RE: Re: Carticel Recovery Protocal

[Guest guest]

Thanks for the update. The fact that you are happy with it speaks volumes.

I am going to discuss this with my OS on Thursday when I see him again. I

want to take the conservative approach also. You can not hurt it if you go

too slow, only if you go too fast.

Later

Don

On 8/8/06, aussie7007 <no_reply > wrote:

>

>

> Don,..you are correct .. my OS has been very conservative with this

> (post-op) implant because:- a) it is still very new in Australia and

> his collective peer group of OS's are still learning about the post op

> experience ...

> the deal i made with the OS was he would do the patellae implant if

> I agreed to the maximum time no weight weight bearing as he was

> concerned about the size of the lesion and giving the implant time to

> adhere in that position on the patellae surface.. (i showed you the

> pretty pics)..

> c) the post op rehab protocols you have read were only put up on

> carticel's web site a few months ago and the IP technolgy Verigen

> developed for the implant procedure (MACI) was bought by Carticel late

> last year and there were no post op protocols published at the time by

> Verigen ...

>

> Is this a reasonable explanation..??

>

> Basically it is very new here ... I am a guinea pig ... the OS doesn't

> want to screw it up ... plus the OS and I made a post-op procedural

> pact prior to surgery ... it is a very expensive procedure cost wise

> and time wise ... it has worked and I am very happy...!!

> Mark

>

>

> >

> > Mark,

> >

> > Did you follow the " Femoral " protocal after your implant?

> >

> > It seem like your doc is going slower than what the protocal shows on

> > the Carticel web site.

> >

> > Protocal

> > CPM 3 weeks 6 - 8 hours per day

> >

> > weight bearing

> > 0% weight week 1-2

> > 10% weight week 3-5

> > 25% weight week 6-9

> > 100% after week 9

> >

> > Range of motion

> > 90 degree by week 2

> > 105 degree by week 4

> > 120 degree by week 6

> >

> > Crutches for 9 weeks

> >

> > Has your doc done a lot of Carticel surgeries?

> >

> >

> > Did you have any reallignment procedure done at the same time?

> >

> > Thanks

> > Don

> >

> >

> > PS - Hope you are doing well.

> >

>

>

>

[Guest guest]

Hey Don,

How are you? DId you go back to work on Monday?? Are

you getting around ok? Are you saying a little prayer

every night for your cartilage cells that they are

like rabbits and multiplying exponentially??

Hope all is well,

nne

Re: Re: Carticel

Recovery Protocal

Thanks for the update. The fact that you are happy

with it speaks volumes.

I am going to discuss this with my OS on Thursday when

I see him again. I

want to take the conservative approach also. You can

not hurt it if you go

too slow, only if you go too fast.

Later

Don

On 8/8/06, aussie7007 <no_reply >

wrote:

>

>

> Don,..you are correct .. my OS has been very

conservative with this

> (post-op) implant because:- a) it is still very new

in Australia and

> his collective peer group of OS's are still learning

about the post op

> experience ...

> the deal i made with the OS was he would do the

patellae implant if

> I agreed to the maximum time no weight weight

bearing as he was

> concerned about the size of the lesion and giving

the implant time to

> adhere in that position on the patellae surface.. (i

showed you the

> pretty pics)..

> c) the post op rehab protocols you have read were

only put up on

> carticel's web site a few months ago and the IP

technolgy Verigen

> developed for the implant procedure (MACI) was

bought by Carticel late

> last year and there were no post op protocols

published at the time by

> Verigen ...

>

> Is this a reasonable explanation..??

>

> Basically it is very new here ... I am a guinea pig

.... the OS doesn't

> want to screw it up ... plus the OS and I made a

post-op procedural

> pact prior to surgery ... it is a very expensive

procedure cost wise

> and time wise ... it has worked and I am very

happy...!!

> Mark

>

>

> >

> > Mark,

> >

> > Did you follow the " Femoral " protocal after your

implant?

> >

> > It seem like your doc is going slower than what

the protocal shows on

> > the Carticel web site.

> >

> > Protocal

> > CPM 3 weeks 6 - 8 hours per day

> >

> > weight bearing

> > 0% weight week 1-2

> > 10% weight week 3-5

> > 25% weight week 6-9

> > 100% after week 9

> >

> > Range of motion

> > 90 degree by week 2

> > 105 degree by week 4

> > 120 degree by week 6

> >

> > Crutches for 9 weeks

> >

> > Has your doc done a lot of Carticel surgeries?

