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Surgery Recovery Techniques: What Worked for Me at Age 64 With David Stewart

This week, David breaks down the ins and outs of his recent knee surgery — from dealing with insurance, to what to ask your surgeon, to the best strategies for choosing a physical therapist. Today, at 7 weeks post-op, he has almost fully returned to physical activity with the help of intensive physical therapy, regular hyperbaric oxygen therapy sessions, a clean diet, and more. Listen in to hear about how recovery modalities align with protein intake, catabolic vs metabolic states, Kaatsu therapy, vitamin D, and additional top-level insights. 

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Key Moments
He said: First order of business, we want to reduce your time in the catabolic state as much as we can, and try to keep you anabolic if possible. How do we do that? Clean diet.”

“He says to me: This is perceived instability. So your brain thinks the knee is unstable because you have this irritation in your meniscus. But your knee is stable.”

“So they reduce the recovery time by 50%. I am not an elite athlete. However, this ‘cutting down recovery time’ sounded really good and so I had maybe an hour-long conversation with Scott about what to do.”

Transcript

This week on the show, we’re in Park City, Utah, where it is getting chilly, there’s a little bit of snow up the mountains and it is beautiful. This week I’m going to be talking about my knee. 

So I had knee surgery back about now 7 weeks ago. Why I had knee surgery, the process going through the whole like medical system getting insurance, approvals, all that stuff, and then the recovery modalities that I used to sort of get back to where I am now today. So I’m going to be going through those in a fairly granular way. We’ve had a lot of questions about what I was told to do, what I did and why I’m doing what I’m doing. That’s going to be the entirety of the show today. We’re not going to do that little bit that we usually do every week, which is just try this, because really the whole show is that this week it’s all about what I did and suggestions that perhaps you can take away if you’re thinking about having some kind of surgery or you’re thinking about how to recover from it best. I’m going to give you my experience and what the advice that I was given by my medical professionals and hopefully that will be useful to you. 

Hey guys, so to organize this today, I’m gonna talk a little bit about why I got surgery. What were the circumstances that led me to get surgery, what are the things that you should know about getting surgery? Then, what are the sort of modalities like right out of the gate, that worked very well for me. Then we’re gonna talk about my conversations with Dr Scott Scher about how to maximize my recovery, minimize my recovery time, the various supplements involved in that protein, its effect on that. We’re gonna talk about HBOT and my experience there. We’re gonna touch on PT physical therapy and how very, very important that is. And then we’re gonna talk a little bit about my experience with Katsu, which is blood flow restriction technology. It’s somewhat different than a lot of the other things you see out there and hopefully these things will be helpful to you Should you find yourself having to go for surgery or considering getting surgery, because the considering of the getting surgery I think is very important thinking about how that’s gonna happen and the sort of hoops you gotta go through. 

And also in there we’re gonna talk a little bit about the finances of all this. So the insurance ramifications, the lovely American financial medical insurance cabal that’s out there, and how I managed to deal with them and for better or worse, and hopefully that’s useful to you guys. All right, so let’s begin this story with why would I get surgery? Why would I get surgery on my knee? Now, surgery is something that I’ve had several times in the past and it’s something that I’m very cautious about. And the reason I’m cautious about it is because surgeons tend to how should I say, over promise and under deliver. On the recovery side of things, I haven’t had any bad consequences from the surgeries I’ve had. I had my appendix out geez, maybe 30 some years ago. 

Then I had my spleen out because I had an autoimmune, very strange blood disorder and the only cure for that was spleen removal, and spleen removal is not something one undertakes casually and the recovery from both of those were quite something quite unexpectedly difficult and painful and long. I’ve had sinus surgery where I was told I’ll be fine in a couple of days. It was eight weeks of like messy hell the worst surgery I’ve ever had. So I’m very cautious of the surgery thing and it’s not something that I go into lightly. So why would I do this? Well, my left leg has just not been as strong as my right one for the past, I don’t know several years, but I just sort of wrote that off to like well, you know, maybe you’re right handed and you’re right leg or something. You know, my left arm isn’t as strong as my right arm. And you know what’s the worry? Well, what started to happen was around May of last year. My knee started to get quite sore and then by June it basically stopped working. The joint stopped working, so there was enough fluid had built up in the capsule around where the knee is and it went to the back of the knee forming this large bursa, impinging upon both the hamstring tendon and the tendon for the calf muscle, that my knee stopped working. 

