planetjan

28 Days Later – After Total Knee Replacement Surgery January 20, 2013

I’ve never gone so long without writing a new blog post, but then I didn’t know that Santa was bringing me a new knee for Christmas.  Nothing says Merry Christmas like jingle bells on a walker. Ho Ho NO!

Six years ago when I had arthroscopic surgery on my right knee for a torn meniscus, the surgeon informed me that I had the knee of an 80-year-old woman. I was considered too young for joint replacement, so the “conservative” measures began. A strap on knee brace that made me look robotic. I saw the look on a student’s face when they got a glimpse of it one day under my skirt and ended up doing my own Show and Tell. The kids thought it was pretty cool. But, in reality, it was hot and itchy since it was all synthetic. Then there were Cortisone injections that did nothing. And for two years, I worked with a personal trainer to strengthen the muscles around my damaged kneecap. I was on prescription meds, but the doctor worried that ultimately they could damage my liver. “Geez, if I’m going to blow out my liver, I could just do that with alcohol,” I said. The doctor nodded sympathetically.

Meanwhile the two flights of stairs at my old school loomed. Up and down a dozen times a day. Some days people asked if I was limping. A peg leg was beginning to seem like a viable option. My last option was an injection of an organic substance made from chicken combs (I’m not naming names). It was worth a shot (no pun intended). Oh, the jokes about whether I would sprout feathers or lay an egg. But a week later, the pain had only grown worse.

On a walking field trip to the nearby bookstore, I winced and hobbled. I resorted to doing my Lamaze breathing. One of the oh-so-nice parents asked delicately, “Are your wearing new shoes?” By the time we arrived at the bookstore, I had to sit down. If I was a boxer, I would have been down for the count. Later I hobbled back to the school and then home to book a sub. That was the end of November.

I went to see a new surgeon. He thought I was one of the less than 1 percent who have an allergic reaction to the chicken combs. Great. But, when he said he could do the surgery just before Christmas it was music to my ears. He pulled no punches, “For the first 12 weeks you’re going to hate me, but after that….you’re going to LOVE me!”

So, it’s been a month now. The three days in the hospital were doable as the IV painkillers did their job and you’ve gotta love those nurses. I was even visited by a volunteer with “Happy” the therapy dog. But then it was time to go home. The night before I was released my husband returned to find boxes lined up on our front porch. Enough equipment to start a convalescent home. Hey it’s three seats in one – a chair, a commode AND you can sit in the shower in it! Oh the look of horror on my husband’s face. “I’m no nurse,” he said proclaiming what has always been obvious. It was seeing me using a walker that unnerved him the most. When after a week I finally decided I needed to get my hair cut, he drove me up to the side door, let me out, then sped away so no one would see him with me.

Each morning I settled in for the day on the couch with my leg in the CPM (Continuous Passive Motion) machine. Our dog, Layla, didn’t appreciate losing her el primo spot on the couch to this whirring machine. I’d hoped to read, but mostly I laid in a zombified state while my knee went through the spin cycle. My husband, Richard, is an amazing cook so I was served breakfast each morning with the admonishment, “You better not get used to this!”

I don’t know how people manage to go through this operation who have a family who expects them to soldier on. I literally did nothing but watch movies and read. I followed comments on my blog. Friends texted daily. My husband usually works at home upstairs, so if I needed something, he was only a text away. He cooked three incredible meals a day.

Initially a physical therapist came to the house. After the first visit she informed me I’d need ice next time – and not for drinks. After two weeks I graduated to outpatient therapy. I actually drove to my first appointment, feeling like I was finally out amongst the living.

It’s now 28 days later. The guy hauled away the CPM, so Layla has reclaimed her spot on the couch. Last Thursday the physical therapist kicked my butt. He had me on my belly with something like a dog leash attached to my ankle that I had to pull on to raise my leg behind me. S&M. That day I told him my new nickname for him was “The Mangler.”

“If you don’t climb the mountain, you can’t see the view” is a quote I often tell my students, so I shall continue to claw my way up the mountain rock by rock even on days when gaining a foothold seems almost impossible. I can’t complain. I have insurance and I’m in pain because I’m getting better not worse. I’ve done the math. I should be “in love” by St. Patrick’s Day though I have to go back to work before then. I’ll have to settle for being “in like”.

So for this and all my family and friends who’ve been there for me, I am so grateful. Santa may have brought me a new knee, but he also brought me a new appreciation for all that is truly important in my life. Happy New Year!

To find out what came next, read Not A Leg to Stand On.

Drawing by Colby