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)

Day 10 - Good and Bad News

The consultant came to see me this morning, he is happy with my recovery as long as my CRP continues to drop. He actually mentioned going home (for the first time), to continue my treatment, and this may even be as soon as Sunday or Monday. I will need to have the PICC line put in which I had decided on anyway. I should hopefully be starting my physio in the next couple of days.

My CRP results came back - 96 - Yesssss !!!!!

The RMO (Resident Medical Officer - Doctor that Lives onsite) came to discuss the PICC line insertion, it involves a local anaethetic then a little cut where they put a tube in, followed by the line itself, he mentioned this will either be in my groin, my chest or my neck (CHEST PLEASE). These lines can stay in for up to 90 days although they prefer 30 days, either way they should really only need to put one of these in, my veins are saved...

So far the day went well, I even managed a shower - Took ages but I didn't care, I AM RECOVERING !!!

As my veins are now well and truly shot, I had to have one of my antibiotics via an injection (in my arse) this worried me, Gentamicin has to be given slowly by IV, otherwise you can go deaf and it's irreversible - but this is not the case via injection as the muscles soak it up, but also means it's not as effective.

The anaesthatist came to see me at 5.30pm, he explained it goes in via the top of the arm (phew) and I will be going down within the next 30 minutes.

I went down to theatre at 6.00pm got prepped and the anaesthatist started....

Then comes the bad news

... 2 hours and 14 attempts later, he stopped, he had tried every vein he could find using an ultrasound machine but they were all thrombosed (blocked), he was unable to thread the tube through therefore unable to put the PICC Line in.

What is it with me, I had a tiny chance of getting the staphylococcus infection in the first place, then the "easy" procedure of getting a PICC Line is not possible. Apparently being part afro-carribean means my sink and veins are thicker than normal, (great for the aging process, shit for venal work) :-(

I am now waiting until tomorrow for a radiologist to put the line in via a different method. Whoever had their fingers crossed for me before, please do it for me tomorrow,

My arms are killing and full of little cuts, and still I'm having to have the IV antibiotics via a cannula which is red, sore, swollen and hurts like mad.

But Daddy will be home to see Leah and SWMBO - whatever it takes.....

Daddy's coming home

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

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.