Bilateral THR Done! I have two new Go Gadget, Go hips!

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Belated Welcome to the Other Side!! Sounds like you are doing pretty dang good for BTHR-its actually quite amazing-mucho respect:thumb:

Like everyone else said, keep up on the pain meds,resting and listen to your body.
 
Hello again Hippies! Sorry I didn't update last night. Two reasons... I had visitors and I was shattered! Anyway, what's happened over the last two days?

Yesterday morning I woke up to find my surgeon at the foot of the bed! He was very happy with what he saw and ordered the drains out, more mobilisation and home! The drains came out an hour later - no issues and an hour later along with the catheter (I have no problems peeing at all now!) and right after that I was on crutches walking around the ward.

I have experience of using crutches so it wasn't too bad... in fact with no home pain imthe only awkwardness was stiffness. I was given some bed and standing exercises, saw the OT (who gave me a helping hand and shoe horn) then promptly crashed out in bed, knackered. One trip for an X-ray, a few visitors and a couple of loo trips was all I could manage for the rest of the day. Loo trips were great... I can go again! X-ray was fine btw.

Had a review meeting this morning and the OT and physios said I was almost ready to go home! OT went through day to day tasks with me... in particular setting up my Mowbray and the Physios got me doing stairs. I was told, just now, that if I behave myself tonight I can go home tomorrow morning.... 3.5 days after the op!

I have to say that, other than stifness and a few niggles here and there, everything is good so far. It's early days but I am already looking at starting phase 2 of my rehab... which is just brilliant!
 
Excellent report, Yellowgopher! Sounds like you are doing very well indeed. Don't worry about the "being taken suddenly nap" syndrome :th_heehee: - it is a very common occurrence after major surgery! And it's likely to go on for a while - it's your body saying "OK time to rest - I gotta recuperate from all this!"

Bet you'll be so glad to get home!!
 
Greetings again fellow Hippies.

I know I don't have to apologise but I will do so anyway - sorry for missing the last few days.

You will be happy to hear that I did indeed go home on Sunday - just 3 and a half days after the operation - and it was, without, the best and worst time of my life!

What do I mean by that? Well, it was superb to get out of hospital and find myself in familiar surroundings again. The fact that the excellent hospital staff thought I was good enough to go home (and they were right - I was good enough and I wanted to go home!) really gave me a fillip. Here I was, walking well on crutches, aches and pains easing, so soon after the op. Brilliant!

On the flip side, the journey was exhausting! I have never had a forty minute car journey (where I was the passenger) take so much out of me! It was insane! As soon as I got home (in fact, to my parents place, who are looking after me for a couple of weeks - see, I don't have to do anything) it was as much as I could do to crawl into bed, drug up and then try, really very hard, to sleep...

But, initially, could I sleep? No way. I just dozed. I think what had happened is that I had reached that point of complete and utter exhaustion. Thinking back on it now, I slept, maybe a few hours each night I was in hospital, was drugged up to the hilt, intensive physio and my body was trying to recover from a major op. I didn't realise, until I got home, just how much I had put my body through. I was so drained, I couldn't even sleep properly to start the recovery.

So, on Sunday night I felt terrible. I was bursting into tears at a moments notice, I was sleeping for an hour then awake for three, I felt so ill... ill like I have never felt before! I turned around to my wife at one point and said why did I do this? It was if the dodgy hips were, in some ways, better! My wife and my parents were brilliant and just kept on saying "give it time, you are expected to feel terrible right now. You are doing brilliantly. You are way ahead, now just rest."

And, although I really didn't believe them, I did just that. Rested. I did my exercises only when I wanted to, got up a few times for little walks but not many and, gradually, through Monday I felt just ever so slightly better and, last night, I slept for 7 hours straight! Woohoo!

And today, well, I got up at lunchtime and have been up all afternoon (the cricket was on so I had incentive - we won). Tonight, I still feel a little strange but I am so much better than I was on Sunday.

So, advice for anyone out there waiting their hip hop - be aware, exhaustion can and will probably strike. Try to avoid it, of course, but be prepared! Listen to your body - it will tell you when enough is enough!

As for my hips, well, they're ok. I haven't lost any movement even though I have slowed the exercises down a bit and they are feeling less and less swollen. My right hip is more painful... painful is the wrong word... uncomfortable but I think it's because my surgeon cut through more muscle or at least the wound is in a slightly different place - it's better than it was anyway.

