TKR Meecies musings (questions, comments, maybe some venting here and there too)

Thank you for this update!

Your issues are so complex that it makes sense to slowly work through the variables as you've been doing.

That PT sounds like the perfect match.

Getting a spinal eval for your neuropathy definitely makes sense!
 
I keep getting notices for this forum so I figured what the heck, maybe just pop in and update anyone who is interested

after dodging a major bullet last summer, I am still very very glad that I did not have surgery on my knee

I have NO pain in either of my knees. My right knee doesn't bend as much as I'd like but after PT it bends more than it was before and perhaps if I worked at it more, I might be able to get it to bend more, IDK

I got custom orthotics which have helped my foot pain somewhat (I have a mild verus left knee and a valgus right knee) I also have learned how to wrap parts of my foot and toes with some cotton I got rolls of, not sure what it's normally used for but it's super soft and provides a bit of cushioning for the pressure points that hurt if I'm walking for any length of time.

I also have some 1/4 inch flexi foam that I use for sewing projects that I can cut up and put under my foot in the places that need it, It still feels like I am walking on rough bare bone on a big section of my right foot.
As I age, I lose more and more of the natural fat pad that's on your feet when you're younger-
I keep thinking they need to devise some surgery to plump that back up, like take the fat from another place (my waist is really the only place with extra fat right now) and inject it into the bottoms of my feet LOL
Hey for all I know it's something they do now for people who could afford something like that.

So I can walk up to 2 miles at a time without horrible pain. It's never fun to walk like it was just a few short years ago and I am very sad about that, but as I look at friends my age (or even younger) they have many more problems than I do as most suffer from obesity and all the illnesses and aches and pains that go along with that.
My one trim friend is about 10 yrs older than I am and has always been trim and fit and she's only on high blood pressure meds.
I continue to need no meds. but I do take a few supplements including hyaruluronic acid caps that have made my skin so soft and supple and seem to help my knees bend better.

I'm going to be starting self hypnosis (after a single zoom session with a hypnotist for advice and to gauge how well this may work- I was once told that I am a very good candidate for hypnosis and I believe this- as I used self hypnosis to easily quit smoking

They use self hypnosis to help with pain. It rarely blocks out all pain, and honestly, I wouldn't want it to, as most pain is a signal you should not ignore.
When I was taking celebrex, I believe that I more often got injured from over doing things because it blocked pain too well- so I never got the important message from my body to take it easy and take a break

but I would like to be able to walk further and longer without as much pain.


Might I someday get surgery? I don't totally rule it out, but as things stand now, it's off the table indefinitely and I'm so happy about that.
It's not surgery in general that scares me, as I just found out: a friend needs a kidney and I immediately checked to see if I was too old to give her one of mine. I have exceptionally healthy kidneys for my age, my eGFR is 97 (down from 100 just a few years ago)
But as it turns out, my age doesn't prevent me but other things from my past do make it so I can't donate a kidney. Really bummed about that. I know there's risks with all surgery but this was something that had a MUCH greater chance of being successful and being over all a very good thing, compared to the low chances of a knee replacement helping me at all.

so I was eager to do it. *sigh*

Overall life is good. It would be better if none of this had happened (the injuries that led to how my knees and hip are now) but things could be much worse and I'm very grateful that they are not
 
It's inspiring how you've taken control of your health with efforts to avoid joint replacement for now,
maybe permanently. :fingersx: It's a testament to your strength, meecies!

In addition, your willingness to offer one of your kidneys to help a dear friend, even though you weren't a match shows the depth of your generosity and compassion for your friend. I wish you the best as you take life one step at a time with your knee. Please know were always here for support if you need us. Thanks for stopping by with an update. Wonderful to hear from you! :)
@meecies
 
@meecies Your update is so good to read!!!

When looking back to your original post, the improvement in your living situation and quality of life is incredibly heartening. I'm glad you came to us and started an at times difficult problem solving conversation. It's amazing how you've successfully negotiated through so many health care rules and providers, digging to get at the information and services you need.

Thank you for taking the time to update your cheering section. A new years ((hug)) to you.
 
Thanks so much for reporting back in. Clearly you made a good decision.
 
hi I can't find my old thread.....
and it seems you need to pay $ to start a new thread...?

Administrative note: Your post has been moved to your primary pre-op thread. In accordance with our new membership program and our Posting Guidelines, you are able to continue post here regarding a decision about whether or not to have knee replacements done. But you must stay on that topic. As a Basic Member you can search the forum for other threads to read and you can make comments that pertain to the topic of the conversation. But to have full access to staff assistance and recommendations or to talk about other joints besides your knees, you will need to start a new thread which is only available to members of the Insiders Club.

ok found it!
 
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ok here I am, roughly 6 mos later.......

realizing that - the orthotics helped, but not enough
I now have pretty significant arthritis in my ankles

I can't walk for more than 20 mins with out so much pain in my feet and ankles and in that one big toe, GRRR (that, I was finally able to confirm- is indeed from the spinal stenosis at L4 and L5) Now I have to figure out what exactly brings it on, because it's not just walking- I am guessing it may have to do with something I do at my garden- probably bending at the waist, since I am unable to bend my right knee enough to do a squat and getting down on my knees is impossible without something sturdy to help me get down and back up again...

anyway, I know it sounds incredible but my knees still do not hurt! Oh on rare occasions, if I've been sitting too long, I'll have a wee bit of a burning pain in the left knee in one tiny spot, I notice it but it doesn't slow me down at all

so my knees don't hurt- but my feet and my ankles do

and there is no denying that it's the body mechanics- the fact that my right leg turns in at the hip, and out at the knee, and that that Rt leg is longer in spite of it being bent at a significant angle inward (valgus)
none of this makes any sense to me, but there it is.

the left leg is still shorter, that hasn't changed, but the sensation of the right leg being even longer (not sure it actually IS, it just feels that way) has gotten stronger and most of the pressure and my wt feels like it is all concentrated on several odd places on my right foot primarily

It's hard to explain, but I can' not walk normally. My body is so twisted out of shape.

I am now having issues with my C spine stenosis, horrible nerve pain in my shoulders and neck
They want to give me injections at the C spine (NO! hell NO- my old spine dr had the same issues and he said HE would not get an injection in his cervical spine, far too risky. When a surgeon tells you that something is too risky for him to do it, it makes a big impression.

a few years after him mentioning this, a friend's father got a C spine injection and died from complications less than 24 hrs later. This may be rare, I don't know. But it's too scary for me.


anyway, I still have sHPT and need for that to resolve before I make any definite plans... the high PTH is still pulling calcium out of my bones, I have widespread bone pain.
I had a NM whole body bone scan that showed "hot spots" on the top of my head, "avid uptake" lol in my knees esp the right one
and also in my shoulders, c spine lumbar spine, ankles and and er somewhere else, I forget now

these are all the places I have OA and/or other degenerative changes except for the top of my head- that hasn't been explained yet (I don't see the endo til next month)
She ordered the scan to rule out Pagets disease - it's not officially ruled out but it seems unlikely (could be very early Pagets with the hot skull) The hot spots are diffuse where in Pagets they are spotty focused areas, in my understanding at least

So I need to get my bones back in shape, which apparently can take a few years, assuming I've had issues with the PTH for as long as 10 yrs or more (had the high ALP back in 2010!)

Endo tried to tell me that it's got to be my liver and not my bones because I never tested as deficient in vit D or calcium, just "insufficient" but she's forgetting that I've only had my vit D tested the past 2 1/2 yrs,
Drs didn't bother to test prior to this (they SHOULD have, as it turns out) and it was 2012 when I changed my diet and was no longer consuming an adequate amnt of calcium.

(potential vegans- you need to track your calcium intake! esp if you are like me and go "whole foods plant based" and don't avoid the plant milks that are fortified. and the junk cereals and other processed foods that are also fortified with vit D and calcium. I don't consume dairy, I eat extremely little meat. I thought I was doing ok because I love broccoli and spinach and kale but calcium in spinach is not well absorbed; I am also on a low fat diet for cardiac health and vit D at least needs to be taken with fat or it's not well absorbed- so anyway, taking B12 as a vegan or vegetarian is critical but you may need to keep an eye on your calcium intake. Younger ppl may not need to worry as much as you're likely more active and consuming more calories so it's a bit easier to get enough calcium from food BUT at my age - almost 70 and with my current activity level, I would have to massively overeat to get enough calcium in food - OR eat foods I don't wish to eat - processed foods or plant milks that also contain things I don't want to eat like emulsifiers and carageenan sp? etc) I will get some fortified orange juice from time to time though)

sorry for going a bit off track there but any time I learn something I think might be useful to someone else I want to share it
could have saved me a lot if, when I was vegan (for about 2 yrs or so) I hadn't been swayed by the die hard vegans that said not to worry, the only thing you'll need to supplement is B12

that's not quite accurate. PLUS everyone is different!! regardless of what foods you choose to eat, you should from time to time, check and see if you are getting all the nutrients you need and not just assume that you are.. At least, I think that's a good thing to do. or maybe take a low dose of a multi vitamin in case but even then it's best to have a ballpark idea of what you are consuming because there can be issues with too much of certain things Like zinc is important but the amnt you need is very small and too much can be as problematic if not more so than too little!

yeh I am much more comfortable talking about food than bones LOL


that is one reason I worry so much about this surgery. I am VERY very particular about what I put in my body. It is important to me. the way that I eat is so different from what most others eat and few ppl seem to respect my right to consume only what I feel is in my best interest, so I worry about getting support for meeting my nutritional needs esp after surgery when I may not be able to cook or shop


oh, you hear me talking about surgery........
um yeh
It seems likely I will need to have my right knee done if I want to be able to walk without pain in my FEET and ANKLES
still disturbs me that I need to have a knee that is NOT at all painful removed to do this

still makes me nervous because valgus knee replacements are the most likely to fail or have issues afterwards

AND I am still unable to get ANY answers as to why my body is twisted in the particular way that is is NOW
so if they can't tell me how I got to this place-
how can they know or assume that they can fix this?

I am still afraid I will be trading one pain for another or setting off a series of events that will lead to more and more surgeries (with all the risks that come with that)

funny, if i was younger, I would not worry so much about risks but as my time on earth grows shorter it is a HUGE concern for me

I have NOT had a "good long life"- I have had mostly a horrible life and only recently have been able to enjoy life
and I don't want to risk it ending before it normally would

so any way that is where I am now

I know drs will say it doesnt matter if you have SPTH or other conditions, they can still do surgery
yeh sure they CAN (and will, they make a lot of $$ on these) but that does not mean they should

so I feel I have no reliable source of information on how long I need to wait or how to tell if my bones have re mineralized well enough to go ahead with surgery

I am having a dexa scan soon, that might help. My first Dexa scan over 10 yrs ago showed no problems
second one a few years ago showed a little bit of ostoeopenia
most recent one shows a bit of osteoporosis but it was mild

I expect this next one may not be as good., I am also having the non dominant forearm done to find out if my HTP is progressing to primary vs secondary- which is possible


I'm considering getting an exercise bike- just not sure where I'd put it LOL my place is small now
but I know it will help me esp in the winter when I can't get out

hope everyone is doing well

I am trying to figure out how to approach the surgeon that I dislike greatly - his personality totally grates on my nerves BUT I don't have the option of seeing a different one in that practice and the practice I was going to go with is not reliable. Surgeons may be good, IDK but you can't reach them, you can't get refills or meds as needed and if you have a problem after hours you have to go the ER and yeh, that's just not acceptable.

The guy knows I don't like him, and I doubt he likes me either (he LOVES the pts who ask no questions and act like he's Gods gift to the world and that is so not me LOL Don't get me wrong I respect drs and the work they do, but *shudder* Have a very hard time with arrogant pushy obnoxious men - and women too, for that matter.

I'll have to find a way to handle that
or maybe there is another practice with good orthos, I will ask my primary doc when I meet her

right now I have no PCP lol
ok I guess I had a lot on my mind

gnite all
 
Some items of concern I need to consider before surgery for my valgus knee:

1. Prehab exercises 45 7
2. Weight loss and blood sugar control 4
3. Imaging to plan for surgery 16
4. Discussion on type of implant 1
5. Possibility of longer recovery period and additional post-op pain 2
6. Needed home modifications such as grab bars, raised toilet seat and clear walkways 5
7. Post- op considerations for better recovery - early mobilization, targeted therapy, and possible nerve issues 4 16 6
8. Overall outlook for successful recovery 68
9. Learn more about “gap-balancing exercises”
10. Learn more about “residual lateral laxity”
11. Learn more about the IT band and exercises I have been doing that might be related to IT band problems
12. Learn more about “terminal knee extension”
13. Arrange to see my regular PT again
 
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Pet Peeves

why anyone would want a Peeve as a Pet, I do not know but I digress

There is so much misinformation out there
and there are so many people who act like THIER experience is the one to model every one else's after- as if we are all the same, which is absurd

you'll hear I had a horrible experience, it's been 10 yrs and I still haven't recovered from surgery! No one should have this surgery!
or
it was so easy, don't be a baby, I didn't have any pain and could do everything right from day one. Just do it, you'll wish you'd done it years ago!

one of the comments that I find esp disturbing is this: if you "do everything you are told to do, you will be fine"- and for surgery, yes, there are some things you likely must do a certain way, to avoid infection, to avoid dangerous drug interactions etc
but you should feel totally comfortable QUESTIONING anything that does not make sense to you or sounds like it might be a problem for you. Or any question at all.
How you get answers is not something I can help you with- I've had all 3 OS ignore or dismiss some of my most important questions.

but they mostly are referring to PT after surgery - and if you are not doing well, or if you have any complications, 9 times out of 10 someone is going to chide you and say "did you follow the instructions to the letter?" "you must not have done what you were supposed to!"
I have a friend who had her knee done 3 times. First time, the knee was too big. Not her fault. Second time, it wasn't properly glued or something like that, again not her fault. Third time and so far, she's doing ok. She works a full time job on her feet! and is 75 yrs old and a lung cancer survivor, but some of her "friends" go around saying she didn't work hard enough after surgery and that's why they had to re do it. smh



Many pts are told as long as you do what we say, you'll be fine (meet the goals of PT and hit certain goals by this date, etc)
The advice on this site and in a few other places about how wrong it is to use that approach, how harmful it can be to not listen to your body, to allow it to heal from the trauma of surgery, etc etc should be made mainstream advice somehow- available to all,
because imagine the feelings of guilt and failure if you have something "go wrong"

there are so many different things that can happen, for all sorts of reasons but that idea that it might be your fault because you didn't follow what is clearly bad "orders" - that is just very disturbing.

it's a very easy out for a dr to blame the pt for whatever might go wrong, when their approach is to follow a pretty unrealistic PT protocol

it's even worse when their friends who have had the same surgery and did well, have no empathy or support for you, telling you that you must not have followed the drs orders, blaming you for something that is almost surely not your fault and leaving you to suffer even more in isolation
 
Hi Legseleven
I've been here awhile and am *still* trying to find my way around, LOL my vision is poor (and can not be corrected) I can read something 6 times and still miss things because there are like "holes" in what I can see
On the eye chart, for example, I will only be able to see some of the letters on each line- the others are - to me- invisible!



are you looking at maybe having knee surgery?
I have been going back and forth on this since I was in my late 50s. I was refused surgery when I wanted it
then I lost over 50lbs, cleaned up my diet and read about how intense this surgery can be, and was dead set against it

now I'm at a point where, incredibly, I have almost NO pain in either of my knees even though they are both "end stage" but they are collapsing in different directions ("windswept" it's called) and I have terrible pain in my feet, one ankle and one hip/SI joint and it just throws my entire balance off....

and it occurred to me that I was actually hoping that this would be my last year alive....
YIKES!
I have been so depressed. It's not *just* the knee, but when I think about all the things that are making me feel hopeless, the pain is the one thing that I just MIGHT be able to do something about

It's hard to be hopeful or happy when nearly everything you do brings you pain and more pain....
and you see that it will likely only get worse

and I am getting weaker all the time- I didn't know that losing muscle mass is part of aging- and that makes a big difference!
I was never a very strong person to begin with, and now I am weaker than ever.
and I'm not yet 70!

how much worse would it be to have surgery when I even worse off than I am now.

anyway sorry for going on and on
I just today decided that I am going to get my right knee replaced

and now, I am going to stop reading about it and obsessing about what might or could go wrong
and just have faith that the dr will do his best and hope that I will have less pain afterward (once I'm healed I mean)

I finally feel like I am in control- after being refused surgery over 10 yrs ago, and then just 4-5 yrs later to have orthos constantly pressuring me to GET surgery- I was very angry and confused
but I've worked thru all that.

how are you going today?
 
I just today decided that I am going to get my right knee replaced
Great news! I don't think you'll regret it.
I am going to stop reading about it and obsessing about what might or could go wrong
and just have faith that the dr will do his best and hope that I will have less pain afterward (once I'm healed I mean)
Joint replacement surgery is one of the most prevalent surgeries performed worldwide. The outcomes of these surgeries have become excellent based on a number of techniques changing over the years. The implants are durable and long lasting, with longevity much greater than before offering an increase in the likelihood you’ll never have to experience this procedure again.

Do you have a date so we're able to create a signature for you?
I hope there's not too long of a wait and I wish you lots of comfort as you await your TKR.
 
@meecies i am sorry that you have had such struggles and felt like that. Have you friends or family you can reach out to?
I am good Thankyou, I have bi-lateral partial knee surgery in two weeks. Just working my way through everything I need to do beforehand while still working. My diary is FULL. Haircut, pedicure, furniture moving, car MOT, defrost and fill the freezer, book someone to cut the lawn after the op and so on.
Bonesmart has been a great help and I’ve picked up lots of useful tips.
 
@meecies I never regretted my knee replacements.

Nope, not even on the worst hours during the first weeks, because I knew the pain and the insomnia were short term processes to surrender to.

And not months later because I focused on every single tiny functional improvement.

And certainly over two years later when I have good strength and balance and can do the things I want to.
 
Nope, not even on the worst hours during the first weeks, because I knew the pain and the insomnia were short term processes to surrender to.

hmm so there's some relief during those first few weeks not 24/7 agony?
my PT says that everyone has a different tolerance for pain
I've had surgery and I was hit by a car- previous surgeries were not that painful. Like having the plate affixed to my tibia and then removed about 5 yrs later- I went for a 10 min walk and climbed 3 flights of stairs, the day after that surgery, while on crutches. (got yelled at for that but no one told me what I was supposed to do and I was what? 23 or 24? invincible still LOL)
I know that no matter how bad the surgical pain is, it will gradually get better.
I have been living with widespread pain for a long time now, so the stiffness and soreness and all that, I can see that it might get aggravating at some point but I don't see it as anything to fret over


but I still can't imagine what those first few days or weeks will be like.
I am afraid I will be bored.
and I am afraid I will try to do too much and get injured.

I eat a very specific diet and it worries me that I may not be able to prepare the foods I eat, or will run out and have no one to shop for me...

well meaning friends have offered to cook for me but they can't be trusted to stick to the foods I am able to eat
They will admit me to me after I've eaten something, that it had X ingredients in it that I'm not supposed to eat (added fat and sodium, or refined/processed stuff)

I don't eat anything that I didn't choose and prepare myself.
so I gotta figure out how I am going to get food out of my small fridge- will I be able to get something out of the crisper on the bottom?
should I put all my pans and stuff on a table nearby so I don't need to reach too high or bend too low?

and will I be able to get to the bathroom ok or is that going to be very hard? I mean the first few days or so?

I hate the unknown!

but if I use past experience with surgery and physical trauma, I get thru that stuff ok as long as they let me swear and yell if I feel the need to (it helps!)

I've already discussed PT rules for afterward with "my" guy and he said he might like try to help me bend my knee and it might be painful and I told him OH NO YOU'RE NOT! hahaha
but he's been very respectful and has never done anything against my wishes. In fact he's quite to find alternatives that are easier for me so I can trust him at least

I wish I could trust my friends to respect my dietary restrictions cuz it would be nice to get a meal delivered here or there.......

meh I'll live.
I have a few minutes when things are going well and I think I'm doing ok the way I am - I don't want to have SO much of my time taken up with recovery

so I need to know what I might realistically be able to do afterward

I sew for a rescue, how long before I can do that?
I spent a lot of time online doing different tasks, will I be able to sit at the desk top or will I have to use the lap top (much harder to see due to vision issues)

I only have a few questions for the OS- is he planning to cut my ligaments? this is the guy who said he could make my right leg shorter
the second opinion guy said that if they did that, my ligaments would be too loose- so I'm assuming he did not plan to cut them

I will have tight ligaments on one side and loose on the other- what do they do for that? would it be necessary to cut the loose one?

I read about "lateral release" blah blah blah but have no idea what that means!!!
I want the surgery to have the LEAST possible risk of needing revision- so I want him to not take risks with things thinking he can go back later to fix it or clean it up.

anyway as I feel the courage to do so, I'll read thru some of the pre op stuff and what to expect after
I think I read you need to rest 40 mins out of every hour at first? only 20 mins of activity? not sure how long that lasts but I want to be able to walk the round trip to the grocery store and shop which takes me about an hour - how long before I can do that?
without assistance (crutches etc) cuz I've got to use my wheeled cart to get the stuff home
or even how long before I could just shop for myself If I got a ride?

things like that.

all I can say is it better be worth it!!
It's good to know that about 70% of ppl are happy they did it
there's another %-age who may have had unrealistic expectations and are not happy
and then there's that unknown %-age who have horrible outcomes - death, amputations, or many many revisions.

