I know it has been weeks since my last post but due to setbacks, I was unable to post. I have been through many changes in my recovery and will touch on a few. First, the complications I was having with the cpm and range of motion modalities, stemmed from what we initially thought was celluitis. Dr. Looney, immediately put me on Augmentin and did an aspiration of my knee. The procedure was less painful than I feared and the 25cc of blood removed looked normal. Next, I was sent for STAT labwork which thanks to hospitals farting around took about 4 days to get the results back. During, that time my knee had massive edema and near circumferential redness and heat.I was scheduled for a Lavage, in case infection was found. Thankfully, all labwork came back normal and no additional surgery was necessary. With a second opinion from Dr Calendine, the diagnosis was major trauma from the surgery caused the skin to become inflammed, irritated and heavily bruised.
In fact, I am now ten weeks out and the bruising and edema are still visible.
Range of Motion: I have slowly progressed and then degressed. In week eight my extension was 108 and flexion 119, weeks nine and ten, the flexion was 109 and 115 respectively. I am unsure of the change as my physical therapy practice has remained the same, two complete sessions a day with multiple quad sets and heel slides. We have now added low resistance stationary bike riding, which doesn't bring the relief I was hoping for. With my other surgeries, it would break up the scar tissue and take away most of the pressure, within the knee. But this isn't most surgeries! Dr Looney, is satisfied with my ROM and when I asked about the amount of pain that is still present, he reminded me that I'm only two months postop. I should expect this amount of pain until around the sixth month.
The osteotomy hurts just as bad as the knee does. Evenmore, now that I'm full weightbearing. I can feel the screws under the skin now and I must admit, it's freaky. I notice an increase in pain when the weather turns cool and when its raining. A myth? I don't think so.
I felt horrible until week six, that's when I became full weightbearing. Well technically, because I still had to use the walker, then progressed to the cane. I spent the better part of two months indoors, only going out for pt and Dr appointments. Trust me, you won't have any desire to go out and if you do, the pain and weakness isn't worth it.
At week ten, I feel much better. I can't say that I walk much better but I'm getting there. The fine staff at Top Rehab are doing their best to get me healed. Even, when I complain and pretend to do mini squats. Dr. Looney and Dr Calendine have given me their all and dedication. As I must say this surgery has been hard on not only me, but my family, friends, and medical team.
Wednesday, October 27, 2010
Friday, September 3, 2010
Emma's Dr Debut
Friday, I had an appointment with Dr Looney, to remove my stitches. The process hurt more than I remember other stitch removals hurting. The nurse who removed them, was very gentle, my wound is just very sensitive. She removed them quickly, while my three year old niece, Emma, looked on in amazement.
Emma, had her nitrile gloves on ready for her debut as a doctor. Standing on the table beside me she shouted at the nurse for not leaving her a stitch to remove.
Five minutes later, I had steri strips where twenty stitches once were. I am much relieved those damn things were itchy and uncomfortable. The incision is about ten inches long and goes under one of the straps on my brace causing friction between it and the wound.
Dr Looney is very happy with my healing and gives me a good report. He wants to see me back in a week.
Emma, had her nitrile gloves on ready for her debut as a doctor. Standing on the table beside me she shouted at the nurse for not leaving her a stitch to remove.
Five minutes later, I had steri strips where twenty stitches once were. I am much relieved those damn things were itchy and uncomfortable. The incision is about ten inches long and goes under one of the straps on my brace causing friction between it and the wound.
Dr Looney is very happy with my healing and gives me a good report. He wants to see me back in a week.
physical therapy day 2
Thursday, was my first physical therapy session at Top. I met with Andrea, for an evaluation, Monday. I was a medication withdrawing wreck with the shakes and nausea, she was kind enough to get me a cold pack for my hot flashes.
We did the usual measurements of edema and range of motion. She also, measured my burn, 1.5cm x 1cm just in case any of you care.
My range of motion was only 33 degrees flexion, doing a heel slide with 108 degrees extension.
My patella moved easily, as I had already been doing self mobility exercises at home.
Thursday's, session had greater success. My flexion had improved to 60 degrees with a sitting heel slide. I can't remember extension but it was improved too. I started the usual stretches, hamstring, gastronomic, soleus. Quad and Hamstring sets. And plenty of ankle and other isometric exercises. I'm still unable to do straight leg raises. The muscle control isn't there.
Andrea, has the great task of deciphering the orders between Dr Looney and the Carticel rehabilitation guidelines. There is separate procedures for different lesions etc. I have a combined rehabilitation using the Femoral Condyle, trochlea, and distal realignment guidelines.
I'm to follow the trochlear/patellar protocol combined with the distal realignment protocol. My flexion and ROM goals are 75 degrees by week 3. CPM 8-12 hours a day (0-40 degrees) for 2-3 weeks. Plus my daily routine of motion exercises.
Andrea, stretched my leg before putting me on a "low voltage" electrostim machine.
I did have increased pain after therapy during the night. I must admit my leg felt significantly better after pt.
We did the usual measurements of edema and range of motion. She also, measured my burn, 1.5cm x 1cm just in case any of you care.
My range of motion was only 33 degrees flexion, doing a heel slide with 108 degrees extension.
My patella moved easily, as I had already been doing self mobility exercises at home.
Thursday's, session had greater success. My flexion had improved to 60 degrees with a sitting heel slide. I can't remember extension but it was improved too. I started the usual stretches, hamstring, gastronomic, soleus. Quad and Hamstring sets. And plenty of ankle and other isometric exercises. I'm still unable to do straight leg raises. The muscle control isn't there.
Andrea, has the great task of deciphering the orders between Dr Looney and the Carticel rehabilitation guidelines. There is separate procedures for different lesions etc. I have a combined rehabilitation using the Femoral Condyle, trochlea, and distal realignment guidelines.
I'm to follow the trochlear/patellar protocol combined with the distal realignment protocol. My flexion and ROM goals are 75 degrees by week 3. CPM 8-12 hours a day (0-40 degrees) for 2-3 weeks. Plus my daily routine of motion exercises.
Andrea, stretched my leg before putting me on a "low voltage" electrostim machine.
I did have increased pain after therapy during the night. I must admit my leg felt significantly better after pt.
two weeks
Today, marks two weeks out from surgery. I must say I feel much better than last week. I have almost cut out the pain meds. My appetite is back, I'm still debating whether that's a good thing or not.
Yesterday, I finished the last dose of Lovenox. That's a subcutaneous blood thinning, injection to the love handles.i I was put on that instead of Aspirin, due to spending three days in the hospital after surgery.
I also finished up the worst tasting medicine in the world, Keflex! I had to enjoy that due to a defective bone saw that superheated and caused a burn next to my incision site. It is healing quite nicely, and should he completely healed in about a week.
