Hi
@allahere , thanks for your friendly message.

I'll try to answer your questions...
I didn't exactly choose to stay awake. What I chose was a spinal plus sedation. The previous time I had sedation (for another much smaller procedure), I was totally unconscious - I didn't remember anything at all - so I expected it to be the same this time. However, with hindsight, I can see that keeping someone 'under' for a quick 10 minute procedure is much easier than keeping them under for 90 mins or so for a THR. They can't over-do the sedation because that would interfere with your breathing, so they have to give you
just enough, and keep it 'topped up' throughout the surgery.
In the early days post-op with this THR, I believed I was awake or dozing the whole time, but now I'm thinking more clearly, I can see that's unlikely; rather, I think I kept 'coming up' into consciousness. I remember some bits of it very clearly: my R arm being put into a strange sort of 'gutter' support; being covered in a silver foil blanket that stopped me seeing anything below my shoulders... I heard a lot of voices and tools... Hearing an electric drill or saw and thinking cheerfully "What's that noise? Oh yes, they're sawing my leg off"! And when I felt hammering, I spoke to the anaesthetist, to ask for more sedative, and was alert enough to realise my voice was quieter than I thought and that I needed to speak more loudly... I said politely "Excuse me, could I have more sedative please? It doesn't hurt, but I don't really want to
know"! Throughout it all I was perfectly happy - not at all disturbed by anything I was aware of; they specifically give you 'happy drugs' to make sure you are not distressed.
I feel like I am recovering well, though I admit I am frustrated with being so limited! I started off really well, and seemed to manage a lot very quickly - I walked 300-400 yards with sticks on day 2, climbed stairs easily from day 2 and stopped using sticks inside the house from about day 5-6 - but things are much slower now. Still, I'm pleased, because I was in so much pain and so disabled pre-op, so the change is great.

I am walking 3/4 mile to a mile with one stick (and have been for about 10 days), I am cooking and doing a lot of household jobs, I am socialising a bit, I am doing some gardening (but keeping to my restrictions). I went shopping to a big store for the first time yesterday. I get very tired, so I am limited by
how much I can do more than by
what I can do. I am doing PT at home, every day, mostly on my own but with 4 visits from a therapist. There are quite a lot of different exercises, but the approach here is 'little and often' so I do just 5 repetitions of each one 3 times per day. Funnily enough, my bruising is taking a long time to come out - I had my first visible bruising on day 9 and my first visible thigh bruising just yesterday! For this reason, I am not pushing myself physically; I am just keeping it up steadily. I am planning to go to the pool for the first time next Thurs (at 6 weeks). I will probably go to a PT 'hip recovery' group at the hospital from around 12 weeks.
I will see the consultant for my first check-up at 6.5 weeks. Nurses came to my house twice in the first couple of weeks, but discharged me when they were happy with my progress. I am expecting to have a total of 16 weeks off work - 12 as sick leave, and then 4 as holiday. I know that I would find work now impossible, because I get so tired, because my sleep is still very broken, because I would be very uncomfortable sitting all day, because I wouldn't be able to do my PT, and because I would use all my energy doing it and it would be impossible to manage the rest of my life - e.g. cooking for kids, shopping etc. I'm looking forward to being able to drive again, get out and about and
enjoy my time off when I'm a bit more able!
I don't know much about the US healthcare system, except I know that it costs a fortune! We are so lucky here in the UK to have free, universal health care - and my experience with this THR is that the quality is very high.
Right, the sun has come out and I'm going to go for my little walk. I hope this answers your questions! Take care!
