Smile's Recovery: "Did you just say TPA?"

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smile
Posts: 180
Joined: Thu Sep 30, 2004 6:31 pm

#46 Post by smile »

Ah, found myself a working keyboard, albeit very old. My thoughts may be very disorientated and long-winded but feel free to read on anyway.

When I got to the hospital, I was asked to change into hospital gowns around 6:50-ish. I was in a room (the pre-surgical room?) where they put the IV in me and gave me a few pills. I was told the surgery would start 7:45 and end around 9:45. I'd be in the recovery room until 12, then I'd move to my hospital room. So around 7:45, I was wheeled to the OR. I don't remember too much about it. The room was really cold and metall-y. I remember my surgeon asking if I was excited and that they'd take good care of me. I also recall the anesthesiologist joking that the nose drops he's going to be giving me would be the worst part of the surgery becasue they taste bitter. This is the last thing I remember before waking in the recovery room.
I have no idea if my surgeon talked to me after the surgery because I have no recollection of it. In the recovery room, I remember pain. I recognized the people who were waiting in the pre-surgical room were in the recovery now as well. Someone soon came over to give me something for my pain. I had this really hard ice-y pack around me that was very uncomfortable. They took it off. A bit later I remember blood - but I didn't know where from. My nose? My mouth? I think it was my mouth - either way, someone helped me into a new gown because I had gotten blood all over it. Soon it was time to be wheeled into my hospital room. My room had 2 beds and 2 recliners. No one shared the room with me that night though (which I'm happy about). My parents took over the recliners. The hospital bed I didn't find to be all that comfortable. Because I kept bleeding through my stitches (I think I'm a bit of a bleeder) they gave me this dentist-like-suction to suck all the blood from my mouth. I bled for a while - I think I stopped the next morning. I've alawys thought that I was a slow clotter but doctors never confirmed it so I thought I was fine? But I guess not.
I had drains on me and big BIG bandages over them. The bandages were very princess leia-like, so definitely no MP3 player for me. No ice either - isn't that odd? I couldn't feel anything below my eyes right after surgery. But feeling regained in my lower lip and tongue shortly. I can drink out a cup and a spoon now, although I could only use a syringe at the hospital. I coudln't really talk after surgery - my throat felt tired and it took too much effort. I wrote everything down. I could talk in the morning though, although it still takes a bit of effort to understand me. My lips are huge by the way! It's unreal. I did a lot of saline rinses at the hospital as well.
I think the nurses at the hospital I was at don't see too many orthognathic patients - they seemed unsure what to do with me most of the time. I didn't need them much though - only to head off to the washroom which was hard to do with my IV and my drain.
I didn't have too much difficult breathing - the sinus drops helped a lot. The only thing that worried me a lot yesterday was all the bleeding. I slept pretty well even though the nurses came in every few hours to give me more morphine and check my vitals. My blood pressure was really low during the night - it was a tad worrying. It was slightly low in the morning - 100/60 or so. But not as low as the night. I never felt any nausea - never felt sick walking to the washroom. My parents apparently spent the night suctioning blood out of my mouth but I slept through most of it. Bless their lil hearts.
I woke up in the morning and left around 12. The morning had a few things in store for me - such as removing my bandages and drains. Removing drains smart! I have stitches with bandages over them right now where they used to be. The thing about the drains is that they hurt in two ways - removing them and also because I'm a slow clotter. After they removed them they had to apply pressure to it and especially hard pressure on me! Ouch. My poor jaws. The bandages weren't fun either - they had caught a bit of my hair. Oh, and after removing the IV they had to put a bit of extra pressure on my arm as well so that wasn't fun either. I also had a shot in my thigh/hip that apparently helps swelling in the morning.
So now I'm home - mostly drinking water, broth, and gatorade (ensure is a bit thick - am I the only one that thinks that?) watching TV, icing, and taking my pills. I can't meet my molars together because of the swelling. :( And what else sucks? The fact I can't open my mouth wide enough to see how they placed my elastics - the stitches are too raw still so I'm waiting them out a little bit. And my teeth on the upper arch look less straight now? Expanding the arch has left them a little differnt I guess. The tylenol 3's I've been given has been taking care of the pain. I don't feel very lethargic so I assume I'll be walking starting tomorrow. (I'm just feeling rather lazy today.) I should start working on my jaws but I'm scared to hurt the stitches to be honest.
All in all, I'm glad to be home. I like running to the washroom without worrying about tubes and having stuff to do like post on archwired. I'm glad it's all over. I'm just glad.. :D Hopefully I don't look too swollen for too long.