I felt well enough this weekend to head out to a local Arts and Crafts fair. Big Mistake! Aside, from the lack of handicap access, immense pain occured from not having my leg properly elevated.
I have my third physical therapy session, today at Top Rehabilitation we should be doing measurements on my leg to check swelling and range of motion. I've been diligent with ice and elevation and kept edema to a minimum.
I go see Dr Looney, Friday as he is keeping a close watch on the burned area. I plan on discussing the many pains my leg has and its interference with my precious sleep. I understand that having your knee cut open and your shin cut and moved over, that pain is inevitable but its interupting my time in the CPM.
Its rather strange, I never had any pain caused by the CPM after microfracture. Its cramplike pain in my foot and calf and a tightness in my knee. I can only go to 40 degrees in the CPM for another week, so I'm really at a lose other than the pain is just normal.
I am still unable to do straight leg raises. I just don't have the muscle control to do them. I can move my leg from side to side but not up.
Final Musings: with two weeks down, I do feel better. Take one day at a time and don't think about the 6 weeks until weightbearing, if you do the walls will close in.
Yesterday, I finished the last dose of Lovenox. That's a subcutaneous blood thinning, injection to the love handles.i I was put on that instead of Aspirin, due to spending three days in the hospital after surgery.
I also finished up the worst tasting medicine in the world, Keflex! I had to enjoy that due to a defective bone saw that superheated and caused a burn next to my incision site. It is healing quite nicely, and should he completely healed in about a week.
I felt well enough this weekend to head out to a local Arts and Crafts fair. Big Mistake! Aside, from the lack of handicap access, immense pain occured from not having my leg properly elevated.
I have my third physical therapy session, today at Top Rehabilitation we should be doing measurements on my leg to check swelling and range of motion. I've been diligent with ice and elevation and kept edema to a minimum.
I go see Dr Looney, Friday as he is keeping a close watch on the burned area. I plan on discussing the many pains my leg has and its interference with my precious sleep. I understand that having your knee cut open and your shin cut and moved over, that pain is inevitable but its interupting my time in the CPM.
Its rather strange, I never had any pain caused by the CPM after microfracture. Its cramplike pain in my foot and calf and a tightness in my knee. I can only go to 40 degrees in the CPM for another week, so I'm really at a lose other than the pain is just normal.
I am still unable to do straight leg raises. I just don't have the muscle control to do them. I can move my leg from side to side but not up.
Final Musings: with two weeks down, I do feel better. Take one day at a time and don't think about the 6 weeks until weightbearing, if you do the walls will close in.
things to lose and gain
Prior to having aci with distal realignment it's best to gain and lose a few things.
First, lose all dignity, self respect, and pride. There is no possible way to make it through this surgery and recovery alone. For the first few days the only bath you will get is a spongebath. Your bathroom now becomes a bedside commode or bedpan, neither is enjoyable. Assistance is needed for basically everything, so finding a reliable friend, family, or spousal equivalent is best.
Invest in or find a bedside commode, shower chair, bedside eating tray. Many organizations loan out these items, check with your local Masonic lodge, Lions Club, etc.
Even if your bathroom is 3 feet away from your bed, that's too far to "hop" given the amount of pain you'll be in. Since you'll be non weightbearing for 6 weeks, standing on one leg in the shower is too risky. Get a shower chair, at a week out and you start smelling like a boar hog, you'll be happy to use it. Get a shower wand as well, no use drowning while taking a shower. And yes, I forgot to buy one.
If you must be alone for any length of time, make sure all snacks and meals are close by. There's nothing better than being bedbound and hungry. Don't worry, the first week you'll go through a period of anorexia.
That's just week one. In week two keep your laptop handy. Have plenty of movies & books available.
Any important business needs to be taken care of before surgery. You won't be able to get out and you won't feel like it anyway. Also, bad idea to move the weekend before surgery. This I know from experience, I can't find anything, like my Razor!
Make a schedule of people who can help and when they can and try to make appointments during that time. Until you stop taking painkillers, driving is out and that varies from person to person.
These are just a few suggestions to make life easier after ACI but the best may be, keep your pain pills close.
First, lose all dignity, self respect, and pride. There is no possible way to make it through this surgery and recovery alone. For the first few days the only bath you will get is a spongebath. Your bathroom now becomes a bedside commode or bedpan, neither is enjoyable. Assistance is needed for basically everything, so finding a reliable friend, family, or spousal equivalent is best.
Invest in or find a bedside commode, shower chair, bedside eating tray. Many organizations loan out these items, check with your local Masonic lodge, Lions Club, etc.
Even if your bathroom is 3 feet away from your bed, that's too far to "hop" given the amount of pain you'll be in. Since you'll be non weightbearing for 6 weeks, standing on one leg in the shower is too risky. Get a shower chair, at a week out and you start smelling like a boar hog, you'll be happy to use it. Get a shower wand as well, no use drowning while taking a shower. And yes, I forgot to buy one.
If you must be alone for any length of time, make sure all snacks and meals are close by. There's nothing better than being bedbound and hungry. Don't worry, the first week you'll go through a period of anorexia.
That's just week one. In week two keep your laptop handy. Have plenty of movies & books available.
Any important business needs to be taken care of before surgery. You won't be able to get out and you won't feel like it anyway. Also, bad idea to move the weekend before surgery. This I know from experience, I can't find anything, like my Razor!
Make a schedule of people who can help and when they can and try to make appointments during that time. Until you stop taking painkillers, driving is out and that varies from person to person.
These are just a few suggestions to make life easier after ACI but the best may be, keep your pain pills close.
Monday, August 23, 2010
Worse than Microfracture
0630 I was awake and happy with how my knee felt considering the brutality of the surgery. My ROM brace is locked out straight, swelling is incredible but somewhat masked by the Ted stocking and dressings. My toes are a familiar betadine orange.
Around 0430, the nerve block began to wear off, no increase of pain just tingling from the nerves waking up. By 0830 a new pain began not the constant ache around the osteotomy but a burning stabbing pain around the medial condyle. Soon it became unbearable and I became a slobbering, crying mess. No position of comfort could be found, so I had a phone call made to Dr Looney, within two minutes his office had returned the call and arrangements made for the hospital.
I was begging for relief, the knee felt like someone was hammering a hot poker in it. I took my alloted dose of pain medicine, then I took more. Thankfully, the ambulance came quickly, yes an ambulance! My sister was working that day and who better to come get me? Anyway, I new morphine was in my near future, what I didn't know was that 8 mg, later I would still be in agony.
Nearly, two hours later I was in Williamson medical center emergency department. Dr Looney was in surgery, so Dr Calendine met me in the ED. He is a colleague of Dr Looney and extremely nice to me.
