9 days post-op, featuring The Bruise

I’d like to introduce my new friend, The Bruise. All the black and blue bruising I initially had in my face has now migrated down my neck, mainly on my left side. It’s turned into an enormous green bruise, not unlike what it might look like if someone tried to strangle me. My boyfriend and I feel aware of it going out in public, knowing it’s clearly visible and wondering if people suspect him, rather than the surgeon, of being the culpable party.

 

Left: The Bruise. The picture on the right was taken on day eight post-op. That’s my attempt at a close-lipped smile. I still have some work to do. But my swelling is going down.

There have been some surprising aspects of my recovery that I hadn’t expected. I have experienced close to no nausea, despite being prone to it in life in general. I think the Scop patch must be a miracle-worker. Either that or I’ve been taking aspirin under the guise of hydrocodone this whole time.

I’ve also been surprised by how much I can open my mouth. I could open it immediately after surgery because I wasn’t wired or rubberbanded shut, and the amount I can open it has been increasing as time passes. I don’t do any special jaw exercises or anything, but I can eat things (poorly) with a spoon now and easily drink out of a cup, so no more of that pathetic-looking syringe eating.

Another thing is how I can feel both aware and confused, lovely side effects of hydrocodone. I feel completely there mentally  when I’m watching Netflix, talking to my boyfriend, or texting someone, but I find myself forgetting a lot of things too. Did I tell him that or was it a dream? What am I looking for again? What was I excited to have for dinner? Why did I come back into the house? Have I listened to this part of the podcast already? It’s an early taste of senility.

Related to that, I haven’t read yet. Being an avid reader, I stockpiled books on my fireplace, ready to read for after surgery. But with my mind sort of fuzzy and lazy, I’ve preferred to watch Netflix or listen to podcasts or scary stories. I’ll probably start in on the books once I’m off narcotics.

There are a few other observations I’ve made that I don’t necessarily find surprising. I’m not surprised I tire easily trying to talk. This splint is really killing my vibe in that arena. I also keep biting my cheeks because they’re numb and swollen, so if I swipe my tongue between my molars there are raised teeth marks running along both cheeks like the joker, but inside my mouth rather than outside.

Something negative to pop up since I last wrote is that my pain level has slightly increased. I think it’s because my numb nerves are starting to heal, which is a good thing, but it’s leaving me with more feeling in the surgical sites. The left side has been especially achy, so I’ve been putting a warm compress on it, which only sort of helps.

Another negative is that my bowels are packed with poop that’s going nowhere fast. Side effect of narcotics, again. I went from never having taken a stool softener in my life to eating almost a whole bottle only to produce the most unsatisfying of rabbity turds. Sigh.

On a more serious note, my family and friends have been so caring and supportive during my recovery. I’ve received several care packages, cards, and texts wondering how I’m  doing. I’ve been particularly touched by how selfless my birthmom has been, volunteering to fly out here and help me during and after surgery, and how kind a couple of my coworkers have been, checking up on me, offering to bring me groceries, and suggesting movies to watch, though we’re not especially close. Having people I know simply remember I had surgery and acknowledge that I might be having a hard time goes a long way in keeping my spirits high while I bumble around my apartment alone.

I’ve gotten into the habit of sitting on my second-story porch at around 3am and watching documentaries. The other night I decided to do just that, but to pamper myself a little and use a Korean-style face mask with a cat on it that my boyfriend’s mom had given me. I ended up looking like leatherface.

0921160052

I laughed fucking hard for a sec, then put my icepacks on my face, tied onto my head using a canga (a Brazilian piece of cloth towel thing), Grey Gardens-style. While sitting out there, I thought about how terrified I would be to be walking down the sidewalk back from the club on a Friday night and look up to see THAT silently staring down at me.

 

 

jaw surgery–three days after

I’ve made it to the other side and it feels so good. So much time that used to be clogged with worry over this surgery has now been freed up in my  mind that I don’t even know what to do with the extra energy.

