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Appointment with diabetic nurse / pain management clinic / hip & knee consultant
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<blockquote data-quote="Molly56" data-source="post: 621866" data-attributes="member: 84857"><p>[USER=103830]@Scouser58[/USER] ...just to clarify, the talking therapy is just for me ...for me to work out how best to deal with the situation that I am in and does not involve my partner. He was offered similar help about two years ago...he went along to the first appointment..decided it was a waste of time and promptly cancelled the rest.</p><p></p><p>However I am prepared to give it a go and as you say I will go along prepared to get the most out of each session...am thinking perhaps it would be a good idea for me to prepare something in writing before the first appointment that will explain in a nutshell the challenges that I face rather than have to remember it all and explain it verbally.....am thinking it could be a rather large nutshell, perhaps coconut sized<img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite2" alt=";)" title="Wink ;)" loading="lazy" data-shortname=";)" /></p><p></p><p>With regards to the knee replacement as you say this will need some planning...have already given it some thought...</p><p></p><p>The issues will be his diabetes (last Hb1Ac result was about 10 as far as I remember).....his weight, approx 124kg which gives a BMI of about 39 (will probably be advised to lose weight) ....and whether they consider him fit for the operation and recovery.......... Have already mentioned to him that strengthening the muscles in his leg before the operation would be a good idea as it would help with recovery but doubt he has taken any notice of that.</p><p></p><p>One thing that does confuse me slightly is that he says that he doesn't really suffer any pain in his knee anymore (despite the x-ray showing significant deterioration of the knee joint).........the pain in his hip / groin area seems to be the dominant pain at the moment.......... Could the lack of pain indicate some other problem such as nerve damage / neuropathy in his knee area and, if so, how will this affect his chance of getting the knee replacement. Not sure if this is a question I should raise as don't want to jeopardise his chances of being accepted for knee surgery but don't know how relevant it is in terms of the operation itself / recovery etc.</p><p></p><p>You say that you are waiting for knee surgery....if you don't mind me asking what is the criteria that you have been given for the operation to go ahead....it may give me some idea of where we need to aim for <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p><p></p><p>As far as holiday is concerned now that the foot ulcer is on its way to healing I think it is safe to go away...it could easily have gone the other way though so I feel that my worries and concerns from a few weeks ago are not totally unfounded.....think it is safe to start packing my case now<img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p></blockquote><p></p>
[QUOTE="Molly56, post: 621866, member: 84857"] [USER=103830]@Scouser58[/USER] ...just to clarify, the talking therapy is just for me ...for me to work out how best to deal with the situation that I am in and does not involve my partner. He was offered similar help about two years ago...he went along to the first appointment..decided it was a waste of time and promptly cancelled the rest. However I am prepared to give it a go and as you say I will go along prepared to get the most out of each session...am thinking perhaps it would be a good idea for me to prepare something in writing before the first appointment that will explain in a nutshell the challenges that I face rather than have to remember it all and explain it verbally.....am thinking it could be a rather large nutshell, perhaps coconut sized;) With regards to the knee replacement as you say this will need some planning...have already given it some thought... The issues will be his diabetes (last Hb1Ac result was about 10 as far as I remember).....his weight, approx 124kg which gives a BMI of about 39 (will probably be advised to lose weight) ....and whether they consider him fit for the operation and recovery.......... Have already mentioned to him that strengthening the muscles in his leg before the operation would be a good idea as it would help with recovery but doubt he has taken any notice of that. One thing that does confuse me slightly is that he says that he doesn't really suffer any pain in his knee anymore (despite the x-ray showing significant deterioration of the knee joint).........the pain in his hip / groin area seems to be the dominant pain at the moment.......... Could the lack of pain indicate some other problem such as nerve damage / neuropathy in his knee area and, if so, how will this affect his chance of getting the knee replacement. Not sure if this is a question I should raise as don't want to jeopardise his chances of being accepted for knee surgery but don't know how relevant it is in terms of the operation itself / recovery etc. You say that you are waiting for knee surgery....if you don't mind me asking what is the criteria that you have been given for the operation to go ahead....it may give me some idea of where we need to aim for :) As far as holiday is concerned now that the foot ulcer is on its way to healing I think it is safe to go away...it could easily have gone the other way though so I feel that my worries and concerns from a few weeks ago are not totally unfounded.....think it is safe to start packing my case now:) [/QUOTE]
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