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HerbM Bilateral Total KNEE Replacement surgery Oct 21st, 2014 -- WOW!
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Peter_C Offline

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Post: #81
RE: HerbM Bilateral Total KNEE Replacement surgery Oct 21st, 2014 -- WOW!
Hehe - first, I have never been, and most likely never will be in "top shape". My left knee (nine prior surgeries) took some 18 months before it became strong and natural/normal feeling - prior to that if I worked it hard, I had pain where my other put screws in (below the knee), and random knee swelling.

Herb - yes, you are completely correct on your reread of that statement. It *IS* HUGE~! In my context, I have not been where I am currently since around 1999. I am sitting here typing, and at this moment am 'pain-free'. Sure, it could change as soon as I stand up, but the point is the last time I was "pain-free" I was also falling down drunk and feeling nothing.

At a number of times I was taking 180mg of morphine (pill form) daily. Currently I am taking 60-75mg of morphine (pill form, time release) daily. And I see the pain Doc later today, and am planning to discuss seeing how low I can go (remember, the shoulder is only bout 70%, and PT started last night).
As an aside: At all times I am fully functional and not 'druggy' - though my short-term memory isn't the greatest.

My primary method of strengthening/getting the knee back to normal is walking, cycling, and stairs (recumbent trike riding for the win).

*I* am not a DOCTOR or any type of Health Care Professional. My thoughts/suggestions/ideas are strictly only my opinions.

"Only two defining forces have ever offered to die for you. Jesus Christ and the American Soldier. One died for your Soul, the other for your Freedom."
11-11-2014 12:28 PM
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herbm Offline

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Post: #82
RE: HerbM Bilateral Total KNEE Replacement surgery Oct 21st, 2014 -- WOW!
If you have access then a leg extenson machine (contiuous passive motion or CPM) might be a bonus for you.

I have been lying here in bed for the last 2-3 hours running it (full out, -10 to 120 degrees) just wish it would go to 135 -- my knee cannot do that but at least it would let me find the actual limits.

Doc, i assure you i am WELL WITHIN THE ENVELOPE 99% of time and the small percentage of "over-doing it" is ALWAYS something imposed on my by my therapists or life in general.

Dr. Dodgin says, "6 weeks to knit bone" (as we used to see this for kids in PLASTER casts for broken arms when we were young).

For example, today, I had a massage today -- excellent massage but it release a LOT of toxins or something and i ARRIVED at pT

When she arrived my land therapist informed me it was "evaluation day" so no actual PT per se, but I had to perform. First ROM (105/105 flexion, Left-1/Right-0 extension.)

Then the requirement was to walk 1000 feet, no cane, correct form (e.g. no duck walking), etc.

I did it fairly easily except my right abductor or IT band or something (the one with the HIP procedure) tired VERY QuICKLY

Then water therapy along with these other two issues and I was DRAGGING all the way home, and until I got some rest, elevation, some liquids, some lunch, some candy....

Nothing I did over the weekend stressed me or my legs nearly as much.

(Of course the fall into the window sill was not really related to my diminished condition and we were actually moving in SLOW motion when it happened.)

So I hear you; it's NOT a problem; ,my doctor is fully informed and concurs; and I will monitor carefully everything I undertake.

Today after PT (I was just starting to get my energy back after waiting for my wife to pick me up), I saw Dodge
coming through the portico of the Rehab hospital joining the regular hospital -- he was headed to surgery and briefly stopped to converse with someone he was passing so didn't see me.

I was carrying two LARGE handbags (book bags/shopping bags) with my stuff, and a Hurricane.

So I lifted both arms like large wings and my right (stronger) leg high off the ground and posed calmly in the "Karate Kid white crane" stance until he looked up and came towards me.

The double take and grin on his face was priceless. 3 weeks Post-Op today.

