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TKR My Shiny Happy New Knees

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Long rambling post while I sit on the pity pot (hope no one minds too much.)
Tomorrow is the big day. At 6 am, I have to be at the hospital for the LTKR. I am both excited and scared. Hubby keeps saying it is going to be easier and better this time, because I am stronger in my legs and have the one good knee. I just want to cry and call it off, but realize that I won't. My poor left knee has gotten much worse since my RTKR, because of having to do extra work. Both knees were bone on bone, with bone spurs, due to arthritis. Those wonderful bone spurs in my left knee have been breaking off. The OS's nurse calls them "loose pieces", while I call them "bone mice" because it feels like little critters running around inside my leg biting me. They probably aren't doing much good to the muscles and tendons either.
I keep remembering the things that seemed wrong with my first surgery and have even made a list for hubby to keep an eye on for me. Although this is a different hospital, and maybe the nurses actually care, but, still.... At the other hospital, I had asked one nurse for more water, she said it wasn't her job to fill water pitchers and walked out of the room. The call button didn't work, and it was over an hour later before anyone came back into my room. I think the only reason someone did is that I called hubby, crying, and he called the hospital to complain. This time I am going to be sure I have the number for the hospital in my phone.
While I had a drip still going in my arm, my catheter was removed, two days after the surgery, two days before I was to leave the hospital. I wasn't able to even stand up, let alone get to the bathroom. My fat bottom couldn't get on the bedpan right and I ended up peeing all over myself, my bandage, and the bed. Then had to argue about getting the urine soaked bandage on my leg changed. The excuse used was that the OS didn't want it taken off or changed. I insisted, because I was sure that wearing a urine soaked bandage wasn't a good idea. The aides were very careful after that to put a plastic covering on the leg when I had to use the bedpan, even though they had to change the sheets every time I peed, they didn't have to change the bandage. I still don't understand why they removed the catheter. Was it to encourage me to be more motivated to get up? I wanted to, but couldn't. When PT would come in to help me stand up, I would almost pass out (the pain meds caused my blood pressure to drop to dangerous levels), plus I had lost so much blood that I needed a transfusion.
Before being transferred to the rehab hospital, I was supposed to get something for pain for the trip (an hour and a half trip), but then was told that because I was transferring, I couldn't have any meds. They also weren't going to give me an ice pack, but hubby blew a gasket at them and they gave him one for me. The hospital had a van to transfer patients, but didn't schedule it, so I had to be transported by car. It took six people to put me in the car, because no one knew how to do it, I was in agony, couldn't stand up to help. I ended up screaming while they were doing it. I cried all the way to the rehab hospital, wondering what the heck I had done and regretting it.
My experience at the rehab hospital was very different. As soon as I arrived and was in a bed, the nurse came in, gave me a shot that took away the pain (I think it was morphine, I didn't care). When the staff realized that I wasn't able to get up to get to the bathroom, and one bad experience with a bedpan, I had a catheter put in. One less thing for me to worry about. The nurses, and staff, seemed to care. Once it was determined that my pain meds caused my blood pressure drop and I was taken off them, every four hours a nurse would come in to ASK if I needed Tylenol, since that was all I had available for pain. The PT staff was patient with me and finally got me up walking, 10 days after my surgery.

So here is hoping and praying that the staff at the surgical hospital is as caring as the staff at the rehab hospital was.

Anyway, thanks for letting me ramble on. As I said excited to get it done, but still scared.
 
[Bonesmart.org] My Shiny Happy New Knees
Morgaine, all the best tomorrow. I can understand your concern for the type of treatment you might receive---but hopefully you will get the treatment that all patience deserve and should receive. I have never had a bad hospital experience---and I thank God for that.

I'll be looking for your first post after surgery.

Take care, we care.
[Bonesmart.org] My Shiny Happy New Knees
 
Morgaine,
Good Luck on your surgery tomorrow :friends:Please keep us posted when you are able :SUNsmile:
Diana :flwrysmile:
 
Morgaine, good luck tomorrow. You will be in my thoughts.
 
You'll do fine. The catheter removal really wasn't to punish you -- quite the opposite. The less time you have a catheter, the lower the risk of a urinary tract infection. That's no fun.
Sure hope this experience beats the last. It sounds like you are a take-charge patient. That's a compliment.
 
Thanks to everyone. Surgery went well. So far things are going well. A fair amount of pain, but the staff is working on getting it under control. PT was even able to get me up out of the bed. Am sitting up now. This hospital and staff seems much more caring.
 
Being transfered to the Rehab hospital this morning. I feel great. Pain control has helped a lot. I took 7 steps yesterday. This TKR so far has been going so much better. Only one big problem, an on-call Dr ordered Percocet for me. My nurse came and told me that she was trying to get me something else, because it was all overmy chart no Percocet, and she wasn't givng it to me.
This staff is great, and they actually seem to CARE about their patients. ROM yeasterday morning extention at 2, flex at 74, with no pushing by the therapist.
 
Transfer to the rehab facility. Went smooth. No nap, no after noon pain meds. The man in charge of PT came to visit. Same horses backside that had pushed me so hard before. I bottomedout. Couldn't stop crying. Told him I was going to get well, them come kick his backside.

