June, I somehow missed your updates until today, but have been wondering over the months since I saw you how you were doing now. I am so very sorry to see that no one has been able to successfully address what may be going on with your knees. As I was reading along, I had high hopes for this latest surgeon.
When you were talking with him, did he flat out refuse to revise your PKRs to full TKRs? Was that discussed at all? I have heard of some surgeons (at conferences, not anyone I know in Kansas City), who did the revisions based on the fact that the patient was in pain, even though the knees looked just fine.
Does your insurance allow you to see any doctors out of the Kansas City area? As I remember from our past discussions, you were fairly limited by your network. There is a surgeon in the Dallas area who handles very difficult cases....Dr. Maale....but I don't know if you would be able to see him.