Okay, we gotta do something about that, right, it’s really good to have a functioning knee. So I called up one of my docs here, which is Dr Max Testa. Max was the team doctor, I believe, for 28 or 29 tour de France. We’ve had Max on the podcast in the past. Max is my go-to doc for things that involve athletics and fortunately I was able to see Max fairly quickly. So this is. I just wanna put a timeline on this, because this is something else to understand Any of this stuff unless you’re some elite athlete, this whole process it just takes forever. So I went to see Max and Max said yep, you got some problems here, let’s get an x-ray. He said just go down the hall to get the x-ray. So Max practices at the Park City Hospital. 

Word to the wise out there if you’re ever gonna get any kind of imaging, don’t do it in the hospital. I found this out the hard way, because what was normally a $25 x-ray of my knee became a excess of $200 for like three shots of my knee. Wow, okay. So Max looks at these and says, huh, well, there’s nothing sort of like you know, any broken bones or anything in there. Let’s just see if this swelling goes down and if it doesn’t, you know we’ll move on, we’ll get an MRI Two weeks later. Swelling doesn’t go down. So MRI. Okay, now for all of you out there that are somebody’s telling you you should get an MRI, let me tell you some tricks of the trade here. So Max told me about a place in Salt Lake City. I believe it was called Reyes MRI World or some goofy thing. All they do is like MRIs all day, every day, and the deal is, if I went in there and paid them cash, it was 400 bucks. If I went through insurance, my cost was closer to $800. Now at the time I was just thinking like, well, okay, let’s, that’s clearly, I’ll just pay cash. But because I had a lot of other medical expenses coming up with a knee operation that I wasn’t anticipating, I may not have done that, all right.

So what I want to get across here is you can price shop MRIs. They are wildly different prices. If I had gotten that same imaging done in the hospital, it would have been in excess of $3,000. So don’t do that. You make a few phone calls and save yourself a huge amount of money. All right, I get the MRI. Not a big deal, it took like 30 minutes. It’s a big donut shaped magnet thing and it goes bing, bing, bing, bing. And since I wasn’t actually inside it. It was. My leg wasn’t a big problem, right. So now I’m thinking, okay, great, max will get the MRI and everything will be fine. So I get a call later, maybe it’s about a week. Max calls me and I say, hey, dr Max, how’s it look? He’s like, oh, we have some problems here. Well, it was 10 minutes of Max describing all the different issues my knee had and he scared the heck out of me. He’s like oh, your cartilage is almost worn down. It looks like you might have a previous ACL issue here. The knee’s not stable. And then you meniscus, it’s a mess and there’s something going on the back of the knee too. You need to see like a knee specialist. I’m thinking, oh, that was not the outcome of the conversation I was thinking was going to happen here. So, okay, now we’re. So those steps brought us to about middle of July. So now we’re six weeks into the knee problem. 

Next step is I make an appointment with Dr Vern Cooley, who’s here in Park City, and Vern’s reputation is he’s, you know, top five knee scope doctors in the country and I am a lucky duck that he’s here. I have a meeting with Dr Cooley and now we are probably mid July, towards the end of July, and so he looks at the MRI and I’m terrified at what he’s going to tell me. And he’s looking at it and he says you know, cartilage looks in good shape. I said really he’s like oh yeah, you got a lot of cartilage remaining there. All good, no arthritis, that’s good. And I said, well, what about the instability, the ACL? And he’s like what are you talking about? I said, well, my knee doesn’t feel stable. He’s, he pull, he grabs my knee and twist it around and stuff. And he’s looking at the MRI and he says no, your knee is totally fine, there’s no stability issues, acl is solid. So, whew, my relief. And I said well, vern, it feels unstable. What he tells me is genius.

