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Table of contents

In retrospect, I'd think about this more. See below. If not, they have to drill into the patella and either insert little metal "pitons" with barbs and loops for the sutures or drill all the way through and loop the sutures through.

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I ended up with 3 pitons in one knee and two in the other. He said it was like sewing the ends of two mops together--the muscles are not a clean sheet, rather a bundle of muscle fibers that you have to try to stitch together as many of them as you can. I found three or four sites on the web that explain this pretty well. The second link shows a four to five minute video summary of a quadriceps tendon repair surgery.


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Quadrep document from Arthroscopy. I'd used a lot of morphine the night before, plus the general anesthesia left me feeling nauseous. So we stayed another day. The intubation left my upper lip swollen and black and blue and I had lots of air in my stomach and bowels that were gurgling and very painful. I felt diarrhetic, nauseous, in a lot of pain, and it was a miserable night.

I believe now that the epidural route would have made for a more comfortable two days after. Maybe not. Anyone have experience with that? Ice on the knees two or three times a day felt really good. And reduced the swelling and black and blue-ness. This flexes the calf muscles that act as a pump to move fluids away from the area. The second is to press your knees gently into the mattress and hold for six seconds.


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This gently flexes the quad muscles to try to keep them in some tone and slow down the atrophying without tearing out the sutures. We've settled into a routine now--up in the morning with the daily shower, hygiene, exercises, some walking. We wait now until next Wednesday when we get the staples out and can begin the first week with 15 degrees of flexion.

I remember how painful it was to try to tear the unwanted healing adhesions between layers of skin and muscle when I had my previous rotator cuff repair eight years ago , so I'm expecting this will hurt as the therapy gets more aggressive later on. Friends have been a big boost. Students have come by to visit. Cards and flowers. One of my best friends drove from Ohio to visit one night and show me his new hickory golf clubs. And I have to be careful not to do too much on-line shopping center.

Tips and Timesavers

The US lost the Ryder Cup.. Great golf, sad for our side. He okayed being up and around as much as I can on a daily basis with the braces and walker. We were able to make the trip with just me and Susan without using a medical transport. She slides me in sideways in the back seat like a morgue drawer. So, making little baby steps of progress. It will feel good to be able to bend my knees a little while walking and sleeping. Everywhere I go, when I comment on my concerns about statins, more data just keeps tumbling out that seems to point to the statins as major contributors to this phenomenon.

Another tip we learned for fighting bed sores is to use Solarcaine with aloe during the morning "hike" to the kitchen sink shower. We let the Solarcaine dry on the way back to the bed and then apply baby powder and this works well to keep the sweat sores down. We've been up 3 times a day for the last two days, fifteen minutes morning noon and night. After today's visit, we'll try to ramp that up to five times a day.

The more one uses it, the faster it heals. A pair of padded, fingerless, batting gloves or weight lifting gloves help a lot, too, to ease the weight from the walker on your hands. The big bandaids you see on the photo to left are only to protect the scars from the braces bands, not to keep the wounds together.

Walked around the tree in the driveway, maybe 80 yards altogether, did my shower, and had my favorite breakfast and felt great. We read about vegetable juice fasting in the Natural Pharmaceuticals manual and plan to try that tomorrow. I'm hoping I can use this opportunity to lose some fat as well as muscle. Then we went to get a haircut downtown. It takes an extra minutes to get ready to go, trussing up, inching to the car, but trying to make little bends with each step, and then sitting in the wheelchair for the haircut and beard trim.

I was worn out by the time we'd gone through the bank, the dry cleaners and the pediatrician's.

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But it was a good day. Walking is still "unnatural" but getting better. And I have something I can do proactively now to help the muscles knit and rebuild. I have to be careful, all tell me, to not try and overdo it.

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With disuse, we notice that one's feet begin to shed alarmingly. Susan's found some various foot creams and sprays and we're experimenting now to see what best keeps the feet intact.

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All the normal callous from walking is flaking off rapidly now. Ideally, one would get a foot job twice a day. Susan uses a little finger nail brush to get the larger flakes off and then a short lotion massage and an anti-whatever spray that works well for ten hours anyway. It takes a lot of trust to be in a wheelchair being trundled down concrete and aggregate sidewalks, over handicap ramps that are NOT level in any direction, so beware , and through shops to the hair dresser.

Slower is better, something Susan never thought she'd hear me say. By now, I'm going hours in between doses of hydrocodone instead of prescribed 4. I wait until the accumulation of aches and pains mounts to discomfort and then relent--which helps at night too for sleeping. I use two pillows a round one between my ankles and a flat one between my knees in order to sleep on my side and after a while, everything begins to ache. But now, I can raise my legs straight out up two feet in the air, so it makes the switching much easier.

Introduction

I fret over the two torn rotator cuffs suffered in a taekwondo incident in July. I'd postponed consideration of surgery on them until late fall and after the golf season. My orthopedist didn't think I had torn anything there in an examination in July, howerver the MRI showed 2 centimeter tears in the supraspinatus, infraspinatus, a partially torn biceps tendon, and meniscal fragments floating around in the right one which he'd repaired already eight years ago and the left one feels the same.

He said he'd only ever seen one other case where the musculature was strong enough to do what I do and yet show tears. I can feel the aches and pains and catches and clicks in my shoulders all the time, but have no energy for having them repaired anytime soon now. I'm taking red yeast rice and oat bran muffins daily now to try to substitute for the Vytorin to see what my cholesterol base line will be in late October at my next cardiologist's visit.

I'm reading and learning a lot about the possibilities in a more natural approach. We'll see if it works. Susan also put me onto River God , an historical fiction novel about the Hyksos invasion of ancient Egypt. And I've outlined a new book, written 3 chapters on another, and drafted an article and taught a class in my home. Given what others have experienced and written about, there seems to be just too many "coincidences with a common factor" to ignore.

Graveline also pointed out that "Red yeast rice is virtually identical to Merck's generic lovastatin, known by the trade name of Mevacor and one mg capsule should be roughly equivalent to Mevacor 2. So, although I just found out about this "natural" approach to cholesterol reduction, I'm going to stop taking it.

I find Dr. Graveline's writing style to be very confusing and so cannot recommend him as an easy-to-read author, however he has amassed very interesting and powerful information--you just have to wade through to get to it. One does need some means of assistance sitting and standing, a rod in the wall, a sink cabinet to use your elbow on, or a partner. Clearly, a seat extender raises the height of the commode would also be a big help.

I can raise my legs now, and do side scissors. The PT recommends sets of ten on both twice a day I'm doing maybe 3 times a day.