Jason Lunn.com/ Portfolio of a life…..

Week 1

Hospitalised Morphine 4 days intravenous
knee brace 0-90 degrees in bed super painful
catheter following op

vomited 6 times day after surgery
medication after

Week 2 -Week 6

Crutches non weight bearing status brace every day and evening
tubigrip doubled over mid shin to mid thigh

Medication
Tramadol 50mg x2 4 x day
100mg paracetemol x2 4x day
400mg ibuprofen 3x a day.

exercises limited to bending and straightening knee 0-90 with contraction of quads through out the day.

Dressings, Tubigrip full length doubled over

Staples from femoral osteotomy and stitches for keyhole surgery removed on day 10. However wound from osteotemy was not completely healed and needed redressing with steer strips for a further 7 days.

Mild swelling and fluid would accumulate in top of knee capsule ofter quad contraction in extension and in order to bend knee again I would have to massage
fluid manually and push to lower half of knee capsule either side of patella. I could see the fluid move and feel a release which allowed me to bend my knee freely again.

I would experience swelling if I spent too much time during the day walking on crutches. If I slept with my leg raised the swelling would greatly reduce.

Leg (quad and calf ) contractions including walking on crutches with a 5% weight bearing  heel toe strike on the floor (to continue natural walking range of motion)  were the only exercise for 6 weeks.

Other body exercises
I would lean against a wall with my crutches and perform 3 sets 0f 10 reps bent and straight leg raises to my chest to exercise and strengthen my core. However not everyday just when ever I felt strong and full of energy.

Scar tissue.

At week six consultation

4 of 5 entry points into my knee for keyhole surgery had healed well and skin was moving freely over knee. However I entry point on the lateral side where the damaged meniscus was replaced. The scar had fused all the way down to the bone and when my knee would swell would take on the appearance of a “potato eye” This was also painful area and restrictive. I massaged this scar tissue for 7 weeks post up and on approx week 8 I pushed it really hard down towards my foot and I felt it tear and begin to release with bait more of a push with two pop pop it released completely and my skin over my knee has been moving freely since pain free. A very satisfying moment in my recovery.

Week 6 Consultation,

all had healed well weight bearing x rays and concerns from Mr James Robinson Southmead Hospital that he felt that he had over corrected my leg on the ostotemy  in to valgus (bow leg) status by a few too many degrees. He explained the knee was far more damaged than he had expected and wanted to protect the new meniscus transplant by removing the weight/ load forces through the joint as far to the medial compartment as possible. He decided to correct my alignment with a 10mm wedge removed from my femur then plated and screwed. This combined with the new meniscus opening up the joint space somewhat as well has moved my foot approximately 5-5.5 inches over to the left from where it was previously aligned. This has successfully transferred the load bearing well over to the medial side. However he feels the aim to have it through the centre of the knee would be better.

I personally am happy to try for a year and will decide if I experience ankle hip or back pain then I will be prepared to undergo an opening femoral osteotemy with a 5mm wedge to realign my bio mechanics to their optimum. However I feel there is no rush to do this because the longer the meniscal transplant has to heal with a reduced load and force through it is actual y more beneficial. However if upon my return to increased activity I feel pain in other areas this will be essential to re correct my biomechanical alignment.

Week 6 -12 Partial weight bearing 0-90 degree rom in brace

At my physio appointment  I was told to stand with my well leg on the floor and my post op leg on a floor scale and was told to weight bear until I understood what 50% weight bearing felt like. In my case this was 50% my body weight that day 40kg. I discovered I had gained about 3 kilos in 6 weeks from inactivity.

Week 6-9
Knee brace 24 hours a day, taken off when resting on sofas and seats. exercise same as week 0-6 just muscle flexion and contractions.

Scar tissue healing nicely, uneventful period, not much swelling.
week 10- 12 I had a general feeling that I wanted to increase my weight bearing progressively each day so that at week 12 the full weight bearing stage in my recovery it would be a smooth transition to removing the knee brace and crutches and walking without them. This progressive weight bearing was basically walking to the toilet and kitchen at home without crutches.

Week 11

I was walking up and down stairs with a brace but no crutches however walking up felt fine but walking down was not one at a time rather foot to foot, meeting on each step.

Pain has decreased through out this period slightly each day and I had a struggle coming off tramadol at week 8, reduced dose to two a day for about a week then two every other day for about 5 days. Highly physiologically addictive with withdrawal symptoms simulate to other opiates such as heroin and morphine according to the research I read.

The pain in my knee increases if there is swelling after activity of any kind and feels sore all over with sharpness occasionally in the lateral compartment where I had the transplant. This does worry me sometimes however the pain does move location so I think its a general result of the trauma from surgery 5 hrs total rather than any acute knee problem.

