Thursday, October 15, 2009

3 Weeks and 1 Day Post-Op

As you can see, the swelling has gone down considerably. But, my right cheek is still a little puffy. Hardly noticeable, unless you're me. Things are coming along nicely, though. I go to see Dr. A on Tuesday and I'm keeping my fingers crossed that he tells me I can start only wearing my rubber bands at night. That will be a HUGE relief because not only does it mean that my teeth won't be clamped together anymore causing me indescribable amounts of discomfort and aggravation, but also that I might just be able to start eating soft foods. A small progression towards being able to eat normal food again....just in time for my trip to Las Vegas for my best friend, Sonja's wedding.

The only thing I'm not looking forward to is when they start therapy on my jaw. So far, I've only been able to open it wide enough to barely stick my tooth brush in. I can feel my jaw lock on my left side and I'm afraid to force it open any wider. I know at some point I'm gonna have to bite the proverbial bullet and just c
rack it open. Hopefully, therapy will offer a less barbaric resolution. Dr. L is on Wednesday, he'll give it a quick look and maybe start therapy then. Time will tell.



I still haven't regained feeling in my lip and chin
on the left side. But, I do feel some tingling and
tickling sensations that drive me absolutely batty! It's almost like I can feel a hair on my chin or an itch but when I go to wipe it away or scratch it, there's nothing there and no matter what I do the itch won't go away. Very, VERY frustrating. It's far better than what I was experiencing last week. The slightest puff of air on my chin would send it into a frenzy. It was difficult to concentrate when this was going on. I couldn't do any of my work and it was agonizing to attempt falling asleep. I even wondered how people live with this sort of thing on an extended basis. It was enough to drive me to jump from the nearest cliff...not that one of those would be easy to come by here in Florida, but you get my point. Anyhoo. That's my progress and I'm sticking to it.

Ciao!
Donna









Friday, October 2, 2009

My, my....Time does fly...

It's been a week and a half since my surgery and my doctor is impressed with how fast I'm healing and of course he's patting himself on the back abit about how good of a job he did. I certainly can't begrudge him that. I'd hope for nothing less. This is me the day I got out of the hospital and into my own bed.

P
roblems I'm having though are from the rubber bands that are to keep my mouth shut. Apparently they are so tough that they've broken loose three of my brackets. Any more break loose and I'm not gonna have any teeth left to hook them on! I hesitate in calling Dr. A because he'll want me to go see Dr. L (which I am doing next wednesday anyway) to get them rebonded. The problem is...I can still only open my mouth a teeny tiny bit. My lower jaw isn't giving much yet, so they won't be able to stick that plastic thing that's supposed to keep my mouth open so they can work on my teeth with out saliva getting all over everything. So...I know it's a moot point to even go. There's nothing they can do at this point. So, lets just hope that the rest of the brackets hold until the time that I can actually open my mouth without being in excruciating pain!

This picture, to the left, is from today. The swelling is hard to notice, but my cheeks are fuller than they normally are. My doctor's were quite impressed with how quickly my swelling had gone down. I've lost about 8lbs so far. Doesn't really feel like it, but the scale doesn't lie! (yeah right!) The food thing hasn't been too bad. Once I finished the antibiotic and was feeling relatively normal, I started venturing out of the ensure/cream-o-potato soup/apple juice realm that they had me on in the hospital and started experimenting.


Pureed peaches...yuck!
Pureed homemade vegetable soup....yum!
Ravioli & Spagetti & Meatballs in a blender....Yum! (If you liked it in the first place, of course)
Cream of Wheat...Mmmm, mmm good.

I've been told that a big mac in a blender...with the assistance of beef broth taste pretty good, but I'm not willing to try it. I'll just stick to soups, apple sauce, and C.o.W. Those seem to be working out pretty well for me. Oh, and V8 Fusion is pretty darn good, too! For some odd reason, I don't really like the V8 Splash.

