Kelly's World

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A blow-by-blow account of my appointment today with pre-admission.

12.30 – arrive at the clinic directly across from my “accommodation” for next week (the hospital). I am handed a green document detailing all the things that could happen to me today, including possible blood tests, cardiograph and x-rays. I am a bit shocked by the small box on the rception desk that simply states “please place urine sample here”. Apparently I have plenty of time to deposit my sample, as long as I hand it in before leaving today.

12.45 – just met one of the nurses who did a blood pressure test and checked my pulse. She reminded me I am not to eat anything after midnight the night before my surgery, and can only drink water until 4.30am the day of the op. After that I will be fasting until it’s all over. I can’t have multi vitamins or fish oil, or anything with a blood thinning effect for several days beforehand. E.g asprins or nurofen. Lastly, my knee is checked for any cuts or scratches. I am not allowed to get any cuts on the area prior to the surgery to avoid the risk of infection. She also hands me a tube and explains it is a shower gel containing antiseptic, and I will need to scrub myself with it the morning of the surgery. The nurse informs me I will be meeting with the anaesthesiologist today, and one of the residents involved in my operation. They will be along soon, but in the meantime I am sent back to the waiting room.

12.55 – still waiting so I work up the courage to do my urine sample. Go to the loo, pull the cup out and stare at it. Surely I don’t have to fill the whole thing? Decide to aim for a third and go for it. In the end it’s more like a sixth but it should do. No spillage and nothing on my hand woohoo. I put the lid on, then for good measure I wash the whole cup, and my hands, about three times. Walk into reception and as a bonus there is no one behind the desk. Drop it in the box and quickly walk away.

1.10pm – this time I am meeting with the pharmacist. We walk into her office and it is absolutely freezing. She would get a rude shock if she went onto the street, it’s damn hot out there. She runs through a list checking for any medications I may be taking, and it’s all over in 2 minutes. I answered no to everything. Back to the waiting room for me. At this stage I am becoming extremely thankful for my iPhone.

1.40pm – met with anaesthesiast and told they will be giving me a general. She had checked my history and apparently when I was really quite young I had had convulsions. I recalled mum telling me it had happpened when I was extremely young, and since it hadn’t happened since the anaesthesiast wasn’t too concerned.she also found that when I had fractured my arm when I was little they had given me a general then, so it shouldn’t be a problem this time around. She explained it simply they will insert a needle in my hand that puts the medicine in my blood to send me to sleep. A mask will go on my face to provide oxygen, and only after I fall asleep will they run the tube down my throat to ventilate me. Easy. I may have a sore throat after the surgery accordingly. She ran me through all the possible reactions to a general anaesthetic but assured me that reactions are extremely rare (it’s safer than driving a car). Had my heart and lungs checked out, then back to the waiting room again. I think all that’s left now is to see the resident.

2.00pm – I have just seen the resident and have nothing left to do so I am free to go home. He checked my heart and lungs as well, and also inspected the knee a fair bit – checked my movement, if I had been seeing a physio etc. I learnt he estimates the actual op will only take approx. 1 hour once I am physically there waiting to go in. He double checks my medical history, then that’s it. Nothing left to do now other than wait for the day to arrive. I still haven’t got the jitters, but we will see how I am come monday!

I sat in this room for 2 hours, but it went surprisingly fast!

The urine sample box sitting proudly on the reception desk.

With only 14 days left until surgery, it still hasn’t become real to me yet. This whole time I don’t think I’ve really felt the impact of what the surgery means, and I haven’t had a moment where I got upset or depressed about it. On the contrary, I’ve actually found myself being excited about the surgery, because all I can see is the future where I can run around and not have to worry about side stepping or my knee giving out.

I have had a moment where I pondered why I haven’t felt upset about it. Discussing this with a mate, she suggested maybe it was just because I understand that it simply needs to be done, I’ve accepted my fate and just got on with the business of organising it. I hope so, I’d hate to think that I’m bottling my emotions to a point where I can’t even detect them!

In the latest developments I’ve received letters in the mail confirming my pre-admission appointment with the anaesthesiologist (along with pages and pages of questions to answer) and my surgery date. Annoyingly, I can only call the day before my surgery (between 4 – 6pm) to find out what time I’m expected at the hospital. This really left it up in the air on arranging my transportation to the hospital. I had asked Mat’s sister to drop me off, but given she’s juggling a 9 month old baby and part time work, not being able to confirm a time earlier would really be inconvenient for her. She’s insisted that she can still possibly take me (depending on the time of course), but I told her not to worry about it. Instead, I’ll drop Mat off at work in the morning so I have the car, then pick him up just before I’m due at the hospital and get him to drop me off, before he takes the car back to work with him. The hospital is only 20mins return drive from his work, and it means we don’t have to pay parking (if I was to just drive myself to the hospital and leave the car there for the day until he picked it up later that night).

