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Medical Forum / Diseases and Disorders / Arthritis / September 2006

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Knee Doc Showdown Monday - crossed fingers needed

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Ginnie - 28 Aug 2006 08:32 GMT
Well, I did my research this weekend about TKR (except for
the few
hours after I fell outta bed Saturday--I was turning the air
a nice cobalt
color).  Sshhheeeeeiiitttt!  The indignity.  Still getting
over a Fibro
flare, THEN get a big purple butt bruise,  jam up the
already-bad knee,
plus pull a buncha muscles from the sudden stop at  floor
level.

~~ouch~~ouch~~%$@&~~$%(^ %$ @*& #@!&%$^$!!!

Anyhoo, I'm going to beard the lion in his den, and make him
talk turkey
about my knee replacement.  I read up on all the indications FOR
knee replacement, and answered yes to all of them.

As y'all have said, I won't accept my age as a too-young
excuse.

Indications said --  be only 25% above normal weight for
best longevity of
the TKR.   No problem -- it'll take up several months to fix
a nasty bunion
on that same leg that has to be fixed first.  So during
those surgery/recovery
months, I can lose weight AND improve my osteoporosis
scores, too.

Add in my range-of-motion, amount of pain, limitations, and
poor quality
of life, and as you guys suggested, the greater loss of
weight I could do
with a GOOD knee, and all those indications fit me like a glove.

So I will take no sh.t from this esteemed surgeon.  And if
the caca hits
the ventilator anyway, I've got second-opinion surgeons'
names from
Janer's links, plus I have MD-level 'sources' at both major
hospital
groups to ask about other surgeons.

All I hope is that I don't Fog up with Fibro/CFS fog and
lose track of
what I'm asking about tomorrow.  Please cross your fingers
or anything
else you can comfortably cross that tomorrow's visit goes well.

Ginnie    >^..^<  (Clooney just said 'take my own advice
tomorrow'!(below)

You can catch more flies with funny than vinegar.
__________________________________
baughfam@bellsouth.net - 28 Aug 2006 09:18 GMT
The surgeon's job is to seek new business, your job is to
prove that you are an appropriate customer.
Sounds like you're ready to take your best shot. Good luck
preparing yourself this morning, including a good start with
breakfast, and writing reminder notes to take with you.
A set of crossed fingers here for you, that you get what you
need, and it would be nice if it is also what you want.

> Well, I did my research this weekend about TKR (except for
> the few
[quoted text clipped - 51 lines]
> You can catch more flies with funny than vinegar.
> __________________________________
Ginnie - 29 Aug 2006 03:30 GMT
Thanks for the send-off!  But as fate would have it, I never
made it
out of the driveway.  Dang car.  Dang map lights that are so dim
as to be almost useless, and I left them in for the first
time ever.
So the battery - and I - were dead in the water.  Never got
there.

But...  He has a cancellation on Wednesday, that I got, so we'll
start this thing over on Wednesday afternoon.

Ginnie    >^..^<

You can catch more flies with funny than vinegar.
__________________________________

> The surgeon's job is to seek new business, your job is to
> prove that you are an appropriate customer.
[quoted text clipped - 59 lines]
>> You can catch more flies with funny than vinegar.
>> __________________________________
Nann Bell - 29 Aug 2006 13:48 GMT
> Thanks for the send-off!  But as fate would have it, I never
> made it
[quoted text clipped - 6 lines]
> But...  He has a cancellation on Wednesday, that I got, so we'll
> start this thing over on Wednesday afternoon.

time for a new battery, if the map light killed it off (unless it was sitting
for like a week or two that way without running).

Now you have plenty of time to make specific notes before confronting the doc
so fibro-fog is less of an issue.  The poor fool won't know what hit him!  
LOL  We'll be cheering you on from here.  It's great to take such control of
your own health!

Signature

Nann
remove the Gator cheer to email me
Simply the thing I am shall make me live --- William Shakespeare

d'huit - 30 Aug 2006 23:34 GMT
boy, nann, you're good at saying what's on my mind and what i'm
thinking!LOL

soooo, what she said, ginnie.  good luck, with your appointment.  and please
let us know how it went.

kate
On Mon, 28 Aug 2006 22:30:46 -0400, Ginnie wrote
(in message <qFNIg.14970$xp2.9913@newsread1.news.pas.earthlink.net>):

> Thanks for the send-off!  But as fate would have it, I never
> made it
[quoted text clipped - 6 lines]
> But...  He has a cancellation on Wednesday, that I got, so we'll
> start this thing over on Wednesday afternoon.

time for a new battery, if the map light killed it off (unless it was
sitting
for like a week or two that way without running).

Now you have plenty of time to make specific notes before confronting the
doc
so fibro-fog is less of an issue.  The poor fool won't know what hit him!
LOL  We'll be cheering you on from here.  It's great to take such control of
your own health!

