I FINALLY saw a knee doctor—and in fact, let me pause to say what specifically I mean by “finally,” here. (TLDR: After roughly 10 years. You can skip to the next paragraph.) I don’t know exactly when my knee issues began, but I know it was more than seven years ago, because it was more than seven years ago that I was having enough trouble walking that I was willing to try the keto diet to help with inflammation, in case that was the issue and in case keto could help with that. I had already mentioned the problem to my doctor at AT LEAST one annual visit and had her brush it off (yes, yes, it has occurred to me to switch doctors, and I am working on it, for this as well as other reasons) (I do love her, which makes it difficult), and my assumption is it was more than one annual visit of mentioning, because I had gotten to the point that I was willing to take a fairly drastic experimental measure on my own. It was just over one year ago that she finally did an x-ray (and only after saying for the second year in a row “Well, we COULD do an x-ray, but I don’t think that’s necessary”—but that second time I was ready for her, and cut her off after the word x-ray and said “Yes, let’s do that! That sounds good! Yes!”), and she added that I could try turmeric, or maybe glucosamine & chondroitin, or a periodic regimen of ibuprofen. It was two months or so ago that she did a second x-ray and said it was time to see an orthopedic doctor. It was only today that I saw an orthopedic doctor. That is what I mean when I say finally. It has been some time. My guess is that it has been roughly a decade of knee issues.
I was stressed about the visit, in part because I thought there might be a long path ahead, or a lot of treatment options. That he might say, “Well, we could do THIS with THIS percent chance of success, or we could try physical therapy and then maybe cortisone shots, or I could give you a referral to this OTHER specialist, or we could…” etc. Or I thought he might say, “You are only 50! It is far too early to do anything about this. Come back in another decade.” Or I thought he might say “If only you had come in ten years ago, we could have done something, but unfortunately now….” Instead he said, “You have Very Bad arthritis in that knee: it’s bone-on-bone at this point. You’re like a car with a tire that’s riding on its rim. We COULD do cortisone shots, but those will fix nothing: they will add no ‘tire’ to your ‘rim,’ they will only give you some pain relief from the rim hitting the road. The only real option is knee replacement.”
Well. Well. Well. Well. Well. Okay. Okay. Yes, okay.
HERE ARE MY PRIMARY CONCERNS:
• I feel I should have a better primary concern, but actually the “no showering for two weeks” after surgery is pretty paramount. But, Edward once couldn’t shower for a few weeks after surgery, and we figured it out. We got some “body wipes”—bigger/clothier than diaper wipes. In Edward’s case, because of the surgical location, we couldn’t use dry shampoo, but I will be able to use dry shampoo. Maybe I can even wash my hair in the sink, once I can stand up long enough. This could be the incentive I need to cut my hair. (It is getting overlong, but as it gets longer and longer I get more and more reluctant to cut it. Plus, I’ve had recent success forming an artfully messy bun.)
• The set-up of our house. Beds and shower are all upstairs. Couch and recliner and TV and half-bath and kitchen (including nice big sink for hair-washing) are downstairs. Would I…somehow get myself up the stairs right after surgery, then not come down for a couple weeks? Or would I set up a sleeping location downstairs, since I can’t take a shower for two weeks (!!) anyway?
• “Someone coming to my house to do physical therapy for the first two weeks” also gives me considerable stress, but I think I will calm down about that as soon I’ve had time to adjust. In fact, I think I am already calming down. I know they don’t care what my house looks like. I know they travel from house to house on purpose, and that I am not inconveniencing them by needing them to come to my house. I am already feeling better, and like this shouldn’t go on the list of primary concerns. I am leaving it here because it was initially a big source of surprise and adrenaline.
• “Missing work for who knows how long” is stressful. I like my job and my co-workers; I know it’s pretty difficult when I’m out. I know they can figure this out, especially with advanced notice, AND that it’s not my job to figure it out—but it still makes me feel stressed. I asked the doctor how long I’d be out and he said it really varies, but certainly I’d be back…wait, what DID he say? Four weeks? Six weeks? Three months? My brain did not record the information. I know he said that after two weeks I would be able to leave the house and go to the physical therapy location, instead of having someone come to my house. But that doesn’t sound like I’d be anywhere NEAR back to work. He digressed into things I wouldn’t be able to do for awhile, such as kneeling, and said things that didn’t apply (like that I’d be able to sit at a desk), and I’m not sure we ever got to a time estimate. My lingering impression was that it would be around six weeks, but that it varies.
• The TIMING. He said it takes about three months to recover. When should I…schedule that? Certainly not over Thanksgiving/Christmas. January through March, maybe? Although then my parents mentioned it might be better to do it while the kids were home over winter break, to have more people to do my bidding. Also, Elizabeth is qualified to cover my library shifts, if she’s willing. I wonder if I would get a cortisone shot in the meantime? I have heard from more than one person that the cortisone shot was one of the most painful things they’d ever experienced (one friend said she was braced for the pain and still literally screamed, but that was in her shoulder), but maybe it wouldn’t be, or maybe it would be worth it? Or maybe I could just continue on as I have been.
• The timing with THE PRESIDENTIAL ELECTION AND INAUGURATION AND ALL THAT POTENTIAL CHAOS.
• I have never had physical therapy but William had it, so it doesn’t seem TOO scary to me—but I have had repeated trouble in the past following in-person verbal instructions for physical things. Like, if I KNOW what they’re going to ask me to do (“scoot down a bit, to the edge of the table”), I have no trouble; but if I don’t know ahead of time, it’s harder for me to understand/do it. I’m a little worried about this. But presumably I can SAY SO to them. Also, presumably they will get used to me, and I will get used to what they are going to ask me to do.
• Of course all the long-odds things. Infection. Blood clot. Repeat surgeries. Losing the leg. Unexpected death on the table. Etc.
Other thoughts:
He said I will need an assistive device at first, like a walker or a cane. This is interesting to consider, and something I have never shopped for before.
I wonder if this means that inflammation was/wasn’t an issue? I guess I don’t know how any of this works. It DID seem that when I was taking days off of keto, my knees (and other joints) hurt more—and not, like, I wondered if they would hurt more and I paid attention and it seemed that they did, but more like it happened repeatedly that I thought “JEEPERS, my KNEES today, and also my KNUCKLES and ANKLES, what is WITH this??”—and then remembered I’d had two days in a row off keto.
Does this mean the Osteo Bi-flex (glucosamine chondroitin) I’ve been taking for a couple months is USELESS? I guess, again, I don’t know how any of this works.
He said the fake knee will last 20-30 years. I am 50. My grandparents lived to be 80-87ish. Well, that is going to have to be a worry for another day.
He said that after the knee replacement, I should not plan on doing much running or jumping. He said if a bear is chasing me, sure, but otherwise, don’t start either of them as new hobbies. I wasn’t planning to, and yet I feel anxious about this. When I used to walk more vigorously for exercise (currently I have to limit it to shortish strolls), I used to do little 30-60 second intervals of jogging, just to increase the intensity/challenge; can I do that little amount of running, or no? Can I do 30 seconds of jumping jacks and 30 seconds of running-in-place as part of a strength-building/keeping routine? Is he maybe just saying, don’t get so excited about your new knee that you start training for marathons? I will need to ask more questions of the doctors and physical therapists, I guess.
He said I will have a little CLICK in my knee, always, after the replacement. This is interesting.
I hope it goes without saying that if you have any knee-replacement information, I am hanging on your every word.