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Medical Forum / Diseases and Disorders / Arthritis / May 2004

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Mother had her tkr

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RoseB - 22 May 2004 19:43 GMT
My mother had her other tkr yesterday, I have simply been too busy to
psot about it. My grand nephew is graduating this weeken and my sister
and her husband have come. So with my coursework for the spring term,
the grad, the company, and the surgery I have not had time for much.
She made it through the surg. fine. She had a tkr in Sept, then a hip
fracture and partial thr in January, and now the knee. It is a lot to
go through, but at her age could mean a very long recovery. She is 77.
We have also been dealing with some other issues, but I think those
may have had something to do with stress, pain,  and pain medications.
That is the medical opinion for now.

Please keep her in your prayers, for a good physical and mental
recovery.
Rose
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Gwen Love - 22 May 2004 23:39 GMT
Prayers on the way Rose.  So it doesn't look like AD, huh?
Gwen

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| My mother had her other tkr yesterday, I have simply been too busy to
| psot about it. My grand nephew is graduating this weeken and my sister
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RoseB - 23 May 2004 00:00 GMT
>Prayers on the way Rose.  So it doesn't look like AD, huh?
>Gwen
Not at this point.
Thanks Gwen.
Rose
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debbie m. - 23 May 2004 17:41 GMT
Glad your mom is doing alright.  My dad is 86 and broke his hip had surgery
w/pins then a year later had THR.  He is doing fine.  He went through some
down times after surgery where he did not respond well.  He seemed confused,
etc.  They say it takes a while for the anethesia to leave the body
especially in an older patient.  It seem quite a while before he was back to
his self.

debbie m
http://www.angelfire.com/ga2/angels1/

> My mother had her other tkr yesterday, I have simply been too busy to
> psot about it. My grand nephew is graduating this weeken and my sister
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North - 24 May 2004 03:53 GMT
((((((Rose))))))
Am keeping All in my Thoughts/prayers.

MM

>My mother had her other tkr yesterday, I have simply been too busy to
>psot about it. My grand nephew is graduating this weeken and my sister
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Newsgroup Spambuster - 24 May 2004 05:18 GMT
Prayers for all of you Rose, sure sounds like one majorly busy family
time!

Donna G
Caroline Marold - 24 May 2004 05:21 GMT
You've got them Rose.
Duckie

> My mother had her other tkr yesterday, I have simply been too busy to
> psot about it. My grand nephew is graduating this weeken and my sister
[quoted text clipped - 12 lines]
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RoseB - 24 May 2004 05:40 GMT
We went to see her today, since we could not go yesterday with the
Grad dinner. The nurse informed us that yeaterday she was confused,
ripperd out her IV, and was fighting the nursing staff. She crawled or
tried to crawl over the guardrails, so they had to give her an
injection to calm her down. I am not sure if it is the anaesthetic, or
the pain meds that cause this problem. She did not have confusion with
the two previous surgeries, but she did have major confusion with her
first tkr. It seemed worse that time as it lasted about 4 days. This
was a one day occurrence, as she was cogizant today of everything and
did not seem confused.

It is dificult for us to handle, but we are prepared just in case. It
is not that unusual for seniors, and is something families should know
about if they have an elder loved one undergoing surgery.

Also her nurse had a major attitude and was forcing her to do things
that she was not wanting to do. She was in pain, so was reluctant to
position herself certain ways. The nurse's attitude made me feel
anxious, and my sister too. My mother does not respond well when
people are really demanding and forceful. At one time she told her
"Don;t push me!" when she was trying to force her to bend her knee.
Whether the nurse had some residual anger over the fact that mom was
difficult yesterday, or not, I don't know. I do n ot feel she was
treating her appropriately and we will be lodging a complaint. (My
sister is a nurse, and she was upset too). This is my mothers 4th
joint replacement, so she does know the ropes.

On the way home we passed an accident about 500 meters away from where
my nephew was killed.

