Tuesday, July 30, 2024

A Farewell to Knees

JULIA SPENCER-FLEMING: On my right knee, I have a small scar. It's shaped like the British Isles, sans Ireland and is white, with a dark "coastline" where Wales and Western Scotland would be. The darkness, I always thought, was a tiny bit of playground grit left behind; I split the knee open playing a jump rope game at recess in the fourth grade and apparently it wasn't cleaned out properly beneath the Band-Aid the teacher put over it.

I've had this scar for  fifty-four years, and today I'm going to lose it.


Not with plastic surgery - far from it! The old scar is going to be subsumed in a much longer vertical scar, running eight to ten inches over my knee. Which will not be the same joint I was born with! This knee will be mine inasmuch as I and my insurance company will be paying for it. As you're skimming over this with your morning coffee or tea, dear reader, I (sadly caffeine-less) will be undergoing Total Knee Replacement.

 

Saying you're getting TKR at my age is like saying you're engaged in your twenties or having a baby in your thirties - everyone you know is doing it. A friend in Maine. A friend in Colorado. A friend in Hawai'i. My agent's husband. Other Reds are looking down the road at this, the third most common surgery performed in the US. (I've already had the number 1 surgery, cataract replacement, and the number 9, gallbladder removal. I wonder how many I have to get punched on my card before I get a freebie?)

 

Maybe I should get a tattoo after?

I swear prepping for this day has taken more time than getting ready for my first kid to be born. Or is at least similar: setting up the bed in a special room? Check. Moving in a small dresser with special clothing (roomy shorts and loose dresses)? Check. Brand new equipment (cane, walker, foam support, ice packs) Check. I'll even be sticking to sponge baths for the first three weeks, just like we did with the babies. No diapers, thank God, but I do have a special potty seat! Maybe turnabout can be fair play and I'll get my daughters to give me M&Ms when I use it, like I used to do for them. 

 

I'm blessed - no sarcasm here - with two daughters and a sister who are sequentially staying with me for four weeks post-surgery. And a young friend who was bribed volunteered to drive me to my PT appointments during the fifth and sixth week. After that, I'm cleared to be back behind the wheel, so be forewarned, southern Maine.

Needless to say, you won't be seeing me in the comments today or tomorrow. Luckily, I'm also blessed with six sisters-in-craft who will be taking the wheel. Hopefully, I'll be able to hang out later in the week. Stay tuned, I'll be loaded up on pain meds, so it could be fun!

How about you, dear readers? Have you gotten the slice like all the cool geezers kids? Do you know someone who has?





 

82 comments:

  1. Sending thoughts and prayers for you that all goes well today and that you have a swift and uneventful recovery . . . .

    I had no idea that knee replacement was the third most common surgery in the country, but I am not surprised to learn that cataract surgery is the most common of all [been there, done that one for one eye] . . . guess we are truly fortunate that the doctors are so accomplished these days . . . .

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    1. Yes, Joan, not only the doctors more accomplished, but the replacement parts better. Earlier (at least in 1960s) cataract surgeries required bed rest with immobilized heads and dire warning not to sneeze or cough. My mother was terrified that I would wind up blind at 55 and with just day surgery in 2000. Elisabeth

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  2. JULIA: All the best with your TKR surgery.
    Considering how much I walk, my two original knees are doing just fine. And yes, I do know several friends who had TKR in recent years.

    I did get cataract surgery done in 2021 at age 55. Strong myopia (-13 ) and no eye protection (sunglasses) accelerated their development.

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    1. Lisa in Long BeachJuly 30, 2024 at 10:16 AM

      I got the warning to wear sunglasses at my last eye exam since I am just starting to get a cataract. I always had, but then slacked during COVID masking due to fogging.

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    2. LISA: My prescription was so strong there were few places that could even make a regular pair of eyeglasses. Lenscrafters made my glasses could not make me a pair of prescription sunglasses, so I went without.

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  3. Julia, sending you all best wishes. Yes, yes, it is worth it. My husband had that exact surgery earlier this summer. It took many weeks and much physical therapy, but he is now able to do things he hasn't been able to do in years. And you will too!

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  4. Good luck on your surgery, Julia. Tomorrow is my six-week post-op appointment for my knee replacement surgery. Because this is my second go-round, I was better prepared for what to expect. I'm glad you got all the necessary equipment. Do the PT. That is most important.

