BoneSmart® Hip / Knee Replacement Forum
Knee Replacement & Hip Replacement
Patient Advocacy & Online Community

[THR] Going bionic, part 2

Discussion in 'Hip Replacement Recovery Area' started by chatterz, Oct 2, 2016.

  1. chatterz

    chatterz Member
    Thread Starter

    Age:
    61
    Member Since:
    Jul 2, 2015
    Messages:
    140
    Gender:
    Female
    Location:
    Las Vegas
    Country:
    United States United States
    My RTHR surgery is scheduled for Oct. 3rd at 7:30 AM. I was originally scheduled to be the third surgery of this doctor's day (!) but I guess the other two dropped out. I'll get him fresh from a good night's sleep and after a bowl of Wheaties. Much better than after two grueling surgeries!

    I have re-read everything about THR surgery and have prepared my apartment for my return. It's kind of nice knowing what to expect, but it makes me nervous at the same time if that makes sense. Since I'm in the midst of a divorce, my daughter is stuck driving me to and from the hospital and taking care of me after. She's a godsend. My friends have stepped up to the plate as well and will be checking in on me daily.

    I do worry about the 15 steps up to my apartment. I'll be climbing those only 1 day after the surgery. Yikes! I have been going up and down the stairs for the last two weeks exactly like I will be after surgery and hope I've primed my muscles for the adventure.

    ~chatterz
     
    • Like Like x 2
    Tags:
  2. Pumpkln

    Pumpkln Forum Advisor Staff Member Forum Advisor

    Age:
    66
    Member Since:
    Oct 27, 2011
    Messages:
    16,331
    Gender:
    Female
    Location:
    United States, West
    Country:
    United States United States
    chatterz,
    Looking forward to your posts after your surgery tomorrow.
    Hospital will not let you come home until you can do 15 steps up and down. Your practice will help, much easier to do something you have done before and are familiar with, than to have to learn it on the fly.

    Here is your copy of the post op reading, the articles are short and will not take long to read.

    First are the BoneSmart mantras ....
    - rest, elevate, ice and take your pain meds by the clock as prescribed
    - if it hurts, don't do it and don't allow anyone - especially a physiotherapist - to do it to you
    - if your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again
    - if you won't die if it's not done, don't do it
    - never stand when you can sit, never sit when you can lie down, never stay awake when you can go to sleep!
    - be active as much as you need to be but not more than is necessary, meaning so much that you end up being in pain, exhausted or desperate to sit down or lay down!

    Pain management and the pain chart
    Healing: how long does it take?
    Chart representation of THR recovery
    Dislocation risk and 90 degree rule
    Energy drain for THRs
    Pain and swelling control: elevation is the key
    Activity progression for THRs
    Home physio (PT)
    Post op blues is a reality - be prepared for it
    Myth busting: on getting addicted to pain meds
    Sleep deprivation is pretty much inevitable - but what causes it?
     
    • Like Like x 2
  3. Jaycey

    Jaycey Moderator Staff Member

    Member Since:
    Jan 27, 2010
    Messages:
    21,837
    Gender:
    Female
    Location:
    UK
    Country:
    United Kingdom United Kingdom
    All the best tomorrow @chatterz ! I had stairs to climb post both THRs and I had no problem. Just let PT know and they will make sure you leave the hospital feeling confident.

    See you on this side soon!
     
    • Like Like x 4
  4. Josephine

    Josephine NURSE DIRECTOR, BONESMART Staff Member Administrator

    Age:
    75
    Member Since:
    Jun 8, 2007
    Messages:
    71,337
    Location:
    The North
    Country:
    United Kingdom United Kingdom
    Don't worry - doing stairs is part of the discharge criteria so you will be well practised by the time you get home.
     
    • Like Like x 4
  5. Hip Hip Hooray!

