Truth 💥

A lot of what’s happening doesn’t seem to be spreading anymore by mainstream media. A tree that stood for an estimated 150–250 years was destroyed today to make way for Trump’s border wall.

CEO-to-worker pay ratio in 1965: 20-1 CEO-to-worker pay ratio in 1990: 75-1 CEO-to-worker pay ratio today: 325-to-1 Trickle-down economics was always a sham. Nothing has ever trickled down.

Thanks! Infections are most common in knee replacement due to the fact biofilms can grow on the hardware they insert…

Yes most infections come from the patient based on sequencing data…

Antibiotics in nose for 3 days before, 3 showers with special soap before going in, more washes in room before surgery, more stuff shoved up nose…and surgeons wear space suits to limit release of microbes.

6/6 Infection is the biggest risk, so choose a team that takes prevention seriously, from the OR to the front desk. Everyone's path differs by age, fitness, and strength. Mine has gone well, and I feel blessed. Happy to answer questions.

5/6 Rest in week one. Scar tissue builds slower than you fear (or you are told). Time on the stationary bike kept my knee loose (check with your PT on what's right for you). When the knee gets too tight, I stop pushing and let the swelling settle. Then everything gets easier.

4/6 Pain: I stayed ahead of it. I took opioids for the first few nights, on top of the rest of my plan, including Journavx. Within days I was sleeping 6 to 7 hours a night and walking. The hardest parts were exhaustion and stiffness. I had zero bruising.

3/6 What helped most: family support and a great surgeon w/ team that works as one. Surgeon, PA, nurse, and scheduler are all linked. Good leaders set the standard, and it filters down to everyone. Mine uses the latest techniques: no tourniquet, strong infection prevention, modern pain management.

2/6 Where I am now: my knee feels solid, I'm walking without a cane, I drove for the first time today, and I'm bending at 120° (beyond goal of 90°). Fully straightening is my next focus. I still tire easily, so full recovery will take time, but I'm heading in the right direction.

1/6 Update four weeks after my total knee replacement surgery: zero regrets. I was terrified going in. The photos and horror stories almost made me bail. But I had major instability and bone-on-bone wear bowing my legs, and it was only going to get worse. A thread on what helped. 🧵

Way to go, California! Gov. Gavin Newsom signed a bill yesterday banning law enforcement (ICE) from using electric shock gloves.