Don't notice that much of a difference. I'm not watching as much as listening. If it's easier for you and you want to pass on the sight gags... use this method.
One of the things I would recommend is a notebook for tracking meds because you quickly forget if you took them on schedule. Track time date, med and dose.
I absolutely love your presentations. Sometimes I just look you up to increase or create a good mood. Love your intermingled jokes-really liked the story of the person with the folding bed issue. Keep your presentations coming. I actually am planning a knee replacement this coming year.
Just had my first TKA - right knee - on December 8th (a week ago today). Dr. Vasarhelyi at University Hospital in London was my surgeon. I worked really hard and lost 124 pounds before surgery (340 to 216). I’m told the surgery went well. My pain has been absolutely brutal for several days afterwards but it’s under control now with Hydromorphone. Admittedly I’m a total wuss with pain and have a very low pain tolerance. Things are healing well and the physio’s are happy with my progress. I’m having my left knee done next November- same place, same Doc. The one thing I’ll do differently though is have the nerve block. I wanted to do a femoral block for the surgery but it didn’t happen and I have back issues so wasn’t comfortable with an epidural. I’m so looking forward to in about 16 months, I’ll be walking like a regular person again - it’s been 7-8 years that I’ve been on crutches! 😊 Thanks for taking the time to do this channel, you both are awesome!
I can't express how grateful I am for this info. I'm 8 weeeks out from a TKR and this info helps allay some concerns. Your presentations are very accessible to those who sometimes are intimidated by the complexities involved. The comments about any pre-op scrapes, etc. are critical for those of us who try to remain active until surgery. I hope hearing your anxiety-reducing, funny points, as well as being a healthy vegan will be in my favor. Peace, love, and kale!
I am 2 weeks away from tkr surgery and, just by chance, one of your videos popped up on my Google TV and I decided to watch it. I found your videos to be informative with some comedy. As a Canadian, I appreciate finding Canadian content. I enjoy watching your various videos, not just the tkr ones, so keep them coming.
My surgery is next week (partial knee replacement), The Talking Docs series has really helped me understand what to expect. I work out 3 times/wk and have other athletic interests so I was doing the pre-op exercises I was assigned, but not 3 times a day. I still have some time to get back on track. Thank you for making all the videos that are available I have learned so much! I have also have a friend who is afraid of getting tkr. I told her what I told myself- “knowledge is power.
Love you guys. I’ve already had my knee replaced and it went well. Except for the fact that I slept in and was late getting to the hospital. I was the first one on the schedule for the day so this was not good. Must have been something in the air that day because the Dr was also late cause he slept in. Everything went great. I’m now a year post replacement and am loving my new knee. I knew what to expect because I had found you guys prior to surgery so I had no surprises.
Thank you for your comment, as someone who lives alone and is due knee replacement surgery end of September it has reassured me to read your comment. I hope your recovery is going well.
Hi Docs - Thank you Dr. Zalzal so much for the successful total knee surgery you performed on me a week ago as well as your pre and post advise and support you have given me. For those waiting for surgery don’t forget your overnight bag, walker, and ice machine.
Have my office pre-op with Dr. ZalZal Feb 7. Slowly getting to the big day. Not looking forward to this surgery but I am so looking forward to getting my life back and get travelling again!
Before my first TKA, I had so many questions, and luckily I had a friend who had recently had one and she helped me prepare. But, it was while researching prehab exercises that I stumbled upon your channel and found it to be the best source of answers I could find. Thank you for all of the great information!
It’s good to see you guys taking the weight off your feet! I had my TKR a week prior to the first Covid lockdown here in the UK in 2020. I can therefore confirm that it is possible to manage alone with hardly any support, though it was a rather lonely experience. Be diligent with ice and exercise, and take prescribed painkillers regularly.
Thank you very much. I am having my pre-surgery appointment next week and then plan on having my knee replacement surgery, September. I find your videos, very helpful and actually quite comforting.
Had my total knee replacement here in the States a year ago. Always enjoy your videos and this one was spot on! Good info for someone going for knee surgery. As for the new set, well I kinda like the OR setting better. Less formal and the humor stands out more. All the best for a healthy holiday season. Anthony
Pre op protocol is a bit different in US. But anxiety is same. i wish i could have had the surgery the day I decided to have it. There are a lot of roadblocks pre surgery. They absolutely are crazed about infection - no dental work, skin cuts, nothing. The new NICE machine is amazing.and alleviated the need for any help.
