THR Sometimes peachy, sometimes the pits

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Peaches, when you log on, do you tick the 'stay logged on box' ? I got caught when I first joined losing long posts :)

My, I was tired reading your update.. Rest in between those active days, still early in recovery for you honey :)
 
Peaches What a lovely and poetic post! I'm sorry about the back pain, but it sounds like the PT (wonderful person) knows what you're up against and that the physiatrist might be what you want. Trouble aside, wouldn't it be great if one of those could fix you up? I agree (from experience) with your PT that core exercises can really help support your back. It's a pain to add another half hour to the old exercise regime, but it does pay off in very many ways. many things become easier when you have a little core strength.
Hope you slept well despite the nap :)
 
Peaches It sounds like you are really moving! Two walks a day, and one at night. That's great, especially the day after your expedition. I hope today is going well and that the lower back pain has subsided. I don't know if it is relevant to you, but my PT had told me not to walk too far at once until my knees had been strengthened, as it would cause more pain. Obviously, we have different knees, but mine have also been "evened." Hard to know.

I can see why you would be sad to part with your at home PT. She has been a source of support and reassurance, and with work looming, that would be helpful. Her additional challenges to the exercises you are already doing sounds very like what my outside PT is doing. He has added more sets to each of the exercises. The only totally new thing is riding the stationary bike-8 minutes both times. Not my favorite activity but supposed to be good to move the hips and knees. So, even if you decide not to do PT, you can slowly increase the sets/reps of your exercises.

I have seen a rehab specialist for knees for years, and for a while he shared an office with a physiatrist-I believe another form of rehab medicine for folks who are trying to avoid surgery. As you said, you have to handle starting work first. You can evaluate knee issues later. In the meantime do you have one of those wrap-around stretchy knee things that holds an ice pack? They sell them at a pharmacy, and it's really good to have one, as it holds the ice tightly on your knee.

We both have our OS visits on Monday-fingers crossed for no more toilet risers. I have really come to hate that thing, even though I will probably have to do a reverse limbo to use the facilities! Have a peaceful weekend and stay cool.
 
Peaches Wow! I missed all of your milestones and your treks about town. You're really on the go now. There's no holding you back. Congratulations on your successful bus rides and bathroom practices, block walking and shopping. You are doing just great! It doesn't sound like going back to work will be an issue for you at all. I think your OS will be delighted in how well you're doing, and the restrictions will be a thing of the past. And Peaches, it should just get better and better for you. You'll figure out your back, the core strengthening can help that. You're knee already sounds like it's behaving somewhat nicer for you. Everything sounds like it's on the up and up.
Good luck with the appointment Mon. and let us know how it goes for you. I hope you get some nice sleep tonight, full of sweet dreams.
 
Hello, Poppet: How have you been???
Thanks for the reminder to not overdo it. I need to be mindful of that. I have felt really good the last few days and just want to walk and walk and walk. But I have stopped just in time, I hope.
I'm sorry to say I haven't seen the "stay logged in" notification, but will look for it. I hope you are doing well?
 
Hi, LeeApril26, ByGosh, & Songlady: How sweet of you to check in. I just posted my happy response to Lenora about her checkup over on her thread. Okay, here goes:

The visit was with the actual surgeon, thank god, not his assistant. He was very cordial--though not warm and fuzzzy--but it was VERY VERY brief. Disturbingly so. He said he was very happy with my X-rays and that the implant looks exactly like it should. Because of that, he doesn't need me to come back for another X-ray FOR ONE YEAR. I was very disappointed about that. He said that is his usual protocol--unless he feels there is something in particular he needs to keep tabs on. He also said if any "issues" arise, I can feel free to come in for an appointment.
He told me all restrictions are lifted EXCEPT this one movement: I can't reach down, with either hand, down to the ankle of the operated side. Not for a couple of months. (In my last pre-op consult with him, when I told him I was paranoid about the restrictions, he said the biggest one he cared about was this one.) I asked if there was anything I should not do "for the rest of my life'" and he said no. Unfortunately, I did not ask specifics--such as: a bath; swimming; getting onto the floor; riding my pedaler that you pedal while seated; what if anything can I rub onto my scar. I did ask about the medications I've been taking (the prescription aspirin and the prescription antacid) and he said stop taking them. I told him I now rely on extra-strength Tylenol--six per day--especially since I'm about to embark on work again. He said that's fine, for a few more weeks or so. We talked about the use of the cane and he asked when I stopped using it for walking indoors. He said I can use it or not use it--it won't affect my gait or progress one way or another. But he said if I feel I need it for reassurance while on the city streets, for stability, or at work to signal to my coworkers that I am still not recovered totally, that was fine. He did NOT watch me walk, check my gait. He did NOT put me on the examination table and test my range of motion. I don't know what to think about this stuff.