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    1. Dru, I hadn't realized you had that done! You will be motoring at the next conference, for sure!

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  5. Sending healing energy your way, Julia.

    I've not had joint replacement surgery yet. I have had cataract surgery and a trio of abdominal surgeries though. If I've earned a freebie, I don't want it.

    My dad had the TKR thing and I recall it wasn't fun, especially for my mom. Take your pain meds and do your PT. In the long run, it will be worth it.

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  6. Wishing you all the best with that knee, Julia! I've had both done (and a cataract out). As Dru says, the PT is super important, including all your "homework" exercises. It hurts, but it's vital to getting flexibility back.

    A couple of tips: I hung a cloth bag from the walker to make carrying things from room to room a lot easier. And I made good use of a closed travel mug to carry a hot or cold drink with me! Glad you'll have your clan there helping you.

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    1. My mom's walker now has a folding cupholder that clips onto the side. It sure has made her life easier, and more independent.

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    2. Brilliant! When my mom had a red walker (what we called the Cadillac of walkers, the kind with the seat and a compartment under it), she fixed a plastic flower to it so she could tell it apart from all of the other ones in her assisted living residence.

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    3. My brother bought it from Amazon for next-day delivery, Edith. Her in-the-house walker has that kind of seat, too, so she keeps her Nook device and a bunch of other stuff in it. Don't those knee walkers also have a compartment?

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  7. Had the cataracts done when I was considered as having young person’s cataracts- I was under 60!
    Avoided knee replacement for 7 years - eventually it will be completely unavoidable and I won’t be Scarlet O’Hara anymore “Tomorrow is another day!”! Good luck & wishing you all the positivity I can muster✨✨✨🎈

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    1. Yes, I had cataracts at 60, too! But whoa, what a difference!!

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  8. I’m not anonymous- I’m Jo from Australia 🇦🇺

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  9. Yuck! I had mine done a year ago April. I am happy to say I am finally at peace with it. I had an allergic reaction to the deep sutures and spent last summer swollen and cranky. Glad to say it eventually resolved. Southern Maine Drs and PT were AWESOME!!! Heal well Julia! You will like your new knee sooner or later!

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  10. Good luck, Julia! I had both knees done in 2022 (and in between had a burst appendix and a week in the hospital, as an added soupçon). Here are my TKR tips: 1. Get an ice machine. I bought a Breg but there are a number of brands. Some hospitals cover them, others don't even recommend them as then perhaps insurance would need to cover them. Once you've had an ice machine you won't believe anyone ever thought an ice pack was OK. You'll also feel the $200 is the best investment you ever made. Once you have it, get 8 10-oz store-quality (cheapo) water bottles and freeze them. Then you can use these in constant rotation instead of ice cubes. Far less work and no mess. 2) Don't be brave and skimp meds. Take them, especially before PT. 3) Do the PT. Good luck!

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    1. Oops, that was me, Selden. P.S. My older sister, 75, had a TKR last fall and she really had doubts about the need for an ice machine. I (lovingly) bullied her into buying one. It ended up as her best friend.

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    2. My daughter had knee surgery a year and a half ago, and she borrowed an "ice cube". It's amazing, but does require management that is difficult for the patient for a few days. I wish I'd known about the bottles. Instead, I was freezing water in open takeout containers and replacing them daily. The containers broke eventually. Did yours do that?

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    3. Julia, take heed of Selden's advice to take your meds BEFORE pt--keeping ahead of the pain will do you so much good! (Flora)

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    4. Karen, the eight 10 oz water bottles lasted through two TKRs and have finally started cracking since we have used them in coolers. I found the water bottle tip online and it was wonderful. My husband would exchange the bottles every six hours or so, getting up once at night in the first week to do it and make sure I had my meds. But after that I could do it because I'd set up a temporary bed almost in the kitchen, only feet from the refrigerator/freezer. (Selden)

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    5. Thanks, Selden. I hope that tip doesn't need to come in handy sometime, but you never know.

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    6. Selden, I had an ice machine for my meniscus repair surgery and they are the best. Ice backs do not cut it.

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    7. A friend recently had her shoulder replaced. She was able to rent an ice machine, which was considerably more cost-effective than buying one.

