THR Dorothy's 2nd hip recovery, June 22, 2012

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Yes, Diane, I believe we could have continued chatting for another 5 hours--at least! I came home thinking ... I didn't find out "this" about her, or talk about "that." Next time we will continue ... :-)

Suki, I'm glad you haven't had any problems with your insurance. That's one problem none of us need to be worrying about when we've got so much going on with our recoveries. My disability insurance is like a private policy. It's something offered by my employer, but I pay the entire premium and am subject to their rules. It's run by a regular insurance company; I won't mention the name here, but it's one of the big guys, which probably explains all the hoops I'm having to jump through. I'll keep my fingers crossed and hope that the next review gives me another 6 weeks without more reviews in between ... that way I'll know that I'm approved for the whole stretch of time.

Alicia, something like I have doesn't show up in an x-ray. My surgeon diagnosed it mainly on my description and his exam findings. The severity and length of time it's been there indicated that it was more than a simple "pulled muscle," but the exam didn't indicate something horribly bad. He said that if it were a bad tear, my body wouldn't have been able to do the things that he had it do during the exam. I/he was able to do everything, although it caused pain. But the fact that it *could* be done without the body sort of "stopping" and not going any further with, say, when he did the pretzel stuff or the straight leg raising testing stuff he did--that showed that things were primarily intact and the tears he suspects are small and "heal-able" without needing further testing or a major repair job. Just my patience ...

Jamie, thanks for your support. I, too, am very happy with my surgeon. I trust him a great deal. I've gotten to know him pretty well and really feel he's "got my back," which makes me feel much better about things. He is also a hip specialist who does nothing but hip stuff all the time and has pretty much seen it all. He's the one the physicians go to when they need something done with their hips, as I've heard of several physicians in my neck of the woods who had either replacements or resurfacings done by him. And, plus he's a very nice person who I can tell really cares about me and wants me to get better.

Oh, just a side--I asked him about wearing the padded shorts for hip protection after I start riding my horse again. He said he didn't know if it would really help that much if I fall, since the hip can take a pretty hard knock if the impact is in the immediate area. He said the biggest problem would be if my foot got caught in the stirrup and the leg got twisted--the femur would probably break at the end of the the femoral stem--the weak area. He also said "None of my horseback rider patients have fallen off." To which I chuckled and said "Oh, they are falling off--they just aren't telling you because they are afraid you will tell them they shouldn't continue to ride." I belong to some horse-related forums/message boards where I've read threads about riders with hip replacements, and I've read about people falling off, getting kicked, being practically run over by a horse--all kinds of fun stuff, ha ha--it's happening--but apparently their hips are holding up! That was good news to me and says something about the strength of our new parts. I will probably still wear the padded shorts--a little extra protection certainly can't hurt.

Hope everyone is doing well out there in bonesmartland. One topic Diane and I discussed at length was how much we love this board and are so glad we found it. It's such a great resource for information and support. Thanks to everyone who works on it to keep it running so smoothly. :-)

Dorothy
 
Hi Dorothy,

Oh, your doctor sounds very thorough and he gave you such positive information in expecting you to have a turn for better. I am sorry that he is giving a 6 month time frame, but perhaps that is the conservative side. Congrats on having restrictions lifted!!

I am keeping my fingers crossed that you will be able to say off from work for another bit of time.

So happy you and dianemarie got together! All the rest of us are wishing we could have joined you!

Hugs
Elle
 
I look forward to read your continuing posts and your future healing and adventures.... have a GOOD day, or as Cathy's OS would say: MAKE it a good day (I think she said that in one of her posts...).

Alicia
 
Great advice Alicia and Cathy (and Cathy's doctor). I will do that!

I'm feeling better this morning after taking a couple of doses of ibuprofen. It feels less "raw" and less like sandpaper is rubbing in my groin, as it has been feeling since the surgery. I think the ibuprofen is going to help keep the inflammation settled down some.

The farrier came to trim my horses' hooves and I held the horses while he did that. He was funny--he is 30 and in super physical shape--not a clue about what it's like to not be able to do anything he wants to do any time. As he was getting ready to leave, he said "Oh, what a beautiful day--what are you going to do this afternoon?" (as if I were able to go out for a run or do something fun and active) I said "Oh, I have a fun filled day planned--I'm going back to the house to immediately rest after all this standing and walking around, take another dose of ibuprofen in a couple of hours, and then I might even take a walk up to the corner and back later in the afternoon (probably about 500 feet)." Then, we both looked at each other and kind of laughed a little because he realized he had kind of put his foot in his mouth, and I had picked on him for doing it. I remember how I felt when I was 30 and in good shape--I had no physical problems and could do anything with nothing more than a couple of sore muscles for a day or two after. Now at 52 with back stuff, two new hips, a muscle tear ... things are definitely different.