I like this guy and I have felt totally confident in him from the day I met him. I heard some buzzing about him at the hospital that indicated he is considered to be quite a skilled surgeon. He's one of these people who is confident without acting arrogant at all. He seems very smart and conscientious. But he's a liberal guy about this surgery, I guess. And I have to ask the questions, and even though I had a list, I got worried about spending too much of his time.

So ... am trying to feel good about everything. He did say that there will be residual soft-tissue pain for the new few months and not to worry about it; that the lower back pain is probably because of the new gait (re: having to lengthen my leg so my legs are now the same length). He said six weeks from now I will notice I feel a lot better than now. He agreed to write a prescription for outpatient therapy, too.

I feel very relieved about so many of those restrictions being gone with the wind! I sat down gingerly on my super low toilet at home and it hurt to get down that low and get back up, but I could. I think I will hover for a while so I don't get too sore too soon. I did sit right down on the bus and that felt good. I am still using the golfer's stance to pick up the stuff I continue to drop, but I'm not worrying about it.

I confess I was in a big of a funky fog during the whole expedition. I got probably one hour of sleep, tossing and turning (we had thunderstorms) and having awful work dreams. Then when I got up too early from giving up on sleep I found emails from work friends who were warning me about some possible layoffs at the office. I know that by law I can't be let go for anything related to my taking off for this surgery, but employers have a way of getting around that stuff. And I guess my concern is that ordinarly when your office is looking to cut staff, you work extra hard to prove your value. And right now the last thing I can do is work extra. So I am a little frazzled and concerned.

But ... I can eliminate worrying about struggling with pillows on the bus and at work. And the darn toilet!

I hope everyone had a good day! I can't tell you how much I appreciate your good wishes! Six weeks feels like a real milestone, doesn't it? I can't believe it has come and gone.

And ... LeeApril26: Is this crazy or what ... but I kinda feel sad that I am "released" from the surgeon and his "team." Kind of at sea. Though I have already emailed his nurse, as I've been told I could do all this time, to ask her a couple of questions I failed to ask him. It's an odd feeling. Am I crazy to feel a little sad? Oh, nutty peaches. Nutty, Nutty Peaches! (That sounds like a dessert.)

:)
 
Oh, dear, dear Peaches You're not nutty! Not one wee little bit! Of course you feel at sea, it's normal after this big surgery and the safety net of all of the restrictions. He sort of freed you up. But you're not at sea - the nurse can be your lifeboat for whatever questions you have. And you can always make an appt. to see the OS if anything new comes up, plus you'll be having out-patient PT, so they can answer questions. AND you're still with us. (Talk about nuts!) We're not doctors, but you know that you have this community that's so supportive and will help when anything arises. It's like they say about going to church - people live longer if they attend church. It's because they have the support, friendship, and advice from a group of people who care. And we care about you, and about each other.
I feel so bad that you didn't sleep last night from anxious dreams. And now you have to worry about work. :sad: Not fair. But Peaches, try not to worry about what may never happen. Stick with your great recovery, your lifting of restrictions and being able to get around without so many hinderances. You're doing great and you'll keep doing great. And why would anyone in their right mind lay you off? You must be the brightest light in your office! You sure light up life around here! :)
 
Peaches (with or without nuts...:rotfl: ) What a wonderful report! And LeeApril26, ByGosh, and all -
I, too, am using the golfer's reach for low things. Interesting about reaching the ankle.....frankly, if it feels uncomfortable to do, I'm not likely to do it too much anyway. I "can" tie my sneakers, but on the op foot, the bow ends up being way to the inside rather than centers, and it is DARNED uncomfortable to tie!!

That being said, I am finding that the regular toilet is increasingly fine after several days, and I trust you will, also.
I found his comment about various soft tissue aches being normal as being very reassuring! Thanks for reporting so well!!