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  11. Best wishes, Julia! I pray everything will go smoothly and you'll be up and about in no time. I've had the cataract surgery and surgery to repair a broken ankle. Knocking on wood over here. You sound very organized with all the prep work you have done and have everything ready to go. A friend had both hips replaced but not at the same time; they were a few years apart.

    We are cheering you on!

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  12. Julia – good luck with the surgery and I must admit that I am jealous. I too, wrecked my knee skipping as a child, which eventually involved surgery and having the interior of the knee cap scraped – at that time 2 weeks in hospital in a puffy cast ankle to knee, and then recovery at home. No physio as it was not a ‘thing’ in the ‘60’s.
    Travel forward to about to about 2 years ago and stairs have become a problem – leg drops, oops. Now walking is still ok, but any ‘incline like a step’ involves a funny gait to master it. So now I get up in the morning, anticipate what clothing changes will be required and bring them all downstairs, so that I avoid having to go back upstairs to change. It gives you a whole new outlook on how houses should be built!
    Hoping to get a dr’s appt in about a month, and will bring up the subject. Any chance of surgery will be greater than a year, but I will cope. That is why I am so happy for you that brighter days and coming, and suspect that you will be one of the athletes in at least the Los Angeles Olympic marathon, if not the triathlon!

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  13. Best wishes for a complete and speedy recovery, Julia.

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  14. Good luck, take care, heal properly.

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  15. It does seem that knee surgery is popular. Luckily I have had no need of it yet. I definitely believe cataract surgery is the number one surgery. My husband had it two years ago at age 61. He was a youngster in the Mayo waiting rooms. Our young neighbor who just got his Dr. of Optometry degree says the trend is going to be doing that surgery sooner rather than putting people off until they just can’t see like they do now. Likely, will make the numbers tick up even higher.
    Wishing you a speedy full recovery and hope all your prep work pays off!

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    1. I got the comment "You're awfully young" when I went in for my post-op cataract followups. I was 55.

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    2. Grace, I was a 55 cataract surgery too. Also was diagnosed with cornea problem at 30 which ended my night driving… definitely elicited lots of “you’re too young” comments. And elicited this “cheerful” diagnosis from my ophthalmologist, “Elisabeth, your eyes are just 30 years older than the rest of you!” Elisabeth, whose eyes are now 108!

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  16. Hope you have the same fantastic result with your TKR that I did.
    Had mine replaced two years ago. So very happy I did!
    I did three months of PT to strengthen the knee while waiting for my surgery date. The ice machine was my best friend. Take the meds, do the PT and you will rock recovery! Sending good thoughts your way.

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  17. Blessings for a successful surgery and an easy, uneventful recovery❤️

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  18. Good luck with the surgery, Julia. May it go smoothly and your recovery be as easy as can be hoped for.

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  19. Good luck to you. I had double knee surgery last year- survived and going strong. Cataracts too!!!

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  20. Good luck, Julia! Sending all healing vibes from Nova Scotia!!! I have no advice as I’ve never been under the knife (no surgeries to date) but I’m sure my day is coming! XO

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  21. Julia, I wish you the best on your surgical adventure. Sounds as though you are well prepared for recovery with help from your two daughters and friends. I’m surrounded by friends who are walking painlessly thanks to knee replacement surgery. It is, indeed a thing, a very good thing. As the fortunate recipient of two hip and two shoulder replacements, I’m grateful for the skills of surgeons, nurses, and physical therapists who are responsible for keeping me moving. My knees may be next on the agenda.and I think I may be eligible for one of those frequent shopper deals, buy four get one free. Anyway, I’m looking forward to hearing that you are on the mend!