Here are two pictures from before & after the surgery, just to give you an idea.

Saturday, September 26, 2009

Four Days Out...

My surgery was on Wednesday morning, and it is now Saturday afternoon. I was discharged from the hospital about this time yesterday. Overall, I feel pretty good. Mostly, I feel tired and the occasional spasm or tickle in my chin that even when I scratch it doesn't seem to go away.

My biggest fear, the pain, hasn't been that bad. I was not as dependent on the morphine pump as most people expected and the doctors were all surprised at how well I was doing. Dr. A and Lynn both said that I might have been one of their best patients ever. ;-) It really wasn't as bad of an experience as I was expecting.

I did throw up the first night out of surgery because of the blood, but that was it. All-in-all, I'm just trying to find the energy to keep up with my class work and figure out a way to wash my hair without getting my bandages wet.

Wish me luck. I'll post pictures later.


Tuesday, September 22, 2009

Kiss this face goodbye!

I honestly thought this day would never come. Now, a little less than twelve hours from now, I will be getting OUT of surgery, to be wheeled back to the ICU by the indians while the chiefs give themselves a few pats on the backs and maybe even a high-five for a job well done.

It hardly seems possible that it has been eight years since Dr. L first suggested that I have this surgery. Eight years, it took, to convince me that this was necessary. Eight years, to finally have good enough insurance to cover all but $200 of this almost 11k surgery. Whew! Thank god for good insurance. Either way, I'm sitting here on the day bed that will be my home for the next few weeks while I recover. Luckily, it's comfortable and one side incline's so I can lay comfortably and watch TV. Right about now, I wish I had a DVR so I could have been stockpiling it with my favorite shows and wouldn't have to suffer through reruns of Jerry Springer or, god help me, The View!!!!

So, I have to be at the hospital at 5:30 am and my surgery is at 8 am. For anyone who knows me (well), you'll know how much agony I'll be in having to wait 2-1/2 hours for the surgery. I hate waiting. I just want to walk through the door, get knocked out and then rolled into the OR. I don't want to sit around and wait, thinking about what they're going to be doing to my face.

Honestly, though, that part doesn't scare me. Although, last night I was watching some mediaeval torture show and they were sawing a skeleton in half and I couldn't help but cringe. But, I digress. The part that scares me is how much pain I'll feel. I've read other blogs and none have really commented too much on the pain aspect of it, only to say that it wasn't that bad. That is (and isn't) comforting. It reminds me of what everyone always says about childbirth. It hurts like hell, but afterwards you don't remember it. Is that what this is going to be like. I'm gonna hurt like hell for a while, but then once I'm healed, I'll say, "Oh it wasn't that bad!"

Just like when I was getting my belly button pierced for the first time. Every one said, "It didn't hurt me at all." "Oh no, it's just a little pinch, you won't fell a thing."

Oh yes I did! THAT HURT LIKE HELL...and I wasn't about to go around telling people it didn't. To this day, if people ask if it hurt, I say, "HELL YES IT DID!" Hurt just as bad the second time around, too.

But, like my momma said, "don't dwell on it because the things we dwell on tend to expand."

Ain't that the truth!

Night all. I'll keep you posted.

Monday, September 21, 2009

Bad, Blogger! Bad!

I've been a bad, bad blogger. It's been a while since I've posted last and I know I promised to keep this thing up to date. But, alas, here we are. My surgery is in two days. I'm not as nervous as I think I should be, but I owe a lot of that to the Surgical Coordinator at Dr. A's office an the rest of Dr. A's team. They really answered all of my questions without me having to ask them and made me feel well prepared for this adventure.

There is one minor change though. Dr. A has decided to do a genoplasty while he's in there. That, in case you are wondering is a chin advancement. They didn't really explain to me why they wanted to do it other than I'd still be too short with out it, but medically I'm sure it has some significance. I would think that if I saw my profile and saw that I was still too short I'd try posturing forward which is what started this whole mess in the first place. So...maybe that's why. I'll see a perfect jawline and not feel the need to push it forward to compensate. Hmm.... Okay. Works for me!

