I have to admit to having had a little fear over being put under for the operation. It had been nearly 50 years since the last time I was under general anesthesia (1966– I was four years old– can you believe it?). But it was relatively simple. One minute I was awake, and the next I woke up in recovery. And fortunately, no nausea like a few people had warned me about.
The thing I was most proud of was the fact that I fought for, and won, the right to keep my insulin pump on through everything. In coordination with my endocrinologist, we agreed to do a fifteen percent reduction in my basal rate after midnight. The surgery took place around 9:30 a.m.
I got my endocrinologist to write an okay for me to keep everything running during surgery, and she also included all my basal settings, insulin-to-carb ratio and correction factor numbers, and sent it to the orthopedist. In addition, I gave the staff detailed instructions I wrote up (photos included) on suspending and restarting my pump, and disconnecting my pump, should that have been necessary. They probably thought I was nuts, but better to leave nothing to chance while you’re unconscious.
I should also mention that I spent some time cleaning up my pump the night before, since I knew I was going into a sterile environment. That wasn’t a requirement, but I thought it would be a respectful thing to do.
We did glucose checks before and after (the procedure was only half an hour start to finish). I was 181 mg/dL pre-op, even though I had been fasting since about 10:30 the night before (hello, nerves). I was 151 mg/dL post-op.
I was told I had a significant tear of my interior meniscus, and that got fixed. The doctor also told me I had some arthritis in my knee, and he cleaned that out. I don’t know much about arthritis, so I don’t know if that makes sense.
At any rate, like I said, I’ve got to work on getting steady on my feet enough to get back to work on Monday. After that, I need to get everything stronger little by little, every day. In a couple of months, I hope to get back to riding my bike and swimming some (as a workout, as opposed to just soaking).
Now that it’s over, I’m eager to get this chapter behind me as soon as possible, and get back to feeling good, and being as healthy as possible.