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TKR Guess what Roger is up to?

zjrog

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Hey guys!!! I'm back with a new journey. I'm starting the process for right TKR, hoping for next month. All depends on my insurance and such.

Ten years ago this November my left knee was replaced and I won't go into great detail, but I will say it has been fantastic. I said then and ever since, when it was time for my right, I wouldn't hesitate. Well. Here we are. I had a such a good outcome the first time, I really will be happy if I get within 90% of that first knee.

I have the complication of my left ankle needs replacement or fusion. Something changed in it, recently and not for the better. I've been in an AFO brace since last December. I was concerned that surgery was going to need to happen before the knee. But that ankle surgeon wants my knee done first to set a solid platform for the ankle moving forward. I'm not kidding when I say, currently I don't have a good leg to stand on...

I have had changes to my insurance that now requires referrals, and my Primary Care doc wants to sit me down Friday before writing it. I already called the knee surgeon's office, as soon as they see the referral, they will start the preapproval process with my insurance, but still need to get xrays... And yes, I am using the same surgeon that did my first knee.

I am not using the same surgeon for my knees and the ankle. I'm not sure that I am a good candidate for ankle replacement. But I will be looking into that, and getting second and maybe third opinions...

Hi guys!! What have I missed?

(PS, I won't be jumping off anything this time...)
 

Celle

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Welcome back @zjrog - although I'm sorry to hear you need to have two more joints replaced.

You know the drill, so I hardly need to remind you to let us know when you have a surgery date - but I will. :heehee:

Here are our pre-op articles, to help you prepare for surgery:

If you are at the stage where you have joint pain but don't know for sure if you are ready to have surgery, these links may help:
Score Chart: How bad is my arthritic knee?
Choosing a surgeon and a prosthesis
BMI Calculator - What to do if your surgeon says you're too heavy for joint replacement surgery
Longevity of implants and revisions: How long will my new joint last?

If you are at the stage where you are planning to have surgery but are looking for information so you can be better prepared for what is to come, take a look at these links:
Recovery Aids: A comprehensive list for hospital and home
Recliner Chairs: Things you need to know if buying one for your recovery
Pre-Op Interviews: What's involved?

And if you want to picture what your life might be like with a replaced knee, take a look at the posts and threads from other BoneSmarties provided in this link:
Stories of amazing knee recoveries
 
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zjrog

zjrog

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Welcome back @zjrog - although I'm sorry to hear you need to have two more joints replaced.

You know the drill, so I hardly need to remind you to let us know when you have a surgery date - but I will. :heehee:

And if you want to picture what your life might be like with a replaced knee, take a look at the posts and threads from other BoneSmarties provided in this link:
Stories of amazing knee recoveries
Thanks for the welcome back... I well know the drill. Time and patience, rest, ice and elevate... ;)

I'm one of the first of those stories... :)
 

leejaa

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Hi and welcome back. I hope you get your referral soon and can proceed with the next steps to a pain free knee. Have a peaceful day.
 
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zjrog

zjrog

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had my preop visit today, preauthorization paperwork is now started. I didn't get any pics of the xrays, but very bone on bone, as expected, and of course, the arthritis is everywhere. Despite having it cleaned out 4 years ago.

We discussed using the same knee I got in my left (Stryker Triathlon) and the improvements that have been made in 10 years. We discussed length of the hospital stay, pain meds and duration, PT at home and then outpatient. Really, nothing significantly different than last time. They weren't doing robotic assist during the last one, so that was fully covered. I summarized that process as the robot doesn't let the doc "color outside the lines".

So now I wait for insurance for a surgical date. And then a CT scan appointment.

My insurance is Tricare, I am retired Navy. It has been pretty good to me over the years, but with the changes made the past couple years, I'm a bit nervous going forward.

But for the basics of TKR, I'm anxious to get it on... Weird, right?
 

leejaa

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But for the basics of TKR, I'm anxious to get it on... Weird, right?
No, not at all. You want to get to the other side and start healing so you can have your life back. I was anxious but wanted it done so I could just deal with recovery and stop the waiting. My theory was if I need it done - let's do it now. Unfortunately I had long waits for all my replacements as my surgeon's schedule was very busy. I hope you do not have a long wait and you get your insurance approval soon, followed by the surgery.

Have a good week end.
 