He says to me this is perceived instability. So your brain thinks the knee is unstable because you have this irritation in your meniscus. But your knee is stable, okay, great. So okay, dr Cooley, what’s the plan? He’s like well, we got to go in there. You can see, your meniscus is a bit frayed. Well, fair enough, I’ve been using it pretty heavily for 64 years. Okay, a little bit of damage, he says, but it’s not torn, that’s good. So we don’t have to go in there and do stitches, that’s. That would be more invasive. We just need to essentially polish out the little sort of tears and phrase which are what is causing this irritation and it’s causing the fluid to build up. So I’m thinking, okay, so when can we do that? Because sooner is better. Right, in my mind, sooner is absolutely better, because I haven’t really been able to exercise on the thing now for, you know, six weeks, and I know that after surgery there’s going to be a period where I’m not going to be able to use the knee and every day that I don’t do that, the muscles in my legs will be atrophying. 

And because I’m 64, advanced age, it’s going to take me, for every day that I that I atrophy, it’s going to be two days to build that muscle back. So I’m kind of doing the math on this and I’m thinking, whoa, okay, let’s get this over with. So we go to scheduled surgery and I have some traveling I have to do in August. That is important and I said, well, can we get in like before, and then we do this on a Tuesday and then I can fly on a Friday, and they just look at me like I’m a crazy person. They’re like your leg is going to be completely wrapped in bandages, you may even be bleeding, you cannot, absolutely not, get on an airplane, and they’re worried, of course, about deep vein thrombosis and and other things. This is just a bad idea. So, okay, can’t do that. So now surgery is now gets delayed till 29th of August. 

The process again started early June, so now we’re like three months into this. So as soon as we schedule surgery, then the next part is the insurance. Now I have no idea what a knee surgery costs and guess what None of them do either. This is just one of those things that makes me insane about the medical system. It is the only place on earth that I go in and I say I would like whatever, and you, there’s no price attached to it, it’s just well, we’ll let you know at the end. Well, what other universe does that happen? None, right, only here. So okay, so first call is the insurance company and they’re like yes, you’ve been approved, great, okay. Then what you have to understand when you have surgery like this there are three different players involved here. There is the doctor, who’s doing the actual surgery.

There is the wherever you’re getting the surgery done, which is an additional charge, in this case the hospital or surgery center, and then there’s a third charge for the anesthesia people who are on a whole other track. So you get these three things going on. And you know, I asked them. So I had these conversations with the insurance company like, okay, so how, what are we looking at here? Well, so they start going through. I believe, in mine, my copay goes to 80, 20 after I spent something like $1,500 and my max out of pocket is 6,000. And it’s clear that this thing is going to be in excess of that. So, okay, that’s what we’re going to do, now that the only upside to this is that I’ll have no further medical bills, like until my policy year ends, which for me is end of March, so that I guess, I guess that’s kind of a good thing. 

But they, you know, the thing about this is it’s all upfront. So I got a $500 bill from the doctor’s office before they even wanted to start any of this. The bill from the hospital was I don’t know how to five in front. So it’s like $5,000, $5,500, something like that. So we’re already at like $6,000 and that’s just the way it is. You got to pay them or they don’t do their work, okay, and then, and then the anesthesia people haven’t even entered the party yet, but they’ll be fully covered by the insurance. So that’s that whole thing and it’s really important. You guys, what this is called is elective surgery. So this is not emergency surgery, it’s elective surgery, that all this stuff that you really get all the codes in and all the different approvals and all that kind of stuff, because if you don’t and the insurance company is not on board with this, I don’t even want to think what that would cost. All right, that really got me worked up. I don’t know, insurance, medicine money, I mean it’s great care, but just madness. Okay, so now that was sort of figured out. Then we get to the actual event and everybody that I’d spoken to said you need to get one of these machines, one of these cold compression machines. Sometimes they’re called polar care. They have a lot of different words for these things, but essentially what this is is it’s sort of a wrap. It’s like Velcro wrap thing that has tubes in it and it goes. It’s big machine and what the machine does is it pumps in cold, I’m guessing water. Some fluid goes in there to cool it down to whatever temperature you dial in, in my case 40 degrees, which is as cold as it would go, and then it will also apply compression 30 seconds off and then I don’t know what it is 10 or 20 seconds off at whatever pressure you so desire. 

