It's difficult for me to attribute what to what with both toe surgery and knee surgery on the same leg. After an initial positive period with the toe implant, I experienced pretty consistent pain (4), which didn't start to go away until I started doing toe specific PT. I also bought new bike shoes that eliminated pressure points on my foot. I'm hopeful they're good for the long haul.

The plasma results continue to amaze me. I still have no nausea, bowels function normally and I generally feel pretty good, although off sometimes later in the day. My energy level is low and I have had some depression now and then, which seems to be cured now that I'm cycling again. It's hard for me to sit in one place for a long time, flying, movie, play, etc.