Been watching a lof of your videos. My first replacement is early August. I’m 72, pre existing conditions, and extremely nervous. Was cleared for it by my cardiologist. Love your videos!!
Pre hab is SOOO important. Before my TKR I got a single visit to a hospital PT that just phoned it in. After surgery I found my own PT and it made all the difference.
Especially upper body strengthening. That probably surprises a lot of people, but after surgery you really have to use arms and shoulders to get in and out of a bed, a chair, etc.
Really appreciate your advice, your humour and reassurances.....I feel so much better as I face this procedure, thank you both......love your presentations!
Love new format! Been following you since first learning I’d being having TKR. Your recommendation for preop knee rehab/pt has made all the difference in my recovery. I literally trained for 6 months with twice daily routine without missing a day. I’m a 70 year old female, 5’5”, 115 lbs, and I could not believe how much stronger I got. I’m 10 days postop, off all pain meds, sleeping 6-7 hours nightly, going to pt twice weekly, and exercising twice daily at home since day after op. First few days were very challenging after I developed surgical insomnia due to anesthesia & pain meds. My recovery will not be typical, because I had to have patella tendon repair as well as TKR & have to wear an immobilizer for time being. I’m aware I’ll be starting over when immobilizer comes off, but I do exercise without it. The only things I would do differently would be to preop trained my upper body harder and to prepared myself more mentally to accept fact that I am totally helpless at times. My husband has been a tremendous caregiver, but he’s definitely been on duty 24/7 and has lost lots of sleep himself. I really appreciate all your videos and thank you for the content in all of them!!
Had both my total knees done six weeks apart and all went extremely well with no complications or pre or post surgery. Wish I had done it sooner. Have had no problems ever since and would recommend my surgeon and his team for giving me a second chance of life in regards to mobility and am more active since before replacements. My question today is how hard or what is involved in a revision of either joint? Thank you gentlemen for all your advice. My pre-op best advise is build up your quad muscles a lot! And become very active afterwards, NOT SIT AROUND! 🇺🇸
@@TalkingWithDocsI’m not having any issues and my implant hardware is stable and not loose or any pain. My tibial and femur base is fine but how long can I expect to have my joint evaluated as to when I might need a revision? I am a 72 year old male and little overweight and my knees are doing fine, very active. I am ten years out from surgery. Thanks!
Thanks for this video. I love the new style. I started watching you guys years ago when I was researching knee replacement. When I went in for pre-op they found a heart murmur. Turns out I had Aortic stenosis. So the knee problem saved my life. Then the corona thing happened. After that I had heart surgery. I have since become unemployed and homeless but I finally got disability payments and hopefully one day I can get knee replacements. Again thank you for your videos.
I had my total knee replacement done early during the Covid pandemic. I was delighted that my surgery had been moved forward. It didn't occur to me at the time that there seemed to be a lot of cancellations of other patients' surgery. None of the procedures to prepare for the surgery concerned me particularly. I was going to be able to walk normally again. I was going to be able to travel. Within a few weeks of the surgery, I was flying off to Spain to enjoy a lengthy pilgrim walk. I never had problems with the surgery or after, and I never got Covid before or since. I was lucky.
My preadmission and admission were all pretty smooth. The worse part for me was the surgical holding room. I had a nurse/assistant who was fairly comforting but I still had a lot of scary thoughts running through my head. I really wish I could have listened to music while waiting for surgery. Having my own smart phone and a Bluetooth speaker would have been ideal, but almost anything from jazz to Michael Bublé would have been acceptable. I highly recommend prehab. I started do my rehab exercises beforehand and I firmly believe that move greatly accelerated my recovery. It was all worth it - my new knee is freedom from the old painful knee. I didn't realize how bad it was until I had the knee replacement.
I recently had a full knee replacement! Everything you commented on was on point! Thanks for sharing! I wish I would have seen this video before surgery! I’m recovering by doing my therapy and following g the surgeons recommendations! With many thanks!
