3 weeks after 2nd surgery

So tomorrow marks 3 weeks from my 2nd surgery on my right knee.

I was at the doctors this past Wednesday (March 26th).  He said everything looks good, on my scar anyways and they took out the stitches and put on the white tape.  I guess I have no nerves back there or something because I didn't even feel the stitches coming out, and that is probably why I didn't feel anything after surgery.  Anyways, the only problem that I have now is to get my leg to go straight and bend the whole way back.  Currently it won't lock out to at least 180 degrees and is way less than that and it is only bending back to about 90 degrees and I need to get it back to 140 degrees like my left leg.  So I am currently doing therapy and won't be able to go back to work until I go back and see him on April 23rd, so hopefully by then my knee will be less swollen (which it isn't really swollen) and I can straighten it and bend it back for he most part.

So here is the final results from my surgery and testing of the stuff they took out, understand what you can:

Narrative

FINAL DIAGNOSIS:
BONE AND SOFT TISSUE, RIGHT KNEE, EXCISION
SYNOVIAL CHONDROMATOSIS, CLINICALLY RECURRENT.
GG/acs

ACS/ACS


Pathologist: Karen Schoedel, M.D.
** Report Electronically Signed Out **
By Pathologist: Karen Schoedel, M.D.
3/13/2014 08:28

My signature is attestation that I have personally reviewed the submitted
material(s) and the final diagnosis reflects that evaluation.
_______________________________________________________________
GROSS DESCRIPTION:
The specimen is received fresh labeled with the patient's name, initials BMM,
medical record number and "1 synovial chondromatosis right knee". It consists
of an irregular piece of white-tan hard, smooth lobulated cartilaginous
tissue, measuring 3.2 x 2.8 x 2.3 cm. The cut surface reveals white-pink, firm
to soft tissue with diffuse bone. The specimen also consists of 2 detached
pieces of tan-pink, cauterized, firm fibromembranous tissue, measuring 1.9 x
1.8 x 0.6 cm and 2.0 x 0.9 x 0.8 cm. Representative sections are submitted as
follows:
ADC - bony/cartilaginous mass following complex decalcification
B - soft tissue.
Formalin Exposure Time: 7 hours 0 minutes
Decal Cassettes Formalin Exposure Time: 31 hours 0 minutes.

Grossed by: Leigha Watson, PA student
Reviewed by: Kara Balatincz, PA (ASCP)

LRW//LRW/LRW



MICROSCOPIC:
Microscopic examination substantiates the above diagnosis.

The following statement applies to all immunohistochemistry, insitu
hybridization (ISH & FISH), molecular anatomic pathology, and
immunofluorescence testing:

The testing was developed and its performance characteristics determined by
the University of Pittsburgh, Department of Pathology, as required by the CLIA
'88 regulations. The testing has not been cleared or approved for the
specific use by the U.S. Food and Drug Administration, but the FDA has
determined such approval is not necessary for clinical use. Tissue fixation
ranges from a minimum of 6 to a maximum of 96 hours. Immunohistochemical
stains (where applicable) are performed with appropriate positive and negative
control reactions. Immunohistochemistry assays have not been validated on
decalcified tissues. Results should be interpreted with caution given the
raised possibility of false negativity on decalcified specimens.

ESTROGEN/PROGESTERONE RECEPTORS (ER/PR) TEST DETAILS: Although the use of
ER/PR is primarily for differential diagnostic purposes rather than
therapeutic ones, we utilize the therapeutic criteria for positive and
negative immunohistochemical results below: The test for the presence of
hormone receptor protein is performed by the immunoperoxidase method according
to the ASCO-CAP Guidelines. A positive Estrogen or Progesterone receptor
tumor shows nuclear immunostaining in greater than or equal to 1% of the tumor
cells (i.e. and H-score of 1 or higher). The ER and PR Histologic Score
(H-Score, or HS) is calculated as the sum of intensity of staining times the
proportion of cells staining and has a dynamic range of 0 to 300. The
semiquantitation immunostaining raw data used to calculate the H-score is also
shown above in the report. Generally, the H-score correlates to percentage of
positive cells.
Estrogen receptor antibody SP1, an IVD, is performed using the IVIEW detection
on the Benchmark XT (Ventana, Tucson, AZ). Progesterone receptor antibody 1E2,
an IVD, is performed using the IVIEW detection on the Benchmark XT, (Ventana,
Tucson, AZ).

HER2 IMMUNOHISTOCHEMISTRY TEST DETAILS: 4B5 antibody clone is used as part of
FDA approved Pathway on the Benchmark XT (Ventana, Tucson, AZ) and interpreted
as follows: Score 0 (negative) = No staining is observed or membrane staining
is observed in less than 10% of the tumor cells. Score 1+ (negative) = A
faint/barely perceptible membrane staining is detected in more than 10% of the
tumor cells. The cells are only stained in part of their membrane. Score 2+
(equivocal) = A weak to moderate complete membrane staining is observed in
more than 10% of the tumor cells. This score requires reflex testing by FISH.
Score 3+ (positive) = A strong complete membrane staining is observed in more
than 30% of the tumor cells.

This laboratory is certified under the Clinical Laboratory Improvement
Amendments of 1988 ("CLIA") as qualified to perform high-complexity clinical
testing. Pursuant to the requirements of CLIA, ASR's used in this laboratory
have been established and verified for accuracy and precision. Additional
information about this type of test is available upon request.
PATIENT HISTORY:
Chief Complaint/Surgery Pre-op Diagnosis: RECURRENT SYNOVIAL CHONDROMATOSIS
RIGHT KNEE
Surgery Post-op Diagnosis: RECURRENT SYNOVIAL CHONDROMATOSIS RIGHT KNEE
Surgical Procedure: ARTHROTOMY KNEE
Reason previous hospitalization/surgery = right knee scope

HISTO TISSUE SUMMARY/SLIDES REVIEWED:
Part 1: SYNOVIAL CHONDROMATOSIS RIGHT KNEE
Taken: 3/10/2014 08:52 Received: 3/10/2014 11:43
Stain/cnt Block
H&E x 1 B
DC x 1 ADC
H&E x 1 ADC





TC1

Component Results

There is no component information for this result.

General Information

Collected:03/10/2014 8:52 AM
Resulted:03/13/2014 8:28 AM
Ordered By:Kurt R Weiss, MD
Result Status:Final result

This test result has been released by an automatic process.

Finally, here is some pictures of my knee: