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NatalieMeadows
post-grad
Oh Sonja thank you so much for your lovely words 
xxx
Off to PT today
xxxOff to PT today
Op was off - and then on again!
- Thread starter NatalieMeadows
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OP
OP
NatalieMeadows
post-grad
PT was quite gentle today he wasn't happy as my patella felt very stiff and the whole knee is very swollen so I have strict instructions to come home and RICE so that's what I'm doing
Hope your all well xx
Hope your all well xx
rerodriguez
senior
Natalie, I'm glad he gave you a break today. Hope your pain is decreasing and you can get some rest.
I hope today was a better day, Natalie. :dogkiss:
I love your wedding picture, it's beautiful!!!
I love your wedding picture, it's beautiful!!!
OP
OP
NatalieMeadows
post-grad
Thanks Susie
I'm off to Physio again soon
I'm off to Physio again soon
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NatalieMeadows
post-grad
Thanks Jo my range is still between 80 and 90 so I haven't made any progress in 2 weeks and I can only achieve 90 by being in pain.
He is concerned about my pain swelling and heat coming from my knee so he says to discuss all this tomorrow at my hospital appointment.
He seems to have lost interest in me to be honest he doesn't seem to know what to do next and I feel like I am constantly making suggestions and asking questions!
I am still walking out doors with 2 crutches I can manage in the house with 1 and very short trips like to the bathroom with none,I can't do the stairs normally yet and I am still experiencing pain on a daily basis of between a 7 and 10 on a scale from 1 to 10.I am still on full Meds 40mg MST morning and night plus paracetemol and Oramorph.
It's 10 weeks today since the op.Am I expecting too much?
He is concerned about my pain swelling and heat coming from my knee so he says to discuss all this tomorrow at my hospital appointment.
He seems to have lost interest in me to be honest he doesn't seem to know what to do next and I feel like I am constantly making suggestions and asking questions!
I am still walking out doors with 2 crutches I can manage in the house with 1 and very short trips like to the bathroom with none,I can't do the stairs normally yet and I am still experiencing pain on a daily basis of between a 7 and 10 on a scale from 1 to 10.I am still on full Meds 40mg MST morning and night plus paracetemol and Oramorph.
It's 10 weeks today since the op.Am I expecting too much?
I took my full pain meds until about 2 months out from surgery and I know others have needed them longer, so I think you are firmly in the "normal" range there. You have other issues besides just a straightforward knee replacment, so to me it's possible that your physical recovery may go slower.
But what bothers me is your statement that your surgeon seems to have lost interest in your case. If that's true, that is NOT a good thing! Is it possible under the NHS for you to get a referral to another surgeon for a second opinion? If at all possible, I would try that just to get a new set of eyes on what is going on with you.
But what bothers me is your statement that your surgeon seems to have lost interest in your case. If that's true, that is NOT a good thing! Is it possible under the NHS for you to get a referral to another surgeon for a second opinion? If at all possible, I would try that just to get a new set of eyes on what is going on with you.
Lindawalms
graduate
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I like Jamie's advice - a 2nd opinion would prob b good...
xoxoxo,
Linda.
xoxoxo,
Linda.
OP
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NatalieMeadows
post-grad
No sorry that's me confusing things I meant the PT has lost interest in me but the surgeon isn't far behind either actually I'm not seeing him tomorrow his registrar is there instead and I did suggest I waited till he was available and he said there was no need!Charming eh?
Hopefully seeing his registrar will make a difference and it will be nice to have a fresh look on my case.
Jamie thankyou for reassuring me about the Meds and like you say it's not a straightforward replacement.
I'm not sure I will get much from tomorrows appointment but we will see xx
Hopefully seeing his registrar will make a difference and it will be nice to have a fresh look on my case.
Jamie thankyou for reassuring me about the Meds and like you say it's not a straightforward replacement.
I'm not sure I will get much from tomorrows appointment but we will see xx
Ohh...thanks for clearning that up, Natalie. Sorry I misunderstood and I think you're absolutely right that it may help to talk to someone different.
