Thursday, April 25, 2013

2 weeks out

I arrived home after 3 days in the hospital. I brought home 30 staples, 9 stitches, a wheeled walker, a bedside commode and 80 oxycodone. The stitches were to allow the intersection of my new vertical slice and my horizontal scar from 27 years previous. I also brought home my 27 year old screw from my first Hauser Procedure.

My first few nights I slept on a very cushy couch which had proved great for napping. Too low as the anesthesia wore off. Way too difficult to climb off from. I switched to a firmer, scratcher, higher couch which worked fine.

During the first week my thinking was fairly fogged from anesthesia and regular high doses of painkillers. With flashes of awakening nerves gave notice around the new knee that they were back on the job. My second night home, after all had gone to bed, my whole leg tensed into a capital "L" shape for 3/4ers of a second while I yelped and relaxed.

I brought a sheet of exercises home, stick figures moving branch legs to taunt me. I called the new knee "my 5000 lb leg." It took me 10 days before it lost enough weight for me to lift it without assistance. Talk about frustration.

Two weeks out I can walk with a cane for short distances. I can climb stairs, though sleeping in my own bed is not as comfortable as the couch. I can shower with a chair. My thinking is growing clearer as I ease back on the meds.

Discouragement is a threat. My expectations are growing more realistic. All along I have asked God to guide me down His path to healing. He has helped my body a long way in two weeks, but its easy to lose sight of how major a surgery I had. I had carried a bunch of pain for months prior to the operation. I wanted to wake up with the pain just a couple of weeks from being gone. Today that looks more like a year. I'll keep you posted.



Wednesday, April 17, 2013

What They Found . . . Blocks CAN leak

"H&E stained sections demonstrate synovial tissue lined fibrofatty tissue with polypoid and somewhat villiform synovial proliferation. . . Some dystrophic calcific material deposits are noticed in the synovium. Zones of golden brown hemosiderin pigment are noticed in the synovium."

A lot of terms to look up. I will ask the doctors Friday when the staples come out. Best I can make out, a benign tumor had grown in the synovium and was taken out along with the end of the upper leg bone.

A good tip femoral nerve blocks can leak. My nurses and I found this out the hard way. Wednesday afternoon my gown and blanket lay damp over the IV. After several hours, the next shift of nurses decided to cut the flow of the block and call in the anesthesiologist.

The better part of an hour later, the A' on duty examined the site, declared it leaking, noted that can happen and recommended leaving the block off until morning, when it could be replaced.

I didn't make it til morning. Burning, crushing pain overwhelmed the normal pain meds by change of shift. The PA with the morphine needle fought off the pain dragon. One more needle as the block rebuilt its wall. The site leaked right up until the block was removed Friday morning.

Monday, April 15, 2013

Surgery

I was out of it this past week, but I'm sitting in the porch in the sun. Tuesday, April 9th at 8am I rolled stupidly into surgery on the right knee. The knee lay mangled and marked for revision. Even with the Smith and Nephew custom cutting guides, Dr. Joel McClurg took three hours to finish the revision.

He held 2 concerns going in. One, finding the screw from my Hauser procedure of 25+ years earlier. It's metal obscured its location on the MRI. He probed the general area seeking a metal on metal "ting." Once found he was able to unscrew it back through the bone as designed!

Concern Two, how worn down was this guy's patella? He removed 14 mm of "cauliflower looking" material from the base. The button still fit flush on the bottom. Some extra holes needed to be made in the remaining hard bone to enable gluing.

At 12:30pm I was parked in room 203 to begin recovery.