I realized that it has been a long time since I updated. My whole life has changed…….without my new knees none of it would be possible. I ended up retiring from my job & moved to Portugal! Patient care had become increasingly more difficult so while my plan had been to work until age 70, I started rethinking that. I disliked the increasing violence in the US & realized I could move elsewhere when I wasnt tied to a job. The more that I researched places, the more Portugal came to the top of my list. I visited in Oct 2021 with an idea of moving in 2023. I ended up liking it so well that I moved my plan forward and moved in Feb 2022. I chose to do without a car- my town is on the metro line to Porto. I bought an ebike ( my 1st purchase, ordered even before I arrived ). I now walk between 5-10 miles/ day & have put 800 km on my bike since Mar. Prior to my knee replacement, I could not walk even 1/4 mile without severe pain. I am loving living in Portugal & now I rarely even give any thought to my knees.