Good morning, registerednurse (and all) -

Infection in the joint capsule after a TKR is a big deal (typically). I hope the antibiotics "work"
and i am crossing my fingers for you. My own situation is so inflammation sensitive that my
previous surgery arthroscopy essentially ended up being like bailing water from a seriously
leaky boat (we regained the scar tissue to the same degree - almost immediately). I'm glad
to hear your exerience has been better (or sounds as if it has - and I hope that continues).

Yes (JK), those gym hot tubs (and swimming pools) do have bacteria in them of all types
(regardless of the amount of clorine put in them). If I had immune suppression issues, I would
share that same concern. Counter-intuitively (at least based on what I think I understand now),
my inflammation problems are driven by too much of an immune system response (some
inflammation being "the normal response"). That's part of "why" a steroid injection "works" to
reduce inflammation - it does this by partially suppressing that same immune system response.
It would make a lot of sense to me - that they would consider "bathing" the joint capsule with
steroids during the TKR surgery (particularly where this is a revision - with a well-understood
history of inflammation causing previous problems), but it's my understanding they generally
will not do this.

More "grist for the mill"

Best to all (and good luck JK),

John