4 Months-From an OR Long Ago…

I am just over 4 months.  It seems like I had the surgery ages ago.  Here is a summary of my timeline of a few milestones: August 22, 2016:  Surgery September 4, 2016: First day of physical therapy October 2, 2016: Returned to work 60% (Did not start operating- started the office hours) October 16,…

A View Down the Line

I am now at 4 weeks after the surgery.  The journey of healing is really amazing.  Its not a straight, linear experience.  There are quite a few ups and downs- during the ups, everything feels great and during the downs even I, as a surgeon, was getting worried.  The ups and down are either in…

Giving Care to The Patient

I don’t believe that anyone can go through this operation alone.  You either need a mobile and dedicated caregiver 24 hours a day for a solid 2 weeks or you need to go to some type of rehab hospital.  There is no discussion about this. In recent years, there have been discussions that joint replacements…

No Place Like Home

Today is Wednesday August 31.  I traveled from Seattle two days ago (Monday).  As you, the reader, know, I chose to have my knee done, as an outpatient, by a close friend and colleague in Seattle.  Aside from the inherent trust I had in Dr. McAllister, I also am a firm believer in his enhanced…

Thinking about Pain

It is now Saturday, the 5th day after surgery.  I am well past what conventionally has been the time period where most patients and surgeons feel is the most pain.  I now have minor discomfort only.  To discuss the pain and the specific ways my pain was managed by me and my surgeon I put…

The Joint Package

In his bestseller “Better,” the medical author Atul Gawande writes an essay titled “The Score.”  In it he reviews the challenge obstetrics has had over the past century to decrease infant mortality.  Based on individual innovation and other sources of contribution, over time there became a series of things done in the time before, during,…

Friday- The Real World

Woke up on this fourth day after surgery feeling remarkably well.  Some generalized soreness but moved the knee to 103°.  How do I know?  There is an app for that (actually quite a few.  Measuring a joint is done with a goniometer.  I downloaded an app called Goniometer by Jinfra.  Works very easy.  I Here…

Third Day- Tired but good

Interesting day.  Been on my multimodal pain regimen- ice, Tylenol, Alleve and the pain is at best 1 out of 10 and worst- 3 out of 10.  I focused on some bending exercises and easily got to 90°:   Pain is interesting.  It is like the sound of a barking dog.  If there is a…

Day 2- Nice.

There is a lot of talk about patient satisfaction in healthcare.  I think that we need to do more than talk about it.  We need to do something about it.  It starts with what patients want.  I am fortunate that my surgeon is a huge patient advocate.  Lets talk about his approach to pain management…

Day One After Surgery

Tylenol is a great drug (the image is the chemical structure).  If it didn’t cause liver problems if you take too much it would be the greatest drug of all time.  Relieves pain, non-addictive, does not cause constipation.  I have to say- that’s a great triad.  The problem is that there is a limit to…

The Surgery

I am sitting here at “home” (I am recuperating at my surgeon’s home- I guess that’s not a common patient event BTW), having had the surgery that ended at 9:30 this morning.  I was in the car and back home before 12 noon. The above picture, of course, isn’t the story.  I know I have…

24h Countdown

Two days before surgery.  The feeling I have now is that I just want the surgery to be done.  From the surgeon’s point of view the day before surgery is just a regular day.  I would have planned all the operations a week before so all that was left would be for me to show up.  As…