But, that does not mean that it will not be a great day! I will make a great day happen! :-) I'm glad you told me about that statement, Alicia, because I don't remember reading it and it really IS true. Now, I think I have a new horse trail riding magazine that I haven't had a chance to look at ... I can't ride, but I can day dream of riding! :-)

Dorothy
 
I've been working on losing weight.

Drum roll, please--I've lost 20 pounds overall since the after the first hip (initially lost 15 after the first hip, but then gained most of it back during the following months). But, I've been super diligent about my diet since the 2nd hip and have lost 12 pounds just since then. It's coming off! I promised myself that I was going to get to a healthy weight after these hips were done, and I'm going to do it!!!!! 20 pounds down ... many more to go, but I'll take it one day at a time. :-)

Dorothy
 
Sometimes "losing" is a GREAT thing! And sooooooo hard to do, too. Good for you, Dorothy.

I lost 11 pounds after knee surgery---gained it all back---don't feel as good. Hubby is going to get both knees done in the next few months--and he need to lose, too. So we'll have a joint effort---did it once before years ago and it worked very well.

Finally being able to get up and do things is an inspiration to get the body back in shape. Good luck to all of us.
 
Judy, my hips have been my inspiration. I've been through a lot to get these hips replaced. They deserve good care and respect. They also need to last a long time; losing weight will help that.

Even with a messed up hip flexor muscle, I feel better lighter. It's actually easier to lose weight while I'm off work. I still have another 6 weeks at home and I think this will hellp me to make these new eating habits stick in my brain.

Dorothy
 
[Bonesmart.org] Dorothy's 2nd hip recovery, June 22, 2012
 
Judy, my hips have been my inspiration. I've been through a lot to get these hips replaced. They deserve good care and respect. They also need to last a long time; losing weight will help that.

I TOTALLY agree. I keep thinking I need to take care of this new hip like it's my dog! Treat it well, nurture it, rest it, exercise it..... the surgery, recovery, the hip itself is an inspiration! I continue to feel so grateful. It is so wonderful to exercise again... never thought it would happen and never thought I'd be saying that! :)

Rock On, Girl!
 
I do computer bloopers all the time ... sometimes I push a button by accident and I have no idea how to undo what I just did!!

I have PT tomorrow and have the script with the PT instructions written by my surgeon when I went to see him Monday. I hope it goes OK.

I did decide to call the hospital today and talked with the supervisor of the joint replacement physical therapy department and told him about what happened to me. I also told him that I thought their post op program was too aggressive. He is a very nice man--I believe that things would have been different had he witnessed how difficult of a time I was having with the two exercises that messed up my muscle. I remember when he took me for a walk the first morning post op, he kept asking me if I needed to turn around and go back or if I needed to sit in a chair along the way--I walked quite a ways and I think he was surprised and maybe even a little concerned I was just going run out of gas and just go thump,lol. He was very considerate and cautious. He said he felt horrible that I was injured and that he will discuss this with his staff and remind them to be more observant and slow things down if they see people are having a hard time. He wants me to keep him informed of my progress with healing. At one point, he asked "What can I do to help you?" I told him he was already doing it by listening and taking my concerns seriously. We ended on a very good note. I'm glad I did this. It was something I needed to do to get some closure and be able to move on without holding a grudge against them.

Absolutely gorgeous day here today. We need some rain, but it sure is nice to have it sunny all the time. Upstate NY is known for being one of the more cloudy parts of the U.S. Sun is nice :-)

Hope everyone is doing well.

Dorothy
 
Good for you! I think these people need to know..... it doesn't have to be an argument; just feedback which I would hope hospital staff want to hear and improve upon if there is an issue.
 
Hi Dorothy, just trying to catch up on your thread. I am jealous of the Syracuse rendevous, and will totally let you two know next time i go there. Maybe even if you don't have an appt I could talk you into coming into town, or maybe I'll take a ride out to see your horses. My next visit to Syr will be at least several days. With all our company this summer I have not gotten there as much as I wanted and need to catch up with some friends.