Signature

Nann
remove the Gator cheer to email me
Simply the thing I am shall make me live --- William Shakespeare

Ginnie - 31 Aug 2006 01:28 GMT
Omigod, I can hardly sit still and type!  He heard me out -
and saw
some really ugly xrays - and when I described two specific
things -
the buckling of my knee and a near-concussion, AND pointed to
the exact spot in my hip joint that gets the hot
poker/ground glass
hurts, he stopped saying anything iffy, and changed the subject
immediately to "Let's talk about knee replacements"!!!!!!!!

And get this...  I won a two-fer!!!  He's also going to
replace my
"nasty-looking" hip!!!!

It didn't hurt one bit to tell him I knew of a 6'6", 300 lb.
man
that his PARTNER put two new knees into, and that just stopped
the 'lose-weight-first' discussion.  He realized with the
true nastiness
of my hip, and the acute issues with my knee that I can't
hope to
exercise any weight off.  When I told him the last
steroid/lidocaine
injection didn't work until a month later (if at all), he
didn't even
suggest injecting it again.

Whewwwww-w-w-w-w-w-w.....  I am SO relieved.

Now I've got 4 surgeries ahead of me...  my eye muscle imbalance
this Friday morning, then as soon as possible after that,
repair the
90º bunion on my bad-knee leg, to get those possible
complications
out of the way.  Then the knee replacement, and at last the hip
replacement.   Guess where I'll be spending a lot of time?!?
(howdy, Mr. Anesthesia Man...)

Thanks to everyone who offered advice and links and opinions
-- it
all helped, and I owe you guys BIG TIME.

Ginnie     >^..^<

You can catch more flies with funny than vinegar.
(And yup, I followed my own advice today!)
__________________________________

> Well, I did my research this weekend about TKR (except for the few
> hours after I fell outta bed Saturday--I was turning the air a nice cobalt
[quoted text clipped - 33 lines]
> You can catch more flies with funny than vinegar.
> __________________________________
DeeTee and Bob Taggart - 31 Aug 2006 02:13 GMT
{{{{{{{{{{{{{{{{{{{{Ginnie}}}}}}}}}}}}}}}}}}}

WoooooooooHooooooooo! Happy Chair Dance for Ginnie!

DeeTee

> Omigod, I can hardly sit still and type!  He heard me out - and saw
> some really ugly xrays - and when I described two specific things -
[quoted text clipped - 73 lines]
>> You can catch more flies with funny than vinegar.
>> __________________________________
Nanny - 31 Aug 2006 12:14 GMT
Ginnie, you've got a lot ahead of you for sure!  I'm going to try re-sending
my TKR journal to you again.  It's been almost 6 years after my knee
replacement, and so far the other knee is "holding well".  Nanny
> Omigod, I can hardly sit still and type!  He heard me out - and saw
> some really ugly xrays - and when I described two specific things -
[quoted text clipped - 73 lines]
>> You can catch more flies with funny than vinegar.
>> __________________________________
Ginnie - 01 Sep 2006 02:48 GMT
Nanny-

ThankYouThankYouThankYouThankYouThankYou!!!

Ginnie    >^..^<

You can catch more flies with funny than vinegar.
___________________________________

> Ginnie, you've got a lot ahead of you for sure!  I'm going to try re-sending
> my TKR journal to you again.  It's been almost 6 years after my knee
> replacement, and so far the other knee is "holding well".  Nanny
Harvey R. Stone - 31 Aug 2006 14:47 GMT
Hi Ginnie,,,, What you live with in your day to day life just makes me shake
my head.   The truth of it is that you make me feel like a whiner with what
I live with each day.
   I just love your positive outlook and the way you look forward to
positive help.   We all can learn from that.
  Wellll,,,, got to go,,,, the wife wants her computer back for something.
Harv

> Omigod, I can hardly sit still and type!  He heard me out - and saw
> some really ugly xrays - and when I described two specific things -
[quoted text clipped - 73 lines]
>> You can catch more flies with funny than vinegar.
>> __________________________________
Ginnie - 01 Sep 2006 02:56 GMT
Thanks very kindly, Harvey,

I don't recall you whining about anything!

but you know who cured me of whining?  Bookbabe, and the way she
kept marshaling her inner strength to put one foot in front
of the
other, all the while she was steadily losing her battle with
cancer.

It blew my mind the way she looked forward to a ghastly surgery
that would keep what was in her bowel from ending up where it
didn't belong, and her acceptance of the inevitable.

