As I've mentioned, I'm staying with a friend who had knee replacement surgery. She lives alone and I volunteered to come hang out with her and help where needed. She's using a walker right now, has PT three times a week, and was on pretty heavy medication the first week (oxycodone for seven days; she stopped taking it when it ran out and has switched over to extra-strength Tylenol).
Let me tell you somethings I've learned these last two weeks:
They let people go home from the hospital way too soon. She didn't stay a whole day (about 11 hours from arrival to when we got back to her house). She was still medicated, had muscle blocks, and was sick from the anesthesia when I got her into the chair in her living room. That first night was scary as hell -- I slept on the couch right outside her bedroom door because I was afraid what would happen if she tried to get up in the middle of the night.
The medication they gave her wasn't really enough. They're so worried about her getting addicted to oxy that they gave her a tiny dose, only let her take it every six hours (it took two hours for it to start working and it helped mildly for two hours before disappearing in her system), and tylenol was a joke.
There's no way in hell she could be alone in her house for those first 3-4 days. She has this ice bath thing (like a cooler with an insulated line that runs to a knee wrap) and it's heavy as hell. I've lugged it from chair to bed and back to chair multiple times a day for her, plugging and unplugging it. She has two stairs to get inside the house and none between her bedroom, bath, kitchen, and living room and it was still hard for her to even walk from one to the other for the first 48 hours. All this and they still told her she only needed someone to drive her back and forth.
Getting her to Physical Therapy? Just getting from the house to the car can take five minutes. And try to get into a passenger seat of a low-slung Dodge Challenger (her car; she let me drive it) with a leg that can't bend? Then there's folding up the walker, stowing it in the trunk, pulling up to the front door of the facility, getting the walker out, unfolding it, helping her out of the car, going inside, parking ... it's a ten minute drive from her house to PT and it takes us 30 minutes to get there.
They gave her exercises to do, but no directions or how to do them besides a picture and a how many reps for how long. Riiiiiiight. Eac of her PT people (they have teams of six) have told her different answers to the same questions. Fortunately, she's a stubborn bitch like me and we've researched on our own and figured them out.
Don't get me wrong -- she had a great doctor who came out and talked to me after the surgery and called to check on her twice so far ... but I don't know how anyone could do this by themselves. And, yes, I know that it's insurance driving all of the "send 'em home ASAP" and "as few PT sessions as possible" to cut costs so the shareholders can line their fat-ass pockets. My friend is lucky that I have the summers off and can hang out at her house, help her around, do laundry and dishes and grocery shop and run get prescriptions and take her to appointments ... but not everyone has that.