Minimally Invasive Total Knee Replacement

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I took time off for:

Minimally Invasive Total Knee Replacement, in both knees.




Here is the chronicle of my experience.

I promised to chronicle my minimally invasive Knee Replacement surgery.

Where should I begin?

Physically, I started life a wreck with Asthma, which seems as good a place as any to start, since my respiratory system was the focus of my childhood, until age nine.

I went to live with my grandparents when I was six. My grandmother was a school teacher and my grandfather was a farmer with a 110 acre farm (which is a whole story in itself). An old country doctor told my grandparents, “the child will be fine. Once his tonsils are removed, his asthma will be history”. He was right!

Fast forward four years to age 13. I am healthy and playing basketball on the varsity team in an old gym with the backboard attached to the wall. I stole the ball, made the lay up and smashed my knee into the wall.  Even though my knee didn’t heal properly, I continued to play basketball through high school.

By the time I finished High School, I told my mother I would get two years of college in the service. Finally, she signed what seemed like a hundred forms for me to join the Air Force at the ripe old age of 17. I played basketball through my service years, (another whole book) without paying any further attention to my damaged knee.

I worked for a large company as a programmer while I went to college at night for Electrical Engineering (G.I. Bill). I played basketball and football on the company teams for 10 years. I managed to tear the meniscus in one knee, my doctor thought it best to remove the torn meniscus from that knee. By this time, my knees are about 70% functional.

Moving on, I decided to purchase outdoor roller skates for me and my family (wife and two boys). That’s when I discovered I could roller skate despite bad knees.  I continued skating for another 10 years until I met a rock that locked the rear wheels on one skate (this resulted in a separated clavicle and two surgeries).


Still able to skate in my sixties, I met with a stick that rendered the same result as the rock, a locked skate wheel (this time I did a split first, which required a hip replacement). In the meanwhile, Arthritis is destroying what is left of my knees, which are now about 20% functional. I am now officially in the ‘Men with bad knees’ club. I refuse to use a cane like so many men I encounter.

We see many ‘Men with bad knees’.  They come in all ages, for a multitude of reasons. Why do we stumble around suffering from bad knees for 20 years or more? Is it because of the many stories of knee replacement failures? Is it vanity? Or is it lack of adequate insurance? Maybe it’s just plain stubbornness. Whatever the reason, I am happy that I made the decision to have minimally invasive Knee Replacement surgery.  It will be great to walk normally again (I love to walk).


My plunge! \/

A Regular Knee!


My old right Knee (x-ray)!


Knee Replacement!


My new right knee in place (x-ray)


The core surgical team:

Dr. Rajesh Jain: surgeon; 

Dr. Ann Mahadeviah:  anesthesiologist (the person who woke me up after surgery with a pleasant hello).  

The core surgical nurses and recovery nursing staff:


Other core staff:

Stephanie Godbold: Physician Assistant; 

Carol Strekis: Surgery Navigator; 

Maryam: Surgical Assistant. 


There are many more wonderful staff members at the ‘Joint Replacement Institute’ (JRI)

who made this such a pleasant experience.


Day (1) OPERATION DAY (new knee) – 2016/04/21 – Minimally invasive surgery

ARRIVAL – 11:30A:

  1. Pre-op testing;
  2. Pre-op preparation;
  3. Surgery;
  4. Recovery;
  5. Moved to private room with couch, recliner, sink, 50 inch TV and private bathroom by 5:00P.

Dinner at 5:30P.

Post-op tests, interviews and free time.

My caregiver (my wife) spent the night with me in the private room, a real morale booster.


Day (2) HOSPITAL RELEASE – 2016/4/22:

  1. Breakfast;
  2. Interviews;
  3. Post-op instructions, scripts, meds and re-hab;
  4. Trip to car and good-byes by 2:30P home with new knee.


Day (3 – 4) HOME- 2016/4/23 – 2016/4/24

Used walker, did exercises and took meds prescribed by doctors.

List of prescribed exercises


I chose HEARTLAND Rehabilitation Services at 2630 E Chestnut Ave, Vineland, NJ 08361.