Sweet Dreams,

HerbM
Sleep study AHI: 49 RDI: 60 -- APAP 10-11 w/AHI: 1.5 avg for 7-days (up due likely to hip replacement recovery)

"We can all breathe together or we will all suffocate alone."
11-11-2014 09:40 PM
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Peter_C Offline

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Post: #83
RE: HerbM Bilateral Total KNEE Replacement surgery Oct 21st, 2014 -- WOW!
The brace they have me wearing at night is a constant passive stretch (for lack of a better turn of phrase) never seen used or been offered a "CPM" machine - no idea why? The brace has an adjustable spring that acts like a torsion-bar - by whole problem is not caused by the replacement, but rather by all the years of limping and *not* getting to zero - hamstrings and pieces simply need to stretch out as I can be pushed to zero, then lock and hold it - but can't get there on my own yet.

Plus, just like the left knee, part of the quad would not 'wake-up', and took weeks of muscle-stim to get it working again. (see the trend here? these issues would not be here if the knees were replaced when they first needed it)

*I* am not a DOCTOR or any type of Health Care Professional. My thoughts/suggestions/ideas are strictly only my opinions.

"Only two defining forces have ever offered to die for you. Jesus Christ and the American Soldier. One died for your Soul, the other for your Freedom."
11-12-2014 12:41 AM
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herbm Offline

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Post: #84
RE: HerbM Bilateral Total KNEE Replacement surgery Oct 21st, 2014 -- WOW!
Two tough days (Thu/Fri, #23 & #24 Post-Op

Low blood pressure making me feel really crappy and weak. My new primary care doc (had appt for Thu) helped me in straightening out the diuretics and we're working on fixing minor kidney issues (creatinine & BUN) plus some anemia.

Lower fluid and salt intake, additional blood test tomorrow or Saturday.

I needed a primary physician anyway and this woman is apparently and EXCELLENT Internist (she agreed to "be my doctor" when asked.)

Prior to this, I had been just taking whoever was available at the LARGE Multi-Site "clinic" my wife and I use for 90% of our outpatient medical care. No continuity of care or overall case manager when doctors are chosen this way. (ARC = Austin Regional Clinic).

I am seldom 'sick' (e.g., flu etc.) anyway, so there would be long times between ordinary doctor visits anyway. Most of my issues have required a specialist anyway which further led to my not having my 'own primary physician' and health care manager.

Also, I really like her and she seems to "get me" as well. (She knew and approved of my teaching Combatives last night, as long as I stayed at 'flow speed', i.e., not full on combat or oppositional testing.)

Despite all the little issues, my combatives class is rapidly improving and we are GAINING people rather than losing them due to my having taken a short break.

PS: Peter: they took back my CPM machine today -- at $100/week, I almost paid to keep it though. It MIGHT be great for you, ask you OS.

I had mine maxed out but still thought it helped to loosen up my knees, and did so without pain or discomfort.

Sweet Dreams,

HerbM
Sleep study AHI: 49 RDI: 60 -- APAP 10-11 w/AHI: 1.5 avg for 7-days (up due likely to hip replacement recovery)

"We can all breathe together or we will all suffocate alone."
11-13-2014 10:59 PM
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Peter_C Offline

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Post: #85
RE: HerbM Bilateral Total KNEE Replacement surgery Oct 21st, 2014 -- WOW!
I see my Ortho tomorrow/Friday - so I do plan on asking him why no "CPM"? Am doing stairs better, and recovered from a 'trip' that normally would end in a fall - so the knee as a whole *is* progressing, but I want zero, even if the docs say 3 degrees is 'fine', it ain't fine to me.

Pain Doc actually said let's hold off on lowering the dosage til after PT is finished - we'll do a pill count when he sees me in JAN - skipping DEC. Quite a shock for the guy that lectured me last month on never seeing 'zero' on a pain scale again - go figure?

*I* am not a DOCTOR or any type of Health Care Professional. My thoughts/suggestions/ideas are strictly only my opinions.

"Only two defining forces have ever offered to die for you. Jesus Christ and the American Soldier. One died for your Soul, the other for your Freedom."
11-13-2014 11:37 PM
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DocWils Offline

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Post: #86
RE: HerbM Bilateral Total KNEE Replacement surgery Oct 21st, 2014 -- WOW!
Herb, you are a walking miracle. Keep it up.
11-14-2014 10:08 AM
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herbm Offline

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Post: #87
RE: HerbM Bilateral Total KNEE Replacement surgery Oct 21st, 2014 -- WOW!
Maybe I (finally) overdid it a little last night. Tough PT during the day, long day on my feet, taught Combatives (gently) in the evening.