Oh, and getting in and out of the car? No major problem as long as you have a helper to guide you legs in! I sat on a pillow and this allowed my better half to grab both of my legs and swing them in - my whole body turned on the pillow. Simples!

Right, my body is saying enough is enough. So goodnight all! Sleep well.
 
YG,

It's a very good story with a happy ending. All that inital trauma (to our bodies) and stress (as we adjust) can push our buttons pretty well. And we all get thru it with a few good stories to tell.

Glad to hear the sleep is working for you...from what I read that is a big issue for some, so count yourself lucky. I slept in 2-4 hour bursts...with a bit of awake time, but usually just enough for the next round of pain killers to kick in!! :thumb:

Welcome home...

Z
 
Greetings again fellow Hippies.
I turned around to my wife at one point and said why did I do this?

Hi Yellowgopher
Welcome and I am glad to hear you are doing well. You are not alone in your comment to your wife, I said the exact same thing (well ok I cant write what I really said), after my first THR.
It seems from your posts you are doing well. We will all tell you that there are many ups an downs, even when you have been through it once.

Hang in there and best of luck.
 
Good report, Yellowgopher :) I'm delighted to hear you are back home and on the road to recovery! Yeah the first few days out of hospital are difficult - and the trip home - oy vey! I went home by "care car" - a van with a wheel chair lift and 2 strong fellows to hoist me up the stairs into my house - yup exhausting is the word for that experience.

And the sleep issues - sigh - sleeping on my back was, for me, not conducive to good restorative sleep. And being out of hospital was a bit nervous making - my cousin was a great help and support but my brain kept doing the "what if ...." litany and I worried that something bad would happen away from medical personnel. Plus the meds I was discharged with (morphine) helped with the pain - but really did a number on my sleep! As soon as I changed to Vicodin the sleep issues improved. So if you are still having trouble sleeping in a day or two call your OS and talk to his nurse about maybe changing meds.

It will all get better over time - but be prepared to have "nap attacks" for quite a while! It's only since I moved back to my own bed and have been able to sleep on my side again that I've been getting good sleep.

Sure hope you get to feeling better very soon!
 
So, advice for anyone out there waiting their hip hop - be aware, exhaustion can and will probably strike. Try to avoid it, of course, but be prepared!
You can't avoid it, it's a totally UNavoidable, inevitable part of your recovery Energy drain for TKRs
You have been watching far too much TV! :th_heehee: :hysterical:

[Bonesmart.org] Done! I have two new Go Gadget, Go hips!
 
Hi all. Just a quick update tonight. It's a quarter to one in the morning and I can't sleep. No pain, am very tired, but no sleep. I hate having to sleep on my back! The thought of having to sleep on my back for another five weeks feels me with dread!

Anyway, op was a week ago today and I can see the progress I have made which is great. I've managed to lower my pain need today as well...just didn't think I needed them.

I wonder what the next week will bring? Night all!
 
Considering you've had a 'bi' I think you are doing remarkably well.

I remember with hip #1 particularly I couldn't sleep properly for the first week or more so I asked my GP to prescribe something that would help with sleep and pain relief. he gave me codeine and it did the trick for me.

As I think I said earlier, the first couple of weeks at home are the worst. Get through these as best you can (with a bit of help from the right meds) and it will get easier. You seem to have a good attitude so you will be fine! Hang in there.
 
Hello, poor day today but not with the hips, they have been fine.

Splitting headache and just sooo tired due to the lack of sleep. I have tried something different though - I have had a couple of "naps" but limited them to an hour or so each time and kept active. I hope this will put me in a good place tonight when I go to bed!

Tomorrow is a big day - clips are coming out. The wounds look good so I am confident things will be ok.

The only pain I have is a burning sensation a few seconds after moving my right hip. As it is still swollen I am putting it down to some sort of nerve compression. However I will be mentioning it to my doc when I see him!

Josephine, thanks for all your comments and links. The energy drain reallly made me think for the first time in depth how much I have put my body through - how many resources it is using to fix itself. It's no wonder I am shattered is it!?!

Hope everyone else is fine.
 
Hi YellowGopher- I think you are doing awesome!

At day 8 I was not limiting my naps, I slept anytime I could! Sleep is so important. I guess some worry that they will get their sleep pattern all whacked out but in the early weeks its best to take advantage. Once you start getting more energy back you will get back to your normal sleep patterns(at least thats how it worked out for me after each op)
 
Hi YellowGopher, sounds like you're doing really well. I wouldn't worry about keeping daytime naps to an hour - you need loads of sleep! Get it where and when you can.