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  22. From Flora: seems like TKR is one of those operations that technology has helped streamline--you clearly trust your doctors. Sending calming, healing vibes wafting your way! It will be the smell of fresh air and sunshine--when you feel it, breathe deeply. A good friend had both knees done two years ago, after recovery she (checks notes) toured Iceland, cruised down the Rhine, walked Portugal and Spain, and a few weeks ago did a sketching retreat in southern France. I started with foot surgery (both at the same time), then hysterectomy early 30s, then thyroid, and just this year, cataract surgery and waiting for laser treatments (both eyes). Notice how I moved up my body--nothing left now but a TBR (total brain replacement). Can anyone recommend a doctor? :-)

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  23. So today is the big day, huh? Can you say, "Break a leg!" to a person who is having knee surgery? Maybe not. So I'll just promise to be thinking of you and sending you healing thoughts. And, by the way, I didn't know that gallbladder removal was the ninth most common surgery performed in the US. After I had mine out in the 40s (thanks to sudden, agonizing gallstones), someone who visited me in the hospital told me, "You'll never be able to eat fatty foods again because you won't be able to digest them. You've had your last cheese fondue!" (For a Swiss like me, this is a tragic thought.) Guess what? This wasn't true, at least, not for me. I have continued to eat everything I ate before with no ill effects, including several cheese fondues every winter and plenty of raclette (another melted cheese dish beloved in Switzerland.) So don't assume that anyone's scary warning will applies to you as well.

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    1. I discovered raclette when I moved to Ottawa & eat it a few times each winter.
      FYI, my cast iron raclette set is SWISSMAR, made in Switzerland.
      https://swissmarshop.com/collections/raclette-all-raclette-grill-raclette-grill/products/swissmar-8-person-classic-red-raclette-party-grill-with-reversible-cast-iron-grill-plate

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  24. Whoops. "...will apply..." And "...in my 40s..." not "...in the 40s!" I may not be a spring chicken, but I'm not that old.

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  25. Dear Julia, Prayers for a successful surgery and a complete recovery! One of my very best friends had both knees done (in the same year for insurance purposes but more than 6 months apart) and I stayed with her both times. The recovery was way easier the second time, as the procedure had been improved, and my friend knew more about managing her recovery. I also took her to PT for a few weeks after the first surgery. Her knees are doing well now. Knock wood, like Jenn I have never been under the knife.

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    1. So interesting, that the surgery has gotten better. That's true of so many things these days.

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  26. Just sending good wishes for your new knee and you. Elisabeth

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  27. Sending healing vibes to you, Julia! And wishing you a easy recovery with no problems. You are blessed to have a wonderful support system. I have no advice as I have never been under the knife (no surgeries to date) but I am sure my day is coming.

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  28. Best wishes, Julia. You have received a great deal good tips and advice. Has your doctor talk to about home PT? Homecare. By doctor's orders, Intermittent physical.therapist come into your home a couple times a week to help with your PT. Check to see if your recovery is going well, pain management. Check if your insurance will cover.

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  29. Wishing you all the luck during surgery and recovery!, Julia! Looking forward to having you back on the blog.

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  30. So many people I know have had knees or hips replaced, all with good results but the immediate aftermath is rough. We we'll all be thinking of you, Julia! Thank goodness for PT. Cataract surgery (which I have) is a walk in the park (ha ha!) by comparison.

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    1. Friends who have had both knee and hip report hip replacement recovery is much less painful than with a knee. Alas for Julia!

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  31. Speedy recovery, Julia! Everyone I know who has had a knee done has said the same thing - why did I wait so long.

    All of my parts are original, with the exception of a titanium plate holding my wrist together. So far, so good. Can't figure out why. I've always been athletic and kind of hard on the old joints. Could be good genes, my mom lived to 71 with her original parts, and my dad to 90 with all of his. I'm counting on Mendel's law to keep me intact :)

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  32. At the moment you are being wheeled in to your new adventure. Sending all sorts of positive vibes to Maine. The incense is burning and the cats are purring. You are good to go. Will be doing the same thing on Thursday when my sister is having the same operation. ps. bon voyage.

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  33. Had my first TKR 27 years ago, and it’s still doing great although way past it’s use by date. Motion is lotion. PT is your friend. Hope by the time you read this, you’ll be up and walking a very short distance. I was back to work in three weeks with the first one. Don’t recall about the second but much the same.
    Much love and virtual flowers and casseroles!

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  34. Good luck, Julia! I've known so many people who had this done and say it was life-changing. I'll be sending you so many good wishes for a quick recovery! xxoo

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  35. Julia, thanks for leading the way on this:-) I've been putting mine off for one reason or another since 2020, but am going to have to do it. Also I think I may be looking at a hip replacement at some point.

    Julia, sending you much love and healing vibes. And order an ice machine if you didn't already!

