THR JoeKnows Recovery Thread - Round 2

I’m sure you know why, but Forum Advisors will advise / share :wink:
Took me a minute to figure this out - I thought you were saying that the Forum Advisors will advise that I end sharing ("/" is a symbol for end in programming I believe), haha.

Yeah, to future readers, it's nothing that's concerning. Just a sign to go VERY slow and make sure your body is okay with what you're asking it to do.

On a broader note, a buddy came over and watched some golf with me in the backyard, since we're in the final days of nice weather. Makes a big difference me tally to have some socialization and be outside.

Also, successfully getting out of the constipation phase is a big win, haha.

This is about the time I came off the opioids last time - not sure I want to rush it, but I think I'll taper it out to 8 hours tomorrow and see how that goes.
 
Of course not, Joe! :heehee: You’re welcome here to share anytime. Was only making up an excuse for reminding you of something you probably already know. In other words…I can’t help myself.

Good to read you had a buddy over and felt up to the socialization. I hope you had a great time. Now back to your recliner to elevate and ice, young man. :wink:
@JoeKnows
 
Just getting the recovery thread ready for my second THR tomorrow (my left hip was about 4 years ago). Arrival time 5:30 a.m. and I'm doing it outpatient, so I should be home pretty early. I'm slightly nervous despite having gone through this before, but mostly eager to get it done. Last time I ended up with some complications (groin pain) that I believe were related to a cerclage wire necessitated by a fracture, but here's hoping things are smoother this time - they're using robot assistance this time, so maybe that will help (don't tell me otherwise, it's what I'm choosing to believe this afternoon, haha).

See you on the other side...
Hope you are doing well. I'll be interested in hearing how you do as outpatient.
 
@Flowerfloosey69 he actually has posted about it, just scroll back a page or two and you can read it all.

Joe, you sound like you are on track with everything. I don't have much to add other than to say congrats on your promotion to a Double Hippy!
 
@Flowerfloosey69 I guess I didn't go into much detail, and I was going to write an update this morning anyway. For context, I'm 36 and had my first hip with the same surgeon at 32. The first time was at a hospital, but I managed to get out of there the same day. The surgeon was a little hesitant to discharge me because of a fracture (he thought I might want to have IV pain meds available), but it was okay.

This time, knowing the AVN in this hip was much earlier than last time, we booked it at the surgery center from the outset. My understanding is that this is more expensive, but insurance approved it and I've hit my annual out of pocket already, so I was happy to get the smaller staff to patient ratio (there are only three ORs at this center). Overall, everyone from staff to nurses to anesthesiologist to my surgeon were great.

My wife and I got there at 5:30, checked in, etc. I went back, changed into the gown, got the IVs placed, etc. Surgeon and anesthesiologist checked in with me and re-explained the process, then we got rolling about 7 am. One difference is that last time, I had no recollection of getting the nerve block after sedation - this time, I do remember it in a hazy way. Specifically, I remember transferring to what I assume was the surgical table. There were about 5 different people in the room, and they were playing "Killing in the Name Of" by Rage Against the Machine, which I found darkly hilarious. I know I tried to make a joke about it, but can't recall what exactly I said. They helped me to a seated position, and I remember feeling the spinal, then laying on each side for a minute, then saying something asinine like, "huh, I can't feel or move my legs." The anesthesiologist said something like, "this is one of the few times that's a good thing." Then nighty-night (they did the spinal + general).

I woke up in the recovery area with the nurse hovering and asking all the usual questions. I had a big old knot in my lower right back, so she helped me shift around and get comfortable. The spinal wasn't totally worn off - I could extend my ankles, but not really flex them. The nurse was patient and stayed with me while that resolved. I initially declined another dose of fentanyl, but changed my mind after a couple minutes. My sense of time is hazy, but I walked around a bit later, they got me changed, and we went home about 11 am.

So, I imagine one's experience would vary based on personal conditions and the particular surgery center, but I'm happy with my choice in this case - the level of personal attention was great, and the staff pretended that my nervous / drugged jokes were funny, which is worth the price of admission to me! Haha.
 
As for today's update, I slept pretty well (relatively speaking). Woke up with a knot in my low back (same spot as post-surgery), which I'm guessing is because I unconsciously must have removed the pillows from under my legs and slept flat on my back for a while (which is uncomfortable for me in normal circumstances). Icing now while I drink too much coffee. Speaking of which, constipation is no longer an issue, which is great.

Bruising and itching are starting to set in, which is to be expected. Still quite stiff getting up and down, also expected. I was going to taper off the Norco today, but felt like I needed it this morning and I'm not trying to white-knuckle it through pain when I'm less than a week out.

Speaking of meds, I just remembered that the surgeon gave me Tramadol at our pre-op. I didn't think anything of it, but the surgical nurse was surprised... So we had them call in Norco and picked it up on the way home. I don't know if one is more effective than the other or if there's a reason one might switch from one to another, but my plan is just to go from Norco to Tylenol (paracetamol for the non-US readers) and leave the tramadol alone.

Emotionally, I haven't really had the post-op blues like last time. I'm guessing that's a combination of experience and the kiddos being far more self-sufficient than last time (which is less stress on Mrs. Knows, and therefore less transferred stress to me).

We have some kids' birthday parties coming up. I think I'll pass though, since this time of year they're always pool parties, so it would consist of me sitting and sweating and watching everyone else be in a pool, haha. And I learned last time that, while I'm still awesome at yard games while in a walker, it's not a great idea (I'm trying to resign my position on the board of the Over Did It Club).
 
