Total Knee Replacement, Anyone?

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Originally Posted by rod9301

What did they prescribe initially and what after you complained?

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In addition to 1000mg Tylenol doses, they had me on two 5mg oxycodone every 4-6 hours. That wasn’t cutting it so I was prescribed two 2mg Dilaudid pills every four to six hours instead. They were wearing off in two hours so they supplemented that with an OxyContin time release pill, on the smaller side. That was the ticket. The OxyContin made it so it wasn’t a pain rollercoaster, and I could take the Dilaudid on schedule. Today is day six and I will be running out soon, but I’m over the hump. It just sucks that people in need are denied powerful drugs because others have abused them

I had hip repellent 11 days ago.
Still as fair amount of pain. They prescribed hydrocodone 5-325, which worked, but did effects, constipation and foggy thinking.

I'm taking cbd thc, which works, with fewer side effects

Surprised at the amount of pain i have, but in the other hand, they cut my leg off to put the metal hip.

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Five days out from TKR . Doing pretty well. On Dillies every 4h with allowable to go to 4mg which i only did once in hospital I had got behind and needed something to catch up. Was awake for about an hour of surgery. Sleep guy gave me update on what as going on other side of screen. they really wack the fuck out that bone with the chisel.

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Originally Posted by DougW

Five days out from TKR . Doing pretty well. On Dillies every 4h with allowable to go to 4mg which i only did once in hospital I had got behind and needed something to catch up. Was awake for about an hour of surgery. Sleep guy gave me update on what as going on other side of screen. they really wack the fuck out that bone with the chisel.

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May your recovery be swift and complete! :yourock:

Awake?

I don't know if i could do this. People say general is more dangerous then surgery.

But if you did in your sleep, you never know.

But listening to all the bone cutting?

Not for me.


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Originally Posted by rod9301

Awake?

I don't know if i could do this. People say general is more dangerous then surgery.

But if you did in your sleep, you never know.

But listening to all the bone cutting?

Not for me.


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We offer noise canceling headphones to patients that get a spinal and nerve block for TKR. You can be aware as you want to be. Chisel use is actually pretty limited in TKR.


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Hardest part for me would be lying still for 3-4 hours. When I got my clavicle hardware out last summer I asked the surgeon about doing it with blocks and local instead of general, but he said it wasn't possible for that part of the body.

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Originally Posted by rod9301

Awake?

I don't know if i could do this. People say general is more dangerous then surgery.

But if you did in your sleep, you never know.

But listening to all the bone cutting?

Not for me.


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not the bone cutting but lots and lots of wacking. Its a good sized hammer and my whole body "felt it" No power tools when I was up other then the shop vac to clean out the holes. I guess I was up and aware at least from the trial fit

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Originally Posted by Dantheman

Hardest part for me would be lying still for 3-4 hours. When I got my clavicle hardware out last summer I asked the surgeon about doing it with blocks and local instead of general, but he said it wasn't possible for that part of the body.

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FWIW, knee replacement surgery takes about an hour. You are usually pretty heavily sedated and most of the time won't remember anything. If you really don't want to be aware, just let the anesthesiologist know and they can go a little heavier on the sedative.

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Originally Posted by jerlane

FWIW, knee replacement surgery takes about an hour. You are usually pretty heavily sedated and most of the time won't remember anything. If you really don't want to be aware, just let the anesthesiologist know and they can go a little heavier on the sedative.

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I went local for one of my too many scopes and more or less got bored so asked for a little something to put me out. Re-reading this thread and the Bonesmart forum and realizing I posted in this thread three years ago, I've got a good Ortho that I like but he doesn't do TKR's. I was thinking about seeing him this spring and have him take a look at where I'm at before shopping for the TKR doc, or maybe I just start now with a new Doc.

Gotta decide which part of the year I want to devote to a rehab and not playing

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Originally Posted by DougW

not the bone cutting but lots and lots of wacking. Its a good sized hammer and my whole body "felt it" No power tools when I was up other then the shop vac to clean out the holes. I guess I was up and aware at least from the trial fit

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I can’t fathom not being completely out for this type of surgery. Fuck that. Still traumatized by the Rockford Files episode where the doc took a hammer to Abe vigodas hip replacement

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Originally Posted by Dantheman

Hardest part for me would be lying still for 3-4 hours. When I got my clavicle hardware out last summer I asked the surgeon about doing it with blocks and local instead of general, but he said it wasn't possible for that part of the body.