I don't have a lot of the risk factors for that and I'm not in an area where the drs and hospitals are that bad- that are not wonderful here, not as good as MA hospitals but far better than many in the southern states for sure (not throwing shade on the entire south but they don't have the best health care for a lot of reasons that are not their fault)

anyway!!
some anxious rambling here.......
I will just try to focus on what i need to do to prepare and put what I can't control out of my mind as best I can

thanks for your input, always appreciated
<3
 
Do you have a date so we're able to create a signature for you?
I hope there's not too long of a wait and I wish you lots of comfort as you await your TKR.
no date yet but I'm looking for mid to late Oct-
it all depends on how strict they are about pre op work like dental clearance

I get my dental work done by a health dept free van and that only comes around twice a year. I hope to get an appt for early Sept -next time they are available

I'd actually prefer not to have a signature with the date, it will only make me more anxious

I'm going to try to adopt an attitude of whatever will be, will be, and if the timing is off, I'll see I should try for Jan-Feb time frame (when the dental van comes back- not sure exactly when it is) or if I'll have to wait another year

I'm hearing from some ppl that they didnt need any paperwork for the dental clearance, they were just asked about it and the dr took their word for it ? IDK
there is so much to do in the weeks before it seems impossible when you dont drive, to get all that done
so we'll see how it works out
 
Hi meecies,
Yes, find out what your surgeon requires as far as dental clearance. If any dental work needs to be completed there will also be a timeline for for that, anywhere from a couple weeks to one month prior to surgery, depending on the work done.

We understand that not everyone wants to share personal details like surgery dates, but we ask for this information because it really help others offer the right type of support. Recovery changes a lot from week to week and having a visible date allows everyone to offer advice based on where you are in the healing process rather than try to wade through your posts to figure out how far along you are.

Have a nice holiday weekend!
@meecies
 
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Hi meecies
Yes there’s a lot to do, my op is in 11 days and I’m making good progress on the preparations.
Someone once told me that 70% effort is enough, because 100% leads to burnout, especially if you’re like me with perfectionist tendencies. Since adopting this I found it’s actually a good framework for life. So I’m doing my best, and I’ve made some shortcuts. Tested out a few ready meals which are less ultra processed and put in my now defrosted freezer. I’m a great cook but I simply can’t do it all, so these are my compromises. I do have a lot of home made soups and other things frozen, along with milk and bread. The timescale of my op was surprisingly quick so I’ve simply not had time to do everything with work and family commitments. Another change is I carry up filtered water every night, and I’ve put bottled water upstairs instead. I don’t like bottled water but again it’s water and will be fine until I’m better.
I’ve made two plans for post op, and know it may not go exactly to plan so I must be prepared to adapt again if need be. I am going to a convalescent home from hospital to start with as I’m having both knees done together. Luckily when I’m home I can shop online if I need to and I live in a place where could also get things delivered like vegetables when I’m back to cooking but not carrying.
I was told by a colleague that one’s attention span is limited for a while after and that I’ll need distractions so I’ve got a puzzle book to take and some very simple knitting. There’s always solitaire online, or even Candy Crush! As I improve I have lots of knitting/crochet I can do and lots of books to read.
My focus in the first 2 weeks will be ice/compression/move as soon as I can.
I have borrowed a couple of perching stools, one for the bathroom and one for the kitchen, and I have an old trolley suitable for moving drinks and meals. I have one grabber and borrowed another so I have one on each floor. I’ve no idea what I’ll actually be able to reach for, but I’ll manage.
None of us know exactly how long everything will take as we’re all unique. I’m hoping for a good recovery like Roy Gardiner’s, and will just take evey day as it comes. I know the beginning will be very challenging and it sounds like you know this too.
You’ll work it out I’m sure and I wish you all the best.
I’m off for pre op today and need to work out some irrigation for my garden, it’s a rare drought year.
Thanks @mendogal for this, it’ll drive me on when it’s challenging.
Nope, not even on the worst hours during the first weeks, because I knew the pain and the insomnia were short term processes to surrender to.

And not months later because I focused on every single tiny functional improvement.

And certainly over two years later when I have good strength and balance and can do the things I want to.
 
Yes there’s a lot to do, my op is in 11 days and I’m making good progress on the preparations.
wow its' coming up fast!
I hope that you are able to do all the most important stuff
and I hope everything goes smoothly for you

<3
 

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