> >

> >

> > Did you have any reallignment procedure done at

the same time?

> >

> > Thanks

> > Don

> >

> >

> > PS - Hope you are doing well.

> >

>

>

>

[Guest guest]

nne,

I went back to work on Tuesday so I had a week off. I could have gone bck

on Monday, but I had scheduled Monday and Tuesday to be off and I still

looked like a stand up guy making it back a day early.

I am still sore, but get around okay and drive okay. (Automatic) I don't

think I could drive my car which is a standard. The only real problem I

have if after I sit for a half hour or so. It takes my a good 10-20 steps

before I can walk normal.

My understanding of the Carticel procedure is that my cells have been sent

to Boston and then they are frozen. They will wait until insurance okays

the next procedure before they start growing them. My OS office says the

insurance okay takes about a month. That sould leave ample time for the

little guys to grow before I have the implant mid October.

This surgery has been a wonderful experience compared to my Lateral Release

I had last October. At the time I had nothing to compare the recovery to so

I was afraid this one would be as bad. For the Lateral Release I had severe

pain in my knee almost every night. I had to use a cane to get around for

about 2 weeks. All in all, it was a painful experience. With this

surgery, I was on crutches for about 3 days and that was it.

I have to admit to saying a prayer quite often that this whole experience

works out and that I can at least play a little golf. But of course golf is

still a couple of years way. (Summer 2008) I told my wife that my goal was

to go snow skiing in 2008 or 2009 and she says NO WAY. She does not want to

risk the knee in any way. Sectretly, I still want to go snow skiing, but

I'll let Mark go first.

I can't wait until tomorrow when I see the OS and can get my hands on the

Operating Notes.

Later

Don

On 8/8/06, MJD <grgoofus@...> wrote:

>

> Hey Don,

>

> How are you? DId you go back to work on Monday?? Are

> you getting around ok? Are you saying a little prayer

> every night for your cartilage cells that they are

> like rabbits and multiplying exponentially??

>

> Hope all is well,

>

> nne

>

>

> Re: Re: Carticel

> Recovery Protocal

>

> Thanks for the update. The fact that you are happy

> with it speaks volumes.

> I am going to discuss this with my OS on Thursday when

> I see him again. I

> want to take the conservative approach also. You can

> not hurt it if you go

> too slow, only if you go too fast.

>

> Later

> Don

>

> On 8/8/06, aussie7007 <no_reply <no_reply%40>

> >

> wrote:

> >

> >

> > Don,..you are correct .. my OS has been very

> conservative with this

> > (post-op) implant because:- a) it is still very new

> in Australia and

> > his collective peer group of OS's are still learning

> about the post op

> > experience ...

> > the deal i made with the OS was he would do the

> patellae implant if

> > I agreed to the maximum time no weight weight

> bearing as he was

> > concerned about the size of the lesion and giving

> the implant time to

> > adhere in that position on the patellae surface.. (i

> showed you the

> > pretty pics)..

> > c) the post op rehab protocols you have read were

> only put up on

> > carticel's web site a few months ago and the IP

> technolgy Verigen

> > developed for the implant procedure (MACI) was

> bought by Carticel late

> > last year and there were no post op protocols

> published at the time by

> > Verigen ...

> >

> > Is this a reasonable explanation..??

> >

> > Basically it is very new here ... I am a guinea pig

> ... the OS doesn't

> > want to screw it up ... plus the OS and I made a

> post-op procedural

> > pact prior to surgery ... it is a very expensive

> procedure cost wise

> > and time wise ... it has worked and I am very

> happy...!!

> > Mark

> >

> >

> > >

> > > Mark,

> > >

> > > Did you follow the " Femoral " protocal after your

> implant?

> > >

> > > It seem like your doc is going slower than what

> the protocal shows on

> > > the Carticel web site.

> > >

> > > Protocal

> > > CPM 3 weeks 6 - 8 hours per day

> > >

> > > weight bearing

> > > 0% weight week 1-2

> > > 10% weight week 3-5

> > > 25% weight week 6-9

> > > 100% after week 9

> > >

> > > Range of motion

> > > 90 degree by week 2

> > > 105 degree by week 4

> > > 120 degree by week 6

> > >

> > > Crutches for 9 weeks

> > >

> > > Has your doc done a lot of Carticel surgeries?