If you got through my long and whiny post, I commend you!

anabel
Posts: 211
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Location: Charleston, SC

#47 Post by anabel »

Oh, you really have been through a lot, wow. You did a great job of painting the picture of what it was/is like for you. I bet you're wanting to throttle the anesthesiologist for saying the nose drops would be the worst part. I hope today goes well for you!

nvcarissa
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#48 Post by nvcarissa »

Smile! So happy to have you back and on the road to recovery! Sounds like you had quite the ordeal with your bleeding. I had a suction thingie too, but mostly it just picked up odds and ends of tissue...not much blood at all for me.
I bet you're wanting to throttle the anesthesiologist for saying the nose drops would be the worst part.
Ditto...what would HE know?
Shockingly, the night staff seemed pretty uninformed where I was too
Same here (night and day). I don't know how many of them I explained exactly what the surgeon had done. I know it had to be on my chart...couldn't they look it up on Google and find out for themselves?

Anyway, take it easy, glad to hear you can drink from a cup. I have been able to do it from day one, but I am still having issues with the muscle weakness on my left side which makes me dribble down my cup. I am going to start really exercising that side to try and get some strength back in it. ... And ask my OS on Wednesday what I can do to make it better.

Thanks for your blow by blow description of it all. I am sure those who are following behind us are finding our adventures informative reading.
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Braced 5/11/05, BSSO with advancement 6/21/06, Debanded: 8/1/07. Click on www for my braces story.

smile
Posts: 180
Joined: Thu Sep 30, 2004 6:31 pm

#49 Post by smile »

Thank you so much for the support you guys - it's nice not to be alone.

Ah, I assume the anesthesiologist was just trying to be funny. He warned me outside the OR he had lots of bad jokes up his sleeve. :roll:

And yes, I gotten the question "so what exactly was the surgery for?" from a lot of nurses. I just left it at "my jaws don't fit properly together" and they just nodded, probably thinking "big surgery for a little problem"

I've been sleeping well, although I'm not surprised. I'm a good sleeper (translation, lazy teen) so I dozed around 10 yesterday. I've been having to wake up at weird hours for my pills though (2am, 6 am sort of thing). I ended up waking at 7-ish this morning, watched some TV, iced-a bit, drank water and fell back to sleep around 8 until 12. I don't think I'll be needing any sleeping pills my surgeon prescribed. I think I recognize that pill as one of the pre-surgical pills they gave me.

The swelling has increased a bit, again not surprising. Expecting it to peak tomorrow, but hopefully not much worse than today. I didn't have too much trouble opening my mouth at the hospital (probably 8mm. I could fit the suction beneath my tongue) and right now I can fit my thumb. I still can't close down properly though. I think another 4-5mm oughta meet my molars. I can close my lips though, even with the swelling and the molars not meeting. I've never been able to do that without lots of effort so I'm glad. (I'm being redundant with gladness!) My lips look a lot normal than before - only slightly bigger than they used to be and they no longer look so beaten up.

I had a few differnt nurses during my stay. I had a few student ones, who I felt were nicer than the RN's. Maybe they try to make up for their inexperience with extra nice-ness?

Random question (and sorta gross): did anyone have a measuring cup-kinda thing attatched to the toilet to measure your urine outcome? They measured my urine outcome about 3 times during my stay and wrote it down. I thought that was unexpected. After the 3 time they didn't bother though.

