Wow - Ben ze Kneezeez

My 33rd Birthday came and went without too much trauma, we went to Matlock for the day (well a couple of hours), and SWMBO cooked tea, she does the meanest fry-ups known to man. I'm sure she is destined to work in a greasy spoon cafe one day.

To round off this week, I had my manipulation yesterday and to be honest, I was more nervous about this than anything else I have been through with my knee. I guess this was because this basically HAS TO WORK...

I was advised to be at the hospital for 7.00am as my manipulation was scheduled for 7.45am.

I got there dead on 7.00, and was led straight to my room, gowned up etc. The anaesthetist came to see me to ask about my choice of anaesthetic (Spinal or General) - I chose to be asleep, although I thought the noise of the cracking may be very therapeutic, it would probably make
me pass out.

The surgeon then came to see me to explain the procedure. I was in theatre by 8.00am and awake by 9.00am.

Result.
The surgeon came back to advise the manipulation was a success and they managed to break all of the scar tissue, they broke scarring in both flexion (bending) and extension (straightening), there was a hell of lot or scarring therefore a lot of cracking - I am kind of gutted I didn't get to hear it, but glad too. My heel managed to touch my arse which means a bend of 140 degrees as opposed to 90 before.

I was then put on a CPM machine and had physio, although I was told I would be able to come home , I decided it would be best alround if I stayed in, as NO-ONE, especially SWMBO would be able to move my knee as much as the physio could. I stayed on the CPM machine overnight, the strange thing was, although I couldn't feel my leg due to anaesthics and the nerve block in my leg, I could still feel the pain in my knee and it hurt like hell.

I had a fantastic breakfast this morning followed by more physio and came home at 11.00am.

I now have a lot of exercises to do over the weekend before another visit to the physio on Monday, but already feel a lot better and can bend my knee more than I have been able to do for almost 5 months, therefore the start of my recovery and no more limping,

I can't wait to get this thing over and done with. to say it's dragged on a bit is an understatement

Links
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Knee Update

I thought everything was going fine, my physio was helping improve my flexion (bending) up to 120 degrees and my extension (straightening) was at 0.

Today was my consultant appointment and have shown a different story. He says my flexion is 95 and my extension is only 0.
This has crushed me...

2 days before I go on holiday and I haven't been doing as well as I thought, it seems the Range of Movement (ROM) is based on the amount you can actually move of you own free well rather than being "forced" by someone.

I have been advised told I will need even more physio (I am currently having 2-3 days a week) and if things don't improve within the next 4 weeks, then I have to seriously consider MUA Manipulation under anesthesia before my knee stays like it is... Permanently.
Most people requiring this kind of procedure do so as they have had a total knee replacement (TKR), I can't seem to find anyone that needs a MUA for a "Normal" problem such as mine.

Found a great site about a woman who had MUA, in particular, this post. She couldn't bend her knee past 90 degrees (110 at a push) it seemed to work for her. At least it's given me some hope, if only as a last resort.

I will definately be doing as much as I can over the next 4 weeks, even if 2 of them are while sunning it in Tenerife, who knows, maybe the sun will help too. (I know the large measures of JD & Coke certainly will)

Knee Surgery Videos

As promised, here are the videos from my arthroscopies & knee flushes. I'm not sure if these are suitabe for the squeamish, I think they're ok, but hey, it's my knee so I would.
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Video 1

Video 2

Video 3

Video 4

I'm Home

I managed to escape at 8.00 last night and it's great to be home.

First thing I did was grab my little girl and give her a massive hug, (my daughter that is, not SWMBO).

My knee still hurts like a bitch although being at home makes me feel better, I have been referred to a Private Healthcare Company (Healthcare-at-Home) who will continue the IV antibiotic treatments 4 times a day, as well as check my blood pressure, temperature, CRP and anything else they need to monitor. This will continue for 3 weeks followed by 2 weeks of oral IV.

Its wierd having a nurse come to your house, they have a ton of kit with them which they use to turn your living room into a hospital room.

It's definately better than spending the next 3 weeks in a hospital, that's for sure. Also it means my hospital diary can now stop and I can get back to blogging more interesting things.

SWMBO is so happy to have me back*, she now has the priviledge of looking after me and Leah.


*Lie

Day 8 - Part 2

Someone must have had their fingers crossed for me today.

My CRP has dropped down to 163, although still high, it's still a drop nonetheless and has given me something to be happy about while I'm here.

My veins has now given up in yet another part of my arms, this now means the doctors are having problems finding a vein which to insert the cannula for my IV antiobiotics. They managed to find one final vein on the back of my arm !!!! but that's it !!!!

(Its my arm !!!- See the wristband and my elbow)

I don't reallly have much option than to have a PICC Line (2) (3) inserted, either that or they'll start using veins from my groin etc (not my legs as that is where the infection is).
I was a bit anxious about the PICC line, however this will also mean I won't have to keep having it taken out every couple of days like the cannula, but best of all I may be able to gome home and have my treatment at home, (when my CRP drops a lot below 100).

At least, finally, I seem to be on the mend, after 7 days in (this) hospital and 1 in the DRI.

You know when you've been in hopspital when the kitchen knows what you want to eat and the nurses say "are you still here?".

Day 7

I have decided not to get too upbeat about things any more, that way i have less to be disappointed about, the staff are doing a great job, the room i great, the food is lovely, my mates are still managing to take the piss, but when I'm on my own, I'm very down,
I have now had Gentamicin added to my daily drug diet which already includes, paracetamol, Codeine, Diclofenac, Tramadol and Flucloxacillin, I'll be a pharmacist before I know it.