The staff quickly unwrap my leg and check for compartment syndrome, as I was having tingling and numbness but that wasn't the cause. Soon, I received dilaudid and phenergan for my troubles and a quiet peace came over me. Except for my snoring.
I ended up staying 3 days in the hospital with high doses of potent painkillers coursing my veins.
The moral of this story: ACI with osteotomy is worse than Microfracture, its not an outpatient surgery, and make sure you get a prescription for something stronger than Percocet.
Around 0430, the nerve block began to wear off, no increase of pain just tingling from the nerves waking up. By 0830 a new pain began not the constant ache around the osteotomy but a burning stabbing pain around the medial condyle. Soon it became unbearable and I became a slobbering, crying mess. No position of comfort could be found, so I had a phone call made to Dr Looney, within two minutes his office had returned the call and arrangements made for the hospital.
I was begging for relief, the knee felt like someone was hammering a hot poker in it. I took my alloted dose of pain medicine, then I took more. Thankfully, the ambulance came quickly, yes an ambulance! My sister was working that day and who better to come get me? Anyway, I new morphine was in my near future, what I didn't know was that 8 mg, later I would still be in agony.
Nearly, two hours later I was in Williamson medical center emergency department. Dr Looney was in surgery, so Dr Calendine met me in the ED. He is a colleague of Dr Looney and extremely nice to me.
The staff quickly unwrap my leg and check for compartment syndrome, as I was having tingling and numbness but that wasn't the cause. Soon, I received dilaudid and phenergan for my troubles and a quiet peace came over me. Except for my snoring.
I ended up staying 3 days in the hospital with high doses of potent painkillers coursing my veins.
The moral of this story: ACI with osteotomy is worse than Microfracture, its not an outpatient surgery, and make sure you get a prescription for something stronger than Percocet.
This is no ordinary surgery
My alarm clock went off at 0345 and I picked myself up after falling from the bed. The lack of sleep sucks and yet I'm still running late. I quickly lather up with antibacterial soap while my stomach growled. I should have ate up until midnight.
Finally, we are on our way to Vanderbilt Bone and Joint Surgery Center for my 0600 surgery time.
After checking in I waited only minutes to be called back for prep. When she said, "you again,"wasn't you here just, last month? Now I recognized her, nose ring and all. Not last month but May, I said. Then I went to deliver a urine sample.
We go through the familiar checklist, why are you here? Left knee, who's your Dr? Looney. Next, is the IV and last minute instructions with Dr Looney, while the anesthesiologist prepared the femoral nerve block. A short time later the bright lights and cold steel of the surgery room came into view. No fun and games now as I was immediately put to sleep.
I woke up several hours later in horrible pain, my postop nurse was quick to put the pain medicine to me. After, 16mg of morphine and 3 of dilaudid and a few Percocet I was able to go home.
The rest of the night was uneventful as I was able to get out of bed by myself.
That would soon change.
Finally, we are on our way to Vanderbilt Bone and Joint Surgery Center for my 0600 surgery time.
After checking in I waited only minutes to be called back for prep. When she said, "you again,"wasn't you here just, last month? Now I recognized her, nose ring and all. Not last month but May, I said. Then I went to deliver a urine sample.
We go through the familiar checklist, why are you here? Left knee, who's your Dr? Looney. Next, is the IV and last minute instructions with Dr Looney, while the anesthesiologist prepared the femoral nerve block. A short time later the bright lights and cold steel of the surgery room came into view. No fun and games now as I was immediately put to sleep.
I woke up several hours later in horrible pain, my postop nurse was quick to put the pain medicine to me. After, 16mg of morphine and 3 of dilaudid and a few Percocet I was able to go home.
The rest of the night was uneventful as I was able to get out of bed by myself.
That would soon change.
Monday, August 16, 2010
The Move is Complete
I have spent the last few days in a mad frenzy of boxes and wrapping newspaper around fragile items. The move is now complete and most of it, once again unpacked. The accommodations are much smaller, so finding that perfect place for each piece has took a back seat to cardboard boxes. I'm actually hoping when whoever brings the CPM(continuous Passive Motion) leaves it on the step and I avoid having to explain why I moved before a surgery.
I made the hour and a half drive to Franklin, this morning for a Pre-op exam. I'm wondering why, yes Dr Looney examined my knee but it could have waited until tomorrow. Plus, I didn't ask any of the questions I wanted too, eventhough he answered most in the usual pre-surgery chatter.
The procedure should take around two hours, not including recovery period. Its same day at Vanderbilt surgery center. My arrival time? An unbelievable 0600! I nearly fainted hearing that, I'm wondering if lack of sleep will make it harder to wake up from anesthesia?
Dr Looney, explained how the cells will be injected under the periosteum patch via arthrotomy. The camera didn't get installed so I won't get any cool video but I will get great pictures. Its the Paramedic in me, I can't resist gory pictures of my knee cut open and all that's inside.
The tibial tubercle osteotomy is what will give me the most grief. Anyone who's had a leg fracture can appreciate the pain, entailed. Right below my knee a wedge will be made in the bone to take pressure off the patella. With an 85% success rate for aci in patella defects, every effort is made to let the millions of tiny cells do their thing. Then two screws will be placed in that spot to add more discomfort and enjoyment.
I shined up the shower chair today and I have the wheelchair on standby. A ramp was built today in my honor at the homestead. An abundance of steps makes things less enjoyable. Pain medicine staging and a plethora of magazines and movies are at my disposal. I even stashed scissors close so I can give those damn Ted stockings an elasticectomy. I want get to blog as much since I have no internet or phone service in Maybery, I mean the place where I currently reside. How am I posting tonight you ask? Well I'm camped out at my sisters to make a 2 hour drive slighter shorter. I hope to post again Wednesday and quite possibly tomorrow. Depends on how medicated I am. Until next time, Blessed Be.
I made the hour and a half drive to Franklin, this morning for a Pre-op exam. I'm wondering why, yes Dr Looney examined my knee but it could have waited until tomorrow. Plus, I didn't ask any of the questions I wanted too, eventhough he answered most in the usual pre-surgery chatter.
The procedure should take around two hours, not including recovery period. Its same day at Vanderbilt surgery center. My arrival time? An unbelievable 0600! I nearly fainted hearing that, I'm wondering if lack of sleep will make it harder to wake up from anesthesia?
Dr Looney, explained how the cells will be injected under the periosteum patch via arthrotomy. The camera didn't get installed so I won't get any cool video but I will get great pictures. Its the Paramedic in me, I can't resist gory pictures of my knee cut open and all that's inside.
