Tag Archives: Dr. Charles Blitzer

Despite Knee Surgery 3-Months Ago, I Walk More Steps & Climb More Floors, Than Most My Age.

by Anura Guruge


Click to ENLARGE and STUDY.

This is per my Garmin, which I wear 24×7.


 


I had my quadriceps tendon repair surgery,
at ‘
Frisbie Memorial Hospital‘ —
performed by Dr. Charles Blitzer
of ‘Seacoast Orthopedics
on Thursday, March 7, 2019.

There was no pain to talk about
— throughout, from surgery to now.


I live in a 4-storey house; my office is on the 4t floor, bedroom on the 3rd, kitchen on the 2nd and main/family TV on the 1st. So, I have to go between all 4-floors, multiple times a day, even when I was on crutches. Just for the record, my Garmin was pretty appalling at counting steps & floors when I was on crutches because I was not moving my arms enough to make the accelerometer register movement.

Click to access the post & VIDEO.


I live on the side of a 1,440′ mountain. I walk/run the road that goes up/down this mountain. So, anytime I am on that road, on foot, I cover a fair amount of elevation. Typically I have 300′ to 700′ of elevation gain a day when I go up and down this road. I love it.

I still haven’t started running. But, for the last 4 weeks I am making a concerted attempt to walk at least 10,000 steps a day. And it is working.

So, I am happy. I have LOST quite a bit of weight since my surgery! That was a bonus. Yes, I doubled, maybe even tripled, down on it. That has helped.

So, do NOT let knee surgery slow you down. SMILE.


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by Anura Guruge

7-Weeks After My Knee Surgery (1-Week Off Crutches) I Was Walking 10K Steps A Day.

by Anura Guruge


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Quite an increase from the 4-weeks prior
though I was beginning to increase my
range despite the crutches.


So far, close to 10-weeks post surgery I am doing pretty well — even if I say so myself. NO PAIN, whatsoever — other than when I try to bend my knee beyond 30º. I have a feeling that this might be permanent. But, I could live with that, especially now that I am 65.

Still wearing a STIFF, knee-locking brace 23.4×7! Take it off for two twenty-minute stretches to do knee exercises. I now have 3 braces, and I have basically stopped using the DonJoy.

Also still using a cane when I walk. Can walk without it and do occasionally. I now also have a collection of walking sticks!



I had my quadriceps tendon repair surgery,
at ‘
Frisbie Memorial Hospital‘ —
performed by Dr. Charles Blitzer
of ‘Seacoast Orthopedics
on Thursday, March 7, 2019.

There was no pain to talk about
— throughout, from surgery to now.


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Search ‘knee’ & ‘quadriceps‘.


by Anura Guruge

Medicare Supposedly Pays $17,000 For A Knee Replacement, Only Paid $5,596 For My Knee Surgery.

by Anura Guruge


Click to ENLARGE and read here. From ‘The New York Times”.


My Bill for Knee Surgery.

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I had my quadriceps tendon repair surgery,
at ‘
Frisbie Memorial Hospital‘ —
performed by Dr. Charles Blitzer
of ‘Seacoast Orthopedics
on Thursday, March 7, 2019.

There was no pain to talk about
— throughout, from surgery to now.



Knee replacement, of course, is a much more involved procedure with expensive hardware involved. In my case they only had to insert 3 small ‘fiber’ plugs. So, there was no hardware costs. But, it just goes to show.

Yes, I know of doctors that will NOT accept Medicare patients just for this reason. The lower reimbursement. Not sure whether this applies to surgeons, especially orthopedic surgeons. They must get most of their business from old codgers like I who need knee and hip replacement — though I was, of course, different.

That huge 100% price differential is NOT RIGHT. It is worse if you don’t have insurance. Hospitals really rape you. I know. Dartmouth-Hitchcock raped me — anally at that.

There has to be a middle-path. Between the Medicare amount and what other insurances pay.

This is why the U.S. healthcare system is so screwed up.

I am sure glad I have Medicare — with the Humana Advantage overlay on top of it (which costs me NOTHING).


 

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by Anura Guruge

6-Weeks After My Knee Surgery I Am Off Crutches — Walking With A Cane.

by Anura Guruge


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Dramatic increase in my step count yesterday & today.


Today’s first real walk in 6-weeks.

I think I walked further (but didn’t have the ‘proper’ GPS setting). C’est la vie.



I had my quadriceps tendon repair surgery,
at ‘
Frisbie Memorial Hospital‘ —
performed by Dr. Charles Blitzer
of ‘Seacoast Orthopedics
on Thursday, March 7, 2019.

There was no pain to talk about
— throughout, from surgery to now.


