My husband is really apprehensive about having knee replacement surgery. He is afraid he won't come out of it and/or the PD will be worse.
I had a knee replacement five years ago and the anaesthetic caused no problems. It is important to meet your team before the op and discuss any concerns with them. The most important thing is to make sure that your routine times for taking your medication are maintained. Surgery can often be scheduled around medication times so that you go for surgery fully medicated and are given your medication at the correct time afterwards. Family members should make sure this is done as non specialist nurses sometimes do not realise the importance of PD patients getting their meds on time. In some hospitals they will allow you to self medicate.
@A MyParkinsonsTeam Member and all:
8 weeks ago, my husband (78) fell and broke his hip--ironically while doing his exercises to help with the Parkinson's. We lucked out with a fabulous, highly touted, caring orthopedic surgeon. Not always the case on weekends and holidays. π Dr. Gregory Carolan, St Lukes's Orthopedic Surgeon's Group. Actually, we "officially" met him today at my husband's follow up.
What we've learned, and some of my observations, are as follows. For a few days after the anesthesia, Eric's thinking and speech was a bit "circular" repetitive, and significantly slower than pre-surgery. A few days later, tremendous improvement, particularly the circular, repetitive stuff. But a lot of this, also had to do with his concern for me (I have chronic ovarian cancer now almost 3 years, fifth course of chemo; I am 57.) There's a book or blog or something to come out of this: "When Your Caregiver Needs a Caregiver." LOL On the third day post surgery, he started a 2 week stint in the St. Lukes ARC program--acute rehab! And indeed it was! Pretty much kept him active, rehabbing, strengthening--and keeping from excessive "brooding." Best of all, between the PT and OT and more, we went from no weight bearing to as tolerated and needing to find, build or rent a temporary ramp for the two steps to get into the house! Also, he was cleared to go out to therapy, rather than have therapy come to the house. I also think that was a major "coup" -- more activity, more "normal," more interaction with people. And because there were a few bad days for me, he had to do somethings more than being waited on hand and foot...one sure gets spoiled by that! π And, we finally got into a routine, a big help! The only other thing I can think of is that the PD slows healing and rehab progress, so a patient patient, is helpful! But today's x-Ray showed nice profess in the healing end; in fact, he has healed well. Now, it's more up to the continued, ramped up pt, at home on his own, and on site. Considering all the orthopedic surgeries we've had in our lives, and subsequent rehabs, by far, hands down, the best in the Valley is Bethlehem Rehab Associates, (Phone number can only be seen by the question and answer creators), www.bethrehab.com. Both Dr. Millman's and Dr. Gallantry I gher are fantastic. And they've worked together for many years, making it a finely tuned, personal and super personalized, facility that gets you back to "you!" And, both Harold and Bridgit have gone through, and certified, in STAR Clinician Training, a nationally recognized cancer survivorship certification developed by Oncology Rehab Partners (www.OncRehab.com) that focuses on the physical and emotional healing of cancer survivors. As far as area hospitals and rehabilitation programs, cancer rehab is something that has suddenly caught on -- these guys are way ahead of the game!! And it's a holistic approach.
I've been told it can increase mental confusion.
I had 2 knees replaced and agree with the above answer. Knees now are good.
@A MyParkinsonsTeam Member. I have just added you to the team Sterling as a new member. Welcome to your new Parkinson's family. Sterling