Knee Replacement Time - Any Ortho Recommendations?

Discussion in 'Washington Fishing Reports' started by Hoghunter, Sep 10, 2017.

  1. BiggestT

    BiggestT I've posted enough I should edit this section

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    SM
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    I'm due for repair of a complete tear of the perineal brevus tendon in right ankle. 16+ year old injury from multiple ankle sprains playing tennis. Back then MRIs were new and they did them sparingly, so they just did x-ray and handed me a bag of ice. Fast forward and joint is unstable, misaligned and arthritis developing. MRI showed compete tear. They say arthroscopy. 6 weeks no weight on it and 6 months rehab. It stings pretty good by the end of the work week.
     
  2. Fishinnut

    Fishinnut I've posted enough I should edit this section

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    Ron Garner
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    Mine does 150 knees a year. This is the type of surgeon that you want and not one that does it occasionally. I can give you references of the guys that went to the surgeons that do a few a year, Not good results. Biggest thing after surgery is to work your butt off for recovering. If everything is done right then this will be your best thing you can do for a full recovery, Walk walk walk. then work on stretching and getting full range of motion. I was their fastest recovery in physical therapy. I thought they were just shining me. but at two weeks I was 10 days ahead of schedule. Carried my cane in. Used it to keep people from bumping more than anything. Kneeling on your knee is not going to be as easy as it used to be but other than that it is a fantastic way to go-and pain free.
     
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  3. Siv

    Siv I've posted enough I should edit this section

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    Dave
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    This was not offered to me but really the pain was not much of an issue. Had the good stuff in the hospital and I came home with OXYs and after 2 days was only taking 2 at night to sleep. That was not needed after about 7 days and I just used Advil. PT hurt as did the stretching to get range back but nothing ice/Advil wouldn't take care of.
     
  4. hybridcx

    hybridcx Well-Known "Member"

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    Jacob
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    scott hormel md Swedish

    when I used to work in Seattle I got recommendations from 3 different specialist that I was working with who they would get knees done by if it was them. Including the doc that put my shoulder back together. These were three different occasions over about 6 months and non of them worked for Swedish. all three gave the above name without hesitation and is the doc that did both of my dads knees.
     
  5. critterkiller

    critterkiller AKA Cohobankie

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    Jefe'
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    https://www.myon-q.com/on-q-pump.aspx = medicine ball which reduces the need for a bunch of oral narcotics. It won't kill all the pain but will reduce it. It drips local anesthetic around the nerve, getting your nerve drunk so it doesn't understand that your joint was sawed off with a medical grade jigsaw.

    Google Adductor nerve catheter and you will get what you need.

    The surgeon isn't the one placing the catheter. It will be your anesthesiologist.

    Your call but in this day and age, no anesthesiologist is coming out of training without a firm understanding of how to do ultrasound guided procedures. None at Swedish at least.

    It's the equivalent of going tuna fishing without a gps. It's available, affordable, easy to use and has great results so why the hell wouldn't you use it?

    Holland and Hormel of OPA at Swedish Orthopedic Center. They do knees all day everyday, and some hips. We probably have 13 patients today alone each getting a nerve catheter to help eliminate some of the pain.

    Good luck....
     
  6. Calis

    Calis Salish for "Kingfisher"

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    Bill
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    After 4 hips and 2 knees between my wife and I, I have nothing but the very best to say of Dr. Joel Hoekema of Pacific Rim orthopedic surgery in Bellingham. Sounds like its to far from you but the guy has a degree in mechanical engineering and then went back to medical school. He great!!! Highly recommend if you want the best and a no nonsense easy to understand professional.
     
  7. goatram

    goatram Notable Member Gate Keeper to the Great Northwest

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    grrrrrrrr
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    Dec 4 is my next surgery on the left knee for replacement. Talk to my regular doc about this Nerve Catheter and she liked my Idea. Now for the Anesthesiologist to put it in.
     
  8. critterkiller

    critterkiller AKA Cohobankie

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    Jefe'
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    Anesthesiologist during the case won't be a big deal, you will likely get a spinal to numb you from the waist down and then some meds to knock you out. Or maybe you want to stay awake and listen to the hammering and sawing. Shouldn't need a tube down your throat.

    Two hours later they are done, you go to recovery, you meet a pain doc (Anesthesiologist that only does blocks for the day) and they insert the catheter while you are still numb.

    The next day someone rounds on you to check your pain level and then you go home. They will explain it all to you. Pretty cool.

    I don't think we were even doing this five years ago. Kind of like fish finders and transducers. The technology is making imagery so clear that now the MD's can get a clear shot at what they would otherwise have to open you up for.

    Good luck.
     
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  9. goatram

    goatram Notable Member Gate Keeper to the Great Northwest

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    grrrrrrrr
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    The nerve dohicky stay in?
    If so for how long?
    You posting the info has gotten me interested. Since I broke the left lower leg I have had Neuropathy in it. The original Surgeon said I really mangled the nerve in the leg and said I was Fucked for life. Shit SOB!?!!
     
  10. critterkiller

    critterkiller AKA Cohobankie

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    Jefe'
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    Catheter looks like 40# test mono, stays in for a couple days, when the fluid is gone from the medicine ball, you just pull the catheter out.

    Pretty simple. MD will explain it all. They will call you once you leave, and you can get into contact with someone if there are questions.

    Doesn't fix all the pain but sure will help knock it down a notch.

    The operating room is a sterile shop. Tune you up and get you back on the water.
     
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