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Hi Lynn,

what do you want to know?

I think they both have different challenges. but in my experience and I know a

lot will not agree with me. but for me, I have to say the knee was by far easier

than my hips, the shoulder as I have had so much issues with the tendon, would

come in close to a hip. you need so much movement in your shoulder to function

properly.

I haven't been able to use my right arm for nearly 8 months. and I am just about

at the end of the road for patience. I have to wait another month before I am

able to do active exercises, at the moment at 8 weeks post tendon repair, I am

not doing anything.

If I can help you further, you can e-mail me privately or here I don't mind.

x

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I assume that would be " local with a chaser of happy juice " of some sort?

I don't think I want to be present for the experience myself. (Oddly

enough, I would have been fine with teh back surgery under local, but that

wasn't an opting. There is something about hip surgery that reminds me all too

much of disjointing a chicken...).

In a message dated 8/15/2009 1:34:00 P.M. Eastern Daylight Time,

jujulabee@... writes:

Local (either spinal or epidural) can be used for both hip and knee

replacement.

There are benefits to local so you should research and discuss with

the OS and anesthesiologist prior to surgery and request your

preference.

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In a message dated 8/15/2009 4:21:16 PM Eastern Daylight Time,

jujulabee@... writes:

I also had NO NONE NUNCA desire to be conscious of my surroundings

during the operation.

I told this to the anesthesiologist and they timed it wonderfully. My

last memory was being transferred to the table and then I woke up as

they were about to wheel me into the recovery room.

I was so unaffected by the anesthesia that I requested a magazine to

read while I waited (and waited) for a room to free up so I could be

transferred.

ha...my lastg pre-op recollection from teh a back surgery was teh surgeon

waking me up to tell me he was there & we wer ready to roll..then whhosh,

lights out till the recovery room, wher eI woke up asking..what else.. " What

time is it? "

No problems, no disorientation, no nausea, just a slightly skewed sense of

how quickly I could get to my feet and walk out...:).

judith

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In a message dated 8/15/2009 5:02:38 PM Eastern Daylight Time,

cmdavis2002@... writes:

After watching a few minutes of the surgery video on line, I think I made

a wise decision.

Believe me, i'm not looking, and this is despite having witnessed

autopsies. I don't WANT to know a whole lot more than I already know.

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Thanks ,

I'm wondering: my DR used total anaesthesia for the hip replacement, can local

anathetics be used for knee, or still probably totally out?

Also do you or anyone know how long these replacements last these days: people

used to say " don't have anything done until you can't stand it anymore because

it has to be redone in 15 or 20 years " but that's not true anymore is it?

Lynn

>

> Hi Lynn,

>

> what do you want to know?

>

> I think they both have different challenges. but in my experience and I know a

lot will not agree with me. but for me, I have to say the knee was by far easier

than my hips, the shoulder as I have had so much issues with the tendon, would

come in close to a hip. you need so much movement in your shoulder to function

properly.

> I haven't been able to use my right arm for nearly 8 months. and I am just

about at the end of the road for patience. I have to wait another month before I

am able to do active exercises, at the moment at 8 weeks post tendon repair, I

am not doing anything.

>

> If I can help you further, you can e-mail me privately or here I don't mind.

>

> x

>

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Local (either spinal or epidural) can be used for both hip and knee

replacement.

There are benefits to local so you should research and discuss with

the OS and anesthesiologist prior to surgery and request your

preference.

On Aug 15, 2009, at 10:25 AM, Lynn Badler wrote:

> Thanks ,

> I'm wondering: my DR used total anaesthesia for the hip replacement,

> can local anathetics be used for knee, or still probably totally out?

> Also do you or anyone know how long these replacements last these

> days: people used to say " don't have anything done until you can't

> stand it anymore because it has to be redone in 15 or 20 years " but

> that's not true anymore is it?

> Lynn

>

> >

> > Hi Lynn,

> >

> > what do you want to know?