BUT, your comment about feeling a bit low about being released from their care? BINGO! When I was searching the BS archives I found a post from myself 3 years ago exploring EXACTLY that topic! I'd just been released from my OS and they'd all cheered for me when I'd walked into the office - and I felt so let down and blue after! I think in part the surgery is SUCH a big deal, and we dread it, prepare for it, it's our main topic for a long time before and after - (and, speaking for myself, the whole recuperation period lends, appropriately, to being absorbed in how I am doing and being somewhat self-centered as I process the whole event) and then.... they say, in essence: Great! It worked! Go back to being one of the crowd again....! I don't know; but reading my own post from last time made me think about this topic a great deal. (You can search for this post by searching Songlady's posts, then looking for one of late June/early July 2010 entitled something about being blue. BS was different back then, and we all started a different thread with every new thought - harder to keep up with people!)
My OS releases people at 12 weeks, so I have one more appointment. But I am anticipating that let-down feeling.
So... I'm pretty sure it's very normal. And don't worry - we all still have each other! :friends:
 
Peaches. A year! I was told my X-rays were fine and to come in and see the PA on 7/15. I may reach for my feet between my legs but not turn my knee in and reach along the outside. I specifically aske and demonstrated reaching out with my hand along my straight leg to my ankle and he said fine. My visit was brief, too but he did check my ROM, as did the PA. I did not ask and no one made suggestions about the cane or gait. The OS was so upset about my sandals that he didn't go into too much else. I am celebrating the end of precautions despite the bad news about sandals.
The thunderstorms were horrid. Some streets in Brooklyn had waves today!
Not crazy at all at feeling adrift. This is big time stuff for us but routine to them. And a whole year is a long time to wait, though being able to email a nurse or PA is good. I did that as soon as I got home, as I had forgotten to ask about security, like at airports. Even though I have a ceramic implant I may still set off alarms and will be given an implant card on my next visit.

It seems unlikely that they would go after you at work right now because of the surgery and potential lawsuits, but it is awful that you have to worry about that while you are adjusting to returning to work. When do you have to go back?
 
Have any of you ever heard of an OS not checking ROM and waiting a whole year after the first six-week checkup? Tell me the truth. I can handle it. Would you be as concerned as I am about this? I find it so hard to believe that this guy is a negligent surgeon. Some of the other surgeons I met with, I can't say the same thing.....
I'd respectfully like to have your candid opinion about this. (Do you think it possibly has anything at all to do with ins. issues? I think it's so ODD -- six weeks; then A YEAR.)
LeeApril26, I'm sorry to laugh, but the way you said "He was so upset about my sandals" cracked me up. If one hadn't read your thread about why he was upset, one might think he was upset because of some vague fashion faux pax: Sandal-cide or something. I'm sorry. I'm sure you didn't need to hear that from him given how difficult it's been for you to find comfortable shoes. I sure hope you do on your trip! I have been thinking how lucky we are to have had our surgery now, so we could recuperate and practice our walking during nice weather rather than the cold and snow. But the one down side is SANDALS. I will not be wearing them this summer, at least not outside. Thanks for the tip.
Thank you to Songlady & ByGosh for your nice words of support. Trust me, I have not always been too peachy at work, especially during my last five years at this particular organization. I'm not sure, by the way, if the surgeon meant I could always email his nurse. He only told me that when he visited me in the hospital. I just took it upon myself to email her today to ask questions I forgot to ask him.

Sorry: More questions: Do you think it makes sense that the residual soft-tissue pain in various spots can be worked out via good old Father Time rather than PT? I mean, if the knee is sore because he leaned on it during surgery (just speculating that could have happened; I've read about that happening), then it wouldn't necessarily require PT to fix it, right?

Well, thanks for your support and for giving me your perspective about the reverse-empty-hip-syndrome I am feeling. Songlady, I will go back to look for your earlier report. I hope you don't experience it again, this time.
Maybe one reason we feel this way is because our OS and his team turned out to be the one group in our lives who could actually "fix" us. I mean, other doctors, friends, acupuncture, acupressure, massage, PT, exercise, rabbit's feet, etc., -- all of that, in the end, did not fix us. The OS did. All roads ended at the OS's office. So the OS is kind of like "home" for us. Oh, boy. I am tired. This is a real stretch, isn't it? ?????
:)
 
Peaches. Why don't you ask Josephine if the one year visit is unusual? There seems to be so many differences in directions from the surgeons. Also about the PT.

As for fashion-code, it is way worse than my sandals!
 
oh my dear Peaches As you tell the visit, it went very well. As you experienced it, sleepless and nervous and anxious, it was not quite so. We read the objective version, you experienced the up close and personal version, which always colors what happened..... :)

