Jan
Jan had pain in her left knee, having previously had a “brilliant” outcome from the same surgery on her right knee. At her appointment to discuss treatment options for her left knee, Jan was told she will likely need to wait another two years before joint replacement surgery took place. However, after 8 months waiting, Jan had a total knee replacement. The result has been a “disappointment” in comparison to her previous replacement, and she has struggled to get post-operative care.
Jan is a retired checkout assistant. She is divorced, and has two children and seven grandchildren. Her ethnicity is White British.
More about me...
Jan had pain in her left knee that she hoped would be resolved with a total knee replacement surgery. She previously had the same operation on her right knee about four years earlier. Jan has also had both of her shoulder joints replaced. She takes allopurinol to manage gout, atorvastatin for cholesterol, perindopril for high blood pressure, and levothyroxine for an underactive thyroid. She also takes lansoprazole to lower stomach acid and protect from indigestion and ulcers.
Around eight years ago, Jan lost a substantial amount of weight after having a stomach bypass surgery. This helped her lose “about five major [health condition] things that was detrimental to my life”, including high blood pressure, type 2 diabetes, and kidney problems. However, she believes that the “damage had already been done” to her knees, and that she was already at risk because of arthritis running in her family.
In her daily life, Jan struggled with carrying out tasks like walking her dog or hanging laundry because of her left knee pain. She was “frustrated” that her pain made it more difficult to play with her grandchildren. Although Jan’s left knee had been hurting for a while, “when Covid-19 hit, I let it slide”, which she came to think was a mistake. When she went for an x-ray, her GP told her that there wasn’t much observable damage. Jan was surprised by this because her left knee was more painful than her right knee had been before surgery. She then had an MRI scan and was told that the damage to her knee joint was “dreadful”, with “bone on bone”. Jan previously had steroid injections but these did not help and one was particularly painful. She tried to avoid taking pain-relief medication, as these previously contributed to kidney problems, and only takes paracetamol “when I have to”. She also used a pain relief pen, and hot and cold pads.
Based on her past experience with her right knee, Jan had expected the surgeon would recommend total knee replacement for her left knee. She had a really good experience of her first knee replacement, both in terms of the operation and recovery afterwards. She watched the operation on a screen as it took place, which she found fascinating, and “within ten minutes of getting in the recovery room, I was sat up drinking a cup a tea”. Jan is very pleased with the outcome of her first knee replacement. Before and after the operation, Jan did physiotherapy and she credits this with having an “absolutely brilliant” outcome with her right knee. She hoped to attend the course again before having her left knee replaced.
Before going into her consultation about knee surgery for her left side, Jan was confident that “my decision is yes, I need it”. She hoped that the surgeon wouldn’t say that she was not suitable or that the damage to the knee had “gone too far” because of the time that had elapsed since her problems started.
At her appointment, Jan was told that she needed the knee surgery but would likely have to wait two years for it. Whilst she had been expecting this, Jan’s “heart sank” as this is a “long time to be in pain”. Jan appreciated that her surgeon took the time to acknowledge that she had already been waiting a long time. She found her surgeon to be “absolutely brilliant”, though she was disappointed to learn private patients with less severe cases than hers were getting surgery so much sooner. Whilst Jan was frustrated that those going private are able to skip the NHS queue, she understands that “anyone would” to stop the pain if they could afford it.
Expecting to wait another 18 months before she had surgery, Jan signed up for a cancellations list in the hopes of being called up sooner. She didn’t think that phoning the hospital would speed things along but was prepared to “bother them when I’m not coping”, for example if she became almost completely housebound. Whilst waiting for her surgery, Jan focused on managing her pain as best as she could. Her GP prescribed her an extra tablet which reduced the swelling in her knee but didn’t help much with pain or mobility. She started using elbow crutches, which she found better for her posture, whereas a walking stick hurt her hands. Jan tried not to think too much about the risks of surgery, but the eight month wait meant she “had a lot longer to think about it”. Being at home a lot, and unable to distract herself with other activities because of her knee problem, added to this.
Jan received an appointment with a fortnights notice. She had a total knee replacement under an epidural, which was presented as the only option for anaesthetic. Jan found it concerning that she was only sent home with paracetamol and was never given an appointment with a physiotherapist. As Jan’s children were unavailable to help with her recovery, she had to manage on her own. While this was a “terrible” experience, she made it through with arrangements she had made prior to surgery.
