Tomorrow is six weeks post op - cue balloons! Cue dancing in the streets! Well maybe not.
I know the aim of having a hip replacement is pain relief and certainly the point at the front of my hip where the arthritis was killing me is improved. BUT my left leg is not happy. It is my perception that my right leg is significantly longer than my left. While I was on two crutches I certainly didn't notice it and on one it was barely perceivable but whenever I try to walk unaided I resemble Quasimodo.
I tiptoe on my left foot and as a consequence I've had plantar fasciitis, a sore back, sore calf muscles and my hip feels like the right one did. My right hip just doesn't feel right. It feels normal as in my type of normal - a hip that pops in and out of the socket if you think of doing anything. I'm obsessing that the Physio making me do weight bearing on my non cemented hip two days post op may have contributed to some slippage.
I've got an X-ray and surgeon's visit on Thursday so I guess all will come clear then.
On the positive side, I set a goal of being able to walk 1.5k before seeing the surgeon and I have a heaved that. It is with a crutch or a stick. But I set no limitations on it so it counts. I have also tried the driving thing and it worked. Being able to drive will save me having to walk up the mountain we call a driveway to go for a walk and also let me get back to the gym once I'm signed off so I can rebuild some leg strength, hopefully. My biceps have never been better after four weeks of double crutches.
And I can always dream of being taller if the left THJR extends that leg as well. Dreams are free!
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Showing posts with label Total hip replacement. Show all posts
Showing posts with label Total hip replacement. Show all posts
Tuesday, November 27, 2012
Friday, November 16, 2012
Cabin fever
It's been just over 4 weeks and I have severe cabin fever. I had been extending my walks but on the day I was supposed to start weaning off two crutches I ended up in severe pain despite not even venturing up the steep driveway so I haven't been up since apart from a sort walk.
I have possibly left the house 7 times since the op, possibly less. I am certainly developing sympathy for my tropical fish but at least they have company. It's a sad day when someone is complaining about work and you envy them. My sister has been my chauffeur to take me and A to get the groceries three times and we have coffee while he shops so yay for her. I've been out for brunch twice and to Mega Mitre 10 once (coffee was involved) and two dog walks so I was wrong, I've been out 8 whole times.
The evening walks in Cornwall Park haven't eventuated because S has been working late so by the time he's had dinner it's too dark. The dog gets out more than me!
I burst in to tears today because there wasn't enough time to go and collect some plants before S left for a long run in the Coromandel. It's a bit tragic when the proposed highlight of your day is a drive over the harbour bridge. It's even more tragic when missing out on it feels akin to missing a trip to Disneyland.
So my advice to anyone post THJR would be a) don't live down a steep driveway and b) make sure you have plenty of people available to help you get around.
There was nearly a disaster the other day when the fish heater seemed to be not working. Normally it would be a quick trip to the pet store but not when you're becalmed. It means hoping someone will get home in time to get to the store before it closes. In the end the heater was fixed thanks to Dr Google but I've got everything crossed that we don't have a repeat over the next three days, that none of the boys get sick and that the gas doesn't run out on the stove and that no other minor inconvenience occurs that becomes a major when you're not mobile.
Right time for a change of scenery. I'll move from the sofa in the lounge to my bedroom.
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I have possibly left the house 7 times since the op, possibly less. I am certainly developing sympathy for my tropical fish but at least they have company. It's a sad day when someone is complaining about work and you envy them. My sister has been my chauffeur to take me and A to get the groceries three times and we have coffee while he shops so yay for her. I've been out for brunch twice and to Mega Mitre 10 once (coffee was involved) and two dog walks so I was wrong, I've been out 8 whole times.
The evening walks in Cornwall Park haven't eventuated because S has been working late so by the time he's had dinner it's too dark. The dog gets out more than me!
I burst in to tears today because there wasn't enough time to go and collect some plants before S left for a long run in the Coromandel. It's a bit tragic when the proposed highlight of your day is a drive over the harbour bridge. It's even more tragic when missing out on it feels akin to missing a trip to Disneyland.
So my advice to anyone post THJR would be a) don't live down a steep driveway and b) make sure you have plenty of people available to help you get around.