And everyone I spoke to said, yeah, you want one of these things, and fortunately, I think it was like I don’t know some crazy amount of money for this thing. I think it was like $1,500 or something, but at that point I everything was like fully, I was maxed out on all of my out of pocket. So, yeah, bring it on giving the machine, and the machine is a lifesaver. So for any of you guys out there, if you’re going to have surgery, be something, something where you can like apply this, this technology, so that ankle, hand, shoulder, elbow, knee maybe you could work it on the hip, somehow. It’s just like magic. I had this thing attached to my knee for Four days non-stop and I took it off on that Saturday and I had basically zero swelling, like zero. It was just astonishing to me. So a couple of pro tips if you get one of these things, you want to keep it as cold as it’ll go and 40 degrees, as cold as it’ll go, and the nice thing is 40 degrees. You’re not gonna get frostbite and you can keep it on all the time, the compression, because it’s got this cycle on off, and you can increase the pressure and the docks They’ll tell you like what pressure you can put it at. You only want that on during the daytime, so I slept with this thing on. It was like attached to me for four days. I didn’t take it off. But at night you don’t want that like Of the compressor going on for 30 seconds and then silence and then on again and your whole body is vibrating. 

And I Did that the first night, did not sleep a lot. That that just was not a good way to go. But the results of the thing were fantastic. Now, when they sent me home from the hospital, dr Cooley said listen, he looks at me. He’s like I know your type. Your challenge is going to be to stay quiet when he was right. So I got out of the hospital. It was about I know one o’clock or so. They sent me to the pharmacy and I went with my wife because I was, you know, still sort of zonked. And Then they said here, we want you to fill a prescription for oxy cotton and some other drug to go with it so you don’t get sick from the oxy cotton, and they said you might be an excruciating pain. I never touched the oxy cotton. I hate, I don’t. Hate isn’t just strong enough word for opioids. They just. They disgust me. I Hate. I’ve been on them in the past. I really don’t like it. The strongest drugs I took up for this were I was taking ibuprofen 800 milligrams Three times a day, so like every like six hours or so, and then I would alternate Tylenol to Tylenols, like in the middle of the ibuprofen cycle. So I’d constantly under some kind of pain deadener. But my knee didn’t really hurt that bad, it was like it was okay. Now, before we started the surgery the week before, knowing that I’ve got this coming up and and you know I have this history of surgeons over-promising, under delivering on the recovery part, even though everybody was saying like, hey, it’s just a simple scope, clean out, you’re gonna be fine I’m thinking, yeah, I’ve heard this story before. 

So what can I do to just like make sure this really goes as quickly and easily as possible? I call dr Scott. Sure and Scott. We’ve had on the broadcast here a couple of times. Great guy and one of the things that his areas of expertise is Optimizing the recovery of elite athletes. So they, you know, reduce the recovery time by 50%. So I am not an elite athlete. However, this cutting down recovery time, that sounded really good and you know, I had maybe an hour-long conversation with Scott about what to do.