Unfortunately, Jan feels the results of her surgery have been “such a disappointment” in comparison to her first knee replacement. She continues to have knee pain 11 months on from her surgery and still takes the same amount of medication that she did before the operation. She has tried to get a follow up appointment with the surgeon, but has been unable to get through to book one. Getting help from her GP has also proved difficult. In her experience, she found the support “fizzles out” after the surgery.
Jan currently takes paracetamol, tramadol, and a Matrifen pain patch for her knee and shoulder pain. She has also started using a freeze spray to help with her joints. Jan has experienced some further health problems recently, including a minor heart attack. Given the outcome of her knee replacement and her heart issues, Jan would prefer not to have any surgeries on her troublesome knee or shoulder anytime soon. She plans to “keep plodding on”, as she is still able to do things like walking her dog and getting groceries. Jan would like the chance to talk with a specialist and see if there are any other options to relieve her ongoing knee pain.
Hanging out the washing could take an hour as Jan had to do a few things at a time and then rest.
Hanging out the washing could take an hour as Jan had to do a few things at a time and then rest.
And the arthritis has stopped me getting into little jobs that would take me mind off it. You can’t, I can’t start a big job because I can’t see them through, ‘cause me arthritis won’t let me.
See what I mean? [Laughs] Now hanging out the washing takes like an hour whereas it used to take me ten minutes, fifteen minutes, I can take up to an hour now to do it because the shoulders don’t work like they should do.
So, hanging and so pegging it up. And the knee will only let me stand on it for so long before I have to sit down. So, I have to hang up a few things and then come in and sit down and then go back and hang up some more.
Jan had pseudogout in her knee which caused continuous swelling and pain which was related to the arthritis she had in her knee.
Jan had pseudogout in her knee which caused continuous swelling and pain which was related to the arthritis she had in her knee.
Was it your GP that at first said, “It doesn't look like there’s anything wrong with the X-ray”?
Yeah. It was my actual GP, yeah. Yes, it was.
And did you have to ask them to kind of escalate it to push it further or were they sort of going to leave it at that point?
Yeah, yeah, I did, which is when I saw this other lady and she was the one that got everything done for me. She was the one that actually realised that the extra pain in the swelling, this knee is permanently swollen. This knee, the right knee, before I had that one done used to swell after exercise or being on it all day and then overnight, the swelling would go down, the pain would go down. This knee, no. It’s continuously, permanently swollen. It’s in a right state. The whole leg is, actually. And that scope physio then, she was the one that got me on that colchicine tablet and said, I think it’s pseudo gout. It’s in there with the arthritis and so she suggested to the doctor to put me on this other tablet. So, she’s done as much for me as my doctor’s done, to be honest. She was absolutely amazing.
So, it sounds like the sort of pseudo gout and the knee problem were sort of affecting each other then? Sort of making each other—yeah.
Yes, yes and that was why, that’s why the, you know, the swelling is there permanently. It never goes down, not even at night, resting or anything. It doesn't go down.
You know, and everybody says, “Oh my, why’s that leg so much bigger than the other one?” It’s all to do with me arthritis, so. You just learn to live with it, love.
That was that wonderful- that was a physio lady that got that done for me, the doctors didn’t—it was the physio lady that got it done for me. The one that suggested that I had the - when my swelling wouldn't go down, and she suggested that it was pseudogout.
So, I went back to the doctor and said that the physio had suggested it was pseudogout, and to put me on these tablets, so the doctor did and the swelling went, it was amazing. This special physio, they called her a scope physio or something like that? I haven't heard of it—
Extended scope- extended scope?
Yes. Yeah. I hadn’t heard of it before.
That’s what she was and she was at [city name]. She was the one that got me the MRI. She was the one that got me the swelling down, because she was the one that thought it was the pseudogout. She was the one that got me the exercises before.
So, I’d love to find her again, but I never will, but I’m sure she would get me some exercises to do. She was brilliant.
Jan had knee problems for a long time before she saw her GP. The Covid-19 pandemic made it harder to see her GP face to face.
Jan had knee problems for a long time before she saw her GP. The Covid-19 pandemic made it harder to see her GP face to face.
And thinking about your left knee - how long ago do you think you started having problems with it before you went to go see your doctor about it?