There was nearly a disaster the other day when the fish heater seemed to be not working. Normally it would be a quick trip to the pet store but not when you're becalmed. It means hoping someone will get home in time to get to the store before it closes. In the end the heater was fixed thanks to Dr Google but I've got everything crossed that we don't have a repeat over the next three days, that none of the boys get sick and that the gas doesn't run out on the stove and that no other minor inconvenience occurs that becomes a major when you're not mobile.
Right time for a change of scenery. I'll move from the sofa in the lounge to my bedroom.
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Sunday, November 4, 2012
Getting along more than adequately
With the three week mark only 3 days away I'm pleased with progress. I'm still on double crutches, still another 11 days until I can start 'weaning', and I still get becalmed in armless chairs but I'm getting there.
I'm now only taking the occasional panadeine, usually when I wake up as that's when I hurt the most. I have started on Ferrograd so hopefully I'll start looking a little less like a vampire soon. So basically I'm down to 4 tablets in the morning, with aspirin and 5 at night with Baclofen.
On the MS side of things, I have an appointment with Gastro. It's the morning of my Xray and surgeon visit so it's looking like a pretty busy day. I should be able to drive by then so at least I can get myself to the Gastro appointment unaccompanied.
I was thinking today about which is the most useful aid. It is actually a draw between the grabber (everyone needs one!) which is a dressing, grabbing, pointing machine, and the toilet chair! Now stay with me on this. It might seem at first a toilet chair serves only one obvious function but no! It serves the purpose of it's nomenclature true, but it also serves as a seat to sit on when dressing after showering, a place to clamp my grabber while in the bathroom (otherwise you need to carry a second grabber for when your first grabber inevitably falls on the floor) and a pseudo walker to get me from where I put my crutches to the toilet. If allowed, I think it would also serve as an excellent clothes horse. You see it is a thing of many uses.
I'm noticing a bit more flexibility (within hip precaution guidelines) of my operated leg now when I do the exercises. I read a good hint to do them when you clean your teeth so I've extrapolated that to whenever I'm at the basin. Drink enough and you certainly up the number of work outs you do!
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I'm now only taking the occasional panadeine, usually when I wake up as that's when I hurt the most. I have started on Ferrograd so hopefully I'll start looking a little less like a vampire soon. So basically I'm down to 4 tablets in the morning, with aspirin and 5 at night with Baclofen.
On the MS side of things, I have an appointment with Gastro. It's the morning of my Xray and surgeon visit so it's looking like a pretty busy day. I should be able to drive by then so at least I can get myself to the Gastro appointment unaccompanied.
I was thinking today about which is the most useful aid. It is actually a draw between the grabber (everyone needs one!) which is a dressing, grabbing, pointing machine, and the toilet chair! Now stay with me on this. It might seem at first a toilet chair serves only one obvious function but no! It serves the purpose of it's nomenclature true, but it also serves as a seat to sit on when dressing after showering, a place to clamp my grabber while in the bathroom (otherwise you need to carry a second grabber for when your first grabber inevitably falls on the floor) and a pseudo walker to get me from where I put my crutches to the toilet. If allowed, I think it would also serve as an excellent clothes horse. You see it is a thing of many uses.
I'm noticing a bit more flexibility (within hip precaution guidelines) of my operated leg now when I do the exercises. I read a good hint to do them when you clean your teeth so I've extrapolated that to whenever I'm at the basin. Drink enough and you certainly up the number of work outs you do!
- Posted using BlogPress from my iPad
Thursday, November 1, 2012
Dressed down
Two weeks has passed...oo rah! So I have been able to remove the evil diabolical TEDs and my feet can now breathe. I am making an effort to elevate them once a day to prevent swelling and may be showing mild signs of hypochondria with regard to signs of DVTs.
I have also been able to remove the dressing. I celebrated this by nearly passing out. I put it down to low Hb, leaning at a strange angle with my head down to avoid breaking the sacred hip precautions and the dressing sticking just a little. After a sweet cup of tea and a lie down I was nearly back to normal but I celebrated by buying some iron tablets because I'm really not rocking this vampire look.


so here has how it's changed over a period of 10 days. A vast improvement! The kicker is that with hip precautions the only way I can see my badge of honour is if I take a photo of it. Roll on the day when I can once again twist and shout - well currently if I twist I do shout, but you get my meaning.