Sounds like you are doing great. So young to have had 2 hip replacements.
I turned 70 on 2/2/ and my birthday gift was a new hip on 2/16!! LOL!
Just finished cleaning the house, just not lugging vacuum around quite yet, but otherwise everything is ship shape.
Made chocolate chip cookies for my GF's cookout for tomorrow, I cannot go there w/o the cookies and she doesn't share them either!
Gorgeous day here so going to grab some Vitamin D.
Stay well.
 
@myglasshalffull funny you say that about Vitamin D. I decided to move to the patio to watch anything other than kids shows and get some sun, and decided I might as well work on my tan, so I took my shirt off. My daughter was very confused when she came to ask permission to fill a cup with glitter (which is a hard no) but I'm very comfortable, haha. Where I am, it's going to be high 90s / low 100s soon, so I'm enjoying the 80-ish weather while I can!

As for my age, what can I say, I'm an overachiever, haha. Here's hoping these implants last longer than they're allowed to try and predict... Or when they eventually need revision, maybe we'll have some Star Trek level medicine, haha.
 
Update: I told my five year old my shirt just fell off when I sat down. Pretty sure she believed it.

She then freaked out when she saw the small bandage above my beltline (where they did something for the Mako robot, still not clear what exactly). I decided not to tell her about the big bandage under my shorts!
 
I've had a couple of laparoscopic procedures over my lifetime, maybe that's what the little bandage is from for robot????
My gall bladder was done that way and I have a tiny one inch scar from it.
I just came in not sure what to do with rest of my day, I'm not much of a TV person but maybe watch something on Netflix.
I'm East Coast so it's only 2PM here...too early to do just nothing!
Enjoy rest of your day.
 
@myglasshalffull it's never too early to do nothing! I'm in California and my plan for the next few hours is to close my eyes and listen to golf on TV, haha.

Apparently they insert some kind of pin as a refence point for the robot. I knew they were going to do it, just didn't care enough to ask for details to be honest!
 
Yeah, I had no clue what to expect with my hip replacement given that I was on vacation and wasn't anywhere near home so emergency surgery 1700 miles away from home you don't ask many questions, just fix it and let's get on with it.
 
Yikes - now I remember reading your story, just didn't have it associated with a username. That's not the kind of travel adventure I'd like to have!

Funny story, my wife and I booked an Italy trip in 2020 (booked in January). That got delayed for obvious reasons, and we were finally able to book again for May of 2022... For a while, I was all about trying to power through my hip pain and just taking the trip. Mrs. Knows, as usual, was absolutely correct that it would have been miserable for me!
 
:wave: @JoeKnows
Glad you have things have been "going" well... on all fronts.
Hard enough to stay comfortable...but the constipation was certainly an added stressor during my recovery.:sigh:
Sitting on the toilet for long periods of time with two new hips was not an option.

I transitioned from my heavy meds to Tramadol/Tylenol regimen after the first 3-4 weeks and it was very effective.
Our Nurse Emeritus, Josephine provided an effective schedule for this regiment.
 
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Thanks @Mojo333 , as always!

I slept pretty darn well last night. I managed to sleep on my non-op side with 3 pillows between my knees for about an hour, which really helped my low back discomfort. Despite a couple of wake-ups, pretty sure I got 8 sorely-needed hours cumulatively.

I walked around a little bit with the cane yesterday, just to see. I don't feel particularly sore or stiff this morning, so I think I'll keep gradually transitioning.

I put the Norco away this morning. I did take a Tramadol, but I'm not sure it's really needed anymore... Just don't want to phase out too quickly and then have to play catch-up.
 
I walked around a little bit with the cane yesterday, just to see. I don't feel particularly sore or stiff this morning, so I think I'll keep gradually transitioning.
You’re wise “gradually” is key. I was overly enthusiastic practicing with the cane my first time and ended up back in the recliner icing most of the following day. I desperately wanted to kick that walker to the curb. Definitely my least favorite assistive device. Good luck!
 
So you remember when I said I was going to transition gradually? Yeaaaaah, about that... Ended up using the cane most of the day, including hanging out at a friend's house (we drove there, but I didn't even bring the walker). Feeling good right now, but place your bets on whether I'm going to regret it! Haha. Smart money is that I will, but... Who knows, maybe the dark horse aggressive recovery will win out this time!
 
Thursday night was bad, but got noticeably better on Friday throughout the day. Now I'm feeling plenty of stiffness - e.g., when standing, it takes me a minute to be able to straighten my leg all the way. I remember that from last time. Getting into and out of bed results in a lot of little electrical shock pains, but it's getting smoother.
I'm also having pain in my right knee, which I'm 99% sure is from how I've been elevating.


Overall, no major issues to date (knock on wood). Eager to be able to get out of this house by myself, but I'm not going to rush anything this time...
I just started getting knee pain back as well. It cleared up after surgery but it’s back now. I also felt it was from having it elevated all night long
 
Update - I woke up a few times, but managed to mostly sleep from about 8 pm to 4 am. Not having any pain meds on board gave me a rough start to the day, now I'm feeling better.

Just sat down on a hard counter stool for my coffee instead of my recliner, and wow is the swelling around my incision annoying! Not particularly painful, just feels like I'm sitting on something. Seems to be trending down though... And I ordered 4 more big gel ice packs so I won't run out when I forget to put them back!

Edit: aaaaand I just put my kids' fruit punch into my milk frother... Maybe I should go back to bed.
 
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