Total Hip Replacement 9: Three Weeks Out

Less and less to report each week, which is probably how it’s meant to be.

At the end of last week, I peeled off my surgical dressing to reveal my scar.  About 3 inches long, looking raw and gross.  By the end of this week, it looks tidy and pink and tolerable.  The only pain I really have left is that incision — the doctor says the nerves will take a while to settle down, so it bites and stings at times.

I don’t remember where my cane is.  I have relieved my husband of almost all horse duty.  I walked my dog like a normal person for the first time in many months.  I climbed all the stairs to my fifth-floor office.  No biggie.

The complaint this week was on-going fatigue.  Not normal fatigue, mind you, but a head-punching, blood-sapping, thought-killing swamp of exhaustion.  The couple of times I resisted the need to fall into a coma during the day, I was rewarded with searing headaches, a brain that refused to form a thought, and a long night caught like a fretful baby between an intense pull toward sleep and the inability to let go.

I tried to go back to work this week, with varied results.  I knew that showering, dressing, feeding the pets, straightening the house and driving 45 minutes down the winding canyon would use up some energy, but I was surprised to learn how much more it took to sit up and think and speak coherently about professional things.  I dragged through three half days, doing a little better when I stayed home on the couch and did my thinking from there.  Daily naps of one to two-and-a-half hours are de rigeur.

The doctor says it’s certainly anemia.  She said most patients are anemic after surgery, a fact glaringly absent from all the volumes of information I was given before the procedure.  If I had expected it, I wouldn’t have asked friends to bring me light, vegetarian food to recuperate on!  She said I may be feeling it especially because my hemoglobin count was quite high to start with — a virtue of being healthy at high altitudes, I guess — and sank precipitously immediately after the procedure.  My current levels are just above the need for a blood transfusion, and the steep differential probably hit me hard.  Plus, I wonder if living at almost 9,000 feet makes it harder to get by with those low levels than if I lived at sea level.  The worst news was it will take 3-4 MONTHS for those levels to climb back.  Hopefully I’ll continue to feel better during that time, because I need to work and also need to get out and use this new leg of mine.

I can definitely tell that this new hip works way better than the old one, rest its soul.  I’m pretty excited to put that to use.  After my next nap.

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