I have also been able to remove the dressing. I celebrated this by nearly passing out. I put it down to low Hb, leaning at a strange angle with my head down to avoid breaking the sacred hip precautions and the dressing sticking just a little. After a sweet cup of tea and a lie down I was nearly back to normal but I celebrated by buying some iron tablets because I'm really not rocking this vampire look.


so here has how it's changed over a period of 10 days. A vast improvement! The kicker is that with hip precautions the only way I can see my badge of honour is if I take a photo of it. Roll on the day when I can once again twist and shout - well currently if I twist I do shout, but you get my meaning.
Thursday, October 25, 2012
Happy one week anniversary
My bionic hip and I have been together just over one week and we're still happy. Though the hip is a little demanding. It insists I sleep on my back, don't bend over or kneel.
It's amazing how far I've come in a week. Last week getting in and out of bed was difficult. I hadn't even faced stairs and the thought of getting in a car was frightening. I can now easily get in and out of bed even if it is neither graceful nor elegant. I go up and down stairs easily repeating" Good goes to heaven, bad goes to hell". I can stand without my crutches longer and extend my leg further back and sideways when doing my exercises. I've tackled the steepish path to the letterbox and only needed a brief nap. I can pretty much dress myself apart from the TEDs and it only takes twice as long. I even cooked a meal and an emergency batch of cookies last night.
So things are going well. The Brufen is upsetting my stomach but I found some leftover omeprazole so hopefully that's old news. I have cut back my paracetamol/codeine intake. I haven't had anything close to pain - it is truly strange!
Now I'm counting down the days until I get to remove my manky dressing. Then my Frankenstein leg will be complete.
Based on how brilliantly things have gone I don't intend delaying the left hip. Hopefully this time next year I'll be a double cyborg. W00t!
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It's amazing how far I've come in a week. Last week getting in and out of bed was difficult. I hadn't even faced stairs and the thought of getting in a car was frightening. I can now easily get in and out of bed even if it is neither graceful nor elegant. I go up and down stairs easily repeating" Good goes to heaven, bad goes to hell". I can stand without my crutches longer and extend my leg further back and sideways when doing my exercises. I've tackled the steepish path to the letterbox and only needed a brief nap. I can pretty much dress myself apart from the TEDs and it only takes twice as long. I even cooked a meal and an emergency batch of cookies last night.
So things are going well. The Brufen is upsetting my stomach but I found some leftover omeprazole so hopefully that's old news. I have cut back my paracetamol/codeine intake. I haven't had anything close to pain - it is truly strange!
Now I'm counting down the days until I get to remove my manky dressing. Then my Frankenstein leg will be complete.
Based on how brilliantly things have gone I don't intend delaying the left hip. Hopefully this time next year I'll be a double cyborg. W00t!
- Posted using BlogPress from my iPad
Sunday, October 21, 2012
Going to the place the cyborgs belong.
Day 4 post THR found me at Armagghedon - the comic book/geek fest dressed as Oracle in my trusty wheelchair. I only managed a couple of hours but it was nice to be able to make the regular pilgrimage.
This morning I discovered that it is pretty much impossible to put compression tights on by yourself with only the use of a sock aid, shoe horn and grabber without getting seriously close to popping out that joint. I had taken the TEDs off overnight and intended wearing them during the day and having a rest at night but if I don't have a stocking assistant then I can't make sure I have them on before I get up so I think I'll be wearing the 24/7 for at least two weeks.
I seemed to have got the hang of getting into bed easily. I drag myself diagonally up the bed so my leg follows and end up easily positioned. The car is a bit more difficult. The guidelines say to get in from road level not from the curb. This is probably fine when you are getting into a family saloon but I'm trying to get into a Landrover so I end up trying to vault up. So now I try and find a curb and then pop my butt on the seat, lean back towards the driver's side, bend my knees and pivot around to get my feet into the foot well while still maintaining a greater than 90 degree angle. I have a slippy sheet on the seat to help with twisting.
I've been doing my leg exercises like a good little trooper but a little leery about weight bearing on my right leg while swinging the left one around.
I'm amazed how little pain I have. Much less pain than post- caesarean and I'm basically sitting on the wound. It must be magic. The only bruising I have is a small one by the drain site. I also have virtually no swelling. Amazing!