 


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Search ‘knee’ & ‘quadriceps‘.


by Anura Guruge

The Bill For My Quadricep Tendon Tear Knee Surgery.

by Anura Guruge


Click to ENLARGE and STUDY.



I had my quadriceps tendon repair surgery,
at ‘
Frisbie Memorial Hospital‘ —
performed by Dr. Charles Blitzer
of ‘Seacoast Orthopedics
on Thursday, March 7, 2019.

There was no pain to talk about
— throughout, from surgery to now.



Pretty amazing. All of it. The surgery, the recovery and the bill. Overall I could NOT have been happier.

The surgery itself was near miraculous in that I essentially had no pain afterwards. Was able to stop taking Tylenol and Aleve by Day #8. Never had to take even one narcotic pill. So, that was great.

Wasn’t sure what to expect in terms of the bill.

I am amazed. Gobsmacked. I shouldn’t complain — but, I will, because I am like that. Smile.

So, who do I have for insurance. An Humana Advantage Plan (on top of my Medicare). The Plan is HumanaChoice PPO. I don’t pay a premium. They get my Medicare premium from what I gather.

That they can just write-off $12,166.56 of the bill is MIND BLOWING. If I didn’t have insurance I would be on the hook for this.

This bill is worth studying.



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by Anura Guruge

Per Fitbit I Walked 7.7 Miles On My Crutches, Second-Week Post Knee Surgery.

by Anura Guruge


Click to ENLARGE and GOGGLE (no, not Google, Goggle).


I had my quadriceps tendon repair surgery,
at ‘
Frisbie Memorial Hospital‘ —
performed by Dr. Charles Blitzer
of ‘Seacoast Orthopedics
on Thursday, March 7, 2019.


Click to access related post.



I knew I was doing around 2,500-steps a day, as of Day #2 post surgery. I, of course, track — and of late even log — my steps. Yes, per Fitbit 2,500 is about 1-mile. Wow. I had NOT thought about it as such.

I have NO IDEA whether this is good, bad or indifferent when it comes to crutches. First time on crutches — ever.

It is still COLD in New Hampshire. Temperature did not go much above 38°F all day. So, not easy to go out and hobble about — though I did do that a couple of days. Getting bundleed up while on crutches is just complicated.

I am happy. I think this is not bad for a 35-year old cripple.

Just for comparison, this was March 2018.


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by Anura Guruge

Knee Surgery (2019) For Quadricep Tendon Tear: WORST Part Was Having Staples Taken Off.

by Anura Guruge


Click to ENLARGE.

Before & After

 


I had my quadriceps tendon repair surgery,
at ‘
Frisbie Memorial Hospital‘ —
performed by Dr. Charles Blitzer
of ‘Seacoast Orthopedics
on Thursday, March 7, 2019.

Staples taken out Day #14.

Pain is still negligible!


As I have carefully documented I lucked out, big time. Surgery was miraculous in that I was PAIN-FREE. I was amazed and still in awe.

Pain was negligible throughout — just with Aleve & Tylenol — and I was able to even stop taking those on Day #8. I, however, continued to use the DonJoy cold therapy ice unit — mainly because I have become addicted to it. Some get hooked on opioids after surgery, I got hooked on ice therapy. Surgeon, with a smile, said it was “OK” to be addicted to my ice unit. He said it could have been worse. [I am using it right now. What can I say. SMILE.]

I kind of had a gut feel that having my 16 staples out was NOT going to be a walk-in-the-park. As I am always quick to point out, I am not totally stupid, just partially. That the surgeon smiled and said that it wasn’t going to hurt was an added clue.

No beating around the bush. It hurt. I did NOT scream, BUT I went pale! But, to be fair, they didn’t all hurt. Just about 4 of the 16.

I could FEEL FLESH being ripped off! I said that.

Well, when I looked at the picture I took — above — I was bloody right.

You can see my brown flesh on a few staples. As I said, they didn’t all hurt. Just about 4 and those were the ones that, as you can see, have flesh attached.

OK, now.

Oh, I cheated. I will confess. Knowing that I would have pain, I took took Aleves beforehand.

Before taking the staples the nurse asked me my pain level. I felt guilty. I didn’t want to say ‘0’. That seemed wrong. So, I lied. I said ‘1’. She was thrilled. Her words were: “That is what we like to hear”.

After the staples were taken off, and she applied some oil (containing shellfish extract) pain was negligible again.

I did not use my ice therapy, at all, at all, all day yesterday. The ONLY day I haven’t used it since surgery.

So, that is the sad story so far.

Still in a LOCKED full-length brace and on crutches. Will be as such for another month!