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zjrog

zjrog

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I got a call Tuesday, to schedule a preop, which I thought sounded early. And she wasn't very informative. So I expected yesterday was paperwork and CT scan. Nope. It was a full, true preop. I was informed I was scheduled for next MONDAY...

Whoa. Wait, you got the right guy? My insurance never does any approval that fast. NEVER 2 business days... Really? No, I'm not ready, the house isn't ready for me to move about safely, I have new carpet coming, and I need a new recliner as my old one no longer reclines or puts my feet up...

So, I get my CT tomorrow. I got my labs, covid test and EKG last night...

I'm ready to do it, but my residence isn't yet.
 

Jaycey

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@zjrog Well done on getting a date so soon! Best to get this done and dusted and get on with living. You have plenty of time to get things ready for your return home. Make lists if it helps.

I'll get you added to the September surgery group.
 
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zjrog

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@zjrog Well done on getting a date so soon! Best to get this done and dusted and get on with living. You have plenty of time to get things ready for your return home. Make lists if it helps.

I'll get you added to the September surgery group.
Well. Better change that to October. Scheduled now for 5 Oct. I have a lot of things to do to get my home ready for this...
 
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zjrog

zjrog

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I am one week from Right TKR. One month shy of 10 years since my left TKR. While I could have done it today, there was too much prep at home to do, and I needed a new recliner. Thanks to Covid, it is nearly impossible to get one before my surgery. And most on the store floors were too small for my 6'1" frame, or rocked or swiveled. I did get a theater styled electric recliner. Pricier than expected. Luckily, I had insurance money from a plumbing back up and recovery. So, the chair was sort of free. I don't get to enjoy my new chair, until after I get new carpet installed Thursday.
Screenshot_20200926-231937_Samsung Internet.jpg


Cleared the garage and shed from a summer of vehicle projects. Now I can park my car inside since winter is coming. But first, the furniture from my family room needs to be moved to the garage for that carpet install.

I added a table top to one of my walkers. It is the flimsiest one I own. The table top allows me to have my laptop in front of me, in front of my bicycle on its indoor trainer.
20200926_133942.jpg

I know it will be awhile before I get to use it. But the bike was instrumental in my first TKR recovery. So, it will happen. My bike uses sensors for speed and cadence, the trainer provides a power output figure for an online cycling world called "Zwift". Which certainly makes indoor cycling a lot less boring. And, my local cycling club uses this for group rides in other settings. And through a third party app, we can talk with each other, much like in person riding. Looking forward to getting back with them...

20191228_091952.jpg

This new stand is an improvement over my stacked storage tubs, and cheaper than purpose made items (can be $200 and up!)

Still much to do around my house. I have my other walkers already staged about the house. 2 canes ready for use. Crutches as well. I have my ice machine from my first TKR cleaned and ready. Not nervous, surprisingly. More anxious to get it over with. Then again. Staying busy helps, I suppose.
 
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zjrog

zjrog

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I'm really quite curious, and yes, a bit concerned.

My wife has had a wound reopen, on her hip, about where waist bands sit. This has been an ongoing problem for the last 2 years, and has been closed and healed well for 6 or 7 months. Her skin breaks down readily in that spot and without much warning before it is just open. And worse, she has a propensity to have MRSA infections because of this. And of course, MRSA is about the only thing that truly scares me these days. Not just my 10 year old knee, but the 2 rods and 10 screws in my back too.

She is seeing her wound care doc Wednesday, and she always checks for MRSA. I'm hoping she is clear of that for now. My question is, will her infection, if she has MRSA this time, keep me from having my RTKR next Monday?
 

leejaa

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Sending positive healing vibes for your wife. :flwrysmile:
 

newlybionic

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If your wife does have a MRSA infection i would stay away from her wound as much as possible. Lots of hand washing and staying away from anything that has come in contact with her wound should be called. You should use different bathrooms or else wipe down the bathroom every time it is used with lysol cleaners. You may want to consider postponing your surgery until her wound heals if it is MRSA.
 
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zjrog

zjrog

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Her wound doc doesn't believe it is MRSA, but we treated the last fews days as if it is. No results on the labs yet.

But.

In pre-op, just waiting my turn! Yea!
 

Jaycey

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Fingers crossed for you @zjrog ! It is just a nerve wracking time to need any kind of treatment.
 

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