Week 12.

Off crutches, knee brace returned to the hospital. range of motion unassisted is approximately 125 degrees with no pain. Now full weight bearing and learning to walk with a correct gait pattern. I feel stiffness in full extension which makes me walk with a slight unevenness not quite a limp.

Week 13-14

walking for 30 minutes twice a day, cycling for 30 minutes every other day, Cycling painful in the upper part of the pedal stroke as knee is bent at 125 degrees and feels stiff, however I feel much stronger the following day so I am continuing. Cycling standing up eg. up hills is still painful and I chooses to lower my  gear ratio and cycle uphill sitting or walking.

Started stair training in the multi story car park 10 flights of stairs (18 steps each flight) walk up stairs 2 seeps at a time 10 flights, take elevator/lift to ground floor then repeat. Managed  to do this 6 times had to stop because my friend Avril kept complaining she was tired. I wanted to do 10 times 100 flights total and I think I could have but she had the car keys so I stopped.. Knee feels ok the day after

“You can kiss your family and friends good-bye and put miles between you, but at the same time you carry them with you in your heart, your mind, your stomach, because you do not just live in a world but a world lives in you.” ~ Frederick Buechner

I love this quote I found it on this site I stumbled across http://www.dancingwithhappiness.com .As a quote it pretty much describes how I feel. I do feel that regardless of whatever direction life takes our loved ones through the actions of past events, circumstances and other people that are beyond our personal control, this does not change how deep a relationship runs through the core of our energy, and if the relationships also include shared genetics and bloodlines then the energy runs deeper again.

That energy is where i have always found my strength

7 weeks post op Still on Crutches and in a knee brace 24/7. This week I was upgraded by the physio to partiall weight bearing status, 50% of my body weight is allowed on my right leg. They weighed me I am approx 80kg at the moment (5 Heavier than a year ago) and then they made me stand with my right foot on the scales and pressed until the scales read 40kg. This was so that I understood the amount of pressure I could place on my leg.

More Importantantly, The Tramadol painkillers are proving very difficult to come off I tried just to stop taking them on 2 occasions and had heroin like withdrawal symptoms that were too much too deal with. Now ,I have reduced my dose from 2x50mg 4 times a day to just 2 a day but, when i stopped for a day, I had nausea, cold sweats, shakes, anxiety depression, fever and diorreah, so I have done some research and need to wean myself off slowly over a period. Been using natural remedies grown locally and that seems to be working well. Scar has healed up well and it feels good inside. I am daily dreaming about skateboarding on Vert once again, maybe in a year or so if all goes well.

This really was a heavy surgery and the recovery is slow and painful, due to the crutches also very cumbersome but I am making progress and that is noticeable each day. Huge thanks to my good friend Avril Elias and Sara Havord for all their support and help with my shopping for food, I would have really struggled without them.

just returned from Southmead Hospital Bristol after 51/2 hrs of surgical intervention to my right knee.
This was a biological knee resplacement or also known as a meniscus transplant from a donor to the lateral(outside ) compartment of my right knee. I have also had a Femoral Osteotomy, which is the surgeaon breaking the lower half of my right femur bone, removing a wedge and rejoining it with screws and a plate. This will give me a 10 degree correction to my knee and weight bearing correction from the new transplant lateral side to the medial side which has stable healthy meniscus still in tact.Basically my right knee has gone from being slightly knock kneed into a more bandy or bow legged knee. Finally the third part of my surgery was to drill multiple holes through the end of my knee into the bone marrow to release stem cells to the surface where I have worn away all the articular cartilage on my bone ends. Thids is in the how to try and regenerate some meniscus growth on my femoral and tibial bone ends as not to wear out the newly sutured meniscus transplant.

I was in Hospital a total of 5 days on a Morphine PCA drip and I was discharged once i had shown sufficient stability on crutches. The whole experience was a positive one and my spirits feel high and hopeful. The surgeons assistants have visited me and said that the surgery was a complete success on every level. However I have a very slow and painful recovery ahead of me. 6-10 weeks on crutches non weight bearing followed by partial weight bearing for another month, then the beginning of flexion and strengthening exercises to bring my knee and general fitness levels back to and hopefully beyond my preoperative state.

I plan on turning my blog into a recovery diary for this period..

This is a quick video clip of the effects of morphine on a pca drip and having my dressings removed 3 days following surgery..

Rained most of July and August the great British summer, but today the sun is high and what a difference that makes to how life looks and feels, gonna get some great photos today somewhere of something not sure what yet.

