Thursday, January 27, 2011
January 13, 2011 - I had my weekly routine follow up with my oral surgeon and facial surgeon. This marked week five. I was taken to the surgical room...to have the upper surgical splint removed. I was slightly nervous when I learned I would be awake during this procedure. They used wire cutters and other surgical tools to remove the splint. I won't say it was painful, more like uncomfortable and awkward. At this point, I still had the dissolvable stitches all the way across on the top...most of the bottom stitches have dissolved.
It was a very strange feeling at first to try to open my mouth. My range of motion is small but will continue to improve over time. I was able to brush my teeth for *real* all of them, including my tongue and the roof of my mouth. Although I still couldn't feel much due to tooth numbness, my mouth felt clean for the first time in more than five weeks.
I left my oral surgeon's office to make the next appointment of the day....my orthodontist. My orthodontist seemed pleased with my progress, my overall profile, etc. I was switched to full-time tension rubber band wear during the day, with additional bands at night time. I have to admit...I sure am glad they give you a diagram on band placement! This arrangement is slightly easier...I no longer have the triangle, octagon, etc placements...now diagonal only which makes it easier to figure out what goes where. Although the placement is easier...the lower 6 to upper 4 and lower 5 to upper 3 on both sides really pulls my lower jaw forward... OUCH!!...will take some time to get use to this!
To my meals I was able to add:
pasta, tuna fish, salmon, chicken salad, bread, York peppermint patties - just to list a few
- Ice-packs - I lived in these for the first three weeks
I'm sure there are many more items....I am forgetting - more to follow
Wednesday, January 12, 2011
I was permitted to keep the tension bands off during the day so this allows me to talk some and brush properly. I was very happy about that! Notice all the stains on the bands from soups :) I know gross! My speech is still pretty muffled because of the upper surgical splint I have in so I often have to repeat myself. I can tell when I've exceeded my talking limits, my jaw joints get really sore. I'm learning my boundaries.
Tuesday, January 11, 2011
I'm still completely numb from my eyes to my chin. My vision returned in my right eye, but my left eye is extremely blurry. I'm hoping over time as the swelling decreases and the pressure reduces, my vision will be restored. For now, it's back to my eye glasses and no contact lenses. The numbness is a very odd feeling. The only way I can describe it is...if you have ever had a tooth filling and get Novocaine...it's similar...but it's your entire face. I had been warned about nerve damage and loss of feeling. I'm praying the feeling will return over time.
Here's some things I recommend for anyone facing jaw surgery (I wish someone would have shared these tips with me!) I had to learn the hard way...by experience. I was prescribed three different liquid pain medications, couldn't take any of them due to allergies or nausea.
Some other items, that really helped me....ice around the clock - I kept ice on for the first two weeks. I looked like a swollen, bruised blob with bunny rabbit ears. I was warned the bruising would get worse before better...I had bruising on my cheeks, mouth area, neck and chest. Sleep upright to reduce the swelling, this also helps with ease of breathing.
I have become very creative with the blender...I'm experimented and created many various smoothie recipes. I'll post a few soon to share, you'll live on these for at least the first few weeks - I promise.
Another item I highly recommend is by Amway; it's called NutriLite Meal Replacement (Milk Chocolate is my favorite!), it's packed with vitamins, protein, potassium, low-fat and delicious!!! I've tried Ensure, NutraFit, Boost... YUCK is all I can say!!! I just couldn't bring myself to drink any of them. I had to find an alternative due to loosing 14lbs I didn't have to loose. I also needed to work on rebuilding my strength and these do the trick.
Also, get a good lip moisturizer and be prepared for serious dry mouth!!!
I'm being released from the hospital to go home....I'm scared to death and in pain if you can't tell from the picture. I was blessed to have a sweet dear girlfriend that happens to be a nurse and works nearby come by and whip things into shape. She tracked down nurses, got my medicines, helped me get dressed and so much more. I'm numb from my eyes all the way down to my neck. It's hard to explain a numb feeling but pain like I've never experienced before. My vision is extremely blurry, swelling, and bruising. Looks like I was in a really bad fight and I didn't win.
When released we had to go to my oral surgeon's office for x-rays - thankfully it's all connected within the hospital because I was feeling pretty rough.
ROUGH is about the only way I can describe it !!! I was not at all prepared mentally for this journey...pre-surgery I had told Craig "if I fall asleep, you push the Morphine button for me" I was afraid to fall asleep because I knew the pain would be severe when I woke up. I had multiple panic attacks and kept trying to communicate (thanks to Kim Staudinger, an early Christmas gift; a dry erase board & markers) a must for anyone having jaw surgery!!!! I could not breathe, it was the worst feeling!!! I wrote NO BREATHE!!!! I stayed on oxygen for awhile and they kept me pretty sedated. The normal things such as medications, allergies, IV's, vitals, and so much more and I wasn't up for any of it!!! I felt so helpless and couldn't express my thoughts. It was extremely frustrating!
I remember one of the nurses switching me off of the pain medication pump to liquid pain medications...all I can say is I have a whole new respect for children when they complain or resist liquid medications...keep in mind my upper jaw was cut all the way across and in multiple locations on the lower - talk about burning when the medicine hits the incisions!!!! I would cry thru every dose and that was the watered down version. Syringes became my new friend to get medications down even if it did take more than 30 mins to get it down.