That's about all for now. Hopefully everyone else on the road to recovery is doing well too, and upcoming surgery people are finding this useful.

anabel
Posts: 211
Joined: Wed Jun 21, 2006 7:20 am
Location: Charleston, SC

#50 Post by anabel »

Probably standard post op orders to record all intake and output for however many hours after surgery.

chrisk
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Location: Perth Western Australia

#51 Post by chrisk »

Great to see you on the 'other side' smile. Keep your spirits up, and take it easy for at least a week. I've been thinking of you and wondering how your recovery was going and it sounds like things are now improving.

Chrisk

nvcarissa
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#52 Post by nvcarissa »

Yes, I had one of those things in the toilet to measure my output, but I was calling them every 3 hours to take me to the bathroom so they figured that I was doing just fine after checking it the first time I used the restroom.
Image

Braced 5/11/05, BSSO with advancement 6/21/06, Debanded: 8/1/07. Click on www for my braces story.

nvcarissa
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#53 Post by nvcarissa »

Well, 2-3 hours. It seemed like I was constantly going. They slowed down my drip so that they didn't have to make so many treks into my room.

Speaking of midlines...my surgery corrected mine as well. Now the chip on my front incisor doesn't look so bad, though the tooth still does need to be evened out at the bottom.
Image

Braced 5/11/05, BSSO with advancement 6/21/06, Debanded: 8/1/07. Click on www for my braces story.

smile
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Joined: Thu Sep 30, 2004 6:31 pm

#54 Post by smile »

I think I've peaked in swelling. Well, that's what I'm hoping anyway. I'm a bit bigger than yesterday.. it looks like I've gained 10 (maybe 15) lbs just in the face. :P I look.. square. But it's not getting me down. I figure it'll ride itself out.

The surgeon gave me a call today and answered a lot of my questions. He told me to take it easy on the exercises to not aggravate the stitches. He let me know he couldn't remove my wisdom tooth because it got in the way of surgery and he didn't want to compromise the jaw surgery. Shame, I'll have to deal with it later on I guess. I'm seeing him on Thursday, as well as the ortho.

I've finally managed to get those elastics on and off yesterday - puts a lot at ease. I miss food already (I'm weak!). I'd love to real food... food that requires .. eating.. I wish I could blow my nose and meet my molars. But all in good time right? All in good time..

Surprisingly, I have very little bruising. Just a bruise the size of a nickle on my cheek and one where my IV used to be. I've regained sensation in my nose and about 1/2 of it in my cheeks. Upper lip isn't 100% yet but much better than the lower. The chin's the worst - it's pretty numb!

I've been feeling queasy lately - I blame the T3's. Surgeon said it's okay to just tylenol so that's what I plan to do now.

Meryaten - another random question, (I seem to be good at that) but what exactly is your avatar now? At first I thought they were ice skates.. maybe antlers?.. now I'm just unsure. I bet it's something obvious except that I'm so clueless sometimes.

nvcarissa
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#55 Post by nvcarissa »

Meryaten - another random question, (I seem to be good at that) but what exactly is your avatar now? At first I thought they were ice skates.. maybe antlers?..
I was a bit confused at first, but look closely...it's a lower jaw bone pre and post BSSO!!
Image

Braced 5/11/05, BSSO with advancement 6/21/06, Debanded: 8/1/07. Click on www for my braces story.

nvcarissa
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#56 Post by nvcarissa »

Surprisingly, I have very little bruising.
In a few days, you will notice a yellow, jaundiced-like appearance to your neck and upper chest. This is the blood making its way down from your face. I had very little bruising as well and I have heard a lot of people say that was their experience as well. As in everything YMMV.
I just can't even imagine trying to manouvre elastics on and off brackets with all that swelling going on inside my mouth.
When my wires were cut, I had to go to guiding elastics front and back and had to change them once a day. Oh My Goodness, getting to the back molars was horrible. I could barely open my mouth and the swelling didn't help. In addition, the stitches were starting to come out and would wrap in the elastics. I had such raw inner cheeks at the back of my mouth I wanted to scream.
Image

Braced 5/11/05, BSSO with advancement 6/21/06, Debanded: 8/1/07. Click on www for my braces story.

smile2006
Posts: 565
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Location: SC

#57 Post by smile2006 »

Hello-

We had nearly the same procedure, you one or two days earlier I believe. My surgery was last Thursday. I had the upper widened and brought forward and down, and lower leveled out and genioplasty. My upper lip is nearly back to normal but my chin is totally numb and probably 80% of my lower lip???? Where are you in terms of numbness? My cheeks seem to be getting less and less numb but the lips are bothersome relative to numbness....make it hard to eat for sure.