Getting ready to start all of the surgeries soon. My knees are both bone on bone to the point that I can't walk without my cane and at times, that is difficult. My first knee will be done February 20th and the second one, if all goes well, is April 2. I'm currently doing Prehab Physical Therapy. I go once a week and do a lot of exercises here at home twice a day at least. I am gaining flexion and extension in both knees. I have watched a LOT of your videos and more than once. I want to be as prepared as I can be when the time comes. It helps to listen to what to expect so I can get the things I need in place. Thank you SO MUCH for making these videos! It's really helped me. My surgeon is great, highly recommended, but you only get so many minutes when you do get to see him. And you don't always remember the answers to what you asked, if you knew what to ask! You guys cover so much information! I have told a lot of people about these videos, including my surgeon. And, thanks again!
I am having my first knee replacement surgery next Friday. I am excited to get it done as it has taken 4 years to get it done. Covid and Dr retirements led to a really long wait!
For me both settings work great. To me it's important you do the one you are most comfortable doing. This video had so much great information. And thank you for explaining for the reasoning behind all the different requirements. Without that, some of them leave folks scratching their heads as to why. Looking forward to the next one!
This is good guys. Finding these extremely helpful … posterior PVNS removal this Friday and TKR in April - it’s time! Informed patients recover better so thank you! 👍
Had a TKR 8 years ago best thing I've ever done. Now squat 80kg at the gym. Have a great Personal Trainer who has built up the muscles over a 3 year period. Had a brilliant surgeon.
That sounds very encouraging. I am a dancer who's been dealing with knee pain for 8 years and have stopped some of my other activities, and have even limited dance movements, sich as pivots, kicks, jumps and hops. I am hoping to be able to get to the point where I can have full range of motion again.
I had a partial patellofemoral replacement done on my left knee on a December 12, 2008. Either a small artery burst or it was nicked by during the surgery and I bled into my knee for a solid week. Fast forward to Friday the 19th and I had excruciating pain as I was trying to do my morning ritual and I had to have help to get the 20' back to bed. I ended up getting an ambulance ride to the hospital, which was a bit of an adventure in and of itself involving the fire department, my wife and a snowblower. After a bit of the morphine to full the pain, the Ortho doc working the ER tried to evacuate some of the fluid from my knee with a huge needle.....yeah, no dice so there we were back to the OR to have the staples pulled, the inside of my leg cleaned out, four units of new blood, one stitch from a vascular surgeon and a shiny new set of staples. I stayed overnight and was home by 3pm on Saturday where I found out my wife and kids had adopted a shelter cat that morning before coming to the hospital to see me. Max, as he came to be known, and I formed a long tight bond until he passed in 2022.
I like both settings. This one however is easier to listen to. I was really glad I did prefab months before I even got the call to do the initial checklist. My recovery was as you two said it would be. Mind you my TKR was done April 8th 2022 . I’ve been able to get back to the activities I enjoyed before and continue to. Stumbling upon your first videos and still watching, I cannot recommend your channel enough. Keep up the great content.
Love your videos! Started watching when my husband shredded his rotator cuff. Now need TKR myself. Had had lots of surgery in the past but for some reason this one really has me worked up. Am doing EVERYTHING you talk about to make it the best I can. Thank you! PS wish I didn’t live on the other side side of the country so one of you could be my doctor!
This setting is good but, personally, I like the operating room setting better. It's just a little better with you standing up so I get to see a little more of your body language. I think you two make it more fun in that setting, also. Whichever setting you choose will be good and the rest of us will get over it. Thank you for all the topics you inform your listeners or watchers on.
My orthopedic surgeon had me start physical therapy before my knee replacement to get it as strong as possible. It was very valuable. I healed very fast with no complications like. I had when I had by bi lateral replacement in 2007.
The information you provide is awesome and relevant. I have no preference from where your podcasts are delivered. Appreciate the camaraderie and humor.🌷
Hi doctors, I had seen so many of your videos last year. Back last summer, had planned to have a total knee replacement surgery, but had to deal with other health problems. I was so sick and was tested for many types of cancer. Doing better now, and just met with a new to me orthopedic surgeon, to go forward with surgery, I think i was lucky to avoid surgery for a year, But as my surgeon told me with regards to my MRI results, the damage to my knee is too severe for arthroscopic surgery. I am looking forward to reviewing your videos--you guys are great!