    Hip Hip Hooray! Post-Grad

    Age:
    52
    Member Since:
    Aug 25, 2015
    Messages:
    1,532
    Gender:
    Female
    Location:
    Santa Clarita, CA
    Country:
    United States United States
    Best of luck to you tomorrow. I'm glad you have help. You'll be great. That's great that your the first surgery of the day...I was, too. More time to recover.
     
    • Like Like x 4
  6. chatterz

    chatterz Member
    Thread Starter

    Age:
    61
    Member Since:
    Jul 2, 2015
    Messages:
    140
    Gender:
    Female
    Location:
    Las Vegas
    Country:
    United States United States
    Surgery went well. I spent 2 nights and 3 days in the hospital. Not sure why, as I was doing exceptionally well, considering last time I got stuck the extra night because I spiked a fever. Not so this time. I'm glad I was prepared because it certainly makes things easier when one knows what to expect.

    I spent some time with a PT specialist in the hospital stairwell. It went so much better than I'd anticipated. When I came home, I went up the stairs sideways, with a death grip on the railing. I know that I will have to conquer these steps on a daily basis soon, but I'm confident that it's doable.

    First night home exhausted me. I was up 5 times to pee. My body voiding the remnants of the I.V. bag. I finally sat up in a chair because it was easier to get up and down from that as opposed to the bed. Broke down and swallowed a pain pill and now I'm feeling rather fuzzy.

    They took off the compression socks in the hospital, which surprised me. Last time I was wearing those for weeks and everyone in the family was beginning to hate me and those socks. I will ask the home nurse when she comes by this afternoon. Maybe I am supposed to be wearing them?
     
    • Like Like x 2
  7. Jaycey

    Jaycey Moderator Staff Member

    Member Since:
    Jan 27, 2010
    Messages:
    21,837
    Gender:
    Female
    Location:
    UK
    Country:
    United Kingdom United Kingdom
    You should not be waiting for the pain to take your meds. Take then as prescribed around the clock. You need them to increase your mobility and help you sleep at night.

    Go back and read the articles Pumpkin left in post number 2 of this thread. Lots if good information about this recovery.
     
    • Like Like x 2
  8. chatterz

    chatterz Member
    Thread Starter

    Age:
    61
    Member Since:
    Jul 2, 2015
    Messages:
    140
    Gender:
    Female
    Location:
    Las Vegas
    Country:
    United States United States
    Pain pills make me nauseous and fuzzy-headed. I did have a discussion with the doctor about them and we tried a few different types, but same results. I have a high tolerance for pain, so he and I agreed that it is okay to not take the meds regularly and is leaving it up to me to medicate when needed. The home nurse discussed this with me as well and she was fairly astounded that I greeted her at the door and was able to get around quite well. I am going through a divorce right now, so sleeping at night has been erratic for a while. I do nap during the day. I figure I'll get better sleep once that nightmare is over.

    The compression socks were removed by mistake at the hospital. I must wear these for at least two weeks. So they're back on. I developed an edema yesterday, much like last time, which started as a large red, warm swelling at the top of the inner thigh. Overnight it has already cooled down, has decreased in size and is no longer red. It is moving down my leg, just like the nurse said it would.

    This recovery is going so much better than last time. I felt like an invalid last time and struggled to think that things would ever get back to normal. I'm already wearing underwear and today I put pants on by myself for my first PT this afternoon. I will admit it took some time. It's a bit of trial and error. I have been doing a few basic bed exercises that I was given to do last time. It's already easier to lift my dead leg onto the bed.

    A few things that have come in handy this go round are a set of weightlifting gloves that keep me from getting blisters on my palms from the walker, compression socks that have a zipper up the side (and that side can be inner or outer calf) and I cut out the middle of a handheld laundry basket to put over my hips while I'm in bed. It keeps the cat off of my hip and it also serves as kind of a tray to put my phone and Kindle on.
     