> > >

> > >

> > > Did you have any reallignment procedure done at

> the same time?

> > >

> > > Thanks

> > > Don

> > >

> > >

> > > PS - Hope you are doing well.

> > >

> >

> >

> >

>

>

[Guest guest]

Don,

Great to hear that you've gone back to work! Driving

also! Funny how we perceive things isn't it? My

first surgery was a microfracture and I was non weight

bearing for 6 weeks and all the rehab that entailed, I

thought I would never survive it. This time I had a

lateral release and it seemed like the recuperation is

quicker and easier! Better prepared mentally maybe?

Isn't it a shame they can't pre-approve the insurance,

kinda like house loans, so that you don't have to wait

that extra month? I've been very fortunate so far with

my insurance....they've approved everything from

surgery, visco supplementation, Celebrex, etc. No

doubt, I'll be paying for that through higher premiums

come next year! But, so far, I can't complain.......I

know people can have huge issues with insurance

companies.

Hey, how about cross country skiing? I know how your

wife feels....I kinda feel the same way about my knee,

however, you do have to weigh the enjoyment of living

versus getting hurt. We could all sit inside and

never really use our knees again and that would

" protect " them from the ravages of living, but where's

the fun in that? To that extent, I went waterskiing

the other day. It was glorious....smooth, glassy

water.....nice Malibu ski boat (little wake) and

although I didn't cut across with abandon, it was

great to be out there. Paid for it the next day, but

hey, it was worthwhile....

I hope your insurance comes through quickly and that

you'll be following our member in Oz in the no-pain

department soon!

Golf, awaiteth!!!

nne

-

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Checked by AVG Free Edition.

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Release Date: 8/4/2006

__________________________________________________

[Guest guest]

Mark,

Just curious, I think you may have said before, but how old are you? I'm 49

with 89 year old knees.

Don

On 8/9/06, aussie7007 <no_reply > wrote:

>

> I learnt to snow ski in the Austrian Tyrol (up the back of Salzburg)

> during the late 1970's when I was a young fella... BUT there is no way

> I would risk doing it again now!!!...I am pacing myself for a return

> to golf at the start of our summer time next year at end of 2007 ...

> the next major personal goal...???? is it possible???

> Mark.

>

>

>

> >

> > Don,

> >

> > Great to hear that you've gone back to work! Driving

> > also! Funny how we perceive things isn't it? My

> > first surgery was a microfracture and I was non weight

> > bearing for 6 weeks and all the rehab that entailed, I

> > thought I would never survive it. This time I had a

> > lateral release and it seemed like the recuperation is

> > quicker and easier! Better prepared mentally maybe?

> >

> > Isn't it a shame they can't pre-approve the insurance,

> > kinda like house loans, so that you don't have to wait

> > that extra month? I've been very fortunate so far with

> > my insurance....they've approved everything from

> > surgery, visco supplementation, Celebrex, etc. No

> > doubt, I'll be paying for that through higher premiums

> > come next year! But, so far, I can't complain.......I

> > know people can have huge issues with insurance

> > companies.

> >

> > Hey, how about cross country skiing? I know how your

> > wife feels....I kinda feel the same way about my knee,

> > however, you do have to weigh the enjoyment of living

> > versus getting hurt. We could all sit inside and

> > never really use our knees again and that would

> > " protect " them from the ravages of living, but where's

> > the fun in that? To that extent, I went waterskiing

> > the other day. It was glorious....smooth, glassy

> > water.....nice Malibu ski boat (little wake) and

> > although I didn't cut across with abandon, it was

> > great to be out there. Paid for it the next day, but

> > hey, it was worthwhile....

> >

> > I hope your insurance comes through quickly and that

> > you'll be following our member in Oz in the no-pain

> > department soon!

> > Golf, awaiteth!!!

> >

> > nne

> >

> > -

> > --

> > No virus found in this outgoing message.

> > Checked by AVG Free Edition.

> > Version: 7.1.394 / Virus Database: 268.10.7/409 -

> > Release Date: 8/4/2006

> >

> >

> > __________________________________________________

> >