Quite a long time, actually. I was naughty. After suffering with the right, I should’ve gone before, but because of Covid and that, you know, I didn't. I should’ve gone. I think I did go before Covid hit, but when Covid hit I let it slide, if you know what I mean? I didn't keep on, ‘cause I thought, I can’t because you can’t ever [have] one-to-one with the doctor anymore and all that sort of thing stopped, you know?
And I thought, if I can’t talk to anybody about it, I can’t just you know, do anything. But just walk and do the best I can. So, yeah, it went on a long time before I actually reported it, which was silly of me, really.
Was there sort of—
In the end, the pain was so bad that I just said, “I think I ought to have an X-ray.” And that’s when the doctor said, okay.
Jan tried many over-the-counter pain relief treatments over the years. She used an opioid pain relief patch which was effective in managing her shoulder and knee pain.
Jan tried many over-the-counter pain relief treatments over the years. She used an opioid pain relief patch which was effective in managing her shoulder and knee pain.
Lots of other things, all the over-the-counter treatments, I’ve used every one of ‘em [laughs].
Hot pads, cold pads, these pain things you could press it’s like a pen. I don’t know if you’ve seen them?
Okay.
They, they’re advertised everywhere. It’s like a pain control pen. And I don’t know what it does. It’s just like little needles that come out.
Oh okay.
And yeah and you press that on it. It only relieves it for a matter of minutes, really. It wasn’t very successful. But I think I’ve tried nearly everything that’s out there that they’ve advertised, I’ll give it a go. I’ll give anything a go [laughs].
And was that for both of your shoulders and your knees that you've tried all these treatments? Like the cold presses-
Absolutely, yeah, yeah. Everything. Yes ‘cause I feel like, okay, so it didn't work for my left shoulder, but it might work for my right. So, I always gave it a go. I gave everything a go and like I say, if it didn't work then I just didn't give it up altogether. I thought well, okay, so it didn't work on that one, but it might work on the other. Sure enough, sometimes it did, sometimes it didn't.
But yeah, tried nearly everything my dear [laughs].
I’ve already got the pain patch which I can’t give up, I’m afraid. I’m probably addicted to that now, it’s oh, what’s it called... oh my brain, honestly, let me get my medical records. It’s a-, it releases stuff into my system every 12 hours, I have to replace it every three days.
It must be on the shoulder, it doesn’t matter where, but-, and on the left shoulder once. Then when you change it, on the third day, then it has to go to the right shoulder. And then three days later it has to go back to the left shoulder, so it has to be like that.
Yeah, and it is called ‘Matrifen’.
Matrifen.
It’s 75mg of-, and in fact there-, oh, no, I don’t know what it is, it-, they are controlled drugs, I can’t get them-, you can’t get them on an ordinary prescription, it has to be a special prescription—from the doctor. It’s called a ‘controlled drug’, so it is very strong. So I have that all the time, and that is literally because of both the knees and the shoulder. So he said, “Yes, okay, you’re in that much pain that you do need constant...” Something that’s going into me constantly.
Jan had a walking stick for a while but found that because of osteoarthritis in her hands it became painful to grip. She tried elbow crutches which were much easier to use.
Jan had a walking stick for a while but found that because of osteoarthritis in her hands it became painful to grip. She tried elbow crutches which were much easier to use.
Oh gosh yes, I’ve- my daughter bought me, thank goodness, because I couldn't afford them, something that I borrow from a friend of mine: when I was complaining that my walking sticks, I have walking sticks, but because of the arthritis in my hands, it was hurting my hands to grip the sticks...
So my friend said, “Oh, try my crutches,” and I said, “What’s the difference in them, you’ve still got to grip the crutch?” “No, no,” she said, “not mine,” she said, “they’re called elbow crutches.”
I said, “Oh right,” she said, “You just hold with your elbow, you don’t-” you can grip with your hand but you don’t have to, your hand goes underneath a strap. And so she said, “have a go and see what you think.” So, I did, so I was upright better than with the walking stick, I wasn’t so leaned over and it was much better on my hands.
So, I was telling my daughter about it, I said, “oh,” I said, “I’ve seen the price of them online,” I said, “I can’t afford them,” but I said, “they were-” I could tell the difference immediately. So then for my next birthday, lo and behold, my present from my daughter was my elbow crutches.
Aww.
So now I go walking with my elbow crutches and I’m more upright, it’s better for my posture, it’s better for my hands, so that’s an improvement.