OP
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NatalieMeadows
post-grad
Thankyou so much Jaycey xx
May I ask what's a registrar in the UK? Here in the US it's someone who's an official keeper of records, not really a term I'd use to describe someone in the medical field, except for the records keeper.....
(((((hugs))))) Natalie...... :dogkiss:
(((((hugs))))) Natalie...... :dogkiss:
OP
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NatalieMeadows
post-grad
Hi Susie it's a member of the surgeons team,consultant is top man and then he has a registrar who isn't a junior doctor but someone that is learning from him.I think that's the right explanation!
Thanks for the hugs xxx
Thanks for the hugs xxx
Josephine
NURSE DIRECTOR EMERITA
A team consists of
Consultant: one who has his FRCS and other qualifications, has undergone the 5 years post-graduate orthopaedic rotation training and has now been appointed as a consultant orthopaedic (or whatever) surgeon and is employed by the hospital as such.
Senior registrar: one who has his FRCS and is under going the post-grad rotation training. He might be assigned to this team from anything from 6 months to 2 years before getting himself a consultancy
Registrar: one who is studying for his FRCS. These appointments are often for 1-2 years and may be renewed.
SHO (senior house officer): is in training but able to work without too much supervision. Assists consultant and/or registrars in theatre but only does a few minor surgeries under close supervision.
HO (house officer): is fresh out of medical school (uni) and has to work under close supervision all the time. Rarely gets to theatre and does no hands on surgery except maybe suturing in the A&E.
In larger hospitals or those associated to a local university, there might also be a Professor who is in charge of a team of consultants and dictates department policy though each consultant is still permitted to work to his own preferences.
FRCS is Fellowship of the Royal College of Surgeons. Doctors are generally not allowed to perform surgery without this qualification.
Orthopaedic rotation training is undertaken in one of the 5 centres of excellence in the UK (RNOH, Manchester, Birmingham, Oswestry and Oxford) and lasts 5 years.
Consultant: one who has his FRCS and other qualifications, has undergone the 5 years post-graduate orthopaedic rotation training and has now been appointed as a consultant orthopaedic (or whatever) surgeon and is employed by the hospital as such.
Senior registrar: one who has his FRCS and is under going the post-grad rotation training. He might be assigned to this team from anything from 6 months to 2 years before getting himself a consultancy
Registrar: one who is studying for his FRCS. These appointments are often for 1-2 years and may be renewed.
SHO (senior house officer): is in training but able to work without too much supervision. Assists consultant and/or registrars in theatre but only does a few minor surgeries under close supervision.
HO (house officer): is fresh out of medical school (uni) and has to work under close supervision all the time. Rarely gets to theatre and does no hands on surgery except maybe suturing in the A&E.
In larger hospitals or those associated to a local university, there might also be a Professor who is in charge of a team of consultants and dictates department policy though each consultant is still permitted to work to his own preferences.
FRCS is Fellowship of the Royal College of Surgeons. Doctors are generally not allowed to perform surgery without this qualification.
Orthopaedic rotation training is undertaken in one of the 5 centres of excellence in the UK (RNOH, Manchester, Birmingham, Oswestry and Oxford) and lasts 5 years.
Interesting, Jo!! Thanks for the complete description of the hierarchy. It sounds like an excellent training program for surgeons to have all those levels to accomplish.
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NatalieMeadows
post-grad
Thanks Jo
Well all went well at my appointment the registrar said that everything was going fine and the recovery period was definetly expected to be longer because of the previous problems I had.He said I should think about the recovery period to be more like 6 months to a year than 3 to 6 months :thmb:
Well all went well at my appointment the registrar said that everything was going fine and the recovery period was definetly expected to be longer because of the previous problems I had.He said I should think about the recovery period to be more like 6 months to a year than 3 to 6 months :thmb:
rerodriguez
senior
Natalie,
This is good news! These are more realistic expectations. Maybe PT can help you find a good balance between exercising and resting. Listen to your body. You know it better than anyone.
This is good news! These are more realistic expectations. Maybe PT can help you find a good balance between exercising and resting. Listen to your body. You know it better than anyone.
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