Next appointment 2014!!

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stives

graduate
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Mar 29, 2009
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Location
Cornwall, England
Hi fellow Bonesmarties

Thought it was about time I started my own thread instead of hi-jacking others.

I had my six-week check-up yesterday and saw both the consultant and the registrar. Both lovely people, easy to talk to. I was able to find out that my new knees are both Zimmer NexGens, not that I know anything about the different types. One knee had a 9 mm spacer, the other was 10mm. Apparently they are different due to different amounts being sliced/sawn off the bones.

My OS never found his packed lunch (I came round in the recovery room and saw him hunting for it) so had to send out for something to eat!

I saw my X-rays, before and after, and was told that I had had two very grotty knees. They are now strong and straight - it's a very strange feeling being able to touch knees and feet together at the same time now.

I asked about anaesthetic etc - and was very surprised to learn that I had had an epidural and a general anaesthetic, although the registrar (who was the one talking to me at that point) implied that it was given via IV. Is that likely, or have I misunderstood? I thought I'd had sedation. Oh well.......

They were very impressed with me. (I thought they might be! :hehe: )

My next appointment is in five years time!!! In the meantime I will be sent forms to fill in to report on my progress, and if I do have problems of course I would have to go back.

I was told to do as much walking as I can, to use the exercise bike as much as I can, and to swim. Well, we don't 'do' swimming very much as our local pool is not that easy to use. The local schools book it for most of the reasonable hours, and it's awkward to get to or park.

My hubby had dropped me off at the hospital for the check up. This was at our main hospital, but not the one where I had the operation. It was convenient yesterday as it's only five minutes in the car as a rule. However, the time of my appointment coincided with the busiest time of the day for traffic because all the schools were closing, so in fact it took 20 minutes to get there. Hubby decided to drive back home, as the parking charges at the hospital are ridiculous. The appointment was on time, and when I came out the traffic was still choc-a-bloc. I therefore decided to walk home - it's about a mile and a half.

On the way I decided to pop into Sainsburys for one item. Bad timing. There was only one 'basket only' till open, and all the other tills were incredibly busy. I joined the end of the 'basket only' and there were 15 people in front, several with very full baskets. Grrrrrrrrrrr. :hissy:

Anyway, I survived the standing. It took 15 minutes to get through the till, then I still had to walk the rest of the way home, which I did.

I have had absolutely no ill effects from all that walking and standing. I cooked the tea, then we had to go out to a meeting where I sat for a couple of hours. Today I have done probably nearly 2 miles of walking for various things, including looking round many shoe-shops trying to find sandals for my 11 year old grand-daughter who has size six-and-a-half feet and can no longer fit into children's shoes!! I'll have to report back to my daughter that there is one possible shop. (I was trying to save her time, as her life is quite frantic, with three children!)

So, life is VERY good! As I have posted before, my second TKR has been much easier to get over than my first. I think it's partly because the leg wasn't quite as bent, but also because I knew what to expect second time round, and had more confidence to try to do more each day. I certainly gave up using crutches after three weeks this time - just because I tried it, and I could.

I must admit that my knees don't feel like 'normal' knees yet, I still ache at times, especially at night. I take paracetamol (Tylenol?) from time to time. I'm struggling with stairs. Going up is relatively easy now, but down is still a challenge when the knee is stiff - which it is quite often. But......things can only get better I am sure.

I'll keep using this forum as I feel I know a lot of you now, and I love hearing all about you - plus your pets, gardens, problems, settees, celebrations etc.

Must close as I'm going out to yet another meeting this evening and must start to think about food!
 
Hi Val yeah you made your own thread like you said. I am so happy for you. You did some serious walking yesterday. I hope you do keep posting . We would miss you if you left, but would also understand. It gives us something to look forward to when I here your story. It is pretty amazing...You will be all set for your trip, which I hope you take plenty of pictures and share them with us...keep up the good work, like I know you will.............Congradulations my friend!!!
 
Well, Val!! You certainly are the latest poster lady for great recovery! Keep enjoying your life....you deserve painfree years to come! Good work!! :)
 
wow I am at 9 wks and could never do all that. Glad to hear you are doing so well.