It was not a very good day.
Rose
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d'huit - 24 May 2004 08:33 GMT
((((((((((((((rose)))))))))))))  keeping all of you in my prayerful
thoughts.  hopefully, the admin rn will quickly replace that nurse who seems
to be lacking in patience and compassion.

kate

> We went to see her today, since we could not go yesterday with the
> Grad dinner. The nurse informed us that yeaterday she was confused,
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kelly - 24 May 2004 15:02 GMT
{{hugs Rose}}  I can only imagine how tough it is to see her upset and in
pain again.  Hopefully she will recover quickly.

Take care of yourself this week  - hope that foot is at least behaving.

Kelly

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Kelly from North Saanich, B.C.

> We went to see her today, since we could not go yesterday with the
> Grad dinner. The nurse informed us that yeaterday she was confused,
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RoseB - 24 May 2004 18:16 GMT
>{{hugs Rose}}  I can only imagine how tough it is to see her upset and in
>pain again.  Hopefully she will recover quickly.
>
>Take care of yourself this week  - hope that foot is at least behaving.
>
>Kelly

Thanks Kelly, Kate, and all the rest:
My foot is better, thanks.

My sister did call last night and spoke with the night shift. She
found out that they had given her a general rather than a spinal and
that is why she was confused. She did mention that we were concerned
about the care she was receiving; that we felt the nurse was
unnecessarily rough. My mother has a foot that basically flops over
and points to the side, she has not been able to point it straight for
some time. Whether that is due to muscle weakness or nerve damage I
do not know, but the nurse was yelling at her several times to
straighten her foot. At one point when the curtains were pulled we
heard mom say to the nurse "Don;t push me!"  Hopefully the fact that
my sister called will make a difference.

I don't know if there is a limit to the number of times you can have a
spinal block or not. At one time there was, so perhaps that is why
they gave her a general instead. At any rate, we would like to have
known. My sister had spoken to the anaesthesiologist prior to mom's
surgery and told him that she had a bad reaction from general, but she
said she felt he was not listening to her. Obviously he was not, since
he used a general anyway. If they had to use a general, we would like
to have known so that we could be prepared, but also they needed to be
aware that it would make her confused. The confusion is especially a
problem because she rips out her IVs and tries to jump over the side
rails of the bed. Since she is not aware of pain, she could get up and
walk as she did with her first tkr.

Rose
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RoseB - 24 May 2004 05:42 GMT
Thanks all. Somehow that got lost in my long diatribe.
I appreciate this group each and every day.
Rose
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Mary Z - 25 May 2004 01:39 GMT
>We have also been dealing with some other issues, but I think those
>may have had something to do with stress, pain,  and pain medications.
>That is the medical opinion for now.

I hope she comes out of the anaesthesia ok, it can be very rough on an
older person both my father and grandmother never fully recovered from
the anaesthesia.  Hopefully she is lucid and talking a bit?   I
suppose you won't know for certain until she reduces the pain meds.
-- MZ

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RoseB - 25 May 2004 02:36 GMT
>I hope she comes out of the anaesthesia ok, it can be very rough on an
>older person both my father and grandmother never fully recovered from
>the anaesthesia.  Hopefully she is lucid and talking a bit?   I
>suppose you won't know for certain until she reduces the pain meds.
>-- MZ
Thanks, Matry.

I did not go today, but my sister did. She called me and said that my
mother is much better today.
I would still like to know if there is a medical reason that they gave
her a general rather than a spinal given her previous history with the
general.
Rose
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Mary Z - 25 May 2004 03:00 GMT
>I would still like to know if there is a medical reason that they gave
>her a general rather than a spinal given her previous history with the
>general.

It would be a good question to ask.  Maybe they were afraid of shock,
general seems so risky for someone her age. -- MZ

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Caroline Marold - 26 May 2004 05:21 GMT
Rose, the last surgery I had, the anesthesiologist asked me what I
wanted and then told me with my medical history, kinds of drugs and
number of surgeries I had had, he felt more comfortable giving me a
general. He had some very valid reasons but that was before the
anesthesia and only the good Lord knows what they were. Sorry I can't
remember what they were for you but after he listed them, I agreed to
the general. Might have been something to do with the heart even though
I don't have heart problems unless you count high blood pressure. Sorry,
so vague.
Duckie

> I did not go today, but my sister did. She called me and said that my
> mother is much better today.
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Lady K - 25 May 2004 02:51 GMT
Will absolutely keep her in my prayers, Rose....tell her to hang
tough!

