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Less than 3 weeks to go and getting really nervous

Discussion in 'Knee Replacement Pre-Op Area' started by newpartial, May 15, 2019 at 2:14 AM.

  1. newpartial

    newpartial new member
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    Hi All- well it will time in 3 weeks it will all be over . I am starting to really over think things a the moment. I have my work 'to do before surgery list', family 'to do list before surgery', a things to buy before surgery list and trying to keep busy. I am a big reader and that normally helps me to relax but think my mind is working overdrive so cannot keep focused on any books at the moment.
    I also keep thinking that maybe my knee is no that bad, but really the other side of my mind knows it is and what has to be done.
    I am also really anxious about the anesthesia - i know the spinal with sedation is the norm now but i want a GA. i have had GA's before with no problem, read 100's of articles and papers re pros/ cons of spinal vrs GA, read the hospital handouts and i still will oped for a GA. But in the UK you do not meet the anaesthetist until you are very nearly ready to go to theatre so not at your best for a big debate of the pros and cons of different methods. I guess i just wanted to know if anyone else is wanting a GA?
     
  2. rosieNZ

    rosieNZ member

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    Hi. Im the queen of over thinking! So happy to hear Im not alone. But at least we are prepared eh. So enjoy it. This site is great for helping you evaluate what you need.

    I chose a spinal without sedation for knee no 2.
    Sure there was hammering, sawing and chopping (and a weird chemical smell) but truthfully we know that has to happens. It was totally boring.

    If I was having the surgery again I would choose this as there was no post op sequelae. No sore throat or grogginess. No nausea or vomiting. I had a nice chat with the anaesthetist until we ran out of conversation. He did update me on where we were at (you cant see due to drapes and the surgeon is too busy to chat).
    I spent the rest of the time thinking about many things like work, remodeling the house project, winning lotto, planning a holiday etc.
    I was glad when it was over as I really was getting very bored. Just wanted to get on with it.

    If you need sedation you can ask and they can zap you quickly. So dont worry or stress about this option. It was fine and if you choose to be sedated you will have a nice sleep. If you stay awake you will probably be bored like me! There's nothing to do but lie there. If you chose a GA it will also be ok. The important thing is you will have a lovely new knee. Best wishes xxx
     
  3. Atlas_aus

    Atlas_aus junior member

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    @newpartial

    I am with you on this, full GA for me thanks !!

    I see my Anesthetist next week and will make sure he knows my wishes. I have had 2 lower back ops so I think epidural is out anyway as I understand it. I will beat you by a week, good luck.

    @rosieNZ I knew you kiwis were crazy ! :heehee:
     
  4. newpartial

    newpartial new member
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    @Atlas_aus
    I will be following your recovery when you get there :elevate:
     
  5. BCSAnna

    BCSAnna junior member

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    @newpartial

    I am right behind you in the line up for surgery and I think it is normal to be nervous when facing major surgery. What has helped me to relax is listening to relaxation recordings that are specifically aimed at upcoming surgeries and pain control. I purchased the compact discs on Amazon for a prior surgery; have since loaded them to my ipod; and have found that they work so well that they put me to sleep!:sleep:

    I can truly relate in your thinking that your knee isn't so bad. I am the "Queen of Denial" in that area. Despite the fact that both of my knees are stage 4 OA, bone on bone; I am in pain 24/7; use a cane to get around in my home; and to get around any distance outdoors my husband must push me around in a wheelchair. My current quality of life is in the toilet. And yet, until very recently, I was still questioning if I really needed to have my knees replaced!:chinstroke:

    @rosieNZ

    Thank you for your lovely description of the actual surgery. As a result, I will be sure to request an extra strong sedation cocktail from my anesthesiologist prior to my surgery!:heehee:
     
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  6. Rick951

    Rick951 junior member

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    @newpartial When I had my PKR I had a spinal, and nerve block, with light sedation with Propofol. I told the anesthesiologist I was concerned about the spinal, they gave me something just as we were entering the OR. I don't remember a thing till I woke up in recovery. I was a little disappointed that I did not see the OR. I had ZERO pain while I was in the hospital.
    I will need to have my left knee done at some point. I would request the exact same thing Spinal, nerve block, Propofol for anesthesia.
    And look on the good side, after surgery and recovery. You will have a pain free knee!!!!
    Best of luck! Rick
     
  7. Cynof4

    Cynof4 junior member

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    @newpartial,
    I am general anesthesia all the way! No needles near my spine. :bignono: Fortunately, I’m able to make that choice. Hopefully, you will be too. I’ve never had issues with GA either.
    ~Cynthia
     
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  8. rosieNZ

    rosieNZ member

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    Ha! Not going to the dark side then? ! There's a reason why they offer epidural....cant be only for the crazy kiwis surely?? Although since our health system is always looking to save money so you could be correct!
     