Pablo
Posts: 71
Joined: Mon Mar 07, 2005 4:24 pm
Location: Dublin

#58 Post by Pablo »

Great to hear things are going well post op smile .. I should be up for my lower advancement in the next 2-3 months .. Just wanted to say a big thank you for all these updates ( and everyone else recently ) leading up to surgery , reading them is my favourite passtime .. thanks again and keep it up .. hope the swelling vanishes over night ..

smile
Posts: 180
Joined: Thu Sep 30, 2004 6:31 pm

#59 Post by smile »

Today I had my visit with the ortho and also the surgeon. The ortho was so happy to see me. He was really excited with the outcome and said out of all the patients he's seen just one week after surgery, I'm 'up there'. I figure he's just being nice to a swollen teenager, but it was nice to hear nonetheless. They took some x-rays and checked for pokey braces and that was about it. I'll be seeing him again in 2 weeks.

The surgeon also took new x-rays and checked my stitches and such. He encouraged me to do those exercises, brush well, and keep hydrated. I can have soft foods like pasta and eggs now but no pizza (or anything pizza-like of course) for another 2 weeks. He even encouraged eating less pureed food so I can get some range in my mouth. The drive there was slightly more than an hour and in the hot weather - I'm definitely tired now. Not to mention it was the first time I've been out of the house since coming home. I'll be seeing him again in a month.

I can definitely say swelling peaked on day 3. It's no longer getting any bigger so that's a relief. I'm still sleeping on the recliner and I've yet to miss the bed. I can fit 2 fingers in now, although sideways is still very limited. Chin is still numb. The elastics are put on/off without too much frustration now, which is very very comforting.

I've been trying to eat more normally after the surgeon visit. I had some chunky soup (not pureed this time!) and scrambled eggs. It wouldn't be so hard to eat actually if my molars met properly. But my ortho assures me they will in time.

My energy level is still not there yet - I usually sleep a good 10 hours a night and sometimes fit in a nap. And find it tiring even though I don't do much yet. Another week or so says the surgeon till I feel 100% again.

KK - thank you for being so sweet. I'm this close to never watching commercials again on TV.. everything food-related on TV looks so good.. things I never even ate pre-surgery!

Meryaten - you've been doing research haven't ya! Today, the surgeon recommended now I take advil instead of tylenol for it helps with inflammation. I recall I was told not to take advil for 2 weeks before surgery because of the blood thinning effect... now it's alright I suppose.

Good on ya nvcarissa! A lower jaw bone pre and post BSSO.. :oops: I would have never guessed that in a million years.. =P And you're right, I've been seeing a little more bruising lately. A nice greeny, yellow-ness around my mouth (it's slightly homer simpson's beard-ish like to me) and a bit down my neck. It makes me look sick.

smile2006 - yes, we really did have similar procedures carried out just a day apart! You're just a day a head of me. I have to agree with you - my chin is almost 100% numb and lower lip only slightly better. My cheeks are 30% I'd say, and upper lip is almost normal. I expect it'll take a long time for my chin to go back to normal so I'm just riding it out.

Pablo - thanks for the kind words! best wishes on your upcoming surgery and I'm glad I've been useful. =]

nvcarissa
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#60 Post by nvcarissa »

smile - It's so good to hear that you are doing so well. Take things easy, and you will do fine. I am so jealous...chunky soup sounds soooo good.

I see my OS tomorrow for my 4-week post-op visit. Don't know what he's going to tell me. Two weeks ago he consigned me to 4 weeks of no chew. The only thing that he might do is release me from day time elastics...maybe?? Give me some exercises to start increasing my jaw range? I don't know. I will let you all know tomorrow.

Best of luck to all my surgery buddies!!
Image

Braced 5/11/05, BSSO with advancement 6/21/06, Debanded: 8/1/07. Click on www for my braces story.

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