> >

> > I think they both have different challenges. but in my experience

> and I know a lot will not agree with me. but for me, I have to say

> the knee was by far easier than my hips, the shoulder as I have had

> so much issues with the tendon, would come in close to a hip. you

> need so much movement in your shoulder to function properly.

> > I haven't been able to use my right arm for nearly 8 months. and I

> am just about at the end of the road for patience. I have to wait

> another month before I am able to do active exercises, at the moment

> at 8 weeks post tendon repair, I am not doing anything.

> >

> > If I can help you further, you can e-mail me privately or here I

> don't mind.

> >

> > x

> >

>

>

>

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I also had NO NONE NUNCA desire to be conscious of my surroundings

during the operation.

I told this to the anesthesiologist and they timed it wonderfully. My

last memory was being transferred to the table and then I woke up as

they were about to wheel me into the recovery room.

I was so unaffected by the anesthesia that I requested a magazine to

read while I waited (and waited) for a room to free up so I could be

transferred.

On Aug 15, 2009, at 12:53 PM, jarcher107@... wrote:

> I assume that would be " local with a chaser of happy juice " of some

> sort?

>

> I don't think I want to be present for the experience myself. (Oddly

> enough, I would have been fine with teh back surgery under local,

> but that

> wasn't an opting. There is something about hip surgery that reminds

> me all too

> much of disjointing a chicken...).

>

>

> In a message dated 8/15/2009 1:34:00 P.M. Eastern Daylight Time,

> jujulabee@... writes:

>

> Local (either spinal or epidural) can be used for both hip and knee

> replacement.

>

> There are benefits to local so you should research and discuss with

> the OS and anesthesiologist prior to surgery and request your

> preference.

>

>

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My feelings exactly,  I told them I don't care what the hell you do just put me

out while you do it.  I got a Femoral block and anesthesia. Woke up in Recovery

with my legs propped  up on the horizontal stair climber thing,  they brought me

to my room I got the morphine pump put in my hands , turned on the tv , and

everything was fine.

After watching a few minutes of the surgery video on line, I think I made a wise

decision.

________________________________

From: " jujulabee@... " <jujulabee@...>

Joint Replacement

Sent: Saturday, August 15, 2009 4:18:38 PM

Subject: Re: Re: Lynn- compare hip knee.

 

I also had NO NONE NUNCA desire to be conscious of my surroundings

during the operation.

I told this to the anesthesiologist and they timed it wonderfully. My

last memory was being transferred to the table and then I woke up as

they were about to wheel me into the recovery room.

I was so unaffected by the anesthesia that I requested a magazine to

read while I waited (and waited) for a room to free up so I could be

transferred.

On Aug 15, 2009, at 12:53 PM, jarcher107aol (DOT) com wrote:

> I assume that would be " local with a chaser of happy juice " of some

> sort?

>

> I don't think I want to be present for the experience myself. (Oddly

> enough, I would have been fine with teh back surgery under local,

> but that

> wasn't an opting. There is something about hip surgery that reminds

> me all too

> much of disjointing a chicken...).

>

>

> In a message dated 8/15/2009 1:34:00 P.M. Eastern Daylight Time,

> jujulabeemac (DOT) com writes:

>

> Local (either spinal or epidural) can be used for both hip and knee

> replacement.

>

> There are benefits to local so you should research and discuss with

> the OS and anesthesiologist prior to surgery and request your

> preference.

>

>

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Lynn, that's exactly what my original OS told me - that they didn't want to even

talk to me for another five years - they were more concerned with having to do a

revision than alleviating my pain now. I did wait another year, but the thought

of four more - and in the meantime getting progressively worse - was not

something I was looking forward to. It wasn't until I became my own advocate

that I found out that not all surgeons know everything. I then learned that

that particular OS group had an in-the-box, rigid mindset. They weren't willing

to step outside that box, so I began a search for someone more sensitive to my

needs.

Even if it does need to be redone - think how much better your life will be for

the next 20 years after your surgery! That's how I'm viewing this.

Re: Lynn- compare hip knee.

Thanks ,

I'm wondering: my DR used total anaesthesia for the hip replacement, can local

anathetics be used for knee, or still probably totally out?

