Last week I introduced my new series entitled TKR #2 with a discussion entitled "I'm still learning." It has been 10 years since my initial TKR. The entire process has changed. Identification of the what's and the whys are easier with contemporary technology. Robotic guided techniques make the surgery more accurate, faster, and minimally invasive. As I move into recovery and rebuilding, I am still learning. Knowledge is power and I am finding out that as a patient, I am responsible for asking the right questions, researching the plausible answers, and helping to resolve the medical issues by paying attention and following instructions and guidelines.

#1 this week was to learn how to use one of the assists......a walker. My PT noticed that I was leaning over the walker with my behind sticking out....very uncomfortable and not very stable. She showed me how to place my body inside the walker so that I am standing straight instead of leaning over. Wow...what a difference.

#2 was a thorough evaluation and shared decision about post-surgery medications. I am highly sensitive to opioids and have only found one, Dilaudid, that can be helpful in a surgery situation. My current surgeon and his Rx designee reviewed my previous surgery injections. An exception was made because of my experiences and Dilaudid was designated as the pain control opiate for surgery. We had another review of medications for post-surgery and recovery which included an appropriate dosage of Dilaudid. No one started with a self-prescribed answer and we all shared the decision-making process that led to an appropriate starting point.

#3. Introducing medical cannabis to the post-surgery options for pain and comfort control was also at the top of the list for shared decision-making. My choice of medications for small fiber peripheral neuropathy (SPN) has included medical cannabis for 5 or 6 years. An integrative approach was designated for post-surgery that included medical cannabis and ensured a positive and healthful response.

I am very impressed with the compassionate and caring approach of my providers. As I discover more "Let's get it right" opportunities.....that enable the best decisions, I will share them with Connect members. Please add your positive experiences and/or provocative questions.

May you be mentally healthy
May you be physically healthy
May you have peace and ease.
Chris