The tibial tubercle osteotomy is what will give me the most grief. Anyone who's had a leg fracture can appreciate the pain, entailed. Right below my knee a wedge will be made in the bone to take pressure off the patella. With an 85% success rate for aci in patella defects, every effort is made to let the millions of tiny cells do their thing. Then two screws will be placed in that spot to add more discomfort and enjoyment.
I shined up the shower chair today and I have the wheelchair on standby. A ramp was built today in my honor at the homestead. An abundance of steps makes things less enjoyable. Pain medicine staging and a plethora of magazines and movies are at my disposal. I even stashed scissors close so I can give those damn Ted stockings an elasticectomy. I want get to blog as much since I have no internet or phone service in Maybery, I mean the place where I currently reside. How am I posting tonight you ask? Well I'm camped out at my sisters to make a 2 hour drive slighter shorter. I hope to post again Wednesday and quite possibly tomorrow. Depends on how medicated I am. Until next time, Blessed Be.
Friday, August 13, 2010
Pre-op take 2
I thought I should fill you in on all the Dr appointments I've been to. First, pre-op went routine, I was just there a little over a month ago. I saw Debbie Jackson, and she did the usual checking of vital signs and chit chat of the procedure. I was unable to see Dr Looney, as he was either overbooked or had hightailed it outta there for vacation. Whatever, the reason my questions are still unanswered or at least confirmed until Monday. That's right Monday, the day before surgery!
While out on a shopping trip, I happened upon, an old friend, who is a Physicians Assistant with TOA. Kim Woodlee, many of you may know her as a star basketball player for Kansas State. TOA or Tennessee Orthopedic Alliance is based in Nashville, Tn.
I was relieved to see her and wish I hadn't been in a state of manic funk and asked more questions. But I was in a clothing store and for those that know me know, shopping isn't my favorite thing to do. Actually, I was just tagging along and so was knee pain, but I digress. Kim, was very understanding, knowledgeable, and compassionate with me and answered probably, my biggest question: How bad is this shit gonna hurt? Answer: very similar to the microfracture!
Yea! Not that it was fun, hell would be a better term but at least I know what I'm up against. With the right pain medication, I should be just fine.
Now on to Dr Schweitzer, I went in Tuesday, for test results and surprisingly enough, most were normal. I have hypothyroidism and vitamin D defiency but when you stay in the house as much as I do, vitamin D is bound to be deficit.
With a little levothyroxine and vitamin D, all will be good.
I also scheduled my physical therapy post-Op exam. Still makes no sense to me why I need to go the day after surgery, but its made. I'm going to assume, they like watching me stagger in via crutches, high on pain pills and slurring my speech. I know they all have their smart phones out, streaming live footage to youtube. Just look under Loo under the influence and Loo on Physical Therapy.
No, really the team at Top Rehab is great.
I want to give a big thank you to Kim Woodlee, for your free and loving advice.
P.S. Only 4 days til ACI.
While out on a shopping trip, I happened upon, an old friend, who is a Physicians Assistant with TOA. Kim Woodlee, many of you may know her as a star basketball player for Kansas State. TOA or Tennessee Orthopedic Alliance is based in Nashville, Tn.
I was relieved to see her and wish I hadn't been in a state of manic funk and asked more questions. But I was in a clothing store and for those that know me know, shopping isn't my favorite thing to do. Actually, I was just tagging along and so was knee pain, but I digress. Kim, was very understanding, knowledgeable, and compassionate with me and answered probably, my biggest question: How bad is this shit gonna hurt? Answer: very similar to the microfracture!
Yea! Not that it was fun, hell would be a better term but at least I know what I'm up against. With the right pain medication, I should be just fine.
Now on to Dr Schweitzer, I went in Tuesday, for test results and surprisingly enough, most were normal. I have hypothyroidism and vitamin D defiency but when you stay in the house as much as I do, vitamin D is bound to be deficit.
With a little levothyroxine and vitamin D, all will be good.
I also scheduled my physical therapy post-Op exam. Still makes no sense to me why I need to go the day after surgery, but its made. I'm going to assume, they like watching me stagger in via crutches, high on pain pills and slurring my speech. I know they all have their smart phones out, streaming live footage to youtube. Just look under Loo under the influence and Loo on Physical Therapy.
No, really the team at Top Rehab is great.
I want to give a big thank you to Kim Woodlee, for your free and loving advice.
P.S. Only 4 days til ACI.
Thursday, August 5, 2010
questions to ask
Tomorrow is yet another pre-op day, with the fine folks at Vanderbilt Bone and Joint. Time for me to fall into the "beast" of a car and make the 1 and a half hour drive to Franklin. Which very soon after the move will be two hours but what's thirty minutes? Of course by then I will have a chaperone in a red minivan. Awe yes, riding sideways with my unloader brace and narcotic painkillers. High roller indeed!
All week I've been thinking of questions to ask Dr Looney, they would take all day. So I figure its best to let him talk and what he doesn't cover, I will. I do wonder how long I'll be on crutches, I figure non-weightbearing for 6-8 weeks, since the plan is to have an osteotomy. I am having a bit of a shoulder issue that occurrd after the last round of crutches, worsened after a workout. I know I'm looking at a recovery of nearly two years but would like that broke down into when I'll feel "normal" again.
I received a phone call from Top Rehab today. They seem to have a knack of calling right before I have surgery. Strange, eerie? I don't know. Maybe, they wanted to see if I'm still alive, so I will send them some money? Well they found out I'm alive and no I can't send money.
In all seriousness, Fran, was really nice, as always when she calls to ask how I'm doing and just check up. I believe she was even thrilled to hear I'd be coming back in for more "pt"(pain and torture).
Andrea Turner, will be thrilled to help me sort through the 72 week rehab. See ya soon Andi!
Dr Looney won't be thrilled with how much weight I've gained but that will make two of us. I shall lose ten pounds or so after surgery, albeit, quad muscle mass, if there is any left to lose.
I haven't received my test results from my visit with Dr Schweitzer, hopefully, I will get them before pre-op tomorrow. I am definitely staying away from the EKG technician at VB&J, and any parading around like Holly Madison. Today was election day I do hope you exercised your right! Well folks, that's all I have will give further report tomorrow.
All week I've been thinking of questions to ask Dr Looney, they would take all day. So I figure its best to let him talk and what he doesn't cover, I will. I do wonder how long I'll be on crutches, I figure non-weightbearing for 6-8 weeks, since the plan is to have an osteotomy. I am having a bit of a shoulder issue that occurrd after the last round of crutches, worsened after a workout. I know I'm looking at a recovery of nearly two years but would like that broke down into when I'll feel "normal" again.
I received a phone call from Top Rehab today. They seem to have a knack of calling right before I have surgery. Strange, eerie? I don't know. Maybe, they wanted to see if I'm still alive, so I will send them some money? Well they found out I'm alive and no I can't send money.