A letter attached to my surgery confirmation advised that any of the following in the operative area could possibly void my surgery booking due to the risk of post-operative infection:

  • Pimples
  • Ulcers
  • Sunspots
  • Rashes
  • Animal scratches
  • Gardening & lawn mowing cuts
  • Mosquito & sandfly bites

In other words, no playing with Turbo (just in case) and no mowing the lawn (oh I’m devastated – sarcasm rating 10). The letter also states to care for my skin prior to surgery I should shower with an antiseptic soap two days prior to admission. No worries, can handle that.

I then began to read my Pre-Admission confirmation letter, and that’s when I started to get nervous. I was required to bring all the accompanying documentation (the bazillions of questionnaires, to exaggerate a little), medicare card, MRI scan and X-Rays, and the words *drum role* A URINE SAMPLE!! What the hell?!

I have to go and buy a little container for the pure aim of capturing my urine, and transporting it to the hospital. That’s going to be great fun! I’m going to be so nervous that it might leak, so I’ll be reluctant to put it in my bag, but where else am I going to put it? The cup holders (renamed to urine holders)? I’m going to look like an alco, because I’ll sure as heck have the urine sample in a paper brown bag, attempting to disguise it in a way that everyone will know what it is as soon as I walk in with it. The last time I was asked to provide a urine sample was when I saw the doctor for a checkup, and he wanted to check if I was pregnant. I declined in that instance, and a few years later I’m not pregnant. Ha!

It will be interesting to go shopping for such a container – where am I going to find a suitable one? Chemist? “Excuse me, do you sell urine sample containers?” I’ll be bright red from blushing as I ask. Who thought I was brave and outgoing was wrong, cause I’m sweating just from thinking about asking that question. Do I just go to Woolies and look at their plasticware? It’s going to be a one use container, I’m surely not using it ever again. That’s if they give it back. Oh no – what if they actually give it back? I’ll have to take it home and empty it myself, yuk man. I know it’s only urine, but YUK! It can go in the bin whole, I won’t even bother worrying about emptying it in the loo. No way.

Just trying to fill the damn thing will be bad enough. I’m buying gloves. I don’t want any splashback, or any of it touching me if the container overflows. I’ll have to make sure I’m not busting when I go – I don’t want any power peeing or anything. Simple slow-flow pee to make sure I’m in total control during my “deposit”.

Ok enough ranting about the urine sample now (yuk). Other than that everything is pretty hunky dory. The money for the surgery is sitting in my bank account screaming at me “hellloooooo look how much money you have. Don’t you just wish it was for everyday spending? Aren’t I attractive? And youuuuu caaaannn’ttttt touchhhh me”. I hate it when money starts singing to you *frown* Evil thing.

Ok back to reality again. I’ve organised time off work for the two days I’m in the hospital, and I’ll be working from home the two weeks after that. On the 19th December our office then closes down for 3 weeks over the Christmas break, so all up it will be 5 weeks I’ll be able to rest at home – that’s fantastic. I haven’t heard from the Insurance Company yet as to whether they will cover my injury; I’ve sent the claim form along with information on how much I’ve already paid for physio. I also included a letter asking for some compassion to cover me, since I wasn’t aware that I was covered until the deadline had already passed. So at the moment it’s still up in the air on whether I will be paying for physio after the surgery, or if it’s covered. Geez I hope they agree to cover me, that would be a fantastic Christmas present!!

Now I’m going to go back to twiddling my thumbs until my appointment next week with my “apple juice” container…catcha!

Now that a date has been set for my surgery I’m starting to consider my rehabilitation a bit more. What I can and can’t do, if I can continue with my plans for Christmas etc. Luckily our office is shutting down for the Christmas break for 3 weeks (instead of the usual 2) and they’ve approved my working from home for the 2 weeks directly after my surgery. This is also the last 2 weeks before the Christmas break, so I’m looking at a good 5 weeks before I need to consider coming back into the office.

One of my concerns was the crutches, it appears they recommend crutches for the first 2 weeks. As I am booked in for surgery on the 9th, the 2 week “crutch timeframe” brings me right up to the 23rd. Not bad – I’ll hopefully be off them in time for Christmas. However we are meant to be driving down to Lismore for Christmas day (as we’re visiting Mat’s grandfather), which is  a 5 hour drive. Hopefully there won’t be any issues with sitting in the car for a long period of time, otherwise I’ll just have to sit in the backseat with my leg stretched out, stir Mat up about being my “driver” and call him James. “Just to Lismore thanks James”.

