Summary: Where was I? Did I abandon you?<br> In my last show, I promised that you’d get another episode in the following week, and that while you were listening to it, I’d be in the hospital recovering from my bilateral total knee replacements.<br> Obviously, that didn’t happen. And the reason it didn’t work are actually a good lesson that I needed to learn. Maybe you will be able to learn from it, too.<br> This episode will be about my surgery, and I will go into a fair amount of detail, partly to explain why I was absent, and partly to remind myself of exactly what I went through.<br> I made a mistake. Yes, I know. Shocker, but I’m not perfect.<br> See, I’m a registered nurse with 19 years of experience. I teach at a local college, and I have groups of clinical students at a local hospital every semester. Knee replacements are a common procedure that we see. Consequently, I am familiar with their treatment course. I have been unofficially working with a physical therapist who gave me a number of exercises to speed my progress and I actually did practice those prior to surgery.<br> I’m also a guy, and as such, I can be blinded by my ego and assumptions. I know how all those patients do after their knee surgeries, and since I am only 51 and in generally good health, not only will I naturally recover faster, but my knowledge of what to expect will give me an added edge. That will allow me to quickly advance through the inpatient recovery period with maximum functionality. I’ll probably be the one patient who is ambulating up and down the halls all day, just exercising my legs and preparing for discharge. And I know how to stay on top of the pain, yet not use too much pain medicine that could fog my brain a little.<br> Um. Do you have the sense of some foreshadowing in that paragraph? Do you see possibly where my plans might fall apart?<br> It all started before the surgery, which was Wednesday, May 20 at 7:15am. In anticipation of my convalescence period, I spent the preceding weeks doing as many household tasks as possible, because I knew that I would be very limited for a few weeks. And as the surgery approached, I realized that I didn’t have time to record an episode for Thursday, May 21. With everything I needed to accomplish, I needed to complete items that had a higher priority than the MYST episode. (As much as I need all of you, and appreciate your listenership, I live with my wife and her needs must be met first.)<br> But that’s okay. I had a plan, and I thought it a pretty good one indeed! My surgery was early in the morning on Wednesday. I knew that I wouldn’t be doing any physical therapy that first day, so my only activity will be resting and keeping up with pain control. I’d be out of surgery by noon, and in my room by 1pm. A few hours napping off the anesthetic, and then I’d be relatively awake and alert. As evening rolled around, my wife would go home (she had to teach the next day) so I’d be alone in my room. A room with wifi. And so in addition to my computer, I also brought my portable microphone, because I was going to record a show “on the road”! Yes, I would record a show from my hospital bed, and get it loaded and ready to publish for all my awesome listeners.<br> Plan #1: Record on the night of surgery for an interesting point of view. Dead on Arrival.<br> About the only part of that plan to be accurate was “my wife would go home”. I was never fully awake and alert. I think I have good pain control. I know I was getting pills every 4 hours, and occasional IV morphine (probably relates to me not being awake and alert.)<br> But I had other issues that night.<br> For surgery, I chose to have a spinal block. That is where the anesthesiologist injects the anesthetic into my spinal canal, and that deadens everything from about the navel down to the toes. I chose that because it actually provides about 2-6 hours of relief after the surgery, allowing he long acting anesthetic that my surgeon ...