In all seriousness, Fran, was really nice, as always when she calls to ask how I'm doing and just check up. I believe she was even thrilled to hear I'd be coming back in for more "pt"(pain and torture).
Andrea Turner, will be thrilled to help me sort through the 72 week rehab. See ya soon Andi!
Dr Looney won't be thrilled with how much weight I've gained but that will make two of us. I shall lose ten pounds or so after surgery, albeit, quad muscle mass, if there is any left to lose.
I haven't received my test results from my visit with Dr Schweitzer, hopefully, I will get them before pre-op tomorrow. I am definitely staying away from the EKG technician at VB&J, and any parading around like Holly Madison. Today was election day I do hope you exercised your right! Well folks, that's all I have will give further report tomorrow.
Wednesday, August 4, 2010
Seems Real Now
Last Friday, Dan Gates, the surgery scheduler, called me from Vanderbilt Bone and Joint, to officially schedule my surgery & post-op dates. My pre-op appointment is Friday, yes I know I have already been through pre-op but their policy is only good for thirty days and it is just beyond that, so I'm going again. Dr Looney, wants to consult and prep a little more about the aci, as I still have many questions. You must be thinking, how many more answers does she need? Well detail oriented as I am, I can never have enough answers. Even simple things like, how soon can I shower? Will I need a bed pan? Who's going to change it? Right on up to the bigger ones, how long of a recovery? How much pain? What type of osteotomy? I'm not necessarily a creature of habit just one who plans a lot.
I even emailed my Genzyme liasion to confirm they received all required paperwork. I got a prompt reply from Mr Brooks and all is set and final phase of cell growth is underway.
I am on fire this week! Feeling better than I have in months & taking care of business. I even found a new primary care physician named, Dr Meredith Schwietzer. She is really great, we got along well and we seem to share the same ideals, as far as, natural, alternative styles. I made the appointment for a couple of reasons, 1 its been years since I've had a good primary care physician and 2. To tell someone other than my family about my depression and insomnia. Frankly, they're tired of hearing about it and I'm tired of talking to them. Lol!
Dr Schwietzer, not only listened but was very compassionate and offered great advice. I chose not to take any antidepressants or other medication. I hate taking medicine of any kind, even though sometimes it is appropriate. I have had a different mindset this past week and just hope it continues.
Via her scales my weight gain is 65 pounds not 50, I'm going with mine. I also had the standard blood & urine tests to give everything a good once over. Especially, my thyroid, I would like to blame my weight issues on it being under active, over my stuffing food in my mouth.
I also wanted to get a good wellness check before surgery, incase anything is out of whack. Like say a thyroid. Lol my bloodwork should be back before pre-op. She also wanted to do an Ekg but I was quick to point out I recently had one. Remember, I was exposed like I was preparing for a playboy photoshoot. Somebody is still having nightmares I'm sure! On well learn how to perform a 12 lead, while leaving a person their dignity. I'm almost certain that nurse used to work at an obstetrician & gynecologist office.
Enough about that, with all the hustle and bustle of Dr visits, the aci surgery seems real now, as do the challenges I will face over the next 18 months.
I even emailed my Genzyme liasion to confirm they received all required paperwork. I got a prompt reply from Mr Brooks and all is set and final phase of cell growth is underway.
I am on fire this week! Feeling better than I have in months & taking care of business. I even found a new primary care physician named, Dr Meredith Schwietzer. She is really great, we got along well and we seem to share the same ideals, as far as, natural, alternative styles. I made the appointment for a couple of reasons, 1 its been years since I've had a good primary care physician and 2. To tell someone other than my family about my depression and insomnia. Frankly, they're tired of hearing about it and I'm tired of talking to them. Lol!
Dr Schwietzer, not only listened but was very compassionate and offered great advice. I chose not to take any antidepressants or other medication. I hate taking medicine of any kind, even though sometimes it is appropriate. I have had a different mindset this past week and just hope it continues.
Via her scales my weight gain is 65 pounds not 50, I'm going with mine. I also had the standard blood & urine tests to give everything a good once over. Especially, my thyroid, I would like to blame my weight issues on it being under active, over my stuffing food in my mouth.
I also wanted to get a good wellness check before surgery, incase anything is out of whack. Like say a thyroid. Lol my bloodwork should be back before pre-op. She also wanted to do an Ekg but I was quick to point out I recently had one. Remember, I was exposed like I was preparing for a playboy photoshoot. Somebody is still having nightmares I'm sure! On well learn how to perform a 12 lead, while leaving a person their dignity. I'm almost certain that nurse used to work at an obstetrician & gynecologist office.
Enough about that, with all the hustle and bustle of Dr visits, the aci surgery seems real now, as do the challenges I will face over the next 18 months.
Insurance advice
Let me say a few things about insurance companies. First, the percentage is high that they will deny a procedure the first and even second time. (My ACI was denied three times before approval). Let's face it, they make money by ripping you off. I was offered a job, selling insurance once, I turned it down. After listening to a con artist trying to con me, I realized I could never play that game.
If denied, go through the appeals process and request a "peer to peer" with your physician and your insurance medical director. That's were they discuss your case, hopefully leading to an approval.
Second, don't give up!
Start a letter campaign to your insurance provider, not just one but multiple letters. Request another appeal by the carriers medical board. Seek multiple "second" opinions from qualified physicians. Call your carrier at least twice a week, if not everyday to check on the progress. Don't let them forget you.
Third, Use your state Representatives
They are there to represent their constitutes and are happy to help. Healthcare Reform is always a hot topic issue.
Finally,(Which should be the first thing you do). Be sure to read your insurance policy and see what items are covered and how much is covered. Be familiar with the pre-certification and appeals process. Save all EOB's and record all contact made with your insurance. Who you talked to, what department, what date and time, what assistance, if any, they provided. Don't be fooled into paying upfront costs, if someone from your insurance carrier requests that, direct them to your surgeons and Genzymes insurance liasions.
That didn't happen to me but I have heard about cases, were it did. Don't aggravate your Dr to death. I'm sure Dr Looney was about to go, well looney, getting my approval. Cigna would tell me to call him,that they needed him to call and they needed to talk to a health care professional. What the hell am I? Dr Looney would be waiting on them to call, then they didn't. All while I was crying(not literally) in his ear or rather email. So in my case Cigna was real good at giving me the run around But persistence paid off.
I am going to give a huge shout out to Dr Looney and his staff for fighting the insurance giant and getting me one step closer to healing.
If denied, go through the appeals process and request a "peer to peer" with your physician and your insurance medical director. That's were they discuss your case, hopefully leading to an approval.
