12 days post-op

Have I mentioned how annoying this splint is? It’s like a retainer times 10 and makes it difficult to speak and eat. I negotiated with my surgeon when I last saw him on Monday to take my splint out a week and a half early, and he conceded, so that’s something to look forward to. I feel bad for anyone who has to have this thing in for the whole six weeks.

I thought I’d upload some pictures commemorating my first non-doctor’s appointment outing since surgery. I went out to a bar to play trivia with my boyfriend, and drove my car for the first time since surgery too. My mouth is open because because it’s still difficult and awkward-looking to close it fully because of the splint. Don’t be fooled by my mad makeup skillz–I still have green and purple bruises along the sides of my face and neck.

 

I stopped taking hydrocodone this week and my mind feels so much clearer. I have more intense jaw owies and twinges, but nothing so bad I wish I was back on narcotics. I’m still sleeping a lot, but have been trying to get out in the sun at least a little bit every day.

Tonight I was feeling really sick of cold protein shakes for dinner, so I bought some broccoli cheddar soup and orzo pasta. I combined them to make the soup a little bit more substantial, and have been swallowing the mixture whole, and it’s making my night. This is way better than when I tried to put macaroni and cheese in the blender (pretty gross, but I did it twice out of desperation). I have a feeling my surgeon’s going to find some icky pickles when he removes this splint next week.

Other than that, I’m still swollen, though a lot of that has dissipated. I’m still not chewing, though I have nightmares that I catch myself doing it on accident. The left side of my jaw and chin hurt a little where the screws are, and I’m also gaining feeling back faster on that side. My bottom lip down to where my neck starts (plus some cheek out to each side) is all still completely numb. I’m still scared to look at my stitches or explore too much in my mouth. I’m still sleeping with my  head elevated and putting hot compresses on my face to help get rid of the bruising. I still drool and have food on my face unbeknownst to me. It still kind of hurts to yawn or cough. But time is passing, and I feel so relieved to be through the worst of it.

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.