The nurses are insistant on giving me a bed bath, however I have decided to leave that to SWMBO, I know she looks forward to it, but I dont want the whole world checking out "Steven and the Twins".
I am going to see if they'll let me have my Xbox in. That will pass some time

Knee - Day 6 - Part 2

The results are in.... and my CRP has gone up again, to 236, this means another operation.

Knee - Day 6 - Part 1

I was woken at 6.00am for breakfast and drugs (sounds perfect to some of you I bet). I also had a blood test so they could get it to the DRI to check my CRP, I'm hoping that it's dropped it's really the only way I know I'm on the mend.

The physio came in to give me some more excerices, just imaging you are lying on your bed looking up, and you cannot lift your right leg up or bend your knee, thats exactly what is happening to me at the minute, I can wiggle and move my toes and move my feet, but when it comes to trying to move my whole leg, not a chance, the physio helped me to bend my knee, I can now manage half way (about 30 degrees). After about 30 minutes of trying, I also managed to lift my foot a couple of inches of the bed, it's not a big thing, but to me its massive.
I have a walk in shower in my new room now, I managed to have a proper shower last night too, albeit sitting down.

Now I just have to wait for the blood test results.
Fingers crossed ...

PS - Thanks everyone for taking the piss, especially Uncle "Grant Mitchell" Steve, Bossman Dave and Tao, I knew I could rely on some of you to keep me sane.

The Knee story continues

I managed a nice 4 hours sleep last night between my IV treatments every 6 hours, I must say some of the nurses here are really nice, i know most people expect nurses to be caring, kind and gentle, but believe me they're not always.

I woke up at 5.45am and my treatment started at 6. I was brought a cup of tea... I think, due to the amount and levels of drugs I am taking, I am beginning to lose track of time and the names of the peole who work here.

I had a few visitors today, who always seem to look worried when they see me, I think its due to the fact I look like death, again down to the drugs which make me feel sleepy all day long.
The physio came in with another contracption known as a CPM machine , now this did look like it was going to hurt me, it was good though, basically you have to put your leg in and it spends all of its' time bending and straightening it for you, now I can actually bend my leg to 45 degrees from -5 degrees. I have used it all day and it doesn't hurt that much.

The good news was that my first surgeon was back from his holiday today so I will find out exactly what will be happening. The bad news is that I ound out exactly what is happening
. He came in about 4.00pm straight from the airport (lucky b*stard). Asked all about what had happened and then advised me that;

• My knee, although is still swollen (oh it's swollen alright) has no red marks and is not causing too much pain
• I have a normal (36.4) temperature
• I dont feel flu-like

This shows I am responding to the anti-biotics so it looks like we can totally rule out MRSA. (phew)
but...

• I may need to increase my dose of antibiotics as my CPR has again increased , now its at 212 (up from 206 yesterday), this may mean a stay of another 3 weeks... :-(
• If my CPR is raised or constant tomorrow, they are going to do another drain of my knee, which i basically another flush out using the arthroscopy holes, I don't think I'm scare anymore. - Did I just say that ?
  

All I want to do is go home to my family.....
I do realise that it's better to wait a coupe of weeks and be 100% than go home after a day or three, get the bug back and either have to come back or wore still, erm die..

The good thing is they wheel me out to reception where I can see my little angel and SWMBO so I can now see them every day. I must thank SWMBO for coming twice today xx.

I have also moved rooms now and have the biggest and best room available at this hotel hospital.

I am staying very positive, the pain is better, the drugs are working, I have my internet, my room is nice, the staff are nice and I will go home at some point. I'm also saving a ton of cash.

We shall See what happens tomorrow

Knee Update

3 weeks on, I am still in agony with my knee, luckily thanks to my company healthcare, I managed to get referred to a consultant at the local private hospital, a 2 week wait and today was my appointment.

8.45am - appointment with the consultant, who advised I would need an MRI Scan as he thinks it may be lose cartilage in my knee (Meniscus Tear), he doubts it is ligament issues or "I'd know about it".

MRI scan arranged for 12.30 TODAY - now that is fast

I have now had the MRI scan and although not obvious from the scans, the consultant believes it is what he first thought, so I have to have some keyhole surgery (Arthroscopy) to sort it.


Booked in for next Saturday.

I must say I am very impressed with private healthcare, and nervous of having my first ever "operation".

Off the road I have knackered my knee and I don't know how....

After wetting Leahs head on Saturday (and boy did it get wet), I have knackered my knee, not through drunken dancing, not through falling over, but by doing nothing. I don't know how it happened, but woke up Sunday morning in absolute agony, unable to bend my leg, unable to straighten my leg, i thought I could "walk it off".

All day Sunday I tried walking it off - no joy

After googling for "inner knee pain" it sounds like ligament damage.

Went to work Monday thinking it was just a twinge, had to get colllected from work as I couldn't move. My lovely work colleagues told me to go and get it sorted and call BUPA (after taking the p*ss of course)

I don't really like wasting peoples time, so didn't call the Doctors, didnt call BUPA and didnt go to the hospital...

Then I finally gave in and went to A&E on Tuesday night

I sometimes wonder why we have A&E, why not just "E"
My evening consisted of;

• Waiting to be seen by triage (20 minutes)
• Waiting to see a Doctor (1 Hour 30 minutes)
• Being seen by a nurse (3 minutes)
• Waiting to see a Doctor (1 Hour 15 minutes)
• Being seen by a Doctor (3 minutes)
• Waiting for some pain killers (ETA 3 hours)

Doctor asked what I'd done, i explainined everything and said I think it's my ligament, after shooting me down for appearing to be a know-it-all, he advised that I have damaged my ligament and te Rest/Move/Ice/Raise my knee.

I gave up waiting for some pain killers and decided to go and see my Doctor/Bupa
After seeing my Doctor I now have an appointment with BUPA on 6th July by which time I expect my knee to have healed or my leg to have fallen off.
NHS eh, gotta love em.