Also do you or anyone know how long these replacements last these days: people

used to say " don't have anything done until you can't stand it anymore because

it has to be redone in 15 or 20 years " but that's not true anymore is it?

Lynn

------------------------------------

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I'm a retired trial lawyer, I think they want me OUT completely, if only

sp they dont' have to listen to me talk..:).

In a message dated 8/15/2009 9:43:52 P.M. Eastern Daylight Time,

coalvilleut@... writes:

chicken? LOL

My surgeon insisted on total out of it. H have a feeling he will do that

again for the knee.

I guess it's ok, but a local is " safer " ....he feels there is less

complication possible for the surgeon if the person is totally asleep. ---

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I should add, to put it in perspective, that they basically didn't even

bother doing many of teh " standard " pre-op tests on me...my pulse ox was 100,

BP something like 100/60, heart rate 65 or so..they did bloodwork but

other than that kind of said " oh the hell with it " and off we went.

There was some faint concern about allergic reactions, since I " d never had

surgery before, but..no problems.

In a message dated 8/15/2009 9:51:30 P.M. Eastern Daylight Time,

jackiett@... writes:

You should have an opportunity to talk with an anesthesiologist to get

their

opinion. Mine got a big smile when I told him I wanted epidural or spinal.

He said that in his opinion that was the best choice for knee surgeries.

My

sisters¹ anesthesiologist said the same thing.

As has noted, there are risks with this approach, too.

I wonder what complication the surgeons is thinking about.

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A chicken? LOL

My surgeon insisted on total out of it. H have a feeling he will do that again

for the knee.

I guess it's ok, but a local is " safer " ....he feels there is less complication

possible for the surgeon if the person is totally asleep.

>

> I assume that would be " local with a chaser of happy juice " of some sort?

>

> I don't think I want to be present for the experience myself. (Oddly

> enough, I would have been fine with teh back surgery under local, but that

> wasn't an opting. There is something about hip surgery that reminds me all

too

> much of disjointing a chicken...).

>

>

> In a message dated 8/15/2009 1:34:00 P.M. Eastern Daylight Time,

> jujulabee@... writes:

>

> Local (either spinal or epidural) can be used for both hip and knee

> replacement.

>

> There are benefits to local so you should research and discuss with

> the OS and anesthesiologist prior to surgery and request your

> preference.

>

>

>

>

>

>

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You should have an opportunity to talk with an anesthesiologist to get their

opinion. Mine got a big smile when I told him I wanted epidural or spinal.

He said that in his opinion that was the best choice for knee surgeries. My

sisters¹ anesthesiologist said the same thing.

As has noted, there are risks with this approach, too.

I wonder what complication the surgeons is thinking about.

Jackie

On 8/15/09 6:43 PM, " Lynn Badler " <coalvilleut@...> wrote:

>

>

>

>

> A chicken? LOL

> My surgeon insisted on total out of it. H have a feeling he will do that again

> for the knee.

> I guess it's ok, but a local is " safer " ....he feels there is less complication

> possible for the surgeon if the person is totally asleep.

>> >

>> > I assume that would be " local with a chaser of happy juice " of some sort?

>> >

>> > I don't think I want to be present for the experience myself. (Oddly

>> > enough, I would have been fine with teh back surgery under local, but that

>> > wasn't an opting. There is something about hip surgery that reminds me

>> all too

>> > much of disjointing a chicken...).

>> >

>> >

>> > In a message dated 8/15/2009 1:34:00 P.M. Eastern Daylight Time,

>> > jujulabee@... writes:

>> >

>> > Local (either spinal or epidural) can be used for both hip and knee

>> > replacement.

>> >

>> > There are benefits to local so you should research and discuss with

>> > the OS and anesthesiologist prior to surgery and request your

>> > preference.

>> >

>> >

>> >

>> >

>> >

>> >

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My surgeon and I prefer general. I've had surgeries both ways and have never had

a problem with either. I think it's just a personal choice and some surgeons

prefer one way or another but with both there can be complications and both can

and usually do go smoothly.