Jan planned to get a walking stick with a seat so that she could rest when she needed to when walking her dog.
Jan planned to get a walking stick with a seat so that she could rest when she needed to when walking her dog.
And I’ve got a little dog, so she gets me out two or three times a day. So, yeah. So, I’m keeping up the exercises.
Do you find that’s manageable at the moment to sort of take your dog out for walks?
It hurts [laughs].
Yeah, it hurts [laughs]. I’m thinking, very much thinking to I’ve got a birthday coming up and I’m very much thinking, if there’s somebody to, like my daughter or son, is there anything in particular you want? And I’m gonna say, “I could do with one of them little carry- it’s a walking stick, but then it, it goes so you can sit on it? You know, just balance on it?"
I don’t need to sit down, but sometimes on a walk with her, I find I get halfway round and I’m thinking, ‘how am I gonna get back? I’ve done this, but how am I gonna get back?’
And I could literally just do with that little five-minute break and sit down for the knee to stop actually throbbing [laughs] and let, and let me carry on. So, I’m thinking about it. I have seen them advertised. [name of chemist] do one, I think. There’s several places that do them, and they’re not very cheap. But it’d be worth it. So, instead of just an ordinary walking stick, it will turn into this little platform thing that you can sit on. I’ll give it a go.
Before having knee surgery, Jan attended a physiotherapy exercise course which was “absolutely wonderful.”
Before having knee surgery, Jan attended a physiotherapy exercise course which was “absolutely wonderful.”
And I did beg the doctor to let me go to proper physio exercise class, so that I managed to get the proper exercise in before I had the operation. And my surgeon said, “Wonderful. Absolutely brilliant.” Wished all his patients would do it because it helps, considerably.
Can you remember how you—
So, and there was afterwards. Sorry.
No, that’s brilliant. I was wondering how you first knew about that exercise class that you had to sort of ask the doctor for.
It was a physio, a physio friend that I had donkey’s years ago that happened, you know, get in touch. And she was saying how you doing? And I was, "urggh, you don’t wanna, really wanna know.” But you know, I told her and she said, “Oh, well, you know, there is exercises that you can get in onto a course.” But they didn't really want me to. “Oh no, they’re all full. No, you can’t.”
And so I think I mentioned it to the surgeon on one of my visits and I had to go up for an X-ray or something. And I mentioned it to him. I said, “I wanted to do them.” He said, “Oh yes, so you should.” And then he put the wheels in motion. All of the sudden there was a place for me.
That’s brilliant.
[Laughs] So I started going. Yeah, ‘cause it was exercises that I’ve never even seen before or done before.
And it helped absolutely wonderful. So, I, I hope they’re still around and I’ll be able to do some more before I have this operation. ‘Cos I don't know how long I’ll have to wait. I’m expecting to wait up to another two years before I get this operation by the way things are going.
What sort of exercises? You said they were really good and there were some that you’d never known about before. Would you mind telling me a bit more about those?
Oh, there was, oh my gosh, there were loads of them. It wasn’t ones that I could come home here and do. It was things that was, in their room down there in their physio room like this great big, huge great big ball thing that we had to sit up and sit on and stand up and with your arms crossed over your shoulders and you know, so you got no help in doing it. So, your legs had to work. Your knee had to work to get you up and down.
Then there was something we had to do with the parallel bars, and then there was like steps up across like a platform and then down again. And you had to do that so many times, like you go up and down stairs, but you only do that like, you know, once or twice a day and you don’t think about it do you? But this was, it’s only about four steps, but it was like a little, little four steps and a platform across and then four steps down the other side.
So, you had to keep on doing it. You had to do it for like ten minutes each time. It was like, you did a, a round circuit like so you just kept changing to every different obstacle, if you know what I mean?
And that went on for an hour. That was an hour once a fortnight I think it was. I think it was once a fortnight I had to go. And it was amazing. Absolutely amazing. The knee was better when it, when it come to be actually operated on, it was better than what it was when I started.
Jan had physiotherapy for about a fortnight after knee surgery then continued with the exercises at home.
Jan had physiotherapy for about a fortnight after knee surgery then continued with the exercises at home.
Did you have any physiotherapy after your right knee was replaced or for either of your shoulders?
Yes. Oh yes, I did, yeah. Not for long, not for as long as I’d like to have, but I got them to like write it down on a piece of paper so that I could carry them on.
