My knees first became problematic in 2009. Physical therapy and
running shoes with a greater stability factor took care of them. Two years
later I had arthroscopy to clean the arthritic debris out, which helped. Until
I needed cortisone shots and then hyaluronic acid, which took me through to
2020; at that point, the injections stopped helping.
But it was a flare up last June that got my attention, because
the pain was unremitting for the two weeks it took to get an appointment with
an orthopedist. Cortisone and physical therapy got me through Singapore,
and I got a top-up of cortisone before France,
but it was clear within a week that its therapeutic effects had worn off.
I actually made some decisions about where to go while in France
by asking myself, “Self, do you want to go up/down those stairs? Or that hill?”
I do not fancy living like that, and I was literally limping when I got off the
return flight.
So on 26 January, I’m scheduled for total knee replacement
surgery. The surgeon won’t do both knees at once, which is a bummer, because
both need replacing, so I’m starting with the right one; accelerator leg over
clutch. It’s out-patient—isn’t that amazing? The technology and treatment for
joint replacement has advanced exponentially since they started doing it, so
this ought to last the rest of my life.
There will be post-op pain, which I hope will be manageable. And
physical therapy—the Rx is for three months of that at twice a week. Plus, you
know, doing the exercises at home. The expectation is that you get up and about
right away—surgery is on a Thursday; first PT appointment is the following
Monday.
You need a lot of prep work for this kind of surgery—labs,
medical clearance from my PCP, dental clearance, CT scan, viewing a “you and
your joint replacement” video, registering on a gazillion sites. I created a
spreadsheet to keep track of it all.
(A British friend of mine thought it disgraceful that I had to
do this, but this is the difference between a single healthcare supplier that
dictates—literally—all your appointments and the fact that I have choices among
multiple providers, and schedule appointments at, mostly, my convenience. She
has to trust that all the NHS components will line everything up for her when
she needs a procedure—even though it’s quite clear that many parts of the NHS
do not tick along like clockwork. I am responsible for lining up all the ducks
for my care myself. Because we have a for-profit medical system, this also
means I have my Flexible Spending Account card out for every service. My co-pay
for the CT scan was more than $300.)
Because I made the mistake of including my mobile phone number
on all the forms, I’ve also had to fend off attempts by the hospital and other
providers to get me to access their portals via mobile. I do not fill out forms
on a tiny screen; a 14” laptop monitor is bad enough. They keep trying; I keep
telling them to stop.
(They make mobile phone number a required field. What are people
without mobiles supposed to do? Not have surgery?)
I know I’ve made the right decision, because every single day
the pain becomes a little worse. By the time I’m done with a mere 7k steps on
my morning walk, I’m gritting my teeth. It’s time to take action.
And something I find encouraging is that every single person I
speak with who has had the procedure done, or knows someone who has, says, “I’m
only sorry I didn’t get it done sooner.” I’m looking forward to that kind of
relief.
Well, it’s Gratitude Monday, so here’s the deal. I’m grateful
that there is treatment to alleviate this pain. That I have an excellent
surgeon (he cleared up my rotator cuff a couple of decades ago). That this is
an out-patient procedure and—barring unexpected things—I’ll be home that
evening. That I have a great physical therapist who is helping me prepare for
the surgery and will take me through rehab. That I have reasonably good
healthcare insurance, so I can afford all of this. That I have (for the moment)
a job that ensures I can pay for all the co-pays. That I have friends who can help me through all the rough bits. That I can look forward to a
future of not having to make touring decisions based on avoiding hills and
stairs.
That’s a lot.