I have watched nearly all of your videos. I Like the new podcast style. Had both knees done recently. August 29 and November 7. It’s going fine, but quite an ordeal. The information from you videos has been helpful. Thank you.
Really appreciate these videos. As to the podcast style I like the op room cause it separates you from all the phd’s that call themselves doctors and do videos regarding health.
Trying to avoid mosquito bites during summer in South Carolina is sooo stressful! Plus I have a few farm animals and work at a state park, so I feel like this is more of a battle than anything else.
I liked the light heartiness of the operating room environment. Sitting behind the desk seem so formal. I was told to stop taking all medicine 2 weeks before the operation. Vitamins and supplements. When I came around from the operation I was starving and thirsty. My right leg was numb from hip to toes for 9 hours after coming around. I eat and drank and my my small bowel and large bowel were not working. what followed was the worst constipation I ever had the following day. I had laxative poured into every orifice. I was in agony until the blockage moved.
I love the new format. I liked information on preop and excercise. Its the first time i heard you 2 talk about it. The format looks so much professional. Ill listen anyways. God bless and wish me luck. ❤
I have to have a double knee reconstruction (DKR) next month. I have been watching your podcasts and am enjoying them. I like your back and forth conversations. I am worried/scared about having a DKR but have to have them done as I can hardly walk. I've been in pain for 5 years now and I just want to walk normally again and live my life. This has caused lots of inflammation, swelling, fluid retention, achillies tendonitis and ankle swelling/pain. My knees were damaged in a car accident where a lady rammed me from behind at 100 klm. I am getting old but have been told this wouldn't have happened (gravel bone on crushing bone) at least until I was 70 years (if I didn't have this accident). R.A.C.Q refused to take responsibility for my injuries. I am a teacher but have been unable to work, of and on for 4 - 5years. I will stay with my daughter for a week or so after the op but wonder how I will be after a DKR. Can you give me some advice please?
I’m going in for my first meeting with the surgeon at the hospital. I’ve watched all your needs videos including the operation. Wish I could get them both done.
I’ve had two knee replacements, one last summer and the second one this summer. Before the first one I had minimal pre-hab and my recovery was good, but not particularly fast. I went to rehab following surgery since I live alone and wanted the assistance and rehab I would get there. I had moderate pain and wasn’t off the narcotics until about 1 1/2 to 2 months after surgery. In general that knee was uncomfortable for several months (I’m not complaining; I know it takes time). Before the surgery this year I had good pre-hab and quite different results following surgery. After a couple of weeks in rehab the Physical Therapist and I agreed that I was progressing noticeably faster than I had the previous year. I was fortunate that I had the same PT both times and she was able to make a good comparison. I didn’t need the narcotics the last week I was in rehab and continued to have much lower pain levels than I had the year before. I realize that knees heal differently, even when done by the same excellent surgeon, as both of mine were, so I can’t say for certain that the pre-hab is what made the difference. But it certainly didn’t hurt my recovery! Another thing that I found very helpful were your videos about TKR. They gave me a good idea of what to expect as well as good exercises to do. This video was also excellent in that you gave such clear information on what to expect before surgery. I’m in the US, but almost everything you described is what I experienced prior to my surgeries. Thank you, and well done?
Love the podcast in this setup or the operating room, it’s all great information. I’m out almost 4 months, TKR, doing pretty well, wish I would have been more informed about it all. We did have a class before surgery but “I didn’t know what I didn’t know”.
I had hip surgery about 6 months ago. I met the anesthesiologist a few minutes before surgery. He asked a few questions but did not explain what he would be doing. I knew from my own research. Shortly after the needle went in my lower back I went to sleep and have no memory of anything. Never saw him again. Good work if you can get it.
I personally prefer the original informal operating videos (with the body language). But both types are good. Here in Wisconsin, USA there are quite a few differences and quite a few similarities in the pre-op process. I had a complex TKA, left leg, last Wednesday morning. I have a terrific surgeon and, at this point, I’m doing very well.
In the US, had no pre-op visit at surgical center. Medical verification done by primary care doctor in office. Didn’t meet with Anesthesiologist till just before surgery. Did have a pre-op visit with physical therapy and occupational therapy.