And they gave me these lovely strappy band things that you can push and you know, elastic band things? So, I kept up all the exercises even after they gave up. ‘Cause they can’t keep it up, they’ve got so many on their books. They can only let you have physio for about a fortnight after the op and then they gotta go onto somebody else.
So, I just asked them to write them all down so that I could carry them on after they’d gone.
That’s good.
…and it helped. It helped. Definately.
Jan had an MRI after an X-ray failed to show the extent of her severe knee deterioration.
Jan had an MRI after an X-ray failed to show the extent of her severe knee deterioration.
Was there sort of—
In the end, the pain was so bad that I just said, “I think I ought to have an X-ray.” And that’s when the doctor said, okay.
And have you had that X-ray now?
Oh gosh, yes, I had the X-ray and she said, “Well, I, I don’t understand why, you’ve been through quite a lot of pain in your life. I don’t understand why you’re complaining because it doesn’t look like there’s much wrong with the knee.” I said, “Really? I said, it’s more painful than the right one was, before I had that one done.” I said, “I really don’t understand it.”
She said, “Well, I can assure you that I’ve seen results of the X-ray and it’s not so bad at all.”
And then I can’t remember what else happened. Something else happened. And I happened to see this, ah, fantastic lady. I don’t know where she was from. She was I think it was like a scope physiotherapist or something like that she was called.
And she said, “I think what we need to do is give you MRI.” Would it be? Something bigger anyway. And I had to go to [the hospital] for it. The, the X-ray they had was done by this tiny little hospital here in [town].
And she said, “No, I think you need an MRI done in [hospital].” And when I had that done which was a long time after the actual X-rays, I had that done. That came back and the doctor said, “Oh my goodness, no wonder, no wonder you know? It didn't look - the X-ray didn't show up a thing ‘cause it didn't show enough, if you see what I mean?” And all the arthritis had blocked out the sight of the bones and everything really, because it’s like bone on bone. The arthritis had eaten away at everything, again. She said, “It’s, it’s mega. It’s dreadful.”
Jan’s knee had stayed the same in the six months she had been waiting. She didn’t mind waiting while she was still able to be active.
Jan’s knee had stayed the same in the six months she had been waiting. She didn’t mind waiting while she was still able to be active.
Since they introduced that extra tablet, the swelling has stayed down so no, it’s just about the same really, so I’m pleased to say it’s nice to be able to say that it hasn’t got worse. I’m very pleased about that because I still might have to wait at least another 18 months, because he said two years, and that was back in October, was it, or December when I saw him?
He said it would be another two years, so at least I’ve done another six months and it’s still about the same, so that’s not too bad.
What would not coping look like, what would that involve do you think?
Well, it would involve me not being able to walk my dog, or not being able to actually do the lawns, or whatever, you know? It would be- and I- [sighs] I’d grumble at lesser things, but I wouldn't do anything about it if you see what I mean?
It would have to be that, I’m literally near enough housebound, not being able to use my legs at all, that- you know, my knee at all, then I would have to complain.
Jan had her total knee replacement surgery in a private hospital, paid for by the NHS. She was only given the option of an epidural and she was discharged in the evening of her operation.
Jan had her total knee replacement surgery in a private hospital, paid for by the NHS. She was only given the option of an epidural and she was discharged in the evening of her operation.
Right well, what I was surprised at was I didn’t even have to stay overnight, and the operation was done at lunchtime and then I was sent home six o’clock that night, which was very surprising, [chuckles] But apparently that’s the way they are doing it these days. So, it was done by the needle in the back, so you don’t have to be actually put off, are you with me?
With the anaesthetic?
But I don’t know what it’s called. Yeah.
Is it the epidural, the back one, the spine—?
That’s it, that’s it, that’s the word, yes. So you’re not given so much anaesthetic, so they can just sort of, yeah, turf you out, [laughs] but, so I was surprised at that.
No, I mean obviously just before the surgery, and you saw the anaesthetist, and he just asked you questions before you went down, but that was on the day of the actual surgery, yeah.
And had you talked or thought about the anaesthetic? So, I know you went for an epidural or you had a—
I didn’t go for, it’s what they give me, I didn’t have the choice of having an ordinary operation, it was the epidural or not at all, so, you know?