First thing, scott Tells me, is that, as a result of surgery any surgery what is gonna happen is your body is going to go catabolic and In a catabolic state versus an anabolic state. So an anabolic state you’re building things up, your building proteins, building muscle. Catabolic you are, you know, breaking down your existing proteins To, you know, help with this wound healing. So he said first order of business, we want to reduce that if we can, as much as we can, and and try and keep you Anabolic if possible. How do we do that? Clean diet? He said nothing, don’t know. Sugars, no crappy processed foods, none of that, and so I don’t really eat much that stuff anyway. So that was easy. And then he said well, now we have to up your protein intake. So well, what are we talking here? Well, we’re talking a gram per pound of body weight. So I weigh 170 pounds. That’s 170 grams of protein. And I sort of squawk about that. Oh my god, like how, how can I eat that in a day? And he’s like, yeah, it’s a lot. But you know, get yourself some way shakes, drink collagen before you get to bed. You know, whatever you got to do, just get it in there. And I did that for For the, the six week period, and now I’m seven weeks and I’m can sort of be down to a more normal. I don’t really count my macros. No, I don’t. I mean sort of had an idea, but we’re probably in about like 120 grams of protein, something like that, a day. It too much animal product. Just, I don’t want to offend anybody, but it kind of grosses me out. There’s only like so much of that that I can eat. And the, you know, the, the vegan, the pea protein, all that stuff it doesn’t really work for my stomach. So I’m glad we’re out of that phase now. In that conversation with Dr Cher he told me a number of other things, so I’m just going to sort of go through in the order that he told him to me and hopefully these will be helpful to you. This is Based on my conversation with him talking about my situation. So I don’t know how applicable this will be to others. See, this might be useful to you. So the first thing is to continue to taking mitopure. 

So mitopure is a supplement I’ve been taking for I want to say like eight months or ten months and Maybe more I think it’s been about a year is what I attribute my ability to athletically recover from too, because it is a. It causes something called mitophagy, and mitophagy that’s a great word. Mitophagy Is autophagy with mitochondria. It means it cleans out sort of bad, not so well functioning mitochondria and replaces them with better ones, better energy, and if you’re recovering from some kind of surgery, you want things like your immune system, your ability to build protein, all this stuff. You really want that stuff. Game on. I take 500 milligrams of mitopure every day and I, like I said I have for 10 months. I think it’s a brilliant supplement. 

The next thing he said to me was vitamin D. I take Somewhere between 5,000 and 10,000. I use a vitamin D a day. I know it’s a huge amount, but again, this is personalized to me because my ability to absorb Vitamin D or make vitamin D doesn’t seem to be like Quite as well as other people’s. So in order for me to keep my levels At somewhere around 50. I need to take a lot of that stuff. He said, well, put it on the upper range of that for like six weeks, 10,000 a day, all right. Next he told me take some zinc, take some glutathione, take some n a, c, 500 milligrams two times a day, keep taking your omegas with fish oil, taureen and alpha loperoic acid. The next thing we discussed was HBOT, which is hyperbaric oxygen therapy, and I’m just going to divert into this for a second so you guys know what I’m talking about. It’s a tank, it’s a pressurized either tank or sort of hard-sided tent type thing and you get in it and, depending on what version of it you’re doing so that if you have something to do with your brain, you want the higher pressure ones that they generally have in hospital settings. They’re like these hard-sided tubes, 100% oxygen, very dangerous unless you have professionals dealing with this thing. 

The one that I use is much more, I want to say, like consumer level. So there’s a facility down in Salt Lake that I went to and they have this. It’s sort of like a tent and it’s a bit triangular so you can sit in it, which is really nice. And then they put these little tubes in your nose so it’s an oxygen condenser that you’re breathing, so you have a higher level of oxygen. And what Scott told me was you want to do five times a week for two weeks, so 10 sessions of this, and that’s what I did. The first couple sessions I did, my leg was still wrapped up because I really wanted to get in there as quickly as possible to get the healing going. There’s a lot of data out there about wound healing and H-Bot, so I was like, okay, bring it on, let’s do that Now. The nice thing about being in there is you can use a term. Scott calls it stacking modalities. I guess it’s the right term stacking You’re doing a couple things at once and when I was in one of these H-Bot things and it’s sort of like going camping it’s like a really small tent, but you’re in there, you’re not going anywhere for an hour and a half, you’re just in there. You can use your phone, use your laptop, which I did you can listen to music, whatever you want to do. But I also used a thing called a jazz wrap by this company, dna Vibe. I have no interaction with them, I just think it’s a great product. Scott is the one who told me about it. It’s a wrap and it has red light and near infrared light in it. It also vibrates. So you can just wrap this thing around the knee and it’s got a little battery pack and so I would just do that. I would be in the H-Bot and then I would put the red light vibrating thing on the knee while I was in there. So I get, like you know, double effect. I also use this same jazz wrap, dna Vibe wrap thing, red light wrap thing on my knee. He told me three times a day, 20 minutes a day, I think, at the beginning. 