  9. winemama

    winemama junior member

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    I had a problem, with my first surgery using gas. From then on I have had propanol I had a nerve block in my neck from my rotator cuff and a spinal for my knees. I told the doctor I was worried about the spinal and being awake for it they told me not to worry you won’t remember a thing and actually you’re much more levelheaded when you wake, up you won’t have a sore throat from the intubation or any nausea don’t be afraid you got this handled Use the next couple weeks to get your house ready get your groceries and get a shower chair in anything is going to help you get your ice man ready really you’re not leaving the house for two weeks so unless you have someone to help you just get everything ready you’ll feel better
     
  10. newpartial

    newpartial new member
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    Its really not the seeing whats going on that bothers me if i am honest - if i was made to have a spinal i would choose not to be sedated as its the halfway house of deep sedation that i am not to keen of either, and as @Cynof4 has put it the fact that i do not want someone popping a sharp pointy needle in close to my spine. The main concern i have though i the feeling of numbness when its over - that freaks me out more than anything - not being able to feel my legs etc even for a short time - i know its going to be really painful when it over but i would rather know what i am up agnist from the get go. I know all the evidence is out there which shows its totally safe i know all that -but as i have had GA's before my risk is very low for that too so will go for that... hopefully :roseshwr:
     
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  11. Bionic

    Bionic post-grad

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    @newpartial
    I have had 2 hip replacements and 1 knee and had the spinal with each. Having had GA in the past I have been very pleased with the spinal. The bonus with the numb leg for a while is that it also numbs the pain :yahoo:

    I am in the U.K. too and didn't meet the anaesthetist until just before the op. I think thats usual here. Having said that it was discussed by my OS when we met a few weeks earlier so I knew what I was getting. So if you can't get to your anaesthetist mention it to your OS.

    Whichever route you go down I am sure you will be ok with it.
     
  12. newpartial

    newpartial new member
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    I mailed my OS secretary when i got the letter saying it was planned for spinal but be prepared for GA. I said then i did not want to spinal. She wrote back saying i could choose on the day - i have my pre op on the 22nd so will mention it then as well. Sure it will all be fine as you say :)
     
  13. possum65

    possum65 junior member

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    @rosieNZ
    Spinal anaesthesia seems to be favoured in NZ for hip and knee surgeries. My anaesthetist did recommend it over GA, but would do a general if it was what I chose . I had my hip surgeries with spinal, minus
    sedation, but did feel uncomfortably restless and tired towards the end. Not particularly pleasant, decided on light sedation for my knees (recommended because I was having bilateral replacements) . That worked really well for me. I felt very alert and good after the surgery.
    Also my anaesthetist said quite a decent dose of pain relief is put into the spinal, which really helps afterwards. I like to go with what the anaesthetist recommends, but then again I am OK with needles in the spine. You have to do whatever is best for you.
     
  14. Jockette

    Jockette FORUM ADVISOR Forum Advisor

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    I requested GA and they agreed with no argument. I have low back issues and didn’t want any needles in my back.
     
  15. Loopy Lou

    Loopy Lou new member

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    Hi Newpartial
    I've just been nosing around the threads, and see that you are scheduled for a PKR patellofemoral on 4th June, I am scheduled for the same procedure, plus possible Tibial Tuberosity Transfer on 8th June. I too am in the UK. I will follow your progress. You are also a similar age to me (far too young to be having to think about this type of thing in my opinion).
    Hope your preparations are going well. I have been preparing at work for this since the start of the year! Currently nesting at a very high level at home too, spring cleaning etc!
    I've not started purchasing things for my recovery yet, I though it would be best to go for my pre op / physio visit first, as I'm presuming that I will be given the things I need from the hospital? I'm surprised to hear that people are purchasing walkers, etc, I though occupational health found out what you will need at home and then provided it? Or have I got that wrong, I thought that was part of our health system.....
     

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