Surgery update

The knee surgery went well yesterday. Got up at the crack of dawn to truck on into the Medical Center and was at the surgery center at 6:10 a.m. Sherpa Amy came prepared with a rollie bag full of projects and snacks, even a picnic lunch. She reminded me to tell the doc that morphine is not my friend via IV but intramuscularly in the behind works fine. She brought me home while Trevor filled my prescriptions, then helped Macy with her knitting. I would love to sing her praises even more but don’t want to risk someone else wanting to partake of her medical concierge services. I’m selfish like that.

After filling out the requisite paperwork, I was escorted back to anesthesia land, one of my favorite places. The anesthesiologist was flat-out awesome. He looked about 25 and played football in college. Based on the size of his thighs, I’m guessing he special-orders his scrubs. He held my hand and said he was taking me to the prom–his little joke to distract me from him inspecting my veins, which are combative and uncooperative on a good day. One quick poke to my left hand, and my prom date was in.

My surgeon came to visit and to double check that I did want the lateral release procedure in addition to the arthroscope. I said yes, please. Ever since I learned that my kneecap was dislocated, I’ve been creeped out and was ready to get it back in line.

After our chat, I got half of my anesthesia cocktail but had to wait for the other half until I got into the OR. I had to haul myself up on the operating table, which would have been difficult if I’d consumed the entire cocktail. I vaguely recall being in the OR but don’t remember getting on the table.

A couple more pics of the lateral release:

Next thing I know, I’m waking up in recovery and fighting hard to keep my eyes open. I’m weird about wanting to prove that I’m ok and ready to go home. Even when I know in my heart of hearts that I should stay, I want to go. Kinda sounds like the basis for a country song. I’ve got an ace bandage from mid-calf to a several inches above my knee, and lord knows what’s under the ace bandage. I’m not all that curious to see. I know that there are 3 incisions, all of which are stitched closed. The ace bandage can come off tomorrow, and I’ll get a look at the stuff inside.

The good news from the surgeon: both procedures were successful. The bad news: I have no cartilage under my knee cap. None. Nada. Zip. So while my kneecap is realigned again, I’ll still be dealing with the pain. Hopefully not as bad as it has been; I’m optimistic, or delusional, either one fits. Dr Alani also said that even after the scope and the lateral release, I can’t do squats or lunges. Ever. Sigh. That makes me quite sad because those are things I actually like to do. I’m weird that way. And stubborn, too: the fact that he says I can’t do it incites me to try. My handlers are going to be hard at work on this one.

Because there’s no cartilage under my kneecap, I will most likely need a knee replacement at some point down the road. Add that to my list of things to do.

Today I have 2  goals: to take my twice-daily antibiotics without letting myself be transported to the awfulness that was 267 straight days of antibiotics after my post-mastectomy infection. I can do this. The second goal is try to bear some weight on my right leg and see how the knee responds. My guess is that its response will be angry. I’m tempted to start weaning myself off the pain meds, but I can hear my handlers protesting that it’s too soon, and that I’m going to need the meds even more after I try to put some weight on my bum leg. But the Lortab makes me itchy and spacey. I can’t take anti-inflammatories because of the PRP he injected into my knee. The autologous injection’s purpose is to stimulate the inflammatory response that helps our bodies heal. Anti-inflammatories short-circuit that response. Same for ice: I’d like nothing more than a big bag of ice on my knee right now, but it too can hinder the PRP’s success. So no ice, no OTC meds for me.

The surgical center staff talked a lot about the pain associated with the lateral release, and I smiled knowingly because I’ve been through so much worse. All I have to do is toss out the words “bilateral mastectomy,” “nosocomial infection,” “multiple tissue debridements,” and “DIEP reconstruction,” and the nurses realized that it’s all relative. An IV in my hand, a few little incisions and some cut connective tissue don’t scare me. Looking back on my previous surgeries reminds me that while it’s a hassle to hobble and a drag to be on crutches, it’s a piece of cake comparatively speaking. If one good thing has come from all the surgeries I’ve had it’s that I’ve learned to be much more patient with the healing process — a big step for a busybody like me. Instead of gnashing my teeth because I’m on the DL again, I’m sending happy, healing thoughts to my beleaguered body. As my sweet survivor sister Jenny reminds me, “It’s temporary.” Hopefully I’ll be recovered in time for some fall tennis, when the sun-soaked TX weather eases a bit.

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14 Comments on “Surgery update”

  1. billgncs says:

    heal quickly, and give those wheels tlc!

  2. Nancy, I’m thrilled to learn that the surgery went well. One never knows with these things. You are such a trooper. A veteran. And you will recover. I know just what you mean about multiple surgeries making you much more patient with the healing process. Everything is relative, and we take our blessings when we can. xox

  3. mmr says:

    Best wishes for a VERY speedy recovery. And I’m betting on you doing squats again. And thanks for the morphine tip– I didn’t even know there was an intramuscular option!

  4. Sending healing good wishes!
    After Mr Uphilldowndales unpleasant time with a DV, deep vein thrombosis, following surgery (and trauma) to his knee, you keep an eye out for trouble. You just don’t deserve any :)

  5. Eddie says:

    Just take the pain meds and stop pushing so hard. It’s only for a short while before you can get back to giving the world the kick in the ass it needs.

  6. Barb Fernald says:

    Glad to hear it all went well. I bet you’ll recover quickly from this one! Thinking of you.

  7. Wishing you a speedy recovery. Don’t over do!

  8. Nancy,
    Good heavens, I didn’t know you were going through this. I’ve been out of touch too long it seems. Do be patient and extra kind to yourself. Heal well, my friend. Hugs.

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