Immediately following our trip to Lismore, we’re then returning on the 27th, only to head straight back up north to Bagara to go camping with friends. It’s going to be a busy time. What a better modus operandi for rehabilitation though? Chillaxing at the beach, drinking, and making Mat do everything for me since I can play the “injury” card. Just kidding, I’m too stubborn for that – I hate being dependant on people. I’ll have to speak to my physio and try to arrange to see him before we leave for Lismore so he can give me a plan for the next week and a half.

I googled about the recovery phases, and managed to find some great information on about.com. It steps through the different timeframes of recovery, explaining what the patient will be focusing on and basic activities they’ll be able to partake in. Of course everyone is different so I can’t consider that a concrete plan for my recovery, but it gives me a taste of what to expect.I know I have to be very careful walking as I can’t put my knee under any stress at all, so walking on the sand will be a bit of a challenge. I always charge over it like a lunatic, and it’s not the most even of surfaces!

Just a small point too, I’m yet to find out what time my surgery actually is, but I plan on blogging the whole thing. From waiting for it to happen, through to waking up in my hospital bed doped out on painkillers, I’m writing it. And if I get to see the gory image of what will be my knee with multiple cuts and stitches, I’ll be sure to take a photo for everyone to see! *grin* Stay tuned!!

Final note – I hope I get to wear one of these sexy things. I’m sure that will get me some major sympathy points!!

 

 

Knee Brace

Knee Brace

**Update – 2nd Jan 2010**

It’s been over a year now since I had the surgery. To see all my blog posts related to my knee reconstruction, click here. Feel free to ask me any questions as well, I’m happy to answer them all.

 

Wow, I didn’t realise it’s been 4 weeks since my last update of my knee , so I have a little bit of updating to do.

I found out from my old coach that I was actually covered by insurance from the netball centre, but it had been 2 months since the initial injury. It appeared you had to submit the forms within 30 days of the injury, so I rang the insurance company and explained that I hadn’t known about it. They said it should be ok, and that I would need to get the forms in ASAP. At the moment the form is with my doctor, as he was required to fill out a section on the injury, then I’m able to send it off. When I spoke to the insurance company on the phone, I got the impression they didn’t cover the gap between the total cost of the surgery and the medicare rebate, so at the moment I’m at least $2,000 out of pocket. I have paid $300 in physio fees already (after my health insurance pays their chunk), and the operation is going to cost $1700 (I got a loan to cover that bit, as I don’t really have that much money lying around at the moment). I would assume they would pay for my physio though, so at least that bit I don’t have to stress out about. With 2 months pre-surgery, and 9 months post-surgery physio the cost is really going to add up.

New type of anaesthetic

New type of anaesthetic

As previously mentioned I’ve gotten a loan to pay for the surgery. This meant I really had nothing holding me back from proceeding with the operation. I rang the hospital earlier this week and confirmed I was ready to go ahead, and received word today that my surgery will be on the 9th December – 3 weeks away. on the 2nd December I will be meeting with the anaesthesiologist to get a health checkup and discuss the anaesthetic method they will be using on me. I hope it’s a general and I’m completely knocked out, I don’t want to be awake for any part of it. Can you imagine? They pull out my hamstring, dangle it in front of me and say “woohoo check this out”. Yuk, no thanks.

Currently it’s all about preparing for for the operation. I’ve already had a million things run through my head, from who will be dropping me off and picking me up (I don’t want to put anyone out by making them spend the night there with me unnecessarily) to what I’m going to bring (iphone, clothes, the specific bag I will take so I can carry it easily while using crutches etc). Sad isn’t it? The worst part is I’m actually excited about the surgery. I want to get it over and done with so I can get the rehab done, and eventually not be restricted in what actions I can and can’t do. For example, I was at the gym over the weekend and had just finished 20mins of cycling. Knee felt fine, no worries there at all. Stood up, lifted my leg to climb off (as it was one of the seated ones with pedals out in front, not the normal bikes) and my knee let out a massive “CRACK” and pain shot through my leg. I limped over to the lockers and sat there massaging my knee for a little bit, stood up and it was all fine, like nothing had ever happened. I checked it with my physio this morning and apparently my cartilage had just gotten into a place where it shouldn’t have, so when I moved the crack was the cartilage going back into the correct position (aka nothing to worry about). I can’t wait until I don’t have to stress about getting off a bike.

So….let the count down begin. 20 days to go!

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