THR Boofit's recovery in Hong Kong

Boofit

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Had my left THR yesterday. Was the first case. Lateral approach. Went in at around 8:30am and woke up in the Recovery Room at 11am by the clock on the wall.

Day 0 was uneventful. Was linked up to a self administered morphine thingy. It worked and I did not feel pain, except felt very groggy and nauseous. Was very lucky to get into a private room immediately after the operation and was linked up to a BP machine, a saline and medication IV set up and a nasal oxygen tube. Had a urine catheter but no drain. Also had the dreaded abduction pillow and also leg and thigh electrical pumps (the latter to prevent DVT I guess).

Nurse came over with a menu with Western and Asian offerings and one could "mix and match" so to speak. I chose western dishes but a Chinese soup. Dessert was almond pudding and fruit was an orange. However, all I could manage was the soup.. Tried to drink as much water as possible.

The main problem for me was that because of all the contraptions and machinery, I could not access my stuff which was placed in a mini cupboard some distance away. I had brought quite a bit with me (since I was told I would probably stay for 5 days), but didn't want to keep on troubling the nurses to bring items over. Not that I really needed a lot though, as all I wanted to do was sleep or doze off.

The doctors came by around 6ish in the evening and I was told the operation went well. Was told there would be no 90 degrees restriction, and that there was no need for toilet raisers etc but I should be careful in any event. Professor Ong laughed when I told him I had already bought my toilet raiser and cushion raisers and would be using them anyway. He said the risk of dislocation for lateral approaches was less than that of posterior approaches. He did say I should not cross my legs when sitting, especially not the letter of 4 position.

Physio came as well to do ankle pumping exercises, quads and glutes tightening. Didn't do much as we spent time catching up on physio training then and now (I used to be a PT before I changed professions).
 

Mojo333

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:wave:@Boofit
Glad you are on The Healing Side now and seem to have pain managed well.:) :-) (:
My appetite wasn't the greatest for the first week... but glad you are staying hydrated.

I will leave you our Recovery Guidelines. Each article is short but very informative. Following these guidelines may help you have a less painful recovery.

Just keep in mind all people are different, as are the approaches to this recovery and rehab. The key is, “Find what works for you.“ Your doctors, PTs and BoneSmart are available to help, but you are the final judge as to the recovery approach you choose.

Hip Recovery: The Guidelines
1. Don’t worry: Your body will heal all by itself. Relax, let it, don't try and hurry it, don’t worry about any symptoms now, they are almost certainly temporary​
2. Control discomfort
rest
ice
take your pain meds by prescription schedule (not when pain starts!)​

3. Do what you want to do BUT​
a. If it hurts, don't do it and don't allow anyone - especially a physical therapist - to do it to you​
b. If your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again.​

4. PT or exercise can be useful BUT take note of these

5. At week 4 and after you should follow this

6. Access to these pages on the website


BIG TIP: Hips actually don't need any exercise to get better. They do a pretty good job of it all on their own if given half a chance. Trouble is, people don't give them a chance and end up with all sorts of aches and pains and sore spots. All they need is the best therapy which is walking and even then not to excess.

We try to keep the forum a positive and safe place for our members to talk about their questions or concerns and to report successes with their joint replacement surgery.

While members may create as many threads as they like in a majority of BoneSmart's forums, we ask that each member have only one recovery thread. This policy makes it easier to go back and review history before providing advice.
 

Ocean

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It’s so lovely to read that you are doing well.
 

Zoebichon

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I’m surprised you were allowed to bring so much stuff with you! In my area, (Seattle, Washington), it is common to be discharged the same day as surgery.

Since I had both hips done at once, I was told I would probably be spending the night so I packed a very tiny case with toothbrush, etc. Upon admission the nurse made my husband take it back to the car as they like to keep personal items to clothes on your back only!

As it turned out, I did very well after my surgeries and was discharged 3 hours later!

I think you are wise to listen to your body and sleep and dose as much as possible!
 
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Boofit

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Zoebichon, here in Hong Kong, I guess they follow the practice of the UK. In fact, my surgeon was trained in the UK, and then did further training in Canada on hip replacement. I have read people in the US usually have the anterior approach and are discharged on the same day or very soon after.

