Day 5

Well here I am at day 5. I am "dismissing" my caring friend officially today, as I am happy that I can cope without her. She won't be going very far away (two streets!) and I have lots of friends and neighbour available to help at the drop of a hat. But I feel confident now that I can begin the road to normality, and I am keen to do it!

​My first day home (Thursday) I was soooo tired! The effort of getting home exhausted me, but before having a nap on the sofa I insisted on making lunch. Just soup and rolls, but I wanted to make it myself. I told my friend all along that she was there to make sure I did not harm doing things, not doing them for me, and she's stuck pretty well to what I wanted. I have been sensible - so things like vacuuming etc., I have had help with. But basic day to day stuff is down to me. Scruffy floors won't kill me, but not eating might!

​As anticpated, the first night home I used every trick in the book to try to sleep on my back, and had every aid going to help me do so. No way was anything working. The spine just was not having it, and it was that that hurt - not the hip! So after a couple of fruitless hours I threw everything in a heap on the floor and reached for my trusty pillow, which I had been using before the op due to the pain from the osteonecrosis. In seconds I was fast asleep and got a full nights sleep - the same again last night. I know we aren't supposed to sleep on our sides, but sleep is healing, so I compromise had to be made, and this is it. With this pillow and and a leg lifter I can get in and out of bed and sleep well, all on my own. The last two mornings I have woken really well rested and raring to go, and so I won't complain about the fact that I am sleeping ten hours straight - my normal is seven at most. I know I need it right now!

​Exercise is getting easier, although I haven't ventured outside yet. That is on the schedule for today. I have a really good range of movement, although it still does differ a bit during the day. There's nothing that I can't do, but sometimes I can't do it at one time, but can at another. I'm just going with the flow - I'm up to my maximum in all areas already, and just pushing an extra one or two if I feel I can. I know not to push too much as my physio (I had one before this) had already read me the lecture on not overdoing it either. She knows me too well!

​Pain, almost non-existant! I have accidentally "touched" the scar area when moving (for example, last night getting into bed), and believe me, it lets me know not to do that! But it's to be expected that there will be occasional brushes with objects, and I'm going to discuss with the GP on Tuesday a schedule of reducing my meds a bit - I've been on very high levels of painkillers for a long time now (morphine patches for the last 5 weeks), and I know that with the other stuff going on I can't just throw them all away once this is over - but I hope to get a significant reduction. If I could aim to reduce just to my co-codomol and gabapentin, I'd be a happy bunny!

​Problems? Well, ok folks, who was the idiot who didn't tell you that you need two grabbers in reach? Because you need a grabber to pick up the grabber that you dropped on the floor!

​And tips? Well this one came from my regular physio, who is really, really experienced and qualified. She told me that, within the bounds of caution, the "rules" about bending and stretching etc., are vased on no clear clinical practice! Her and some colleagues tracked the progress of THR patients for three months after surgery, and the dislocation rate was not related to following the rules or not - it was a lottery! She advised to loosely follow the rules (so no sitting cross legged, because that is silly), but otherwise approach movements with caution and listen to your body because it is going to tell you what it wants to do. So I haven't been blatently breaking the rules, but I feel so much more relaxed about moving around and trying things.

​My curent goal is to be well enough for my dog to come home on Thursday next week. He's a 14 month old border collie, well trained and very savvy - but boisterous because that's his age. He hasn't fully grown up yet. But I miss him, and every time I do something I am seeing him out of the corner of my eye, or expecting him to appear! I won't be able to walk him properly yet, but I have a loaned scooter which we have been using for some months already, so he can accompany me on my growing walks, and still get his mad runs around the park! The physio looked at me like I was mad when she discovered I didn't have a small dog, and kept repeating the mantra "but he could pull you over" despite the number of times I told her that this simply wasn't going to happen because trained intelligent dogs didn't pull their owners over!

​Anyway, I know I am not out of the woods yet. But when I first discovered this forum it was a great place to get information, but felt kind of scary since the majority of the posts were about stuff that went wrong. Understandably, and it is a serious operation and for some people it doesn't have the anticipated good outcomes. There's still no guarantees for me either, and I accept that. But I hope this helps anyone about to go through the op, that there is light at the end of the tunnel. And it is daylight!

Hi Beth:

Great feedback! Especially the grabbers! Wouldn't gave thought about that. I am going in on Monday morning 7am surgery. An out-patient, anterior L THR operation.

Yes I also have a 14 month old beagle/ american bulldog mix. She is a beauty but is strong and needs to run. We are staying at a friends house for the first week that will allow her to access the outside via a doggie door. After the first week we will be back at our house sans doggie door. So I think we will have some freinds come by to helkp with taking her out for her walks.

