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Surgery is over, Bobb has crossed over

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bobb

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Oct 6, 2008
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Location
Merritt Island, FL
Hi Friends,
OMG, what a nightmare that was. In pre-op as I was telling everyone, I did freak out. I already have panic attacks and take valium every so often, I get a bottle of 40 about every 6 months, so I don't take them often. Anyway, as things continued to progress I kept getting more and more anxious, and everyone around me knew I was upset. Then the anesthesiologist (spelling?) came in and started talking about that femeral nerve block that I was so worried about. I just broke down, I was shaking, crying, could not breath, vomiting. They asked me if I ever had panic attacks before and I told them yes I had generalized anxiety disorder. So the Dr. told me no worries they did not have to do the nerve block and then told the nurse to juice me up good, exactly what she said. My 18 year old son told me later they gave me the largest dose of medication (I don't remember what the medication name was but my son said it is the strongest type there is) that is allowed, I think it was 4mg. Well I was under control then, and just along for the ride. A few minutes later I was in the OR being setup with monitor and being put on the table. The Dr. told me when she put in the sleepy medication, I remember it taking about 8 seconds and the lights went out.
Now I wake up in recovery, and oh my god, never in my life have I ever had pain like that,ave me it was horrible, they gave me morphine, fentynal, dillaudin all together and I was in terrible pain. I think I now know what my wife went through giving birth, although the pain was different I'm sure, the scale was equal if not more for me.
I go to my room and just keep pressing my button. They had to adjust the dose for my pump, I was about to get .6 of dillaudin every 6 minutes or 12mg every 4 hours. It took me 6mg to get it under control, and then I was able to relax a bit and sleep.
Two days after surgery it was suspected I might have a blood clot so everything was put on hold, and me on 100% bedrest. I had to get an ultrasound and had to wait 2 days for the results. I stayed a few days longer than expected and came home Monday night.
I have the home nurse and physical therapist coming out each day working with me and trying to get me back on track because of my two days I spent doing nothing, everything got stiff. My ROM is up to 42% right now which the PT said was a little behind. I need to be at 90 by next week, that's my goal. I have the CPM going from 0-48 yesterday, and today I hope to get it up to 53-55.
Still have quite a bit of pain, taking 20mg oxycontin twice a day and 20mg percocet every two hours. That seems to be keeping me functional and the boost of the percocets help when I do PT or the CPM. I can get away with not taking the percocets every three hours when I'm not doing PT or CPM.
Right now sleeping is a challenge, thank goodness for Ambien. I hate sleeping on my back and thats the only way I can sleep right now.

On my way to recovery, day by day, hour by hour. Thanks again for everyones support up until surgery, and now during recovery. Lot's of good friends here.

Bob
 
I'm so sorry for your experience in the OR, Bob. That must have been quite an ordeal. But at least you are home now and - as they say here - it's all over bar the shouting!
 
Bobb, pleased to hear you are home and safe now. I used a body pillow to drape my leg over and was able to sleep better. All the best for a speedy recovery, but don't bet on the speedy!! ((((HUGS)))) Sue
 
Bobb,

Wow, what an ordeal. I am glad you are home and can control your pain. I wish you an uneventful recovery.
Judy
 
Bobb,
Glad you are on the other side. Sorry it was a tough time for you. Just remember it does get better. I slept in a recliner for the first 6 weeks with my legs elevated above my heart. It made icing much easier at night too. I was in the living room! Good luck with the recovery.
Best,
Crystal
 
Lastnight was a little better sleeping, I tried what you said Sue about the pillow, but it was a little uncomfortable by making my knee feel like it was bending sideways. Did you put your leg with the bad knee on top or was it facing down on the bed? I placed my leg with the bad knee (new knee) on top and slightly bent with the pillow under it supporting it. So I just ended up on my back with the two egg crates under my leg, and like I said it was an OKAY night.
PT was here today, today was day three of PT. If you remember the day after surgery they stopped all activity and put me on bed rest because of a possible blood clot, then sent me home Monday, the same day they cleared me from having a clot. I think I'm doing pretty good for day three, PT keeps telling me I'm behind and have to push harder. I don't mind her motivating me by pushing me, but let's have a little positive reinforcement. (LOL) I started Tuesday at 40 degree's flex and today I'm at 61 degree's, so I got 21 degrees in two days. Jeez, I just had a total knee replacement, I'm not going to get all my ROM back in a week. When she measured me at 61 degrees today she said you have to keep trying because you must be at 90 degrees by next wednesday. Does anyone else have some ROM figures to compare at three days post op with me? Technically thats where I am at, 3 days post-op at 61 degrees. Does that sound practical or sound like I'm behind the 8 ball?
The bruising is getting better and I can touch my shin and calf now without crippling pain. But it still hurts like holy H.E. double toothpicks when I stand up. My calf and shin throbs like mad for about 3 minutes, then I'm okay to get around. I'm walking pretty good, it's just those first few minutes after standing up.
Continued thanks to all for your help and support. Sue if you get a minute, please let me know about the way I had my leg, if it was right or not?

