My simple request of a doctor is to listen to the complaint, examine a problem, pursue tests if required, and make judgments based on his clinical experience.
He did do a very brief examination and agreed that it was still painful and was swollen. When I asked again what I should do, he said don't run if it hurts, hope it gets better and that maybe physio should be continued, and that he couldn't predict if it will get better.
So, with that, I said "I guess we are done, and strode out of his office". It was likely not the best patient doctor-experience for the intern student who was sitting in on the visit.
I changed physiotherapy clinics from the HPC to Speed River Physio. I was finding the treatment was fine at HPC, but my therapist was just continuing treatment without questioning if it was working. At Speed River, i found their approach much different. First, my new therapist was herself an accomplished middle distance runner who had competed at the national level [way above my level] and she knew the frustration a runner feels when they are injured. Second, she was very open to pursuing a different treatment if physio was not going to work. We agreed to try physio for a while to see if her approach made any difference. Also, she looked at my running mechanics to see if there was something I could do to improve my form and reduce stress on the injured knee.
After about 5 treatments, we decided I should return to my family doctor and have the knee re-examined.
My family doctor was excellent, and said that I had every right to pursue examinations to see what was still the problem. We agreed that we should go back to my surgeon if we discover any problems with the knee after an MRI. I was concerned that my surgeon would recommend something that I was not comfortable with [like Synvisc injections] so I was so pleased to hear that my family doctor said if I wanted a second opinion she would send me to the Fowler Kennedy Clinic in London - apparently they are the best place for sports knee treatment.
I was very pleased that within a week I had my MRI at the Guelph Hospital and my doctor very promptly called me to read the results to me - tear in the meniscus, may have been a recent tear. My doctor scheduled an appointment with the surgeon and now I wait until 10 August to see what the next steps are. I am assuming I'll have arthroscopic again.
Then, finally, I'll be good as new again.
This has been an educational experience for me, thankfully it was over a non-serious medical problem. Teaches me that a very good doctor who wants to make you better is so important. Also, some doctors' opinions are not the ones you should act upon. Thirdly, I've generally found that our health care system has been excellent - reasonable wait-times for appointments, very good care in the hospital, and there are many doctors out there who are very conscientious. Thank goodness my knee is far from my heart!
What have I lost over this past year+?
I've run [more or less intensely] since high school. I've always been in decent shape. But over the past 10 years I was running a lot and was pleased with my abilities. It is fun to see how far and how hard you can go. The body is amazing. I've seen that it takes years to get to your highest fitness levels. I had been considering my first 100 miler for a few years but knew that first that my body wasn't ready for it, and second my mind was not ready for it. After completing many marathons and ultras, I was able to endure the longer distances. Last year and the year before I was feeling I could gut out a 100 miler so I was running well leading up to the 2011 running season. I used the Seaton Trail 52k [results] as a warm up/test for maybe another 50 miler, then a 100 miler later on in the season. The April 2011 Seaton race was the worst running conditions I've ever raced in. Thankfully I was able to finish - I didn't even know I had hurt my knee. And I felt good that at least the only race of 2011 for me was a good finish.
Over the past year+ I've tried my short runs to test out me knee and I found a 2 km run so tiring! I was huffing and puffing and slow. I normally didn't feel even warmed up and able to run at a good clip for at least 5 km when I was running before! It is amazing how the body adapts to a better fitness level and to a poor fitness level. I can hardly wait for my knee to be better so I can see how I can return to running.
But I am sure it will take 1 to 2 years again to get to a mediocre state where I can run a 5 km, 10 km, or longer race, and it will take me several years again before I'll be able to contemplate my 100 miler.
Looking back, I had wasted a lot of time with doctors and physio who were not asking the critical questions to get my knee fixed quickly. You have to look after yourself sometimes.