Yeah, I think I did that the first, maybe like three or four weeks, and then I use it less. I originally got one of these things for, like, muscle spasms and it worked great. It’s a nice thing made in America. I had a problem with the first one and customer service, great. So there you go. Now. The next thing about recovery from any of this stuff is PT, so I’m going to refer to this PT. It’s physical therapy, and there are various flavors of this stuff, so there are better versions of it and less skilled versions of it. My advice, should you be getting surgery at some point, is spend a little time on the front end, not just getting the best possible surgeon you can, because, hey, it’s your body, make sure it gets done right. You also want highly skilled PTs, and I’ve had PTs in the past who you know. I don’t know what they were, they just they had no idea what they were doing. But the PTs here I’m going to give a shout out to mountaintop physical therapy. They’re great and my main PT, ryan, is super. These are people that have a lot of letters after their names. They’ve been going to school for a long time. 

They really know what they’re doing and the reason you want that is because your knee is the first two weeks of physical therapy. What they did is they would put all these electrodes on my quadriceps, because what happens is your body, I think, the self-protective thing. It switches off the main muscle around wherever the surgery is. So my quadricep was just like off, it just like wasn’t firing. So we spent a couple weeks like waking that up and getting that going again. And now it’s all about, you know, bringing back the strength into that leg because it just, you know, as I mentioned earlier, it was just weaker because I wasn’t. I just didn’t trust it enough, I just wasn’t putting enough load on it. And now you know, we’re at about seven weeks and I it’s still maybe 10% weaker than the right one. But since we train both legs separately, so we don’t, we don’t do anything. Double leg, everything is single leg. So it’s all single leg lunges, single leg presses, single leg RDLs, all that stuff and that really helps with the balance and it forces the weak leg to, you know, game up and you know let’s take care of business here. Now, all of this. So I’m now at seven weeks. At six weeks they allowed me to go to the Simski trainer here in Park City, which is like my favorite toy. It’s so cool. Unless you’re a skier and you’ve actually been on the thing, it’s really sort of hard to describe, but it’s. It’s very realistic, simulated skiing with all the G forces and the movement of the skis and everything. It’s super cool. So they cleared me to do that and they said you know, go easy the first couple of times, because it’s going to be a novel movement on your knee. Up until that point, all the movements we’ve been doing in PT were just, you know, up and down. But now we’ve got up, down and twist, there’s a little bit of twist. And they said, you know, it’s going to your knee, is going to take a moment to adjust to this. And and it did. 

There is still some discomfort in the knee. And so I spoke to the PT’s and I spoke to my doc. I said, hey, I still got this discomfort. And they’re like, yeah, yeah, what’s happened here? When you do a scope clean out of a knee, they can win there. They’re essentially polishing the bottom of the meniscus, taking off as little material as they can. But to just smooth it out, you know, there was like a like fraying material in there and it was just creating some friction. But now we have a new surface and it has to sort of mate to the surface below it and that takes a little while. And they said, yeah, it’s, it’s not going to feel perfect, you know, for maybe another six months, but don’t worry about it. And they everybody’s saying like don’t worry about it. 

So okay, they’re the professionals, I’m not going to worry about it. We’re going to take a break right now for a quick word from our sponsors and we’re going to wrap this up. 