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by Anura Guruge

Knee Surgery (2019) For Quadricep Tendon Tear: Able To Stop All Pain Medication After Day #8.

by Anura Guruge


Click to ENLARGE.


Click image to access the post.


I had my quadriceps tendon repair surgery,
at ‘
Frisbie Memorial Hospital‘ —
performed by Dr. Charles Blitzer
of ‘Seacoast Orthopedics
on Thursday, March 7, 2019.

March 17 was Day #10.

Pain is still negligible!


Never expected this — in my wildest dreams, i.e., the minimal pain.

I thought I was going to be in agony. Not so. As I said in my very first post, it, i.e., pain control, was miraculous! Don’t know how they do it. But, they appear to have cracked what obviously has been an issue since the advent of life. How to perform major surgery without the patient being crippled by pain during the recovery.

Yes, for the first 50-hours I had a nerve block pain pump attached to my hip. Not sure what was in it, but reading the marketing blurb I gather it was not narcotic.

Other than the nerve block, all I used was Tylenol and Aleve. That was what was recommended. Tylenol first and if that doesn’t cut it, Aleve. I stuck to that initially but by Day #4 just fell into a 3 Aleve a day routine. For over 20-years Aleve has been my pain-medication of choice (next to straight Aspirin). I never take much pain medication, but when I have to I reach for the blue tablets. They don’t seem to bother me too much.

Yes, of course, I can carry on taking Aleve. But, I am a great believer in NOT taking pain medication if I can get away with it. I could be wrong, BUT my thinking is that if I use pain medication sparingly they will be more effective when I do take them. That is my theory.

By the evening of Day #8 pain really was negligible — though I have to admit I am more or less permanently attached to my ice unit. I would even say addicted. I know addiction is bad, so I checked. YEP, you guessed it. Too much cold therapy can be detrimental. So, I have cut back.

Also doing my knee exercises — heel slides. Did 90 on Day #10. I was told to shoot for 30. So, I am close.

No, I am not totally stupid — just partially stupid. So, I realize that the pain could come back, big time, without notice. Do NOT forget that I WROTE the book on “Central Pain Syndrome“.


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by Anura Guruge

How To Climb Stairs With Crutches, With Ease, Without Help, After Major Knee Surgery — YouTube Video.

by Anura Guruge


YouTube below.



I had my quadriceps tendon repair surgery,
at ‘
Frisbie Memorial Hospital‘ —
performed by Dr. Charles Blitzer
of ‘Seacoast Orthopedics
on Thursday, March 7, 2019.

Day #9 since surgery.

Pain is still negligible!

Didn’t take any pain medication, i.e., Aleve or Tylenol, this morning.
Did NOT, luckily, need any opioids.


We live in a 4-story house and to lead my life in full I need to be able to get to all 4 floors. My office, with my main PC (i.e., this which I write with), is on the 4th floor. My 47″ TV, on which I watch cricket, on a daily basis, is on the 1st floor. Kitchen #2, bedroom #3.

Have a routine to minimize the stairs I have to negotiate. In the mornings I don’t go down. LUCKILY have wife and 12-year old who will bring me up coffee, tea, food and WINE. But, during the course of the day I need to go up at least 8 flights of stairs — and for the last couple of nights I am back to working my 3rd shift, i.e., after 10pm.

So, this is how I now climb the stairs. This precludes needing someone to come after me with my crutches. It is not too bad. A tad hard on the shoulders.

I am wearing a Fitbit Versa Lite in this video. It does NOT count floors climbed. But, neither did my Garmin Fenix 5 Plus once I became disabled — because I am not moving my arms enough.


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by Anura Guruge

My ‘DonJoy’ Post-Surgery Cold Therapy Unit Started Leaking Day #5!.

by Anura Guruge



It was this pad that was leaking — at the bottom.


I had my quadriceps tendon repair surgery,
at ‘
Frisbie Memorial Hospital‘ —
performed by Dr. Charles Blitzer
of ‘Seacoast Orthopedics
on Thursday, March 7, 2019.

Day #8 today.

Pain is still negligible!


I had told my surgeon, just a few hours earlier, that I had become addicted to this unit. It was doing a great job mitigating the pain. I had not needed any narcotics. Just this unit + Aleve/Tylenol at standard dosing.

Five days after surgery they had removed the pad, for the first time, when they took off my original dressing.

It started leaking as soon as I put it back. To say I was distraught would be an understatement.

Amazon couldn’t get me one for a week.

I lucked out. My wife went back to the hospital, next morning, while I was still asleep. They gave her a new pad. That was magical. Really helped.,

I am still icing my knee, though not as much as before. Learned that too much might not be too good. So, in moderation.


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by Anura Guruge