I’ve made little comments  in a journal along the way, hoping to be able to relay some helpful information to those who may be undergoing a similar procedure in the future and are also freaking out. Reading others’ blogs was my number one source of information and comfort in the time leading up to surgery, and no doubt they will continue to help and encourage me in the future.

Day 0 was full of new experiences, since I had never been in a hospital as a patient before (even though I work in one), let alone for surgery. I arrived at 5:30am for surgery at 7:30am. The nurses, anesthesiologist, and doctor were all so comforting and caring as I was being prepped for surgery . I was really grateful for that. I got some great hospital socks out of the ordeal, too.

I tried to keep my mind off of it as best I could; after waiting so long for this much-anticipated surgery, the few minutes before going in felt surreal. Apparently I was supposed to have been given Versed before entering the operating room, but someone messed up somewhere along the line and I was totally cognizant as I was flipped over onto the metal operating table. There were so many people in there, including my doctor with a suspicious-looking toolbox that probably contained horrible things like bone saws and scalpels. The room looked like a morgue, but by the time I was thinking that I was already waking up in recovery, with a tight, itchy layer of Coband wrapped around my head.

My time in the hospital was actually pretty good. I’m sure having a pain pump full of Dilaudid helped. My birthmom stayed with me through surgery and my boyfriend stopped by, and I was able to talk (mostly) intelligibly with both. I had very little pain in my face, but I was exhausted, and I still am. I was able to drink water, apple juice, Ensure, and some cream of wheat through a syringe, also a better experience than I was expecting. It’s slopping and cumbersome, but possible with a little bit of patience. I was numb inside and outside the lower half of my face. I didn’t throw up after surgery, and haven’t really felt nauseated either. The IV in my elbow and splint my surgeon put in my mouth  bothered me more than the surgical sites. Another thing that bothered me was that anytime I’d drink something or try to talk, my mouth bled. I went through a box and a half of Kleenex that day. My throat hurt from being intubated. I’d still say the first day my pain was around a 2.

Items that helped me out in the hospital:

facial wipes

iPod, headphones

phone

Arnica salve for stretched and cracked lips

free-standing mirror to allow the use of two hands while drinking out of syringe

glasses and glasses case

deodorant

face lotion

face mist (mine is bougie and scented, but it could just be a bottle that mists water–very refreshing when you’re feeling hospital icky)

 

I brought some other stuff, including a change of clothes and a notebook, but I didn’t end up using anything other than what I’ve listed.

Day 0

day-0

Come at me, boys.

 

The next day, day 1 after surgery, all of the anesthetic had worn off, so I could feel my tongue and the inside of my mouth again, which is great for eating, but not so great for pain level. My pain went up to a 4 and I had slight nausea. My swelling had increased dramatically.  I got to leave the hospital that day, and it felt so good to take a shower and move around my house unencumbered by an IV pole or pulse oximeter.

I was prescribed Ibuprofen and Hydrocodone for pain, Scop patches and Promethazine for nausea, and steroids and antibiotics for swelling and healing. I got behind on my meds yesterday after sleeping through the alarms I set to take them, and my pain level got to a 5-6. I got better about managing my meds after that, so it’s back down to 3-4. My lower face is mostly just incredibly uncomfortable. The skin on my cheeks and chin is swelled so much it’s shiny, and I have intense bruising around my mouth and on my neck, which is a lovely shade of purplish blue right now.

Day 3

Tomorrow is my first post-op appointment with my surgeon, which should just be a quick check-up. I’m dying to get this splint out, but won’t for another few weeks. It’s a food trap and makes it hard to talk. I think things will vastly improve after that. I can’t imagine going back to work with this thing in my mouth.

I’ve been sleeping a ton since getting home, and I keep dreaming I’m chewing food. Last time it was a hot dog fresh off the grill. The dreams stem not so much from food cravings as from the fear I’ll mess my new face up. I’m not wired or rubberbanded shut, which kind of freaks me out. At this point, I don’t like exploring with my tongue in my mouth very much. It’s like a Martian landscape that used to be Earth, and it will take some getting used to.