I like the new setup. Better sound. Much better. As always, great session. PS If you go back to doing these in the hospital room, there is an audio plugin from a company Izotope, that can take out the roomy sound.
I'm 46 and had a partial replacement, medial right knee, after several surgeries on the knee. It has been such a relief after having arthritis. I would say the only thing is negative is you have to avoid kneeling. Otherwise, my pain is totally resolved.
You sound different! You look good there. Thanks for all your great information! Things have changed a lot since I first watched you and went to my first surgery. Really good! Thanks as always Docs! Great video. Merry Christmas!
Really loved watching this. You are my favourite docs to watch!.. having my TKR soon, had my pre op, in england, but it was pretty much as you explained. Ive got my after surgery plan in place, ive done loads of research but i know its different for everybody so im trying not to get my expectations too high but im going to work hard on my rehab, ive bought the cryo cuff ice system so im ready to go!.. im excited for my surgery day to arrive, i know it will be tough but im only 55 and my motivation is a disneyworld trip in a years time😊
I prefer the OR setting! More legit! I have a dear friend who after have her TKR almost 2 yrs ago now is very unhappy with residual pain. She’s been to surgeon, PT, now Rheumatologist with now answers. I wish I could help. She’s not a complainer either.
Sorry to hear about your friend. And thanks for the feedback on the podcast style video! Tell her to watch some of our other videos especially "why does my knee still hurt"
As if I didn’t love you guys enough, you throw in a Dr. Johnny Fever/WKRP reference!! 😂 Had my left TKA done last March and my right one is getting done next month. Hoping this one goes as well! My only issue with the last one was sleeping. No major pain beyond a couple days but nagging soreness and discomfort made it difficultly to sleep more than a couple of hours.
Great info! I was hoping that the pre-op class had been discontinued. Perhaps an Orthopedic should attend the class occasionally to ensure the information is correct. At a different Ontario hospital, the person leading the class told me that a TKA revision was a shorter operation than a regular TKA "because they just slid the new parts over the old". Perhaps they were thinking of a bath replacement not knee replacement! I salute pre-op exercises and pre-planning for home care after the operation. My personal tip is to bend the knee as far as you can while right after the operation while the spinal anesthetic is still working. Getting the "bend" as fast as you can really helps with everything else.
To be fair, having been involved in several thousand TKR I personally would dread having one. Friend of mine does them and I would trust him but I still dont fancy it. Your comments are absolutely spot on!! Maybe discuss bilateral TKR next time - WDYT??
I have had a total knee replacement in September and everything went good. I have another one planned for April 24th. I preying it goes as good. I loved your video. Where do I find the next video.
I am planning to buy a massage table, one that folds and can be packed away. This is so my pre-and post exercises will be much easier than getting up and down off the floor.
At our hospital a very good booklet of information is given out but not until two weeks before the operation. There is information in there that patients should have way before that, for example pre hab exercises . The physio who ran the class said, “No point in doing them now”. Thankfully I borrowed a copy of the booklet months ahead from a neighbour who had had the surgery.
I think it is important to read the consent form so the risks are understood. If you do not understand. Ask. All good surgeons, doctors and admin staff will take the time to make sure the patient understands. The more you know, the better prepared you are for surgery. Always take a list of the medications you are on. Don’t rely on memory. Make sure you know which medications to stop taking and how many days before surgery. Don’t mislead the surgeons, doctors or admin staff in any way. Be prepared for the operating rooms to feel cold. Practice before surgery the post operative exercises you must do. Don’t be embarrassed to ask for help. Latin in the official language of the Catholic Church. There are Latin specialists who create Latin for modern words. Many thanks Docs for a brilliant and informative video
I'd like to ask for a video explaining about the newer types of regional anesthesia for replacements vs general anesthetics. Going for TKR in mid April and very concerned about which to accept and if regional, how does it really happen safely!
Agreed it’s high risk , I had my partial knee replacement surgery, went wrong, almost a year ago . Not working well, still very painful , they said only solution to have full knee replacement surgery. I’m really traumatised, apprehensive about it.
This format is FAR better than the OR format. The presentation style is great and the information is well delivered. If I may offer some general advice -should you decide to leave the medical field-…please…PLEASE do not consider comedy as a means to put food on the table! You may go hungry…
