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Tales of a Hay Hauler: A new bicycle and new knees

by Brad Nelson

I can hardly wait until I have to get on a commercial airplane again. My new knees will probably set off the metal detector and there will be a hassle. Life for me has been all too interesting since February 27 when I underwent surgery for total joint replacement on both knees. Since no one reading this is getting any younger, perhaps my experiences will be useful to someone else.

Several people have asked if they added to my height when they put in the new knees. The doc claims not. But I can now stand with my legs fully straight, a thing I could not do before, so I may well appear to be taller. The other regular question is why in the world I would have both knees done at the same time. The doctor recommended I do both at once. He said physical condition of the patient and whether one knee was noticeably worse than the other were the pertinent factors in this decision.

From my end of the equation, I had no desire to have to recover twice. Before the operation I would get in a car by falling in butt first and then dragging my legs in behind me. At ten weeks after surgery I have been back to doing at least that well for a few days now.

Operation day was a Tuesday. Go home day was the next Sunday. I made it from the car to the steps using a walker. I sat down on a chair which my son Dan managed to drag up the steps. I realized I was not as mobile as I thought. Two days later for the trip in to the doctor’s office we borrowed a wheelchair to get me down the steps. Dave Gilbert came over and did the heavy work of hauling my heavy carcass out of the house.

When we got back my wife wanted to know who to call to help since Dan was gone with his hay truck. I instructed her to just flag down the first car that came down the lane. (We live on a gravel road that is more of a glorified long driveway than a road, but we do have some through traffic.) The first car that came along stopped. It was occupied by two young Mexican fellows who spoke no English. They were about to drive on when they noticed me in the wheelchair waving at them. When they came over to me I said to them, pointing to the door of the house, “Esta problema grande por entro la casa.” It was adequate Spanish, and they got me inside the house without incident.

Three days later I was able to navigate the stairs with the walker. Getting in and out of a vehicle was the biggest hurdle for a while. What I wouldn’t have given for the use of an older two-door Cadillac for a few weeks. Even my 1996 Lincoln Towncar was a hassle. When your knees will not bend far enough to clear the door jamb, nor will the muscles work to lift your legs, it takes longer to get in the car than the 35-mile trip to town. I took the oak stock cane I used for a walking cane with me from the start. I could slip the curved handle under my foot and, by pulling on the other end of the cane, lift up my feet and legs.

In this day and age of ever–increasing fuel prices, if you have a good old full-sized car that runs good, do not trade it in when you go to the car store for an economy ride. If all the wheels we had were the economy rides, I would have made the trips to Moses Lake for physical therapy strapped to the top of the car.

Things progressed steadily from there on. I think part of being a physical therapist is being a good coach. Dave Hasse at the Moses Lake Clinic physical therapy department certainly had that figured out.

One day as I was on a stationary bike at the therapy place I was mad at my right knee because it would not bend as far as it had before. As I pushed the pedals on the bike forward and back to force the knee to bend far enough so the pedals could move in a circle I started bellowing somewhat as the knee neared the break-over point. I overheard Dave say to some of the other staff, “I’m glad Brad is over there hammering on that knee like he is. I don’t think there are enough of us here to hold him down while I did that to him.”

A couple of weeks later they had me tethered to one of the machines by a long bungee cord. I was to walk, stretching the cord, two paces forward and back, walking first frontwards, then sideways, from the left and from the right, and then backwards. After doing the requested number of pulls in each direction, I knew exactly where the spring in the big bungee cord ended. I turned, facing away from my “anchor”, walked to the end of the stretch in the cord and kept walking, dragging the anchor machine with me. One of the staff saw this and said, “Dave! I think your guy is finished over here.”

Going into this, the doctor’s office gave me a timetable of six weeks before I could drive myself in to therapy and three months before I would want to go back to work. I was driving at two and a half weeks and in the office part time. (That’s where I was driving.) At about four weeks I was to work most of every day.

At seven weeks they told me physical therapy was over. I bought a Wally-world special mountain bike to exercise and loosen up the knees. The idea of looking at a wall while you make an exercise bike do its thing just would not cut it for me. The new bike only threw me once. At ten weeks I’m still ice-packing the knees at least once a day, and they tell me to expect the swelling and tenderness to last for up to a year. When they told me how long I would be out of commission they failed to write into the formula “this is an old hay hauler.”

Is anybody out there looking forward to this? It’s a pain, but it’s worth it. Just make sure you have arranged a bed and at least one chair high enough so that when you sit down your legs can hang at least at a 90-degree angle. A wife who loves you enough to put up with you being less than a good patient will be a great help, also. And a vehicle you can get in and out of.

Early on as I was leaving the physical therapy building a fellow passed me as I crept along using my walker. He said, as he passed, “Kind of hard to cast your praises to the Lord when you’re in that kind of pain, isn’t it?” I told him that actually it was easier. He told me my attitude was very interesting. “How?” I said, “can you hope to begin to understand the gift the Lord have given us if you never have opportunity to experience a little pain yourself?” The silence was wonderful. HG

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