I've talked to a lot of people and read a lot of stories. One of the most comforting things I've heard is the pain isn't that bad. Out of all the people I've heard from, none have really complained about the pain. The one thing that did make me a little nervous was the blood in the stomach and vomiting. OH! How I hate to throw up. But, thanks to Dr. A, I don't think I'll have that problem. They use a g-tube that will suck it all out of my stomach! YAY!

So, were in the final stretch of on part of my adventure and I have to say that it came up alot quicker that I expected it to. Back in April when I first got my braces back on, I thought September would never get here. But, lo! and behold! Two days and counting...

Wish me luck!

I'll be out of work for about two weeks so I'll have plenty of time to update you with my progress and pictures.

Look for one last before picture probably tomorrow. :-D

Sunday, July 12, 2009

Time flies when you're having fun...

Uhm....right. Fun. That's what this is. Whooohooo! *lets out a giddy whoop at the thought of visiting the orthodontist next week.*

I don't know if it is simply the nature of what they're doing to my mouth that makes this time worse than the first time I wore braces, but this time SUCKS! Every time I have an adjustment I can't chew properly for about two weeks, brackets pop off and bands come loose. I have to visit the orthodontist at least once to replace brackets in between adjustments. I'm waiting for them to start charging me. Ugh!

But, it's been three months and it's been going by rather fast. Before long, it'll be time for the surgery. Exciting, right? Eh...

Tuesday, June 2, 2009

Nothing New...

I promise I haven't abandoned my mission.  There is simply nothing new to report.  :-)  I go to the orthodontist Thursday for my second adjustment since having these blasted things put back on...so, food should be real fun for the next week.  My hope is that my teeth will only hurt for a few days, unlike last time when they just stopped hurting last week!  This time around has been a nightmare!  My brackets keep coming loose, my headaches are now more frequent and of course the teeth hurting thing.  I cannot WAIT to have this surgery and get rid of these godforsaken things!  

Ugh.

Donna

Friday, May 1, 2009

Nothing New...

So, there's nothing new to report.  I've got my braces on.  I've survived the initial agony.  However, I am having a difficult time keeping the brackets attached to my teeth.  For some strange reason, they keep popping off!  Doc is gonna kill me if I keep coming in to have them re-cemented.  This is the forth one and I'm not eating bad food!  WHAT GIVES?  

On another note, I keep having dreams that my teeth are falling out.  

Tuesday, April 7, 2009

Monday, April 6, 2009

Tomorrow can't come slowly enough...

I'm not sick. I have no other excuses. The bill is paid. The date is confirmed.

Tomorrow, at approximately 1:45 p.m., I will be getting my braces put back on for the second time in my life. This is the beginning of a long pro
cess that will eventually result in (hopefully) me no longer experiencing pain in my jaw or the continued deterioration of the joint. Just for a point of reference, I am adding some pictures from before I get my braces so we (you...or maybe it's just me) can watch the progress leading up to and beyond the surgery.
The first picture (left) is just a regular
old frontal picture of me smiling. From the looks of it, my teeth are straight and there is no obvious problem. But, you also can't tell that my nose protrudes approximately 3 inc
hes from my face. Nah! Just kidding. But, in reality you can't tell much from this picture. Looks great, right? Well, lets take a look at my profile.

As you can see (at least I can anyway, and so do my doctors), my lower jaw is recessed...or shorter than my upper jaw. This has caused an incorrect bit, which causes pressure in my joints, which causes the cracking and popping and the occasional inability to open my mouth wide enough to stick a toothbrush in.

An X-ray even revealed that my joint is starting to deteriorate because of the abnormal pressure. AKA--I have arthritis in my jaw. Fun! Fun? No...not really. Because, not only does it make chewing difficult and causes migraine like symptoms on occasion, but it hampers a lot of other activities as well...but I digress.