Their website below gives a list of their services and is technical.

The core team of administrators and therapist (Brenda, Debbie, Jeff, John & Selena), are the best. My wife used Heartland after a knee replacement and I previously used them for re-hab after a hip replacement with superb results.


Don’t get me wrong, there is pain with minimally invasive knee replacement surgery, which is why striking a balance between pain killers and stool softeners is so important in the process.

The recovery rate, because of fewer cut muscles, is what’s so amazing. Be sure to note my recovery rate below.


Day (5- 11) Wk 1 -2016/4/25 – 2016/5/1

Out patient Re-hab 3 days, did all exercises (see above list) and took meds prescribed by doctors. Gave up walker for a cane on Friday 2016/4/29!

Week’s accomplishment: Can bend knee 100 degrees.


Day (12-18) Wk 2: 2016/5/2 – 2016/5/8

Out patient Re-hab 3 days, did all exercises (see above list) and took meds prescribed by doctors. Rode bike on Wednesday 2016/5/4! & Thursday 2016/5/5

Week’s accomplishment: Can walk without cane for short distances.


Day (19-25) Wk 3: 2016/5/9-2016/5/15

Out patient Re-hab 3 days, did all exercises (see above list) and took meds prescribed by doctors. Rode bike each day, Wednesday 2016/5/11 & Thursday 2016/5/12 started using step. Stepping up & stepping down. Next: stepping up with one foot followed by the other foot & then stepping down on the other side, one foot at a time, reversing the process, both feet up then back down to the original side.

Week’s accomplishment: Step exercises really took a lot of effort but the results were a stronger unassisted gait.


Day(26-32) Wk 4: 2016/5/16-2016/5/22

Out patient Re-hab 3 days, did all exercises (see above list) and took meds prescribed by doctors. Rode bike each day, Monday 2016/5/16 – Thursday 2016/5/19 continued using step as in week 3

Week’s accomplishment: The step and bike exercises continue to strengthen my knee.


Day(33-39) Wk 5: 2016/5/23-2016/5/29

Out patient Re-hab 3 days, did all exercises (see above list) and took meds prescribed by doctors. Rode bike each day, Monday 2016/5/16 – Thursday 2016/5/19 continued using step and bike as in week 4.

Week’s accomplishment: The step and bike exercises continue to strengthen my knee. I can step up without pulling myself up and I can walk without a cane at home!


Day(40-46) Wk 6: 2016/5/30-2016/6/5

Out patient Re-hab 3 days, did all exercises (see above list) and took meds prescribed by doctors. Rode bike each day, Monday 2016/5/16 – Thursday 2016/5/19 continued using step and bike as in week 5.

Week’s accomplishment: With the step exercises and the bike, my new knee is really getting much stronger.  I actually use my cane for my left knee now, which is getting worse.


Skip forward to August, below is an x-ray of

my left and right new knees in place.


It is now September 8th, six weeks of re-hab on my left knee is complete. I no longer need a cane. Re-hab for both knees is a success.


It takes about 6 months for a replacement knee using this technology to heal completely. Therefore, there is some homework.


Stem cell knee regeneration is still my first choice, but that is not feasible and a long way into the future. There is still research being done, however the procedure is not covered by insurance so that leaves me out. It costs around $8,000.00 for one current treatment and it is not suited for knees in my condition .

So 6 months after the 1st surgery I have two pain free knees that are good for my lifetime if I don’t abuse them. Not a bad deal for a ‘Man with two (bone on bone) knees a mere 6 short months ago’.


Disclaimer: This is my experience with this technology.


You might want to review the following article from Buzzfeed on stem cells: www buzzfeed com danvergano/unproven-stem-cell-clinics?utm_term=.djgYkBg47#.floVbj3vd








Paralyzed Man Moves His Arm With a Brain Implant and a ‘Bypass’

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Ian Burkhart is paralyzed from the chest down. But he can pick up a credit card and swipe it. He can pick up a bottle and pour. And he can do it all just by thinking about it.