But did I read correct. 6wks was your last check up for 5 years?
So far I have had the 10 days for stitches out the 6 weeks and will go to the 3 month one on the 25th or so of this month. Then I am sure there will be a year one and maybe one in between the 3 month and the yr.

Again congrats to you sucess and hope you just keep improving.
 
Congratulations on the walking and stuff! I'm 11 weeks out and sitting in my kitchen yesterday while my dog was in labour made my surgical leg swell. (My ankle looked like a puffball). I look forward to your amount of activity! (I'm sooo jealous!)
 
Congrats , it sounds like you are doing awesome. Keep up what you have been doing, it's working for you.
judy:thmb:
 
Val,
Congratulations on your walks! How great is that? I am rather surprised your OS does not want to see you for 5 years. My OS saw me at 4 months, and I will see him 6/19/09 for my one year check up and baseline xrays for my spacers. I had BTKR and he will keep on file these xrays and monitor the spacers every 2 years for wear. If per chance I wear them out, I will not damage my implants because of this monitoring. It is a problem when you wear out the spacer and then feel pain. This is when damage to the implants occur. You did say you would fill out questionnaires periodically, but what a difference between your OS and mine. I view the baseline xrays much like my baseline mammogram. When changes show up, they will be noticed with monitoring xrays every 2 years. When the time comes to replace my spacer, the x-rays will show the wear & tear.
I am glad you are progressing so well with this second TKR! Keep up the good work.
Best,
 
I agree that 5 years does seem a long time between appointments! Since I left the hospital (I was in for only 3 nights) I have had no input from or contact with anyone from the medical profession. No physiotherapy, no nothing! I think that is quite normal in this part of the country. I am sure if I do have any problems then there would be no problem in getting back to see someone - it could initially be my family doctor (GP), or I could contact the orthopaedic department directly.

I've had very little to do with our NHS in my life, being a generally very healthy bod, but I think they usually come up trumps in a crisis.

Hearing about all those PT sessions in other parts of the world, and all those follow-ups, is really interesting. Is it because we do have this NHS, all treatment being free (well, we pay for it in taxes etc.), whereas in the States you have to pay for everything, or your insurance coughs up. Is the medical profession making its money by making people have unnecessary check-ups? :pzld: Just a thought........

Thanks for all your good wishes and replies. I am absolutely thrilled with my new knees. I should have had them replaced years ago. Now I've got some catching up to do with all the things I've missed over time with being in pain and not able to do everything I wanted to do.

Watch this space!! :whis:
 
Val, so glad you started your own blog to chronicle your progress. You are doing GREAT!!! So fun to hear all your activities. Keep it up!!! And some photos too!!!
 
I've discovered a new way of doing PT. Borrow a baby! :wink:

I've been left in charge of my latest grandchild while my daughter takes her 11 year old to hunt for those impossible-to-find sandals. I put him in his buggy and walked him up and down our road for a while until he fell asleep. It was really easy to walk with the buggy. No worries about falling or anything! He's now fast asleep in the buggy :zzz: out in the front garden in the shade - it's another very hot summery day here. (Makes a change!)
 
Val,
Taking care of a baby and young children in general does give one a workout! I have been licensed as a Family Child Care Provider for the last 28 years. With the change in the economy I now only have 3 full time children in care daily and one part time child. The youngest is 16 months old and the oldest is 5 years. They keep me active and young!
Glad you were able to enjoy your grandchild and get some good exercise too!
Best,
 
Val just catching up with you. You sound fantastic and so positive! It really does seem to be a different medical world over there --But I don't think it's just because of your NHS. In the Czech Republic where my husband and I have been going for 20 years now they also have a state run health system, although they do, now, pay someething besides just taxes and a small copay for doc. appointments. However a knee replacement there involves 2 weeks in the hospital and more weeks in a very good rehab facility. My friend who had her hip replaced spent 8 weeks at the rehab place (she lives alone). In the US we seem to be all over the place -- some with more care and PT and doc visits, some with less. I think here the individual doc decides what he wants and if he accepts your insurance, it's mostly paid for. But we have big deductibles each year and most of us pay at least 10 to 20% of the charges. AS well as paying monthly for insurance -- even for MEdicare -- the government run insurance for 65 and older. Our system is a mess but I'm not to keen on your system after reading of all the experiences you and Jo and some others have had.
But the important thing is you have 2 new good knees and you can get on with life!
 