    • Like Like x 2
    • Informative Informative x 2
  9. Tweetybrd

    Tweetybrd Graduate

    Age:
    47
    Member Since:
    Jul 3, 2016
    Messages:
    663
    Gender:
    Female
    Location:
    Arizona
    Country:
    United States United States
    @chatterz Glad your surgery went well. I can only offer you positive vibes for a steady recovery as I have not been there yet.
    I have a friend who has scoliosis and she had back surgery where they put rods along her spine. Her body can not handle the pain medicine, so she did her whole recovery on just Tylenol. I cant even imagine that. She is one strong lady. My point is that everyone is different and some cant tolerate the medicine. So if you had talked to your dr about it and he agrees then you have to do what your body can. Hang in there! :)
     
  10. mopster

    mopster Junior Member

    Age:
    41
    Member Since:
    Sep 22, 2016
    Messages:
    63
    Gender:
    Male
    Country:
    Austria Austria
    Just a thought: I react similar to standard Aspirin (strongly) and Diclofenac (milder reaction but still there). Reason: I have histamine intolerance (actually discovered by accident at a routine checkup about a year ago, since in my case I have no other symptoms e.g. to food or drink); however certain medication such as Aspirin completely messes up my bodys ability to deal with histamine causing symptoms like dizzyness and bad itches ... for about an hour or two until it gradually subsides again.

    I discussed this with OS and anaesthesist pre-OP and got pain mediaction which had no side effects at all.
     
    • Like Like x 2
  11. chatterz

    chatterz Member
    Thread Starter

    Age:
    61
    Member Since:
    Jul 2, 2015
    Messages:
    140
    Gender:
    Female
    Location:
    Las Vegas
    Country:
    United States United States
    The histamine intolerance was interesting. I will mention that to my doctor when I see him next. One never knows, which is why I love that folks share their experiences here. We're all so different and sometimes what works for one might just work for another. I don't advocate for anyone to try and muscle through their pain, and if I am in an incredible amount of pain, I will take pain meds. Along with some Emetrol. And then head off for a nap.

    After my last surgery, I was so incredibly itchy a few days after surgery. I developed pimples on my back and I ended up wiping my back with Stridex pads hourly to keep from itching. (My daughter had a similar reaction when she stopped birth control pills and her hormones were running amok for a few weeks.) Yesterday, my butt became unbearably itchy. This time I was ready. I had charcoal facial wipes and a Neosporin anti-itch cream. It has helped immeasurably. Still itchy, but bearable.

    I have re-usable ice cubes in Ziploc baggies, which have been handy. Just toss them back into the freezer and get another one out. I noticed last night that my upper hip was hot, so I sent someone out to pick up one of those gel ice sheets. I figured I could mold that to my hip and cover everything. She came back with one gel sheet and another clay one. The clay one can be cold or hot. It took only an hour in the freezer to get cold (gel says 2 hours) and it has stayed colder longer than the gel one. I would highly recommend these. Not sure about the longevity of the clay, but I am pleased with how quickly it freezes and how long it stays cold.

    Today the in-home PT guy returns. He warned me that we'd be doing the stairs and going for a walk. I hope he's not expecting me to carry the walker down the stairs. Or if he is, he'd better be at the bottom to catch it when I toss it down there. Just kidding.
     
    • Like Like x 2
    • Funny Funny x 1
  12. chatterz

    chatterz Member
    Thread Starter

    Age:
    61
    Member Since:
    Jul 2, 2015
    Messages:
    140
    Gender:
    Female
    Location:
    Las Vegas
    Country:
    United States United States
    This will be TMI for most anyone. I sat on the pot for about 30 minutes today and finally got past the constipation that plagues most everyone after surgery. I feel so much lighter.

    PT yesterday wiped me out. I was taught how to go up and down the stairs holding onto the rail in one hand and using my cane in the other. Felt good. My leg was really swollen after that, so I got out the long leg compression sock and had that put on me. I owe people big time for their help with compression socks! They should invent one that goes on loose and you inflate it after that. It's so frustrating for the person having to put them on an invalid! I elevated my leg above my heart for 10 hours. The swelling has gone down dramatically.