A question: during this TKR the Dr put in a drain. He had it removed last night, but didn't put a bandage on hole where it had come out of my knee, then today it started spotting blood? Is this normal? I asked the nurse here at the rehab facility and she said it looked just fine.
Think I should change my name to Wendy Whiner? :tantrum:
 
Hi, hope everyone is doing well. I had a great weekend and a great day. Pain control is good. MS Contin 30, twice a day, plus Lorcet 10 every four hours as needed. Ice and elevate a lot, get up and walk every hour during the day and when I wake up at night. PT started today, did what I could, but refused to do anything that pushed past discomfort. Did have a female therapist too.
So far this recovery is going so much better, and I realize my knee is in control, :tada: not me, not the physical therapist, not the hospital staff.

Hugs to everyone.

Morgaine
 
Ten days post op, what a difference there has been between this LTKR and my RTKR. I came home today from the rehab. Was able to get into the car by myself, except for needing a little help loading my left leg. I also was able to get out the car, walk up the ramp, then go up the steps by myself. Then I took a nap. Amazing what good pain control can do. Although I think I had to teach every nurse I had how to fill the polar ice machine, and about half of them couldn't understand why I wore it as a fashion accessory almost all the time in the bed.
Love my pain meds, although the first night at about 2 am (so my husband claims), I sent him a picture of a tuna sandwich, told him I wanted hime to get up, get dressed and bring me a sandwich like that with some ice cream ( a 30 minute drive for him). About an hour later he claims I sent him a picture of a yellow water pistol telling him I knew how to use one. The text messages that I found the next morning, I am sure were placed there...I suspect... by some naked dancing men that showed up one night too, odd though, they spoke just a little English with an Irish accent.
I have had light PT, nothing to major pain. I will be having four weeks of in home, three times a week. The therapist will push me to my lmit and maybe a little more. I had great progress with her the last time. After that I will see what I need.
My Dr (regular) gave no arguements about continuing the pain pills I am on. He said they are working, he feels comfortable I won't get addicted, and in 30 days, he and I will discuss more if I need more.
Staples come out Tuesday.
Morgaine.
 
[Bonesmart.org] My Shiny Happy New Knees
update, Morgaine! Too bad we didn't get some of those posts here on the forum---we really like that kind :rotfl:for a good belly laugh. Second time around does have the advantage of your knowing what to expect and being a bit more relaxed about everything.

Take care, follow the mantra, and keep us posted. We care.
 
bottomshollow, I am not sure why I didn't post some of those things here. Probably because as yet I haven't discovered how to do images while using my Ipad. But it has been brought to my attention that both my younger son and my daughter received some very odd messages too. And I really did see naked dancing men, even before reading about Warrior Lads (but admit that I added the part about them speaking English with an Irish accent). Gotta love good pain control meds.
Last night, I slept well, about 4 hours before I woke up the first time. Then 5 hours the second time. Once I did try to turn on my side and my knee protested, which made me cry just a little. I prefer to sleep on my side, think my knee wants me to sleep on my back, guess who won and how I slept?

Had my at home evaluation PT this morning. It went well. Did a few exercises, showed how I got in and out of the bed and the bathroom, all the fun things. The therapist checked my ROM 0-80. She said that the dressing was holding me from getting a better flex. I told her flex would happen. Her visit wore me out, so I did the smart thing, Iced, elevated, ate lunch, and took a nap.
I think the naps are the best part...and I have the perfect excuse to take one anytime I want!

I agree, knowing what to expect and what to do makes a LOT of difference.
 
Hi Morgaine! Glad you enjoyed The Lads. They'll drop by and do some starkers hoofing just by thinking about them, they're magic y'see. Call them as often as you like, it'll get them out of my hair a bit , they have me eaten out of house and home. Just whatever you do, don't give them any alcohol. They go mad...
dellighted to read you're having a great recovery. Joe
 
Thank God my recovery is textbook, well-controlled pain , no nausea, ROM 0 to 110 . You should visit my thread to bone up on the history of The Troublesome Seven...!
 
[Bonesmart.org] My Shiny Happy New Knees
Morgaine
, just a silly sign to give you a laugh. You need an avatar and have one for you. Since you are from Mississippi, I thought this little Southern Belle would be perfect for you.

It is already sized to fit perfectly as I have tested it. Just right click on the attached picture and "save image as" in your picture files. Then hover your mouse of your user name at the top of the page and from the drop down menu select "Avatar". The click the browse button and find the picture in your files and double click it. Then click "Okay"and you are done.

If you are not interested, my feelings will not be hurt. I just enjoy doing this when the opportunity presents itself.

[Bonesmart.org] My Shiny Happy New Knees
 
bottomshollow can you help me out on getting an avatar up? I have an IPad and can't seem to upload pictures. Even following the directions. The picture dropdown box won't drop down or allow me to access any pictures to upload them. This is a common problem with both IPad and IPhones, as Flash doesn't work on either one. I tried to upload some pictures to another program (Gravatar), so they could be put here, but it wouldn't let me do it either. I am using the knee with the clocks that you made for my facebook profile picture (thank you). So if you, or anyone else, have any suggestions, can put up an avatar for me, or have managed to solve this problem, please let me know.
Thanks, and the Southern Belle is adorable!
 
Oh, yes, that southern belle is adorable!:)
 
I might have got it! Used tapatalk to load my avatar...did it work? I don't see it here on Safari though.
 
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