Guest guest Posted March 28, 2004 Report Share Posted March 28, 2004 Kris, Thanks for your note! This is the most comprehensive description I've read yet. It gives me hope that when I get ready to go to the other side, I'll be OK. For some reason I'm starting to get a little antsy already, and it's still 2 months till my surgery. Dammit > This is a condenced version of the 6-page description I wrote up of > my two day, one night hospital stay and my first day home. If you > want the full version, let me know and I'll e it to you. > > I had my upper surgery on Thursday, March 25th. He rotated my top > jaw using the front teeth as a pivot and moving the back teeth up > about 6 mm. I was splinted, but not banded at first. I wore a > splint for two years before braces, so it's no big deal for me. > > The morning of surgery I went in at 7:15 for a 9:30 surgery. I > thought that I would be given a `relaxing' drug to make me less > nervous, then a twilight drug for while they put in all the IV lines > and catheter and all that, and finally a knock-you-out cold drug for > the surgery itself. When the nurse said that she was giving me the > relaxing drug, I said I didn't need it. She said, " The > anesthesiologist ordered it. You're getting it. " Turned out that > the `relaxing' drug was the twilight drug. I remember being wheeled > out of the prep room, but not the ride down the hall or anything > after that. > > While we were in the waiting room, my husband had asked if you > dreamed under anesthetics. I said I'd let him know. I had a dream > in the recovery room. I dreamt that I was standing in front of a > group of people telling them about my surgery. The audience turned > into several people standing about me as I laid down, all of them > very busily and efficiently doing things that I couldn't really > feel. It took me a while to figure out that I was awake and that > the people were unhooking me or whatever. My throat felt like > things were in it, and I kept swallowing convulsively. It turned > out I was already un-tubed, and after a while I didn't have to > swallow so much. I spoke to one woman, and she understood me right > away. She said I was fine and everything had gone well. My face > was wrapped up with a whole mess of stuff, ice bags and the like, > giving me tunnel vision. I motioned for paper, and she brought it > to me. I wrote to her, " It's a good thing I'm not claustrophobic. " > We talked a little more. She said that my nurse was a man, and I > said no way. I told her to send him to the men's ward. All the > other workers laughed. The one talking to me said no, I'd like him, > don't worry about it. I asked if he was old and ugly. More > laughter, and some other people came over to join the conversation. > Everyone agreed he wasn't old, but they were slower to say he wasn't > ugly. One said that he had a beard, but wasn't sure how I felt > about that. My hubby has a beard and I love them. I gave a thumbs > up and said beards were good, but I still didn't want a male nurse. > I got overruled. At least he never had to do anything personal for > me. Since we were having such a good time in recovery, I wrote to > the nurse, " Visualize whirled peas. " She didn't get it. Even > saying it aloud, and having the other workers all laughing, she > never got it. She's probably still trying to firgure it out. > > Two things I noticed while in recovery. Both of my hands were > completely free (the IV line didn't tie down that hand) and I was > able to motion and touch my face immediately. In fact, I got blood > on one hand from doing just that. Nobody tried to stop me. The > second thing was that as we talked, my mind felt incredibly clear. > I told the nurse that I felt good mental clarity, and she said, " You > may feel like this now, but you won't remember half of this later. " > I remember our conversation very well, but I couldn't tell you so > much as the color of her hair, or what she was wearing, or any of > the trip from recovery to my room. I do remember that my things > were put on the end of my bed, and one of the nurses saw a quilt I > had made to bring with me. She oohed and ahhed, and I told her to > go ahead and take it out of the bag and open it up so she could see > it. She did, and loved it so much she went around showing all of > the workers in recovery. I could hear them all exclaiming over it. > Later on my husband hung it up from the shelf in my room, so that as > I laid in bed I could look at it. During the night when I couldn't > sleep I traced the pattern with my eyes. It was very relaxing. > > My next lucid thought was as I got wheeled into my room, I > said, " Oh, a private room even. " My husband and parents came in > very soon, while I was still being hooked up to things. I did my > best Roman Holiday impression for them. " So-o-o happy! " They broke > out laughing. Morphine is a wonderful thing if you can tolerate > it! I only used for about four or five hours, but I was very, very > happy the whole time. I can see how people get addicted to > narcotics. > > They gave me a mask that blew wet oxygen over my mouth and nose, but > was open