In England all I seem to do is work work work, cycle around under grey wet clouds and feel very tired most of the time whilst I hear really depressing information on every newspaper headline and Tv Station. Radio is a complete windup as I am bombarded with the same absolute low grade shitty pop music on nearly every radio station repeatedly every day week after week whilst I am at work. There is most definitely an industry and government agenda here for the complete brain blitzing of the same shitty radio and sound frequencies on a daily basis..There are so many songs and so many artists yet rhianna, take that, black eyed peas, etc etc,.. are played over and over again all fxxxxing day long.. When I try and re tune there is too much interference so we end up back on the same old mass broadcasting stations which seem to have the strongest signals.. There is a massive culture of Fear in the Uk and an attempt to keep people ignorant of this fact.. Have you ever noticed how many arrows you are expected to follow in one day, from train stations, road signs, entry signs, door ways, corridors, hallways, restaurants, hotels museums, the list goes on,..Instead of polite service at stores you now have to scan it all yourself as a security guard watches over your shoulder as it is assumed all customers are potential thieves..The cameras are on us everywhere and it is all controlled by absolute low grade unintelligent dimwits who will always reply, you are not allowed to do that, its more than my jobs worth, and I didnt make the rules. You cannot even lock your bike to some railings unless the sign permits it.. or run for a train! Bouncers want to bounce you , parking wardens, many of the police bus drivers and especially railway guards are some of the most dehuminised spiritually dead examples of humanity I come across regularly on my daily path..It appears that people with little self control choose positions where they can mindlessly exercise control to the greatest extent over others. I have recently found many train guards to be one of the lowest forms as they now wait in teams at automated barriers still checking your ticket before they use their own to let you through, what a complete waste of a day, resources and a life.
I am sure they would have become police if they were able to the 5 pull ups, 10 press ups and ability to count to ten that is necessary to be accepted… England is becoming more legislated by the minute, to repair this situation would be to RE -pair Human beings with Common sense, until that day it appears we will just have common nonsense…EVERYWHERE..

Rant Over!

20th Oct 2011 I will be having meniscus transplant surgery on my right knee courtesy of the National Health.. Pioneering surgery in the Uk by Dr James Robinson Southmead Hospital. He is a long standing reputable knee surgeon and just been trained in this newish technique and I will possibly be his first patient to undergo this surgery..Hopefully happy days to follow as my knee is painful as all hell at the moment..

Ok Its been a long time since I have updated my Blog I am back in the Uk, life is so busy and expensive, I have been basically working doing various jobs to get back to Indonesia when possible..Here is my news so far

I have seen a knee consultant and have been having major knee problems with an old knee injury and it looks like I am having some surgery in Octoberish so x ray photos and updates soon ,..

Workwise I have been using my photography and design skills for various clients and projects, inbetween I have been doing some carpentry and shop fitting with my flat mate Joe, so I have been keeping busy.. Still have my eye focused on my dreams but its very much one step at a time in the direction of my dreams and measure the progress each month but I have been making progress..

Land titles for land in Lombok have made some advances with regards certificates and registration.. so that is all good..

I have been re designing my website and that will be coming soon with all new content..

HOWEVER… that all pales into insignifigance after I saw this wingsuit video on YOUTUBE,.. I have never heard of proximity flying but basically this is the flying dream come true!!! unbelievable I now fall asleep dreaming of this and waking up thinking of this and I feel a strong calling towards taking the steps towards maybe one day experiencing this feeling..So we are working on regaining knee strength for this…

CHECK THIS OUT!!!! YeeeeeeeHaaaaaaaa……

This is the Reality check if you like what you see  approx 168 deaths in 30 years, so thats 55ish every 10 years, 5.5 people a year, not as bad as one would expect, surfing drowns way more each year.. www. Splatula.com

I do not own a bmx or a skateboard for ramp skating at the moment and the knees are sore and this is my first attempt at riding a totally unsuitable 26″ wheeled mountainbike on a skateboard Halfpipe in Bath Uk. Old school Bmx tricks from back in the 80s’s…

A slow motion test with the Canon 7D Full HD capability at 50 frames per second, College green Bristol..

A short edit from my day trip to Bath on my mountainbike the other day..

Last weeks Edit filmed in Bristol, clocks have gone forward 1 Hour so the evenings are getting lighter..

I have been working a fair bit doing some renovation work and inbetween I have managed to get out and use my new Canon 7D and get used to filming with a digital SLR it has amazing slow motion capabilities at 50 fps

I have been playing a bit on a mountainbike lately as I am cycling everywhere and am getting the feel for how it handles. This is my flatmate Joes bike and he likes to ride downhill trails a bit and this is a short clip from Cwm Carn Track in Wales, just jumping the tabletop..