Second, don't give up!
Start a letter campaign to your insurance provider, not just one but multiple letters. Request another appeal by the carriers medical board. Seek multiple "second" opinions from qualified physicians. Call your carrier at least twice a week, if not everyday to check on the progress. Don't let them forget you.
Third, Use your state Representatives
They are there to represent their constitutes and are happy to help. Healthcare Reform is always a hot topic issue.
Finally,(Which should be the first thing you do). Be sure to read your insurance policy and see what items are covered and how much is covered. Be familiar with the pre-certification and appeals process. Save all EOB's and record all contact made with your insurance. Who you talked to, what department, what date and time, what assistance, if any, they provided. Don't be fooled into paying upfront costs, if someone from your insurance carrier requests that, direct them to your surgeons and Genzymes insurance liasions.
That didn't happen to me but I have heard about cases, were it did. Don't aggravate your Dr to death. I'm sure Dr Looney was about to go, well looney, getting my approval. Cigna would tell me to call him,that they needed him to call and they needed to talk to a health care professional. What the hell am I? Dr Looney would be waiting on them to call, then they didn't. All while I was crying(not literally) in his ear or rather email. So in my case Cigna was real good at giving me the run around But persistence paid off.
I am going to give a huge shout out to Dr Looney and his staff for fighting the insurance giant and getting me one step closer to healing.
Tuesday, July 27, 2010
My Old Self
I have had two great days! Monday, I spent with family and had a little family outing. Tuesday, I woke up feeling like my "old self." Something I really haven't posted on here but I'm sure has been apparent to everyone, is that I've had a case of the "blues." Okay, maybe depression that's my own diagnosis and not that of a trained professional. I'm a paramedic, doesn't that automatically give us a minor in psychology? Maybe not, anyone crazy enough to be in EMS needs a good shrink. Wonder, if Dr Phil is available?
I came to that conclusion from one of those anti-depression medication commercials, the ones that say, have you lost interest? Oh wait, that was Cialis, Nevermind.
Now that I'm lucid, I would say I have been down in the dumps, since the first surgery nearly a year ago and it didn't help when I was "released" from work. You know, I always wondered what a Kentucky race horse feels like when its put out to pasture, when their racing days are done. Probably like this, walking with a limp and at least a 50 pound weight gain.
I mailed the Carticel package today and now let the final cell growing phase begin. I must also make an appointment to see Dr. Looney to discuss the particulars of the procedure. After reading this he may have me put into the Centennial Psych Ward. At least I won't be in there for addiction, assuming food addiction doesn't count.
The knee has been on the tender side this week, but I have been working it very hard to build up muscle tone. And like any cartilage free knee increased activity equals increased pain. That must ring true for AC joints in shoulders since I have had to critically limit overhead weight lifting. Again, my own diagnosis but should certainly be interesting on crutches.
I may only be having a "manic moment" here by sharing this but the blog is about How Knee Surgery Changed My Life and I feel emotional difficulties or triumphs should be included. I am not the only one who suffers from them and feel others may benefit from my airings. There are worst things in the world than knee surgery and financial ruin, as anybody in the business of life and death knows but while you're dealing with it you tend to lose sight of the bigger picture.
I came to that conclusion from one of those anti-depression medication commercials, the ones that say, have you lost interest? Oh wait, that was Cialis, Nevermind.
Now that I'm lucid, I would say I have been down in the dumps, since the first surgery nearly a year ago and it didn't help when I was "released" from work. You know, I always wondered what a Kentucky race horse feels like when its put out to pasture, when their racing days are done. Probably like this, walking with a limp and at least a 50 pound weight gain.
I mailed the Carticel package today and now let the final cell growing phase begin. I must also make an appointment to see Dr. Looney to discuss the particulars of the procedure. After reading this he may have me put into the Centennial Psych Ward. At least I won't be in there for addiction, assuming food addiction doesn't count.
The knee has been on the tender side this week, but I have been working it very hard to build up muscle tone. And like any cartilage free knee increased activity equals increased pain. That must ring true for AC joints in shoulders since I have had to critically limit overhead weight lifting. Again, my own diagnosis but should certainly be interesting on crutches.
I may only be having a "manic moment" here by sharing this but the blog is about How Knee Surgery Changed My Life and I feel emotional difficulties or triumphs should be included. I am not the only one who suffers from them and feel others may benefit from my airings. There are worst things in the world than knee surgery and financial ruin, as anybody in the business of life and death knows but while you're dealing with it you tend to lose sight of the bigger picture.
Thursday, July 22, 2010
More Fancy Knee Words
It has been awhile, since I have laid out some fancy medical terms. So here goes the story of surgery number two. Picture it May 2010, persistent Left knee pain after Microfracture in September 2009. MRI showed no ligament injury but appeared the microfracture had failed.
Onwards to the Lateral Release: this procedure was done arthroscopically along with another chondroplasty of the patella. Autologous Chondrocyte implantation biopsy and Anterior interval release(infrapatellar contracture scarring release with infrapatellar plica release).
Myself and Dr Looney had already discussed ACI prior to this procedure and two tic tacs were obtained as well for Carticel. No, not breath mints but basically, healthy chondrocytes taken for growth equal to the size of a tic tac. Sounds good to me, does it work for you?
The patella defect now measured 2.5cm x 1cm and the medial femoral chondyle measured 2cm x 1cm and was a grade 4 defect.
This surgery resulted in a decrease in patella pain and was definitely the easiest of the two. A lot of people are reluctant to have a lateral release but for me it seems to have helped. I had some sharp pains near the trochlea but that was from the biopsy. The chondyle pain is still there but its on a weightbearing portion of my knee and nothing a lateral release could relieve, anyway.
After the surgery I was given 6 stitches, a ROM brace and thanks to a femoral nerve block, very little pain. Perhaps, I haven't warped your mind and sent you into a medical term coma,but rather given you some insite of the world of knee repair.
Onwards to the Lateral Release: this procedure was done arthroscopically along with another chondroplasty of the patella. Autologous Chondrocyte implantation biopsy and Anterior interval release(infrapatellar contracture scarring release with infrapatellar plica release).
Myself and Dr Looney had already discussed ACI prior to this procedure and two tic tacs were obtained as well for Carticel. No, not breath mints but basically, healthy chondrocytes taken for growth equal to the size of a tic tac. Sounds good to me, does it work for you?
The patella defect now measured 2.5cm x 1cm and the medial femoral chondyle measured 2cm x 1cm and was a grade 4 defect.
This surgery resulted in a decrease in patella pain and was definitely the easiest of the two. A lot of people are reluctant to have a lateral release but for me it seems to have helped. I had some sharp pains near the trochlea but that was from the biopsy. The chondyle pain is still there but its on a weightbearing portion of my knee and nothing a lateral release could relieve, anyway.