I'm still easily tired and had to have a nap after Armagghedon. The sudden hit of tiredness is amazing. I just suddenly find my eyes shutting and my head lolling right in the middle of doing things.
I do have the toileting and showering pretty much down pat. I had to use a disabled toilet today and it did not come close to my portable seat. I certainly agree a shower chair, a raised toilet chair and a grabber are essential tools. It's amazing how much stuff you drop when you can't bend over.
- Posted using BlogPress from my iPad
This morning I discovered that it is pretty much impossible to put compression tights on by yourself with only the use of a sock aid, shoe horn and grabber without getting seriously close to popping out that joint. I had taken the TEDs off overnight and intended wearing them during the day and having a rest at night but if I don't have a stocking assistant then I can't make sure I have them on before I get up so I think I'll be wearing the 24/7 for at least two weeks.
I seemed to have got the hang of getting into bed easily. I drag myself diagonally up the bed so my leg follows and end up easily positioned. The car is a bit more difficult. The guidelines say to get in from road level not from the curb. This is probably fine when you are getting into a family saloon but I'm trying to get into a Landrover so I end up trying to vault up. So now I try and find a curb and then pop my butt on the seat, lean back towards the driver's side, bend my knees and pivot around to get my feet into the foot well while still maintaining a greater than 90 degree angle. I have a slippy sheet on the seat to help with twisting.
I've been doing my leg exercises like a good little trooper but a little leery about weight bearing on my right leg while swinging the left one around.
I'm amazed how little pain I have. Much less pain than post- caesarean and I'm basically sitting on the wound. It must be magic. The only bruising I have is a small one by the drain site. I also have virtually no swelling. Amazing!
I'm still easily tired and had to have a nap after Armagghedon. The sudden hit of tiredness is amazing. I just suddenly find my eyes shutting and my head lolling right in the middle of doing things.
I do have the toileting and showering pretty much down pat. I had to use a disabled toilet today and it did not come close to my portable seat. I certainly agree a shower chair, a raised toilet chair and a grabber are essential tools. It's amazing how much stuff you drop when you can't bend over.
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Labels:
Multiple Sclerosis,
TEDs,
Total hip replacement
Saturday, October 20, 2012
The cyborg has left the building
Yesterday, two days after surgery I went home. There are certain parameters you need to meet to be discharged and I put on my over achiever's hat and did them. Part of the reason I was toileting and showering without assistance was thanks to the good ol MonSter. Basically when I need to PU I need to do it NOW! And can't really wait for someone to answer my bell. I also need to go a few times overnight because hip discomfort wakes me up and i notice that sometime in the near future it might be an idea to go to the loo - in fact why not now and it seems obsessive to call them in too often.
After surgery they want your bowels to work so laxatives are prescribed, particularly if you're on morphine. That would be fine but the medication that is failing to help my swallowing is working doubly well on my lower GI tract so when their powers combined I was impelled to rush to the bathroom quickly and repeatedly and again there is no time to wait for the nurse to be free. So toileting myself was pretty much ticked off day one, I could roll myself from my back to my left to sleep the night directly after surgery, I was hiking the corridors from the afternoon of day one and did stairs on the morning of day 2 - so much easier than I had expected!
The surgeon and anaesthetist came round at 6:45am on day 2 so I had to do something to fill in the time before breakfast so a shower seemed a good idea. When armed with a grabber no clothing item can defeat you.
So I basically negotiated staying until 7pm to get as much pampering as possible before going home to a house devoid of nurses, healthcare assistants and kitchen staff. There was a misunderstanding over drugs and I nearly ended up going home on just aspirin but the most excellent nurse queried this. When you fill in your initial registration form you have to list the drugs you're on and I of course listed the pain relief I had prescribed to take me up TO the operation day. This was interpreted as my having mountains of medication at home and needing nothing. The surgeon came and offered Brufen and Panadol. I saw his Panadol and raised him Panadeine. So I've come home with aspirin, Brufen 800mg and Panadeine. Not quite the cover of the nice morphine drugs but better than nothing.