With the first one they didn’t give me a choice of having the injection in the back and only-, and going home the same day, I wasn’t even told about that with the first surgery, you were in, you stayed your three days and you had proper surgery, you were put out properly and, you know? But this second one it was this other way, or not at all, so there you go.
Jan is disappointed with the outcome of her total knee replacement which had not been as successful as her previous knee replacement surgery on her other knee.
Jan is disappointed with the outcome of her total knee replacement which had not been as successful as her previous knee replacement surgery on her other knee.
I mean, except for the horrendous pain, which they did warn me about, it was more painful than the first knee, afterwards, and unfortunately, it’s been very, very painful ever since and still is, and that’s the awful thing.
Well yeah, I mean it’s just sort of continued and it looked like it was getting better. And you think, ‘oh, thank goodness for that,’ and then it wouldn’t, it would just get worse again.
I’ve spoken to several other people around in [town] who’ve had knee replacements and they’ve said the same: their first one acted exactly fine and how they were told it would happen, but the second one, because it was done differently, each one of us that I’ve spoken to. We all had proper surgery on the first knee, we were put out, we spent four days in hospital and it was absolutely fine, it’s only - everybody is saying the same - it’s only because we had the epidural, we weren’t given-, we weren’t given the proper anaesthetic and they tossed us out, we weren’t given anything that we used to-, that we had with the first knee, if you see what I mean?
Oh, okay.
We were in hospital for four days and I think that it started off with decent treatment, but we were sent-, all we were sent home with was just paracetamol, and it didn’t touch the sides, with anybody that I’ve spoken to, you know?
So yes, it continued to get a little bit better and then it would get worse, and then it would get a bit better, depending on what you do. I mean if you sit around doing nothing, it’s fine while you’re resting, but then when you get up, it’s no good at all because you can’t even walk on it. You’ve got to keep it going, and I’m still doing the exercises even nearly a year later.
The activities that you were hoping to get back to after you’d had the surgery, have you been able to do them—?
None, I haven’t done any, I can’t do anything that I was hoping to have done, that I did with the first knee. With the first one I did everything: I was playing with the grandchildren, playing cricket, doing everything, riding a bike – I can’t even get on one now, leave alone ride it, so yeah.
Everything they promised with the first knee, happened, and it was absolutely wonderful, but nothing, I can’t do anything with this second one at all; it’s such a shame, it’s such a disappointment, love.
And you just-, well, you know? You want it done because the first one was so successful, you want it done because you want to be out of pain, I certainly didn’t think 12 months down the line I’d still be in pain; I can’t believe it, it’s hard to believe.
Jan feels the aftercare support after her knee replacement has "fallen by the wayside." She has no physiotherapist she can ring to ask "Is this right? Is this expected?"
Jan feels the aftercare support after her knee replacement has "fallen by the wayside." She has no physiotherapist she can ring to ask "Is this right? Is this expected?"
If I wanted extra pain stuff, I only had to ask and I got it, so everything before the operations was good, it’s just anything following up since—seems to have fallen by the wayside or something, yeah. It’s such a shame.
With being, having the surgery and then going home the next, the same day, so not even an—
Yes.
—overnight stay? How—
I know that was awful, it was horrendous—
Was that something that you had been expecting, or was that a surprise?
No, I wasn’t expecting that at all, no, no. They said, “Pack a bag, bring an overnight bag,” you know? And I thought, ‘well, overnight?’ I mean I was in for four days last time, so I packed a bigger bag than just an overnight bag, but I didn’t even have to use anything because I was sent home that night; I couldn’t believe it.
How did you cope once you got home? Because obviously you’ve just had a major surgery and—
Exactly.
—you’ve lived alone and yeah.
It was awful, it was awful, love; I felt very alone.
If I had backup, it’s nice to be able to talk to somebody, but you see I’ve got no backup, no backup at all, that’s what I find worse than anything really, if you know what I mean?
If only a physio-, if only I could ring a physio and say, ‘is this-,’ you know, ‘is this right, is this expected?’ You know? Or if there’s anything else I can do, is there any more exercises, different than what I’ve already got that I can be doing? That would help, you know?
Because I do-, I love exercising and I don’t mind what I do: all I’m doing is following the ones that were given to me immediately after the operation, you know? And I just keep them up, and as I said I’ve-, I’ve even kept them up on my other knee from all that time ago, I do them every day, it’s the first thing I do when I get out of bed is do my exercises with both legs, and my arms, and my shoulders – I keep them up.