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[THR] Hitch & Get Along<

NanaKP

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Hello all - I am new to this forum so will try to briefly introduce myself. My name is Kim, I have been happily married for going on 36 years to my 8th grade sweetheart, Jon. We have two grown daughters and 3 grandsons (ages 4, 2 and 6 months). We are blessed to run our own automotive repair business and work together every day (I only quit on occasion). That being said, I had a left total hip replacement on May 2, 2018. I was shocked to my core March 1 when I was told that I would need both hips replaced as I was in the end stage osteoarthritis. I had been active my entire life, though I haven't run long races in several years, I still enjoyed running several times a week. My surgeon was confident that I was an excellent candidate for out-patient THR and had me believing I would be up on my feet being self-sufficient within days of the surgery. Had my husband not been able to stay by my side for the first 6 days, I seriously don't know how I could have managed. I most certainly was NOT self-sufficient whatsoever - I couldn't even maneuver myself to get in/out of bed so we had a slumber party in the family room (me in the recliner, him on the sofa) for the first 10 nights. By day 10 I was feeling like I had done something very wrong because my recovery was NOT going as I had anticipated. A visit to the PT helped me to see that though I did return home the day of surgery, it was still major. I have continued with PT once a week since day 10 and those days are MISERABLE. I am pretty much out of work for that day and the next as my ice pack is my 24/7 companion. I was rather intrigued to read the difference of opinions about PT. I go back to see Dr. Hipster (surgeon) in the morning and will ask him to schedule hip #2. After a lengthy discussion/session with PT last week, I had an epiphany that though I wasn't 100% (maybe around 70-75%), I was probably well enough to go for it. I hate the thought of being sidelined all summer but I really don't want to spread this out any longer. Now that I KNOW what to expect I'll probably agree to go the outpatient route again but this time we'll know that my husband will have to play Nurse Jon for the first many days. Has anyone else done a THR and gone home the same day of surgery? Just curious.
 

jaydub63

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Welcome @NanaKP and glad you found us! It does seem that the outpatient route is increasing for those patients that are in otherwise good health and have help at home, but the surgeons always seem to over-promise on how quick the recovery will be. @Thesoutherncook just had a replacement and was in/out in a few hours. I stayed one night in the hospital, which seemed about right for me, although if I needed another one (not right now, knock on wood), I would consider outpatient.

Lots of us mid-fifties ladies on here lol!
 

Thesoutherncook

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Yep, I was in and out in a little less than 6 hrs! We live 2 hrs from the hospital. I was sent home on 800mg Tylenol and put in the front seat! 30 min up the road, we pulled off, dug out the Oxy and put me in the back seat facing forward with legs over the back of the front seat in full recline position. I had my own “lounge” chair and a smooth ride home! The first week was rough ( and I KNEW what to expect having had 2 TKR! ) but, I am coming out of the fog, getting into a routine, ditched the walker and pain meds, looking forward to much faster progress than with TKR. My OS does not believe PT is needed for hips! I was told, go once and then back a few times if you wish. Yes, it is tough surgery involving slicng, dicing, screwing, drilling with power tools. Will the first month be easy? Heck NO! But, if the OS told you that, no one would have surgery! Will you sooner than later feel better? Of course! Look at all who have gone before us on this forum! They are our role models and insipration! Hang in there! Hang out here and make BS friends! Its a great way to make it through recovery!
 

Eman85

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I spent 1 night in the hospital. As major of a surgery as this can be I would stay 1 night again just because. My OS told me to stay as long as I wanted since my out of pocket would be maxed any way! At 3 mos my OS wanted to know if I was ready to do the other side. I'm not in any rush for it and if I ever do it I'll do it during the winter. I don't know what your PT has you doing, my OS said to stay away from outside PT and I had a handout of at home basic PT I did.
 

Jaycey

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@NanaKP Welcome to the other side. We are seeing a disturbing trend around sending patients home the day of surgery. Frankly I can't imagine doing this and I have had both hips replaced. That first 24-48 hours is critical for getting your pain managed. Trying to do it on your own is impossible! The there is the help needed to learn to move around on your own.

Sounds like you just weren't a candidate for this approach. Have a serious discussion with your surgeon. You really need those days in hospital to regain your strength and get your pain management cocktail just right.

Regarding PT - I'll leave you with some guidance regarding this recovery. You will find our recommendations on PT are that it is not necessary. The result is usually what you are seeing - aches and pains from over doing. Walking is the best PT for a new hip.
Hip Recovery: The Guidelines
1. Don’t worry: Your body will heal all by itself. Relax, let it, don't try and hurry it, don’t worry about any symptoms now, they are almost certainly temporary
2. Control discomfort:
rest
elevate
ice
take your pain meds by prescription schedule (not when pain starts!)​
3. Do what you want to do BUT
a. If it hurts, don't do it and don't allow anyone - especially a physical therapist - to do it to you
b. If your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again.​
4. PT or exercise can be useful BUT take note of these
5. At week 4 and after you should follow this

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
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?
BIG TIP: Hips actually don't need any exercise to get better. They do a pretty good job of it all on their own if given half a chance. Trouble is, people don't give them a chance and end up with all sorts of aches and pains and sore spots. All they need is the best therapy which is walking and even then not to excess.