Okay, so let’s just sort of summarize things to think about here. If you’re going to have surgery First, do you really need the surgery? Is there any other thing you can do? In my case there wasn’t. They said you have a fraying meniscus. The only way to do this is just go in there and clean it up. So just make sure that it’s something that really that you really need to do. Then, if you really need to do it, find the very best person you can to get it done, even if you’ve got to wait a couple more weeks. Whatever, you got a long runway of life in front of you. Get the very best docs. You can get the very best physical therapy. People lined up beforehand. Good PT is just worth its weight. In gold is what I can say about that. And then, before you have the surgery, lastly, make sure all the insurance stuff is like tightened up. Do not expect that this is just going to happen on its own. It may, but it may not. And if it doesn’t, you can be in a world of financial pain. So then see if you can get one of those cold machines I talked about. They’re amazing and then follow the directions of what the docs and the PTs tell you to do. You know, I know we all like to go out there and like do stuff sooner than we should, or at least someone’s. At least I do and we have to restrain ourselves because we really want this healing process to proceed the way the professionals tell us it should. You know we’re not in the NBA, we don’t have a championship game next week or something. That’s that’s not us Okay. So we just do what they tell us to do, but but make sure you do it, get those exercises in. And then the protein stuff catabolic, anabolic. 

That was like all news to me, I think. In terms of effectiveness, I’m not sure how much of an impact that HBOT made in my recovery. It’s, you know, it’s probably on the edges of recovery, maybe it’s so. Maybe it added like 5% or something. I think the big stuff was that cold machine, it was my PT, it was resting, sleeping. I’ve been oh, that’s the other thing. We didn’t address my sleep. Oh my gosh. Last year’s average sleep was where whoops. So I have numbers on. This was seven hours and I think 35 minutes, right. As soon as I got my Surgery, my sleep for the last seven weeks has been averaging over eight hours and 30 minutes, which means, you know, body healing Right. So give your body the ability to do that. Make sure you can rest, because any kind of stress remember Physical stress there’s, emotional stress, there’s, sleep-private stress there’s, you know, whatever our body treats all this stress as the same, and if we don’t have the energy that we need to apply to doing the tissue repair that we need, it’s not gonna turn out as well. And then the bit about the protein. 

So that was a shocker. See if that may work for you. I hope that this has been helpful for you guys. I’ve gotten a lot of questions about how all this works. I’m gonna be writing up a post with pictures and stuff in ages in the next week or two. I just haven’t had a chance to do it. I will get to that in the show notes, we’ll leave as much of this as we can. 

If you have any questions about any of this I know there’s a lot of information. I talk kind of fast. I’ve just hit me up, david@weareageist.com, happy to answer any questions you have. I really hope this was helpful to you guys and if it was, maybe share it with somebody out there. That’s the only way that we grow. Please share it with your friends, your family, anybody you think who could benefit from this, and If you’re feeling really generous I hope you leave us a review, if you could hopefully a good one, and you know up to five stars, and you can leave as a comment if you like. We would love that. This is the saga of my knee and its progress and I can tell you at seven weeks, the PT is just my PT. 

Ryan thinks I’m like training for like the Olympics or something and they’re just Destroying me. I can tell you I’m gonna be way stronger Coming into this winter than I was last year, and I was in pretty good shape last year, but this year I can just feel like my strength. My balance is so much better and I and I trust my left leg, which I wasn’t doing before. So, woohoo, I’m looking forward to the winter. Everyone, have a wonderful week. Thank you so much for your time and your attention. I really value it. I know there’s a lot of other things you can be doing now besides listening to me talking about knee recovery, but hopefully this is useful to you. Have a great week, guys, and I’ll see you next week. Take care now

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The ideas expressed here are solely the opinions of the author and are not researched or verified by AGEIST LLC, or anyone associated with AGEIST LLC. This material should not be construed as medical advice or recommendation, it is for informational use only. We encourage all readers to discuss with your qualified practitioners the relevance of the application of any of these ideas to your life. The recommendations contained herein are not intended to diagnose, treat, cure or prevent any disease. You should always consult your physician or other qualified health provider before starting any new treatment or stopping any treatment that has been prescribed for you by your physician or other qualified health provider. Please call your doctor or 911 immediately if you think you may have a medical or psychiatric emergency.

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