So, tomorrow officially begins my Journey into the realm of Sagittal Split Osteotomy. Stay tuned folks, it's gonna be a thriller!



Wednesday, April 1, 2009

Retake # 2,785,094

At least that's what it feels like...

Whatever it was that lodged itself in my throat caused me to cancel my orthodontist appointment three times.   THREE!!!  There is still a slight tickle lingering in my throat, but not enough to keep me out of my braces any longer.

Sounds almost as if I want my braces back on, doesn't it?  Well, let there be no mistake...I don't!  The illness I was experiencing could very well have been psychological.  My deep-seeded anxiety about not wanting braces again manifested itself in some phantom symptoms to give me an excuse to postpone the inevitable.  Maybe.  

Moving on...

So, the date is set (again) for next Tuesday.  (that reminds me, I should probably tell my boss)  I tried calling Dr. A's office a few weeks ago to find out what I need to do with them, but never got a response.  I'll try that again tomorrow.  It would be nice to know that they haven't forgotten about me.  My guess is, I'll have to go in and sign some papers and become an official patient.  Up until now, I've just been "a consult."  No patient ID...which they always ask for when I call and I have to keep telling them that I don't have one and explain that I'm still "IN THE PROCESS" of getting "THIS BALL ROLLING."  

Oh well.  

Until we meet again.

Saturday, March 21, 2009

What comes around goes around...

So, I've already had the flu once this year.  Who really wants a repeat of that?  As if the first time wasn't enough, I think I'm coming down with it again.  That sore throat I mentioned a few days ago...has slowly evolved into an irritating cough.  So far, no sign of  a fever.  Maybe it'll just be a virus or something.  I really don't want the flu again.  That was horrible.  I'd never wanted a new set of skin before in my life.  Who knew that the flu could make your hair hurt?  Aside from that, this could mean putting of my braces YET AGAIN!  I don't want to sit in that chair with my mouth pried open for four hours when I have such an irritating cough, not to mention infecting the whole office with my tainted breath...

Ugh.  

Time will tell.  

Thursday, March 19, 2009

Already, it's delayed...

Not the best sign.  

I was supposed to get my braces on this past Tuesday, however, the ever persistent virus that has been floating around got in the way.  At first, I believed I'd simply worn out my voice screaming my head off like a ten-year-old girl at the New Kids on the Block concert (swoon) on Friday, but by Sunday I began to suspect something was amiss.  

My throat was still sore.  Monday was no better.  I called Doctor L.'s office and asked what they felt would be the best thing for me to do.  See, it was less than 24 hours before my appointment...and anyone who has been to the doctor knows that that means.  I held out on calling because I wanted to gauge my state of health a little while longer.  Bad idea.  

To my immense relief, the woman J. felt for my situation and agreed not to charge me and we rescheduled for the following week.  So, now I will be getting my braces put back on NEXT Tuesday.  What fun!  

Now, for those of you who have no idea what I'm talking about, let me fill you in...just a bit.

Around six years ago, give or take, I went to the orthodontist for the first time.  He evaluated me for braces and then sat me down in his office.  During the evaluation he noticed some clicking and popping in my jaw.  I explained that I'd had this problem since I was about thirteen years old.  He then explained that had I gotten braces as a child they may have been able to prevent this, but now since I am an adult the only way to correct it would be to have surgery.

"On what?" I asked.

"You're lower jaw is too short and it is causing the joint stress," he informed.

"How nice."  

Well, it turns out, he was right.  He showed me my profile shot the Orthodontic Assistant (O.A.) had taken earlier.  Sure enough, my chin looked weak.  Short.  Feeble.  He showed me pictures of other patients he had in the past with the same problem and also the pictures post-surgery.  The difference was amazing.  This was his first warning.  

"Now, I do have to tell you...having the surgery can change the way you  look significantly and sometimes that is hard to adjust to."