BTW, tell the wife how much good you're doing for all of us by
using her computer to post.  That oughta hold her for a while,
until your own 'puter is resurrected.   ;-)

Ginnie     >^..^<

You can catch more flies with funny than vinegar.
__________________________________

> Hi Ginnie,,,, What you live with in your day to day life just makes me shake
> my head.   The truth of it is that you make me feel like a whiner with what
[quoted text clipped - 81 lines]
>>> You can catch more flies with funny than vinegar.
>>> __________________________________
Squirrely - 31 Aug 2006 14:48 GMT
Oh Ginny,
I am so glad for you and happy you will be getting the replacements. That is
great. I hope all the surgeries go well and do what you expect them to do
for you. Sending healing vibes to you for all the surgies and your
suffering.

Signature

  Love and hugs Jo

   (\__/)  .~    ~. ))
  /O O  ./      .'
 {O__,   \    {
   / .  . )    \
   |-| '-' \    } ))      Warning: squirrels.
  .(   _(   )_.'
 '---.~_ _ _&

> Omigod, I can hardly sit still and type!  He heard me out - and saw
> some really ugly xrays - and when I described two specific things -
[quoted text clipped - 30 lines]
> You can catch more flies with funny than vinegar.
> (And yup, I followed my own advice today!)
Ginnie - 01 Sep 2006 03:05 GMT
Thankee, kind Squirrely.

The way I look at it is -- the daily non-stop pain is worse
for me than
the post-surgery pain and rehab grind, so even though
there's going
to be some fairly uncomfortable weeks and months ahead, I've
already
seen the light at the end of the tunnel, and it ain't a
train!!  ;-)

Ginnie     >^..^<

You can catch more flies with funny than vinegar.
__________________________________

> Oh Ginny,
> I am so glad for you and happy you will be getting the replacements. That is
> great. I hope all the surgeries go well and do what you expect them to do
> for you. Sending healing vibes to you for all the surgies and your
> suffering.
Nann Bell - 31 Aug 2006 15:17 GMT
congratulations on winning your battle with the orthopod, Ginnie!  You have a
really busy year ahead of you though, getting through all these procedures.  
May you have great results from all of them!

Signature

Nann
remove the Gator cheer to email me
Simply the thing I am shall make me live --- William Shakespeare

Ginnie - 01 Sep 2006 03:14 GMT
Thanks, Nann!

I hate to say it, but I've gotten used to 'living' in the
hospital.  After
maybe 16 - 18 surgeries, and two one-month-long and one
two-week-
long 'visits', I can pretty much handle the hospital
frustrations and
lack of control over one's life.

Here's a foolproof tip to keep the nurses dropping in on you
frequently,
even when you don't need them there...   Red Licorice!  When
I'm in
for any length of time, I keep a glass/little
vase/hell-even-a-tin-can-full
of Red Licorice sticks, like flowers stems in a vase.  Those
nurses
LOVE that stuff, and it cuts the number of times I have to
ring and ring
and ring and... in half!

Plus I'm retired and don't have kids, so being incapacitated
isn't as
bad a stressor as it might be for someone supporting a family.

Ginnie     >^..^<

You can catch more flies with funny than vinegar.
__________________________________

> congratulations on winning your battle with the orthopod, Ginnie!  You have a
> really busy year ahead of you though, getting through all these procedures.  
> May you have great results from all of them!
Kelly - 31 Aug 2006 16:09 GMT
So glad you didn't have to stomp and scream in the office to get him to see
what needed to be done (although many ASA'ers have done the same over the
years and the sight of gimps and gibbles stomping and screaming is a
horrible sight.  Doctor's curse us for giving people empowerment!)

Maybe next time he won't even suggest age and replacement in the same
appointment. Good for you!  Remind us of dates coming up in the future and
we will keep those good thoughts coming your way.

Kelly

> Omigod, I can hardly sit still and type!  He heard me out - and saw
> some really ugly xrays - and when I described two specific things -
[quoted text clipped - 73 lines]
>> You can catch more flies with funny than vinegar.
>> __________________________________
Ginnie - 01 Sep 2006 03:20 GMT
Thanks, Kelly,

And the first date is Sept. First!!  (heeheehee)  The
Countdown has begun!
I'm halfway thru throwing things into a bag, and I have yet
to get my
CPAP disconnected and stowed in its case, so I can haul that
with me.
Silly that I have to bring it, I'm only in for one night.

And I hope you're right about what he says to the next
patient.  And
we were both smiling at the end of the appointment, so I got
my way
without ticking him off...  IhopeIhopeIhopeIhopeIhope.....

Ginnie     >^..^<

You can catch more flies with funny than vinegar.
__________________________________

> So glad you didn't have to stomp and scream in the office to get him to see
> what needed to be done (although many ASA'ers have done the same over the
[quoted text clipped - 84 lines]
>>> You can catch more flies with funny than vinegar.
>>> __________________________________
d'huit - 31 Aug 2006 19:19 GMT
it goes to show you that some full plates are delicious.<smile>  you're
gonna be very busy healing for awhile, but oh, how nice it must feel to you
to know you will be healing and no longer suffering.  good for you, for the
way you handled the situation!

kate

Omigod, I can hardly sit still and type!  He heard me out -
and saw
some really ugly xrays - and when I described two specific
things -
the buckling of my knee and a near-concussion, AND pointed to
the exact spot in my hip joint that gets the hot
poker/ground glass
hurts, he stopped saying anything iffy, and changed the subject
immediately to "Let's talk about knee replacements"!!!!!!!!