Sorry you had a touch of post op blues but glad that you've "weathered the storm"
 
Hi Gopher,
I just thought I'd throw in some encouragement and say I agree with Cappy's advice. For the first few weeks your best bet is to sleep whenever you can, it may mean you keeping some odd hours, but that's when the worldwide BoneSmart net really helps.

I found I was sleeping in short shifts for most of the time while I was sleeping on my back. Being Bi-Lateral doesn't help this, as it means you have to wait be able to sleep on a operated side before you can stop sleeping on your back.
However, the decision to go Bi-Lateral is, I'm sure, one decision you'll never regret.

Remember that's it now, no wondering about a second op and rehab, both hips sorted and it is all steady improvement from here on in.
So keep positive and all will be well.

Best of luck
Steve
 
YellowGopher - I saw a cute picture on Facebook today that I think should be the logo for all post op joint replacement patients! Cute kitten sleeping stretched out on his back - caption read: "It may look like I'm doing nothing, but on a cellular level I am very busy!" While it make take several more weeks your sleep patterns will return to normal!

Once i was able to sleep on my side I started being able to sleep much better. That point came at about 8 weeks out for me - before that it felt like I was sleeping on a brick - not really painful just uncomfortable. Interesting note - as I've decreased my narcotic medication (Vicodin) I also have been sleeping better! Last night I slept a solid 8 hours - even wandering felines did not wake me up :)

Getting the clips out may also help - at least it should help you feel better.
 
YellowGopher- Glad to hear your doing so well after surgery. I am on my 4th week post-op for BTHR and know exactly what your going through.
As far as sleep, I couldn't sleep for more than 3 hours at a time, probably only 4-5 hours a day, for the first 2 1/2 weeks. I would be extremely exhausted, go to bed, and just couldn't fall asleep. I tried Melatonin, which didn't help at all. A couple of times I had a couple sips of wine, and that didn't help either. Finally,I went to sleep one night at 10 and woke up about 4am. I couldn't believe it. From then on, I have slept at least 5-6 hours at night, and I try to take a 1 or 2 hour nap in the daytime.
You are going to continue to be amazed at how fast your body heals. My OS let me start taking Ibuprofen 800mg again last week and since then the swelling has gone down tremendously, making it much easier for me to walk. I am now walking without a cane and it feels great. Like everyone says, your body will tell you when it's had enough. I went walking around a mall last week, feeling great. We stopped and had lunch. After lunch I could hardly walk. So make sure you don't overdo it. It's easy to keep walking when you start feeling good, but you have to make sure you will be able to walk back.
I also got the green light to start driving. When I first started driving again, my right hip felt fine for about 20 minutes. Then all of a sudden it got tight and painful. So driving is like more PT. You have to do it in small increments until those muscles get stronger.
I am sure that you are like me and are so glad that you did both hips at once. I've never been happier. I'll take this muscle tightness/pain anyday over the bone-on-bone pain.
Keep up the PT exercises and your going to be good as new!!!
 
Morning all.

Well, yesterday I had my clips removed and it's nice not to have a stretching/pulling sensation at the wound sites anymore! Both wounds have new skin and are healing well - the right is very neat, unfortunately the left has a bit of an overlap of skin which means I will have a bump there for a while but I understand this will slowly disappear over time...

I mentioned the burning pain in my right leg a few seconds after I move it and it's most likely what I had thought it to be - nerve compression caused by swelling and/or scar tissue. I was told it is quite common and not to be too concerned about it at this stage - 9 or 10 days after the op!

Have had my priority referral through for PT! All starts next week!

In myself? Well, still not sleeping at all well and it does get to me at 2am in the morning! Left hip is excellent (hardly any discomfort at all) and movement is actually brilliant for this stage. Right hip is more swollen and I get the burning sensations as I have mentioned before but it works and movement is getting better. Yesterday I caught myself walking away from my bed without my crutches! I, of course, gave myself a stern telling off and grabbed the crutches to continue my journey but, scarily, so soon after the operation I feel I COULD walk without aids!

Note to self - DO NOT get ahead of yourself!!!

Take care all.
 
Sounds like you are doing just great. Patience is going to be your watchword for a while. Recovery will come....it just takes some time.
 
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