TKR Barnmom22's recovery thread<

I'm wondering what number you give your pain level? You are probably in more of a fog than you may realize, so ask a family member to take some notes on your responses to the different meds. Charting it out in some way may give you some better data to work with.
 
In bed if I don't move around much the pain is level 1-2. But when I sit up to get out of bed it suddenly becomes 6-7. The PT today wanted me to go up and down stairs again. I said no. Proud to have declined. I don't need to climb any stairs because I live in a high rise with elevators. But my husband did order an ambulette with wheel chair to travel home in. Because there are two long flood to navigate before you arrive at my door

When I heard there was a pain specialist I assumed he or she would get me on an effective regimen before I left hospital. Silly me. Well we will just have to figure it out ourselves.


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I'm happy you were able to tell the PT you didn't want to do any more steps. I took two 5/325 Oxycodone every four hours. I also had tramadol 50mg I could take every six hours if needed so I automatically took that also at least for the first week or so. That was effective for me. I set my phone to alarm for the next dose of each. I hope you quickly find what works for you.
 
I'm home! So happy to be out of hospital. My husband just got the surgeon on the phone and the surgeon was really upset that the meds were mishandled. He's going to straighten it all out, or at least try to anyway.




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Barnmom22 -
I think Happydale mentioned something important when she said you may have been in a fog. I know I was - at one point they were mentioning using the cryocuff at home and I said "oh we have one of those" - however, I had no clue there had been one put on my leg (when did that happen?)

Good to hear your doctor is onboard getting you straightened out. :-)
 
That's great that to you are finally home...what meds are you on now? I really hope you are able to have your pain under control soon.
 
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I don't have much to offer what's already been said today except to say..
We're Here For You!
 
Uva I have two kinds of oxy. Short acting and 12 hour long. I have MS Contin 15 milligrams which is a long lasting morphine. And Tramadol 50 milligrams.

I took the morphine this morning and it took two hours to kick in. But when it did my pain decreased from 8 to 2.

Also I have 100.8 fever. Doctor says that's ok after a surgery but to watch it.


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Wow, not sure what to follow with all those meds, maybe @Josephine can help you know what to take when. I so sorry they sent you home without a pain plan.
 
Is that all you are taking? Just the MS contin? And how often do you take that?
Do you take any Tramadol or standard oxycontin? If so, how much and how often?
 
I'm using the hydrocodone with tylenol snd is great. I've never had nausea but I attribute that to not having general during the procedure.


Hope u get to go home soon - it's so much nicer.


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@Barnmom22 wow 2 hours waiting for your pain meds to kick in is a long time, I think Tramadol helps a long as you are taking good pain meds with it, I was prescribed Tramadol alone years ago for my back and it didn't do much for me, I'm so sorry this has been such an issue for you.

I hope your fever goes away soon. I'll check on you later!
 
@Josephine and the others. Thank you for helping me sort out the Meds. The morphine is long acting we figured I can start taking that at 6 am and 6 pm. Then if I have any breakthrough pain I have the oxy which takes effect more quickly. Is this the beginning of a good plan? Should I add Tylenol right away?
 
My internet and TV have been down all afternoon! Dreadful when I'm trying to check on your progress! I told AT&T I was recuperating from surgery and simply couldn't wait all week for a repair, and that did the trick. I was surprised they sent a repairman right over. Welcome home, but I'm SO sad that you're struggling with such pain. :oyvey: Your doctor is right to take charge of figuring this out (finally!). I like having some flexibility in my pain med choices, so if one isn't doing the trick, I can either take another pill or take a different med. That way I know I'm not taking more than I need to be comfortable. I also want to let you know that the hospital told me not to consider it a fever unless it goes over 101. I assume from that that your "fever" doesn't qualify as concerning.

The only other thing I want to share is that I'm discovering that changing positions is really important. It hurts to move, and your body naturally wants to stay still. But several times this week when pain was ramping up, moving gave me some improvement. My PT told me that one reason folks struggle at night is that usually we move around a lot while sleeping. After surgery, we tend to be still as can be. That in itself can lead to discomfort. Try to re-position yourself every hour or so if you can.

Your husband is your great advocate. Together with your doctor, hopefully you'll all come up with a better plan.
Hugs to you,
Sara
 
My fever is now 101.3. Will call OS in am if it goes any higher. Please tell me do you elevate all night in bed or lie flat? I tried elevation with different types of pillows and supports but am still very uncomfortable.
 
@Barnmom22 when I was in the hospital they told me that at night if a pillow is too uncomfortable to roll up a towel...that is what I use at night and that does not bother me.
 
Personally, I seem to be more comfortable with my legs flat, but I haven't heard of anyone else on BS feeling that way. I told my PT, and she told me to elevate even if it doesn't feel as good as flat. So, now I elevate 2x/day at a high elevation. I have the foot of my bed slightly elevated, but nothing like the position I use with my feet way up in the air in a chair. You are just home from the hospital, and you will experiment with different things you can do to try to find what's best for you. On my comforting list: ice all the way around my knee, including sides and back, moving a bit, trying to distract myself with a TV show or magazine, and sitting in my most comfortable chair. The chair I had designated as my "nest" prior to surgery is not comfortable for me at all. We rearranged our furniture to utilize a different chair w/ ottoman. I also spent one entire day in my bed because that seemed the best position that day. My suggestion is to try every variation you can think of so you'll learn what's best for you.
 
I elevated all night and many people ice through the night. I never thought of that. Sleeping and bed was the worst for me. Lots of TKR patients sleep in their recliners because they just can't get comfortable in a bed.
 
I found sleeping on my recliner more comfortable,easier to get in and out than the bed. It fully reclines like a bed, I do ice through the night, pretty much 24/7, I use one ice pack when I go to bed and change it when I wake up for pain pill.
 
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I hate you have a fever @Barnmom22. I hope it doesn't go any higher. I elevated my knee on three stacked pillows and recovered in a large recliner that was almost flat when fully reclined. And I iced 24/7. Prior to TKR I wasn't much on ice packs but I sure learned to appreciate them post-op. Especially those times when my pain meds just didn't do their job- a really frozen ice pack just out of the freezer would calm things way down for me! I'll have an ice machine 'if' there is a next time- I just need to figure out which one is the best!

Praying you get some good rest tonight. I promise you these initial extremely uncomfortable days WILL pass!
 

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