And get this...  I won a two-fer!!!  He's also going to
replace my
"nasty-looking" hip!!!!

It didn't hurt one bit to tell him I knew of a 6'6", 300 lb.
man
that his PARTNER put two new knees into, and that just stopped
the 'lose-weight-first' discussion.  He realized with the
true nastiness
of my hip, and the acute issues with my knee that I can't
hope to
exercise any weight off.  When I told him the last
steroid/lidocaine
injection didn't work until a month later (if at all), he
didn't even
suggest injecting it again.

Whewwwww-w-w-w-w-w-w.....  I am SO relieved.

Now I've got 4 surgeries ahead of me...  my eye muscle imbalance
this Friday morning, then as soon as possible after that,
repair the
90º bunion on my bad-knee leg, to get those possible
complications
out of the way.  Then the knee replacement, and at last the hip
replacement.   Guess where I'll be spending a lot of time?!?
(howdy, Mr. Anesthesia Man...)

Thanks to everyone who offered advice and links and opinions
-- it
all helped, and I owe you guys BIG TIME.

Ginnie     >^..^<

You can catch more flies with funny than vinegar.
(And yup, I followed my own advice today!)
__________________________________

> Well, I did my research this weekend about TKR (except for the few
> hours after I fell outta bed Saturday--I was turning the air a nice cobalt
[quoted text clipped - 34 lines]
> You can catch more flies with funny than vinegar.
> __________________________________
Ginnie - 01 Sep 2006 03:23 GMT
Thank, Kate,

and yeah, it'll be a grind some of the time, but something
(can't say
what yet) will be improving the pain control issues, so maybe I
won't have to be as uncomfortable as I ordinarily would be.

Ginnie     >^..^<

You can catch more flies with funny than vinegar.
__________________________________

> it goes to show you that some full plates are delicious.<smile>  you're
> gonna be very busy healing for awhile, but oh, how nice it must feel to you
[quoted text clipped - 89 lines]
>> You can catch more flies with funny than vinegar.
>> __________________________________
ladylove77 - 31 Aug 2006 20:10 GMT
Ginne, what very good news.  Don't envy all your surgeries, but when they
are over, you should feel like a new person.  You did good!
Gwen

> Omigod, I can hardly sit still and type!  He heard me out - and saw
> some really ugly xrays - and when I described two specific things -
[quoted text clipped - 73 lines]
>> You can catch more flies with funny than vinegar.
>> __________________________________
Ginnie - 01 Sep 2006 03:27 GMT
Thanks, Gwen,

That's exactly how I look at it, too.  And it just may turn
out that
the reduction in the knee and hip pain may make my other painful
conditions less easily riled up and/or more easily treated.

As a Fibromite and a PWCFS, stress is my worst enemy, so getting
rid of the knee and hip stress should make life more tolerable.

Ginnie    >^..^<

You can catch more flies with funny than vinegar.
__________________________________

> Ginne, what very good news.  Don't envy all your surgeries, but when they
> are over, you should feel like a new person.  You did good!
[quoted text clipped - 77 lines]
>>> You can catch more flies with funny than vinegar.
>>> __________________________________
Rosemarie Shiver - 01 Sep 2006 02:26 GMT
I'm really happy for ya, woman! Way to go! Hope you read Nanny's Journal
tonite 'cuz you might not be able to 2morrow....I'll be with ya in spirit on
this one and the ones to come.

Woo HOO Ginnie Hugs from Rosie

Signature

"If you wanna get it done, you gotta fight for yourself." -- Meat Loaf, Bat
Outta Hell II

> Omigod, I can hardly sit still and type!  He heard me out -
> and saw
[quoted text clipped - 81 lines]
> > You can catch more flies with funny than vinegar.
> > __________________________________
Ginnie - 01 Sep 2006 04:27 GMT
Same to ya, Demented One!

Actually, I won't be reading anything tomorrow 'cause I'm
not taking
my 'puter to the hospital.  So I'll be AWOL until Sat. nite
or Sunday.

Woo HOO to YOO too!

Ginnie    >^..^<

You can catch more flies with funny than vinegar.
__________________________________

>    I'm really happy for ya, woman! Way to go! Hope you read Nanny's Journal
> tonite 'cuz you might not be able to 2morrow....I'll be with ya in spirit on
> this one and the ones to come.
>
> Woo HOO Ginnie Hugs from Rosie
 
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