Now I am trying to adjust my surroundings. It is easier getting into a double bed than a single one so I'm not missing the electric bed too much. I've showered with the crazy spinning shower chair. I've even watched some tv sitting on a chair stacked with cushions. I'm training everyone to not leave things in my path since I'm on the double crutches for another 3 weeks or so. My next progress marker is going for a walk - I have to driven due to our steep driveway. I'm not certain when I'll be able to surmount that but I will at least manage a walk in the park this afternoon.
So my recovery commences but for now I'm going to crash until its walkies time.
- Posted using BlogPress from my iPad
After surgery they want your bowels to work so laxatives are prescribed, particularly if you're on morphine. That would be fine but the medication that is failing to help my swallowing is working doubly well on my lower GI tract so when their powers combined I was impelled to rush to the bathroom quickly and repeatedly and again there is no time to wait for the nurse to be free. So toileting myself was pretty much ticked off day one, I could roll myself from my back to my left to sleep the night directly after surgery, I was hiking the corridors from the afternoon of day one and did stairs on the morning of day 2 - so much easier than I had expected!
The surgeon and anaesthetist came round at 6:45am on day 2 so I had to do something to fill in the time before breakfast so a shower seemed a good idea. When armed with a grabber no clothing item can defeat you.
So I basically negotiated staying until 7pm to get as much pampering as possible before going home to a house devoid of nurses, healthcare assistants and kitchen staff. There was a misunderstanding over drugs and I nearly ended up going home on just aspirin but the most excellent nurse queried this. When you fill in your initial registration form you have to list the drugs you're on and I of course listed the pain relief I had prescribed to take me up TO the operation day. This was interpreted as my having mountains of medication at home and needing nothing. The surgeon came and offered Brufen and Panadol. I saw his Panadol and raised him Panadeine. So I've come home with aspirin, Brufen 800mg and Panadeine. Not quite the cover of the nice morphine drugs but better than nothing.
Now I am trying to adjust my surroundings. It is easier getting into a double bed than a single one so I'm not missing the electric bed too much. I've showered with the crazy spinning shower chair. I've even watched some tv sitting on a chair stacked with cushions. I'm training everyone to not leave things in my path since I'm on the double crutches for another 3 weeks or so. My next progress marker is going for a walk - I have to driven due to our steep driveway. I'm not certain when I'll be able to surmount that but I will at least manage a walk in the park this afternoon.
So my recovery commences but for now I'm going to crash until its walkies time.
- Posted using BlogPress from my iPad
Labels:
Multiple Sclerosis,
Total hip replacement
Thursday, October 18, 2012
The cyborg has arrived
Yesterday was a major day. I had a right total hip replacement and it was an experience! Because I have my crazy swallowing issue the anaesthetist was not keen on me having a general. So I had a spinal. Normally they give you a sedative but because of my MS she only wanted to give me a light no effect dose. So while my hip was sawn and reamed and hammered and glued I lay there listening to Queen on an iPod! We will rock you will never be the same.
It was actually really nice arriving in recovery compis mentus. I just hung around being monitored and watching all the other poor souls struggle out of their general fog.
The spinal took two goes because I had sharp pains shooting down my left side on the first attempt. Once it was all set I felt like I could still feel my feet. I asked if it would get stronger and the anaesthetist said it would. Then she announced that they'd started so I could relax because I was a bit worried I would still feel things. It was really strange - like some one was constantly pushing and pulling my feet. The only strange time was at the end when they pulled on my legs to check things were lined up and I moved up and down. The mild sedative was enough that I could hear all the sawing and hammering but feel relaxed. It didn't make me forget anything.
Because I'd been curled up in the fetal position for insertion of the spinal my brain told my body my legs were curled up on my chest. They felt really tired! I also had a spasmy right arm that shook madly and made people keep trying to cook me.
The anaesthetist had advised me so some studies that found a worsening of symptoms with epidural anaesthesia so when I couldn't feel anything in my right leg for 7 hours I was a little concerned. I definitely couldn't do my bed exercises in recovery or for some time on my return to my room.
The left leg started to get some sensation back after 5 hours but nothing major. My right leg finally got sensation back this morning.
I lost quite a bit of blood and my haemoglobin went down around 90. They hmmed and haaed about a transfusion. Finally at 10pm the nurse got really excited. I had a drain in but not just any drain apparently - I had a reinfusion drain and I had reached the magic equivalent of one unit of blood in it that could be put back into me! Freaky! I just made the 6 hour cut off.