We try to keep the forum a positive and safe place for our members to talk about their questions or concerns and to report successes with their joint replacement surgery. While members may create as many threads as they like in a majority of BoneSmart's forums, we ask that each member have only one recovery thread. This policy makes it easier to go back and review history before providing advice.
 

DEL2018Jul-2

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Hey Kim Welcome!
I'm 6 weeks post tomorrow (YAY) and am progressing nicely but have taken it slow!!!

I have three friends who've had both hips done, two of them, three months after their first...on a positive note, you've gone through it and know what to expect ~ so at least you have that! Also, personally I'm maxed out on my "out of pocket" insurance for the year....so if that's your case, then wohoooo! Take advantage : )

I LUV my surgeon and he wants to start doing "same day discharge" as well...but I had an issue and don't think it's wise to necessarily go home right away ~ my little story:

I had surgery at 3:30pm, was in my room at 8:00pm and walking to the bathroom at 1am and 4am that morning!
I felt GREAT and everything was going smoothly for me! My surgeon visited me that morning and told me I could go home that day : ) my PT visit was in the morning as well, I walking really far and climbing 5 stairs like nothing had happened!

Then BAM ~ in the early afternoon of the VERY SAME DAY I couldn't stand without getting dizzy and felt like I was going to pass out! I tried to walk to the bathroom a few times with the nurse by my side and "woke up in bed" to 4 nurses and 2 doctors standing above me in....I was covered with sweat (from head to toe), they had "coded me" but I had simply passed out! The nurses that evening wouldn't give me anything but Tylenol...needless to say I did NOT have a good night and was in quite a bit of pain ~ nasty little nurses...

Early the following morning I asked if my doctor had restricted my meds and if I could have a percocet...they told me, "no, no restrictions and I could have it" so I finally got relief and was pain free again!

My sweet internist visited me that morning and told me it wasn't the percocet that made me dizzy...it was the Saddle Block and explained that it takes 72 hours for that to go out of your system. He said this form of anesthesia affects the sympathetic nervous system (the passive system so you can't control it)....the blood from my legs didn't want to go back up to my head, my BP was fine lying in bed and sitting up but the minute I stood up....it crashed! Fortunately, I was able to walk and do stairs that 2nd day and was finally able to go home that afternoon : )

Needless to say ~ I don't think it's a wise idea to go home straight away as I was feeling GREAT in the AM but crashed in the afternoon! If I had been released and gone home and that had happened at home....don't know what I would have done! I would have had to call an ambulance and been taken to the ER! YIKES None of us want that do we?

I think these surgeons continue to push the limits and while some may be okay to go home...I was not ~ so I'm really happy my internist intervened and told the nurses to absolutely NOT release me until my BP was normal : )

Hope my story helps a bit~
Sending you positive healing thoughts in your ongoing recovery!
 
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tallguy79

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I stayed overnight but from the time he cut me open to the time I left the hospital was only 25 hours. I think an early surgery with discharge in the afternoon the day after is just right. That would be 30 hours or slightly more. You need that time for your legs to thaw and your pain to get under control.
 

Rebuild Me

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I was outpatient. Surgery at 7:30 am and home by noon. I thought this was great. I was able to move and get to the bathroom with my walker and set up the couch with firm raised cushions so I could get up. Hubby was home since he works from home but my biggest challenge was the ride in the car home. The nurses called twice that day to make sure I was managing the pain and called the next morning for the same. With their help, I managed and I am in the same situation as you, second hip needs to be done. Again, distance runner who only runs a few days a week now and hikes many miles a day. Shocked beyond belief when my tear was diagnosed as nth stage osteoarthritis! I will do the next surgery outpatient again and I am doing it in September, due to my summer travel schedule. I hit my out of pocket so its two hips for the price of one.

Slow progress even though I expected to be running at this point :loll:. But getting better everyday and I am 7 weeks now. I was also questioning my decision big time at 2 weeks!
 

Thesoutherncook

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I should have clearly said that my OS will NOT send a patient home if there is ANY concern/problem. Before my TKR with him, I frankly said this scares the bejeebies out of me. One of his reasons is that hospitals are now filled with nasty germs and he did not want me e posed to them. He also said that his patients rested better at home. And that they moved around more. He is a competent, caring professional and I trusted him implicitly to make the best decision for and with me. He does the anterior approach which, I am told is a less painful recovery. Of course, everyone is different and everyone needs to have these frank discussions with their OS. My first TKR, I stayed in the hospital 4 days and it was a nightmare. Coming home was heaven sent FOR ME!
 

Layla

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Yay! @NanaKP Welcome to the Recovery side! :welome:
You started a thread, I'm happy to see. Now you can get the support you deserve.

First off, Congrats on the length of your relationship. Seems a rarity and a blessing in this era.
Kudos to you both for making it work and last!

