Home yesterday after RTKR on Monday. I must say that things happened pretty much the same as the Bone Smart forum members have posted. I went in around 9:45 am and there was a delay because the knee ahead of me took more time than expected. IV was started with the antibiotic without any problem. Finally saw the anesthesiologist about 12:00 noon and mentioned I was concerned about the spinal. He reassured me that it would be quick, the numbing agent injection prior to the spinal is what I would feel. They wheeled me in and gave me the shot. It was, as many here have said a "non event." They also told me that they would give me a light general anesthesia. That was the last thing I remember until I got to my room.
I did have a lot of nausea and vomiting (more than I wanted) which confused me since the spinal was supposed to be minimizing that. My husband told me later that the spinal worked on the pain but it did not de-activate the muscles. Because the muscles continued to be active a full general was used although the spinal had been given.
Overall, my care was excellent. I had a catheter which was left in for 2 1/2 days then it was removed and I used the bedside commode and/or the commode depending on my pain level when walking. The nurses were good about getting me meds (except 1 was more than an hour late as there was a floor emergency.
I attended coumadin class, P.T. started me walking and doing new exercises, and O.T. helped with general care. I was shocked at the level of pain when I got up the first time and during subsequent walks. I am trying to catch the pain before it gets out of contol and that has helped. P.T. tested my flexion and I left the hospital at 60 degrees. My second hospital Physical Therapist was the last person I saw at the hospital and I could have done without her attitude. The previous P.T. pointed out all that I was doing correct but the second P.T. had only criticism from the type of walker I chose, to body position, how I planted a foot, that I looked funny when I walked and I needed to walk smoother. I was in pain and so uncomfortable by the time I got home, and I had a unexpected crying jag

because of her. I won't let them get to me again...constructive criticism is okay, nit-picking is not.
I had my first outpatient P.T. and coumadin testing this afternoon. My therapist has high expectations but they don't seem unreasonable. She also encouraged me to take the meds before P.T. and especially when the pain was building. We have a mountain to climb but I believe she will have some humanity, too!
That's all for now! I thank all of you again for posting your experience. I felt so much more knowledgeable going into it.
Sandi