Rehab

Yesterday was the date of my long-awaited ACL reconstruction surgery. It's hard to believe that it was a whole six months ago that the tear occurred while skiing in Lake Tahoe - and I've been walking around in boots and heels since then (no doubt, with a drunken fall here and there) with little to no pain. And now I am laying in a cozy bed in my mom's room at the Hotel Monaco with a huge brace over my leg, and Vicodin, Toradol, water and crackers by my bedside.

Those two nubs sticking out of the top of my brace are for the cold therapy unit that I use 6 hours a day, provided by Liberty Health Services. (The unit costs $200 and is not covered by insurance, so essentially I own it. I'm not sure if I'll find any use for this afterward, but I guess it's pretty cool - no pun intended.) I fill a cooler with ice and water, which is hooked up to a tube that clips into the openings under the nubs. The ice water is then dispensed into the packets surrounding my leg under the brace. It's basically a quick and easy way to provide continuous icing to the surgery location.

I also have to use a CPM machine 4 hours a day, also provided by Liberty Health Services and covered by my insurance plan with a small co-pay. I can use this at the same time as the cold therapy unit, or separately. The CPM helps move my knee, so I can gradually bend it from 40 degrees to 100 degrees. It's actually pretty comfy (though, very heavy), and was delivered directly to my mom's hotel room by a nice man named Chase.

By the way, the actual surgery went pretty smoothly! After checking in at the CPMC Outpatient Center, a young volunteer brought me into the pre-op room and told me, "I've never done this before so I'm not really sure what happens next." I think he was in high school, maybe. I told him he should probably refrain from telling his patients that he was clueless. After that a nice nurse named Mercy came in and taught me how to use my crutches (which I'm a pro at) and hooked me up to my IV. I was worried about my IV because in my wrist surgery two year ago, it took the nurse four tries to find a vein that was big enough to hold the IV. But Mercy got it in with one try in a vein below my left wrist.

At noon (my scheduled surgery time), a murse brought me to the OR area of the hospital. He brought me into a meeting room where I would discuss the procedure with my surgeons, and plugged a tube into my hospital gown that blew in hot air. My surgeon, Dr. Lesley Anderson came in and met with me and signed my left leg with her initials. Then the extremely good-looking anesthesiologist, Vince, came in and told me about the nerve blocking option in my femoral artery to alleviate pain after the surgery (I'm allergic to morphine). He was so good looking that I just agreed to whatever he suggested.

The last person to come meet me was Nurse Olivia. She brought me into the operating room, which was filled with bright lights, TV screens, lots of big machines, and 7 or 8 doctors. They started to hook me up to various machines and cover me up. Vince gave me what he called "an appetizer" through my IV - a small dose of pain meds that calms you down while they're poking and prodding you with needles. He numbed the crease in my upper thigh and shot me with the nerve block. He explained that I was going to have muscle spasms in my leg, and that meant it was working correctly. It definitely felt weird, but I was glad it was working. Meanwhile, Dr. Anderson was looking for a vein in my arm to draw blood for the allograft. Of course, she couldn't find one and so she decided to wait until I was asleep. Then Dr. Vince told me to think of my vacation spot - I obviously chose Bora Bora - and I was out before I knew it.

When I woke up, Nurse Susan was helping me manage my pain. She brought me down from a 7 to a 4 with a little bit of Demeral. We talked about the Yankees and Broadway as I drifted in and out of lucidness. Once my pain was managed, she brought me to the recovery room where my mom was waiting for me. They gave me some saltines, water, graham crackers and apple juice and after about an hour of rest, I was able to get up with my crutches and use the bathroom. Go me!

All in all, it was a very successful surgery and I feel much better than I thought I would. Although I can't move around all that much, I'm not complaining about being stuck in a hotel room with TV, room service and my mom.