Just my $.02

Jeff

________________________________

From: on <jackiett@...>

Joint Replacement

Sent: Saturday, August 15, 2009 9:50:57 PM

Subject: Re: Re: Lynn- compare hip knee.

You should have an opportunity to talk with an anesthesiologist to get their

opinion.  Mine got a big smile when I told him I wanted epidural or spinal.

He said that in his opinion that was the best choice for knee surgeries.  My

sisters¹ anesthesiologist said the same thing.

As has noted, there are risks with this approach, too..

I wonder what complication the surgeons is thinking about.

Jackie

On 8/15/09 6:43 PM, " Lynn Badler " <coalvilleut@...> wrote:

> 

> 

> 

>

> A chicken? LOL

> My surgeon insisted on total out of it. H have a feeling he will do that again

> for the knee.

> I guess it's ok, but a local is " safer " ....he feels there is less complication

> possible for the surgeon if the person is totally asleep.

>> >

>> > I assume that would be " local with a  chaser of  happy juice " of some sort?

>> > 

>> > I don't think I want to be present for the experience  myself.  (Oddly

>> > enough, I would have been fine with teh back surgery under  local, but that

>> > wasn't an opting.  There is something about hip surgery  that reminds me

>> all too

>> > much of disjointing a chicken...).

>> > 

>> > 

>> > In a message dated 8/15/2009 1:34:00 P.M. Eastern Daylight Time,

>> > jujulabee@... writes:

>> >

>> > Local  (either spinal or epidural) can be used for both hip and knee

>> > replacement.

>> >

>> > There are benefits to local so you should research and  discuss with

>> > the OS and anesthesiologist prior to surgery and  request your

>> > preference.

>> >

>> >

>> >

>> >

>> >

>> >

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I was told some people have nausea after a local anesthetic, so I went with an

epidural. One strange thing..as I was being rolled to recovery, I heard a

far-away voice shouting " wait ! I block you. " It was the anesthesologist chasing

me. He'd forgotten to block some nerve in my leg so the nurse stopped pushing me

along, the doc then turned me over on my stomach & climbed right on top of me &

began jabbing needles all along my upper leg, watching for reflexes. He finally

saw my ankle jump & injected the pain blocker. What a sight that must've been,

in the hallway, him atop my backside in the hallway, jabbing like blue blazes.

Susie

>

> I should add, to put it in perspective, that they basically didn't even

bother doing many of teh " standard " pre-op tests on me...my pulse ox was 100,

BP something like 100/60, heart rate 65 or so..they did bloodwork but other

than that kind of said " oh the hell with it " and off we went.

There was some faint concern about allergic reactions, since I " d never had

surgery before, but..no problems.

>

>

> In a message dated 8/15/2009 9:51:30 P.M. Eastern Daylight Time,

> jackiett@... writes:

>

> You should have an opportunity to talk with an anesthesiologist to get

their

> opinion. Mine got a big smile when I told him I wanted epidural or spineal.

He said that in his opinion that was the best choice for knee surgeries. My

sisters¹ anesthesiologist said the same thing.

As has noted, there are risks with this approach, too.

I wonder what complication the surgeons is thinking about.

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For the record, both an epidural and a spinal are considered " local "

anesthetics versus a general anesthesia.

I am not sure if this was a typo in terms of your writing " local

anesthetic " in the first sentence

On Aug 16, 2009, at 6:24 AM, susiedu wrote:

> I was told some people have nausea after a local anesthetic, so I

> went with an epidural. One strange thing..as I was being rolled to

> recovery, I heard a far-away voice shouting " wait ! I block you. " It

> was the anesthesologist chasing me. He'd forgotten to block some

> nerve in my leg so the nurse stopped pushing me along, the doc then

> turned me over on my stomach & climbed right on top of me & began

> jabbing needles all along my upper leg, watching for reflexes. He

> finally saw my ankle jump & injected the pain blocker. What a sight

> that must've been, in the hallway, him atop my backside in the

> hallway, jabbing like blue blazes. Susie

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Yes ma'am, it was a typo in that the word " local " should've been general.