on the top so that I could reach down and mop up my runny > nose and drooling lips. It felt good all that day, but by morning I > was sick of it, and they said I didn't have to have it if I didn't > want. Actually, everything felt good that first day. They gave me > a suction tube I could use whenever I wanted to clean out my mouth > and throat. Because I was numb I could use it all over my tongue > and the back of my throat without gagging. I got up lots of > phlegm. The next day the numbness wore off and I could only use it > around the outside of my tongue, not the top of the back. It was > still useful. They said if I threw up, to stick the suction tube > into my mouth and just suck it all away. Didn't need to. I also > loved my catheter. I didn't have to get up and use the bathroom > once all night. I told my husband I wanted one for home so I could > sleep through the night without making trips. That wore off the > next day, too. I didn't realize the anesthetic was keeping me from > feeling things everywhere. When it wore off the next morning I > hated the catheter, so they took it out. I hated my IV, but that > stayed in. Every time they'd ask if I had pain, I'd point to my > hand and say, " This is the worst of it. " I was basically told tough > beans. When I was all numb everywhere I was willing to stay in the > hospital an extra day and have everything done for me. Once I > started feeling my hand I wanted out just to get rid of the IV. On > the day of surgery my facial pain was more pressure, which I rated a > 4 out of 10, and it was very easily controlled with morphine. I > quit pressing the button at 6:30 p.m. and was fine until morning, > when I asked for Tylenol instead. I took only one pill in the > morning, and one in the afternoon, and my facial pain never got > above a 2 or maybe 3. I could breath through my nose right from the > first. A few minutes after the nurses left me alone in my room > right out of recovery, we turned on Jeopardy! I whipped my parents > and my husband at it. A few times I gave an answer that they > thought was drug-induced, only to find out that I was right. > However, I can't now tell you what a single quesiton was, or even > what the final Jeopardy! category was. > > My surgery lasted 4.5 hours and went very well. I lost very little > blood and my bite was perfect when he was done with me. By the time > the doc saw me in my room, I was already sitting up drinking water > from a cup. The first time the nurse sat me up straight, I > immediately got nauseous. He put an anti-nausea drug into my IV, > and it went away immediately. I never got nauseous again and never > threw up. They said they sucked all the blood out of my stomach in > recovery. I had chicken broth and apple juice for supper. It > tasted wonderful and I was starving. The first time I put the spoon > to my mouth I turned it over to empty it, and poured soup all over > my lap. I couldn't feel my mouth and didn't know I wasn't quite > there! We got a towel for a big bib and I used both hands to make > sure that my spoon was in my mouth. Everything tasted so good (and > still does). As I was slurping and Mmm'ing over my soup, I > mentioned that I thought hospital food was supposed to be nasty. > The nurse said, " If you think that tastes good, I won't tell you > otherwise. " I ate a lot and was always hungry for more. Even so, I > dropped 6 lbs the two days (one night) I was in the hospital. I > usually weight 125, put on 6 lbs for the surgery, and this morning > when I weighed myself I was back to 125. I'm told I'll lose more. > No biggie. > > Going back to that first night in the hospital, my upper lip, nose, > and the cheek around my nose was numb. However, I could feel a line > from the bridge of my nose to the tip. By morning I could feel a > little farther down the tip, and today (day 2) I can feel a little > down the sides of my nose. My upper lip is still the most numb, > which I think is good as long as those stitches are still in there. > My cheeks can feel pressure. The most odd numb part is a little bit > seems to have seeped up to the right half of my right eyelid, > dragging it down a little. It's hard to keep that eye open > sometimes. I can feel it just fine, and the left half of that > eyelid is normal, but the right side feels heavy. It's not visibly > noticeable. I'm a little bruised, and not really all that swollen. > That first day I felt what I thought was tape residue on my nose. > It got worse, and spread all over my face. I eventually figured out > that it was the steroid oil that everyone talks about. I didn't > realize it happened immediately. I was scraping it off my face with > my fingernails. Yuck! It's starting to calm down now, though, and > I haven't gotten any acne from it yet, so I suppose it could be > worse. Maybe it will come back to haunt me later? > > My husband stayed with me all night. I'm very glad he was there. I > needed little things every two minutes. I couldn't have bothered the > nurses with that much fussing, but he was glad to do it. We also > had some quiet, intimate time together during the night when neither > of us could sleep and we could just sit and talk and hold hands. I > asked him if he thought a sense of humor was a gift from God. He > said yes, and so was feistiness. I said I'm not only that, I'm > Fightin' Irish. He said he wants to get me a t-shirt of that > fighting leprechaun guy, with a jaw wrap around his head. One funny > moment – he didn't want to wear jeans to sleep, so he put on his > best pj's – black flannel with Snoopy and his water dish, and the > words, " When do we eat? " I told him not to let anyone see him > wearing that. I didn't sleep much during the night, but I must have > fallen asleep once because I woke up when my ice pack plopped into > my lap and everything tied to my head was in my face or around my > neck. I held everything up so it didn't blind or choke me, and my > husband went running into the hall for a nurse to come untangle me. > (I pushed the button but it didn't do any good.) He had to walk all > the way down to the nurses' station in those pj's to find someone. > When they did me back up, they caught my hair in the Velcro. I > didn't know it until the doc came the next day and asked if I had > any pain. Nope, not really. Negligible. He took off my wraps and > pulled my caught hair, which was firmly entrenched in the > Velcro. " Pain! Pain! Yes, I'm in pain! " It took him and my > husband together to get me loose, all the while making jokes about > using scissors. Ladies, if you cut your hair, do it BEFORE surgery! > > That first night I hardly slept. I laid awake, quiet and peaceful > and not restless at all, just sitting there, occasionally trying to > get comfortable. My back and neck were unhappy. My breastbone had > ached earlier, and they told me that they tip you back during > surgery and hold you there a long time, and your chest and neck can > get sore from it. The pain in my chest went away pretty quickly, > but my neck didn't like me sitting up all night. I folded a blanket > behind the small of my back, and hung another blanket off the back > of the bed, with the end rolled up behind my neck. > > The doc came back in the late afternoon and said I could go home, > but first he was going to put in rubber bands because my bite was > slipping off. My pain level, which had been about a 1 before he > came in, shot to the yelping level the moment he touched me. It > felt like he was shoving my upper lip around. He was NOT happy with > my bite. My perfect bite from the day before had shifted > significantly, so that I was heavy on my molars and my lower jaw was > nowhere near fitting into the splint. He said that my back teeth > were riding on an edge, and if I could get them over that edge so > they fell to the other side, everything would slide into place. > However, my mouth doesn't open that far and the more he pushed and > pulled, the more I yelled and begged him to go away. After much > torturous work he finally got in three sets of rubber bands on each > side, one on top of the other in a thick triangle. It wasn't what > he wanted and he was upset that I don't have enough hooks in my > mouth for him to do more. I don't have braces on my last molars, > and the surgical hooks that the ortho put on are useless. He says > that if my bite doesn't slip into place on its own by Monday, he's > going to knock me out in his office and make things fit one way or > the other. He's going to give me more hooks and hold things in > place firmly with bands. He says that pretty much what's stopping > him now is my lack of hooks and my intense pain level when he > touches my lips. He can't work while I'm writhing and yelling. I > can't hold still to pain like that. Within half an hour of the time > he stopped, my pain level dropped back down to 1 or 2, but today my > jaws are aching from being pulled around. So far they're not > slipping into place, and when I try to help them along the pain in > my joint is incredible. I don't mind being knocked out again, no > matter how long I'm groggy. > > Now that I'm banded everything not thin liquid has to be pushed > through my teeth with a syringe. When I was nine years old I broke > a lower tooth, which has never needed repair. The hole is just the > right size to put the end of the syringe against and squirt > through. What a Godsend! > > I took pain meds before bed, not for pain, but to help me sleep. I > did sleep well enough last night, my first night home, in a lazy- boy > I borrowed from my dad. At 2 a.m. I woke up to see my husband > walking toward me around the end of the bed. I asked what he was > doing, and he didn't answer. He kept coming closer, slowly, and I > couldn't figure out why he didn't say anything. Then I heard a > crinkling nose, and realized that what I thought was his shoulder > was a helium balloon, weighted so it will `walk' along the ground. > My cat has been playing with it, knocking the weights (pen caps) > around and chewing the ribbon. I got up and put the balloon in > another room so she could play with it without keeping me awake. > > Kris Quote Link to comment Share on other sites More sharing options...
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