I have started to spend some of the Jessops replacement product vouchers that I received for my Canon Eos 1ds mk2 camera that was damaged beyond repair in  Sumbawa Lakey peak when my camera water housing leaked,.. (Archived here) below are some photos I have taken with it. It feels great to have super responsive full frame DSLR camera again and an assortment of lenses to choose from.. My whole blog for over 2 years has been decorated with photos from my small portable pocket point and shoot a Canon G10..it has served its purpose well but now I can step up my game again having stepped down for a while..

Rik Brookes "Mr Riks" by Jason Lunn Royal Crescent

Royal Crescent Canon EF 15mm Fish Eye, The world is round....

Another positive to what was a real tragedy at the time when my camera waterhousing leaked. The vouchers were for the same amount for a new camera so this has worked out well, I have managed to replace the original Mk2 with another I found on Ebay for a fifth of the price (this is as I still have the water housing and it has many years life still in it having been used only twice) However I have used the Jessops vouchers on a EOS Canon 7D which has HD filming capability. So below is a little test of its abilities in Bath Victoria Park on a sunny day the first time I have used it..

Its best viewed in the Hd setting at full screen

just a little edit of what was happening around at the time and my good friend Richard “Mr Riks” Brookes doing a few jumps and straddles to help me experiment with the 50 frames per second slow motion setting..

I used various lenses during this, all Canon as listed below for all who are interested in technical stuff

EF 70-200mm f2.8 L IS, EF 50mm f1.4 with macro screw on attachment, EF 16-35 f2.8, 15mm Fish Eye f 2.8..edited in Imovie

enjoy.

Me Paul and Alex went to surf Lynmouth again at 6 am this morning,.. freezing cold grey wet and miserable, waves kinda working..I have been to Lynmouth 8 times in my life and it is always grey and miserable which is a shame as it is one of the most beautiful British fishing villages you can find located in a picturesque valley. The surf is a left hand point break over boulders and needs a whole heap of swell in the Atlantic to make it up this far..Personally I had my all time worst surf today, having a few major back problems hurting all the time. I have recently acquired a Canon eos 7D and these are the shots from it. 18mp with Full HD capabilities so I am looking to experiment some more with it…It has a 1.6 magnification factor as it does not have full frame digital sensor so this means a 200mm lens becomes about a 320mm in reality which is much better focal length for surfing..if you are interested in that stuff

I have been bust working and sorting out a bunch of camera equipment and inbetween I have managed to edit through some of my video footages. Here is a small edit of my friend Eugene surfing in Sumbawa Indonesia, I filmed this on a sony VX 2100 3 Chip mini DV video camera. I managed to get a few various angles from the tower, the reef in a boat and also swimming with a water housing,.. Eugene is a good solid surfer from the Uk and spends every winter in Indonesia for approx 6 months..Enjoy

Its been damp, cold, grey and wet in the Uk, negative propaganda on the television, newspapers, billboards and announcements, stabbings, rape, murder, sex abuse, recession and more fear for everyone to digest….government and the powers that be are really trying to keep everyone down..

So here are some happy faces from my hardrive over the last two years that life is actually quite good.. enjoy

Surfed today second time at Lynmouth this week, wetsuit 5,4mm, gloves, hat, boots, freezing cold but has some fun met some new heads and surfed with my friend Cheeky Paul. Swell on magicseaweed.com was 10ft at 12 second period 3mph wind and this is what it produced at low tide. Very cold wet raining and gray but waves were pumping first half of the morning and surfing in the UK became something I enjoyed again!!

The view from the hill on the way down is amazing…

Lynmouth lining up a treat!

Motorway service station appearing like a sunrise 8am in the middle of winter

Ok workwise since I have been back I have been working with various friends fixing chimney satcks, roof leading, roofing in the snow and plastering ceilings.. I can do all these things and they are paying the bills…However inbetween I have been going through my last 15 years of video footage that I have filmed as I plan on releasing some form of visual stimulation via the web, dvd or through you television screens as and when. I have had input, input, input… so now its time to clear the backlog and put some stuff out there..

Well this is my friend Paul Morgan, he is one of the coolest humans on the plant a absolute legend in his own underpants! Paul is the reason I started surfing and he still rips on a surfboard and a snowboard..Similar to myself when following your passions relationships with women have always proved difficult to maintain..he is single at the moment so we are setting him up on an online dating website called Plenty of Fish.com It worked for me two weeks ago so he’s having a go too, I have taken the photos and done him a little video edit… So to any available fit and beautiful spirited women out there go search him out www.pof.com cheeky_paul

Paul Morgan “Plenty of Fish” Profile..check here