Thanks ! Susie

>

> > I was told some people have nausea after a local anesthetic, so I

> > went with an epidural. One strange thing..as I was being rolled to

> > recovery, I heard a far-away voice shouting " wait ! I block you. " It

> > was the anesthesologist chasing me. He'd forgotten to block some

> > nerve in my leg so the nurse stopped pushing me along, the doc then

> > turned me over on my stomach & climbed right on top of me & began

> > jabbing needles all along my upper leg, watching for reflexes. He

> > finally saw my ankle jump & injected the pain blocker. What a sight

> > that must've been, in the hallway, him atop my backside in the

> > hallway, jabbing like blue blazes. Susie

>

>

>

>

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Yikes! He " forgot " ? Not encouraging news. I'm glad he remembered...but

forgetting? Thank goodness he got to you BEFORE surgery!

Re: Lynn- compare hip knee.

I was told some people have nausea after a local anesthetic, so I went with

an epidural. One strange thing..as I was being rolled to recovery, I heard a

far-away voice shouting " wait ! I block you. " It was the anesthesologist chasing

me. He'd forgotten to block some nerve in my leg so the nurse stopped pushing me

along, the doc then turned me over on my stomach & climbed right on top of me &

began jabbing needles all along my upper leg, watching for reflexes. He finally

saw my ankle jump & injected the pain blocker. What a sight that must've been,

in the hallway, him atop my backside in the hallway, jabbing like blue blazes.

Susie

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, this nonsense was AFTER the surgery ! I was still in la-la land, til

I heard him shouting. I guess the block injection was to extend pain-free time,

& he'd forgotten. What bothered me most was that he kept sticking needles in my

thigh til my ankle finally jumped & then he injected something. It was just the

beginning of 3 miserable days in the hospital. Susie

>

> Yikes! He " forgot " ? Not encouraging news. I'm glad he remembered...but

forgetting? Thank goodness he got to you BEFORE surgery!

>

>

> Re: Lynn- compare hip knee.

>

>

> I was told some people have nausea after a local anesthetic, so I went

with an epidural. One strange thing..as I was being rolled to recovery, I heard

a far-away voice shouting " wait ! I block you. " It was the anesthesologist

chasing me. He'd forgotten to block some nerve in my leg so the nurse stopped

pushing me along, the doc then turned me over on my stomach & climbed right on

top of me & began jabbing needles all along my upper leg, watching for reflexes.

He finally saw my ankle jump & injected the pain blocker. What a sight that

must've been, in the hallway, him atop my backside in the hallway, jabbing like

blue blazes. Susie

>

>

>

>

>

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That¹s insane. Glad you have a sense of humor about it. But that was a

violation of your privacy.

What a start to your hospital stay.

OTH you are coming through with flying colors ­ a testament to determination

and hard work!

Jackie

On 8/16/09 8:45 AM, " susiedu " <susiedu@...> wrote:

>

>

>

>

> , this nonsense was AFTER the surgery ! I was still in la-la land,

> til I heard him shouting. I guess the block injection was to extend pain-free

> time, & he'd forgotten. What bothered me most was that he kept sticking

> needles in my thigh til my ankle finally jumped & then he injected something.

> It was just the beginning of 3 miserable days in the hospital. Susie

>

>

>> >

>> > Yikes! He " forgot " ? Not encouraging news. I'm glad he remembered...but

>> forgetting? Thank goodness he got to you BEFORE surgery!

>> >

>> >

>> > Re: Lynn- compare hip knee.

>> >

>> >

>> > I was told some people have nausea after a local anesthetic, so I went

>> with an epidural. One strange thing..as I was being rolled to recovery, I

>> heard a far-away voice shouting " wait ! I block you. " It was the

>> anesthesologist chasing me. He'd forgotten to block some nerve in my leg so

>> the nurse stopped pushing me along, the doc then turned me over on my stomach

>> & climbed right on top of me & began jabbing needles all along my upper leg,

>> watching for reflexes. He finally saw my ankle jump & injected the pain

>> blocker. What a sight that must've been, in the hallway, him atop my backside

>> in the hallway, jabbing like blue blazes. Susie

>> >

>> >

>> >

>> >

>> >

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Jackie, I hadn't thought if it as a violation of my privacy, but you're

right...I was on a gurney in the hallway, heading to recovery & here's this

crazy doc straddling my backside, riding along on the gurney & poking needles

into me.