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    1. Prayers for Julia and don’t put it off too long, Deborah. My mom refused to have the recommended TKR and it hurt to see her in so much pain for so many years.

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  36. Wish I were closer to help. Sending much love and may your PT go well and your recovery be speedy❣️

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  37. Good luck kiddo! How fortunate you have a backup team to help. I have had some items removed, but none replaced so far, unless you count cataract surgery. You'll do fine.

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  38. All the best for your surgery, Julia. Numerous friends of mine have had knee replacement, and they are all happy they did. You're a positive person, so you will sail through it.

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  39. All the Y aqua friends who had it done were only sorry they'd waited so long, and I do see it in my future. Wishing you an easy recovery. <3. -- Storyteller Mary

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  40. I’m two years after having both knees done and it is wonderful. I am walking easier with no pain. My grandkids & I are briskly walking up the hills.
    Do the PT faithfully& stay on top of the pain the first few weeks. Ice is your friend.

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  41. Ah, yes. 'Tis the season (age). One friend has had both shoulders and both knees replaced!

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  42. If you are of a certain age, still can't believe I'm 70, then you know multiple people who have had knee or hip replacements or cataract surgery. I was shocked that one of my friends had both hips replaced in the last year. That one made me really stand up and take notice of all those around me who have had either knee or hip or both done. I was lucky in that my right knee only had to have arthroscopic surgery, where they make two or three small incisions (one is for the tiny camera). My problem was a torn meniscus and some floating cartridge. Recovery time is about 6 weeks. Now my left knee is in the same shape, and I've been putting off going to see about it, but I know I will need to attend to it soon. I have to get my second cataract surgery first. It's been bad timing on that, but it's next. I'm having some teeth work done now, too. Then there's the mammogram I still need and the bone density test. I just had heart tests done and nothing major, but a few things to address there.

    Julia, I will be thinking of you today and in the coming days of recovery. I know the knee replacement is a big deal, but it sounds like you have everything organized really well. So glad you have your daughters and sister to be with you through the worst of it, and even someone lined up for PT visits. My knee procedure was nothing compared to yours. The good news is that everyone I know who has had knee replacements are so glad they did and are so happy with the results. Here's wishing you a trouble-free recovery and great pain meds today.

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  43. EVERYONE! Let us know how it goes...xoxoxoox Soon you will be back in the Olympics!

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  44. Good luck with your surgery, Julia. I am scheduled for my right knee on Aug 20 and my left knee on Oct 15. The shroud going to correct my knock knees with the replacement. He said I would feel awkward between the two surgeries with on leg straight and the other still angled to the side. My sister and others I know have used the same surgeon and have had great results so I’m feeling confident.

    Thanks to everyone for all the advice. We have an ice maker in our freezer and lots of instant ice packs so I think I’m good there. Now I’m thinking I might need a step stool by the bed (it’s high).

    Elizabeth from Manchester, NJ

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    1. That should read the SURGEON is going to correct my knock knees. Darn auto.

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  45. Sending you healing thoughts. May God guide your surgeon's hands. I'm the survivor of 2 TKR's 14 years ago. Best tip I got was to organize a shoe box with essentials to put next to your fav chair (where you will be icing that knee): chapstick, cell phone and charger, small notebook to keep track of when you took your meds, meds, water bottle, engrossing reading material, and if you can bear it in an election year, the channel changer. Prunes were a great help initially because I needed the strong opiods. I have never in my adult life lost so much weight so fast. See above, opiods. From talking to friends who have had the surgery more recently, I think the docs have gotten a lot better at it. Nerve blocks are a wonderful thing! I didn't have one with the first knee, and I don't know how I had the courage to schedule the 2nd one. I spent 4 days in the hospital, but now you are home much sooner, which is much safer. Infections kill. Physical therapists are Gods who walk the earth. They are your best friends. And keep doing those exercises because no one tells you that your knees stiffen up as years go by and you NEED those exercises. Once my scab fell off I found that aquatherapy was what got me through the recovery. I did land based therapy, too, but aquatherapy helped me sleep. And getting on the exercise bike for 5 minutes to unload the knee when I couldn't. Good luck, but of good heart. You can do this.

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  46. One can avoid TKR by shot with hyaluronic acid. That's the way I am going. Was in the pilot program 16 years ago. Total relief for 8 years, then 6 years more. 80% effective.

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