My blood pressure was low but I felt fine. After breakfast this morning my drain was removed (hurray) and the Physio came to help me ambulate. I got up fine and went a reasonable distance on two crutches with no problems. Then when I was in sight of my bed a black hole appeared and sucked me in. The Physio yelled for a seat and held me up for what seemed like ages. Suddenly I couldn't hear anything and apparently just sat looking at the Physio. After a while everything seemed back to normal so we decided to finish the trek. The black hole came roaring back and this time I couldn't hear and couldn't speak. I had to be dragged into my room on the chair.
Very weird experience. After a cup of tea and some sweet dunking biscuits life returned to normal. I was escorted to have a shower and since I was a good girl I was allowed my nasty catheter out. So I left the bathroom feeling human again.
I've managed to go to the loo on my own so I think we're doing well. I still have to have oxygen due to the morphine in my spinal so my nose isn't that happy but everything else is. My biggest problem is I have to have a pillow between my legs when I get on and off the bed and my weak MS quads struggle to hold it. The last time I got on the bed I felt a slight clunk so I think the process needs some tweaking.
So now I'm a cyborg with sexy white tights. Such an attractive look. Now I just need to recover and learn to cope with stairs and then I can go home. Maybe Saturday ( today is Thursday). Yay!
- Posted using BlogPress from my iPad
It was actually really nice arriving in recovery compis mentus. I just hung around being monitored and watching all the other poor souls struggle out of their general fog.
The spinal took two goes because I had sharp pains shooting down my left side on the first attempt. Once it was all set I felt like I could still feel my feet. I asked if it would get stronger and the anaesthetist said it would. Then she announced that they'd started so I could relax because I was a bit worried I would still feel things. It was really strange - like some one was constantly pushing and pulling my feet. The only strange time was at the end when they pulled on my legs to check things were lined up and I moved up and down. The mild sedative was enough that I could hear all the sawing and hammering but feel relaxed. It didn't make me forget anything.
Because I'd been curled up in the fetal position for insertion of the spinal my brain told my body my legs were curled up on my chest. They felt really tired! I also had a spasmy right arm that shook madly and made people keep trying to cook me.
The anaesthetist had advised me so some studies that found a worsening of symptoms with epidural anaesthesia so when I couldn't feel anything in my right leg for 7 hours I was a little concerned. I definitely couldn't do my bed exercises in recovery or for some time on my return to my room.
The left leg started to get some sensation back after 5 hours but nothing major. My right leg finally got sensation back this morning.
I lost quite a bit of blood and my haemoglobin went down around 90. They hmmed and haaed about a transfusion. Finally at 10pm the nurse got really excited. I had a drain in but not just any drain apparently - I had a reinfusion drain and I had reached the magic equivalent of one unit of blood in it that could be put back into me! Freaky! I just made the 6 hour cut off.
My blood pressure was low but I felt fine. After breakfast this morning my drain was removed (hurray) and the Physio came to help me ambulate. I got up fine and went a reasonable distance on two crutches with no problems. Then when I was in sight of my bed a black hole appeared and sucked me in. The Physio yelled for a seat and held me up for what seemed like ages. Suddenly I couldn't hear anything and apparently just sat looking at the Physio. After a while everything seemed back to normal so we decided to finish the trek. The black hole came roaring back and this time I couldn't hear and couldn't speak. I had to be dragged into my room on the chair.
Very weird experience. After a cup of tea and some sweet dunking biscuits life returned to normal. I was escorted to have a shower and since I was a good girl I was allowed my nasty catheter out. So I left the bathroom feeling human again.
I've managed to go to the loo on my own so I think we're doing well. I still have to have oxygen due to the morphine in my spinal so my nose isn't that happy but everything else is. My biggest problem is I have to have a pillow between my legs when I get on and off the bed and my weak MS quads struggle to hold it. The last time I got on the bed I felt a slight clunk so I think the process needs some tweaking.
So now I'm a cyborg with sexy white tights. Such an attractive look. Now I just need to recover and learn to cope with stairs and then I can go home. Maybe Saturday ( today is Thursday). Yay!
- Posted using BlogPress from my iPad
Labels:
Multiple Sclerosis,
Total hip replacement
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