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I couldn't move my lower body . It was like I was grafted to a giant ham. It was like 20 minutes in recovery before could move anything in my lower body, like move legs together and that was like 1/8" of movement.

Gonna have to thrown my name into this ring. Had a TKR back on 3/25. New knee is better pain wise than the other knee so it has now become my dominant leg; which is a good thing because I'm having the other one done on 6/24. Huge thanks to Altachic for sharing her story and her words of encouragement when I reached out to her pre-surgery. Throwing out some before and after pics. Look for TD's Rehab Retirement Road Trip coming winter 2024/25 coming to a town near you.

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How does one shop for a TKR surgeon? Is there a COSTCO for them?

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Originally Posted by teledave

Gonna have to thrown my name into this ring. Had a TKR back on 3/25. New knee is better pain wise than the other knee so it has now become my dominant leg; which is a good thing because I'm having the other one done on 6/24. Huge thanks to Altachic for sharing her story and her words of encouragement when I reached out to her pre-surgery. Throwing out some before and after pics. Look for TD's Rehab Retirement Road Trip coming winter 2024/25 coming to a town near you.

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Well, 13 weeks out from TKR #1 and it’s time to go back for TKR #2. Thank God I only have 2 knees. See you on the other side.


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https://www.instagram.com/stories/te...1pMHRzeXBxMw==


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Originally Posted by teledave

Well, 13 weeks out from TKR #1 and it’s time to go back for TKR #2. Thank God I only have 2 knees. See you on the other side.


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Username checks out.






(JK, good luck!)

My mom is going to have a TKR, she is 91 and already has many other health issues like congestive heart failure. She hasn't been able to walk more than a block without getting winded for years - she is not a spry 91 but mentally she is doing good and she still drives. I'm trying to prepare what it takes to be a caregiver for her while having a full time job and 2 young kids. First thought - I'm hoping she can be in a care facility for weeks after and Medicare covers all of it...I have a lot to research to do I guess.

I've heard some stories about older people getting a TKR and their knee doesn't get better - they end up in a wheel chair for life. Fack.

Medicare will cover the first 20 days. Then 80% of the next 80 and supplement picks up the rest. I think that was the percentage but it’s been awhile. And continuous improvement has to be shown to qualify after 20.

Does she really really need it if she can only walk a block anyway? Seems like a lot given your description. I’d kind of lean against given your description. But ya , a good rehab place sounds right but they aren’t easy to find plus one w good pt

I’m also a little surprised the surgeon is recommending this given your description. She may not pass the screening for the operation anyway

Yeah; I'd have a serious talk with the surgeon and the anesthesiologist. At that age with those symptoms there's a significant risk involved, and recovery will be very challenging.

I think I would advocate strongly against it and try to deal with it via medications or other treatments.

Agreed. Sounds like the QOL benefits are questionable and recovery will be challenging at best. Between the inactivity and the increased cardiac load the surgery alone might kill her.

Can she even be counted on to do the physical therapy? If not she has no hope. Even a motivated perfectly compliant patient of that age and health is looking at 6+ months before they're more mobile than they are now.

Serious conversations with mom and the surgeon are warranted.

I'm against it for sure and realize this might kill her. She has tried other treatments and now has her mind set on a FKR. She won't even use a cane right now she is sooo stubborn. She has said she'd rather die than go to a retirement home, and this may be her last try to avoid that fate, because the next option is being stuck in a wheelchair in a home. She may end up in a wheelchair for life anyways with this FKR.

I want her to fail the tests they give to people to see if they qualify for surgery (she has passed a bunch of them so far). Maybe the doctor thinks she has no chance of passing the tests because I can't figure out why he is entertaining the idea. I have to call him or his assistants next week and ask what the reasoning is. This was all thrown at me like a dodgeball to the face on Thursday with a text saying "I have a FKR scheduled for Oct 3rd". I called her and told her she is not doing it on the 3rd and you have to ask me my schedule first and I'm gone most of October. She got pissed, of course....

Wow that’s brutal. Good luck. I hope you have the hipaa waiver so the doc is allowed to talk to you directly. It’s an easy form, but she’ll have to sign it