Swimming

Val, swimming - my surgeon said I wouldn't be able to do the breast stroke because of the sideways movement of the legs. Have you or anyone else been told this?
 
Back, thanks for your post. That's really interesting - about what goes on in the Czech Republic. I don't know much about that part of the world at all, although we did visit Prague and a few other places a few years ago. It didn't strike me as a place with top-class facilities in anything at that time! However, it sounds as if they have got a very good health care system running. Your US system, as you say, is all over the place, with lots of different experiences. I'm learning a lot about how other people live on this forum! Our NHS system varies here too. It seems to depend on which part of the coutry you live in. I'm very fortunate to live in a beautiful county, and our main problem is we get loads of tourists in the holiday season. They do silly things like getting sunburnt, or sunstroke, or get into trouble in the sea or fall off cliffs etc - as well as those who just fall ill while on holiday. It then totally clogs up our hospitals! However, most people here are happy with our NHS, as far as I am aware. Many people do have a private health insurance, often through their work - we had it at one time when hubby worked for a large company. The main advantage is that you can get to see a consultant more quickly, get an operation more quickly, be in a private hospital - but certainly where I live you would get the same consultants as at the NHS hospital. The NHS hospitals tend to be big, but they do have all the facilities if there is a major problem, which the smaller private ones often don't. I'd better stop wittering on, as I'm not an expert in this field, and this is only my own experience!!

Brian - I hadn't even thought about breast stroke. At my check up I was told I can walk as much as I can, use my exercise bike - but not to go out on a 'real' bike for six months - and to swim. I never thought to ask about what sort of swimming. I would like to hear other people's thoughts on that one too. I've been able to swim since I was a small child as I was born and bred in St. Ives which is a seaside town. However, I'm only really comfortable doing either breast stroke or a sort of backwards swimming! I've never been a competitive swimmer (well, to tell the truth, I've never been much of a sporty person at all) and can't do a proper 'crawl' stroke. I can see that breast stroke, which involves a sort of twisting of the knees the way I do it, might not be a good idea. :fdbk:
 
My Doc said that if I did the sort of breast stroke leg movements that he did - not very much, it was OK. I don't think you damage anything, you just can't do a large sideways kick movement.

I always thought the advice applied to THR but the surgeon said they were OK as the ball joint gave all round movement.
 
I only have one question at the moment...

"was only one 'basket only' till open, and all the other tills were incredibly busy. "

what does that mean???


Just kidding.

And I sure hope swimming is okay. I have been bugging my OS office every few days, and finally they said okay. I will be six weeks Monday, but will be in the water Saturday. I will probably be about fifteen feet under water, in fact. Hunting the elusive, but delicious, Queen Conch.
 
Gringo,
Enjoy your first water experience hunting that Queen Conch! I hope you find some and enjoy them for dinner. Enjoy your first real swimming in years without significant pain in that knee as well.....
Best,
 
Gringo, you're such a hoot! Do let us all know how your first real swim goes. Presumably if it doesn't seem to be forcing the new knee too much, it won't be doing any harm.

The sort of swimming I do is more like floating around being lazy. I wouldn't think it could do any harm.

My main problem would be getting in and out of a normal pool. Our local pool just has a vertical ladder to get in and out if I remember correctly. That would make life very interesting at the moment - could get stuck in mid-ladder! :whis:

There's always the sea, but it's too cold here for me. I enjoyed the sea when I was a kid, then got spoilt when we lived in Africa and were able to swim in the warm Indian Ocean. Is it warm where you are, Gringo?

You do use the word 'till' in the US, don't you? If not, what is it - a check-out perhaps? This forum is doing a lot for my general knowledge!
 
Well done, Val! You da woman!
 
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