After the surgery I was given 6 stitches, a ROM brace and thanks to a femoral nerve block, very little pain. Perhaps, I haven't warped your mind and sent you into a medical term coma,but rather given you some insite of the world of knee repair.
Saturday, July 17, 2010
Get Well Soon
I am happy to report that Teri from Texas, had great news during her surgery. Get well Soon!
Its been a few days since my last report, no news is good news yes? I have been super busy trying to move and take care of a few financial things, so that is taking up most of my time.
I started working out again after a week break and lets just say, the workout has kicked my ass. My biceps are screaming at me just for typing and my knee says hello as well.
I have almost completed my first novel and plan to have it complete and to the editor by surgery day. That gives me 32 days, yikes! My novel is called WE Cry Too and is about EMS and details their life, as well as the lives of the patients they serve. I am very excited and hope that I can bring a greater understanding about the family of EMS providers.
On knee news I am happy to say that my knee hasn't been weak, i.e. giving away, locking up, etc. Just the "normal" pain that is constant. Last night after my workout I had some stabbing pains in both medial and lateral sides of the knee. There is still pain upon touch were the lateral release was performed. But that is normal, it's only been three months. I still have a long way to go, getting the quad muscles built back up. My balance isn't any better and I'm sure it's not going to improve, that appears to be a problem unrelated to my knee.
I'm also adding a few lunges to the workout, perhaps not true lunges due to my inability to completely bend or squat.
On a lighter note, joke here, I have lost five pounds on my way to at least twenty before surgery. So all in all its been a good week.
Its been a few days since my last report, no news is good news yes? I have been super busy trying to move and take care of a few financial things, so that is taking up most of my time.
I started working out again after a week break and lets just say, the workout has kicked my ass. My biceps are screaming at me just for typing and my knee says hello as well.
I have almost completed my first novel and plan to have it complete and to the editor by surgery day. That gives me 32 days, yikes! My novel is called WE Cry Too and is about EMS and details their life, as well as the lives of the patients they serve. I am very excited and hope that I can bring a greater understanding about the family of EMS providers.
On knee news I am happy to say that my knee hasn't been weak, i.e. giving away, locking up, etc. Just the "normal" pain that is constant. Last night after my workout I had some stabbing pains in both medial and lateral sides of the knee. There is still pain upon touch were the lateral release was performed. But that is normal, it's only been three months. I still have a long way to go, getting the quad muscles built back up. My balance isn't any better and I'm sure it's not going to improve, that appears to be a problem unrelated to my knee.
I'm also adding a few lunges to the workout, perhaps not true lunges due to my inability to completely bend or squat.
On a lighter note, joke here, I have lost five pounds on my way to at least twenty before surgery. So all in all its been a good week.
Friday, July 9, 2010
The Date is Set
I had an excitement filled Independence Day Holiday. I spent a few days with the family without the knee acting up too much. I viewed a holiday airshow and fireworks display, never have I heard Independence themed music, along with Johnny Cash and the Beach Boys, followed by Rocky Top.All while fireworks lit up the night sky. I caught a couple of fire truck filled parades. I thought parades consisted of floats, bands and pride of our country, not atv's and sirens. Not that I'm opposed to hearing sirens, it has been awhile since I have listened to the scream of one while driving through rush hour traffic only to get trapped by one SOB that refuses to move over.
I digress, come on people, get a little patriotic.My rant is over, I did enjoy myself just merely making a point. I fired up the grill and burned some corn, squash and various meat products. I never claimed to be a chef! When I push the plate away from me, BEWARE.
When I returned home, I had a FED EX package waiting. It was from the Carticel group confirming my surgery date for August 17th. I am ecstatic that its all come together. I was hoping for a July surgery but that gives me a month to lose the 20lbs, I've been losing for the past 4 months.
Where is Jillian Michaels, when I need her?
While on my holiday, I neglected my knee exercises, slightly. Well maybe more than that and it's mildly stiff and increased in pain. I predict with a couple days of normal routine it will be back to its, postop normal.
In closing, I want to thank Dr. Looney for his good works and listening to my bitching and getting Cigna inline. And wish good luck to Teri during her knee surgery scheduled for Monday.
I digress, come on people, get a little patriotic.My rant is over, I did enjoy myself just merely making a point. I fired up the grill and burned some corn, squash and various meat products. I never claimed to be a chef! When I push the plate away from me, BEWARE.
When I returned home, I had a FED EX package waiting. It was from the Carticel group confirming my surgery date for August 17th. I am ecstatic that its all come together. I was hoping for a July surgery but that gives me a month to lose the 20lbs, I've been losing for the past 4 months.
Where is Jillian Michaels, when I need her?
While on my holiday, I neglected my knee exercises, slightly. Well maybe more than that and it's mildly stiff and increased in pain. I predict with a couple days of normal routine it will be back to its, postop normal.
In closing, I want to thank Dr. Looney for his good works and listening to my bitching and getting Cigna inline. And wish good luck to Teri during her knee surgery scheduled for Monday.
Wednesday, June 30, 2010
Finally Approved
Finally, I got approval to have the ACI surgery. Dan Gates, called today and he had spoken with Genzyme and the procedure has been approved. That takes my stress level down a notch or does it? The surgery date hasn't been set but I should be getting that set up this week.This comes at the perfect time since I am getting ready to move.
My knee has been hurting for the past five days, even doing my leg stretches and ice haven't helped. I am doing 4lb weights with at home pt and riding my stationary bike frequently. Unfortunately, that pizza seemed to have made the 2lbs lost reappear. I guess now its a juice diet before surgery.
Even though, my knee was hurting I managed to watch my nephew, Tanner play baseball. Last night, he made his pitching debut, well since two years ago and done great. His team won by a score of 10-6 in the district 8 Allstar Tournament.
Last night was the premiere of the Twilight Saga: Eclipse. My sister snagged us tickets to the 1am showing at the local theater. I know what you are thinking, 1am! Isn't that late? well not for me since I sleep at day and up all night. I blame it on nearly a decade of EMS or am I half vampire? Regardless, it is well worth it as 7 million people watched the opening night. It still surprises me that most people that watch the movies, have never read the books. They don't know what they are missing.
With that I will close, not much with the knee, other than the usual. Just wanted to share that the denial was overturned and soon I shall be cloned. Can't wait for that movie to come out, Loo: cloned!
My knee has been hurting for the past five days, even doing my leg stretches and ice haven't helped. I am doing 4lb weights with at home pt and riding my stationary bike frequently. Unfortunately, that pizza seemed to have made the 2lbs lost reappear. I guess now its a juice diet before surgery.