In my case, I am told I will be staying 5 days, so it is sort of like a staycation for me!! Today is Day 2. So far, food has been great, Right now I am icing my thigh (it is sore like having exercised it a lot), I brought in my own ice packs as the treatment here apparently doesn't include ice:heehee:. The staff here are somewhat surprised (15 instant ice packs can be heavy)

My BP is low (100/38) and have been consistently so, so I have (on my own) stopped the pill for BP that I use to take daily. The nurses just give the usual medications a patient is on plus the other additional meds the doctors prescribe, I had about 10 pills in my little plastic cup this morning, so I picked out the one for BP :egypdance:. Well, I guess it worked cos my BP reading a few minutes ago was higher , edging up to 113/50. Gosh, don't they hate patients like me.......

PT has not come yet (today is Saturday), but I am doing my simple bed exercises (ankle pumps, quadriceps raise with small pillow which I brought to hospital under the knee and some gluteal squeezes). Pain level 2 so manageable. So far have only done standing and stepping at bedside with walker but looking forward to walking!
I do feel dizzy sitting up but hopefully this will go away soon so that I can walk with walker without fear of fainting!

Mojo, thanks for the Recovery Guidelines. Have read them before, but it is so good to read them again!

So far, I don't see swelling. They have removed the electrical pumps which were applied to both legs (these probably helped to control the swelling I guess) and now I have TED stockings..

Food is good (thank goodness!). I get a menu and choose what I want... Guess the weight increase process is starting!!
 
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Boofit

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Medication: Right now am on Oxycontin twice a day, plus panadol (tylenol for the US) 1000 mg three times a day, plus Lyrica 75mg three times a day. Maybe that is why I am not feeling much pain.
 

Snoopy55

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wow @Boofit ! It actually does sound like a staycation minus the fact that you had your surgery. Glad to hear food is great. I hated the hospital food:( and couldn't wait to get home and eat real food. I stayed 4 nights actually even though they tried to kick me out I was adamant about staying. I had a ski accident and broke my femural neck so it wasn't a planned surgery. I hope you feel better soon.
 
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Boofit

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The pain management doctor just came. I asked for a list of the pain medication I am on. Here goes:
Etoricoxib 90 mg once a day
Oxycotine twice a day
Lyrica four times a day
Paracetamol 1000mg four times a day.
 
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Boofit

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wow @Boofit ! It actually does sound like a staycation minus the fact that you had your surgery. Glad to hear food is great. I hated the hospital food:( and couldn't wait to get home and eat real food. I stayed 4 nights actually even though they tried to kick me out I was adamant about staying. I had a ski accident and broke my femural neck so it wasn't a planned surgery. I hope you feel better soon.
Thanks Snoopy. For the first time probably in my life, I had no appetite for the first couple of meals! Last night my appetite returned somewhat, so was able to enjoy my dinner. Breakfast this morning was good too. Should have brought some salt tho:heehee: for the poached eggs...
 

Lyla

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Wow if Canada helped train your dr can Hong Kong train our hospitals food people?
I went home same day with a posterior approach. I think it depends on the country and the surgeon. They did want me to stay one night but no way. I hate the food and I was starving lol. I would have discharged myself if the dr didn’t sign off on it. Sounds like Hong Kong hospitals are much nicer then Canadian ones. They did try to bribe me with a private room but it didn’t work.
5 days is a long stay in hospital for any procedure unless there are complications here in Canada as well. Most are like drive thru service. It does sound though that you will be enjoying your stay. The service you get makes a huge difference.
 
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Boofit

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My PT obviously subscribes to the bone smart philosophy.:loveshwr: He said THRs did not require aggressive exercises and the important thing was to allow it to heal...He also wanted to look at the XRays first and since these were not yet available to him plus my BP was still low 98/40, he simply had me do ankle pumps, quads and gluteus tightening exercises.

Later in the afternoon I was wheeled down for Xrays. It was funny lying in bed being wheeled down to the Xray Department.

Had roast chicken for dinner. Felt weird cutting into the thigh of the chicken, kept thinking about my thigh being cut...

After dinner I decided I wanted to sit at the side of the bed and dangle my legs. Felt it might help with my dizziness and improve mobility. So I slowly maneuvered my legs towards the side of the bed, and dangled my legs. Dangle Dangle and then started doing some leg straightening exercises.
Felt good. Did some deep breathing exercises as well and that seemed to help with the dizziness.

So after that, slowly maneuvered my legs back onto the bed. I am lucky I don't have log leg although the leg seems really heavy. Did have some tingling sensation down my foot though. But this is something I had before the operation.
 

