MedHawk
new member
I am in Mi. looking for a good surgeon for tkr. I live in the s.e. of Mi. (Macomb co.) and was wondering if you have heard of any names that have stood out in this area.
Well, I'm hardly a "pro" as I've only had one joint replacement, but my strong recommendation is that you have a very detailed conversation with your surgeon about post-op pain relief. When I brought this up before my surgery, I allowed it to be dismissed with "don't worry, we'll keep you very comfortable". I really wish that I had pushed for more specifics, and that I had educated myself about the various options. For example, many members here have had the PCA device, where patients can give themselves metered doses of IV morphine as needed. I wish I had insisted on this. Instead, I had to rely on the timeliness of nurses with oral pain meds. With the severe nursing shortage in my hospital, meds were routinely quite late, allowing the pain to reach a very unmanageable point. Even with the meds, my pain was not adequately controlled, but I didn't know enough about the various narcotic agents to know what to ask for (i.e. what's stronger than what?). I also found that the amount and type of pain meds I received at discharge was inadequate, but because I didn't know enough about them, I kept quiet, figuring I must just be a big baby about pain. I don't like to be a complainer. Now I've learned that I probably should have been on stronger meds and been given a quantity sufficient enough that I wouldn't have to ration them and sit around suffering. Next time around, I will be much better informed (and more demanding!).I do have a question that perhaps all you pros can answer. The question is: What would you say is the most important thing that you would share about your initial hospital/rehab experience?Bennet