Even though, my knee was hurting I managed to watch my nephew, Tanner play baseball. Last night, he made his pitching debut, well since two years ago and done great. His team won by a score of 10-6 in the district 8 Allstar Tournament.
Last night was the premiere of the Twilight Saga: Eclipse. My sister snagged us tickets to the 1am showing at the local theater. I know what you are thinking, 1am! Isn't that late? well not for me since I sleep at day and up all night. I blame it on nearly a decade of EMS or am I half vampire? Regardless, it is well worth it as 7 million people watched the opening night. It still surprises me that most people that watch the movies, have never read the books. They don't know what they are missing.
With that I will close, not much with the knee, other than the usual. Just wanted to share that the denial was overturned and soon I shall be cloned. Can't wait for that movie to come out, Loo: cloned!
Tuesday, June 22, 2010
Feeling Good
I have written several posts this week, that were pure genius. Unfortunately, my BlackBerry didn't post them, so I have had to track down a computer to keep you guys informed. I'm sorry you couldn't read those posts but genius can't be repeated. And I can't remember what the heck it was that I wrote, so hopefully, this will work.
This week has actually been fantastic! It has to be the summer weather but my knee has given me a couple days to get out and enjoy myself. Don't get me wrong the pain is still there but is tolerable. I caught a couple softball games and meet up with some old friends, whom I haven't seen in years. I was able to stand for about an hour before the knee said, excuse me,Loo but you have bone ends rubbing together, take it easy.
The next day I paid for all the excitement, with edema and pain that forced me to stay in the house, with my best friends, ice pack and elevation. Saturday, my niece and I went to Nashville to watch the NPF softball team the Tn Diamonds, play the USSSA Pride. We got to meet all the players, who were gracious enough to sign autographs and get their pictures taken with hundreds of young, silly band wearing, girls. Some ice and rest after I got home and I was good to go.
I reached down recently, and I think I found some muscle mass building up around my knee. Could that be? I am exercising at home and feeling really good, I had lost two pounds but that was before I cooked a pizza.
I have contacted Cigna multiple times and still they are useless to talk to, insisting that my physician needs to call them. So, still no surgery date. Come on people, pain here.
I have a new friend, who is having knee surgery in July, quite different from mine but a very interesting story. She is an EMT and so we share in the family of EMS. I'm glad someone out there understands the sarcasm, in this blog. I wish her the best of luck and look forward to hearing more about her progress.
I'm also searching for new career options, so any ideas would be appreciated.
This week has actually been fantastic! It has to be the summer weather but my knee has given me a couple days to get out and enjoy myself. Don't get me wrong the pain is still there but is tolerable. I caught a couple softball games and meet up with some old friends, whom I haven't seen in years. I was able to stand for about an hour before the knee said, excuse me,Loo but you have bone ends rubbing together, take it easy.
The next day I paid for all the excitement, with edema and pain that forced me to stay in the house, with my best friends, ice pack and elevation. Saturday, my niece and I went to Nashville to watch the NPF softball team the Tn Diamonds, play the USSSA Pride. We got to meet all the players, who were gracious enough to sign autographs and get their pictures taken with hundreds of young, silly band wearing, girls. Some ice and rest after I got home and I was good to go.
I reached down recently, and I think I found some muscle mass building up around my knee. Could that be? I am exercising at home and feeling really good, I had lost two pounds but that was before I cooked a pizza.
I have contacted Cigna multiple times and still they are useless to talk to, insisting that my physician needs to call them. So, still no surgery date. Come on people, pain here.
I have a new friend, who is having knee surgery in July, quite different from mine but a very interesting story. She is an EMT and so we share in the family of EMS. I'm glad someone out there understands the sarcasm, in this blog. I wish her the best of luck and look forward to hearing more about her progress.
I'm also searching for new career options, so any ideas would be appreciated.
Thursday, June 17, 2010
denied again
I finally found out the source of the delay of surgery, it is Cigna. They have denied me again, this time citing insufficient evidence to demonstrate the safety and/or effectiveness of autologous chondrocyte transplantation in the treatment of lesions of the patella. Go tell that to the people walking around, pain free, after ACI. It appears, I will have to send them a not so nice letter, this comes after they flaked on a peer to peer session, with Dr Looney. If you are unaware Cigna, the longer someone waits who has no/decreased cartilage, the greater the chances are of developing osteoarthritis and further bone damage.Thus, leading to total/partial knee replacements. At 26 years old I am not a candidate for knee replacement nor do I wanna be. There I got that out of the way.Dr. Looney is still confident that the surgery will be approved and I am optimistic as well.
I must say my Physical Therapy is going great. I am still seeing improvements in muscle tone and swelling. I still have some pain from the lateral release but full flexion and extension. The pain under my kneecap has improved slighty, which is great, I'll take slight.
I'm going to use this post to congratulate my nephew, Tanner, and his team for winning the City Championship!!! He had the only homerun in the contest, hitting the scoreboard in centerfield. Congratulations!!! Orioles!!!
While watching the game, I wondered if I would be able to participate in competitive sports again.Or if it was wise to even entertain the thought? I love sports and am a big proponent of women's sports in particular, yes, i'm leaning towards another blog, so stay tuned. Anyway, I know Dara Torres, had this same surgery, so I am interested to see how she does. Yes, she is a swimmer, so the knee isn't taking a pounding like running or basketball would. I haven't come across any other athletes who have had ACI, some have had microfracture, with mixed results. Perhaps, its time to sit on the sidelines or coach. I guess I'll have 18 months to figure that one out.
I plan on putting some pictures on here soon, that is if I can figure it out. Now i'm going to write a letter to Cigna.
I must say my Physical Therapy is going great. I am still seeing improvements in muscle tone and swelling. I still have some pain from the lateral release but full flexion and extension. The pain under my kneecap has improved slighty, which is great, I'll take slight.
I'm going to use this post to congratulate my nephew, Tanner, and his team for winning the City Championship!!! He had the only homerun in the contest, hitting the scoreboard in centerfield. Congratulations!!! Orioles!!!
While watching the game, I wondered if I would be able to participate in competitive sports again.Or if it was wise to even entertain the thought? I love sports and am a big proponent of women's sports in particular, yes, i'm leaning towards another blog, so stay tuned. Anyway, I know Dara Torres, had this same surgery, so I am interested to see how she does. Yes, she is a swimmer, so the knee isn't taking a pounding like running or basketball would. I haven't come across any other athletes who have had ACI, some have had microfracture, with mixed results. Perhaps, its time to sit on the sidelines or coach. I guess I'll have 18 months to figure that one out.
I plan on putting some pictures on here soon, that is if I can figure it out. Now i'm going to write a letter to Cigna.
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