Ill keep you posted.

Hi Beth, what a great post! So glad you're doing well, long may it continue.

I'm 15 days post op and am already breaking the rules, as in I'm probably bending too far and lying on my side etc. I've been informed by my hip if I've pushed it too far but mostly that hasn't happened and I've been fine.

I'm now off all medication but I wasn't on strong painkillers anyway so that's the difference I think.

I love positive posts!

Good luck with that. I was last on Tuesday night, and they had problems getting the epidural in so had to give me a GA. I was last in case there were complications, but the complications were the one before me! So I got back to my room about 10pm and spent the whole night drifting in and out of the US elections!

​Yes, a mix like that is high energy and if she pulls, she'd be very dangerous for you right now. Even later on, you might find that a halter type lead will be better for you and her - she can't pull you the same with one of those, and you will still needs to watch out for falls or slips. Fortunately, although this year has seen a rapid deterioration all around that I am just beginning to now "fix", I knew the op was coming as I have severe OA in both hips (and some in the spine) - just didn't see the osteonecrosis coming, I knew when my puppy came that we had to adapt. I thought about a lower energy breed but couldn't bring myself to do it - I have had border collies since I was born. So my lad has been trained to use a treadmill since he was a pup in case I couldn't always provide enough walks to use up his energy; and, as I said, more recently he took to a mobility scooter like a house on fire, and although he always spends lots of time running free and exploring, his little chest puffs up with "heh, look at me" when he trots alongside the scooter at full blast on his lead

​And yes, the grabbers look easy (and I practiced with everything before I went in for several weeks) but it is amazing how often they seem to end up on the floor with the thing I am trying to pick up! Or having fallen, they are the thing I am trying to pick up! I never before seemed clumsy, but it seems like fate now.

And if you drop both the grabbers you can get your collie to pick them for you 😊

Yes, the rules are hard, especially if you are used to being flexible - I had decades of Judo and when I had to give that up, started yoga instead. I found this fabulous specialist pillow that allowed me to lie on my side, and gives full support from waist to toe, and it has plenty of test runs before the op as the osteonecrosis eventually got so bad that I couldn't sleep on my side any other way. And like you, I know I have bent a little too far every now and then.

​In fact, this afternoon I went to answer the phone and I was half way there before I realised that I had got up and left my crutch behind! I was walking unsupported, and that's the first time in six months I have been able to do that. OK, it was a devastating distance of 8 steps, but obviously my brain had decided it didn't need the thing, but didn't bother to let me know

​Glad to hear that you are doing so well, and I hope that you'll continue to make good progress. I don't know about you, but when it's all so good I find myself looking over my shoulder a bit for the other shoe! But maybe we've had our other shoe already!

hi beth, 

you sound like a very responsible woman .... well prepared and aware of your body ... you are so right regarding the restrictions - I am not saying that they should be discarded but they  scared the bejezus out of me - making me be so cautious that moving about was akward, stiff and Frankenstein like - 

You also have great people around you - 

true about the postings here on the forum - that is why yours is very encouraging. positive and funny ....

Oh, I ended up with 3 grabbers - still have one in my car as I have a tendency to drop my keys ... also handy getting stuff from lowest shelf in grocery store ..

please keep coming here to share your journey with us !!!

big warm hug

renee

 

hi erin, 

good luck with your surgery on Monday -amazing to have it on an outpatient basis ....

sending light, love and healing

bug warm hug

renee

I think my brain decided early on that I was fixed now and can do things I couldn't do pre op! I've had 2 and a half years of pain and thought it might be 'hard-wired' by now but apparently not! I've been in such a good mood, particularly this week, because I can feel myself returning to normal. And it feels SO good 😊

Keep posting Beth. You're doing brilliantly xx

Do you know one thing that they tell grabber (and leg lifter) manufacturers? They look like pull toys. So if you tell your collie to bring them he thinks its an invitation to pull them!

Hi Renee

​Oh I know - isn't it quite silly how I wasn't the slightest worried about the op, and the "advice" was scaring the life out of me? I tried hard to get used to sticking to it, and never did. Before I knew it I would b e picking something up off the floor without grabbers. First day back from hospital, what was the first thing I did - pick up the post!  As long as you are sensible, I think we all have to find our own way of managing. Experts can only go so far, and its notable how many of them HAVEN'T had to have the op yet!

​It's like the lying on the side thing. Great advice if you don't have to follow it. But the special pillow I use was designed by a doctor who had to follow the advice and couldn't! I remember my mum used to say that childbirth would be painfree if men had to go through it. That was obviously in a time when almost all doctors were men, but her point was valid - there have been huge leaps in the approach to childbirth and I doubt it is conincidnetal that that happened once women entered the ranks....