But none of that was directly responsible. After combatives, I had to look for my misplaced car key and it was very cold (for Texas). I became quite chilled so that by the time I arrived home the only thing i wanted to do was stay in the car.

Felt pretty bad but after lying down with feet elevated for 30 minutes I felt pretty good.

Slept almost 10 hours -- first time I have slept more than 3-4 since the surgery -- 3.5 weeks.

Knocked down my pillow stack, rolled on my side (with my CPAP P10) and slept fairly normally though a bit fitfully finding comfortable positions for my legs/knees. The knees are still a bit more tender than expected.

The pillow stack (and back sleeping) is definitely better for my legs/knees but sleeping on my side is better for the rest of my body and my mind.

Today was a chiropractor appt; he cleared my back and did a little work on loosening my knees. (I have a few more visits this year and everything else is FREE due to passing my MAX out of pocket on insurance, so i am going to visit him all I want until 2015.)

Sweet Dreams,

HerbM
Sleep study AHI: 49 RDI: 60 -- APAP 10-11 w/AHI: 1.5 avg for 7-days (up due likely to hip replacement recovery)

"We can all breathe together or we will all suffocate alone."
(This post was last modified: 11-15-2014 06:33 PM by herbm.)
11-15-2014 06:32 PM
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herbm Offline

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Post: #88
RE: HerbM Bilateral Total KNEE Replacement surgery Oct 21st, 2014 -- WOW!
Went house hunting Sunday.

Made offer(s) Sun-Tue -- bought a house as of late Tue. Proposed closing is Jan 15, 2015.

Not far (almost same zip code), a little larger, 1 story instead of 2 (main reason to move), 4 bedrooms instead of 3, NICE covered & screened back porch AND separate patio. Separate shower, jetted tub, toilet areas in master bath with double sinks, near Texas Parks and Wildlife stocked fishing pond, giant kitchen with new granite counter tops, nice mix of hardwood floors and carpet (e.g., in bedrooms), CHEAPER than current home so we might even break even (or make a few bucks) even though it is a MAJOR upgrade from our point of view.

Smaller yards, but that is a PLUS for *us* as we don't want to care for large yard.

Low traffic (non-through) street with lots of greenbelt near by.

Master closet so big it has TWO doors.

Only thing wrong with it is that it has a fireplace (which we won't use so it's a waste of space.)

Oh, and SMALL doggie doors that are JUST BIG enough for our GIANT PUPPIES to let themselves in and out.

So new hip, new knees, new house. Smile

Sweet Dreams,

HerbM
Sleep study AHI: 49 RDI: 60 -- APAP 10-11 w/AHI: 1.5 avg for 7-days (up due likely to hip replacement recovery)

"We can all breathe together or we will all suffocate alone."
(This post was last modified: 11-20-2014 05:50 AM by herbm.)
11-19-2014 03:21 AM
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DocWils Offline

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Post: #89
RE: HerbM Bilateral Total KNEE Replacement surgery Oct 21st, 2014 -- WOW!
Nice thing about living in the US - you can afford to buy a house - here it is way beyond my income level. What you described would, if it existed, cost around 3 M or more. But enjoy. It sounds like a good purchase, and I think a single level home a good idea for you.

My old landlady in London also had no use for a fireplace - she used it as a TV nook.
11-19-2014 07:36 AM
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herbm Offline

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Post: #90
RE: HerbM Bilateral Total KNEE Replacement surgery Oct 21st, 2014 -- WOW!
2400 sqft for $245,000, plus the 2 car garage and large screened porch.

Sweet Dreams,

HerbM
Sleep study AHI: 49 RDI: 60 -- APAP 10-11 w/AHI: 1.5 avg for 7-days (up due likely to hip replacement recovery)

"We can all breathe together or we will all suffocate alone."
11-20-2014 05:51 AM
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