Layla

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Hello,
You’re doing really well! I like that your OS seems to agree with our philosophy of non aggressive recovery. It sounds like your BP is stabilizing and you’re being mindful no to over do anything. Your cutting into the chicken comment made me chuckle. In regard to the tingling you mentioned -
Small sensory nerve fibers are cut with the incision. These nerve fibers run from the inside to the outside of the hip and cutting them causes the hip to feel numb after surgery. It is a temporary sensation that normally resolves over a period of six months to one year post op.

While healing you may experience sensations of tingling, pins and needles, itching, burning and even the feeling of a minor electrical shock. These are usually good signs that the nerves are spontaneously firing through the regeneration process.
Enjoy the rest of the day!
@Boofit
 

Mojo333

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Had roast chicken for dinner. Felt weird cutting into the thigh of the chicken, kept thinking about my thigh being cut...
:heehee:
funny how our mind goes...
You'll be back to a healthy happy life and all this recovery business will be well worth it!
:chuckmarch:
 

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What a brilliant idea to take your own ice packs! hopefully you can reach them now. While in hospital I begged a few from the nurses, but some of them struggled to administer the sharp tap to activate. I found stabbing down with my crutch worked.

I didn’t have a toilet raiser for first hip - we bought one but it didn’t fit so I managed without. We were more organised second time round and got one that fitted. It was so much more comfortable. So you may find your purchase is money well spent even though not required to avoid dislocation risk.

Take care with the dizziness. I naturally have low BP which the surgery made worse, and I fainted completely about 6 days after my first replacement. I learnt from that: get the blood moving before standing up, don’t stand still, keep within close range of a chair to sit and get the head down at the first feeling of dizziness. Otherwise, nature has its own system for quickly getting more blood flow to your brain, and it doesn’t include a soft landing!
 
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Boofit

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So it is Day 3 today. Had LTHR on Thursday 2nd June. Lateral approach.

Have been feeling dizzy - probably caused by the oxicodine and lyrica. But wanting to sit out of bed so when PT came about an hour ago, I said I would like to try waliking with a walker. We did this. The leg felt really heavy and felt longer. I walked for only about 40 steps or so, down part of the corridor, but he said it was enough. Just as well, cos I was feeling a bit woozy as well. So we made our way to my bed, and I said I would like to sit up if allowed. He said no problem, so here I am sitting up with computer in front of me!!

So far, my main complaint is the dizziness, On my own I have stopped my BP meds Amlodypine and have informed the nurses and ortho surgeons. Today I started on black coffee and continued with my Coke Zero, so hopefully my BP will come up.

I have also not been taking my senna pills that the hospital gave me. I don't think I can do my Number 2 in bed on a pan... So waiting and hoping I at least get to sit on a commode or get to go to the toilet! I started taking some prunes today in the hope that they will help my system get fired up!
 
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Boofit

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Decided to try do my number 2 in the toilet so walked with frame to the toilet only to discover that it is too low for me. I am 5ft 6inches tall and the toilet is 2 inches below my knees. So I refused to sit on it and walked out asking for a commode instead. But with all this hoo ha, all "feelings" disappeared as well. So did a reclining thinker pose on the commode for 20 minutes before giving up and climbing back in bed.

I now have a dulcolax for inserting later on.

For some reason I have lost my appetite ! This is rare indeed as I usually love eating. Now to feel nauseous as I survey my afternoon tea which has tuna and corn sandwich and a piece of butter cake is a new experience indeed...
 
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Boofit

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Klassy, I do remember you fainting post op, and that serves as a reminder to me to make sure someone is with me when I walk, or that I am close to a chair or bed.
 

CricketHip

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What a bummer about the very low toilet seat! I a hospital doing joint replacements, no less.
Hopefully the "feelings" will return soon. So aggravating..
Just in case it hasn't been mentioned, prunes or prune juice can help get things going, too.

They were my go to with both hip surgeries..

You are doing very well, I like reading how you are making some of your own decisions to help yourself and that PT is "BoneSmart"
 

Eman85

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I have also not been taking my senna pills that the hospital gave me. I don't think I can do my Number 2 in bed on a pan... So waiting and hoping I at least get to sit on a commode or get to go to the toilet! I started taking some prunes today in the hope that they will help my system get fired up!
The dreaded bed pan! Decades ago when I had previous ortho operation I remember having to use the bedpan. I was trying to hold out but eventually had to give in, not a pleasant experience.
 

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