fitness · monthly check in

Sam is checking in for March (late, because sad)

This post is delayed due to bad knee news and sadness writing about it. I seriously couldn’t even face thinking about it and I certainly didn’t want to write about it. But the news has kind of settled now and I’m doing okay.

Regular readers will know that these monthly check in posts have focused on my knee and getting ready for total knee replacement surgery.

In general, I’m a big fan of Canadian healthcare. I don’t mind waiting for non-urgent care. I’m pretty stoical about most things. But it no longer feels okay to be waiting for knee surgery.

Here’s Sam and her knees and her bike before all the talk of surgery even began. Photo by Ruthless Images.

I saw the sports medicine doctor who first referred me for surgery the other day, for the first time since June 2019. I saw the surgeon in person in August 2019 and we made plans. We talked about December 2020. That was a long time away then but I figured it would give me time to lose weight (recommended for easier recovery) and I could plan to take time off and have an acting dean in place for my medical leave.

Since then, August 2019, radio silence. Nothing. Nada. I emailed a few times. I phoned a few times. I read articles about the hospital in question putting all non-urgent surgery due to Covid. There were, for a time, weekly headlines about the hospital having covid outbreaks on surgical floors and about surgery cancellations.

So just a few weeks ago I gave in and reached out to the referring doctor. They took what seemed like dozens of x-rays of both knees. The diagnosis is unchanged–end stage osteoarthritis in both knees. There’s nothing there–no cartilage–just bone grinding on bone in both knees which feels about as good as that sounds.

The sports medicine doctor asked me what’s changed since we talked about my knees almost two years ago now. Well, the big bad news is that it’s now both knees. It’s no longer clear on some days which is the bad knee. They’re both bad. I used to tag blog posts about this issue Sam’s left knee. Sadly I need a new tag, simply Sam’s knees.

Better is that I’m walking okay. Not very far and not very fast. But I’m walking. I take Cheddar out two or three days a week and we can toddle around for 2 to 3 km without too much pain and suffering. (Don’t worry. He gets lots of walks. Other people walk him too.) And of course, I’m riding my bike lots.

The doctor said I could start again and get on a waitlist somewhere else. But I’m loathe to do that.

He said that the student athletes have been able to get surgeries right through covid. Seniors, however, were put off and now they have a backlog of frail, elderly patients who can’t walk around their house or get groceries. I’m in the middle. I’m not a 19 year old varsity athlete needing ACL reconstruction after injury. I’m not an 80 year old who can’t walk either. I’m just a 56 year old recreational athlete who wants to be able to go on longer walks (and snowshoe, and cross country ski, and skate) and not be in pain everyday.

I want to be able to go and do some of New Zealand’s Great Walks. More urgently, I’d like to be able to walk to work sometimes. I’d like to sleep through the night without knee pain. I’d like to take less ibuprofen.

In the meantime, I’ll be here, doing endless knee physio exercises and riding my bike. There are worse things than delayed surgery that have happened as a result of covid. No one in my house is sick. No one died. Some of us are even partially vaccinated now. As bad as things are in Ontario right now, I see the finish line and even though I’ll be limping over it, I’m excited to have the pandemic’s end in sight.