I was released 23 hrs post op. Seemed scary when I first learned it would be the program but I adjusted
quickly. I was instructed to bring comfy clothes and that I'd be leaving the Recovery area in my clothes to wear until bedtime. Well that amounted to the softest, cotton pull on, lounge like pj pants and t-shirt I could find. Up and using the toilet on my own within a few hrs. No restrictions. Instructions were to move slowly and if anything hurt, Stop! My recovery amazed me and very often I worry that I could never match it a second time around. I'm quite sure the day will come for Hip # 2. I've said before I sometimes envy those who get them both over in short order. Not in bilateral short order, nuh uh!! Those are the ultra brave in my opinion :bow: Haha! The idea of drive through THR seems to be growing in popularity. I think if you're in good health and suffering no complications it's feasible.

Let us know how your office visit goes today and if you decide on scheduling your second surgery.
We'd love to continue following your journey. Stay in touch and enjoy the rest of the week!
 

SaraK

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I had my first THR in the hospital with an overnight stay. My OS had given me the option for outpatient but I had concerns - especially with some other health issues that had been discovered in my preop visits and since my primary caregiver would be my 16 YO son who would be in school beginning 2 days out. I did well enough with the first one that I opted for the outpatient route the second THR and definitely preferred it. I was up and moving more and on my schedule rather than feeling guilty for taking a nurse or aide away from someone else who might have greater needs (they wouldn't let you out of the bed at the hospital without nurse, aide or PT). Home (only 20 minutes from surgery center) less than 3 hours after op was finished. I preferred outpatient, but can see why others may not.

Welcome to the right side, the healing side! And by all means, get the second one done in the same insurance year - I referred to the second as my BOGO.
 
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NanaKP

NanaKP

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Wow I am overwhelmed by so many quick & kind responses. Thank you everyone - I have almost been in tears as I'm reading them all realizing I'm not being ridiculous or over-concerned about everything. I sure do wish I had discovered this site months ago but you can bet I'll be passing on this information to my surgeon's right hand gal and her sidekick who runs the surgical center where I had my THR done. A year ago I would've told someone they were crazy if they had mentioned me needing/having THR's done. I mean gosh, we all have aches and pains in life and looking back I can see there were times I turned down offers for "another turn around the lake via ski boat or jet ski" or "one more ATV venture at the cabin before heading back to the city" because my hips were sore but I didn't think there was anything wrong. I for sure will be doing the "BOGO" because my right hip is actually worse than my left (my left was just the one that started hurting so bad the beginning of the year and led me to the OS). I also had a spinal rather than a General (although I was verrrrrry unsure about having spinal because I was afraid of hearing anything!) I handle anesthesia pretty well so I feel blessed by that.
 

Layla

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Thanks for your kind words about BoneSmart. It is a great resource.
You keep stopping by...and we'll keep stopping by.
We'd love to be there for you on the journey.
Hugs and best wishes for a peaceful evening!
@NanaKP
 
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NanaKP

NanaKP

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Happy Friday-Eve everybody!!! I saw Dr. Hipster this morning. He is pleased with my progress and was in full agreement that we need to just get the other hip scheduled so I can work on FULL recovery. Since I do the bookwork for our business, I need to wait until I get quarterly taxes done (end of July) so it looks like 08/08/18 may be the magic date - unless something comes up. With my first hip replacement, I had to postpone surgery for a week after my pre-op appointment showed an abnormal EKG. A visit to a Cardiologist to get cleared resulted in some more ridiculous tests to be done (which ultimately showed NOTHING wrong). I'm hoping to bypass all of that nonsense this time since it's been 3 months. (I do believe it was a show of "ego's" among the specialist which meant postponing the surgery, but that's a whole nother 'Oprah and my bloodpressure is pretty good right now so I won't go there.)

I just love my OS's right hand gal so much - she was the one who did all of the hoop jumping with the last THR and she deserves all of the credit in getting it cleared and set back up. She normally doesn't go to the surgical center but she made an exception and came to sat with us that morning then scrubbed in and once the surgery was about half-way through, she went out and sat with my husband. She's just the BEST. She gave me a big old huge hug this morning; I told her all about this forum (and the variety of topics in the threads) - that had her chuckling. The gal who heads up the surgical center is also a Rock Star - she did my joint class and has made it a point to call me every single week just to follow up to see how I'm doing. I hope everyone gets TLC like this.

We are going up to our cabin (in the mountains, I'm a Colorado girl) next week for 5 days. It will be my first time up since surgery - it's rather rugged getting there but Dr. Hipster prescribed more Tramadol and gave me some tips for the ride in. I somewhat promised I wouldn't be on the ATV (with my right hip acting up) but we know that if one of the grandsons asks Nana to go for a ride, I'm in. Those big eyes of both of those boys make it hard to turn them down.

I apologize for the lengthy post - I think I am feeling so much better about everything overall (finding this forum has a HUGE part in that so thank you all.)

Nana Kim
 

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