Bob
 
Bob,
I had a hip replacement so cannot comment on many things. But sounds like you are doing great and just had a great improvement.
Judy
 
Bobb,
You have to remember each of us are different in our healing and how much ROM we had prior to the surgery. What was your ROM in that leg before surgery? Mine was 130 and 0 before surgery. 3 days post op I was at 90 and 10. 4 days out I was at 105 and 5. When PT came to the house the first time I was at 110 with the left and 115 with the right and about 3 & 5.
It will come, but you have to work it! It is hard work.....
Be sure you take your pain medication about 20 minutes before PT.
Best,
Crystal
 
Bob,

My therapy was delayed for about a week due to some complications, I ended up with some very serious tendonitis in my ankle. The doc said he probably over worked me during surgery and it set me back a bit. I also had home therapy and a nurse for a few weeks. As for my calf and shin they told me to wet hand towels and microwave them for a few seconds then lay them on the calf muscle. So I did this while I iced my ankle and my new knee. It will get better. Ask anyone here I was whailing like a baby day after day for a week or so. Have faith and don't push yourself too hard.


Juls
 
Hi Bob,
I can't comment on the knee issues, because I'm a hip girl. But I had a pretty touch time in the OR too (anxious, etc., but I ended up with the spinal block ((TWICE)) for the first half of the surgerey). I am now home and today was also day 3 of home PT for me. I am 10 days post op, and it really does get better. Today I walked on crutches to the house next to ours on the street. I consider that a victory (I'm no weight bearing, only toe touch) and still feel pretty weak.
Hang in there, try to find a good book, and keep your laptop handy! Between books, laptop and reading stories to my daughter, that makes pain a little less!

Best of luck in recovery and keep at your excercises.

Lidia
 
Lidia, glad you are on the road to recovery, it is hard and a lot of work. I am so glad to see that hip and knee are communicating, especially since many of us will end up having to have all four joints replaced. Plus it is just nice when we all talk and support each other. Your advice on keeping your laptop handy and finding other ways to divert your attention away from yourself was great. I find I always feel better when I am concerned with others first, before myself. I think most of us would describe our time prior to surgery and directly afterwards as a harrowing experience. We all go through about the same thing and if we work hard and were lucky enough to have a good surgeon we all get to about the same place within about six months. I am a firm believer that it is up to us and also believe that no matter how much research we do, and I am one who believes very strongly in taking your time in choosing a good surgeon, still even the best surgeon can have a bad day and our results can reflect that. Hope you are feeling much better soon. Good luck. Rowdy
 
So, seems to me, if you get four or more joints replaced, you ought to get a discount or a prize or something :) You know, like your tenth double latte free :)
 
Bob -
I was a slow poke with ROM. I came home on day 4 with 50 degrees - UGHH. Was told by OS to have 90 at 2 weeks - ahahahaha - Yeah right - made to 90 and got stuck at 2-3 months. good thing was i never got yelled at. you do what you can and push as hard as YOU can. Not as hard as they tell you. Remember - most PTs have not gone throught what we are dealing with - that's why I like mine - they tell me to push and push but realize when the painis maxed me out. I ended up with a MUA which has been extremely helpful! We keep pushing. Take those meds - especially b4 PT. I am at over 3 months and tried PT for the first time without the flexirile (still used the hydrocodone) friday - OMG! I have been paying the price all weekend. I am getting a refill today! You can't stretch muscles that won't relax! Trust me - i was a moron. I only use the meds now for b4 and sometimes after pt. ibuprofen works fine at 3 months out for some of us outside of pt.

Don't let them get to you about the ROM - Do the best you can - ROM has been the source of much "depression" (may be too strong a word) for me - i have got to listen to my own advice - let it go and do as much as YOU can.!

Hang in there - I'll be thinking of you when I am pushing at PT in the AM!

Marianne
 
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