A lawyer by day and aspiring tennis player by night who underwent MACI surgery

Friday, June 22, 2018

Day of Surgery

I arrived at the hospital, Presence St. Joseph, at 8:00 a.m.  Upon arriving I was almost immediately busy filling out paperwork, meeting with my surgeon and the anesthesiologists and getting "hooked up" to various machines.  Collectively, it was a welcomed distraction so I did not get myself worked up about what was ahead.


I was originally informed that I would have a 23-hour admission and basically stay over night for observation.  However, when I arrived my surgeon explained that I could go home that afternoon so long as I felt OK and assured me that I would not have to leave if I was not feeling well. I sent a few text messages to my good friend who was able to come pick me up that afternoon. 

Prior to entering the operating room, I was given some sedatives to relax and at least one administration of fentanyl.  They also gave me a femoral nerve block and it did not work.  They tried again a second time, like right before I entered the operating room, but I do not know if it ultimately ever worked.  I told the anesthesiologist that it did not work because "I have nerves of steel."  That joke was likely a product of the fentanyl they gave me.  


I believe I entered the operating room around 10:00 a.m. (ish) and the procedure lasted approximately 90 minutes.  When I woke up, I was in a recovery room and boy, oh boy, was I woozy.  I'm not sure if woozy is a technical term but it is accurate.  I quickly got my bearings and realized where I was, what had happened, etc.  I have never been anesthetized that deeply before as my prior arthroscopy was much shorter.  While I felt like I was a belligerent fool, multiple nurses commented on how communicative and articulate I was under the circumstances which was comical to me because I felt anything but that. 


After getting acclimated to my surroundings and feeling like I could communicate, the nurses were really helpful in getting me everything I needed.  I am a cherry coke zero addict so I packed one with me and began eating graham crackers.  Around 2:00 p.m., I decided that I would target my discharge for 3:30 p.m.  As such, we began the discharge process and I received discharge instructions, pain medications, got changed, etc.  They force you to urinate before you leave too.  


I was wheel-chaired to the front entrance and my friend drove me home.  I really did not have too much pain until about 8-9 p.m.  Ultimately, I was glad that I went home.  My friend stayed with me until my mom arrived around 5:30 p.m.  That evening my mom and I just caught up and watched a movie.  Another friend of mine had Cold Stone ice cream delivered to my door!  Fortunately, I do not have adverse reactions to anesthesia and did not feel nauseous but I did not have much of an appetite.  I did have a small dinner and the ice cream because my general philosophy is that calories do not count on surgery day.  


That first night, sleep was a little rough.  I woke up about once per hour as I was just uncomfortable.  I had my leg elevated on a couch cushion but removed the cushion around 5:00 a.m. when I took some pain pills.  While I was exhausted, sleep was just not that easy.  My knee was quite tender and even the smallest movements caused pain and discomfort.  



In general, I was pleasantly surprised with how I felt.  I had pictured myself being in profound agony but I was predominately just really uncomfortable with manageable pain so long as I took pain pills every 4-6 hours.  I knew what I had signed up for so all things considered I was pleased without the procedure went and my general physical condition.  

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