Sorry about the muscle tear and also glad for you it is not worse. Darn those things that set us back a bit, but I guess we are all getting used to those things. Good for you that you made that phone call. So many times we intend to do those things and they get lost in the shuffle of life. It is good for our own empowerment to do things like that. Cudos to you :)

...and a big giant CONGRATULATIONS ! on the weight loss. Wonderful! I cannot seem to get going on this aspect yet though I keep trying. In the past 2 years I gained a chunk of weight and I really need to get it off. I think they say something like 1 lb of weight is 3 lbs of pressure on your bones. Like you said, you've got some new hardware, might as well take care of it. I'll try to use you for inspiration.

As I was reading back to see what I missed on your thread I had to laugh, with, not at you. At one point you said something about feeling you "should" be further along in your recovery. You seem to be such a work horse :rotfl: and I only see it because I know it. You are so used to be so physical and feel you should bounce back quick. If everything they say is true about needing "at least" one year to recover from major surgery, and I am finding that to be true, may I remind you that you are still working on year 1 from your first surgery? Just sayin :wink:

happy healing, cathy
 
Hi Cathy, yes, I need to keep things in perspective about my recovery timeline. I was a little stunned when I met Diane and she saw me moving around at the restaurant (Diane, you may remember this too), she said--sincerely--"You are doing really well!" All I could think of was--OMG!! I'm almost a cripple! I still can't do things I consider simple and easy, I want to throw the cane out a window, etc. I guess it's all a matter of perspective. She has had to learn to be patient with recovery due to the nerve injury she suffered; I'm just learning that lesson. She has so much more wisdom at this point than I do. Even my surgeon reminded me that even if the injury hadn't occurred, it was not reasonable to expect that this recovery was going to go like the last one--there is so much variability, and sometimes there isn't even an explanation as to why that happens from one hip to the next. He spent a lot of time during my post op visit sort of counseling me on dealing with hip replacement recovery that doesn't go perfectly (he's probably going to send me an extra bill for psychotherapy services) ha ha. I think I'm finally getting it now and closer to the point of acceptance that I can only do what I can do, and things will heal on their own schedule.

Yes, Cathy--let me know when you are back in Syracuse. We (you, diane, and I) can all get together and have a good time, and of course you are very welcome to come to visit my place if you want to make the extra drive ... I'm about an hour and a half away from Syracuse, depending on what part of Syracuse you will be at. But, either way I don't mind driving to Syracuse at all. Surprisingly, I did well driving to and from my appointment. Most of it is highway or rural roads. I find the stop and go "city" driving to be harder because the leg is shifting back and forth (gas to brake) and the muscles get sore faster.

Cathy, about your weight. I'm looking at your kayake picture and unless you have blown up as big as the Pilsbury dough boy since then, I bet you are still far from seriously overweight. I bet whatever extra weight you have gained will just slide right off with your increasing activity. You are flying on that bike!!

Dorothy
 
I'm so jealous (in a happy for you way) that you've lost so much weight!! I had my hip replaced 3 days after yours
and I'm blowing up like a balloon. :gaah: Probably has to do with all the out food and this box of cap'n crunch I keep
by my bed. lol But it all tastes sooo goood. I live with my huband and son. All husband knows how to cook is oatmeal
and all the boy knows how to cook is variations of ramen noodles (odd stuff he comes up with) So it was handing them
the bank card and saying "go get us some dinner" for the first 4 weeks of my recovery. I need to get out of that habit
now that I've hit the 6 week mark.

As far as that cane being tossed out the window...I wish i felt like that. I've used my cane for so long before the new
hip, that I feel attached to it...scared to let it go almost. I'm getting attached to this grabber too; what a cool toy.

I wish you the best of luck on your continued recovery. I'll be watching for you posts and I'll continue to be jealous
of that weight loss. lol In a good way of course.

Off to get a bowl and a glass of milk, I got a date with the cap'n.

Pam
 
Oh Pam--"date with the cap'n"--that is so funny!!!! You reminded me of something-- I saw a box of Captain Crunch on the grocery store shelf about a week ago and instantly said "I must have that!" I haven't eaten CC in gosh, probably 20 years or more. I bought it and enjoyed every last bit of it. Yummy! Maybe it's a post hip replacement craving :-)

About the weight loss, it helps that I live alone and have total control over my food choices. If I had a husband and a son there, I would probably be eating more food, especially if they didn't cook and I had to rely on take out--too much temptation. So, don't be so hard on yourself.