    Sunday always brings the family around, so I'll have lots of company today. Maybe my daughter (who I live with and who is my main caretaker for this hip replacement) can take the afternoon off and relax.
     
    • Like Like x 2
  13. chatterz

    chatterz Member
    Thread Starter

    Age:
    61
    Member Since:
    Jul 2, 2015
    Messages:
    140
    Gender:
    Female
    Location:
    Las Vegas
    Country:
    United States United States
    Last night I went to bed at 6PM and slept through until 5AM. That rest was needed! I find myself stepping away from my walker sometimes and I'm in the middle of the room, without support. This never happened with my last surgery. I gripped that walker with a death grip for months longer than anyone expected. I know I shouldn't be walking on my own, so I get right back to that walker. But it's interesting.

    I washed my own hair this morning. I took a wide stance and leaned over the kitchen sink, which is higher than the bathroom sink. Still giving myself sink baths though. I put on loose pants again, although the underwear thing will still have to wait. Too much trouble for now. Still struggling to get the compression stockings on correctly. It's hard to complain about it to my wonderful daughter who volunteers to help me day and night. She's doing so much for me and this is just a thorn in the process. Thank goodness the elevation of the leg is helping.

    My kids brought me a present yesterday. It's a shirt that says, "Everything Hurts and I'm Dying." Pretty sure that's what I will to wear to PT.
     
    • Like Like x 6
  14. Hip Hip Hooray!

    Hip Hip Hooray! Post-Grad

    Age:
    52
    Member Since:
    Aug 25, 2015
    Messages:
    1,532
    Gender:
    Female
    Location:
    Santa Clarita, CA
    Country:
    United States United States
    You sound like you're doing great. Your posts crack me up. I'm glad to hear that this surgery has gone so well. Your kids sound funny, too. It's wonderful that you have help and support. Keep us posted!
     
    • Like Like x 4
    • Agree Agree x 1
  15. Dust

    Dust Junior Member

    Age:
    43
    Member Since:
    Mar 5, 2016
    Messages:
    39
    Gender:
    Female
    Location:
    Kentucky
    Country:
    United States United States
    "Everything hurts and I'm dying" :rotfl:
    Your children do have a sense of humor and so are you.. Love reading your posts
     
    • Like Like x 2
    • Agree Agree x 1
  16. chatterz

    chatterz Member
    Thread Starter

    Age:
    61
    Member Since:
    Jul 2, 2015
    Messages:
    140
    Gender:
    Female
    Location:
    Las Vegas
    Country:
    United States United States
    I had PT yesterday and I am unable to do much today. Bummer how I was feeling so good and then after PT it's a large step back. Not really, but it sure feels like it! I should have signed up for the massage therapy. Never mind the PT. I seem to still be walking with a stiff leg, which is how I was used to walking with a bad hip. I feel like a prancing pony bending my knee and kicking the leg forward to walk. It will take some time for it to feel normal.

    I have switched to a rollator for my walker now that I feel stable enough. It kind of drives itself, so it's easier to use, turns on a dime and I'm sure the people who live downstairs will not miss my dragging that walker day and night across the floor. It also has a basket and a seat. So getting breakfast is easier to carry to a table and I can carry all my gadgets around without having to have someone else do it. Can you bring me this? Can you bring me that? I'm thinking that everyone was ready to start hiding from me.

    Nurse popped in today and said the incision site looked good, although she did not take the bandage off. I have one of those new-fangled silver bandages that cost an arm and a leg, but have marvelous healing qualities. She talked quite a bit about depression. I honestly don't think I'm depressed, but I have a lot on my plate right now. I'm in the middle of a divorce and my hip surgery didn't gain me the sympathy I was hoping for from the soon to be ex. Although the lawyers have been sympathetic. I'll take it. The nurse wants me to get to the doctor and ask about anti-depression pills. I was kind of shocked at her pushing of this. I'm going to have to consider if maybe she is right, but first I think I'll hit the depression thread and see if any red flags pop up in my mind.
     