Kitt

>My mother had her other tkr yesterday, I have simply been too busy to
>psot about it. My grand nephew is graduating this weeken and my sister
[quoted text clipped - 12 lines]
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Squirrely - 25 May 2004 07:49 GMT
Rose,

It sure sounds like you are busy. I hope you can get thru it all and then
have time to relax.

I am sending prayers and have been for your mothers tkr. I hope she has a
speedy recovery.

You take care.

Hugs and TLC to you

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Love and hugs to all
Good thoughts coming your way too.

Squirrely Jo

> My mother had her other tkr yesterday, I have simply been too busy to
> psot about it. My grand nephew is graduating this weeken and my sister
[quoted text clipped - 12 lines]
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RoseB - 25 May 2004 14:40 GMT
>Rose,
>
[quoted text clipped - 3 lines]
>I am sending prayers and have been for your mothers tkr. I hope she has a
>speedy recovery.

Thank-you.
My sister went yesterday and she said mom was much better, and was not
confused any more. I did not go, as it is a bit of a drive and right
now my time is so limited because of my coursework.

I think it helped that my sister had called the night before, because
she seemed to be getting better care and pain relief.

Thanks for the prayers and good thoughts.
Rose
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RoseB - 27 May 2004 06:54 GMT
Well, I mentioned about my mother having the grouchy nurse. When that
nurse had taken her to the washroom she was not aboe to void. My
sister noticed, the next day when she went to see her, that she was
still unable to go. Yesterday when she called she found out that Mom's
potassium levels were very high, and one kidney had shut down.

She is now on IV fluids, and has seen a cardio. Hopefully they can
figure out what is going on. I am wondering if her body is reacting to
having three surgeries in a short period of time. It is different when
you are older, for sure.

Rose
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RoseB - 27 May 2004 07:03 GMT
>Well, I mentioned about my mother having the grouchy nurse. When that
>nurse had taken her to the washroom she was not aboe to void.

Yikes!! It is late and I have been studying. I meant she was not able.
Sorry.
Rose
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donnah - 27 May 2004 15:09 GMT
(((Rose)))
prayers are continuing for you and your Mom and the rest of your
family.
donnah

> Well, I mentioned about my mother having the grouchy nurse. When that
> nurse had taken her to the washroom she was not aboe to void. My
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North - 28 May 2004 00:45 GMT
((((Rose))))
Same here!! Thats awful.

Take care,

MM

>(((Rose)))
>prayers are continuing for you and your Mom and the rest of your
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Gwen Love - 28 May 2004 04:51 GMT
Rose, surely hope your mother's problems can be taken care of quickly.  Her
system must be just about worn out from the three surgeries.  Will be
praying for all of you.
Gwen

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| Well, I mentioned about my mother having the grouchy nurse. When that
| nurse had taken her to the washroom she was not aboe to void. My
[quoted text clipped - 10 lines]
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RoseB - 28 May 2004 07:09 GMT
>Rose, surely hope your mother's problems can be taken care of quickly.  Her
>system must be just about worn out from the three surgeries.  Will be
>praying for all of you.
>Gwen
Thank-you.
She is still on IV fluids. One kidney did shut down, but I think that
it was a bit too much for her system.
rose
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Squirrely - 31 May 2004 00:41 GMT
Oh Rose,

Your family and you are still in my prayers. I hope things go well with your
mother. I am only hoping and wishing the best for you all.

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Love and hugs to all
Good thoughts coming your way too.

Squirrely Jo

> Well, I mentioned about my mother having the grouchy nurse. When that
> nurse had taken her to the washroom she was not aboe to void. My
[quoted text clipped - 10 lines]
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