A little backstory about my knee. I'm 70, played football, basketball and 
baseball when I was young. Shredded my MCL and tore my meniscus in 1976. 
Had some old school surgery with the 10" incision.  Started riding the bike 
seriously for rehab afterward. All good till around 20 years ago. Started 
having problems, got it scoped out to fix a tear in meniscus. 
No problem for 10 years or so and then started having serious pain during 
long bike rides. Used to do 5 or 6 century rides a year but after the 60 
mile mark it felt like somebody was sticking an ice pick in my knee every 
revolution of the cranks. Lived with it for 5 years, stopped doing long 
rides, a metric century is my limit. 
 Back to doctor, another procedure, another tear cleaned up. Doc told me 
then there wasn't much left to work with.
I've had the rooster juice injection twice, first time helped for a year, 
second time, no change. Had cortisone injections a couple times. Feels like 
a new knee for a week or two then it wears off. 
Now, I can ride my bike short distance, I do a 9 mile commute to work when 
the weather is good. Knee feels good after a ride. It is sore and stiff 
when I walk around and swells up if I walk any distance.
My doctor wants me to try the rooster juice again. I guess I will. I am 
getting a big addition built on my garage and I am going to do the siding, 
windows and trim. Hopefully before the weather gets too cold. I will have 
to climb up a ladder and scaffold to do it. If I can. 
If I get the knee done I'm thinking about doing it in February. That month 
sucks. Weather is usually nasty,, hunting season is over fish are hunkered 
down. Just not much going on.
Getting old sucks. Beats the alternative though.
Richard

On Saturday, November 19, 2022 at 10:15:27 PM UTC-5 Joe Bernard wrote:

> The thread has taken such a turn. If I ever need a knee or two replaced I 
> have a whole Riv operating room now! 👨‍⚕️👩‍⚕️
>
> On Saturday, November 19, 2022 at 6:27:27 PM UTC-8 Bicycle Belle Ding 
> Ding! wrote:
>
>> Jay Lonner, you must be Dr. Jay Lonner! Anesthesiology, I presume? Very 
>> cool! It’s fun to discover who people are in their real lives. Ok, if I 
>> ever need bilateral knee replacements, sign me up for the One and Done with 
>> the Cadillac Option.
>> Leah
>>
>> On Nov 19, 2022, at 8:11 PM, Jay Lonner <jay.l...@gmail.com> wrote:
>>
>> 
>>
>> Bilateral knee replacements are not uncommon, if patients are good 
>> candidates. “Good candidate” is a catchall term for lots of intangibles, 
>> such as patient motivation and expectations, medical comorbidities, at-home 
>> support systems, etc. I would imagine that most Rivendell enthusiasts have 
>> the health, motivation, and means to tolerate a bilateral procedure.
>>
>> For postop pain relief the Cadillac option is something called an 
>> adductor canal catheter, which is basically an infusion of local anesthetic 
>> (chemically similar to Novacaine, such as you’d receive for a dental 
>> procedure) that lasts for up to three days. This targets sensory branches 
>> of the femoral nerve, which is responsible for sensation of the anterior 
>> thigh and knee. That’s where the incision is, so that’s where the bulk of 
>> the pain is. There is also some pain in the back of the knee mediated by 
>> the sciatic nerve, which is not affected by an adductor canal catheter, so 
>> breakthrough pain can still be an issue. 
>>
>> If I personally needed both knees replaced I would have them done at the 
>> same time. 
>>
>> Jay Lonner
>> Bellingham, WA
>>
>> Sent from my Atari 400
>>
>> On Nov 19, 2022, at 3:23 PM, Bicycle Belle Ding Ding! <
>> jonasa...@gmail.com> wrote:
>>
>> Rusty, no, I’ve never seen both at once. According to the internet it 
>> *can* be done, but you need to have some specific things going your way to 
>> get your surgeon to say yes. 
>>
>> On Saturday, November 19, 2022 at 6:01:48 PM UTC-5 Rusty Click wrote:
>>
>>> I am bone on bone in both knees after five arthroscopic procedures.   I 
>>> think I will try another round of "knee lube" injections to get me thru 
>>> guiding a few trips this spring, then riding RAGBRAI in July.  After that, 
>>> I'm consulting with the doc about doing both knees at the same time.  Leah, 
>>> do any patients get both done at once?
>>>
>>> I'll be waiting to hear/read how recovery goes Richard.  Good Luck,
>>>
>>> Rusty
>>> Pgh, PA
>>>
>>> On Saturday, November 19, 2022 at 5:39:49 PM UTC-5 Bicycle Belle Ding 
>>> Ding! wrote:
>>>
>>>> Come on over! I’ll get you squared away!
>>>>
>>>> Sent from my iPhone
>>>>
>>>> On Nov 19, 2022, at 2:06 PM, David Person <cycli...@gmail.com> wrote:
>>>>
>>>> Can't think of a better way to drift off prior to surgery than sharing 
>>>> Riv stories with my nurse.
>>>>
>>>>
>>>>
>>>> On Saturday, November 19, 2022 at 10:07:13 AM UTC-8 Ken Mattina wrote:
>>>>
>>>>> As someone with osteoarthritis in both knees, I feel your pain.
>>>>>
>>>>> No knee replacements yet. So far, a change in diet and rehab has 
>>>>> delayed it.
>>>>>
>>>>> Good luck. I hope you feel better soon.
>>>>>
>>>>> On Sat, Nov 19, 2022 at 6:04 AM Richard Borneman <rsb...@msn.com> 
>>>>> wrote:
>>>>>
>>>>>> Anyone here had a knee replaced? How long till you could ride again?
>>>>>> My right knee is killing me. I've put it off as long as I could. It's 
>>>>>> almost time.
>>>>>> Richard
>>>>>>
>>>>>> -- 
>>>>>>
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>>>>>> .
>>>>>>
>>>>>
>>>>>
>>>>> -- 
>>>>> Where did the spring go?
>>>>> Where did my hormones go?
>>>>> Where did my energy go?
>>>>> Where did my go go?
>>>>> Where did the pleasure go?
>>>>> Where did my hair go?
>>>>>
>>>>> -- Ray Davies
>>>>>
>>>> -- 
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