 yrs in October, and I just had my 3 yr post-op with my ortho - he said I was a star!!!!!

I no longer limp, I can squat, pain free, cant ask for anything more
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: Plumb on December 07, 2011, 02:20:15 AM
5 years old today... No issues with the right knee implant..   it's been a blessing.
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006 8-15-2012 Left knee update.
Post by: Plumb on August 15, 2012, 06:27:44 AM
Just to update ..  Today 08/15/2012 getting the left knee replaced today..   What  wild ride.   This left knee  will be gone around 1 PM EST today  and another Zimmer Knee .. to match.. When I look back on my right knee I see all the hurt, and struggle and oh boy what a long way I have come..     I would be foolish not to say I am utterly blessed with my right knee outcome and its success and believe me my mobility with that one was kinda crappy for a whole year.    I will try to update on the recovery with lefty here.   

So I say this to all  folks.   The pre implant waiting is the worse..   :)   

Looking towards my first step with no knees..
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006
Post by: Plumb on September 02, 2012, 05:25:06 AM
So I had my left knee done 17 days ago.   I had a Q-Ball Nerve block for pain relief and I did not have any hard core pain situations or puke events.    I did have an irregular heart beat post op and I had to have a nuclear stress test and EKG and a heart monitor.  All went fine with the heart.  The doctors said the irregular heart beat is a birth defect and since I am overweight and have a big chest.. The big chest is one of the rootcauses for the event.  Nothing to worry about NO blockage.. and blood pressure stabelized after a day on lopressor.. Now off of it.


I wanted to say Oh boy I blocked out the getting out of bed part post surgery..   The pain the pain..  Just when you think there is no way in hell you are going to get your leg out of bed suddenly the foot is on the ground.. Eagle has landed and walking is a pure pleasure.

I had a 10 day stay at an acute rehab  Kessler in Saddle Brook NJ.  I was off and walking fast.  Such an emotional boost...  I was very swollen so I was hoping and praying my ROM would equal 90 after 10 days.  I just about passed that goal day 10.

So here I go.. off into Out patient rehab.   Like I said my ROM was on the poor side.   Friday I measured 95 flex.  We are still early in the game and each day I see improvements. 

LIke today.  I did not have to use the high Rise toilet seat.    I was able to go around the first floor with Crutches.  The stairs still scare me 15 stairs staring me down daily.   

The Q-Ball nerve block was the game changer this surgery.   I did not have 10 buses of pain ..  No puking..  No mean nurses at rehab.   It all went smooth... except for the irregular heart beat thing.. Even my Sugar was excellent.
Title: Re: Zimmer Knee - Gender solutions - DEC 6 2006. 6 years and wonderful
Post by: Plumb on December 07, 2012, 02:59:29 AM
Six years and wonderful!!!!