All I wanted to do was go home, escaped on day 3 & chose to think of the whole

experience as a rough camping trip, lol. Home is where we thrive. Yep, & work

hard in PT. I'm happy to be at 120 degrees bend after 8 weeks. Thanks !!!

Susie

, this nonsense

was AFTER the surgery ! I was still in la-la land, til I heard him shouting. I

guess the block injection was to extend pain-free time, & he'd forgotten. What

bothered me most was that he kept sticking needles in my thigh til my ankle

finally jumped & then he injected something. It was just the beginning of 3

miserable days in the hospital. Susie

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LOL Yes I think my surgeon thinks that too!!!!!

You know maybe it's a good idea to be " out " .

Lynn

But I have a question to esp the nurses and or doctors on here: I have no pain.

The reason I had the Dr. take an xray was because the knee feels " weak " : I use

an elastic brace on it...is weakness and bone on bone a good enough reason to

have the surgery if there is no pain?--- I do all the walking and exercise I

want to, it's not holding me back, I'm just slow on stairs and inclines.

In Joint Replacement , jarcher107@... wrote:

>

> I'm a retired trial lawyer, I think they want me OUT completely, if only

> sp they dont' have to listen to me talk..:).

>

>

> In a message dated 8/15/2009 9:43:52 P.M. Eastern Daylight Time,

> coalvilleut@... writes:

>

> chicken? LOL

> My surgeon insisted on total out of it. H have a feeling he will do that

> again for the knee.

> I guess it's ok, but a local is " safer " ....he feels there is less

> complication possible for the surgeon if the person is totally asleep. ---

>

>

>

>

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True.. good for Susie's attitude, but that was a terrible violation of privacy

and sounds like being treated as a " thing " not a person.

Lynn

> >> >

> >> > Yikes! He " forgot " ? Not encouraging news. I'm glad he remembered...but

> >> forgetting? Thank goodness he got to you BEFORE surgery!

> >> >

> >> >

> >> > Re: Lynn- compare hip knee.

> >> >

> >> >

> >> > I was told some people have nausea after a local anesthetic, so I

went

> >> with an epidural. One strange thing..as I was being rolled to recovery, I

> >> heard a far-away voice shouting " wait ! I block you. " It was the

> >> anesthesologist chasing me. He'd forgotten to block some nerve in my leg so

> >> the nurse stopped pushing me along, the doc then turned me over on my

stomach

> >> & climbed right on top of me & began jabbing needles all along my upper

leg,

> >> watching for reflexes. He finally saw my ankle jump & injected the pain

> >> blocker. What a sight that must've been, in the hallway, him atop my

backside

> >> in the hallway, jabbing like blue blazes. Susie

> >> >

> >> >

> >> >

> >> >

> >> >

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Hey Susie, 120 degrees after 8 weeks is great, enjoy the movement!

Lynn

, this nonsense

was AFTER the surgery ! I was still in la-la land, til I heard him shouting. I

guess the block injection was to extend pain-free time, & he'd forgotten. What

bothered me most was that he kept sticking needles in my thigh til my ankle

finally jumped & then he injected something. It was just the beginning of 3

miserable days in the hospital. Susie

>

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Lynn, thank you. My bladder failed 7 days post-op so that meant a week with a

catheter, yucky. Urologist said it's common after surgery. It delayed PT a bit

but I'm fine & enjoying the movement !

That¹s insane. Glad you have a sense of humor about it. But that was a

violation of your privacy. What a start to your hospital stay.

OTH you are coming through with flying colors ­ a testament to determination

and hard work!

> > >

> > > Jackie

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