It’s the latest advance in efforts to help restore movement to people who are paralyzed. In Burkhart’s case, a small brain implant picks up his thoughts and transmits them to a computer, which then sends signals to a sleeve that twitches his hand into action.

“I just think about what I want to do and now I can do it,” said Burkhart, 24.

It’s not seamless. Burkhart is plugged in – a large plug at the top of his skull, and wires attached to the sleeve that stimulates his arm, wrist and finger muscles.


Ian Burkhart, 24, plays a guitar video game as part of a study into neural bypass technology that allowed him to regain functional use of his paralyzed hand. Ohio State University



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7 Ways to Speed Up Your Metabolism

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James' World


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Your body may not be burning calories quickly because of poor eating habits and a sedentary lifestyle. Fortunately, you can take control of speeding up your metabolism. From getting more sleep to eating all day, use these 7 secrets to rev up your inner engine…

If your body’s engine is running at full-speed, there’s little you can do to boost your fat-burning potential – you’re already performing at peak.
But if your tank is teetering on half-empty, there’s room for improvement.


Simple secrets like waking up early can help you lose weight.

Ladies, start your engines!



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6 Clues Your Girlfriend is Losing Interest – and How to Fix the Problem

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James' World


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Great relationships start out with a spark. Two people meet one another and their chemistry is instant. Perhaps they love the same music and movies. Maybe they both studied Art History in college. Who knows? It can be something intangible, where two totally different people meet and fall in love. The only problem with this system is that the initial spark – the thing that draws two people to one another – can fade. In its place, boredom, restlessness, disinterest, and annoyance can appear if a couple doesn’t work together to make sure the relationship remains meaningful and special to both parties.



Is she losing interest?



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Drugs You Don’t Need For Disorders You Don’t Have

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One evening in the late summer of 2015, Lisa Schwartz was watching television at her Vermont home when an ad for a sleeping pill called Belsomra appeared on the screen. Schwartz, a longtime professor at Dartmouth Medical College, usually muted commercials, but she watched this one closely: a 90-second spot featuring a young woman and two slightly cute, slightly creepy fuzzy animals in the shape of the words “sleep” and “wake.”

Schwartz had a reason to be curious about this particular ad. Two years earlier, she had been a member of the advisory panel that reviewed Belsomra for the U.S. Food and Drug Administration—and the process had not gone well for the manufacturer, Merck. The company saw its new drug as a major innovation, emphasizing that the medication acted on an entirely different mechanism within the brain than the previous generation of insomnia medicines like Ambien and Lunesta. During the drug’s development, Merck had suggested that it could treat insomnia more effectively and produce fewer side effects than existing medications. In 2012, one Merck scientist described the science underlying Belsomra as a “sea change.”

But when Schwartz and her colleagues scrutinized data from the company’s own large-scale clinical trials, what they found was a lot less impressive. People taking Belsomra fell asleep, on average, only six minutes sooner than people taking a placebo and stayed asleep for a mere 16 minutes longer. Some test subjects experienced worrying side effects, like next-day drowsiness and temporary paralysis upon waking. For a number of people, these effects were so severe that the researchers halted their driving tests, fearing someone would get into an accident. Because of these safety concerns, the FDA ended up approving the drug at a lower starting dosage than the company had requested—a dosage so low that a Merck scientist admitted it was “ineffective.”


!!!!!BN2016-3-31YOU ARE GETTING SLEEPY. VERRRRY SLEEPY.1Image: Breaking News and Opinion on The Huffington Post



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You Might Lose Your Partner If You’re Doing These Weird Things

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James' World


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Are you pushing your man away without even realizing it? While you may think you know best when it comes to keeping a guy happy, your women’s intuition may be completely wrong.


You Might Lose Your Partner If You're Doing These Weird Things

Seven weird things women do that actually push men away



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When Broken Wings Fly

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4 out of 5 teenagers who attempt suicide show clear warning signs. People don’t always say they need help. They scream out their pain in silence. It’s not just social media. They’re not just memes, GIFs and likes. Art speaks.





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