I had the first work out with my new outpatient physical therapist today. I told him about my visit with my surgeon and his instructions. He had a good understanding of what Dr. C wants and his diagnosis of the muscle tear. He told me that we need to proceed very carefully ... doing just enough to build me up while the tear heals ... but it will be a fine line of enough vs. too much. I liked the way he discussed things and his take on everything. It's clear that the last thing he wants to do is overdo the exercises and injure it more. At the same time, he wants me to get stronger and get my mobility back.

He worked with me one-on-one with some simple, easy exercises and told me to continue the same ones at home once each day. I'm to be very aware and make a note of how I feel after every workout, the next day, etc. and tell him when I see him next week. That will help him determine what to have me do next, whether it's less, more, or just continue with the same for a little longer. I like him a lot! I think I found a keeper :-) Whew!

Dorothy
 
It's odd how different our after care varies from state to state or country to country or even doctor to doctor.
All I was sent home with was foot flapping and butt flexes, that's it. I was given a poorly printed out instruction
sheet on the 90 degree angle restriction and a list of my medications... that's it. When things started happening
to me, like swelling and bruising, I freaked out and ran to the emergency room cause I didn't know what to
expect. I send everyone that I know will be having hip or knee replacement right to this site, I don't want them
coming out of the hospital being so clueless. I never had a PT to over work me, maybe that's a blessing
but seems most do...so maybe not but I am glad you are getting yours at the rate you need. Get better soon.

Long Live The CAP'N! :yahoo:

Pam
 
[quote="VThereandnow, post: 349275, member: 6925". I think they say something like 1 lb of weight is 3 lbs of pressure on your bones. Like you said, you've got some new hardware, might as well take care of it. I'll try to use you for inspiration.

Can't remember whose post I put this in Cathy, but my OS told me that every 5 lbs I lose takes 25 lbs of pressure off of the joints; gave me an analogy of a BIG tv on a tiny base.....

I lost 47 lbs before surgery; starting in May 2011; in fact, I fainted (reminds me of the conversation of low BP and hydration vs. transfusion). I am 5"9, and I was 220 (HORRENDOUS); very depressed (not sure why). So, even though I couldn't move, I lost the weight knowing I was going into surgery. So, now, I've lost another 15... you do the math, and my OS wants another 30 off. Now that I can move, it's going SO much faster - even at my age. And, wow. Love the endorphin rush... so, workouts are a joy.

I am treasuring my new "hardware"... I've paid a lot for it, and it has given me a new perspective and thought process about the remainder of my years.

So good to see you posting even though you are on vacation!

Hugs.
 
Alicia--*You* are the weight loss queen!!! I also have to hand it to you for being able to lose weight before your surgery when you felt bad--I was able to lose just a few pounds before, but being an emotional eater like I am, I just couldn't cut back on my food intake that much at a time when I was so far down in a hole feeling so much pain. Now, even though I can't exercise much yet because of the muscle tear, I'm inspired by my new hips and a brighter future. It's easier to cut my food intake and I have a different mental/emotional outlook. It's easier to lose weight now.

My surgeon likes to be more dramatic with his discussions of pounds of pressure off the hip--he uses 10 pounds of pressure for every pound as a guideline. First time he told me this, I went "Huh?????" because I had read 3 pounds. He said it can be up to 10 pounds of pressure depending on the activity. Climbing stairs and walking up hills is in the 10 pound range. So, I think it ranges from 3 (just doing basic walking around your house slowly or something easy like that) to 10 pounds doing what he was talking about. Still significant, isn't it?

I have more weight to lose than you had to; trust me there is more "horrendous" than what your starting weight was, lol. I try not to think of the specific "pounds left to go," but instead I just take one day at a time and just trust that it will come off gradually if I do what I need to do. I do believe a big part is not being at work where there is more stress and more easy access to food in our little cafeteria (which always seems to taste better because someone else cooked it). That's something I'm going to have to work very hard to deal with when I go back to work.

I think we all need to be proud of our accomplishments with what we are doing to improve our health and life after new hips, whether it be losing extra body weight, exercising more--Cathy cruising on that bike!!, yoga (Elle and others are doing that and I think that is great for body and soul), or just simply thinking and feeling more positive. It all helps to improve our overall health. The world is a better place after getting new hips. For me, it's like the sun came back out and I was able to start living again!

Dorothy
 
Hey There Dorothy -

Congratulations on your 2nd THR, AND your weight loss ! (I found the weight you lost while I was on vacation last month). Both are most commendable - send some of your motivation my way.

Just catching up on threads of some old "friends" here on BS - so good to read yours.

Regards,

Kevin
 
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