Tuesday, August 19, 2014

Day 27
A relatively good nights sleep.  Again I think my leg was all over the place and at 1 point my knee didn't bend easily.  My buttock stung a little.  I watched a revision surgery on-line.  How they can differentiate structures when they begin to all look the same with the blood is amazing.  I guess hunters do that though when they field dress animals.
Tomorrow will be a busy day; driving up to Richmond to see someone in the surgeons office for the 1st time since surgery.  I want to get a copy of my surgical report but I know that makes people a little nervous.  I just like to know what was done.
Went to a meeting in a transfer chair with cushions and had no problems, meaning no pain med was necessary. My perspective today has changed.  I was telling a friend that the quality of my life is an inside job and external events, while they may produce stress, pain, or joy do not determine the quality of my life.....I do.
 The surgeons office called and they are stopping the 1 antibiotic and decreasing the Coumadin the next 2 days to 1/2 what it was.ns  The status of the injections is yet to be determined.  While the Coumadin clinic has said they have done what they need to continue, the insurance company is refusing and saying there is no prior authorization from them to allow continue coverage.
The surgeon's NP said they will have to initially monitor me more frequently for Coumadin blood levels.  She was surprised that the Coumadin clinic stopped home PT until they could establish a therapeutic blood level because of the DVT.  She said Dr. Jiranek would not have stopped it.  Unfortunately Dr. Jiranek was out of the country and someone else had to make the decision, right or wrong.
In the transfer chair I was wheeled through the grocery store again.
Tomorrow ought to be interesting
Ate dinner in the kitchen in the transfer chair.  I couldn't get close enough to eat with the plate on the table or lean forward so I ate with the plate in my lap. By 9 PM my hip had enough.  Most of the pain is centered in the posterior aspect of the joint and/or muscles

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