    • Informative Informative x 1
  17. Jaycey

    Jaycey Moderator Staff Member

    Member Since:
    Jan 27, 2010
    Messages:
    21,837
    Gender:
    Female
    Location:
    UK
    Country:
    United Kingdom United Kingdom
    @chatterz A bit of post op feeling blue is all part of this recovery I am afraid. If you have all that other noise on your plate as well no wonder you are feeling a bit down. You might want to talk to your family doctor but in most cases this feeling eases once you are out and about on your own again.
     
  18. chatterz

    chatterz Member
    Thread Starter

    Age:
    61
    Member Since:
    Jul 2, 2015
    Messages:
    140
    Gender:
    Female
    Location:
    Las Vegas
    Country:
    United States United States
    The PT did not show up today and it's just as well. Today wasn't the best day. I woke up all achy and found myself having to concentrate on not limping. I did some of my exercises on my own, but just the easy ones.

    A friend dropped by and we discussed the possibility of depression. She said I seem to be more upbeat than usual and she felt that it was related to the long amount of time since I'd been forced to interact with the soon to be ex. She reassured me that if she felt I was faking it, she'd call me on it. And if she felt I was depressed, she'd be the first to ask me what she could do to help with it. When my daughter came home tonight, I also asked her what she thought. She said that ever since we'd been kicked out of the house, I had turned into fun vacation mom. I think that's a good thing? So, I'm not worried about the depression thing.

    People keep bringing me all kinds of treats. I swear, I have a pile of goodies that Veruca Salt would drool over. I am trying to eat healthy, but how do I convince these nice folks that sugar does nothing for my healing body without hurting their feelings? I'm trying to think if I was this insensitive friend when they were ill, but thinking back, I brought flowers or wine or afghans. Maybe they hated what I brought and would have preferred sweets?!!!!

    I'm going to bed early tonight. Bound to be wide awake at 3 AM. Oops.
     
    • Like Like x 2
  19. chatterz

    chatterz Member
    Thread Starter

    Age:
    61
    Member Since:
    Jul 2, 2015
    Messages:
    140
    Gender:
    Female
    Location:
    Las Vegas
    Country:
    United States United States
    So I woke up this morning feeling really good. I called everyone I knew to see if someone wanted to come over and help me down the stairs to go for a walk. I dare not do this by myself yet. There was not one person who was available. And the PT person flaked on me as well. Bummer. When my daughter comes home from work, I'll try to sweet talk her into taking me out. I feel rather guilty since she does so much for me already and working a full week is exhausting for her on top of caring for me.

    I requested a new PT this morning and she's already called to make all three appointments for next week. They didn't put up a fuss or ask me to give the other one another chance. They just went with it. Whew.

    I had a mattress topper - foam with an embedded design, so it wasn't just flat. I used it on my old bed, but with my new one, found I didn't need it, so I put it away. I cut it up and I now use it under my heels at night. I was getting that burning from all the pressure on my heels, but this was an awesome answer. Now that I'm getting a bit more muscle back in my legs, it's not so hard to get my foot up on it.
     
    • Friendly Friendly x 1
  20. Jaycey

    Jaycey Moderator Staff Member

    Member Since:
    Jan 27, 2010
    Messages:
    21,837
    Gender:
    Female
    Location:
    UK
    Country:
    United Kingdom United Kingdom
    Sounds like you are making real progress @chatterz . When that new PT visits focus on using those stairs. Getting that confidence will make all the difference in the world.

    Please don't worry about needing to ask for help. It's a temporary situation and most people are glad to lend a hand.
     

Share This Page

Loading...