Have any of you ever heard of an OS not checking ROM and waiting a whole year after the first six-week checkup?
I believe that's what mine does! I seem to remember that's what the nurse said. There must be some kind of "if it's good at 6 weeks, and there are no circumstances to make the patient come back to me, experience and statistics show that patient is going to be just fine" going on. When I teach a student, say, to play some pieces for a graduation recital, there is a point that is clear to me BUT NOT TO THE STUDENT, at which I know the student is going to play just beautifully, barring unforeseen mishaps. I didn't go to school for quite as long as that OS, and my work does not involve life-or-death decisions, but I know how he feels. The student has to trust me. I can transfer that feeling to my OS, i sure hope, when the time comes. (Who knows what will really happen...)
I'm trying to concentrate on you here LOL but hubby is having a very deep conversation with son not 15 feet from me, I have to give up and come back tomorrow. I want to validate everything that you feel, b/c it's all real and valid and worthy. But I want to believe that your OS is good, and your faith in him is well-founded! :) :) chris
 
Peaches I think tagging Josephine or one of the other moderators may help answer your question about the one year visit timing. I didn't see anyone until 6 weeks post-op, which I thought was a long time, and then @12 weeks. I think he wouldn't see me again for a year, but because of my soft tissue inflammation, he made a follow-up appt. for 6 more weeks. (He must be concerned about something to do that.)

So I would think your surgeon saw your x-rays, saw you looking good, maybe you had no complaints, and he figured you were good to go. Maybe he is that skilled that he could tell your hips were fine just by your presentation and whatever he asked you. You can always ask the nurse if it's typical to go for 1 year without another visit after the 6 week check up. Or just go ahead and schedule an appt for 3 mos for reassurance.

PT could evaluate you and determine if there are exercises to help the knee pain, say quad strengthening, or stretches. Or evaluate your gait to see if the knee is stressed for some reason. It could give you information about your ROM, too. If you can do PT, even just 1 or 2 visits, it's probably a good idea if you still have lingering questions or pains, just to see what's recommended. You could always tell them upfront that you can only do a few visits.

I hope you can set your mind at ease a little bit, dear, and get some sleep tonight. If he
thought anything was wrong, he would have had you come back sooner.
 
Peaches In the UK, the OS will usually only see you once post-op, then discharge you for a year if you are OK. Yours probably tested the ROM fully when you were in theatre and didnt feel the need to do it again. I dont suppose it crossed his mind that testing the ROM would give you peace of mind and reassurance. It seems that a lot of the OSs only see a 'hip' and forget that there is a person attached to it.
I hope everything goes OK at work. Bad enough having to go back as it is, without having that landing on your plate.
 
Hi Peaches,
Same routine here...6 week check and then an appointment for one year's time.
I think it must be compulsory for good OS men to have a charisma bypass before graduating.
Noe it's men. Heard the other day that only 3% of OS are women so not enough good caring role models as they went through theirtraining or after!!
Like you, I have so many unanswered questions. There was a group of 3 OS at my appointment...I think he was showing off a complex case, so I did get to ask the more junior one( at least I think he was) a couple of questions after the others sailed out of the room! Still a lot I need to know for the longer term. My physio is pretty knowledgeable so I will bombard hime before I finish.
I also understand the withdrawal reactions....almost as though someone has taken away a lifeline!
Perhaps we'll feel fully weaned in a couple of months! :)
 
I didn't see anyone until 6 weeks post-op, which I thought was a long time, and then @12 weeks. I think he wouldn't see me again for a year, but because of my soft tissue inflammation, he made a follow-up appt. for 6 more weeks.​
ByGosh I believe this is just how your surgeon does things. My surgeon I saw the PA at 12 days, surgeon at 6 weeks, I see the PA at 12 weeks (first part of July), and he told me he himself wants to see me at 6 month mark. He told me my ROM was great, when I told him I feel great he said "Didn't I tell you it takes up to a year to really get to normal" so if you feel this good now imagine how you are going to feel after a year.

(Do you think it possibly has anything at all to do with ins. issues? I think it's so ODD -- six weeks; then A YEAR.)​
Peaches I wouldn't think it has anything to do with insurance. I believe that once the surgeon did your operation these office visits are connected to that surgery. (Even your 1 year) At least, this has been my experience with surgeons not that I've had many but it was that 44 years ago and now with my hip surgeon. I believe this is how your surgeon does things. Peaches, I think your recovery is finally coming around for you. You had gone through so much but....look at you now. I remember telling you to focus on your recovery when you were stressed about returning to work and you were about 2-3 weeks post op. I think you have come so far and now just like you said, are going back to work after 6 weeks.

Yay for you on the precautions! That in itself is a mood lifter no more high riser seat, no more pillows, no more reacher (though it is a handy dandy tool), lay on our hips or stomach if we want, drive again (in my case) and the list goes on. PT I think will set your worries at ease, as they will check your range of motion. It is a personally option but I personally believe in having outpatient PT. I am glad my PA prescribed it at my 2 week mark (but I did not receive in home PT).

Here's to you girl :cheers:
 
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