His second warning was that if I delayed the surgery, the problem could get worse over the years.  He said it could be five years down the road, or ten...maybe twenty.  But, the point was that if I didn't have the surgery, I could end up with severe headaches and arthritis in my joints.

It only took two years.  

At that time, I declined getting braces all together.  I just couldn't afford it.  But, two years later, I was experiencing exactly what the doctor had said I would.  I went back to Doctor L.  I still wasn't sure about the surgery, and he informed me that the braces alone might help.  So, we went for it.  Three years after getting my braces off, my jaw still is a constant source of pain and discomfort. 

It was time...  I couldn't avoid it any longer.  My head was killing me, and I know it sounds odd, but I went to see my Dentist about it.  Doctor M. did his exam and felt all the cracking and popping and gave me two options and a bottle of IBprofen.  Option one was a mouth guard because on top of everything else, I apparently grind my teeth in my sleep.  I said no.  I didn't think that would help.  The next option was to go see an oral surgeon.  He gave me the referral.  
Doctor A. was a nice old man who looked at my Xrays and then at my face and said, yep, surgery is definitely what you need.  The Temporomandibular disorder (TMD not TMJ) had gotten worse and caused arthritis in the joint.  It was starting to deteriorate.  YIKES!  To ice the cake, Doctor A. says, "You're already an attractive girl, but this surgery will make you even more attractive."

Uh...thanks?

Thus was born my new self-conscious regard for my profile.  I'd never really noticed it before, but after all three of these doctors pointed it out to me it was suddenly blindingly obvious.  To this day, I still cannot stand to look at a picture of me from the side.  I absolutely HATE my profile.  

I digress.

Anyway, this began a new process regarding insurance.  I could never EVER afford this surgery on my own.  At the time I began this journey I was working for a company who had CRAP insurance and it was still going to cost me about $3,000 out of pocket.  Not bad, considering. The insurance lady at Doctor A's office was amazing.  At first my insurance company declined the surgery.  But, L. worked her magic and found a loop hole.  According the state law (Florida) it is illegal for an insurance company who isn't self-funded to exclude anything that has to due with the bone or skeletal system.  Alas, I was saved.  They even agreed to consider it in Network because my doctor was the only one with in a reasonable distance who could perform the surgery.  So, now all I had to do was find the money.

But, to my good fortune, I was laid off from that job before I could get the surgery.  Good fortune, you say?  Yes.  As it turned out.  Being laid off was the best thing for me...with regards to the surgery anyway.  I went back to work at the City and even though I took a pay cut, the insurance was better and my surgery is now covered almost 100%.

Can't beat that!

So...a long story short...that is how we've arrived at today.

Thursday, March 12, 2009

It Starts....

Okay, this is the first post of what is going to be a very long, drawn out, process.  I don't have time to go into all the details just yet, but never fear...I will indeed go into ALL the juicy details.  Basically this blog is going to chronicle my journey through a surgical procedure known as Sagittal Split Osteotomy.  

It starts with...you guessed it:  Braces.  

I just had my spacers put in two days ago.  Next tuesday, March 17th (St. Patrick's Day...so much for the luck of the Irish), I will be getting my braces put on for the second time.  Yes, the second.  I was stupid enough the last time around to put off this necessary surgery.  But, I guess it all works out for the best in the end, because now I have excellent insurance that will be paying for the whole shebang sans my $25 deductible...and the braces ($4k--groan).  

I've been doing a lot of research lately and have found not a lot to help me learn more about what's going to happen to my face.  I've read other peoples blogs, but they weren't having the same exact surgery as me, I've looked at Oral Surgeon's websites and not seen illustrations showing what they're going to do to me.  

That got me thinking...maybe I should do my own blog and fill it with all the information I wanted to know before having my surgery.  If all goes well...I'll help at least one person feel well informed before they walk into that operating room.

All for now...